HomeMy WebLinkAbout27323-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28238 Date: 02/28/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 733 OLD WOODS PATH SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 87 Block 1 Lot 23 .8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 30, 2001 pursuant to which
Building Permit No. 27323-Z dated MAY 21, 2001
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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to LONNIE SOURY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2094 06/04/01
PLUMBERS CERTIFICATION DATED N/A
r
,//Auyforizecf Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27323 Z Date MAY 21, 2001
Permission is hereby granted to:
LONNIE SOURY
733 OLD WOODS PATH
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
at premises located at 733 OLD WOODS PATH SOUTHOLD
County Tax Map No. 473889 Section 087 Block 0001 Lot No. 023 . 008
pursuant to application dated MARCH 30, 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorized( SXqnature
ORIGINAL
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT �jql
TOWN HALL
765-1802
�-rfl 7
APPLICATION FOR CERTIFICATE OF OCCUPANCY i ,J
This application must be filled in by typewriter or ink and submitted to the Building Departm�iif'�"`tl e folly 9.
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 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
1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations 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 Building- $100.00
- 3. Photocopy of Certificate of Occupancy-$0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy Residential$15.00, Commercial$15.00
Date. 6 ' D
New Construction: A o l Old or Pre-existing Building: (check one)
Location of Property: ""? 3 :3 D l c1 O o of 5 /�- S 9
House No. Street 14amlet
Owner or Owners of Property: 1"9- SC U IP �
Suffolk County Tax Map No 1000, Section Block Lot 3
Subdivision Filed Map. Lot:
Permit No. 7 3 3 �_ Date of Permit. f S O Applicant: Lb Sou <
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitte : $ 02 5 . O 0
c ;
C(-O/C)G AppTicant Sigddue
Nassau Suffolk Electrical Inspections, Inc.
5A Canal street • Center Moriches,New York 11934 • Tel:631-878-350 • Fax: 63.1-878-3764
Application No: 2094 Date-6/4101
Issued to: Soury
Address: 733 Oldwood Path
Village : Southold Zip: 11971 Township: Southold
Introduced By: Bethel Electrical Cont. License#:2880-E
was examined and found to be in compliance with the National Electrical Code
Atic 1st Rax Residential® Fbol® pat-Givap
Baserrtert ltd floor Gbnrrte CW Hct Tub 1W O�efeds
Switches Receptacles Fixtures G.F.I. Heaters AirCondMioners
1 2
1-600we" t
Fens Dishwasher Washer/Amps DryerlAmps Oven Carbon
Range/Amps Monoxide
Furnace 0 it o ss C Irculators Smoke Bell
Detectors Transformers
thew --
4ui;weta Mater Amps Phase Motors
inground Pool _ -1112 H
ut,Res
Thiscertificate must not be altered
in any manner
Section: 87 Block: 01 Lot:23.8
FROM C MESIANO INC FAX NO. 631-B78-8951 Apr. 16 2001 09:53AM P1
1
Town Hall
Alport J.Krupaki,President `" ` , 63()95 Rouiz 25r
Jamas:King,Vice-Prosident, ��; ' 'it ` ✓ P.U. Box 1179
Henry Sinith :.j _, } :" c outhold,New York 11971-()959
Artie Foster ' ti''a . it ay
Kon Poliwoda ;;;;✓ , Telephone(6, 7£5-1892
Q fax(631) 785-130'G
WARD OF TOWN TRUSTEES
TOWN OF SOt7THOLD
April 13,2001
Mrs. Catherine Mesiano
12 Mill Pond Lane
East Moriches,NY 11940
RE: 825 South Harbor Road,Southold
SCTM#57-1-23.8
Dear Mrs.Mesiano:
The Southold Town Board of Trustees reviewed the survey dated October 7,2000 and last
revised February 12,2001,and determined the proposed pool to be out of the Wetland
jurisdiction under Chapter 97 of the Town Wetland Code::,
However,any activity within 100of the Wetland`lfim Would require permits from this of cc.
This determination is not a determination from any other agency.
if you have any further questions,please do not hesitate to call.
All+ert 1.Krupski,3'r. — --
Prestden%Board of Trustees v f )� � FAX.TO- From.
AJK:l=
':
FROM C MESI" INC FAX NO. 631-87&-e%1 Mar. 21 2MI wd bttlm rt
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
Building 44 - SUNY, Stony Brook, New York 11794-2366
Phone. (631) 444.0336 FAX: 1631 t 444.0300
John F.CASH
Con�++1••ioner
LETTIR OF NO JMSDICTION
Lonnie Soury March 15,2001
301 West 108"Street apt 7E
New York,NY 10025-2758
14% 1-473 8.02M"000 t '
825 South HVbor Road,Southold
SCTM#t 1000•$7.1-23.8 ,
Dear MrlMs 3oury.
Based on the infMMAdton you have submitted, the New York State DeperUnont of Envbvmmntal
Conservation has deteriniacd that:
The portion of the property which is located landward of the 10 foot contour as shown on the survey by Marc:
t'west, LS. dared October 7, 2000, and last revised 2-12.2001 is not within NYSDEC Tidal Wetland
Thorafnre, in accordance with the current Tidal wetlands Land Use Regulations.(04YCRR Part 661)no
permit is required under the. Tidal Wetlands A= . Pima be advise4, however, that no oortstru ctiom
esriimentatf, or diaturbanca of my kind may calx place soawed of the tidal wctlaads jurisdiaitonal
boundary, as indicated above, without a permit. It is your nspenslbjhty to amure tbttt all =envy
precautions are taken to prevent any sedimentation or other alteration or disturbaace to the around surface
or vegetation within Tidal Wetlands jurisdiction which may result&arn your project. Such precautions Very
include maintaining adequate work area between else tidal wetland jurisdictiaoal baemdary and yourproject.
(ire.a.151.$V wide coaia iu on as)or a ream a temporary Lance,bawler,or hay bale berm
Please be further advised that this letter does not relieve you of the responsiMly of obtaining any necessary
permits or approvals from other agencies,
Ve truly ours,
Evans
uty Regional Permit Administrator
vc,the -- .._. ..�.
C Mosiano • � .��X,,,
-fit AL5
1W
BUILDING DEPT.
INSPECTION
[ ]
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU TION
[ ] FRAMING [ NAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: 6y=fy=�z C-40
DATE �' �Z- � V -INSPECTOR
+ a
FIELD INSPECTION REPORT DATE t. F C01MENTS
FOUNDATION ( 1ST) _' H
t ��
FOUNDATION (2ND)
====j ��
-- - ------
ROUGH FRAME S N
PLUMBING
INSULATION PER N. Y.
STATE ENERGY 1 {
CODE II�
II
p � y
1111 �
H
FINAL
ADDITIONAL COMMENTS: -�
J
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J
H
1DEP 1 t$U1L.)iNU PEXMII APPLICA ION Cl�t?CKLls
BUILDING DEPARTMENT
TOWN HALL . Do you have or need the following,before applying
SOUTHOLD, NY 11971 Board ofHealth
TEL: 765-1802 3 sets of Bujlding Plans
PERMIT NO. p J oZ Z Survey
Check' 13C
Septic Form
N.Y.S.D.E.C.
Examined 20 Trustees
Contact:.
Approved_ N 20 0
Mail to:
Disapproved a/c
Phone:
rBuilding ctor
APPLICATION FOR BUILDING PERMIT
— TZ " t
Date 3 � 17 20
INSTRUCTIONS
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
ar6as, 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 a Certificate of Occupan
is issued by the Building Inspector,
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.
1
(Signature of ap brant or name, if a corporation)
i ing, / s of a}plliaV`
State whether plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises —��r�x.�e
(ason th tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No' Z�L.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which pro *sed work wi 1 be done_
X5, S.
House Number Street Hamlet,. r
County Tax Map No. 1000 Section—E 7 Block _ s
Subdivision � Lot
(Name)
Filed Map No. Lot
Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .. Sr—�
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Worky Q
1. Estimated Cost (F,e7y-b Fee Description)
(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
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
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Dimensions of entire new construction: Front z.Rear Depth
Height Number of Stories
__
Size of lot: Frontes 3 6 Rear } `-i` �0 �Depth_ A (,j ,
t
0. Date of Purchase Name of Former Owner
I. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation: inc)
3. Will lot be re-graded_ G,p Will excess fill be removed from premises: YES NO
4. Names of Owner of premises Address
Name of Architect Phone No.
Address Phone No
Name of Contractor �;,, lam,.:. „� Address Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES ✓ NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED D E c – _ N-j
6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 5T676F
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. �1
TATE OF NEW YORK)
:O'UNTY OF�_� SS!
���
`�' ' , . M-e5'4 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual igningcontract) above named,
>)He is the
(Contractor, Agent, Corporate Officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
--t-formed in the manner set forth in the application filed therewith.
worn to before me this
_s_�O__day of 20 D
Notary Public Signature of Applicant
ELIZABETH A STATHIS
NOTARY PUBLIC,State of New York
No.01 ST6008173.Suffolk Co
Tenn Expires June 8,20�!/
LAND NOW OR FORMERLY OF
STANLEY VAN DEN HEUVEL
Al
2 Sal
001, 1 �p�
p,y, F
WETLANDS \
,� -_---- FLAG TYP.
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�-1 h PROP. FENCE 73,
o Q, �-- _PROPOSED -
APO B rE TO BE 8 FRAME I nl
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yo
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\ V A DWELLING � 13.3' � 27.6' I c7
2.6 n W000Q
DECCK \ Z
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IRON - 109. 78
BAR tr)N 109. 1S
S90.00'00 115.00' \
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AREA: 1 18,024 S.F. = 2.709 AC.
ELE!ATiON REFERENCED TO N.G.V.D. 1929 DATUM.
CERTIFIED TO: JOB NO. F3265 SURVEY OF
CO.-LIMONWEALTH LAND TITLE INSURANCE COMPANY REVISIONS: DESCRIBED PROPERTY
WELLS FARGO HOME MORTGAGE, INC. REV. TOPO 10/25/2000
WETLANDS LOC. 01/04/2001
ADDED CERTS 01/10/2001 SITUATE AT
ADDED PROP. POOL 02/12/2001 SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SCALE: 1 "=50' DATE: OCTOBER 7, 2000
SS..C.T.M. DIST. 1000 SEC. 87 BLK. 1 LOT 23.8
EASEMENTS OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED
A
R NOT GUARAARA NT.^ED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT
THF_ TIME OF THE SURVEY.
IL
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR f�IVV. - -
WHOM SHE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM-
PAN', GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, 132 t,. hwoy
AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE Ho on Bo N.Y 46
NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. /631 8-5330
T'IE OF-SETS (OR DIMENSIONS,) SHOWN HEREON FROM THE STRUCTURES TO 4 _ `
THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- MGIC E. Chorest, L.S.
FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING
FALLS, POOLS, PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND Successors to
ANY OTHER CONSTRUCTION. Poul L Conolizo, L.S. Robert A. Kort, L.S.
license no. 050149 Good Ground Surveyors, P.C.
5E1 PPI..UN61 5cREWS
IVO e
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