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HomeMy WebLinkAbout37208-Z �SUFFatK�o Town of Southold Annex 8/15/2012 3o Gyp P.O.Box 1179 54375 Main Road co oy �� Southold,New York 11971 z CERTIFICATE OF OCCUPANCY No: 35879 Date: 8/15/2012 THIS CERTIFIES that the building ABOVE GROUND POOL Location of Property:_ 350 Willow Pond Ln, Southold, SCTM#: 473889 Sec/Block/Lot: 70.-8-45 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/7/2012 pursuant to which Building Permit No. 37208 dated 5/10/2012 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: above ground swimming pool.fenced to code as applied for. The certificate is issued to Carrozza,John&Darleen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37208 8/9/12 PLUMBERS CERTIFICATION DATED Au o ized Si ature i TOWN OF SOUTHOLD O�g11FF0(,(co �� ay BUILDING DEPARTMENT a TOWN CLERK'S OFFICE oy • 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#: 37208 Date: 5/10/2012 Permission is hereby granted to: Carrozza, John & Carrozza, Darleen 231 Princeton Rd Rockville Centre, NY 11570 To: install an above ground swimming pool�fenced to code as applied for At premises located at: 350 Willow Pond Ln, Southold SCTM # 473889 Sec/Block/Lot# 70.-8-45 Pursuant to application dated 5/7/2012 and approved by the Building Inspector. To expire on 11/9/2013. Fees: SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector 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: 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 2110 of 1% lead. . 5. Commercial building,industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliatice-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.$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00, ,4dditions.to accessory building$50.00,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 $1..00,Commercial $15.00 Date. New Construction: V Old or Pre-existing Building: (check one) Location of Property: �JS 6 �n�1 1<L o W �?) L " S y Y 0 Lt) House No. Street Hamlet Owner or Owners of Property. "aA&LJYN_ C-4)FY-C)Z Z..& Suffolk County Tax Map No 1000,Section C7 Block R Lot Subdivision nn Filed Map. Lot: Permit No. 3 -1 oC o Date of Permit. S -10 ~ Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ gdhel,,��. Applicant Signatw-eUj OF SO(/Tyol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 roger.richertCaD-town.southo Id.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Darien Corona Address: 350 Willow Pond Rd City: Southold St: NY Zip: 11971 Building Permit#: 37208 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Brian Brooks Electrical Inc License No: 3613-e SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures . Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: above ground swimming pool to include, 1-pump motor, 2-GFCI recpticles Notes: Inspector Signature: Date: Aug 9 2012 81-Cert Electrical Compliance Form.xls "37 fjf so - c cou TOWN OF THOL DI DEPT. 765- 2 [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: c DATE X3 INSPECTOR ��'� pF SOpl�,olo �ycou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [. ] ELECTRICAL (ROUGH) K'ELECTRICAL (FINAL) REMARKS: DATE INSPECTO�' FIELD INSPECTION REPORT DATE COMMENTS W � FOUNDATION(IST) C4 - -------------------------------- FOUNDATION(2ND) UJ G Gel ROUGH FRAMING& y PLUMBING INSUL•ATION PEA N.Y. STATE ENERGY CODE • VV FINAL ADDITIONAL COMMENTS o m . °z 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 \1i SoutholdTown.NorthFork.net PERMIT NO. �J7 b Check Septic Form N.Y.S.D.E.C. Trustees / Flood Permit Examined G D ,20 Single&Separate Storm-Water Assessment Form J �y� Contact: n Approved `� ,20 O Mil to: 1' 1, 1/,! na , Disapproved a/c 6Gfi i/ l� !1�[ 0 //�� Phone: �lJ— ? — [ C L a Expiration v,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date , 20 1 A INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 admit authorized inspectors on premises and in building for necessary inspections. ' � � ICY OR 9TCMEDIA'Y ELY" I�` 9 f ) 11 e+,5 °3 dd f, U a U E`, :r;.F 1.'V �F ture of a cant name,if a core tion) ENCLOSE ,0014 TO CODE UPON CEMi ' TION NITHOUT CE s`-s A�s`�"�TE ` 3 �.' © BEFORE"1]tIA'fEFi" � ,� a �I OCCUPAINICY (Mailing add ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer,-.general coAR&ORM SiNOTERiber or builder aw F k: _�BV Name of owner of premises � a a-d. f e�rs.� � �� rW.'O Y _�1M -)FPS-R `0-* > (As on the tax roll o17$§td0Dded%)4M 10 4 P'll F01-. 1 iE If applicant is a corporation, signature of duly authorized officer FOLLOWING INSPECTIONS. 1. FOUNDATION-TWO REQUIRED it FOR POURED CONCRETE (Name and title of corporate officer) 2. ,ROUGH-FRAMING,PLUMBING, 1 Builders License No. I STRAPPING, ELECTRICAL 6 CAULKING-, Plumbers License No. 3. INSULATION Electricians License No.WSPECTION REQUIRED4. FINAL-CONSTRUCTION 8 ELECTRICAL Other Trade's License No. MUST BE COMPLETE FOR C.O.ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE-CODES OF NEW 1. Location of land on which proposed work will be done: YORK STATE. NOT RESPONSIBLE FOR �D I�1/r 0 M/ Yo Y L�Q Y1 a .�- ( q IGi�Q NgTRUCTION ERRORS. House Number ��A�" t_ - -� f ' Street `�' T`:"T-;Hamlet County Tax Map No. 1000 Section Block ' (�'� . Lot .; Subdivision Filed Map No..: Lot 2. 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 A.11ove. Q ro u.n C (Description) 4. Estimated Cost 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 -�D-epth /� /r 10. Date of Purchasela �i d b Name of Former Owner�l UYY W.54 PC,M I&I �T�l 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO �/ Will excess fill be removed from premises? YES NO wdlotuand 14. Names of Owner of premises CC(�'ro2zzc— Addresstt1JP+ho1d,V1V Phone No. 631!7&S- Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO )< IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO 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)d"f'j on,sp ey...' 18. Are there any covenants and restrictions with respect to this property? * YES NO V/ * IF YES, PROVIDE A COPY... STATE OF NEW YORK) SS: ` COUNTY OF Darletn Cc being duly sworn, deposes and says that(s)he is the applicant (Name of individual sgiiiiig'eorifiract)-abbve named, L . �5i ciVV'i' ACV,CC,4 (S)He is the ilT�11 10140J CI,31RUCA qCi ( ati2�act, h,_,Agent, Corporate Officer, etc.) rJ!/l9hJE!A�;�JAW15irtJ�_:.i .c.:� �`�rQr ic. _ of said own�rer ,i �7 is;c�eil �,aeythor�;zed to perform or have performed the said work and to make and file this application; that all statements are true to the best of his knowledge and belief; and that the work will be performed in filed therewith. Sworn to be refliillp?,oi- f1 `;T011 a l'T i; COY PHILIPPE H FILS AIME Notary Public-State of New York i l• NO.01FI6193432 Signature of Applica Qualified In Nassau ount My Commission Expires U Z *QF SU(/T�,OlO Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �l • �O yc4UNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD August 6, 2012 John Carrozza 231 Princeton Rd Rockville Centre, NY 11570 Re: 350 Willow Pond Lane, Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) v Electrical Underwriters Certificate. (contact your electric A fee of$50.00. _ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 37208 — In-Ground Swimming Pool STREET ADDRESS: 350 WILLOW POND LANE LOT NUMBERS REFER TO 'MAP OF SECTION ONE FAIRVIEW PARK' FILED IN THE SUFFOLK COUNTY i� ClEAR�j�, A CLERK'S OFFICE ON AUG. 9, 1961 AS FILE NO. 3388, i 1 flq rc i F=N p3 N CERTIFIED TO, C C` / �I OT �2 JOHN 8 DARLEEN CAROZZA TITLESERV, INC evil I 160 0p, Lor 1?4 o ` / SURVEY OF PROPERTY j l AT SOUTHOLD 1 / TOWN OF SO UTHOLD LOT 2 I �i SUFFOLK COUNTY, NEW YORK 3 G �/ 1000-70-08-45 / SCALE: 1"=20' AUG. 22, 2001 ! J SEPT. 51 2001 ( cerfificafion ) o R I v `E v 'A r JAN. 31, 2008 (cerllllcallon) 2 CH IAJ �j G q .. 20.6, 0 CpNG ti 6.2' 2 OE Z 2 v0 n� ! STY Fop ySE CONC. 6g g. N , /W O v:\ ; NAp N/O/F AREA 21,193 ST' , CART 160,04, Lid 1 918 _._ ` PECONIC VEYOR r7s .