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Home My WebLink About43576-Z �suFFnt� TOWN OF SOUTHOLD BUILDING DEPARTMENT y. 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#: 43576 Date: 3/22/2019 Permission is hereby granted to: Sfiroudis, Dean 166-66 17th Rd Whitestone, NY 11357 To: construct an in-ground swimming g pool as applied for. At premises located at: w 30 Wesland Rd, Southold I !T SCTM #473889 Sec/Block/Lot# 59.-2-18 Pursuant to application dated 3/12/2019 and approved by the Building Inspector. , To expire on 9/20/2020. Fees: SWIMMING POOLS -IN-GROUND WIT ENCE ENCLOSURE $250.00 CO - S ING OOL $50.00 Total: $300.00 k 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 2/10 of 1%lead. S. 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$15.00 Q' Date. �'Z_z— �u New Construction: Old or Pre-existing Building: (check one) Location ofProperty: - !Jy House No. Street�j� Hamlet ` Owner or Owners of Property: tnQ r i a sr f,' � 645 Suffolk County Tax Map No 1000, Section 59 Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Ccate Final Certificate: (check one) Fee Submitted:$ 1/0 Applicant Signature FIELD INSPECTION REPORT DATE CON=NTS p` FOUNDATION (1ST) Lp ------------------------------------- 'FOUNDATION (2ND) 63 ROUGH FRAMING PLUMBING y u INSULATION PER N.Y: y STATE ENERGY CODE FINAL Ell ADDITIONAL COMMENTS o • rn z d - ,H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALLoaS rah SOUTHOLD, NY 11971 -Gets of Building Plans TEL: (631) 765-1802 and approval FAX: (631) 765-9502 li 'ZZ Su ey Southoldtownny.gov PERMIT,NO. C Sr9=ft= � C.O Application it Examined 20 Singl& arate russ c enn7ifiation Form r Sto -Water Assessment Form � l Contact: Approved 120 N�� Disapproved a/c OR o 114 Phone: SI[ 39 ti oo o "c Expiration ,20 Building Inspector D MAR 1 2 2019 A LICATI6N FOR BUILDING'PERMIT ID1f �kms " Date , 20 U . TOWN Old SOUTHOLDINSTRUCTIONS 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. (Signature of applicant or name,i corporation) (Mailing address of applicant) State whether applicant is owner, lesse , agent architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises f's� (As on the tax roll or latest eed) If applicant is a corporation, signature of duly authorized officer (�ag�:V nA &C i�f�s;C 14 (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: House Number Street Hamlet, L-/County Tax Map No. 1000 Section � Bloch., ' ` Lot I 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 -A GP=c \ b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition er Work 9`4�wc� v� ( rtption) Estimated Cost o Fee (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars r A� If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories ', �` , .-yr Dimensions of same structure with alterations or additions: Front '` ' Y;° ? Rear Depth Height Numbef &&'Stories ,3 `g°`- ` � '-- I - Dimensions of entire new construction: Front Rear 'amu,•: Depth ;_I g Height Number of Stories Size of lot: Front Rear Depth kf Date of Purchase Name of Former Owner d�. Zone or use district in which premises are situated - 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NOGG' 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES i/NO 14. Naives of Owner of premises Address Phone No. Name of Architect Address Phone No Naive 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_LL * 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—j,-,` IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF C> & MCXISS AcJlu being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He 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. S) before me this L ay of 20 L-tO. y ADAM MATROS otary Pu is myc-State of Ne Signature of Applicant No,01 MA6354670 Oualffled in Suffolk thy Comrnisslon Exp,02121/2021 inerT �G�nles I mel-�l(n5- 1 �� Scott A. Russell ,�a°S� '� STO]KIM[WA\T]EIK SUPERVISOR �T � z I��1[A\I�A\G]EI��J[]ET.`][, SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 'frp�o Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) - -- - - ------ DOES 'II'HIIS PROJECT INVOLVE ANY OF T]FIIII]E FOLLOWING: Yes No (CHECK ALL THAT APPLY) ; ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑29 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to ; 100 feet of horizontal distance. ❑[4 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal i erosion hazard area. ❑f@ E. Site preparation within the one-hundred-year f loodplain.as depicted on FIRM Map of any watercourse. ❑' F: Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT, (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 1000 Date T j� Dis ct 4' r�J="�1' A 1y \ NAME: //wrmi � Section Block Lot �v'� lSignewre�L` .,..i w aM�x � - -- i \i +��! FOR BUILDING DEPj�RT 4ENT USE ONL\I Contact Information. . 1<phane iumEer Reviewed y: . — — — — — — — — — — — — — — — — — — Date: Property Address/ Location of Construction Work: — — — — — — - — — — — — — — — Approved for processing Building Permit 13 rlA)n&1 n l — — Stormwater Management Control Plan Not Required. ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 if syr IS UN 0 rq��cl y i 0 R, AP D AS NO"'D J, LAWFUL E 3 1 B qmMEDIAT D AT�E P.It, )E 'PON C6,MK-ETION T E,RT I F I C AT E, ENCLOSE.POOL TO CO 'THOU I I ; U �E �Tj�Y 'TEVT' -:iAV AT! I P�ARTM BEFOR5"VA �OCGUPANCY NOTI� !E U 11 DlNi�, OF , M FOR THE 765-18021 8AM TO PI TIONS: :c FOLLOVV HG IINSPK -s FqUN� !l. 4T';ON TWO REQUIRED L) '1-1�1? Lao FOR PVURED�CONCRETE 2. RETE --FRAMING & PLU ViBINJ G RUoff QMPLY, W!'T" HijALL CODES OF i 3. INSULIP-TibN FOAA noplo 236 NEW-YORK STATE &TOWN-CODES 4. FINAL C,ONSTRU,CTION MUST �A AS REQUIRED BE COAPLETE FOR C.O.AND-C p-q-- I TR i Tfa*Nli CUE! :ALL CON,,TRUCT,ION SHALL MEET THE I I bpwTOWN ZBA 'REQUIRE JIENTS'OF THE CODES OF NEW Y014K SWE. �OT hESPION31BLE FOR go ING BOA UTHOL NN RD SO !DESIGN hR CONSTRUCTION ERRORS. - OLD,TOWN TRUSTEES N.Y.S.:DEC. 1 00 v e4e- I Y% ly ti v 14 \NA TA - I in W 7 Al ' Ln � •��•��',1�-ter- i i�`��4' nA u♦ t�oci � �G3 F•-f'4"Cd 4-i� - J surnleyE D 50,— rOLiT4460LD �z�cr� �c; -��e� ��f�a��# savi�-als Pte: k SON 7F:D Vin;U I - I i lv,,IMMF JI-AT E XUPANCY A9 No �1-- I ODI DoOLTdc,0 A E�. E D of, A-50 NCLbSEV USPS! UNLAWFUL L— I I . I -r10 t UpoNtOMPLE PF:bn'�IIIRI �Y: CERTIFICATE JOT NVITHOUT, I I I 1_� 1 NOf,,I-Y i I�UILDINIG PE:� 5t;E;F? AT;P4 1 i ! 1 ! 802� 8 AM, 'TO 4 PM FOR THE NC 765-1 OF OW 1 PA I I I rc 6%I FOLLO%NI IG 1 INSPEC 'StACIJkZ L.-I W I ATION:- O REQ ARED !-I. FOUN FOR F-,-QRED� CONCRETE , m8ING- 2. ROU6I FRAMING & PLLTER Ru�,oF:F CbMPLY W1 TH�ALLcbDES OF, 3. 1�,ISUL,',TION NEW Yoqk STATE TOWN CbDLS 14. FINAL - 60N,�TROCTbN MUST 10 MPLET I- F 01 i4 Co. IAED!A E I Q�N CP A8; R,EQU BE C... MEET THE UTHOLD TOWN ZBA ALL' COi\STRUCTIO"'i SHALL D OWN ZBA I BOARD r HOL�O 1�7ES REQUIREMENTS: S OF NIEW ! OFTHEICODE ING SPO�SIBLE ;W T FOR -SO E. NOVRE so BOARD! YORK S- AT 'E, Ri L TE' DESIGN, cbNSTR1JoTIO[1 ERRORS. OLD TOWN TRUSTEES X C .S.DEC -J bN 0�cx�x VI WCA Atio 1%t i I i ; � i I ' J{�LJ�L'I f�c��'I ' i i j X(2