HomeMy WebLinkAbout38048-Z UFFaI,� Town of Southold Annex 8/28/2013
coG� P.O.Box 1179
o - 54375 Main Road
�+A • Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36470 Date: 8/28/2013
THIS CERTIFIES that the building DECK
Location of Property: 550 Pine Neck Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 70.-8-16
Subdivision: bled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/8/2013 pursuant to which Building Permit No. 38048 dated 5/23/2013
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:
deck addition to an existing one family dwelling as applied for.
The certificate is issued to Colardi,Regina
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
/orizdd Sign ure
Q�gUFFO(�c
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Me TOWN CLERK'S OFFICE
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#: 38048 Date: 5/23/2013
Permission is hereby granted to:
Colardi, Regina
366 Andrews Rd
Mineola, NY 11501
To: construct a Deck addition to an existing single family dwelling as applied for
At premises located at:
550 Pine Neck Rd
SCTM # 473889
Sec/Block/Lot# 70.-8-16
Pursuant to application dated 5/8/2013 and approved by the Building Inspector.
To expire on 11/22/2014.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $287.20
CO -ADDITION TO DWELLING $50.00
Total: $337.20
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:
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 l%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$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming pool $50.00, Accessory building$50.00, Additions 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 $15.00,Commercial $15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: '�ed f5c_:� Izb .
House No. Street Hamlet
Owner or Owners of Property: C�C%t:_-A.fa
Suffolk County Tax Map No 1000, Section —70 Block Lot )4,
Subdivision Filed Map. Lot:
Permit No. 3104 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
OF SO(/l�o
H O
i
Comm,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
JNSPECTION
[ OUNDATION 1 ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ CTRICAL (FINAL)
REMARKS: "� C
DATE 1E 113 INSPECTOR
pP SOplyo�
�o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLIG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING /STRAPPING [° FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE �'60, I INSPECTOR
FIELD INSPECT7N REPORT D TT COMMENTS
FOUNDATION(IST)
cKill
- ------------------..........
i--
FOUNDATION(2ND)
C .
ROUGH FRAM NQ&
PLUMBING
INSUL'ATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
� O
'gym
TOWN of SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following;before applying
TOWN HALL Board of Health
SOUTHOLD,.NS' 11971 3 sets ofBufidingPlans
TEL: 76� 1802 o ,p Survey
PERMIT NO.. Check
°:°r . ?. , w . - Septic Form
N.Y.S.D.E.C.
Trustees
Examined `� �20 1� CoIItaet».. '
Approved )20 Mail to."
Disapproved a/c
Phone:21k
Building Inspector
APPLICATION FOR BUILDING PERMTF
'MAY. — 8 2Dt3 Date TK4 1.0 , 201.2
INSTRUCTIONS
BLDG. DEPT.
— T S i 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 promises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be coiumenced'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 Occupana
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 n Tow of Southold, Suffolk County;New York; and other amlicable,Laws, Ordinances or; :
Regulations, for the const ucEibn of buildings, additions,or alterations or-for removal or,volition 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is.owner,lessee;agent, architect, engineer, general contractor, electrician,plumber oi.builder
�'�PLLGAL? L5 1! d! kl"TAGT
Name of owner of premises I t, A.c
` (as'nn the.tax roll or lafest deed) i
If applicant is a corporation,'signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
5 i"o P t t-A E N,F -(_-k P_-Ca . , ou _rW+ t_D
House Number Street Hamlet
,County Tax Map No: 1000 Section 7a Block 8 Lot 4
Subdivision Filed Map No.°, :.'- Lot
(Name)
2'. State existing use and•occupancy of premises and intended use and occupancy of proposed conshuction:
a. Existing use and occupancy a Nm rzjttdvc t.t___-'
b. Intended use'and occupancy
3. 'Nature of work.(check which applicable):New Building • Addition Alteration
Repair Removal Demolition Other Work g:v=-7e--1C
(Description)
4. Estimated Cost 1 D, en::2c5)_ Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units I Number of dwelling units on each floor I .
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 5-I-.. l Depth 34,. l
Height 14-" Number of Stories. 1
Dimensions of same structure with alterations or additions: Front-ro g,uLc.r:)iAj,ca Rear
Depth Height Number of Stories
to
8. Dimensions of entire new construction: Front Rear Depth
Height 'Number of Stories
9.• Size of lot: Front 1 a3.,o 5 i so,zka Rear co o?. Depth
10. Date of Purchase .d U NE .j, z c t i Name of Former Owner M/if?-J o'ra er W
11. Zone or use district in•which premises are situated P ^4v=�'
12.'Does proposed construction violate any zoning law, ordinance or.regulation:
13. Will lot be re-graded N p Will excess fill be removed.from premises: YES NO
P.� t N A, 3 roG A� �z .5 R D
14.Names of Owner of premises . Cac�y.t r 'Address Mtr�[�e,A, Nw t ts6r Phone No.Sc�_g�3_ tom.,Z�
Name of Architect�p, 4-=a-r Address 2£s=,s5 z t 4 T;-j .Phone No
Name of Contractor Address f `[s war Phone No:
15. Is this property within 100 feet of a tidal wetland? *YES NO X
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at anypoint on property is at 10 feet or below;must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
t2d:Z;0 1✓IZT S spa L l I•:t o P.,e, being duly sworn, deposes and says that the is the applicant
(Nant ''ina4i signing contract)above named,
(;?)Ile is the
(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
1 day of 2013 .-
Notary Public Signature of Applicant'
Notary Public,State-of New York
No.01CA4866400
Qualified in Queens County,
lbrm July28,2Da
eIDSUFRr Town of Southold - Chapter 236 - Stormwater Management
z
r � SWPPP - Storm Water Pollution Prevention Plan Assessment Form
GENERAL INFORMATION. (All Requested Information is Required for a Complete Application)
APPLICANT NAME: Owner-Agent-Consultant-Contractor orCne CireleOne Pro_ i( ) Property OWNER:(If Different than Applicant)
�ddress:
y 113&d ,Address: i
Telephone# Fax V. S�O(o S Fax# ( (05 G
-Mail L �02Z
CO E-Mal: l
Pro ►ty Ad - Brief Description of Construction Activity,Proposed Strucpiral BMPs,Soil
!
1CV Safi t_ i
S.C.T.M.#: 1000 70 $ �- Stabalization BW3,Pro fivjty-
ject Scope and/or Sequence of Construction Ac
ebtdkt section
ck Lot (Proeida Additional Pagra as Needed)
Name of Contractor and/or Contact Persoq Responsible for Implementation of SWPPP:
Address: �T=l --t---
ZFS- Z[4 1F- �3a�s/� ht`Y 113G f> ,
Telephon2 Fax#. df_L __ _�L�(-- � ,-Y 4- ;
E-Mal:
:•;
CO -------------------
Name of Persons Responsible for Installation 3 McIntenance of Erosion Control Practice: ---`--`----'---- -------- 1
SrsL( ---------•----------•--------------- Ij 1
----------
ddress: I
-55 2t T PL t`.Ar yqr._ 14-C 11960 --------------------------------------------
Telephone# Fax#: j t
-Z
E-Mail:
-----------------------------
TotalAreaofAll ----------------------- _
Total AreaolLandClearing / ---------------------
Project Parcels: 1Q1 `V I» and/or Ground Disturbance-
- -------^----------
(S.F.!posy( -
�. Project Duration: Stag ��Entd(Anuapated) / Dante/:(Number of Calendar Days) /� --.
Will this Project Disturbe five(5)or More Acres at "-" ----"' `" -'-- __.__._..._.__...___._________
Any One Time During the Proposed Development? Yes No
-•-••----._______._____-_________
If YES:Please Answer the Followin I
a_ Does the Applicant have a Qualified Inspector On
Staff To Conduct the Required Inspections? Yes No
b_ Does the SWPPP Indicate HOW Frequently-the Site List the NAMES or description of all Potentially Impacted Waterbodies and/or wetlands:
Inspections will Occur and for What Period of Time? Yes No
c_ Does-the SWPPP Adequately Identify All Temporary ---------------------
L.J u I
and/or Permanent Sol Stabalization Measures? - Yes No ----" ---------------------
------`------- _------
- ( i
d_ Does the SWPPP Adequately Identify a Complete ---- ----------- _______
Project Phasing Plan? Yes No I i
Status of Impacted Wb ' (d)L)sted,Impaired__)e. Does the SWPPP Indicate Additional Site Specific alerody:(eg.TMDL,303
j
Practices that Will be Utilized to Protect Water Quality? Yes No WA
f. Has the Applicant Submitted a Completed DEC Notice - -- ------ ---•------- ! j
Of intent and SWPPP Acceptance Form for Review = O Type of Impacted Waterbody:{eq.Lake,Creek,Bay,Pond,sound,Freshwater Wetland-)
by the Town of Southold? Yes No
-----------------------------------------
STATE OF NEW YORK, I
COUNTY OF...........................................SS
That I, - . ...�....4,-a&, �. L-G�LC�.._.... bein dui sworn de y t, '
(Naive of individual sign ng Do«rment g Y poses and says that he 913e is the applicant for Penni ?
Andthat he/s#ta is the ,tH.k`.T!T.................................................'_& ......,.....................................•.............•.......(der,Contractor,Agent,corporate Officer,etc.)
Owner and/or representative of the Owner or Owners,and is dui authorized to Perform or have performed the said work and to I
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 herewith-
Sworn to before me this;
r
..................I-------------------- day of - � ,20L 3
Notary Public_• ,
(SignaNre of Applicant)
SWPPP Assessment FORM: 03-12
Notary Public,State of Now York
No.OICA486W
Qualified in Queens Co
Ibrm ices J vet ty
28�20
TOWN OF SOUTHOLD PROPERTY RECORD CAR®
STREET VILLAGE DIST. SUB. LOT
����"�"• �' � i .. ��F� V/nee. _��� � �. .�-�:.-�s��''
.:FORM R OWNER k3lc(►«Gt N c-) ACR, s
C,��3-/JP�' �.A,lf�,- C YO"' �„�i�,•.:•.�. a`'u E.'..✓`�d;�, fG ��'�"GG nM"x��S..,�"��`.P! �%c-�a:•....�°M; ,
S W TYPE OF BUILDING
SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
�G>. �/ //•FT ELC'' ` 2 2.17 IL—
��''> ���f• :7"crl � � �� c�--���`�- /� /`��' '�.!��" 3 z ss':_... -w� ,�?. Gt,1.�,c �.,,�_ 17' ,8'.T.�i iy�d� �,�,
Irl
S 27 1 ft`�[pZ��i a' onp�►'-�-i_ o �� ,y
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD o w> .7 Z
Meadowl.and DEPTH /�-- } '
House Plot BULKHEAD
Total .� DOCK
• ••
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--v ��G-'��.', ���aw_5 �� �rivr�.�-�-�P- _i-nr-��lla{'�` ' �p_ �=-�---�r_?s -a►-��' _i f.� ---- - ---
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---- p��- - - ------
Robert G. Bassolino R. A. Architect
28-55 214''Place, Bayside, NY 11360 (718)225-9161
May 2, 2013 .
Dept of Buildings
Town of Southold
Re: 550 Pine Neck Rd
Enclosed please find the fowling items for the construction of a new deck:
1 Application for building permit
4 Plans with architects seal and signature
1 Survey
1 SWPPP form
1 Property Record Card
1 Owners Deed
1-check payable to Town of Southold,amount to be inserted at filing
Sincerely,
'��gRoe assolino RA
i
I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
III IIII IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/08/2011
Number of Pages: 4 At: 03:56:28 PM
Receipt Number 11-0076481
TRANSFER TAX NUMBER: 10-24914 LIBER: D00012664
PAGE : 962
District: Section: Block: Lot:
1000 070. 00 08 . 00 016. 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $315,000 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20 . 00 NO Handling $20 . 00 NO
COE $5 . 00 NO NYS SRCHG $15.00 NO
EA-CTY $5 .00 NO EA-STATE $125. 00 NO
TP-584 $5. 00- NO Notation $0 .00 NO
Cert.Copies $0 . 00 NO RPT $30 . 00 NO
Transfer tax $1,260 . 00 NO Comm.Pres $3,300. 00 NO
Fees Paid $4,785. 00
TRANSFER TAX NUMBER: 10-24914
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
- - �-�c b
THIS INDENTURE,made the V day of June,2011,
BETWEEN,
MARGARET KROLESKI,as Executrix of the Last and Will and Testament of
MARJORIE WILSON,residing at 12340 Soundview Avenue,P69-Bw-22-5, Southold;New
York 11971,
party of the first part, and
REGINA COLARDI,residing at 366 Andrews Road,Mineola,New York 11501,
party of the second part,
WITNESSETH,that the party of the first part, in consideration of THREE HUNDRED f
FIFTEEN THOUSAND AND 00/100 ($315,000.00)DOLLARS,
paid by the party of the second part, does hereby grant and release unto the party of the second
part,the heirs or successors and assigns of the party of the second part forever,
ALL that certain plot,piece or parcel of land,with the buildings and improvements
l o o c) thereon erected, situate, lying and being at Southold, County of Suffolk and State of New York,
bounded and described as follows:
BEGINNING at a monument on/at the intersection of the Southerly'line opine Neck
Road,with the Westerly line of Gardiner's Lane, from said point of beginning;
RUNNING THENCE along said Westerly line of Gardiner's Lane, South 14 degrees 59
minutes 30 seconds West, a distance of 150.28 feet;
THENCE along land formerly of Southold Development Corporation two courses:
1)North 71 degrees 34 minutes 40 seconds West, a distance of 101.87 feet; THENCE
2)North 14 degrees 32 minutes 20 seconds East, a distance of 150.35 feet to said
Southerly line of Pine Neck Road;
THENCE along said Southerly line of Pine Neck Road South 71 degrees 34 minutes 40
seconds East, a distance of 103.05 feet to the point of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed dated April 30, 2004 and filed in the Office of the Clerk of the County of Suffolk on May
13, 2004 in.Liber 12318 at Page 876.
TOGETHER with all right,title and interest, if any, of the party of the first part in and to any
streets and roads abutting the above described premises to the center lines thereof; TOGETHER
with the appurtenances and all the estate and rights of the party of the first part in and to said
premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second
part,the heirs or successors and assigns of the party of the second part forever.
AND the party of the first part covenants that the party_of the first part has not done or suffered
anything whereby the said premises have been encumbered in any way whatever, except as
aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants.that
the party of the first part will receive the consideration for this conveyance and will hold the
right to receive such consideration as a trust fund to be applied first for the purpose of paying the
cost of the improvement and will apply the same first to the payment of the cost of the
improvement before using any part of the total of the same for any other purpose. The word
"party" shall be construed as if it read"parties"whenever the sense of this indenture so requires.
IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and
year first above written.
IN P NCE OF:
C
MARG KROLESKI, as
Executrix o the Last Will and Testament
of MARJORIE WILSON '
i
ACKNOWLEDGMENT INNEW YORKSTATE(RPL 309-a)
STATE OF NEW YORK)
COUNTY OF SUFFOLK) ss.:
On June 3, 2011,before me,the undersigned,personally appeared NL4,RGARET
KROLESKI,as Executrix of the Last Will and Testament of MARJORIE WILSON,
personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that she
executed the same in her capacity, and that by her signature on the instrument, the individual, or.
the person upon behalf of which the individual acted, executed the instrument.
Sworn to before me this JEANNEV.COAKLEY
3`d day of June,2011. NOTARY PUSLIC,STATE OF NEW YORK
NO.01 COO17MI
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES 1204/ "
*0TARY PUBLIC
SECTION 070.00
BARGAINAND SALE DEED BLOCK 08.00
WITH COVENANT AGAINST LOT 016.00
GRANTOR'S ACTS
COUNTY OR TOWN:SOUTHOLD
550 Pine Neck Road
Title No:STN-42486 Southold,New York 11971
Margaret Kroleski, as Executrix of the RETURN BY MAIL TO:
Last Will and Testament of Marjorie
Wilson, Isabel Tompkins Smith,Esq.
-to- Law Offices of James Klein
276 Jericho Turnpike
Regina Colardi Floral Park,New York 11001
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;> SURVEY FOR:
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-' SOUTHOLD GUAII NTEED TITLt Drvl .tali;
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SUFFOLK CO... N-Y_Sr—ALK; DATE:
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