HomeMy WebLinkAbout47446-Z #��OSUFFOLkcpGy Town of Southold 9/15/2022
P.O.Box 1179
C:1
W z 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43409 Date: 9/15/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 135 Dogwood Lane Ext.,East Marion
SCTM#: 473889 Sec/Block/Lot: 37.4-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/13/2022 pursuant to which Building Permit No. 47446 dated 2/11/2022
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 fenced to code as applied for.
The certificate is issued to Matzen,Lawrence
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47446 - 8/29/2022
PLUMBERS CERTIFICATION DATED
u ori Signature
TOWN OF SOUTHOLD
�o�SUFF01��0
Gym BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
' BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 47446 Date: 2/11/2022
Permission is hereby granted to:
Matzen, Lawrence
601 Gulf Dr N #105A
Bradenton Beach, FL 34217
To: Construct in-ground swimming pool at existing single family dwelling as applied for.
Pool equipment to be located in the rear yard, minimum 3 feet from property lines.
*Building permit is required for accessory shed prior to issuance of pool C.O.*
At premises located at:
135 Dogwood Lane Ext., East Marion
SCTM #473889
Sec/Block/Lot# 37.-1-10
Pursuant to application dated 1/13/2022 and approved by the Building Inspector.
To expire on 8/13/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
0�*0 SOUjyol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q sean.deviin(M-town.southold.ny.us
Southold,NY 11971-0959 Q
COW ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Lawrence Matzen
Address: 135 Dogwood Lane Ext city:East Marion st: NY zip: 11939
Building Permit#: 47446 Section: 37 Block: 1 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor - X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 4'LED Exit Fixtures Pump 1
Other Equipment: 1 Light 120GFI, Pump 220GFI
Notes: " AS BUILT NO VISUAL DEFECTS " POOL
Inspector Signature: - r Date: August 29, 2022
S.Devlin-Cert Electrical Compliance Form
OF SOyOlo
TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND NSULATJPWCAULKING
[ ] FRAMING /STRAPPING [ FINAL otll-�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
o Telephone(631) 765-1802 Fax(631) 765-9502 httos://www.southoldtomm.jzov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ® C 11�
PERMIT NO. Building Inspector: JAN 13 2022 _
BUILDiNG DEPT.
Applications and forms must be°filled out in aheif-entirety.Incomplete:;;' TOWN OF SOUTHOLD
applirrations will not be accepted. Where.the,Applicant is not'the;owner;an
Owner's Authorization,form(Page 2)shall be completed x
Date:12/3/2021 s
PE TY:.
;OWN
ER S OF PRO R
Name:Jennifer and Anthony Fernandes SUM#1000-Section:37 Block-1 Lot(S):10
Project Address:135_Dogwood Lane Extension, -East Marion, N.Y. 11939
Phone#:516 967 5702 Email:'Jspoons hotmail.com
Mailing Address:81 Sandy Hollow road,- Port Washington, N.Y. 11030
CONTACT PERSON:;
Name:William Spooner,Jr
Mailing Address:P.O. Box 51, Mattituck, N.Y. 11952
Phone#:516_658 5302 Emai[:WSpoonerirE@icioud.com
DESIGN'PROFESSION'AL INFORMATION:
Name:Dilandroandrews Engineering PLLC
Mailing Address:158 County Road 39, Southampton, N.Y. 11968
Phone#:631 259 3959Ercall:megan@dilandroandrewscom _
''CONTRACTOR INFORMATION
Name:Cavatini Builders
Mailing Address:P.O..Box 51, Mattituck N.Y. 11952_
Phone#:516 658 5302 Email.wspoo.' _ @icloud.com
D NS TRUCT O
N
DESCRIPTION OF PROPOSE CO S
❑New Structure EIA ddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
P(0ther.s4)//;1 41 IANC 001 $--'R C" 6.00
Will the lot be re-graded? ❑Yes%Vo Will excess fill be removed from premises? Ves ❑No
1
4
r' .PROPERTY INFORMATION'
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
0'Check"Box Aft r"Reading: The owner/contractor/design.professio nal is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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 buildings)for necessary inspections:False statements made he are'
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law:
'Id
Application Submitted By(print name): �ll�l�s�°�7 S�C>�NAuthorized Agent ❑Owner
Signature of Applicant: Date: / I�`�C?Z Z
STATE OF NEW YORK)
SS:
CO\U,NITY OF SL )
VVI 1 (�(ti') being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Contract ,Agent, rporate Officer,etc.)
-- of said owner or owners, and is duly authorized to 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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
lb—dayof DZW LI a rl.( --, 20
I C I
(Jqotary Public
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEIN YORK
NO.01 DW6306900
PROPERTY OWNER AUTHORIZATION QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2-e2,dL,
residing at 91,4���� ��// ✓ " � �!/l�l'/U�"
-0 do hereby authorize .4-lv /1e4
to apply on
mybehalflo a Town of Southold Building Department for approval as described herein.
01A n 's Signature Date
o0ul 6e-S
Print Owner's Name
2
- �Ea 1 1 2022
Bt11LDING OBPT
SUfFO� NOF SOUTHOLD BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
o Town Hall Annex- 54375 Main Road - PO Box 1179
Me
o - Southold, New York 11971-0959
y7j O� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(-Dsoutholdtownny.gov - seande-southoldtownny.gov
,
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: baa,,
Company Name: (�6 br) �72,!Fc x
Electrician's Name:Aoam A izy
License No.:J 14i a 1a: Elec. email: p1111,4A11,2oo_,- a ,QoL; cd N4
Elec. Phone No: y a55 7� 55 ❑I request an email copy of Certificate of Compliance
Elec. Address.:,;?oR 5aR4,A)/ ,po , -ouT'
JOB SITE INFORMATION (All Information Required)
Name: VEi✓Ai/1!�61?
Address: lis
Cross Street:a6 O ,Q
Phone No.: -514 SSB 53,617-
Bldg.Permit
61zBldg.Permit#: email:)sPooIV61e v Co'
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
I Ltwo
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ® NO ❑Rough In [:]' Final
Do you need a Temp Certificate?: ❑ YES® NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
EJ New Service[]Fire Reconnect[]Flood Reconnect[-]Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 D H Frame 0 Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
.Z
l00 J�I��
..... FpBUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
C= �\�l own-Hall Annex - 54375 Main Road - PO Box 1179
"* Southold, New York 11971-0959
T. 'e � one (631) 765-1802 - FAX (631) 765-9502
,rogerr6Wt1tholdtownny.aov — seand(aDsoutholdtownny.aov
NG DEPT
APR6W_R0'X*R ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4 /'.
Company Name: /,(Jf��1i,/�'�1/�l'tJd►/ �L��T�jz
Electrician's Name:
License No.: , / !'p er Elec. email: 114w wl 2-b6 S lgez , Q l
Elec. Phone No: , 7,9T5 ❑I request an email copy of Certificate of Compliance
Elec. Address.: R f6RV , r, IC),b 4MyM 10 <
JOB SITE INFORMATION (All I formation Required)
Name: ` "��� i /�'��'/,�':✓
Address: moo G J� c� l S!�i9k1e,aJ/" �
Cross Street:
Phone No.:
BIdg.Permit#: — email: S,A 00-W)
Tax Map District: 1000 Section: Block: / Lot: Za
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
2-- Square Footage:.,
Circle All That Apply:
Is job ready for inspection?: YES NO ®Rough In 13 Final
Do you need a Temp Certificate?: ❑ YES NO Issued On
Temp Information: (All information required)
Service Size F-11 PhF-]3 Ph Size: A # Meters Old Meter#
❑New Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals M 1 2 H Frame Pole Work done on Service? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
O��SUFFU(KC BUILDING DEPARTMENT- Electrical Inspector.
a� �dy1 TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
ti O� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(o.southoldtownny.gov — sea nd(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: =
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required) t
Name:-
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO ❑Rough'In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size F11 PhF-]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect[]underground[-]Overhead
# Underground Laterals D 1 2 H Frame Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION
S.C.T.M. NO. DISTRICT: 1000 SECTION: 37 BLOCK: 1 LOT(S): 10
P O LOT 83
FC
2.O'E
(p• PIPE
ti<30.7'W r,,� PO LOT 83
0. 1 'spi
PORTION TO BE REMO'/ED ���G� PROPOSED 00.7p
�W
�.P POOL WASTE WATER
DRY WELL PIPE
REVISE
V S9 6 SHED
0.7 N 4'Ox4'DEEP 0 3 W LOT 84
r _ U'`
(8x12 )
ROOF OVERd' _= Q� Q���L- PIPE
>
®
OUTDOOR5� 0, ____= FC
_ 0. 1 'S
6X0 N9ER � _ 6l •� 0.3'W
EXISTING ROOF OVER _
WOOD DECK TO BE REMOVED B1LC0 rO
PORTION OF EXISITNG DECK T BE REMOVED LP GAS
O o' y
PROPOSED OPEN �ro�
PERGOLA STYLE ROOF
c;•
.o,
� O
GUY L.P.
0�
L.LP. 1
� TK.
PROPOSED
L I
ADDITION
1 .4'S
® LOT COVERAGE
® ���o� /• ,� 0� EXISTING GRAVEL DRIVEWAY 20% MAX COVERAGE: 1545 S.F.
TO BE REMOVED
STK. DWELLING: 871 S.F.
PROPOSED ADDITION: 59 S.F.
1 .o'S PROPOSED REVISED FRONT DECK: 216 S.F.
PIPE C§) DRIVEWAY PROPOSED POOL: 288 S.F.
0 SHED: 96 S.F.
OUTDOOR SHOWER: N/A
ON GRADE CONC. PATIO: N/A
z TOTAL: 1530 S.F. or 19.8%
REVISED 02-08-22
ADD COVERAGE 02-03-22
REVISED 12-06-21
ADD PROPOSED POOL 11- 12-21
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 7723 SQ. FT. or D. 18 ACRES ELEVATION DATUM:
UNAUTHORIZED AL TERA TION OR ADDI TION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS TI TU TION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRbCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL S TRUC TURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND SUBSURFACE STRUO-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED JNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 97 CERTIFIED T0: ANTHONY FERNANDES;
0 F N E���
MAP oF: GARDINERS BAY ESTATES SEC. 2 A\ M We O JENNIFER FERNANDES;
FILED: SEPT. 23, 1927 No. 275 �� �?� CITIZENS BANK, N.A., ISAOA—ATIMA;
SITUATED AT: EAST MARION Y FIRST METROPOLITAN ABSTRACT CORP;
'— OLD REPUBLIC TITLE INSURANCE COMPANY;
TOWN OF: SOUTHOLD KENNETH M W
OYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK 1s 050882 Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE # 221 - 160 SCALE: 1 "=20' DATE: AUG. 19$ 2021 PHONE (631)298-1588 FAX (631) 298-1588
N. YS. LISC. NO. 950882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
SIZE : SHAPE : HAND : DWG#
12 ' x 24 ' RECTANGLE N/A - 0 0
t2
APPROVED :POOLAREA : V L . 10530. DArE . 29/ 11 / 201
26v76 m2EITE21 . 95 POOL AREA .
.
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USE OF DIVING EQUIPMENT IS PROHIBITED
ALL
DOES NOT MEETS DEPTH AND SHAPE MINIMUM STANDARD ANSI/NSP15-2003
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'70UNDATION - TWO ,,., IRIED
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GH - FRAMING & ' L,,MRIING
'.>�.1LATION
^+4� CONSTRUCTION MUST C� f'L`P W1 1-t r,f..L CODS
3 " MPLETE FOR C.O. fJF1N YORK STATE &
To
��nJSTRUCTION SHALL MEET THE AS REQU�R D AND Cp(1►p TI WN CO )US
EQUIREMENTS OFTHE CODES OF NEW
f 1K STATE. NOT RESPONSIE =OR ..,,SOUTHOLDTOV'IIVA
I "d" _SIGN OR CONSTRUCTION
ERRURS. SOUTHOLC'TO1*11FL4N-7WGE )AR
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t!a�._ ,rReid OF THE TOINI� CODE.
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A- FRAMES
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STID HARDWARE 1 KIT
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SIZE : 1 i 2. 1 X 2 ^Y ' SHAPE . RECTANGLE """ D : NSA DWG# � � � � 0 0-
PERIMETER : 72 ' POOL AREA : 288 . 00 ftz VOL . : 10530 gal . us DATE : 29/ 11 / 2012 APPROVED :
PERIMETER : 21 . 95m POOL AREA : 26 . 76 mz VOL . : 39870 liters DRAWN BY : ALG
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81 Return
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KIT REF # PPRECTANGLE6R12X24S42H8
SIZE : SHAPE : HAND : DWG#
12 ' x 2 4 ' RECTANGLE N/A F" F:11 3 — 0 0 1L
PERIMETER : 72 ' POOL AREA : 288 . 00 ftz VOL . : 10530 galus DATE : 29/ 11/ 2012 APPROVED :
PERIMETER : 21 . 95m POOL AREAE. 26 . 76 mz VOL . : 39870 liters DRAWN BY : ALG
�n ` 1
WT
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DESCRIPTION QTY Skimmer $ '
8 ' STIR - 1 8 ' Return
2STIR - 2 31
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g ' Return
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KIT REF # PPRECTANGLE6R12X24S42H8