HomeMy WebLinkAbout20223-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20747 Date MAY 20~ 1992
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 2124 WESTPHALIA ROAD
House No. Street
County Tax Map No. 1000 Section 114 Block 7
Subdivision Filed Map No.
MATTITUCK~ N.Y~
Hamlet
Lot 11.3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 17, 1991 pursuant to which
Building Permit No. 20223-Z dated OCTOBER 22~ 1991
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupa~c~ for which this certificate is
issued is INGROUND SWIMMING POOL & FENCING AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
U1TDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
WILLIAM & MARAIA SCHENOME
N-228092 - APRIL 20~ 1992
N/A
/ Building Inspector
Rev. 1/81
I~OR, B~ NO. it
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALl.
SOUTHOLD, No Y.
BUILDING PER~IT
(THIS PEP~IT MUST BE KEPT O~ THE PREMISES UNTU FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 20223 Z
Permission is hereby granted to:
................ ........
.~.~.~....~.:.~..; ....... u...9...~ ...........
,o ......
~ ,
at premises located at .......... ..~...~ . ..~....
County Tax Map No. 1000 Section ....... ~../ .......... Block ..... ..C~...]. ......... Lot No ..... I.l.:.~ .........
pursuant to application dated .... .~...~..~....!.] ................. , 19..q..{.., and approved by the
Building Inspector.
Fee $.C~.....~....,...~
Building Inspector
Rev. 6/30/80
,~ 'A Form ,~,q).
~ ~":~ ~' ) ~' ' BUILDING DEPARTMENT
~:~.,~F¢),,~j~, ~ ~PLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typet.~riter OR ink and submitted to the building .
inspector with the following: 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-disposai(S-9 form).
3. Approval of electrical installation from goard of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of I% lead.
5. Co~ercial 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.
a. 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 naturnl or topographic features.
2. 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.
C. Fees
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swiping pool $25.00, Accessory building $25.00,
· . Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00
~ ..~. ~ / ........................
" Construction ~ Old Or Pre existi
......... - ng Building .............
H6use No. Street Hamlet ............
· :ubd iviston ............................... Filed b?ap .......... Lot ...................
qealLh Dept. Approval .......................... UnderwrLcers Approva[..~.?~.~ ~ ~'
· .. otng lloard Approval ........................
..equesc tort Temporary CercLficate ........... Final CertiCate..
:'et Submirred: $ .... ~..-.~ ................
' ' '"-
'g~' ~PL[CANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~,'~)31 BUREAU OF ELECTRICITY
eS ..JOHN STREET, NEW YORK, NEW YORK 10038
Date ~R(:~{ 23,1992 Application No. on/lie 75281]191/91 ~ 228e92
* (~WI~[~G P~I.,) This certJ
covel.':~ <:ompliance at ~le dante oi
environments it is advisable tO
made b~/ a qualified person,
BR~E~{~AY F]L~ICTRIC L!C. ~3351-~ E C 2e. ~
447 BRI~E RO~D GEN~AL mANAGER
Peri ],
COPY FOR BUILDI~ DEPARTMENT. THIS COPY OF CERTIFI~'TE'MUST NOT BE AkTERED IN ANY ~NNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
SS JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIE~ THAT
only the electrical equipment ~ ~scribed b~w and introduced by t~ applicant ~med on the above application number in the premises of
in thefollowinglocatlon; [] Bo.~ement [] Ist FI. [] 2nd FI. QO0~ L~}{~~ Section BIm:k
tvas examined on [~t~C H ~ ~ t 19 ~ ~ attdfound to be tx co. pi ante w th the require.lents (~f this Board.
Lot
FIXTURE FIXTURES
OUTLETS SWITCHES ,cLUORESCi~NT OTHER
DRYERS MOTORS
RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
S E
NO OF CC. COND,
R v I C
AWG
NO OF HI-LEG A W G NO OF NEUTRALS A W G
OF HI-LEG OF NEUTRAL
)THER APPARATUS:
covc~s complia~l(e a~', the date o~'
eaviz:oa~ent~ .it. is advi~able t,o
44'7 BRTI.):,Ii, ROAD
HMIPPAUf~{~], ~Y, 1178/1
GENERAL MANAGER
Peri
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors mey be identified by their credentlaIs.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Tilephone (516) 765-1802
OFFICE OF BUILDING INSPECTOI~
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
'~-~&Town Hall
...... ~ Rood
~____ FEBRUARY 7, 1992
AXrgNllg 8OI1'111
NESCONSETT, NY 11767
RE: WILLIAM & MARIA SCItENOI~ {POOL & FENCE)'X~
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
~ xxx An application for Certificate of Occupancy is
not on file. (Enclosed)
Xxx No Underwriters Certificate on file.
~ ~ 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 ~ 20223-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
CC: WILLIAM & MARIA SCHENONE
INSPECTORS
Victor Lessard
Ptlncipal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
/Telephone (516) 765-1802
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
FEBRUARY 7, 1992
CREATIVE CARPENTRY & CONSTRUCTION CORP.
266 Id~dg AVENUE SOUTH
NESCONSETT, NY 11767
WILLIAM & I~R[A . SCHENONE (POOL & FI~.NCE)
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
~ Xxx No Underwriters Certificate on file.
XXX The check is~xW~not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plulmber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 20223-Z
Please contact our office on this matter.
cooperation.
CC: WILLIAM & MARIA SCHENONE
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FIELD i;;S?ECT!ON
1.
FOUNDATION (1st)
FOUNDATION ( 2nd ) '
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY ~
CODE
FINAL
ADDIT!ONA'L COMMENTS:
¢.,. ~'~ :.
.,I.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date
THIS CERTIFIES THAT
only the electrical equipment ~ ~scrib~ below and intr~uc~ by t~ applicant ~med on the a~ve ~p/tcati~ ~umber in the premises of
~s exumlned on ~AR(', ~[ ~ 9 ~ ~, 9 9 [~ and found to be in compliance with the requirements of this Board.
FIXTURE
OUTLETS SWITCHES
FIXTURES
FLUORESCENT OTHER
RANGES OVENS DISH WASHERS EXHAUST FANS
DRYERS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO, OF FEET
OTHER APPARATUS:
R V ! C
~40 OF NEUTRALS
AW, G
OF NEUTRAL
447 BRIDGE ROAD
LI~, ~33'41"E
GENERAL MANAGER
*e~
This certificate must not be altered in any manner; return to the office of the Board ~~ their credentials.
COPY FOR BUILDING DEPARTMENT. TI~I$ ~OPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
il'~5E)~1- BUREAU OF ELECTRICFTY
~- 85 JOHN STREET, NEW YORK, NEW YORK ~OQ38
O.t~ APRIL 2~,1992 ~pplicationNo. onftle 75~88~9]./91 ~ 2~8~92
THIS CERTIFIES THAT
only the electrical ~uipment ~ ~scribed b~low and intr~uced by t~ applic~t ~med o~ the able uppiicatlon nu tuber in the preot~es of
Lot
FIXTURE
OUTLETS SWtlCHES
DRYERS
FIXTURES RANGES OVENS EXHAUST FANS
INCANDESCENT FLUORESCENT
S ~
NO. OF CC COND.
OTHER APPARATUS:
*{SWIMIt~NG POOL} 'this certificate
covers compliance at; the date of
inspectlo~ only, Because of unusual
have frequent teat/and or repairs
R V I C E
OF CC COND_:~ O~ H~-tEG OF NEUTRAL
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by' their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT ~,E ALTERED IN ANY MANHER.
qew York State Department ct environmental Conservation
:{egJon I Headquarters ' ' J
. ~ . . /?¢/
3UNY, Buildlng 40, Stony Brook, NY 11794 D..?r~o ~.~ 2/
~ ~ ~~ ~ , . ~ . ,- . ~ ; ........................................ ~ ........................ : .............................. .
.. _ '. . - ,._.. - _ _..' . ,.
~ase~ on ~he ~nEo~mac[on you have submitted, ~he ~ew Yo~k S~a[e .De~a~men~
of Snvi~onmen~a~ Consecvatio~ has ~e~ecmi~ed that the ... parcel
W7 project is:
Grea~er than 300' from i~ventoried ~idal wetlands.
Landward of a substantial man-made structure
greater than 100' ia length which was constructed prior to 9/20/77.
Landward of the 10' above mean sea'leve1 elevation con'our on a
gradual, natural slope.
Landward of the topographic crest of a bluff, cliff or dune which is
level.
greater than 10' in elevation above mean sea
?herefore, no permit is required under the Tidal Wetlands Act (Article 25
of the Environmental Conservation Law). Please be advised, however, that
no construction, sedimentation or disturbance of any kind may take place
seaward of the 10' contour or topographic crest without a permit. It is
your responsibility to ensure that all necessary precautions are taken to
prevent any sedimentation or other alteration or,disturbance to the
ground surface or vegetafion in this area as a result ~f your project.
Such precautions may include providing adequate work area between the
!0' contOu.r or t~pographic-~rest and the project (i.e. a 15' to 20' wid~~
construction area) or' erection~'of a temporary fence, barrier, or hay
bale berm.
Please note that any additional work, or modification to the project as
described, may require authorization by this Department. Please contact
this office if such are contemplated.
Please be further advised that this letter does not relbeve you of the
responsibility of ob=aining any necessary permits or approvals from other
agencies.
Very truly yours~;'
Deputy Regiona~Permit Administra2$°r
TRUSTEES
$ohn M. Bredemeyer, III, President
Hemy P. Smith, Vice President
Albert J. Krupsld, .Ir.
John L. Bednoski, .Ir.
John B. Tuthill
Telephone (516) 765-1592
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPI~/RVISOR
SCOTT L. HARRIS
Town Hall
S309S Main Road
P.O. Box 1179
Southold, New York 11971
June 12, 1991
Tanya Lachenmeyer
Land Use Co.
2576 Sound Avenue
Baiting Hollow, NY 11933
RE: Willia~ Schenone
SCTM #1000-114-7-11.3
Dear Ms. Lachenmeyer:
A second inspection was done on the above mentioned site and it
was determined that the construction of the pool and the deck
will not encroach on the 75' set back.
Therefore, the Board of Trustees will include the construction
of the pool and the deck in the waiver previously given for the
construction of the house.
If you have any questions, please do not hesitate to contact
this office.
Very truly yours,
John M. Bredemeyer, III
President, Board of Trustees
cc: Bldg. Dept.
JMB: jmt
TRUSTEES
John M. Bredemeyer, HI, President
Henry P. Smith, Vice President
Albert J. Krupski, Jr.
John L. Bednoski, Jr.
John B. Tuthill
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPERVISOR
SCOTT L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
May 5, 1991
Tanya Lachenmeyer
Land Use
2576 Sound Avenue
Baiting Hollow, NY 11933
RE: William Schenone
SCTM 91000-114-7-11.3
Dear Ms. Lachenmeyer:
The following action was taken by the Board of Town Trustees during
its regular meeting held on May 2, 1991:
RESOLVED that the Town Trustees APPROVE the request for a waiver only
to construct a single family dwelling.
As the deck and swimming pool are closer to the water, the Trustees
would like a full permit application.
Please return to the Building Department for a determination on the
need for any other permits which may be required for this project.
Very truly yours,
John M. Bredemeyer, III
President, Board of Town Trustees
JMB:jt
cc: Bldg. DeDt.
CAC
File
FORM NO. 1
TOWN OF SOUTHOLp/
BUILDING DEPARTMENT
TOWN HAL~~¢
SOUTHOLD, N.y. 11971
TEL.: 765-1802
Disapproved a/c .....................................
(BuiR/ing Inspector)
APPLICATION FOR BUILDING PERMIT
C~I~CK ~. .
SEPTIC ~RH ~
D~t'y~ ..............
~IOTI PY ~
1 .....
HAIL TO:
Date . .0.c.~-J.~l.' ........ , 19 .c/.I.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
,ets 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
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:ation.
~. The work covered by this application may not be c~mmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
.hall 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
,hall 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
Juilding Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other applicable Laws, Ordinances or
~.egulations, for the construction of buildings, additions or alterations, or for removai or demolition, as herein described.
fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
tdmit authorized inspectors on premises and in building for necessary Jp, spections.
..............
- ' (Signature of applicant, or name, if a corporation)
· !V.e,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises /gt.//l. r3-~ ./'~., .,~/.¢ .~o..,~ .,t-../~.X9-/74~. ?'.C.../u~o.. 49.0.' .~. .......................
(as on the t,w,x roll or latest deed
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No .... ~..~ ff.: .~..:? ...........
Plumber's Licens6 No ........ ; ................
Electrician s License No .......................
Other Trade's License No ......................
'. Location of land on which proposed work will be doffe.
County Tax Map No. 1000 Section .... ~[.¢ ......... mock ....Z ............ Lot .... ....... ....
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
'. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. "' ' ' ..................................... ,' ' t,?. .,,: ~,' ..................
b. ~:;'~LU~ea~d°~iff~y .~:/~..:~ {~./~X/Z~;~};~:...' ..............
3. ~Natur. e of work (check which a'pphcable): New Build ng ......... Addition .,~ a,,
re?r ' : ' :. " v: ' : " ' Rmosi ...... . ....... . De lition · Other
. ..-: .... ._: z~1 ~.~.~.5~_5~ uF~ woo ~ '~'r~u~y~e~) (Description)
· ~.~:snmatea CZost [ ~. ~ .~..~o. or>
i .......................... Fee ................................
, (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units 6n each floor ................
If garage number of cars i
· ' If busine'ss ................................. ; ...........................
6 , commercial or mixdd occupancy specify nature and extent of each type of use ~ .......
7 Dimensions of existing structures if any: Fr'' ont
Height Nm~er of Stories .... ~ ·; ...... · :.. Rear .............. Depth ..............
Dimensions of same structure with alterations or additions: Front ................................
Depth I Height ................. Rear ..................
8 ................... ~ ........................ Number of Stories
Dimensions of entire new construction: Front ..:~.~! .~:[. .... Rear . .~.~'. ~.'~. ...... Depth .,~.%.~ ~'.. .
Height ....~.. ~.~ ........ Number of Stories
9. Size of lot Front [ ~, .9~ I . .~.t~o9 .............. . .......................... -. .........
.... , ........... Rbar.. t t g. ~_,t.¢. ............ Depth ~o: [ ~ .": .~.3.~'. s .I .~ .....
I0. Date of Purchase ....
..... ; .................. Nome of Former Owner ~tz~0gl~'&..C,,..~te.. i\.e~ ......
11. Zone or use district in which pr~mises are situated ...... ' ...............................................
12. Does proposed construction violate any zoning law, ordinance or regulation ~[a ....
13. Will lot be re,reded k[o ..... : .................
· ~ ................. wm excess fill be removed from premises:
· ' · ...... ss{o004 ~'O 19~ kff~ I(,oPC.'i~'i~Jne~6 . .
Name of Contractor ~.dm.~.ng ~1~ ~ 3-r. ~t,~,t~-, ~e,,~.,~, :'; ' ~.,, · ......
. · ...... * .... .-"auares3".':-~. ~.,e.~e.~lsred ....... Phone No. ~OOr.h~'l~d. ....
15. 'rs this property within 300 ~eet of a tidal wetland? ~Yes ........ No ......
· If yes, Southold own Trustees Permit may be required. '''
.... PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, an&indicate all set-back dimensions frdm
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
TATE OF NEW YORK,
'OUNTY OF..~&~[:'~ I K ......
· ...~..q[OqV y;~O~../.~ct qO.~ .~. : ............... being duly sworn, deposes and says that he is the applicant'
(Name of individual signin~ contract)
hove named. '
( tor agent ....................................
, , , corporate officer, etc.)
said mVner or owners, and is duly a!uthorized to perform or have performed the said work and to make and file this
,plication; that all statements contained in this application are true to the best of his knowledge and belief; and that.the
ork will be performed in the manner sdt forth in the application filed therewith.
yom to before me this
'Il). 47'"'c'~89, ~ ~ ~ ~/f:n a turc of applican t)
./
M41.1'ITUCK
>~
~E
0 >'~
C:: 0
I
RIGHT OF
119 49'.,
N.30028 20 W.
EDGE OF I~'~TL
I18 64'
now~ ~' or formerly
~.__.._.~Jo h n ,J. Haas