HomeMy WebLinkAbout45082-Z r�S�FFot TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�y�• a�� �1 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#: 45082 Date: 8/6/2020
Permission is hereby granted to:
Manning, Mary
700 Terry Ln
Southold, NY 11971
To: legalize an "as built" swimming pool (fish pond) as applied for.
cJ
At premises located at:
700 Terry Ln, Southold
SCTM #473889
Sec/Block/Lot# 65.-1-12
Pursuant to application dated 7/28/2020 and approved by the Building Inspector.
-To expire on 2/5/2022.
Fees:
AS BUILT- SWIMMING POOL $500.00
CO- SWIMMING POOL $50.00
Total: $550.00
o-
Building Inspector
i
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.
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. July 22 , 2020
New Construction: Old or Pre-existingWak4ond ad fence (check one)
Location of Property: 700 Terry Lane Southold
House No. Street Hamlet
Owner or Owners of Property: Mary Manning
Suffolk County Tax Map No 1000, Section 65 Block 1 Lot 12
all of
SubdivisionMap of Subdivision Property of Jonathan Filed Map. 1055 Lot: P/0 4 and 5
Permit No. l Date of Permit. T. OvertonApplicant: Mary Manning
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 50.00
Ap ant Si.re
Ma y Mannin
FIELD INSPECTION REPORT DATE COMIVMNTS
FOUNDATION(1ST)
--------------------------------
FOUNDATION(ZND)
ROUGH FRAMING&
PLUMBING y
• I Ste'
INSULATION PEA N.Y. y
STATE ENERGY CODE
FINAL
ADDI''I�i1�3�,�rMi�TS- .
0
g
J Z
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X
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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
Southoldtownny.gov PERMIT NO. �( Check
Septic Form
N.Y.S.D.E.C.,
Trustees
C.O.Application
Flood Permit
Examined 520 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
G Contact:
Approved 920 Mail to: Lark & Folts, Esgs.
P
Disapproved a/c Cutchogue, NY -11935
Phone: (631) 734-6807
Expiration ,20
VV/ D Building Inspec
APPLICATION FOR BUILDING PERMIT
J U L 2 8 2020
Date July 22 , 20 20
EUMDriG DEPT- INSTRUCTIONS
f•. 'THOLD
a. 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.
�tureof applica r name,if a corporation)
a y Manning
700 Terry Lane, Southold, NY 11971
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
owner
Name of owner of premises Mary Manning
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer N/A
(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:
700 Terry Lane Southold
House Number Street Hamlet
County Tax Map No. 1000 Section 65 Block 1 Lot 12
Subdivision Map of Subdivision Property of Filed Map No. 1055 Lot P/0 4 and all of 5
Jonathan T. Overton
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy "as built" fish pond M9X3b"'.
..�?:�
b. Intended use and occupancy "as built" f ish pond
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work "as built" fish &)fienaac
(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
N/A If garage, number of cars
6A 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
d/A 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
1/A Height Number of Stories
9. Size of lot: Front 75.00' Rear 79.841 Depth 192.12'
Muriel Mothersele, specific devisee
10. Date of Purchase 5/12/94 Name'of Former Owner U/L/W/T of Richard`F. Mullen
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 X
700 Terry Lane
14. Names of Owner of premises Mary ,Manning Address Southold,NY" 11971 phone No. (631) 219-9643
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 190 fleet 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 NO
* IF YES,D.R.C. PERMITS MAY BE REQUIRED.
16. Provide survey,fo,_sca(le, with,accurate foundation plan and distances to property lines.
�1 .�1 i
17. If elevation at any point ori 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 X
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK
MARY MANNING being duly sworn, deposes and says that(s)he is the applicant
(Name of individual,signing contract) above named,
(Contractor,Agent, Corporate Officer, etc.)
113dmd owner oris,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
22nd day of July 20 20
to
BARBARA eAof New York
Aid .� o�� N9_x�P��hlir- S
Notary Public No 01 D14635190-Suffolk County gnature o App t
Commission Expires Oct.31,20a) Mary Manning
,�;V' - BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
w .
rogerr@southoldtownny.gov— seand@,southoldtownny.gov
APPLICATION FOR, ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Au Information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All information Required)
Name: Mary Manning
Address: 700 Terry Lane, Southold, New York 11971
Cross Street: Hobart Avenue
Phone No.: (631) 219-9643
BIdg.Permit#: Ll SpL2- email:
Tax Map District: 1000 Section: 65 Block: 1 Lot: 12
BRIEF DESCRIPTION OF WORK (Please Print Clearly) "as built" fish pond
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
LARK& FOLTS
Attorneys at Law
28785 MAIN ROAD
PO BOX 973
CUTCHOGUE,NEW YORK 11935
Tele.No.(631)734-6807
RICHARD F.LARK Fax No. (631)734-5651
MARY LOU FOLTS E-mail: Attys@larkandfolts.com
July 22, 2020
Michael J. Verity Building Inspector
Building Department
Town of Southold
54375 Main Road - P.O. Box 1179
Southold, NY 11971
RE: Mary Manning
700 Terry Lane, Southold, New York (SCTM #1000-65-1-12)
Dear Mr. Verity:
In connection with the above-captioned matter, I am
enclosing the following for the "as built" fish pond:
1. Application for Building Permit
2 . Application for Certificate of Occupancy
3. Application for Electrical Inspection
4 . Photographs of the "as built" fish pond
5. Survey for Mary Manning prepared by Young & Young
dated Nov. 26, 2008 showing the location of the
"as built" fish pond -
Kindly contact Mary Manning at (631) 219-9643 to schedule a
date for the inspection.
r
Very truly yours,
D G� 'Li_ �
d
Richard F. Lark
RFL/bd JUL 2 8 2020
Enclosures
BUIt.PING DEPT.
Tn' 1=77M
OLD
IZED ALTERATION OR
TION
THIS
VEY IS A VIOLATION
SECTION 7209
THE NEW YORK STATE
2)DISTANCES
OWN HEREON FROM PROPERTY LINES TO
ARE FOR A SPECIFIC
E AND ARE
OT"70 BE USED TO
PROPERTY
NES OR FOR ERECTION OF FENCES.(3)
IES OF THIS
Y MAP NOT
MED
ATION
(tNDCATEDDHEREON SHALL RUN ONLYTOTHEPERSONUFOR WHOM THE SURVEYFIS PREPARED AND ON HIS BEHALF TO THE TITLE EDUCATION
(GOVERNMENTALSAGENCY AND LENDING INSTITUTION LISTED HEREON.ANDTOTHE ASSIGNEES GF THE LENDING INSTITUTION NCERTIFICATIONS ARE NOT TRANSFER BLE TDUBOnIONAL INSTITUTIONS OR SUBSEQUENT OWNERS 5)THE LO LOCATION OFB WELLS THE LAND SURVEYOR'S CES SEAL OR ENSHOWN SEAL SHALL NOT BE CONSIDERED VA TO BE A VALID TRUE COPY (4)OM OT ER&
(NQ,SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON BE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS
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Ostrander
Novi York IIIgOIw J E tel.631.7272303 fax.631.727.0144
adminagoungengineeringcom
or
,&O !Thomas 0.AopeHomardrProfessional EnginLand eer
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Robert G.Tost,Architect
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Douglas E.Adams,Professlonal Engineer
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SITE DATA
, � ohq��, dorm S AREA = 13,582 50. FT.
f'/ 0 SUBDIVISION-"MAP OF 5UBDIVI510N PROPERTY OF
C", o .� Sk A Sid y I JONATHAN T.OVERTON"FILED IN THE OFFICE OF THE CLERK OF
G�g� A k N� eQ SUFFOLK COUNTY ON JAN.4,ig32 AS FILE No. 1055.
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SURVEY FOR
ce''�y \\\ \ �, IL MARY MANNING
• Isuc Ch \ \ \ ° 11 7 PART OF LOT 4 LOT 5
o SCh \\ \ ° / "MAP OF SUBDIVISION PROPERTY OF
\ JONATHAN T. OVERTON"
\ \ DO { at Southold, Town of Southold
N Suffolk County, New York
ry
BUILDING PERMIT 5URVEY
- - I
County Tax Map I)IStrN t 1000 Section 65 Block 01 Lot 12
( � FIELD SURVEY COMPLETED NOV.26,2008
MAP PREPARED NOV.26,2008
Al
I Record of Revisions
RECORD OF REVISIONS DATE
2
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1 30 O IS 50 60
JOB NO.2008-0378
DAS.2008_0378—bp I OF I
O = MONUMENT SET ■= MONUMENT FOUND = STAKE SET = STAKE FOUND
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V
APY)RE AS NO"M
�
DATE B.P. �C� CO3N",,PLY"WITH ALL CODES OF
FEE:— D--- FcY - m - �-- NEW YORK STATE & TOWN CODES ,
� NOTIFY BUILDING L�r_F.a�3ir F_.NT AT ASREQUIREDA
ITIONS OF
765-1802 8 AM, TO 4 FM FOR THE
FOLLOWING INSPECTIONS: _ S01'�O��TO BA
1. FOUNDATION - TWO REQUIRED SOUTH, TOWN PLANNING BOARD
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING S HOLO iOWNTRUSTEES
3. INSULATION Y.S.DEC
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C 0.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR _ .,� x
DESIGN OR CONSTRUCTION ERRORS. G�A��L� OR
.ICE IS UNLAWFUL
��ITI�OUT CERTIFICATE
OF OCCUPANCY
Additional
Certification
may Be Required,
IMMEDIATELY":
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE"WATER"
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