HomeMy WebLinkAbout32875-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT '
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33691 Date: 05/05/09
THIS CERTIFIES that the-building ACCESSORY
Location of Property: 570 COUNTRY CLUB DR CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 3 Lot 2.9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 3, 2007 pursuant to which
Building Permit No. 32875-Z dated APRIL 3, 2007
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 WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to PAUL A & JEANNE M FINGER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY` DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 491090 06/11/99
PLUMBERS CERTIFICATION DATED N/A
r
Aut orized Signature,
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector ,
Town Hall
Southold,. N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33680 - Date: 05/05/09
THIS CERTIFIES that the building ADDITION
Location of Property: 570 COUNTRY CLUB DR CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 109 .. Block 3 Lot 2.9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 3, 2007 pursuant to which
Building Permit No_ 32875-Z dated APRIL 3, 2007
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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PAUL A & JEANNE M FINGER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
uthorized Signature
Rev. 1/81
Form No,6
. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
1
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. 4-7
New Construction: Old or Pre-existing Building: V - (check one)
Location of Property: �7� �J, ��, /V 3
House No.o.-� Street Hamlet
Owner or Owners of Property: ��� /�G,��iir
Suffolk County Tax Map No 1000, Section j 9 Block 3 Lot C
Subdivision Filed Map. Lot:
Permit No. _:3cD Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
CEO -23G,qD ��
CIO �—�� ` PO4 Applic nt Signatt
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. 32875 Z Date APRIL 3 , 2007
Permission is hereby granted to :
PAUL A & JEANNE M FINGER
CUTCHOGUE,NY 11935
for
ACCY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
THIS PERMIT REPLACES 32875 . AMD TO INCLUDE DECK ADDITION TO EXISTING DWELLING.
at premises located at 570 COUNTRY CLUB DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0003 Lot No. 002 . 009
pursuant to application dated APRIL 3 , 2007 and approved by the
Building Inspector to expire on OCTOBER 3 , 2008 .
Fee $ 350 . 00
Au orized Sig ature
ORIGINAL
Rev. 5/8/02
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1185077 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date JUKE 11,1999 Application No. onfile 18355499/99 N 491090
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JEAN CIE FINGER, 570 COUNTRY CLUB DRIVE, CUTCHCCUE, NY
in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on JUKE 07 r 1'9G9 and found to be in compliance with the National Electrical Code.
oil FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P.
1 1 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
Ka
1 20 1 '_fl Ka
10
SERVICE DISCONNECT NO.OF S E R V I C E "
METER Ka
NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
POJL--1
DE G.F.C.I:-1
IN *(SWI11-fINC- POOL; Thia certificatc
off covers compliance at the date of
ON inspection only. Because of unusual
environments it is advisable to
Piave frequent test/and or repairs
made by a qualified person. l
ON
<« Continued on Page 2 >>>
GENERAL MANAGER
r
Per K _
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2
1185077 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date JUKE 11,1999 Application No. on file 18355499/99 N 491890
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JE.k%TAIE FINGER., 570 COUTIITRY CLUB DRIVE, CUTCHOGUE, \TY
in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on JUKE 07,lacy and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF ,.S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 O 3W 3 0 dW PER 0 OF CC.COND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
RC°LATC IrL•ECTRIC LIC.:k367?-E i L
P.0.03X 164
CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER
Per ,
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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
COGMPLETION OF THE WORK AUTHORIZED)
3 S
PERMIT NO. 66 Z Date JUNE 1, 1999
Permission is hereby granted to:
PAUL A & JEANNE M FINGER
570 COUNTRY CLUB DR
CUTCHOGUE,NY 11935
for
ACCESSORY INGROUND SWIMMING POOL IN REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
at premises located at 570 COUNTRY CLUB DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0003 Lot No. 002 . 009
pursuant to application dated APRIL 28 1999 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorize ignature
ORIGINAL
Rev. 2/19/98
SOUlyo�o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [FINAL 4L",
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: A4 q,� �— 4�
Ate- 0/�r,
ea eC
,
DATE � � INSPECTOR ` O -
Of SO(/lyolo
courm,N�'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLI3
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: 1-
i
DATE INSPECTO
f� �o�aOF SO(/Tyolo
a�Y 7-
�o
cou
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING KFINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DA INSPECTOR
K 1,4
Vi
.LD INSPECTION REPORT - DATE COHI�ENTS p(
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Young & Young, Land Surveyors
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400 Ostrander Avenue, Riverhead, New York 11901 y�BE
N
516-727-2303 WP-
Alden W. Young, P.E & L.S. (1908-1994)\ Howard W. Young, Land Surveyor_
Thomas C. Wolpert, Professional Engineer
\ Kenneth F. A6ruzzo, Land Surveyor °
planning \ John Schnurr, Land Surveyor Yo W
iEnginm ing \ z
>F=
3+nrvrging \\ �0� 32 NOTES: <
1. ■ = MONUMENT FOUND, A= STAKE FOUND STAKE SET �w�y
2. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ��wo
SUFFOLK COUNTY ON OCT. 17, 1978 AS FILE NO. 6736. a�gF
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Q Q MAR. 10, 1998 FOUNDATION LOCATION
4 5.9 FOUNDATION ro J w o
z.d c0 FEB. 18, 1998 STAKES SET FOR CONSTRUCTION aowo
N� 5.9• v ,^ DATE: REVISIONS:. mp
o rn m 17.7' ? fl'2.3' •P �f v/ ow�o
In o+ 5.0 ` m
ti W SURVEY FOR: =�=g
.-'' 6B GPSVA�vE R�25 °°' o PAUL FINGER & JEANNE FINGERNa
41.3°�
\�° R=300.00' N 7955'10" Z O ��
Lo 3.50 0 w j LOT N0. 26, COUNTRY CLUB ESTATES
Cc C.N �\ `�,�36•g6 co�R At: CUTCHOGUE Town of: SOUTHOLD �0
RIVE Suffolk County, New York m�=
�Wa
1000 109 3 2.9 -Z�0¢�_
m?5
Suff. Co. Tax Map' �
District Section Block Lot Ng5i`>
h 1 ,yQ CERTIFIED TO: 01
h 5Q �-J PAUL FINGER
JEANNE F1NUtR,
FIRSIV AWIER(t!AN "TITLE INSURANCE COMPANY OF NEW YORK °
V MARINE_MIDLAND' BANK NA
�NZO
amFw
DATE :JAN. 5, 1998 �oN<
SCALE :1"=50'
JOB NO. :97-0879 QoF�
SHEET NO. :1 OF 1 =<��
"970879.D WG"
f/'J-�,ZeeauD- .cJz��rr`11rai . ` cSOL_ _W/�L . / G�tLCJ_`a7i�C!!7E� Dom_ CL�'G -
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BOARD OF HEALTH . . .. ... . . . . . . ..
FORM NO. 1 3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . .. . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . .. . . . . .. . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . ... . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: }� / /
CAL . /. . '
1....... 19 a 4. �S l S f2.ti MAIL TO: . . . . . . . . . . . . . . .. . .
Examined // . .
Approved.....`II........., 19�'. Permit No. ..�;ZS7G b: ......................I..............
Disapproveda/c .................................. ....................................
......................................................
is �ll� (Building tor)
L!1'L�-�G-
APR 2 8 1999
APPLICATION FOR BUILDING PERMIT
- Date. . r}. . . . . . . , 191. .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with.
3 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 giving a detailed description of layout of property mist be drawn on the diagram which is part of
this application.
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
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 whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICUICN IS HEEM MATE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Lams, Ordinances'.or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The,•, i_i t s to ,comply with all applicable laws, ordinances, building code, housing code, and
regulations, and'AbE°�@ 'aurttsorized inspectors on premises and in building for necessary inspections.
..................
: P -� .P -ram .•..v_�...a ••.� s of applicant, or name, if a corporation)
Nil 4 OT a il. u'���! TV(
' 3a '�I�Y� 6k U ��
.2 .......
-1 (Mailing address of applicant)
Bqw- fw a 1ll
State .wh i [t .��5 r, E , .agent, azchitPpr � r' '�Rcontractor, electrician, plumber or builder.
........YY'4 q:C�,'�' hS,F :YYa' M, •e r� . .A.Y,;...` t` .its. ®—:��........ ..... ...................................................
Nameof of `A�' ............. !�J ..................................................
' a�}uhe tax roll or latest deed)
�4l��+C•r�i��.N��t'�t� Y/I
++4:b•
If appli)P&ry &-. WaAeorpo=at .Kai dit.df duly authorized officer.
. q.;•,z�'.,.S;C ;}/.,•, v ;2L-�°Y;mi �r5..�.........
(Name and title of corporate officer)
Builders License No. .ls�...:'� .......
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. location of land on which proposed work will be done..............................................................
..... .!'.�? ...... ......... .�dJ.T. �. .:: 3�..i1 ...................... a- ..................
House Number Street eHamlet
Canty Tax Map No. 1000 . Section ....... Block ..... ......... Lot ..s:`.•. ........
Subdivision ................. Filed Map.Mo. 61 7��CR:...... Lot .26.......... '
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .. .< 7lr! ''.. N .. Jy/ :-. .......... .....
b. Intended use and occupancy .. ,1�/�l,'C�. .lt...f ��..Y1 ..c3I �!_1'�:�1. ..� :�'� ....
� b '
3. Nature of work (check which applicable): New Building ......... ..... Alteration ..........
Repair ............ Removal ............. Demolition ......... Other Wuxa
(Description)
4. Estimated Cost ........... fee .. .�5.'�..� UZ�..............................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor .................
Ifgarage, number of cars ......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
�,..........-
7. Dimensions ppou�f existing structures, if any: Front...,��........ Rear ..,e��........ Depth .�
Height ..r— ................. 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 ..................... .. .. __.._.-.._
/ dd
9. Size of lot: Front ../,70........... 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: ....:�!�...............
13. Will lot be regraded ............ Will excess fill be removed from premises: � No
14. Names of Owner of premises`! :�? !�! ..r r. .��?72 Address .......CJJ�.I.i� .�.�.J.r3. Z-L,�cr-�- Phone No. Z3.t�%4?Zf3
Nameof Architect .................................. Address .............................. Phone No. .............
Name of Contractor .............. Address`-.� .P414//..............Phone No.�J',S!7�
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ... .....
*IF YES, SWMD MM 1AlSIFL.S PEI141T MAY BE MVIRED.
PLOT DIAGRAM
locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
APPFJOVED AS NOTED
DATE: (0 B.P.B o2S`�76 6
M FEE: BY:
>le ' NOTIFY BUILDING ARTMENT AT
7611-1802 9 AM TO-4 PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNDATION • TWO REQUIRED
FOR FOUREO CONCRETE
UNDSMI R� 2. ROUGH •'FRAMING # FLUMMO
S. INSULAWN
4. FINAL - CONSTRUCTION MUST
BE COMPUTE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION A ENERGY
S A1E Or NW YOW, CODES. NOT RESPONSIBLE FOR
SS DESIGN OR CONSTRUCTION ERRORS
cowry or. .._.......
. u --2UL ....................being duly sworn, deposes and says that he is the applicant
(Nave of individual signing contract)
above named,
Ileis the ..... ul7.7 .......................................................
Contractor nt, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said 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.
Sworn to before me this
...... ' ,...day of ......19..i.0-
Notary Public
.. .... --
UNDAJ.COOPER (Signature of Applicant)
Notary Public,State of New York
No.4822563,Suffolk County
Term Expires December 39,E
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