HomeMy WebLinkAbout28674-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28725
Date: 08/21/02
T~IS CERTIFIES that the bnilding ACCESSORY
Location of Property: 2040 CALVES NECK RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 4 Lot 41
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 21, 2002 pursuant to which
Building Permit No. 28674-Z dated AUGUST 21, 2002
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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
·"ne certificate is issued to MICHAEL J & BARBARA HENCHY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF }IEALT~
N/A
CERTIFICATE NO.
40182 08/01/00
N/A
PLI~4BERS CERTIFICATION DA'~'~
Rev. 1/81
i ~ Aut~or~z'ed Signa~e
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIT~ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28674 Z Date AUGUST 21, 2002
Permission is hereby granted to:
MICHAEL J & BARBARA HENCHY
119 TULLAMORE RD
GARDEN CITY,NY 11530
for :
CONSTRUCT AN ACCY INGROUND SWIMMING POOL WITH FENCE TO CODE IN
REQ. REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP#26367.
at premises located at 2040 CALVES NECK RD SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0004 Lot No. 041
pursuant to application dated AUGUST 21, 2002 and approved by the
Building Inspector to expire on FEBRUARY 21, 2004.
Fee $ 150.00
Aut ho~I zed S iga~[t ure
Rev. 5/8/02
ORIGINAL
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. 26367 Z Date MARCH 2r 2000
Permission is hereby granted to:
MICHAEL J HENCHY
119 TULLAMORE RD
GARDEN CITY,NY 11530
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN REQUIRED REAR YARD AS APPLIED FOR.
at premises located at 2040
County Tax Map No. 473889 Section 070
pursuant to application dated FEBRUARY
Building Inspector.
CALVES NECK RD SOUTHOLD
Block 0004 Lot No. 041
22~ 2000 and approved by the
Fee $ 150.00
COPY
Rev. 2/19/98
Form No. 6
TOW OF SOUTI-IOL,
B~LD~O DEP~TMENY
TO~ H~L
765-1802
APPLICATION FOR CERTIFICATE
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 2/10 of 1% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Date.
Old or Pre-existing Building:
Street
Date of Permit.
PermitNo. 3(.t9~~]
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
(check one)
Hamlet
'~0 Block ~ Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: (check one)
· ApPlic~trit SignatUre
Elec t'ical ZnspecHon Ce/'Hl ica e
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Date: 8/1/2000
Application I~o. : 40182
Issued to: Michael Henchy
Street: 2040 Calves Neck Rd
Village: Southhold
Section: Block:
Zip: 11971
Lot:
Town: Southold
Introduced by:' James T. Ridge Lic.# 1895
was ~xomined and t~ound to be in compliance w/th the/V~Honol Elecfeic~l Code
[] Attic []1st Floor [] OIS Residential [] Pool [] Det. Garage
[] Basement [] 2nd Floor [] O/S Commercial [] Hot Tub [] NV Defects
Switches
Dishwasher
Furnace
Meter Amps
Receptacles Fixtures
1 1
Washer/Amp Dryer/Amp
Oil Gas Circulator
Phase Motors
Telephone
GFI Heaters A/C Fans
1
Oven Range/Amp Garbage Disposal
Smoke Detector Bell Transformer
Television Carbon Monoxide
Other Equipment:
Built In Pool, 1-Automated Pool Panel, ~-20 amp
Spec/al,l- ! ~/2 H/P I~otor, Outside Only
.Hugo S. Surdi
President
Building Permit No. 26367 This certificate must not be altered in any manner
Inspectors may be identified by their credentials
~N~ OF SOUTHOLD PROPERTY RECORD CARD
WNER STREET "-2~K') ~(5 ·
RES. S~S. VL. ,..~/ FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION
N~ NORMAL BELOW ABOVE
FARM Acre Value Per Value
Ac re
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Total DOCK
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ ,
Owners Name: ~ (-JNc<' ~ 3'"
Architect/
Engineer:
SCTM #:
District: 1,000 Section: ""/O Block: q
Location: _ .
Single & sepmte R~uked
cemfication: (Yes /
R~.
~ning Dis~ict:~ [~t
R~ R~.
[Front Y~d ~ P~o~s~:~] [Side Yard
Date
Reviewed:
Date
Submitted:
Subdivision
Name:
Req.
Actual: } [Lot coverage Proposed:__]
Req.
Proposed: ] [Rear Yard __ Proposed: __]
Project Description:
AGENCY PERMITS
REOUIRED FOR REVIEW
Permit
N.A. NO YES Number
Suffolk County Health Dept.
New York State D.E.C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
FlY,od Zone:
Notes:
FIEL~ INSPECTION REPORT DATE
II
II
, II
FOUNDATION
Il II
~9____U~__~ON (2ND) ~
ROUGH FRAI~E &
PLUI'~ING
II
II
II
II
II
II
II
1I
INSULATION PER N. Y.
STATE ENERGY
CODE
II II
II II
I1'
II II
I1'
II tl
II II
11- --II-
II II
II It
II II --
II II
II II
II II
II II
II
II
II
JI
II
II
Jl
II
tl
II
II
Il__
II
II
JI
II
II
II
FORM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
BOARD OF HEALTH. ..............
3 SETS OF PLANS ......... ......
SURVEY ........................
CHECK .........................
SEPTIC FORH ...................
NOTIFY:
CALL ..................
HAIL TO: ...................
R~,-ined ................. · 19 ....
Disapproved a/c ..................................
APPLICATION FOR BUILDING PERHIT
?~ ~ : Dare. February. 17 .....
~ ~ INSTRUCTIONS
~. ~l~i_s ~appllCa_.t_i_~n._m~t be ~letely fill~ in ~ ~iter or in i~ ~ ~itt~ ~o ~ ~ildi~ I~tor ~
3 ~ts of pl~, ~a~e plo~ pI~ ~ ~ale. F~ ~i~ to ~Ie.
b. Plo~ pl~ ~ l~i~ of lo~ ~ of ~ildi~ ~ ~;~s, ~la~i~ip ~ ~joini~ pr~s or ~lic
s~r~s or ~e~, ~ givi~ a &tail~ &~ripci~ of l~t of pro~ ~ ~ ~ m ~ di~ ~i~ is ~ of
~is ~li~t i~.
c. ~ ~ ~r~ ~ ~ds ~li~im ~ ~ ~ ~ ~fore is~ of ~ildi~ ~.
d. ~ ~al of ~is ~li~i~, ~ ~ildi~ ~tor ~11 i~ a ~ildi~ ~ to ~he ~li~.
~t ~1 ~ ~pt ~ ~ ~s ~il~le ~r i~ti~ ~ ~ ~.
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~ for ~ ~ ~r ~til a ~r~ifica~e of
~I~ IS ~ ~ ~ t~ ~ildi~ ~ for ~ is~ of a ~ildi~ ~t ~
~ldi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~li~le I~, ~di~es or
~dati~, for fl~ ~ti~ of ~ildi~, ~i~i~ or al~era~i~, or for ~al or ~liti~, ~
~ri~. ~ a~li~ ~s ~o ~'.,~ly ~ all ~li~hle 1~, Didies, ~ildi~ ~, ~i~ ~,
~la~i~, ~ to ~it ~ri~ i~tors ~ ~s ~ in ~ildi~.tor ~s~ i~i~.
. Z.. f i iu . .................
(Si~tm-e of a~li~[, or ~, if a co~ra~i~)
(~ili~ ~ress of ~li~)
S~ate ~r ~li~ is ~r, les~, ~, ~it~t, e~i~r, ~mral ~tr~or,' el~trici~, pl~r or ~il~
agent
~ of ~r of pr~s ~ichael Henchy
(~ m ~ ~ ~11 or lates~ ~) .......................
If ~li~ is a ~rati~, si~e of ~ly ~[~ri~ offi~r.
John Tortorella, President
(~ ~ title o[ ~ra~e offi~r)
Builders License No. ~G976--Ht ...............
PI,sabers Licorice No..2.9.4.2.7.P. .................
Electricians License No ......................
Other Traao's Licerme No .....................
I. Location of lead on ~himh propcksed ~ork will be an~ 2040 Calves Neck Road, Southold
tiptoe/i ~her Street limn]et ...........................
County Ta~ Hap No. lO00 Section 70
................ Block 41
Subdivisio~ ...................................... Filed Hap NO. ..
2. State existing use and occupancy of premises and int~__ use and occupancy o~.~ mt-ruction:
single faraily residence
a. Eads£iag use and oc~apancy ......... ; ..........· ..................... * ......
b. .................. /. ..... ....
.,. ......tu ur. ~,,..e. ,.,,:ne,,~. Mnc'~t sjl)liCm)le): ~ I~ilding .......... AMltlort ......... Alt,~ration
Repair ............ It~mwal.. ............ r~,,ulltlon Otlmr gor~ 20 x 4OGunite l~$bT .....
~'De~crtpt ion)
4. EstimaLed Cost ............ : ............ fee ..............................................
(to be paid on filing this upplicatioo)
5. If dwelling, nt~ber of duelling units ............ lumber of dwelling units on each floor ................
If garage, ~Jn~er of ears ......................................
5. If business, co~,~ccial or mi~=d occupancy, s~ecify nature and extent of ead~ type of use ......................
1. Dimensions of existing structures, if any: Froot ................ Rear ............... Depth ... ...............
lleight ......................... l~nber of Stories ......................
Dimensions of re, i,= struet"ure with alterations or additions: Fr(mt ............... Rear ...............
DePth .................... BeiSJ~t .................... NLm~er of Stories ...............
3. Dimensions of entire new eoustruetioo: Front ................ Rear ............... Depth ..............
tleight ...................... '... Nmi)er of Stories .....................
}. Size of lot: Pront .................... Rear .................... Depth ....................
lO. Date of Purdmse ..................... Narc of Fotller Owner ........................................
I I. Zone or use dlstriet in which praises are situated ..............................................................
12. Does proposed construction violnte any zoning las, ordinance or regulation: ........................
13. Will lot be regrnded .................... Will e~cess fill be z~uved frae premises: YES IxD
Michael Henchy 119 Tullamore Rd
~4. Nmmes of Owner of p~'-,,;ses ........................... Nldress Oardtm.Ci~ey;.i~ew.¥ork..}t51~ No ..............
Nmm of Architect .................................... Address .............................. Mn(me No ..............
Nam of Contractor .J....Tp.r.t.9.r.e.l.!.a..P. qg.l.s. ........... fiddresa 1.7.6..4. ?.o.r..t.h..H..i.g.h.w..a.y.,.S.o..tt.a.m.p..tlgn~ NO.2.8.3.=7..3.7.3. ....
15. Is this pt'operty ~ithin '300 feet of a tidal ~etland? a YES .......... NO . .X .......
PLOT DIAGRAM
I~cate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
f,u, pi,pert-y lines. Give street and block number or description according to deed, a~l sho~ street n~es and indicate
~aether interior or corner lot.
SEE SURVEY
"IMMEDIATELY"
UPON COMN.EIION
BEFORE "WATEW'
APPP, OVED AS NOTED
FEE: }~'0°° ey.~- ~
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL- CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSt~qLE FOR
DESIGN OR CONSTRUCTION ERROe$
UNDERWRITERS CERTIFICATE
REQUIRED
.......................................................... heing duly sw~m, depo.~es and mays titat he is tim applicant
;Nare of individual signing contract)
le is tl~ .... .ag?p& ........................................................................................
(Contractor, ugent, corporate officer, etc.)
)f maid owner or owners, and is duly authorized to perfom or have parfou,~d the said work and to make and file this
~pplicati(~; that all star,lents contained in this application are true to tl~ best of his knowledge m~ beliefl and
~lmt the w~rk will be parfornt~l in the manner ~t forth in the application filed therewith.
~x)rn to befere me this
SHANON M. CARTER
Nota~ Public, S~te of New Yo~
No. 01C~0861~
Qual~ in Suffolk Coun~
~i~ion ~pires 0~
(Sigr~ture of Applicant)
POOL WALLS, BOND BEAM, AND FLOOR SHALL BE
STEEL REINFORCED GUNITE CONCRETE. GUNITE
CONCRETE SHALL MEET OR EXCEED 4,000 P.S.I. ~ '
28 DAYS. STEEL REINFORCING BARS SHALL
CONFORM TO ASTM A615, GRADE 60.
6" X 6" FROSTPROOF CERAMIC TILE ~-- ..
WA TE~ LEVE~ ~ CENTER OF CERAMIC TILE
· IN POOL WALLS WITH A WATER DEPTH OF 5'-0" OR
LESS, RE-BARS SHALL BE PLACED HORIZONTALLY
AND VERTICALLY ~ 12" O.C.
IN POOL WALLS WITH A WATER DEPTH GREATER
THAN 5'-0", ADDITIONAL VERTICAL BARS SHALL BE
INSERTED TO CREATE VERTICAL BAR SPACING
O.C. THESE BARS SHALL START FROM THE TOP OF
THE WALL AND SHALL BE BENT A T THE BOTTOM TO
EXTEND 24" HORIZONTALLY INTO THE FLOOR.
THE VERTICAL RE-BARS ~ 12" O.C. SHALL BE BENT
AS SHOWN IN THE BOND BEAM.
UNLESS OTHERWISE SPECIFIED OR REQUIRED, #3
BARS SHALL BE TYPICAL
NORMAL FLOOR REINFORCING SHALL CONSIST OF
RE-BARS PLACED AT RIGHT ANGLES (90°) TO EACH
OTHER ~ 12" O.C.
fO~
· DECK SHALL BE PAVED WITH MASONRY, OR
WITH 4" OF POURED IN PLACE CONCRETE.
~" EXPANSION JOINT
(SEALANT IS OPTIONAL)
MINIMUM SIZE OF COPING STONE SHALL BE 1 ~"
'~HICK BY ~2" WIDE
4" SAND BASE. WHEN NECESSARY TO AID.
DRAINAGE IN SLOW.DRAINING SOIL
POOL WALLS AND FLOOR SHALL BE 7" THICK, AND
BOND BEAM SHALL BE 10" WIDE X 12" HIGH.
4 - #4 BARS SHALL BE SPLICED TO FORM
CONTINUOUS REINFORCING WITHIN BOND BEAM
INTERIOR FINISH ON GUNITE SHALL BE ~" THICK
TROWELED-ON "MARBLEDUST"
RADIUS AT INTERSECTION OF GUNITE WALL AND
FLOOR VARIES.
CRUSHED STONE, WHEN NECESSARY TO AID
DRAINAGE IF GROUND WATER IS ENCOUNTERED IN
SLOW DRAINING SOIL
!
GUNITE
POOL
SCALE: 1"= 1'- O-
OF
SITUATF: SOUTHOLO
TO.bi OF SOUTHOLIS>
SUFFOLK COUNT'f, NY
)Ut~.VEYE O Oq-II-q6
AMENDED
AMENDF:I:~ 10-05-qq
~UFFOL~-. GOUNT'T' TAX
I000 --~0 - 4- 41
CERTIFIED TO:
MIOHAtEL HFNGH¥
;OMMON~EALTH LAND TITLE
I NSUP-..ANC, F: COMPAN'P
!1
Test Hole
(not ~o scale)
0.0
dOHN C. EHLER~ LAND SURVEYOR
~ EAST ~A~N STREET
~ZVERHEAD, N.Y. ~gOi
369-8288 Fax 369 8287
N01-~S:
· MONUMENT FOUND
PIPE FOUN[2
AF~EA = BS,4Bq SF OR 0.88 AO~.ES
F~EPE~ENOE DEED: LII202 P 500
GRAPHIC SCALE I"=
N. Y.S. LIC. NO. 50202
REFERENCE # 98-225CC
SUt .¥EY OF P .OPE -F'd
SITUATE: SOUTHOLID
TOIAIN OF SOUTHOLiD
SUFFOLK C, OUNT'~, FlY
ANIENDED IO-22-~1¢
ANitENOEO IO-05-~I~I
.~:~FFOLt( GOUNT'f TAX ~
lO00 --lO- 4- 41
CEt~TIFIEI? TO,
MIGHAEL HENOH'f
C, ONINIONINtEALTH LAN~ TITLE~
I N.~IRANCtE C, OI"IF'AN'f'
SEf~TIO E)ETAIL
Test Hole
(noL ~o stole
O.C
0 8
NOTES:
· I"IONUf'4ENT FOUND
(D PIPE FOUND
A~EA = ~8,4~q SF OR 0.88 AOW. ES
P-.EFERENOE DEEP: LII202 P 500
®RAPHIC SCALE I"= 30'
IEL =I6,s
G%e%
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$8"~ ~. °O'oo,,;,v
27.70, --
,JC, bN C EHLEPS LANE
6 EAS~ NA[N STRF::-
5 8
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N Y.S L IC NC 50202