HomeMy WebLinkAbout34971-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33959 Date: 09/18/09
THIS CERTIFIES that the building SWIMMING POOL
Location of Property: 365 WILLOW DR EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 3 Lot 11.24
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 18, 2009 pursuant to which
Building Permit No. 34971-Z dated SEPTEMBER 1, 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 "AS BUILT" ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR.
The certificate is issued to JOHN & MARION IORIO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 130191C 09/09/09
PLUMBERS CERTIFICATION DATED N/A
A rize Sig ature
Rev. 1/81
Form No.6 [F[S:EP
E 0 WE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL 15 2009 Jul
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPA CY BLDG,DEPT.
TOWN OF SOUTHOLD
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 2/1 0 of I% 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- $1 00.00
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. September 11,2009
New Construction: XX Old or Pre-existing Building: (check one)
Location of Property: 365 WILLOW DRIVE EAST MARION
House No. Street Hamlet
Owner or Owners of Property: John&Marion Iorio
Suffolk County Tax Map No 1000, Section 31 Block 3 Lot 11.24
Subdivision High Point at East Marion Section 2,Inc. Filed Map. Lot:
Permit No. 34971 Date of Permit.9-1-09 Applicant:EN-CONSULTANTS,INC.
Health Dept. Approval: N/A Underwriters Approval:
Planning Board Approval: N/A
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 25.00
3� 5C�
Applicant Signature
Electrical Inspection Certificate
Issue Date Electrical Inspection Service,Inc. Application Number
9/9/2009 375 Dunton Avenue 130191C
East Patchogue, New York 11772
(631)286-6642
Issued To: John lorior
Street: 365 Willow Lane
Village: East Marion Zip: 11939 Town: Southold
Section: Block: Lot: •
Contractor: Ice Electric (L) Lic. # 4586-E
Was examined and found to be in compliance with the National Electrical Code.
I Commercial 1 NV Defects Ix1 Pool I 11st Floor I I Indoor ! I Basement I I Hot Tub
• Ni Residential 1 1 Det. Garage I I Attic 11 2nd Floor Ix l Outdoor Addition I I Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
2 2 1
Dishwasher WasherlAmps DryerlAmps 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-Pool Light/ 1-Raintight Subpanel/ 1-20 amp
r Spec. Outlet/ 1-Time Clock
Hugo S. Surdi
' .
President
Rough I pection:
»' Inspe
l Inspectio i
Inspector: John Mc Mahon III
This certificate must not be altered in any manner. Inspectors may be Identified by their credentials,
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. 34971 Z Date SEPTEMBER 1, 2009
Permission is hereby granted to:
J & M IORIO
365 WILLOW DR
E MARION,NY
for
"AS BUILT" INGROUND SWIMMING POOL AS APPLIED FOR, FENCED TO CODE
at premises located at 365 WILLOW DR EAST MARION
County Tax Map No. 473889 Section 031 Block 0003 Lot No. 011 . 024
pursuant to application dated AUGUST 18, 2009 and approved by the
Building Inspector to expire on MARCH 1, 2011 .
Fee $ 500 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
OF SOUTyolo
3q- q7 ( �Z_
courm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [j FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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DATE �r �� INSPECTOR
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TOWN OF SOOT LDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS LA
[ ] FRAMING / STRAPPING [ FINA /"�
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS
IV
DATE INSPECTOR
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COMMENTS
LDLINSPECTION REPORT DATE b
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FOUNDATION(1ST)
Y�
-- ...............-----........------
FOUNDATION(2ND) �O
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ROUGH FRAMING&
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PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL e2 dO670
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. ���7/ Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 20 Contact: .
Approved ct 20Y Mail to:
Disapproved a/c
Phone:
Expiration 201)
EaFD,Dj,i.c�a.t,i�o�n.,,M.U-S�PT.'be
[� Building Inspector
I�
AUG PLICATION FOR BUILDING PERMIT
0
Date AUGUST 14, 2009
INSTRUCTIONS
T 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 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 Bull ding 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 and in building for necessary inspections.
�E EN-CONSULTANTS,INC.
7d
(Signature of applicant or name,if a corporation)
�11319 NORTH SEA ROAD,SOUTHAMPTON,NY 11968
ERWRITFRS CERTIFC (Mailing address of applicant)
State whether applicant is owner, lessee: agent, architect, engineer, general contractor, electrician plumber or b,u,ilder
APPRNED My� ��CO If ED
AGENT
U 4. !i 2�G
Name of owner of premises JOHN&MARION IORIO
As on the tax roll or latest dee 1 ;:a'_' ;;i,�:V.-'.h r AT
( fil�JfIrY BUiLD,N., � 1-`�
If applicant is a co o tion,Xsiat f of�duly a orized officer 765-1802 U AM TO.'..4 i=EJI 'FOR'T'ri.=
FOLLO��'ViNG IiJSP["C T'�i.�S:
(Name and title of rpo to of �L COIF `"".;i�t��'` `' tad;. : i. FOUNDATION - T!')!,)
f , t ;w# I.i;,, ,�� ,.,_..;_ FOR POURED
Builders License No. TBD MEET THE REDUI iL Ali w� ,s, r ! -. 2. ROUGH - FRAMIIN&,� PLUIy RING
OF NEW �.,.,• � 'r7vr 'a
Plumbers License No. TBD ,�E ` ° 1_®®i'"' 3. INSULATION R
Electricians License No. TBD 1� 1 OR 4. FINAL - CONSTF
Other Trade's License No. TBD r 4�4 I C I III euuFU
BE COMPLETE
ALL CONSTRUCTION' E1i^LL IVI+EET THE
pI��-�� n c n E REQUIREMENTS OF THE CODES OF NEW
1. Location of land on which proposed AN Pi e Jle:CERTI fA I`s�r� T �r F ATE. NOT iiESF ONSIoLF FOR
365 WILLOW D r► r, ►, �n e A �i,.i EAST i�n '�Ohh' � ""'''„ E��ROR&
House Number Street Hamlet
County Tax Map No. 1000 Section 31 Block 3 Lot 11.24
Subdivision Highpoint at East Marion, Section 2,Inc. Filed Map No. 7755 Lot 32
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy RESIDENTIAL,ONE-FAMILY DWELLING WITH SWIMMING POOL.
b. Intended use and occupancy NO CHANGE.
3. Nature of work(check which applicable): New Building Addition Alteration1'017-ol.)
Repair Removal Demolition Other Work SWIMMING POOL(AS B T)/
4. Estimated Cost$20,000 Fee (Description)
(To be paid on filing this application)
5. If dwelling. number of dwelling units N/A 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 N/A Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: FrontN/A Rear Depth
Height Number of Stories
9. Size of lot: Front 75.95' Rear 168.85' Depth 258.24'
10.Date of Purchase 1/11/05 Name of Former Owner WILLOW DRIVE, LLC
11. Zone or use district in which premises are situated R-40
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X
13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO
330 KNOLLWOOD AVE.
14.Naives of Owner ofpremisesJOHN&MARION IORIO pddressLITTLE NECK,NY 11363phoneNo, 718-729-7700
Name of Architect Address
Name of Contractor Address --Phone 1%
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO X
*IF YES, SOUTHOLD TOWN TRUSTEES&D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland?* YES NOX
*IF YES.D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below.must provide topographical data on survey.
STATE OF NEW YORK)
ss.
COUNTY OF SUFFOLK
R O B E R T E. H E R R M A N N being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the AGENT
(Contractor,Agent, 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
14T day of. AUGUST 2009
Notary Pu is nature of Applicant
.: KI':1H.SIEPNEi1S
°; 1;cdWyPu^.IM Sla!eafIFYc�k
w� ' Ca�,Tasiau11o.6U15331
Cua!7i diaSu!lo!kCouo
E;;,aEsP.ama
s,r.
1319 North Sea Road
Southampton, New York 11968
631-283-6360
Fax: 631-283-6136
EN-CONUL , INC. www.enconsultants.com
ENVIRONMENTAL CONSULTANTS
TO WHOM IT MAY CONCERN:
This letter will authorize En-Consultants, Inc. to represent me and act on my behalf with
regard to environmental matters and/or permits.
Signature
C1110
Print
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Signature
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Print
Dated: �°
Me%. *10'-
TOWN ' OF SOUTHOLD PROPERTY RECORD CARD
STREET 3 VILLAGE DIST. SUB. LOT
FOWNERrlll :( 05 5 N E ACR. -�
vac,
van' -e �. 5 j q�p5` S .1 S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. . OTAL DATE REMARKS
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LOT 33
FM# 7755
TABLE OF AREAS SURVEY OF DATE FILED JUL 13, 1984
TOTAL LOT AREA = 40,416 S.F. LOT 32 TM# 1000-031-03-01 1.24
BUILDABLE LAND = 40,416 —532 (POOL) SU13DIVISON MAP OF
= 39,884 S.F. HIGH POINT AT EAST MARION
AREA OF HOUSE AND GARAGE: 3,232 S.F.
AREA OF DECKS 810+40=850 S.F. SECTION INC.
TOTAL AREAS = 4,082 S.F. GUARANTEED TO:
PERCENTAGE COVERAGE OF BUILDABLE LAND: SITUATE I JOHN IORIO
4,082/39,884 K 100 = 10.23q EAST MARION, TOWN OF SOUTHOLD MARION IORIO
SUFFOLK COUNTY, N.Y.
SURVEYED: 06 AUGUST 2009
SURVEYED FOR: JOHN IORIO SCALE 1"= 30'
MARION IORIO
AREA = 40,416 S.F.
OR
0.928 ACRES
GUARANTEES INDICATED HERE ON SHALL RUN SURVEYED BY
ONLY TO THE PERSON FOR WHOM THE SURVEY STANLEY J. ISAKSEN, JR.
IS PREPARED, AND ON HIS BEHALF TO THE
LENDING INSTITUn N, IFN717LE COMPANY ISTEDLHEREON, AND P.O. BOX 294
TO THE ASSOF THE LENDING
GUARANTEESGNEES ARE NOT TRANSFERABLE TOTUTlON. NEW S .FOLK. N.Y. 11956
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. 6 3 1 -7 4—5 8 3 5
UNAUTHORIZED ALTERA77ON OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF
THE NEW YORK STATE EDUCATION LAW.
7Y
COPIES OF THIS SURVEY MAP NOT BEARING CENSED L N VEYOR
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO B£A VALID TRUE 1. 26 AUG 09 REMOVE PERGOLA. NYS Lic. No. 4 3 09R 173E
COPY.
RUG-21-2009 06:12A FROM: 7187841219 TO:16312836136 P.2
EML & Associates
...
� , ?esi n, onstz-action, Masonry & Bobcat Service.
7- 4741,4
Designers &Builders of Distinctive Landscapes for over 28 Years.
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All Workmanship Cnearanjeed for one year.
Please make all checks payable to Gene Lupinacci.