HomeMy WebLinkAbout36090-Z 'OS�FFOIt Town of Southold
4/10/2023
a P.O.Box 1179
0
53095 Main Rd
o �
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36329 Date: 7/2/2013
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 587 LESLIE RD CUTCHOGUE
SCTM#: 473889 Sec/Block/Lot: 97.4-17.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/3/2010 pursuant to which Building Permit No. 36090 dated 12/13/2010
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
accessory in ground swimming pool fenced to code as applied for.
The certificate is issued to RALPH PUGLIESE JR.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36090 6/6/11
PLUMBERS CERTIFICATION DATED
4
ri d Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO_ 36090 Z Date DECEMBER 13, 2010
Permission is hereby granted to:
RALPH PUGLIESE JR
PO BOX 481
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL, FENCED TO CODE
at premises located atrjg ~ LESLIE RD CUTCHOGUE
County Tax Map No_ 473889 Section 097 Block 0004 Lot No_ 017.002
pursuant to application dated DECEMBER 3, 2010 and approved by the
Building Inspector to expire on JUNE 13, 2012.
Fee $ 250.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I O of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (priorto April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
- 2. A properly completed application and consent [o inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building ]nspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations [o dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $ 15.00, Commercial $ 15.00
/ Date. ~30'r 3
New Construction: ? Ol/d or Pre-existinng Building: (check one) /
Location of Property: _ 587 (_„ES(.'G[r R~ ~ vTt{to frt+~ tJ y ~ ~ Q 3~
House No./'~ Street Hamlet
Owner or Owners of Property: ~<ALQ~j' ~V (,.t.~'~ J(~
Suffolk County Ta/x MapnNo 1000, Section Q 7 Block ~ Lot ? 7. 2_
Subdivision - Qt~E ~5'~MCS Filed Map. LoI: S
n i
Permit No. 3~naV Da[eofPermit. Applicant: /tsa~pN' (~oV~;,~St ~L
Health Dept. Approval: ? Underwriters Approval:
Planning Board"Approval: ? ` /
Request for: Temporary Certificate Final Certificate: (check one)
w
Fee Submitted: $ So
~AJ"l
Applicant Signature
~~aOF~~r
Town Hall Annex y i Telephone (631) 765- 1802
54375 Main Road T Fax (631) 765-950?
P.O. Box 1179
Southold, New York 1 1 97 1-095 9 O ~ rOQer.rlChert(C7tOWn.SOUtf101d.nV.US
~'`OOUNTI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Ralph Pugliese Jr.
Address: 587 Leslie Rd City: Cutchogue St: NY Zip: 11935
Building Permit 36090 Section: 97 Block: 4 Lot: 17.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DeA: Raymond Electrical Cont. License No: 5141-me
SITE DETAILS
OfFce Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches 2 Twist Lock Ezit Fiztures TVSS
other Eguipment: in ground swimming pool to include, bonding, 1-time clock, 1-GFCI circuit breaker
2-switches, 2-pool lights. 1-pool pump
Notes:
Inspector Signature: I~=~~1 Date: June 6 2011
81-Cert Electrical Compliance Form
/ o~~,oe soury~
3090
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING FINAL
[ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
( ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
02 l~ . ~ - oL' ~-0~'t.~
r
DATE 3 - ~ ~ INSPECTOR ' ~ ~~k~~~'-~
~ - ~ .
\G1 G
,~Cp~;
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSU ION
[ ]FRAMING /STRAPPING [ INAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
DATE ~ INSPECTOR
FIELD INS ON REPORT DATE COMMENTS
~ ro
1
FOUNDATION (IST) ~
~l ~
~ ~
FOUNDATIOiV (2ND) J ~
O
ROUGH FRgNIINCr & - y
PLUMBING
r,
F-,
INSULATION PER N. Y.
STATE ENERGY CODE
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1LeeL ~v~. - D~ ~ ,
FINAL ~ -~7i~d,~_
ADDTTIONAL COMMENTS
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TOWN f F SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDIP :DEPARTMENT Do you have or need the following, before applying?
TOWN H~J.L Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. '36fJ~j ~J Check
Septic Form___
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ~_4 ~ 1 } , 201 Storm-Water Assessment Form
Contact: Q
p 20 ~ 0 Mail to: UW I M ~ ?l i~ l~
Approved / ~ L
Disapproved a/c 6 4'~ ~ft 2~~
Phone:~X
~~~~V
)Kpl*_:tinn ~ 20~ ~ - p 1 ' ~ ~ I ~ },l _
ti'
D ~ ~ ~ O ~ ~ Building Inspector
lS D PPLICATION FOR BUILDING PERMIT
DEC -
Date ~ , 20Ls~
etoc uEPT INSTRUCTIONS
lowrl of sourHOto
is app ~catton MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
£ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension ofthe permit t'or an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
l 1 t/ ~-f~/~t`~ l ' f 'ENCL05= "O COD ignature of ap icaz or nac e, if a corporation)
uPCr; ~ ,.eTION ~ppRO ED AS NOT
ICI ~ BEFORE "~dv'ATER" l~'~ ~ "j1
DATE B. fappli ant)
State whether applicant is owner, lessee, agent, architect, eng~~ ~3lumber or builder
785-1802 8 AM TO { PM FOR THE
o~p r' FOLLOIMNG BYSPECTIDNS:
1. OUNDATION - TYIq REGI>IRED
/ t FOR POURED CONCRETE
Name of owner of premises n (/l
r~ ~A~s on th~ ~hFIPriiIP~. r i CAULKING
If applicant is a corporation, signature of duly authorized offiEenNSULAn ~N
4. FINAL • C',NSTRUCTION & ELECTRICAL
(Name and title c ) MUST BE .:CMP_F'E FOR C 0.
ALL CONSTRUCTIGN SHALL A~EET THE
l~ " !I~LAWFUL REQUIREMENTS OF THE CODES OF NEW
Builders License No. ~ f~'P YORK STATE. NOT RESPONSIBLE FOR
Plumbers License No. i~~ ~F~CATE DESIGN OR CONSTRUCTION ERRORS.
Electricians License No
Other Trade's License
ELECTRICAL
1. Locatior~gl~
d on whi pro`
steed wo~rk~Q
1~ bidone: ~N$p~~T
ON REQUIRED
House Number Street LI Hamlet
f
County Tax Map No. 1000 Section ~ ~ T~IBck'°~ r Lot
n f l^.. s..tl r
2. State existing use and occupancy of premises and • ten d use an occupant of r posed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
~y , ('Description'
)
4. Estimated Cost ~ 'I ~ ~ 4 yob ~I Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Reaz Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Reaz Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO
14. Names of Owner of premises ~ ddress Phone No.
Name of Architect tJ Address Phone No3'~ -
Name of Contractor ddress Phone No. o
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY E REQUIRED.
b. Is this property within 300 feet of a tidal wetland * YES N
* IF YES, D.E.C. PERMITS MAY BE REQUIREI~,~, ~
o~TO~2Aa~~~
16. Provide survey, to scale, wt accurate oundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenaa~c~i~js ~tlgresS~F(~jq this property? * YES NO~
* IF YES, PROVIDE A CO ENOITU3ri2N1 t>N!woJJO~i
U3SNU03l1 OYVT • NOITAt7Nf10'1 '
STATE OF NEW YORK) 3T~3fI~U~NfOU1,(l3Rt;pn A';i
C11~OIR1/~I.NY,~~~M~ 1. f
COUNTY OF ~S~?LtIK;UA~b ~AaiA1Ji'~ ~ N ;c: '
~~~~~~E~.1'~ry ,being duly sworn, deposes and s~ys that (s)he is the applicant
ama of individ•7Lal s~gnmg canttat:t) abfavertlaafEi!B; N' w
q ~ " M~ ~S'
(S)He is the v~ : c ~r\>' '
d`rifrabtot, A' eri , ai' fficer, eta) -s.,_! t
of said owner or owners, and is duly authorized to perform or have performed tlie~sat~d Wo}k and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me th's
,7 ~ day of ~ ~ 20 ~ v n
vuK~
f /
Notary Public gn o Applicant
1
~o~~Of SO(/l~
Town HaU Annex ~ ~ Tekphak (68l) 765.180E
54975 Main Road RR.... g~py~q
P.O. Boat 1179 ~ r4per.riCheft6~lOWn ~ 7"~ nv ~ ~c
Soudaald, lVY 11971-09.59 //yyyy~~,,..~~
'~YIII~~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRI Ai INSPFr'TI N
REQUESTED BY: Date: - a ^
Company Name: C • rl r .
Name:
Lbense No.: I
Address: td 1 ~Z ~ ~ CC7lldl1'Y" ~ `N1 1 Jt' 1''
Phone No.: I (o ~57
JOBSITE INFORMATION: (`Indicates. required information)
'Name: 1
'Address:
'Cross street: 5
~ i e
'Phone No.: r. c) 9 g
Permft No.: ~ ~ n ~
Tax Map District: 1000 Section. _ bck: t Lot: '7,
'BRIEF DESCRIPTION OF WORK (Please Print Clearly)
SW. min 11N~r~nq
- ,...r ~ ~
(Please Circls All That Apply)
!is job ready for inspection: YES NO Rough In Final
Do you need a Temp Certificate: YQS
Temp iMormatlon (If needed)
'Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
'New Servbe: Re-0onnect Underground Numtrer of Maters Change ~ gem O~~d
Additbnal Infom?atbn: PAYMENT D WITH APPLIr~eT10N
~~~~oJ~/r
~i~°i~l C? S~~ ~ ~
rtuur~
~~a F SO~j~,l
Town Hall Annex ~o ~ Telephone (631) 765-IR02
54375 Main Road ~ ~ Fax (631) 765-9502
P.O. Box 1179 G ~
Southold, NY 1 1 97 1-0959 ~ ~
~~~~OUNTI,N`~
~n~
BUILDING DEPARTMENT
'GOWN OF SOUTHOLD
June 25, 2013
Ralph Pugliese Jr
PO Box 481
Cutchogue, NY 11935
Re: 580 Leslie Rd, Cutchogue
TO WHOM IT MAY CONCERN:
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
/ Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits Involving plumbing after 411/84)
Trustees Certificate of Compliance. frown trustees # ass-is92)
Final Planning Board Approval. (Planning a ass-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept
BUILDING PERMIT: 36090 - In-Ground Swimming Pool
3~o~n
10" 3,_b„ 3,~„ 10„
g CHECK VALVE V
O Z ~
p PUMP O FROM SKIMMER O W e~^-
E
vW Z
_z o
TO DISPOSAV ~ ~ ~ Q
DRVWELL ~ I- Fy p,
}
DIVERTER ~ Z O O
VALVE
H2O
FILTER ~ 0
A ~
~ __y
G TO RENRNS
CONC. WALLS CONC. STEPS CHECK VALVE
PLUMBING SCHEMATIC -K~ H
' ^
PLAN NOTTO SCALE ~ ~^aVC1
20' x 40' Double Roman End IGS ~ ~
w~ A~
'1 r'
4 I LP
M
Q.
WATER LINE Z
NOTES
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tis~i~: • y< v mo'o'
/ V
1. ALL CONSTRVCTION IS TO BE IN ACCORDANCE WITH THE RESIDENTIAL CODE OF ~
2"to 4"SAND BOTTOM NEW YORK STATE-2007 AND THE ANSI/NSPI-519995TANDARDS FOR RESIDENTIAL ~ ~ V
INGROVNDSWIMMING POOLS FORA TYPE II POOL. ~ v
2. STRVCTURE IS DESIGNED FOR VSE BELOW GRADEAND ONLY IN AREAS WHERE THE O ~ 0
FORMED CONCRETE STEPS COPING AND WALKWAY GROVND WATER TABLE ISA MINIMVM OF4'-8"BELOW THE PROPOSED FINISHED GRADE. d ~
BY OTHERS) w_
3 OF BACKFILL TOCIXCEED THRE HEIGH OF
TOHOE WATERDINBTHE OOL BY ORE 7}{AN
$EIGHT ~ O ~ J
SECTION A WATERLINE _ GRADE OR THE WATER TOIXCEEDBACKFILLBYMORETHANB" 0 0 ~
Tc
4. PLACE CONCRETE ON SANDY TO LOAM SOIL. REMOVEANY CLAY DEPOSIT ba ~ 'n
SCALE: i/8"=1'-O"
8 AND COMPACT CLEAN BACKFILL
ROLLED FOAM BETWEEN 5. WALKS TO BESMOOTH, NON SKID TYPE, SLOPEDAWAY FROM POOL
LINERAND CONCRETE ~i b. WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY IN ACCORDANCE WITH 41
FORM TIES LOCAL REGVLAT10N5 ~ Z
TOP OF WALL WATER LINE _ ~ 7. NO DIVING BOARD. Q ~ w Z vi
3500 PSI POVRED CONC ~ ° 8, PROPERTY OWNER IS RESPONSIBLE TO INSTALL PERMANENT FENCEAROVND POOL ~v> O
_ _ 7 IN ACCORDANCE WITH THE NYS BVILDING CODE, APPENDIX 4 SECTION AG705. _Z Q N
v~ - ,
= 2b' VINYL LINER PERMANENT ENCLOSVRE MVST BE COMPLETED WITHIN NINETY DAVSAFTER THE DATE OF =~~rMii
`f ~ COMMENCEMENT OF CONSTRUCTION. 0 V w 1i' a-
in ~ ~~m ~M
2" T04"SAND 9. THERE IS NO MAIN DRAIN IN THIS POOL SVCTION FOR POOL WATER CIRCVLATION ~ Q ~ I- ~
IS PROVIDED BY THE SKIMMERS ONLY. THIS MEETS REQUIREMENTS OF RC-SECTION AG106 J .N-Q
FOR ENTRAPMENT PROTECTION. d
10. THIS POOLSHALL BE EOVIPPED WITH AN APPROVED POOL ALARM WHI<H IS CLASSIFIED
RY UNDERWITERS LABORATORY, INC TO REFERENCE STANDARD ASTM 2208 ENTITLED
"STANDARD SPECIFICATION FOR POOLALARMS,"AS ADOPTEDIN 2007. T1_2J7_~O
S ECTI ON B 11 A TEMPORARY ENCLOSVRE, OR4 Fi FENCE SHALL BE INSTALLED AND REMAIN IN PLACE
WALL SECTION THROVGHOVT THE PERIOD OF CONSTRVCTION OF THESWIMMING POOL,
SCALE: 1/8" =1'-O' UNTI L TH E COMPLEFION OF A PERMANENT ENCLOSURE.
SURVEY OE LOT # 2
MAP OF "KAY DEE ESTATES" RVIGES REF a RIDO 'o of
eTH "
FILED FEB. 13, 19g2 - AS #gla2 w~E
SITUATE: GUTGHOGUE ~
TOWN: SOUTHOLD I s
SUFFOLK COUNTY, NY
SURVEYED: 07-OI-0I I
PROPOSED HOUSE 07-23-04
FOUNDATION LOCATION 08-OI-2005
FINAL SURVEY 10-25-200"1
SUFFOLK COUNTY TAX ~
1000-Q?-4-I"f.2
(~tTIF113D TO:
RALPH PUOLiBS$ JR
COMMONWBALTH LAND
T1TIB INSURANCE COMPANY
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TOTAL AREA = 90p39 S.F. JOillr C. EHLERS LAND SURVEYOR
AREA EXC. R.O.W.= 80,102 S.F. 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
GRAPHIC SCALE I = 60 RIVERHEAD, N.Y. 11901
369-8288 Faz 369-8287 REF•\\Compagserver\pros\O]\01-211.p.