HomeMy WebLinkAbout28597-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29005 Date: 10/21/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 325 ORIOLE DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 6 Lot 15.27
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 27, 2002 pursuant to which
Building Permit No. 28597-Z dated JULY 27, 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.
The certificate is issued to MARK & JOANNE SOLO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 66942 09/04/02
PLUMBERS CERTIFICATION DATED N/A
Authorized Sign u e
Rev. 1/81
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. 28597 Z Date JULY 27, 2002
Permission is hereby granted to:
MARK & JOANNE SOLO
PO BOX 1948
SOUTHOLD,NY 11971
for .
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 325 ORIOLE DR SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 027
pursuant to application dated JULY 27, 2002 and approved by the
Building Inspector to expire on JANUARY 27, 2004 .
Fee $ 150 . 00
F
Y
Auth rized Signature
COPY
Rev. 5/8/02
For I No.6
t
TOWN OF�OUI'HOLD 15
BUILDING MPkRTMENT
TO HALL
765- 2'
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 2/10 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(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.
C. 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$15.00
/ Date.
New Construction: ✓ Old or Pre-existing Building: (check one),
Location of Property: p K i V E S a c!/rHO L)
House No. Street Hamlet
Owner or Owners of Property: ^Mh' j Taa,,me,- S010
Suffolk County Tax Map No 1000, Section Block DDD �o Lot (JAS -, O� 7
Subdivision //,f�� '40/.,fI- N"/V w;$" Filed Map. '13 g -Lot: °
Permit No. .1 9 5 Cf ? �Z- Date of Permit. 7�� 0.�. Applicant: vo�- ✓M&W C To L O
Health Dept. Approval: Underwriters Approval:
Planning Board Approvals
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ oZJr,O(�
�� Applicant Signa
_ Rectrica/ Inspection Certificate
Date Electrical Inspection Service, Inc. Application#
09/04/2002 375 Dunton Avenue 66942
East Patchogue, New York 11772
(631)286-6642
v'
Issued to: Mark Solo
. Street: 325 Oriole Drive
Village: Southold Zip:11971 Town:Southold
Section: 55 Block: 6 Lot: 15.27
Introduced by: Hank's Electric Inc. (L) Lic.# 2675-E
_
was examined and found to be in comp/lance with the National Electrical Cade NFRA 70
ti
Commercial El NV Defects ! " Pool 1st Floor Indoor "-Basement = Hot Tub
v. Residential E] Det. Garage 'Attic 2nd Floor l�'Outdoor ❑ Addition Survey _-- ';
Switches Receptacles Fixtures GFI Heaters A/C Fans y
2 1 1 1 »
Dishwasher Washer/Amp Dryer/AmpDryerlAmp Oven RangelAmp Range/AmpGarbage Disposal
I Furnace Oil Gas Circulator Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Telephone Television Carbon Monoxide
❑ ❑
MEM
Other Equipment: Building Permit#
1-30A SUb Pane/
1-20A Time Switch "+' ,
1-11/2HPMotor U
Hugo S. Surdi
President
Rough Inspection: 09/03/2002
Inspector: Quentin Reynolds
Final Inspection: 09/03/2002
Inspector: Quentin Reynolds
This certificate must not be altered in any manner.Inspectors may be identified by their credentials
I
TOWN OF SOUTHOLD PROPERTY RECORD CARD '
OWNER STREET VILLAGE DIST. SUB. LOT 7L4
Kt J
ACR. RE ARK �
pa,����
5 `1t 7 / - ffPaB - t ,._ ,.
TYPE OF BLD. / Cid lgc0 3/0P nms
PROP. CLA E cQ
Z Imo' !�' fg`i3 -� �(�� a�(- Ni 1 a
C �
p r dov
,1
LAND v IMP — TOTAL DATE C,I3 7 ' � / o ' - C G'h l L;; k,.Cxg 'G'.`
.1 � �fl'+�` ,�_.' LAG J, ( 7 Z-'
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
I
BULKHEAD HOUSE/LOT "ICS
2/
- -- TOTAL C1 Z!
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: a /Z4/02
APPLICANT: _ DATE SUBMITTED:_j_/j/02
SCTM# DISTRICT: 1,000, SECTION: SS , BLOCK: 6 , LOT: 1s2:1
STREET ADDRESS: D('i. CITY: "1A
J� SUBDIVISION:
PROJECT DESCRIPTION: TSP
ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: N k _FAST TRACK?
SINGLE & SEPARATE CERTIFICATION-REQUIRED? �y NOTES: r
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/
ZONING DISTRICT: ART) CONFORMING? YE_S
REQ. LOT SIZE: 0 000 ACT. LOT SIZE:-? lob REQ. LOT COV. 00 ). ACT, LOT COV.
REQ. FRONT PROP. FRONT ✓ REQ SIDES ACT. SIDE �—
REQ. REAR PROP. REAR e"' REQ. HEIGHT " _PROP. HEIGHT
WATER FRONT? X�° DESCRIPTION:
PANEL #: _ , FLOOD ZONE: X ,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or 0,, (BED #): DTE:—/_/ PERMIT#:R10-
TOWN SEPTIC RECEIPT: Y oriv
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES oro
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES 05
NYS ENERGY: YES OR® :
EGRESS (18 H min.?4 sq total) VENT (SQ. FT. x 4%) LIGHT (SQ. FT. x 8%
BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/o Z-CQa!y 9 /C, ;/&
HAVE PRE CO'S : Y OR N B _-Z/C/0 Z. � , cw�t.�.-t o— c
ci
NOTES:
����/�����r��.a�
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE
1. ( SF)- ( SF)= SF X $ _$ +$ +$ _ $
2. ( SF)- ( SF)= SF X$ _$ +$ +$ _ $
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: 4a�jo� ,� ��
DAT F� NSPECTO
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ NAL
[ ] FIREPLACE A CHIMNEY
REMARKS.
dz
DATE D �,4 INSPE
FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATI7(lST) ,..,
H
FOUNDATION(2ND)
� z
0
ROUGH FRAMING& �y
PLUMBING "�
xl
r-.
INSTJLATION PER N.Y. y
STATE ENERGY CODE
s \;
L
FINAL
L�
ADDMONAL COM!MO M
O
z
m
� Y
C H
O
J
x
iy+
y
CrJ
`b
N OF-SOUTHOLD BUILDING PERMIT APPLICATIOIcCHECKLIST
JING DEPARTMENT Do you have or need the following. before applying?
✓N HALL Board of Health
.j UTHOLD, NY 11971 —3 sets of Building Plans___
TEL: (631) 765-1802 Planning Board appro�al
FAX: (631) 765-9502 Survey _
PERMIT NO.08 5'� Check
Septic Form
N.Y.S.D.E.C.
7 Trustees
Examined 20 Contact:
Approved 20 Mail to:
Disapproved a/c r C9CJ, y I
Phone: S I Cx) 1177
Expiration / �— _, 20 tilC�4
' �f�R
L
r ( BuilTindAspector
Jul 2(0 2002 APPLICATION FOR BUILDING PERMIT
t t Datee�l �S ?11Q
'__1 INSTRUCTIONS — –
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector iA ith
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 p, ,n nt
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.
f. 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 of the permit for 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.
(Signa a of iicant or name. if a copy atioll)
�c, ly
_)Il 102,6 -POOc-s
! O_Jti /61/
(Mailing Address of applicant) / //74
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
GC1E4H L 7-
Name of owner of premises M A P V-- wLy
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. o2l y 1,? hLll
Plumbers License No.
Electricians License No. 7,S
Other Trade's License No.
1. Location of land on which proposed work will be done:
3a-45- DRInte D2ltJF, \.30U7_1f04b
House Number Street Hamlet
County Tax Map No. 1000 Section 55 Block (c Lot I S• a
Subdivision �Aon I1o'L M1�29J)6WL Filed Map No. Lot-*
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy uE- J--AMj t_y jES�1 i7Fn�
h. Intended use and occupancy 5 tyl,m m I ti(� pooL_ poR_ t 1 FS
Nature of%vork (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work lIJ- StO1mM11JCa
(Description)a0/c y D
4. Lstimated Cos Fee
(To be paid on filing this application)
1 t dwelling. number of dwelling units Number of dwelling units on each floor
If garage, number of cars
Oif business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
S. Dimensions of entire new construction: Front Rear _Depth
Height Number of Stories
1>. Size of lot: Ern a2'S1[93 S� �FI'Rear Depth
I O. Date of Purchase Name of Former Owner
1 l. Zone or use district in which premises are situated
r
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ./
13. AWill lot be re-graded? YES NO,,/ Will excess fill be removed from premises? YES NO
3ourlioL�b
14. Names of Owner of premises W61ZY SOCO Address 3,95- OrPA UE De Phone No. 7to5-_ )toF�U
Name of.architect i17Yer1oS Address . _ Phone No (031- R--9--;2.3 2
Naive of Contractor fQCE_7L Address Rias SCFFbw6it�I'ione No. to3j- 71/�t rr)e>v
d jbo- 6w:✓vt V I r.& S
15 I. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO L_—
IF YES. Sol TTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
IF YES D.E.C. PERMITS MAY BE REQUIRED.
10. Provide Survev, to scale, with accurate foundation 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.
S1AFEOFNEWYORK)
SS:
COUNTY OFsh ddj )
T- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the tvo�7 Q Tp��
(Contractor, Agent, Corporate Officer,etc
kdf;aid o%cnei or owners, and is duly authorized to perform or have performed the said work and to make and file this application:
that :111 etatelnents contained in this application are true to the best of his knowledge and belief, and that the work will be
perf k, nicd in I he manner set forth in the application filed therewith.
,vn io bef):c me this
—day of �01 20 CO) 02
Notary blic Si- ature of Applicant
NOREEN i_HAGER
qrA TF.Or NEW)'()IVC
WAL1FiED IN SUFFOLK COUNTY
REG.NO.DIHA4516433
COMtAISSION EXPIRES I I YA 2,
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> -� YOU f'� G 8� YOUNG mvERw-AO.NEvr��+o
OCCUPANCY OR "Il MEDT T .A.;`
1 � ENCLOSE POOL TO, CODE
13E � �� "�"� � uPoN Corvi�-„-,,o;�,
W
4 ,�OOT CERTIFIC ATE $EFoRe �waT�R
OF OCCUPANCY
Ca.C. �Loe:
1 •=8• TREATED WOOD
O FuTE ANCHORED TO CONCRETE
of h I
PRF CAST - •- t
COPING
Fj
�0 ...�.
r SLOPE O '
SLOPE
11j l (D .m Q F=�
1
o.
o, 11 Ll
_1 I ROLLED FOAM O
Bc;WE=N LINER-.
VINYL LINER Q t CONC+L
SIDE
STZ=S OFTIONAL p L A N n
U�IID>I.:bl ry VINYL LINER ...,�� .i;•.
REQUIRED = r'
SEE TYPICAL
.
WALL SECTION
2 4' SAH 1 12
SECTION
LZ% 4 sAND •BOTTOMS
fe L 24” MAX
SECTION S- S
GRADE A
B.0•L= G APPROVED AS NOTED P LAN
DA B.P.,rd��r� -�gz TYPICAL WA
t
-AL I B DEPARTMENT AT
S E C Ti O N A— A 765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
.I A I S I C D ! E I F G AREA cAe FOR POURED CONCRETE
stzE 2. ROUGH • FRAMING & P
FEET rt. rt I rr. I rt rt I R r.
rt laeI GAL. & INSULATION MBING
NOTES_
+ I I I I 4FINAL CONSTRUCTIOMUSjAwLAKY s PRODM BE SMOO - NON SKID
POOL
Its 13z I B B ¢ 14 14 slz IesDD ALB COMPLETE FOR SHA L MEE►PATER olsPesAL BLOC HE EGUL.
RDPERT7 70 SUIT LOCAL REGUL.
ss tz n I M i 4 I s 15rs I zDrrn THE REQUIREMENTS OF JHE N.Y.
STATE CONSTRUCTION & NERGY
I?p = 4a 120 40 I M 110 Iz I s S I apo 24.000 CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS