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HomeMy WebLinkAbout22127-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-23407 Date DECEMBER 14, 1994 THIS CERTIFIES that the building. Location of Property County Tax Map No. Subdivision 150 SUNSET ~','AY & 3100 CEDAR BRACH ROAD House No. Street ADDITION SOUTHOLD NY 1000 Section 91 Block i Lot Filed Map No. Hamlet 5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 27, 1994 .pursuant to which Building Permit No. 22127-Z dated JUNE 15, 1994 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 AN INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AND DECK SURROUND AS APPLIED FOR. The certificate is issued to JOHN & GRACE FIORE (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N322738 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A AUGUST 5~ 1994 N/A Building Inspect~ ~' FO~M NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, N.Y. N~ 22127 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Date .............................................. 19. Permission is her, e~y g~nted to; . , / / / · ,,~ .,~.~. ...~.¢...~ .......................................................... , ...~~,~,...~:.~ ...................................... _ ....... ~..~.,..~,..,~,,. ........ ~....,....~. ........ ~,.~.¢... ....... ~ ....... · .............................................. ,~.~ ....... /.~ ....... ~.~ ....... ~. ................................... at premises located at.....~..~'~....... '~'~-~'~,~' Z"~"'~ ........................................................... ................................................. ~~.~.J.... ............................................................ ~ ................ CounlyTax Map No, 1000 Section ....... .~.../~'.. .......... Block .......... Z ............ Lot No. ,.-~.. ...................... pursuant to application dated ........ ~...~. ........................ ......... 1 g.,~.., .~,..,., and approved bythe Building Inspector. ~,/ Building Inspector Rev, 6/;~0J80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCYi This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '~'pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ~. A properly completed application and a 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, klterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ........... ... ... Location of Property ............ ~!~.".~-o ...... House No. StreetHamlet Onwer or Owners of Property ..... .~. . County Tax Nap No 1000, Section .............. Block ................ Lot ..... ...... Subdivision ............. Filed Nap.. . Lot ......... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ....................... .. Planning Board Approval ..................... . .. Request for: Temporary Certificate ........... Final Certicate..% ........ Fee Submitted: $ .............. ' ............... ~ ~~-~. ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 8, 1994 Mr. John Fiore 29 Valentine Drive Albertson, NY 11507 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22127-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION FOU~DATION 2. EOUGH FRAME .FLUMBING INSULATION PER N. STATE ENERGY CODE. (1st) ( 2nd ) FINAL ADDITION~ COMMENTS: t~UL~-tD, a'r oRO, H ~H x,~A'r~_.~ ~ ~ .;~' --4./- o ~O'a/~ -- ~ tO0. O - ,j '..~ ~ :~ // § i00.239.4 $OCT~OLD COD~ ~ 100-239.4 requiremen:s set. ~orth in Subsection A[1) and hereof. ~Added 6-15.1993 by L,L, No. 8-1993] B. _MI buil~n~ located on lots upon which a bul~ead, eon~e~e wall, ripra9 or similar ~:me=urs e~st~ ~fl %vhieh =e ~ae,nt to tidal wa~er bodies o~er ~han s~und~ sh~l be ~et back no~ lees ~h~ ~even~y-five fee: ~om ~e bul~ead. The follo~ng excep:ion~ ~11 apply: (1) Bu/ldin~ which are proposed landwar~ of e~szin~ (2) Land* which ~e no~ bul~eaded and ars subje~ a de~emina:ion by :he Board of To~ ~der Chapter 97 o~ the Code of :he To~m of Sou~otd. (8) Docks, whamef, pilings, boardwalk~, i~air~, promenades, walkways and, piers, whi~ are accesso~ ~d Separate From existing buildin~ or C, [~ended 6-15.1993 by L.L. No. 8-1~3] ~l buildin~ located on lots ad~acen~ :o any freshwater body shall ~e~ beck n~: less than seven~-five (~5) feet from :he edge of such wa~er body or no~ less :h~n seven~y-fve (75) ~eet tr~ [he l~dward ed~e o~ ~he ~e~hwa[er wetland, whichever i~ ~aster. Tim tollowin~ ~c~p[ion will apply: (l) Lands which a~e noZ bui~eaded and are subjec~ a de~eminafion by the ~o~d o~ To~ T~st~ under Chapter 97 o~ ~he Code o~ the Towm 5ou~hold. (Cont'd on page 10142. t) Albert J'. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 May 27, 1994 Mr. John J. Fiore 29 Valentine Drive Albertson NY 11507 Re: SCTM #91-1-5 BLDG. DEPT. TOWN OF $OUTHOLD Dear Mr. Fiore, The following action was taken by the Board of Town Trustees d~ring its regular meeting held on May 2&, 1994 regarding the above matter: WHEREAS, JOHN J. FIORE applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, revised survey as dated May 26, 1994, and, WHEREAS, said application' was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 26, 1994 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of JOHN J. FIORE to construct a 16' X 32' swiraming pool inground surrounded by wood decking and chain link fence and to regrade seed and landscape around pool area. Located 5050 Sunset Way, corner of Cedar Beach Road, Southold. SCTM ~91-1-5 Permit will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC Bldg. Dept. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 4314 DATE: . 5/26/94 ISSUED TO . JOHN J. F!ORE .. . uthorizatio. Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, O'=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:" and in accordance with the Resolution of The Board adopted at a meeting held on 5/26/94 19 94 and in consideration of the sum of $ 150.00 paid by John J. Fiore of ..$ggthqld. ~ N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the followincj: Wetland Permit to construct a 16~ X 32' swimming po~l ingrm surrounded by wood decking and chain link fence and to regra, seed and landscape around pool area. Canoe Inlet all in accordance with the detailed specifications as presented in the orlginafing application. IN WITNESS WHEREOF, The said Board of Trustees h,ere- by causes its Corporete Seal to be affixed, and these presents to be subscribed by a rnaiorlty of the said Board as of this dat.e. rk ,State Department of Environmental Conservation Thomas C. Jorflng Commissioner Based on the information you have submitted, the ~ew York State Department of Environmental ~ ' Conservation has determined that: Therefore, in accordance with the Current Tidal Wetlands Land Use Regulations (6~[YCR.R Part 651) no per~uit is reqq2ired under the Tidal Wetlands Act . Please be advised, however, that Mo constr~ction~ sedimentation, or disturbance of any kind zay take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your ~ ' ' responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or o~her alteration or disturbance to the ground surface or vegeuation within Tidal Wetlands jurisdiction which may resul~ from your project. Such precautions may include maintainin9 adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a I8' to 20' wide construction area) or erectin~ a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not re!lava you of th~ responsibility of obtainin9 any necessa~t permits or approvals ' from other agencies. .Very truly your~ IqMRON COPY CEtaTER Jun 15 94 2:,54 o ~ ~ rt. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765'180:a Examined. ~i//. F 19 Disapproved ale ..................................... ' .... ....... BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY .................. CIIEEK ................... SEPTIC FORH ............. CALL ..... HAIL TO: Date a. This application must 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 premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall,have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buifding 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 premis? and in building for necessar~---~ctio~. a~ ~ ~ ~'~"~--'~ .... -'~.~~ .......... ,.~z... -'-- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer~ general contractor, electrician, plumber or builder. .............. ~.0.~.e. .......................................................................... Name of owner of premises., .~.~..0.~..~.....~'! .0..~.~.,, .q.., .~)..~..C~.-, ~ .0..~..~. .............................. (as on the tax roil or latest deed) If applicant is a corporatiom signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... · Location of land on which proposed work will be done .................................................. ................................... 'S;r'e'e;"' 'f' ................................................ ' House Number Hamlet ~oun~y Ta~ ~,ap ~o. ,000 Section .... ~t ........... ~iock .... ~.t. ........... Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and ~n.~:ended use and occupancy of proposed construction: a. Existing use and occupancy ~t0~-[~ '/~'~ .~., b. in~ended use and occupancy .. ·,.~..a~0. O..~.. ~.0.: .~,..~. *~./....~.. *.*.~..e--.. ..................... 3. Nature ofwork (check which applicable): New Building .. Addition Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost.. o Fee ........... (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ............... · If garage, number of cars .... , ............................................................... 6, If business, commercial or mixe 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 strucfure w alterations or additions: Front ........ Rear ................ Depth ................... i · · Height ...................... Number of Stories .................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height ............... Number of Stories ................................... - 9 Siz ofl t: F ! Rea ' D pth ' '":' '"'5; 't~,"~ ....... · e o ront ..................... r ................... e ., ~-; ~ 10 Date of Purchase . Name of Former Owner , ~. Zo,e or use &smct ~n winch pr~m~ses are mtuated .......................... ~4 12. Does proposed construction violate any zoning law, ordinance or regulation: ............. ""Y~ ..... ';'~ '... ...... 13. Will lot be regraded ......... 1 ................... Will excess fill be removed' ' .Pl~ono~i]~-:.~..'.~..fr°m[premise~"~"~Jg~s'~... No 14. Name of Owner of premises ...i ................. Address ....... Name of Architect ! Address Phone N6:. Name of Contractor . ' .... Address ...~.. . Phone No ....... 15. Is this property within ~00 feet of a tidal wetland? *Yes .... No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. FEE: NOTIFY FOLLOWING INSPEC B Or~i,*s: 1. FOUNDATION 'rwo REQUIRED FOR POURED CONCi:;EYEr , '~ ~ _C~.~t~¢..O ,.~ A~2 2. ROUGH - FRA(~,~;~G & PLUM~ING E COMPLETE FO~ C.O~ ALL CON~TRUCTIOh~ SHALL M~ THE REQUIR~ENTS OF THE STATE CO S'mUCT O FOR ~ ~ ~Bt~0 DESIGN OR CON;-;'rRUCTION ERRORS STATEOFNEW&O~, W ~- ............... d. ..................... o & wo n. th , tName oI individual mgnmg contract) above named. He is the . ~ ......... . .......... , ................................ : ................................. [ (Contractor, agent, corporate 6fficer, etc.) of said owner or owners, ~d ~s dul~ authorized to perfom or have perfomed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ne~ set forth in the applicatio~ filed therewith. Sworn to before me this ' ~ / .................. Not . .... Notary ~lic, State ~ New Yo~1 ' . ~. ~.. [~lgna[ure o[ apphcant) Com~ssion ~ires June ~O~ 1~-~ ,