HomeMy WebLinkAbout34855-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33845 Date: 07/23/09
THIS CERTIFIES that the building SWIMMING POOL
Location of Property: 480 KOUROS RD NEW SUFFOLK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 6 Lot 19.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 13, 2009 pursuant to which
Building Permit No. 34855-Z dated JULY 13, 2009
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 ERIKA SHAPIRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 7532 04/09/07
PLUMBERS CERTIFICATION DATED N/A
Auth1grized Signature
Rev. 1/81
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:
i. 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.
New Construction: Old or Pre-elIxiisting Building: (check one)
Location of Property: y V/O%A4'0 S Nft./ St,
House No. 1 Street , Hamlet
Owner or Owners of Property: 1 2` t
Suffolk County Tax Map No 1000, Section i Block Lot
Subdivision l/ Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ �.�.016 Applicant Signature
Nassau Suffolk Electrical Inspections, Inc.
505-C Lincoln St• Riverhead,New York 11901 • Tel: 631-813-2890 • Fax: 631-813-2891
Application: 7532 Date:4/9/07
Issued to: Shapiro
Address: 480 Kourose Rd
Village: New Suffolk Introduced By::Bethel Electric Inc. License#:28 80-ME
was examined and approved up to the above date and was in compliance with the NEC
New Home 1 st Floor Residertial 0 Pool 0 Det Garage
Basement 2nd floor Commercial Hot Tub Addition
Switches Receptacles Fixtures G.F.I. Timeclock Salt Generator
3 3 1 1 1 1
Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon
Range/Amps Monoxide
Furnace Oil Gas Heat Zones Whirlpool Bell
Transformers
Meter Amps Phase Motors
3
Other Equipment: Inground Pool
Out,Res
This certificate must not be altered
in any manner
Section: 117 Block: 06 Lot:19.3
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. 34855 Z Date JULY 13 , 2009
Permission is hereby granted to:
GIL & ERIKA SHAPIRO
113 WEST 77TH STREET APT 3
NEW YORK,NY 10024
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN REQUIRED REAR YARD
FENCED TO CODE. REPLACES EXPIRED BP ## 32576
at premises located at 480 KOUROS RD NEW SUFFOLK
County Tax Map No. 473889 Section 117 Block 0006 Lot No. 019 . 003
pursuant to application dated JULY 13 , 2009 and approved by the
Building Inspector to expire on JANUARY 13, 2011.
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
r/ 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. 32576 Z Date DECEMBER 15, 2006
Permission is hereby granted to:
GIL SHAPIRO
480 KOUROS ROAD
NEW SUFFOLK,NY 11956
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE
at premises located at 480 KOUROS RD NEW SUFFOLK
County Tax Map No. 473889 Section 117 Block 0006 Lot No. 019 . 003
pursuant to application dated DECEMBER 7, 2006 and approved by the
Building Inspector to expire on JUNE 15, 2008 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
OF SOUryo�o
��'YOOUt�V,0c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLOG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING �<FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: &2�
DATE �� 9 INSPECTOR
�O��OF SOUTyo�o
,3�-Y76 �
coulm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE �� INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS W
,b
FOUNDATION(IST)
• t w �
• FOUNDATION(2ND)
IDJ
ROUGH FRANIING&
PLUMBING
'V
t�1
INSULATION PER N.Y. '
STATE ENERGY CODE
o D.
FINAL
ADDITIONAL COMMENTS
.o
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rn
,moo
z
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t U VViv Ur ODU trlvLL _ j [',, ' tiU1LJ11N(i 1'hMN111 ANl'L1C;A•f 1UN (:HEC;K.LIS•
BUILDING DEPARTMENT Do you have or need the following,before applying
TOWN HALL 2006 ' Board of Health
SOUTF�OLD, NY 11971_ 3 sets of Building Plans
TEL: 765-1802 _ - --__ _ Survey
PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined Z- 1 , 20 Contact:.
i
Approved 20 Mail to;
Disapproved a/c
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Dateamio , 2000
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 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 a Certificate of Occupan
is issued by the Building Inspector.
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'a•Iterations 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.
"IMMEDIATELY" sSERTIFICATE
ENCLOSE POOI,TO CODE UPON COMPLETION OWED. Si tore of applicant or name, if a corporation)
BEFORE"WATER" I 1 <
ALL.CO.NSTRUCTION SHALLlk M 'f-ME REQUIREMENTS OF T
00.58 OF-NEW YORK STATE. (Mailing apdress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, .plumber or builder
APPRIC)VEDASNOTED
Name of owner of premises L_ , _
(as on the tax roll or latest deed)
If ap t a n, signature of d y authoriz6d of er NOTIFY BUILDING DEPARTMENT AT
DW-V 0c p& 765 i802 8 Af,1 TO 4?M FOR THE
� FOLLOVSING INSPECTIONS:
e and tit e of corporate officer) Q CUP/"1. Oft 1. FOUNDATION - TWO REQUIRED
Builders License No. USE•.IS.,UN YY�UL FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
WITHOUT CERTIFICATE. INSULATION
Plumbers License No. FINAL - CONSTRUCTION MUST
Jfl� C) p,�F OCCUPANCY. BE COMPLETE FOR C.Q.
Electricians License No. ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
Other Trade's License No. YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
1. Location of land on which proposed work will be done:
A 0 i<0 sE
House Number Street Hamlet
County Tax Map No. 1000 Section I Block 10 Lot I q .13
Subdivision Filed Map No. Lot
(Name)
Z. State existing use and occupancy of premises and intended use and occupancy of proposed 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---5j6R0WD SGltMw►�a�n Pew ,
I. Estimated Cost Fee (Description)
(to be paid on filing this application)
If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
>. If 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
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Size of lot: Front Rear Depth
0. Date of Purchase Name of Former Owner
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation:
3. Will lot be re-graded Will excess fill be removed from premises' YESJ NO
oft 5apwel--�
4. Names of Owner of premises "a� Address
�U.R® �P���hop�e No. 917. 91z- 8(fi�,
Name of Architect Address n`�ione No 1-1 S '7 1 k 6 .
Name of Contracto Address
>;l!� 09�', one,Vo �S
5. Is this property within 100 feet of a tidal wetland? *YES 'df"• NO
• IF YES, SOUTHOLD TOWN,TRUST?EES PERMITS-MWAX)BgAREQUIRED
6. Provide survey, to scale, with accurate foundation plan and;,d•istaft Ckto pr'6�erty lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK).
:
:OUNTY OFS4j S
1 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) a ove named,
3)He is theb' ,i ,,;..,'f I .,, !•�,.,
x
(Contractor, Agent, Ciorpo°rate�Oafficer, 6"�'j
4 ...a 3 i•� ..�9 i'...b _d
f said owner or owners, and is duly authorized to p-efform or have perf r ed tl e„said work and to make and file this application;
iat all statements contained in this application�re`liiie€to the best of hisrknow°IMP and belief; and that the work will be
erformed in the manner set forth in the app'lidation filed therewithl.
e try'fF� '�':..�4��'�,; w•'
worn ore me th's_
V-1day of 20e
s
`? otary public Signa re of Appli ant
PETER BOOTH
Notary Public,State of New York
No. 01 B06092004, Suffolk County
Term Expires May 12,2007
09. TO"*"-m ' OF SOUTHOLD P"-'OPE''.TY "-1ECO-7D CARD 3
� �.
OWNER STREET VILLAGE DIST. SUB. LOT
L Ir► ��CCL, K o u Y
a � t�
FORMER O NER,Dab t4-c1 N ,� E ACR.
`G Levd-, a k.p.$ h` C`r v d,
S,0- a k-a; , v%r.P S W l TYPE OF BUILDING
�o1e0.1� WINE r3 �6U/�O� b/0 PJ
:ES. SEAS. VL. FARM COMM. CB.. MILS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
4 f G a ', o a �S/ .�. 3/yn �a ; S, IC6Lr,-J, v 6- S
O� .S.,�OJ � �,®GO '' ��/S �G3 t���fIT� �J� �� ���oISU �Gcr- •d To VC'r�v�/C z C'°'y 962=
C� ��:J�a�.� � („ t'.�' � L4 ,�. ;`I s �•�:3 �`" :�� � l-�/a� 'O� G)'1 ''ct,�'7a�/�c C/`t�ti C-/�/, �� �� O U O
-7(0to,oZ 13 r — a o00
�3 �7- L) Zola- halo f -4 /V/C-
Iq
o -era 5 331 bAbbtrJ� --o Sha:D ko
'illable FRONTAGE ON WATER
Voodland FRONTAGE ON ROAD
Aeadowland DEPTH
louse Plot BULKHEAD
otal
Ys - ■■■■■■■■■■ONE■■MEMO
■■■■■■■■
y 1 ■ ■■■■■■■■■■■■■■■■■■■ M■■■E■
IS ■■■■■■■■■■■■■■■■■■■ MENNEN
oil
Y3
■■■■ ■es■■_■...e■■■■■■■■ ■
■■■ !MMMENSHM■M■ISO■■■I mom
■■■■■I!■■■■■■■■O
MEN■■■■E■�■■1■I■�!■!fi■Ml�il■■■■■■■■■
■ ■■!�■l�■4!■�:�� !■■E■■ ■■■■■■
IS ■■SUMMON■■■■■■■■■■■■■■■■Ext. Walls Interior Finish
■■■
Extensio
Basement
e -
.Fire Place
a •o- f �� .- Roof Rooms Ist Floor : •
I
Rooms 2nd Floor
FG14
9e-
,.i Now
OWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT.
. CJ fit.' 4�7 td 61 C IK6 U Jol"®3 �2 e w �%,Pf o r(L <0 U
FORMER OWNER N E
- ACR.
/t�uro s 41 Jam c,
j/ S s W TYPE OF BUILDING
A0e 0 S )-/",✓fu-,,,
RES. � SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
9 J O/0'/,
�e-'o
Tillable FRONTAGE ON WATER
vVoodland FRONTAGE ON ROAD
Meadowland DEPTH
-louse Plot BULKHEAD
Total
1
COLOR TRIM
-M. Bldg:.
Extension
Extension
Extension
Foundation Bath Dinette
Porch Basement Floors K.
Porch Ext. Walls Interior Finish LR.
Breezeway Fire Place Heat DR.
Garage Type Roof Rooms 1st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. Dormer Driveway
Total
04/28/06 12:45 FAX 5164786773
i
aw
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survey a ochfam of
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EdLxabon Lw_
to jw a surywpm ifiodanf f^0
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m e.a wid tnabovlt.
f3umnwa y,dkwd hmnM RM
a t>rowed.end on 1w b"f fari#tM
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j.. .ix' wQD uMd f✓
Locf�T�'/Y�'ni�arC,fFa�� Tas�.yOf�au�rty N-Y. ,�•��l� �� .
POOL DIMENSIONS A (90 O.C.MAX.)-0 O.C.
POOL SIZE
12 C.VD E F G K L N P GALLONS
X24 12-04' 'W 'r -0'6'-0- 6-W 6'-3" '-0° '-0'4'-3" '-0'6'—11W 9'-4' 27-2 9,05D SKIMMER
15x27 15'-0' -0' -4'V-6-T-1'11'4'4=8' '-0'T-0'2-2" '-0'V-3-W 9'-8' 29'-2- 16" 10,500 rd_ _ _ _ _ �— _ �— -SU
16X32 16'-0' 2-0' '-4'8'-0'8'$IT-6'6'-3' '-0' '-0'8'-3' '-0" 7'4" 14'-10° 36'-1138- 19,750
1 36 18'-0'36-0' 'mot 8'-0 10'-6 13.6"8'-3 -0 4-0 W- -0" 7=4' 1 '-1 ' 0'-7' 25,500 I
20 40 20' -0' -4 =0 12.6'73'4i'10'3' '-0' -0-12-3' '-0' 74' 74'-70' 5'-0-1 16" 32,000
76 1l -0'34-0" -4' '-0'10'-6'!13'-6"6-3- .0' =0'8'-3' -0' T4" 14'-00 3T-1 55f16' 20,900
25X50 5'-0'50'-W -0'8'-6' 0'-6'IT-6'173' --0- '-O'17'.Y' -4r -7S/16- 15'-0- 66'-2-1/8- 58,750
3OX60 0'-0' 0'-0 '-4"8-6' V-0'1&-W 21. -6. -6' 6T$ 79,550
1 X28 14-0 8'-0' -4° ''-G.8-0'12-0'43' '-0' '-0'6'-3' -0 63-1 '12-1-116' 1'-7-17f16' 72,700
I
— — — _ _ — _ — —
i
I"LONG WELDS ON
SIDE OF PANEL. I DIVIN B30ARD LINER SEAM TO LINE LIP
WELDED TOP&BOTTOM WITH PANEL JOINTS.
AS SHOWN AND COVER — — — —— ————— — —— T T T ——— ——— — — — —— — — FILL SPOUT TO BE LOCATED
OVER WELDS WITH I AS REQ. IN HOPPER AT BREAK B1
ALUMINUM COATING 1
I
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I PUMP& � cc
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07
POOL PLAN
TYP. PANEL STIFFNER
10-32XSI8'SELF DRILLING SCREWS
SPACED Q 12-O.C. - C,
CONCRETE OR WOOD DECK UP TO l
COPING(BY OTHERS)
SLOPED AWAY FROM POOL PANEL —� F2
C7'
STIFFENER(BEYOND) ALUMINUM COPING
LONG STEEL ANGLE r CAW
/ \ 1'LONG WELD
vd TIP.ALUMINUM COATING E2 _
� � I
I I p 20 mg.VINYL LINER MIN.2"THICK VERMICULITE
L STEEL WALL PANEL AGGREGATETAMPERED N.T.S.
FRAME BABE jL.-TZE
p31W-15x1'BOLT,NUT,(2)WASHERS RUBBER FULCRUM
A2 B2 C2 D2 PAD
C 3iWREINFORCING ROD DIVING BOARD
MOUND WITH: o 5116'DIA CARRIAGE BOLTS SECTION �. )3 CU.FT.CONCRETE 2'THICK VERMICULITE AGGREGATE MIX wl WASHER&NUTHARD BOTTOM
STEEL p TOP CORNER&VRTICAL FILLERDIVING BOARD
� N.T.S.
-BI=!!i=1L.I �III=!I_!=li'='•11� =III=!1!=1•.f=
=--Jt=ill=! IIIli=iii=ii!=J,�I=i11�111=1fL=111=f1f--dL-ll CURVED FILLER
'1=!i!=III- ! ;0=111=Ti=Ili=I =11!= I=1i!-I!I=_111=III=tIL TORELIEVELINER DUNRITE POOLS INC.
t1= =111= 18'LONG STEEL REINFORCING ROD
iI!=11 a-I! =1!=!- INTO UNDISTURBED EARTH THROUGH BOLTED w/5116'DIA 1
1!1=1I I UNDISTURBED EARTH !-!�!_'!-'='L' CARRIAGE BOLTS
!_=01� 1111 �_IIl—I1=AI— HOLES 3510 VETERANS MEMORIAL HIGHWAY
BOHEMIA,NEW YORK 11718
I=1_Ii�ir l=a=ul=min-=111-!=r_ (631)585-1618
1-1@'
TYPICAL WALL SECTION AT 'A' FRAME CORNER CONNECTION DETAIL POOL TYPE: KIDNEY REV. SCALE N.T.S.
JAMES DEERKOSKI,P.E. DATE
260 DEER PATH DRAWING NUMBER
MATTITUCK,NEW YORK 11952 OF