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HomeMy WebLinkAbout37501-Z cof F014 Town of Southold Annex 2/26/2014 ,�4� cOGy P.O.Box 1179 i 54375 Main Road oy • ��,�ti Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36786 Date: 2/26/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 180 Wicks Rd,New Suffolk, SCTM#: 473889 Sec/Block/Lot: 110.-8-21.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/31/2012 pursuant to which Building Permit No. 37501 dated 9/7/2012 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: accessory in ground swimming pool with fence to code as applied for. The certificate is issued to Peter Pezzino (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37501 10/21/13 PLUMBERS CERTIFICATION DATED A�thq4ized Signature ,,rSUFFot� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE �y . fill,� 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#: 37501 Date: 9/7/2012 Permission is hereby granted to: Tiebel, Marthat�z.z�no� Wicks Rd PO BOX 665 New Suffolk, NY 11956 To: construct accessory In-Ground Swimming Pool, fenced to code as applied for At premises located at: 180 Wicks Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 110.-8-21.1 Pursuant to application dated 8/31/2012 and approved by the Building Inspector. To expire on 3/9/2014. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector 1 Form No.6 TOWN OF SOUTHOLD. ' w 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 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 Epmpleted 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. Certifcate 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 5.00,Commercial$15.00 Date. �� Z New Construction: 1/ Old or Pre-existing Building: (check one) Location of Property: p 1cz ,-C9- House No. Street Hamlet Owner or Owners of Property.. �� Suffolk County Tax Map No 1000, Section 410 Block Lot Subdivision Filed Map. Lot: Permit No. fir? ./ Date of Permit. q` 7 1 2 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: PVly4,t Applicant Signature f SO �ymum,�� TOWN OF SOUTHOLD BUILDING-DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] !NPULATION [ ] FRAMING /STRAPPING U4 FINAL tic [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIC (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS9d, DATE 6ho 113 INSPECTOR �'- Of SOUjyo6 TOWN OF SOUTHOLD BUILDING- DEPT. 765-1802 INSPECTION - I FOUNDATION 1ST [XFINAL PLEIG. [ ] FOUNDATION 2ND [ TION [ ] FRAMING /STRAPPING [ S [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Z� C 7 DATE �2 INSPECTOR ez i Q f �o��OE SO//l�o! 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] IN CATION[ ] FRAMING /STRAPPING [Z- FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �l INSPECTOR i FIELD IMPORT DATE COMMENTS FOUNDATION(1ST) w�.w.r«wrwp.�ww�w��rw««wrww V FOUNDATION(ZND) CA ROUGH F.RANUNQ& y PLUMBING INSULATION PRA N.Y. � STATE ENERGY COJ)BAid O • f .9 p f. FINAL of- 33. ADDiTi6VAL COMMENTS N 79 0 t O(a—c (3 vb-Q--- E lrrc �m 1 s � . 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 SoutholdTown.NorthFork.net PERMIT NO. 3 7So Check 300 — 04-e-lo 1,DD --t� Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined_ 20 Single&Separate Storm-Water Assessment Form Contact: Approved ,20 f'7/ Mail to: L\eeA k jgf— E�my`.004,4*t Disapproved a/c wrcS`<1dti Phone: Expiration 120 ( C�� S L '7` "BLOG. Building Inspector E ,0 APPLICATION FOR BUILDING PERMIT Date P.Out Lk:S)�- A- , 20 Q-, INSTRUCTIONS <11 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 inspection OCCUPAPI 1CY O ELECTRICAL .!t E- (Signature of applicant me, ' a corporation) is P-v „.�:y8 JPAIN.,- y. � 00 �l ��,,�'�gl l ailmg a ress o applicant) DEC 8 P # S7� 3 / State whether applicant is owner, lessee, agent, architect, engineer,`general cont a tor, electricia 1 ber or builder 9Y 4. NOTIFY BUILDING DFI`ARTMENT AT v Name of owner of premises tZ �(" TQ ZZ",ncD y FOLL WI'vG I 'SP.E: ?�CREA l��vac T� Ib@E (As on the tax roll or 1a 40d�ED CONCRETE If applicant is a corporation, signature of duly authorized officer 2. ROUGH-FRAMING,PLUMBING, STRAPPING. ELECTRICAL&CAULKING (Name and title of corporate officed "`' „ 3. INSULATION isIMED TELY 4, FINAL CONSTRUCTION 8 ELECTRICAL Builders License No. xn e% MUST BE COMPLETE FOR C.O. Plumbers License No. (jPON CbMPLETION ALL CONSTRUCTION SHALL MEET THE Electricians License No. °BEFORE.VATEW REQUIREMENTS OF THE CODES OF NEW Other Trade's License No. YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 1. Location of land on which proposed work will be done: e,3 House Number Street UFF PU 70 CHAPTER N County Tax Map No. 1000 Section Block OF THE TOWN CqPA [ , f 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 R4 C1W ;6-) b. Intended use and occupancy Pv 5; 6&-(-"V I ce_ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work `�JD2:?1 1 1:i�"XX (Description) 4. Estimated Cost d o 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 12. Does proposed construction violate any zoning law,ordinance or regulation? YES NO L/ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES V-'NO 14. Names of Owner of premises PLVZ(p�2Z�`�t� Address Phone No. 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 L,"' * 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 data on survey. 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 CAL C'vccSwr -2 being duly sworn, deposes and says that(s)he is the applicant Or' V` ( ame of.in4.. -aiil signiiig Conij-4ct)above named, COS NIE D. BUNCH 1, + (Votary Public,State of New York > is No.01 BU6185060 (S)He is the. �:11 T rAtc zRl �:+.t ; Contra tgr'AQent Col, orateer" rd a' ( b P`, �.. 'c .Cornmis�ion Expir®s April 1�,2 Ol b rs _. . — .i'r-�� fi� P.i �a¢;t"{ ,.s,l l•Ir+l '�1.,''�.l.i f� .yt y .. of said ownof-e K�`bwnirs;grid is'dulyrar�tl�ti i7 dj perform oii hake performed the said work and to make and file this application; that all statemeiR4s 61,Pdi fin}I{i_s apj7l cTati i ' re true to the best of his knowledge and belief; and that the work will be performed in then manK&e ,set fbiilf'iirthe appMaifi'on filed therewith. Sworn to before me this day,of 20: -�-'i � � ^ .i Notary Public'" Signature pp ica Town of Southold - Chapter 236 - Stormwater Management r � SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INF RMAUO.N: (All Requested Information is Required for a Complete Application) i APPU NAME: Owner gent'Cons Conhactor or Other (Circle One) pro rty OWNEit(H Different than Appl' nt) j eatide Environmental Design ox 160 Address: F0 B Addresr �CW�fnT D a 114 y I 1 Telephone# Fax E-Mall: E-Mal: ! t I Property Ad' Brief Description of Constriction Activity,Proposed Structural BMN Soil 4 S.0 T M.# 1000 f T e 1 Stabalization BNT3,Project Scope and/or Sequence of t onstruction Activity Db bm slcNon BtocM toot t>�ride AddNonal Pages as Needed Name of Contractor andfor Conlaet Person Responsible for Implementation of SWPPP Address: emative EhivironimntEdiDusigill -------- b SK. i •� l i Telephone p --- /y�_L �L51��L� - Q �----- ( ; E-Mal: -�---- i I -------- -- -- I Nam®or Persons Responsble for tallation 3 McInlenance of Erosion Control Pracd - "-` ------ gAl 1. 2nv t �i ------------------•/----------- Address: Telephonedk,7 t,Z Fax# I t E-'Mail: ----------------- _ _ - _-_- ---------- i"! --- - - Tdal Area ofAll Yd f Land Clearing "-- ---- ---------------- Project Parcels: nd Disturbance: --- -` ----------- ' (SF./ADCs) (S,F./Acres) _______---____ . Project Duration: End _.__.-____-___ .. — - --------=------------------- .(Anticipated) Date: --"' (Numberd ________________________________ . --------------- 'Will this Project Disturbe five(5)or More Acres at O - - - - s Any One Time During the Proposed Development? Yes No --------------------------------------------- If YES:Please Answer the Following) i a_ Does the Applicant have a Qualified Inspector On Staff To Conduct the F3_quired Inspections? Yes No i I 1 b_ D00S the SWPPP-Indicate HOW frequently-the Site :� O 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 ---- - - - - --------------------- -- ---` -` ---`-----------------------------------and/orPermanent SolStabalization Measures? Yes No I d. Does the SWPPP Adequately Identify a Complete = ------------------------------ I I Project Phasing Plan? Yes No Status of Impacted waterbod : e. Does the SWPPP Indicate Additional Site Specific Q ;Q P Y feg TMDL,303(d)Listed,Impaired-) , I Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice "---� •- �'---�-""'----"------------------•------- � Of Intent and SWPPP Acceptance FDRit For Review Type of Impacted Waterbody:(eq.Lake,Creek,Bay,Pond,Sound,Freshwater Wetland-) by the Town of Southold? p Yes o ) + -7- -------=------------- S7 ATE OF NEW YORK, 13. IM COUNTY OF...........................................SS Notary Public,State of New York f No.01 BU6185050 That ITD W- �_. C«1�'v a�(-Z u ified-n Suffolk Counter cbdb I ••»•••••••••r•• being duty sworn,deposes and say i f• ; (Name of indrvldubl sign ng Doabment) sl,� �i O PR �t Q rmi And that he/she is the _ ��,.? � � �� � ctor.A ... t (�.Contractor,' ..---� ....................»...»..............................._...................»... t Agerbt, rporate Officer,etc) I I Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to i 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 � t. . .._. ................ day of I) ! Notary Public_ ........ . ................... .... ............ .................................. ... --......... i (Signature of Applicant) SWPPP Assessment FORM: 03-12 Towa Flan Annex W73 Main Road; Telepl oae.(631)765-1002: P.O.Box 1179 rOget:ITOhertO&SOu 0 nV uS Southold,NY 11971495 BFJILI3MDEPARTMENT - TOWN OF SOUTH-OLD APPLICATION FQR ELECTRICAL INSPECTION, REQUESTED S ' Date: mm _ Co an fume: t3 License:Na:: ©� L Address. Phone-No..: JOSSI-TE INFORMATION (*-Indicates required information): Name_ r e Z Y> 0 W tics �!►� " �VeW �u�"rfralk. * Tess: y rrFotk. *Cross-Street *Phone No.: . Permit No.: �"7 Sb ` Tax Map Qistflet .1000 eEbtzn: .l 1 8tocie Lot JN *BRIEF DESCRIPTION OF WORK (P[ease i'dnfi Cie Ay = 111 2 - o'rorS 7>oakCover- oySr V14ase Girsle Alt That Apply} *Is-ldb ready for Inspection: YE8/NO tkough Ins *Do you need a Temp Certificate: �. YES/NO Temp-Information Elf needed} *$er-mice,Size: ' 1 Phase. 3Phase 100 -15Q 200 304 - - 350- 400 Other `New Service: Re-connect Underground Number of Meters Change of Service Overhead AddifiQnal Cnformation: PAYMENT DUE W1 II APPLICATION- Q a Ile _ - TOWN OF SOUTHOLD PROPERTY RECORD CARD _ t� OWNER STREET C) VILLAGE _ DISTRICT SUB. LOT //a t1a, T/ b --I FORMER OWNER N E � ACREAGE �iVi K.1� o !u►l iq j der 9` y _ S W -, TYPE OF BUILDING5� e-1 lj�-& b4e 117 v- a 0%,x 0, -Xe 1,-y RES. ,?_ O SEAS. VL. FARM COMM. I IND. I CB. I misc. I Est. Mkt. Value ra LAND IMP. TOTAL DATE REMARK S /� 01 3/ �3 ,td r• Fd 4 d vrl r�d � e Ts- o / 5/o 0 / a d �z� fJ /� 2)P��/s �2, 661J, .f'�xPX,- TQ 6� -3 A. p j' / G�� so /lc de.%ie�el fo �,/. 77de/ G �s�s�7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD ��af o �r�.c/(�r�f:, � 4,0 Tillable 1 j= BULKHEAD Tillable 2 DOCK Tillable. 3 Woodland Swampland Brushlan House Plot Total Ax I#T •• r" • • Floors • Walls Interior t PlaceFire Heat Porch Roof Type Porch ireezew • ;arage Rooms 2nd Floor IvewayDormer � a SURVEY OF PROPERTY N A T NEW SUFFOLK TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-110-08-21.1 SJUNE�4�1 0,2012 1 0l Jtjos 19 Qa/v(prop, P��J `�v '32.8j• �1�'ks �201'0 A Rg f NAiN UNk m£ �`0-4.D 7 C I 10 .00, I d?s k / I N h U 64s• N 0•4S � o I ro ��•W 0£Ck N 7 104 vM•'74n� l m `t Z 3 c�i 10.6 72• � 3 �4 STORy z 0 64 s' E HOUSE �. o c1g, CONCRf1F d / m4! a �0) 2 � � J e 9 C 10 4' 3 ,o � h 4u co 22.9' / (� `Sg1 i Z N73�21'00jo ^ 14.j• 0.15 n 22.s' N/0/F RqM 10 04e 04• SFY REVpCAe 0�00' £ "o£ r� CE o.ss �Ust N/0/F �EFF REY GPA TyW r CERTIFIED T0: F >; v r PETER PEZZINO " ADVOCATES ABSTRACT, INC. AREA=15,000 SO. FT. LIC. NO. 49618 ANY ALTERAT70N OR ADDI77ON TD THIS SURVEY IS A VIOLATION A#ECONIC EYORS, P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LA.W. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICA77ONS P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR m =MONUMENT 1230 TRA VELER STREET 12-200 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 #3 REBAR m J CERAMIC TILE Q m LU F tu li — — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � I 'o Q 3" CLR z tu z m #3 @ 1 2" O.C. VERT. olu 3' CLR O 0 -- ------------------- III II o II 6�� 36'-0° dJ #3 @ G" O.C. VERT. I Gi RADIUS VERIES FROM 1 2" @ 4' DEPTH TO 5=0" @ 6-0 DEPTH I I I I I I III III I I I I III - III III- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- WALL DETAI L - - - - - - - - - - - - - - - -- - -- p g g ry /+.N O per:LA%W FOR MlY PERSON,' R THE MrRE SED P O O L F L A N .,TEN1 ECT,SD R_Ag VI G ANY ��+3 0�A�-!aS pRAtll�ti���9 .'e E�^TI Mrt it 4 via. ..-.t.ir�c'�}ES tt��c � aa.. PEZZINO P.ESlDENCE POOL 4 I -O iF fin"�`. �r 1DRDANCE - - ARC CREATIVE ENVIRONMENTAL DESIGN f�obert 1 . Brown Architect, P.C. wf Eairweather Desicjn Associates, Inc. ��1 yp4 2Q5 DAY. AV_r_NUE 012 UREENF ORF, N.Y. 1 1944 G3 1 -477-9752 (Fax) k,3 1 -4 77-Q973