HomeMy WebLinkAbout34160-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33414 Date: 12/02/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1275 EVERGREEN DR CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 1 Lot 4.3
Subdivision Filed Map No_ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 16, 2008 pursuant to which
Building Permit No_ 34160-Z dated SEPTEMBER 16, 2008
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 SWIIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to SID D & SUSAN M BEEBE JR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 100566C 07/18/05
PLUMBERS CERTIFICATION DATED N/A
l
)4tVriz Sign ture
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
D
NOV
DEPARTMENT
V`JU 21� TOWN HALL
765-1802 f r�6r,„K,,,9A-1
T WN F U TION 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 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.
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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. tr
New Construction: Old or Pre-existing Building: (check one)
Location of Property: /.27 5 61e, ,te_e�1 Pe. CJj G�o 0N
House No. treet // mlet
Owner or Owners of Property: y t�us.ar( .�e�b e l
Suffolk County Tax Map No 1000, Section q 7 3 9951— /02 Block 0 0 o l Lot Oo � 00,2
Su division Filed Map. Lot:
weRermit No._31y/6 o Date of Permit. o Applicant: min j-2 6e Trz.
Health Dept. Approval: 'OVA Underwriters Approval:
Planning Board Approval: e✓r.4
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ Z 5 0 c)n
C� I� Applicant S Ture
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Electrical Inspection Certificate
Issue Date Electrical Inspection Service, Inc. Applications
'ate•:!:=•'
7/18/2005 375 Dunton Avenue 100566C
r- = d'
fs<
East Patchogue,hogue New York 11772
.(631)266-6642
C?`l� tt�e`ti'il
Issued To: Mr. Sid Beebe 'ti
Street: 1275 Evergreen Drive
al= Village: Cutchogue Zip: 11971 Town: Southold
s -- Section: Lot:
Block: L
itt Contractor: Lademann Electric Inc. Lic. # 4141-E -
t « Was examined and found to be in compliance with the National Electrical Code. zk"
-
T.hyL�t� .;mad•{y a
❑ Commercial ❑ NV Defects ❑X Pool ❑ 1st Floor ❑X Indoor ❑ Basement ❑ Hot Tub
w = ❑ Residential Det. Garage ❑ Attic 2nd Floor M1 X ❑ g ❑ 0 Outdoor ❑ Addition ❑ Survey J'
i eft Switches Receptacles Fixtures GFl Heaters A/C Fans == ti
o.
Lti
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves = �
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
Bldg. Permit. -
Other Equipment
" 1 rain tight sub panel
1 20/220V specialty outlet
1 time clock Hugo S. �urdi '�
„ eo, President
+• 1;w Rough Inspection:
3— Inspector:
a Final Inspection: 07/14/2005
Inspector: John McMahon III
c j� ,sf;a
d�j4lj:fi �Z•}�41aya
{W e''_— a✓+�•!
This certificate must not be altered in any manner. Inspectors may be identified by their credentials. —
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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. 34160 Z Date SEPTEMBER 16, 2008
Permission is hereby granted to:
SIDNEY & SUSAN BEEBE
1275 EVERGREEN DR
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD .REPLACES EXPIRED BP # 31118
at premises located at 1275 EVERGREEN DR CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0001 Lot No. 004 . 003
pursuant to application dated SEPTEMBER 16, 2008 and approved by the
Building Inspector to expire on MARCH 16, 2010 .
Fee $ 150 . 00 �v�1
Aut ize S 'gna ure
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
J (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 31118 Z Date MAY 10, 2005
Permission is hereby granted to:
SID BEEBE
1275 EVERGREEN DR
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 1275 EVERGREEN DR CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0001 Lot No. 004 . 003
pursuant to application dated MAY 9, 2005 and approved by the
Building Inspector to expire on NOVEMBER 10, 2006 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
So!/Tb
hod ono
cou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLOG.
[ ] FOUNDATION 2ND [ ] INSU ON
[ ] FRAMING /STRAPPING [ INAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
c
DATE G INSPECTORS
FIELD INSPECTION REPORT DATE. COMMENTS
FOUNDATION(1ST) �.
�' •tk
--------------------------------------
FOUNDATION(2ND)
O
rz
0
ROUGH FRAMING&
PLUMBING y
M
INSULATION PER N.Y. '
STATE ENERGY CODE a�
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FINAL 0
M
ADDITIONAL COMMENTS (CI
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTNf7ENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 ��( 11 \ 4 sets of Building Plans X
TEL: (631) 765-1802 I 40U Planning Board approval
FAX: (631) 765-9502 Survey K
www. northfork.net/Southold/ PERMIT NO. Check X
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20_o Contact:
Approved 20 OS Mail to:
Disapproved a/c
one• J.�1/7loGS
Expiration �I 0,20� r�-
Tl
Building Inspector
+; APPLICATION FOR BUILDING PERMIT
Yu Date.-� - Date ,1-3 , 20,:O�-
INSTRUCTIONS
a. T appliication 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.
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 04" PM . ' e , y inspections.
LL CONSTRUCTION'SHALL USEJS UNLAWFUL
SAE. THE F~QUIREMENTS OF THE WITHOUT URTIFICATE (Signature of applicant or name,if a corporation)
CODES OF NEW YORK STATE:
OF OCCI PANCY �o ��x 9
UNDERWRITERS CERTIFICATE V (Mailing address of applicant)
State whether applic�an Ii' 'owner, lessee, ent architect, engineer, general contractor, electrician, plumber or builder
11�IIN�EDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLt I 1UN
l�pEn AS,t►inr�ri
Name of owner of premises BEFORE "WATER" DATE: is /0 3 B.P,# 0/((8'?__
(As on the tax roll or IgW deed) ,S
-_—.L_0.- BY:
.If applicant is a corporation, si ature of'duly authorized officer NOTIFY BUILDINC DFPARTM=NT AT
765.1802 8 AM TC � PM FOR THE
(Name and title of corporate offiSETAIN STORM WATER RUNOFFFOLLOWING INSP_17'ONS:
PURSUANT TO SECTION 45.10C I. FOUNDATION ViO REQUIRED
Builders License No. / �//7 -f-/-W THE TOWN CODE FOR POURED C::)'VCRETE
&
Plumbers License No.
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
Electricians License No. 4. FINAL - CONSTRUC-10tl MUST
Other Trade's License No. BE COMPILE"• c ;y„•.),
,.ALL: CONS"' Uc; PviFET THE '
1. Location of land on which proposed work will be done: REQUIREMENT: :_7 TF:E ^n•)ES OF NEW
House Number Street LMTe1FhUN6TAITOTION ERRORS.
County Tax Map No. 1000 Section Ao Block D/ Lot
Subdivision S u1p, cy r = Filed Map No. �7i 7 Lot:
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occu anc '
p
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition er Work � r2c u�� sc�„��,• „v� ��c,�
(Description)
4. Estimated Cost o00, on Fee ''X�G aU
(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 /0 7 Rear /0 2 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 Rear Depth
Height Number of Stories
9. Size of lot: Front 13S r Rear /.-J Depth , gf -'
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 X
13. Will lot be re-graded?YES_X NO Will excess fill be removed from premises? YES Y NO
14. Names of Owner of premises_�nwe-;-,.s,�aQZa Address �s-�=v ������, . Phone No.
Name of Architect Address Phone No
Name of Contractor,,,, Address 7,, ;-,w 9 Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwatef;wln ;YES , NO X
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERPvI�hT'S MA} ,6h'SQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YESi
p P Y
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. `` "` ` .1.1t�a.�#21�1 #?';:.Jil'?l�3' JJA
16. Provide survey, to scale, with accurate foundation plan and,dis ar�ces, o o rt„ lines. f,
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on.survey.
STATE OF NEW YORK)
CS:
COUNTY OF�J At
;�s;Y _ •, .;�;�"; .:';t,i
�l- ��,/� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor,Agent;Goporate+Offcer 'elc.)' i 4':;'. ��',
of said owner or owners, and is duly authorized to perform or ha�y�Vperiormed th4 sa}d�work 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.
Swon fore me this i-
day of k620
('1�6 I
Notary Public Signature of App icant
Claire L. Glow
Notary No 101 GL4879505ew York
Qualified in Suffolk Count
commission Expires Dec.8,L6
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET la S VILLAGE DIST. SUB. LOTN�e YCX Y w Uk lcd
ACR. REMARKS
rr�l)rc �t TYPE OF BLD.
rttW PROP. CLASS
LAND IMP. TOTAL DATE
:. . 7 I� 8 - t_I OS ��c�-�. I tone ,V. Corp --�o t=L4e- 7e Doa
-L 1/(v zi 111- F CAS F F 'Le �r
r - .-2 io -F
®M® fie a -7!�Ssoo
'7 30 7k - Bl? aSol/ - co4sy. 9,9c-� ;�y f .ic-l-
rt o -LI 5 o-SG fora
i
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT qc e
TOTAL
'sisp4. /` r iPj 'f�a r Y d
"IL
■■■■■■■a ■■®RM�:■■.■
SLAB
Ext. Walls Interior Finish
•, 'J " Fire Place
_ ��
Rooms 1st Floor
Driveway Rooms 2nd Floor
SURVEY OF
LOT 3 , s
THE WOODS AT CUTCHOG-UE
FILE No. 8717 FILED MARCH 23, 1989 `0•, "Ao13b
CUTCHOGUE
TOWN -OF SOUTHOLD Si
SUFFOLK COUNTY NEW YORK t��
S.C.. TAX No. 1000- 102-01 -4.3
SCALE 1 "=3.0' 0
' .JULY 27, 2004
I ARi4 40,295.63 sq. ft.
0-.925 ac.
0s
yFY be WEU
f 1�
�* \' e1
�Z
NN
,
�lb �Qo, ' G'
�,p �9. RR€P1iRED'IN AECOROANCE WITH Ti1E"MMIIHIiIt
9G�,+y� c S(ANDAf D F Tlrf£ SSEJRVEYS AS ES$1�t34 fStfED
y A 4Y THE L{ 5. AP1D APPROVED AND ADOPTED
FOR SUCH, BY THE YQRK STATE LAND
Ir
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JG� boa .
co
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{4:; ro suE°YAL "IS A vaAt�bDFrrroN
live
SECTION 7209 OF THE NEW YORK STATE
* •:, 0� �: {QF, ,� �1` EDl1CA7ION LAW. J I A
��.. COPIES OF THIS -SURVEYt D NOT SEAL ORRiNG
O ff
THE..LPND SI1R1l 01�$ tit1T BE COW41MED u
V
EMBdSSED SEAL
,.:
e".. Q *. TO BE.A VALtt3 fiRUE fAPY.
CERTIPICAitONS I TED HEREON SHALL RUN
ONLY TO TtiE FOR WH6M'THE SURVEY
a IS PREPARED a� HIS 8E1-W-F TO THE Tt1e Surveys = SrJbdrYisfonS — Site plans — Constructi
T111E COMP y._r *JTA{. AGENCY AND
CER NFIED TO: LENDING 1�1 � ER�oN. ANP
ro.iTiE _ ," K� NG INSP-. PRONE 63t 727-2090 Fax 631 72'
R TUTION. $3�GIT TRANSFtRABLE.
_�2+ 5•00, SIDNEY BEEBE
SUSAN BEEBE o�cES LOCAM0 AT, a9; UNG AU
9•27.'
fiL?iil,�.1Y NATf€)NAL TITLE INSURANCE COMPANY a'.I f E Ate.. • . P.O. BAx
_ . xr nt�l.i�iriuttr»..iii►a.r i r�w�ic guy+ //- IY:.,fP �iFO N .�.�,�.TI�# ive. 1.;. Yori
_.__..._,_... .... _. - - ?"s ._aiu.a.Lrecra _... zL '. .. R Coed. ew
_ O1Lji
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13-8'Plain Ponek!08.009) I L
24,main Porlek 108-014)
1 4'Plain Pond(08-016) 1
I.90'Cwm Set(00 0?0)
12 (roomy!ra(e 1,08-210) _ S 1 Z l A s C D f i G M 1 sc l
S 8� 8 8 I-Steel Amdrrore U(08 2041 V i W 2w w rr,• rr 176- 15-V r r rr
1.2%40 Shasght Coping 6'lodius(l0 CO3) .,,,a am wm
1.90'Coping Corner Se?00-004) 'm gran wwm 20' w s•4, r4- sry Isv r e• 4 r rr
$ 1-ruryl Laser(W-aprim below)
r'--r-w-
8 QA 9 ' 6'SIe�Remove 1 f08�309)8'paruk o<� AQ — -
8' 1408-0!6)4'pli. Insert 1-{01-006)6'slep \�
and 2-108-013)7-porAh. .�. s
8'S? Remora 2-(08-009)8'ponek and Rom.
6 4' 1408- 16)4'•panel. Insert 1-(01.002)1'step
p Q p and 2408-014)6'ponek. �
CORNEAS ®�. ®
r
Replan 4.8'plain ponek(08-009)with:
himm
1-8'ser pcxse)(08.011) r�,vf,s Lin
1-8•ink?pome (08-010) • a�<•
1-8,light pone!(08-012) a
8 Sresi Step'side)Remove
8-6:103-605-61.(03-605•LS;.(03.605-8S)- 2408-009)8 panek. Insert
{ 8' 18.(03-205•CS),(0,3.205-LS),(03.205.8S) I408.301)8'steel step,
5-14:(03-305-0S).(03.305•LS),(03-305-RSl 1408-013)7'parse!.1408-167)
6 5 45':1'hoer panel and
7 NSPI TYPE III 1-{OS 16814'fiber porn!
I-(10-083)steel slop coping
set oed 1-0GA5)coping
'r corner se'required.See pope 1.
r , m
6 8'Steel Step(end)Remove
2-(08-009)8'ponek and
1408-016)4'pone(. Insert
1408-301)8'steel stepp,
2•(08-167)-45'z I•fiber ponek,
2-(08-015)5'ponek and
TOPAZ STERLING STONETITE 2-(08-210)economy brace
8 ul 8 8 8 8 103.05) (03 2051 (03 305) 1.(10 0831'steel step coping sal
and 2-(10.085)coping caner
NON DIVING LINERS sets required. See page 1. ' � b b w b N .��„�<��., d"!b,rw+"
H-6(03-643) 1-8(03-243) S 14103.343► °��-�b>� � � � d.��.. .d
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s •+�. wwobo VA 273 '•ro]rl3e Xl87 �'"�'"' n "O�i°"r"� " '�' 1995 RECTANGLE V RADIUS
CO�'1-0wf 1►11.�p�l w�ta,.00�f1 .w.
fN-GROITID SW}MNTNG POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A
VINYL LINER THAT WILL HOLD APPROXIMATLY 35,000 GALLONS OF WATER.
FENCE WILL BE CHAIN LINK CONSTRUCTION, 4' HIGH %1TH SELF CLOSING GATES THAT
WILL MEET TOWN CODES.