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HomeMy WebLinkAbout23447-z FORM NO. 4 I TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25435 Data: 12/16/97 THIS CERTIFIES that the building ACCESSORY Location of Property: 890 WILLIS CREEK DR LTTITUCK (HOUSE NO. ) (STREET) I (HAMLET) County Tax Map No. 473889 Section 115 Block 17 Lot 11.14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1996 pursuant to which Building Permit No. 23447-Z dated MAY 15, 1996 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 FENCED TO CODE AS APPLIED FOR. The certificate is issued to STEPHEN SPARACINO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 12473 06/19/96 PLUMBERS CERTIFICATION DATED N/A Build g Inspector 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) Date .: ........................ N2 23447 Z Permission is hereby grap4ed to; . ... .�. ':f.... f....� ..... �' � C to .... . .. . .. .,.. .... ... ...... ... ...... . . ............ . ... .......!� . '►. ... ...... .�.... ".. ..............I...... o.w 1��. ............................... ........................................................ atpremises located at...............�5.....9..b........... 4.f. ..F'.. ......... tir'.[1+'..Ifee.I......................... ................................................................� . . ..C.�..............................I................. County Tax Map No. 1000 Section .......... Block.........1.;7........ Lot No. ...�..�Q..��.... pursuant to application dated ...................... . ............ ...... d....1 19... .. .... and approved by the Building Inspector. Fee $..� �.. G ... ............. .... .... .... .................... Buildin Ins ctor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 Buildinz - $100.00 3 . Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0,c0,, Commercial $15.00 Date . . . . . . /.'. .�. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . Old ,,''Or/ Preexisting Building. . . . . . . . . . . ./ , Location of Property. . ..�,,//V' . .64444 . . . . .�i.� !✓./L.�� !: . . . . . . . . . . . . . . . . . House No. / Street Hamlet Onwer or Owners of Property. . . . .. . . . .e12 � 1 . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .. .II 5. . . . . .Block. . . . .1.7. . . . . . .Lot. . . . • • . . . • • • . Subdivision ���.4.r . .�!� .f.�. . . /�rT/ Uc%Filed Map. . . . . . . . . . . .Lot. . . . . J� . . . . . . . . . . . . . Permit No. . !. /.. .Date Of Permit. .! . .:/ . . ! . .Applicant. . � 9• Health Dept. Approval. . .I( . . .. . . . . . . . . . . . . . . . . ..Underwriters Approval. . .V� . . .IV � •�� • • • • Planning Board Approval. .V . . . . . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . VV Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . V C,a q--o2 51� ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE FIST PATCHOGUE,NEW YORK 11772 (516) 286-6642 12473 DATE: 6119196 APPLICATIONNo.ON FILE VILLAGE: M4MTUCK TONW. SOUTIIOLD ADDRESS: 890 WAILS CREEK DRIVE ISSUED TO: SPA RACINO INTRODUCEDBY.' IIANK'SELECTRIC INC. LICNo: 2675-E, . was examined on 6-19-96 and found to be in compliance with the National Electrical Code LOCATION: Base.. X' I st 2nd 3rd Attic Dot.Garage Hot Tub Pool XX SWITCHES RECEPTACLES FIXTURES HEATERS FANS GTI. AIR.CORD, 2 1 1 1 DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOEE,DETECTOR FURNACE OIL GAS CIR MOTORS BELL TRAN. SER1,7CEDISCONNECT bfETER rIA4'S PILLSE OTHER EQUIPMENT OUTSIDE,RES. 1-20AMP SPEC. -- - -- ----- 1-20AMP TIME CLOCK i i i HUGO S. SURDI PRESIDENT BUILDING PERA111T No. n,is certificate must not an be altered in any mner Inspectors may be identified by their credentials BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE �o��g�FFO�,�cOG � ?1 Town Hall, 53095 Main Road y Fax (516)765-1823 P. 0. Box 1179 v. Telephone (516)765-1802 Southold, New York 11971 • OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 1, 1997 Stephen Sparacino 890 Willis Creek Dr. Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. _ (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23447-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. yR\ ............ _, o^ | � INZ WHII.ATI Oil PI Pf Qs -__-�'_--_-_----� ------' _'_ - ---_� ' ' _---- | � Ll Z/ T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �� 14 (2 DATE�� �� y� INSPECTOR�V 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE I� s % 7 INSPECTOR�� 23 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �IULATION [ ] FRAMING [✓] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 5 INSPECTOR ;' S TRUSTEES � c SUPERVISOR John M. Bredemeyer, III, President ��, pG SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President Henry P. Smith y Town Hall John B. Tuthill G • 53095 Main Road William G. Albertson y P.O. Box 1179 �Ol Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 12, 1993 Young & Young Plannirig, Engineering & Land Surveying 400 Ostrander Avenue Riverhead, NY 11901 RE: Sparacino Property SCTM ##1000=115-17-17. 14 DEC #1-4738-00847/00001-0 Dear Mr. Wolpert: The above referenced property was inspected by a representative of this office. As per survey dated August 2, 1993, this proposed dwelling is out of the Trustees Jurisdiction. If you have any further questions, please do not hesitate to contact this office. nc rely, John M. Bredemeyer, III President, Board of Trustees JMB:jmd r cc: Stephen Sparacino Q9 Marilyn Peterson, DEC APR 30 ► 996 TOWN O S OUTTur_ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-00847/00001-0 November 15, 1993 FACILITY/PROGRAM NUMBER(S) p E I T EXPIRATION DATES) November 30, 1996 Under the Environmental Conservation Law TYPE OF PERMIT ■ New ❑ Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management ❑ Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management . ❑ Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management ElArticle 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control ❑ Other: PERMIT ISSUED TO TELEPHONE NUMBER Stephen Sparaccino ADDRESS OF PERMITTEE P.O. Box 1300, Rocky Point, NY 11778 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Thomas Wolpert, Young & Young 400 Ostrander Ave., Riverhead, NY 11901 NAME AND ADDRESS OF PROJECT/FACILITY Sparaccino Property - Willis Creek Drive LOCATION OF PROJECT/FACILITY Mattituck COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold DELIPTICN OF XffFMIZM ACTIVITY j luxe Construct a single family dwelling, swimming pool, deck, driveway, sanitary system an-I pproximately 1400 cubic yards of clean fill. All work shall be in accordance with the attached NYSDEC approved plan. ''// By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. REGIONAL PERMIT ADMINISTRATOR: ADDRESS Robert A. Greene Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE r DATE ;, ' 7' November 15, 1993 Page 1 of 5 i; 5 APR 3 0 GM ` BLDG.DEPT. TOWN OF SOUTHOLD____ CENERAL GJ DITICNS Inspections 1 . The permitted site or facility, including relevant records, is subject to in- inspection at reasonable hours and intervals by an authorized representative of the Department of Envirorrrental Conservation (the Department) to determine v\hether the permittee is ca plying with this permit and the ECL. Such represen- tative may order the v\ork suspended pursuant to ECL 71-0301 and SAPA 401 (3) . copy of this permit, including all referenced maps, drawings and special conditions, rrust be available for inspection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit . Permit Changes and Renanels 2. The Department reserves the right to modify, suspend or revoke this permit v\hen: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit v\as obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) envirom-ental conditions, relevant technology, or applicable law or regulation have materially changed since the permit v\,as issued. 3. The permittee must submit a separate written application to the Department for renewal , modification or transfer of this permit. Such application must include any fours, fees or supplmntal information the Department requires. Any reneAel , modification or transfer granted by the Department must be in writing. 4. The permittee rrust submit a renenAeI application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES) , Hazardous V\bste Nbnagement Facilities (F'VWF) , major Air Po I I ut i on Control (AFC) and So I i d V\bste Nbnagamnt Facilities (SVJF) ; and b) 30 days before expiration of all other permit types. 5. b less expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirarents contained in such order or determination. Other Legal Cbligations of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all da~reges, direct or indirect, of v%hatever nature and by Ma ever suffered, arising out of the project described in this permit and has agreed to indamify and save harmless the State frog: suits, actions, damages and costs of every name and description resulting from this project . 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted v\ork nor does it authorize the irrpairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit . 8. The permittee is responsible for obtaining any other permits, approvals, lands, easarents and rights-of-say_tLat_nmy be required for this project . APR 3 0 19% Page 2 of 20-6a(79!)-25, ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( ) 9 That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State, the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused 14 There shall ono unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or herein autho revocation of this permit, the structure, fill, excavation, or other rized. modification of the watercourse hereby authorized shall not be corn- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10 That the State of New York shall in no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes,and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217) provided that all of the conditions listed herein are met. 11. Granting of this permit does not relieve the applicant of the responsi- 17. All activities authorized by this permit must be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. Such approved plans were prepared by 12. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, SEE SPECIAL CiONDITION #1 on solvents, lubricants,epoxy coatings,paints,concrete, leachate or any SPECIAL CONDITIONS 1. A permanent 25' no disturbance buffer area must be established immediately landward of the .tidal wetland boundary, and a revised plan must be submitted to the Department within 30 days of commencement, indicating this buffer area. 2 . All necessary precautions shall be taken to prevent contamination of the tidal wetlands and/or waters of Ne ,o UR York by silt, sediment, fuels, solvent, lubricants, epoxg, 3 coatings, concrete leachate and any other pollutant 00 associated with project work. (n, c3 00 o 3 . Any debris or excess material from construction of this =� IC' project shall be completely removed from the adjacent a pa (upland) and removed to an approved upland area for L Cn o I disposal. No debris is permitted in tidal wetlands. - - _ - _ J 4. The storage of construction equipment and materials shall be confined to within the project work site and/or upland areas greater than 50 linear feet distant from the tidal wetland boundary. 5. A row of staked hay bales or approvable erosion control devices shall be placed as per approved plan at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with DLC PLRNAIT NUA}I. �e,fa lon. _ -cc�-C _ PROCRAPAJACILITY NL�.OBFR Page � of •95-20-6f(7/87)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 25 Tidal Wetlands 6. If seeding or soil stabilization is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 7. Roof runoff shall be directed to drywells a minimum of 100' landward of the tidal wetland boundary for immediate on-site recharge. 8. Dry wells for pool filter backwash shall be located a minimum of 100' landward o the tidal wetland boundary. 9. There will be no draining of swimming pool water directly or indirectly into tidal wetlands. 10. Project must comply with all local and federal floodplain regulations. 11. All fill shall consist of "clean" gravel and soil (not asphalt, slag, flyash, broken concrete or demolition debris) . Supplementary Special Conditions (A) thru (F) attached. � PW G� 0 m O o _�I C-0 0 GR i DEC PERMIT NUMBER -7 PACILITY ID NUMBER PROGRAM NUMBER Page of SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee must contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least two days prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the authorized work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over T "- a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior p to recommencing work in subsequent years. zW F. The granting of this permit does not relieve the permittee of the Oe o responsibility of obtaining a grant, easement, or other necessary1r_0 CM _ c' approval from the Division of Land Utilization, Office of General = -� Services, Tower Building, Empire State Plaza, Albany, NY 12242 (518) 474-2195, which may be required for any encroachment upon State-owned lands underwater. -=-_- \.___.�_ /` DEC Permit No. ('"� � / •��� C7��L� �-7 VL-c�'/ —� Page of APR 29 196 09:41 TOWN OF SOUTHOLD P.1i1 S�fFat,�c � o Albert J. Krupski, President ,�y� G Town Hall John Holzapfel,'Vice President o 53095 Main Road CA x P.O. Box 1179 Jim King Southold,New York 11971 Martin H. Garrell Peter Wenczel �Ol � �a Telephone(516)'765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APRIL 29, 1996 Eve Miller Swim King Pools 471 Route 25A Rocky Point, NY 11778 RE: Stephen Sparacino SCTM #1000-115-17-1-1,44 Dear Ms. Miller: The above referenced property was inspected with regard to the proposed swimming pool. As long as all activity stays landward of the fence and a row of staked haybales is placed at the bottom of slope, the pool is out of the Trustees jurisdiction. This is not an approval from any other agency. if you have any further questions, please do not hesitate to . contact this office. Sincerel , 9- �- Albert J. Krupski, Jr. President, Board of Trustees AJK.: jmd cc: Bldg. Dept. p [ f ' AU AI APR 30 1996 6 BLDG.DEPT. TOWN OF SOUTHOLD s". �'.a' co.c a.0ca 1 •, g' TREATED WOOD •.E■ ..7E•10C.Eo W.I. PLI►TE ANCM_ORED TO CONCRETE PRE CAST CONCRETE COPING POE CAST i SKlMMERS COPING I s " I RETURNS —< B l ,I� I III 1I OE 0 •O I - cII "►''�.�.:�•�'�•� I` ' TO Fi.ER 3- 8BARS (5u:)PE S`OPEFROM S KIMERS UMPFiL'ER0•0 P FORM TIES FROM flL�a "CIO TO RE'uANS ! T0wASTE �V{NI O• IFa I � E N Te° DFOAM � PIPING ARRANGEM —ROLLED FOAM VINYL LINER C � 4 CONCRETE i . 35001b �� 9•� 1'. :c'::•c D 000NCRETE I �a.r.• nE•s Sl^.E E`CN - a ? ,;RED CONC nETC STEPS J= AL P L AN I v:NYL LINER~° .: ,• I SEE T Y i =_L ii,r�/.Ci/C^':.l�io.4 a •.' I PIECE --ALL S--TION _�. 2: ♦• SaN? 121: I �: SECTION t l fORM 71H 8' 0• —� 13• i - •u f 1 2•. s'S:aO BOTTOM : - - i. _ MAX 3;8• BARS 0 FIT 10 N A L ST E P TYPE I. S E C T I ON 6- B ter' G 8-0• G c ` PLAN C0.ca coca "I r PIERS —�T— In o TYPICAL WALL , ' ��'�`I�v �a..l 12•i..f�� I 4.0- ; 12•a SECTION A— A z� OPTIONAL STEP I av �o TYPE 2. o v w ,�Of NEw. SIZE I A B C I O I E I F G ` AREA) CAP O �y.• ` FEET .Y. rt n R rY. R rt �ao.rs� cs.� -Cl� © O;,Gc .tcyL.f\ CONTRACTOR I I I I I >_� NOTES.. O WALKS TO BE SMOOTH- NON SKID TYPE. SLOPED r C7� I i�•: ( RANDY T. RODECY.EF2,, INC C7 AWAY FROM POOL 1•; rill r WATER ' OISPCSAL SHALL BE LIMITED TO OWNERS 11 o SWIM K INC POOLS 16 a. S2 (16 112 I 8 I B 112 I. 4 I 4 I 512 IIl,SOO t • y -=� PROPERTY TO SUIT LOCAL REGULATIONS ""C •S•o. 0:61C`' F ROUTE 2SA 16•:z 36 116 136 I 12 8 I 12 I < I 4 -I 576 . 20' IJ !! l5 BOARD OF HEALTH . : : : : : . 3 SETS OF PLANS APR FORM NO. 1 SURVEY : : : : : : : : : APR 3 01996 c: TOWN OF SOUTHOLD CHECK i BUILDING DEPARTMENT SEPTIC FORM BLDG.DEPT. TOWN HALL NOTIFY "Njd OF SOUTHOLD_- SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL . . . . . . . . . . . . ... . . Examined .4 /`� MAIL T0 : A710 Approved .` /.-. . . ., 19*. Permit N.,o���� Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector)' . ..APPL ATION FOR BUILDING PERMIT Date/ 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 must be drawn on the diagram which is part of this appli- cation. 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 issued 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. 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 adr init,aiithciized unspectors on premises and in building for necessary inspections. NSgnature of applicant, or name, if a corporation LrI i Tua;a o6h .-PC (Mailing address of aPPlic�t State whether applicant is_owner, lessee, agent, -architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises ����1�l . . ,�• �.iL V. 111-J. . . . . (as on the tax roll or latest deed) ` If applicant ' a corporation, si ture of duly authorized officer. (Nam and tit e of corporate officer) A CON CTOR' S MUST BE S FFOLK COUNTY LICENSED Builder's icense No.c. 1. I / . . . . . . . . . . Plumber's License No. . . A J. .�1. . . . . . . . . . . . . . . rr — Electrician's License No. . . . . 7!.J . . . . ... . . Other Trade's License No. 1.v. 1A. . . . . . . . . . . l. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. s. . . . . .ref-4. . . . .(J nV& . . ... . . . . .M.d_4h �u House Number Street J•-� Hamlet. County Tax Map No. 1000 Section . �: . . . . . . .... Block `. .../. . . . . ... . . . . . . Lot. . . . lel Subdivision . . . . . . . . . . . . . . . Filed Map No.' : . . . . . . . . . . : . . Lot . . . . . . . . . . . . . - (Name) . . 2.. State existing use and.occupancy of premises and intended use ©And occupancy of proposed construction: ell a. Existing use and occupancy . poi ( .b. Intended.use and occupancy . . 1.Q• .'� 3Q •l �ZC/V. . . � l.,Y�S✓`. Pv/ 014 q_ -to. C-Ude 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . .. . . ."'Alfe"•rati'dn"a: Repair . . . . . . . . . . ... . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work 1 , " YO sce m� 4. E`stimated Cost . . . . . . . . .`U�. . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . .-,,: . . . . . . . . . . . ` (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 . . . . . ... . . . . . . . . Rear . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . ... . . . . . . . . . . . . ..A.`.0. . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: f v . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded : . . Will exces fill' e/ moUm remises Yes No 14. Name of Owner of premis �l.iu .Sddress .VI/.�� jS one Novg Name of Architect . . . . . . . Address MV:E-Phone No. Name of Contractor . . . . . . . . . Addrea� � . . .Phone N �8.1� 15. Is this property located within 300 feet of a ti a Aweland? *Yes . . _ 9. . . *If yes, Southold Town Trustees Permit may be required. 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. UNDERWRITERS CERTIfICATE REQUI ED AP 1 JIED e� -B.P.# rE- Sy.ri•t• ^r J r � �7 1 7 �' rMFFO� "iAT!; ;.�, RtOTIFY BUILDI THE _' s yN 65 2 9 ANi TO 47oa 80. FOLL1 i G INSPECTIONS: �, FOUNCATION - TWO REQUIRED FOR POURED COhICRETE 2. OUGH - FRAMING & PLUMBING R 3. INSULATION ENIV MEDIATELY" 4. FINAL -BE COMPLETE OR C.O.CONSTRUCTION MUST CLOSE POOL TO CODE ALL CONSTRUCTION SHALL MEET UPON COMPLETION BEFORE"WATER'- THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES., NOT RESPONSIBLE•. OR DESIGN OR CONSTRUCTION ERRORS F, STATE OF NEW YORK, S.S COU Y OF . . . . . . . . . . . ..1 . . . . .�°C>,✓� � !(. ... . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is �the . . . . . . . . . . . . . . . . . . . . . . . . . .CJV Contractor, agent, corporate c.( .S officer,icer, 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 2 . :. . . .day of. . ' 1. . . . . . . . , 19 � ��� Notary Public, . . County �161=11:EALXMP - - IogagY PUbIEs..SIatO of t�ew'Yar1+ No.52-4526433 . - . . aysIified in SufScll<Ccu fy' . . . . . . . . .-_. . . C GITIrnisslan Exglres %l��ol"1 (Signature of applicant) r 0 Young & Young, Land Surveyors am_ 400 Ostrander Avenue, Riverhead, New York 11901 $t zN 516-727-2303 ad �Dltrii� �� D ON 2 Q1Iri� mr. a I Alden W. Young, Profeaaionca Engineer & Land Surveyor �� o Howard W. Young, Land Surveyor C) Oco Thomas C. Wolpert, Professional Engineer "IMMEDIATELY I £ ptp oo Kenneth F. A6ruzzo, Land Surveyor 0�'° tg ENCLOSE POOLTD CDDE I W I�— �„ UPON COMPLEM N LOt t'S I �o fill BEFORE"VYArW W �-� I APR 3 0 1996 1 1 tAj 5 &� \ v BLDG.DEFT. 6 ^'�, 2 O TO�I(�I OFSn11Tun�n I �F / r a 67 O0 =a� o,J M J �"R� °f 3�3 h Y SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION -i- �S3 � W 'I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE 3.e' Se > �a. SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS t. G?' Lt/ SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT.' .� d V, O00 SZMf` .�6 b�� \ ( ) 1r,.P C m 5 EtLP E �; @o +°� O ! APPLICANTS SIGNATURE: `( 0 c' <a \�0 ID °� �'f F•` N �� Sp �G/4� d APPLICANT: Q 2 m —t r y S 00 6 0 d d 5C ��` ) . ep 00 p;x F<Z EV <m _ O m. `�'Z P .µ�G� 32• 0 STREET ADDRESS: < < r r �A - E O / �_/ 3 ix =' N; G `\ r cITY: �/ STATE: ZIP CODE: z 09C �p 17 •OZ3 „ 5'C't' 1 /� F a x F w c a 9 Z�0 \` /^ O TELEPHONE NUMBER: x< Z <01 , 0 0 bE o Z `o° SURVEY FOR: �j �m Lat NQ Z 5�• `, _ �' STEPHEN SPARACINO 8t ELAINE SPARACINO o N cyNA�e : 50 \ 'g9 -re LOT NO. 141 " HARBOR VIEW AT MATTITUCK M � 8 Z E` c atc "SER At: MATTITUCK Town of: SOUTHOLD o� k New York `0�205 W a�. Suffol County, ss S. Suff. Co. Tax Map: 11000 1 115 17 1 17.14 >; y)F District Section Block Lot s �t 15 CERTIFIED TO: NEyV STEPHEN SPARACINO y ELAINE SPARACINO W. Y,, Q!y� STG ASSOCIATES, INC. OCT. 12,1994 co DEC. 27,1993 * = G� * NOV. 22,1993 = OCT. 22,1993 NOTE AUG. 2, 1993 k. I. • --MONUMENT FOUND ♦=STAKE FOUND JUL. 6, 1993 : 2. SUBDIVISION MAP FILED IN THE OFFICE � yG DATE :JUN. 17, 1993 OF THE CLERK OF SUFFOLK COUNTY ON 45893 v�, _ _. "" SCALE :1"= 5d AUG. 21 , 19$7 AS FILE NO. 8377. SFQ LAND S _ JOB NO. :93- 0424 3 3. FIRM ZONE A4 BASE EL = 8.0 SHEET NO. :1 OF 1 0 fL • L 0 N Young & Young, Land Surveyors �ix v 400 Ostrander Avenue, Riverhead, New York 11901 g$ I ' 44oung SUFFOLK COUNTY DwARTMOV OF RE&TH SERMCES sN 516-727-2303 rn a SINGLE FAMILY DW ®NLY moo • A ` 1 ki Appro"11W Of CbfV0U y •llaung Qj m� F>no : NOV 0 1 19 s � o Alden W. Young, f 9 y � �� j+�0, rn v Professional Engineer & Land Surveyor t i o Howard W. Young, Land Surveyor I 00 Thomas C. Wolpert, Professional Engineer la t>:y `the �:�L 9 d4SpL"r��a'r��� fy�i . .r�pp�'����i�Y�►� I � ° Kenneth F. Abruzzo, Land Surveyor £uginrrrl g r;tA1`$ ?sc r i�,�pprs� :sar+t or other sg-snd83 0Jo c� and 1Curi 8 to 4e 6"169fw10 7'< I,pa� W m 11 11 w �J ��j-2b barvsgimg � � �a z 8®#�A 310.�h 66 % �� °Gµ J��P� Q , 042 05,E \ 24/ eE °�\ 0 1 a f 1 Z (] l! 6? o J y zz.q• ,, q SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATIONi5= a e 3.1 56 g° �S3y "1 AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE $ Q d N �5' tom ' 0p. SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS F u OR 4 Rr? SET FORTH THEREIN AND OUTHPER IT TO CONSTRUCT." O QA a 5,$ y �OGPPP`6 2Z6 ` _ \\p � Q APPLICANTS SIGNATURE:� M c� M L a= W r or m OO APPLICANT: f i L /sN 0 z ¢2 G o STREET ADDRESS: -j GA!o3Z X �K �1 w a I =~ D 3 G� �a Sty,G�j 1r; CITY: �/7// i/�C 11r STATE: ✓tJ ZIP CODE: 475CFa oU Z T j° 2 \ TELEPHONE NUMBER:\ O rro <� 25 a(n c y j'11 C' (O ��>§ V `a ,q N`\ ", 11 �° SURVEY FOR: _; f EWE N U1 Or �-°t 0� 5{ - �' I STEPHEN SPARACINO a ELAINE SPARACINO 0 _ 0 M 0NA�e ' 5 _ �g9•�6 LOT NO. 141 " HARBOR VIEW AT MATTITUCK11 �g $ o i li z °o ELEclR`` At: MATTITUCK Town of: SOUTHOLD i [ 575(04205 w �a<� Suffolk County, New York INpg 99 i z �F 0 15 ?'Fy�F Suff. Co. Tax Map: 11000 , 115 , 17 1 17.14 'N L0� District Section Block Lot �� I N1 < .��s CERTIFIED TO: � q� NEB STEPHEN SPARACINO � $ ELAINE SPARACINO W. Y �� STG ASSOCIATES, INC. OCT. 12,1994 ° DEC. 27,1993 O DEC. 3,1993 g<x5 NOTE NOV. 22,1993 126 I. ■ =MONUMENT FOUND ♦=STAKE FOUND I AUG. 2,�1993 3-lis 2. SUBDIVISION MAP FILED IN THE OFFICE �j G@ JUL. 6, 1993 JRJ� ^► DATE :JUN. 17, 1993 OF THE CLERK OF SUFFOLK COUNTY ON �- 4Jr8c� � o < 3 SCALE :1"= 50' �bG AUG. 21 , 19r 7 AS FILE N0. 8377 s�aC�Nc�S��v JOB NO. :93— 0424 3NO 3. FIRM ZONE A4 BASE EL = 8.0 0 - SHEET NO. :1 OF 1 O �z 5 ' 1