HomeMy WebLinkAbout26768-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28224 Date: 02/20/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 5405 THE LONG WAY EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 21 Block 5 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 29, 2000 pursuant to which
Building Permit No. 26768-Z dated SEPTEMBER 12, 2000
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 JOHN ZOITAS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 572628 10/11/01
PLUMBERS CERTIFICATION DATED N/A
1
c
ut orized 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. 26768 Z Date SEPTEMBER 12, 2000
-ermission is hereby granted to:
JOHN ZOITAS
193-03 45TH AVE
FLUSHING,NY 11358
or
ONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL IN REQUIRED YARD
'ITH FENCE TO CODE AS APPLIED FOR.
t premises located at 5405 THE LONG WAY EAST MARION
ounty Tax Map No. 473889 Section 021 Block 0005 Lot No. 014
ursuant to application dated AUGUST 29, 2000 and approved by the
wilding Inspector.
ee $ 150. 00
Autho ed Sig ature
COPY
ay. 2/19/98
--, 917 - a 17-/V93
OForm No. 6
TOWN of SOUTHOLD
2001
1rT ' BUILDING DEPARTMENT
TOWN HALL
etDG.DEPT 765-1.802
O
f p
APPLICATION FOR:CERTIFICATE OF OCCUPANCY
A. 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:
1. Final survey of ..property with. accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
Z. 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 buildin:
and installations, a certificate of Code Complianoe 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 .anc
-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.conseut to inspect signed by the applicant.
If a Certificate of� Occypancy is denied, ,the Building Inspector..shall state the
reasons therefor 'in writing'to the applicant.
Fees
A 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. Copy of Certificate of Occupancy - .25�g
4. Updated Certificate of Occupancy - $50.00
5: Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
:Date ...��n�LJ.�. . . . ... .... . . .. . ... . .. ... . .
New Construction:. .!..�.. . Old Or Pre=existing Building. .. . . . ..
Lreation of Pro ert :T %
! House No.
-�- Street Hamlet
:. .. . . . . . . . . . . . . . . . . . . . . . . .
Onwer or. Owners of Property.. . . . . . . .
County Tax Map No 1000, Section. . .4-.! . . . . . . . .
B1ock. . , . ��, , . . , . . .Lot. .�:4 . . . . . . . . . . . .. .
Subdivision. . .. .... ►.. . . . . . . . . . . . . .. .. . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . ... . . . . . . . . . . .
Permit No. �.�./. .( 1. . . . .Date�Of Permit.. . �J. ,1.0 C
PP S. . .. . . . . . . . .
Health Dept. Approval. . . . . . . . .. .. . .. .. .. .. . .. .Underwriters Approval. . . . . . . . . . . .. . . . . . . . . . .
Planning Board Approval.. . . . ... . . .. . .. .. .. .. .. .
Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . . . ../
gee Submitted: $ .. . . . .. ..: . . . .:
�a 'I
THE NEW YORK BOARD OF FIRE ,UNDERWRITERS PAGE '
1001290 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date OCTOBER 11,2001
Application No. on file 13206101/61 N 572628
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
N.
JOHN ZOITIS, THE LONGWAY, E. MARION, NY
in the following location; ❑ Basement ❑ Ist FL ❑ 2nd Fl. OUT Section Block Lot
was examined on OCTOBER 01,2001 and found to be in compliance with the National Electrical Code.
FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDLSICENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.I.
1 3 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMr. K.W. OIL M.P. GAS I M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 F 2 20 1 40
SERVICE DISCONNECT NO.OF S E R V I C E
METERNO.OF CC CONI. A.W.G. A.W.G. A.W.G.
AMT. AMP• TYPE EQUIP. t 2W 1 JW J JW J 0 4W PER a OF CC.CONI. NO.OF HIAEG OF NI-LEG NO.OF NEUTRAUI OF NEUTRAL
OTHER APPARATUS:
POOL-1
SPA BLOWET F-1
G.F.C.I:-1
_ I
C-CAT CO./DAVE CHESHIRE ELECTR LIC.#953-E L L,
9280 SOUND AVE
GENERAL MANAGER
MATTITUCK, NY, 11952 11
Per
TIIM aoraMcato 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 BE ALTERED IN ANY MANNER.
BUILDINU PERMIT REVIEW CHECK LIST
Applicant/ Date
Owners Name:
Reviewed: Af,4-7-"�;
Architect/ Date
Submitted:
Engineer:
SCTM #:
District: 1.000 Section: Block: Lot:
JE
Project ���� Cv Narne:Subdiv�4ision
Location:
Single&separate Required
certification: L� Yes/No) 3�/
/ Req. Rcq O
Zoning District [Lot size: Actual: (Lot coverage
Proposed:
i Req Req. / �/ !�
Req. �'s /B Rear Yard � Proposed: ]
[Front Yard .2,5-
`^5 Proposed: (!� [Side Yard � Proposed:
[ /� ,E
•O fs'�'
Project Description:
= AGENCY PERMI'T'S ermit
REQUIRED FOR REYJEW YES umber
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval: .
Town Planning Board approval:
-K--
Flood Plaog Elevation??? t]/
Flood Zone:
to ' 6/<
��� 7 v ,Z
�G `TGA
M-ieos
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 TION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:d i
on,Ls 2�'a�; GZ9L�,.✓ ��cc2t 2!-C�
a�
DATE 1,61df4101 INSPECTOR
------ -- - -- ---- --- ----
u
If -- - - --- ------- - - - -- - - -------
IIr— — — —
UNDATION ( IST) a II-- ----- - - `\
11 u
u u
UNDATION (2ND) -u
li ii
,UGH FRAME & II
PLUMBING n � �
>r-
ii
ii
ii
ii 012
y n�
'SULATION PER N. Y. I
STATE ENERGY
CODE I n '�`' C�iLta.•
�I
if if
In- 46A"e, aC.( r
II
1II17
H
u
IL
FINAL
ADDITIONAL COMMENTS:
H�H h
O �•
r�
b
• r '
BOARD OF HEALTH . .. . . .. . . . . . . . .
FORM NO. 1 3 SETS OF,,PLANS . . . . . .. . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . .. . . . .. . .. ..... . . . . . . .
BUILDING DEPARTMENT CHECK ... . ... . . ... . . . . ... . . . . . .
TOWN HAIL SEPTIC FORM . . . .. .. .. ...... . . ..
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL�Od-n/ 7.27 C�31
• % MAIL TO: .�P. ..!:;l S(�,«;. ►�e
Permit No.
Disapproveda/c .................................. ...................................
......................................................
• (Building-•• tor)•• ••
APPLICATION FOR BUILDING PERMIT
' v
Date. . . . .. . . . . . . . . ... 19. . . .
INSTRUCTIONS
r
a sbolH�`
a. Th s appri; `' must be completely filled in by typewriter or in ink and submitted to the Building Inspector w
3 sets of pl 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 application.
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
permit shall be.kept on the premises available for inspection thr'ou&'Imt the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Oca4mcy shall have been granted by the Building Inspector.
APPLICATIfN IS Ham MAIL to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ord» of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordinanees'or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. applicant agrees tooo_m�plwi licable laws, ordinances, build' code, housing code, and
iaos, and to admit authorized-"Inspectors on pr+eal n 'ldi for inspections.
.........................
• . .
•(Si• ture•o• •li• , 01 name, ifacorporation)
.
........................................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, ral contractor ectri 'an, plumber or 'lde
...�W Mil ....vL.�.�p d L...� NUTO
...... ........ ....
Ek/vs/ •�
Name of owner of premises ..... .......... ...a_... ...... ................................ .
(as on the TRX 11I)NAM E A
If applicant is a corporation, signature of
7654 PTV III , FOR THt' "IMMEDIATELY"
t FOUNDATION • TWO REQUIRED.:: ENCLOSE POOL TO CODE
...............................................FOR POURED CONCRETE UPON COMPLETION
(Name and title of corporate officer) 2 ROUGH • FRAMING A PLUMBING BEFORE'WATER"
& INSULATION�y�
Builders License No. . ... .BE.COMP�FOR .
ALL CONSTRUCTION SHALL MEET UNDERWBITERSCERfIfl N
WW
Plumbers License No. ..................THE'REQUIREMENTS OF THE NX REQUIRED
Electricians License No. ..............&TATE CONSTRUCTION E ENERGY
CODES. NOT RESPONSIBLE FOR
, CODES.Other Tirade's License No. ........... DESIGN OR CONSTRUCTION ERRORS
1. Location of land on which proposed work will be done..............................................................
... 1.: .. ........ ... ***'y........••-...��.................................................
'
House Number Street Hamlet
Caun Ting No. 1000 Section aZ Block ................ Lot ../Y.........
ty Map ... .......
....... .......
SubdivisionnP! f3�: Filed Map No. .... a�Y.7P.. Lot ...............
(Hare) -.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...................................... .. ..................................
b. Intended use and occupancy �C...t .. rv1 r /�✓ ...�C=....,-j-/}-
s
3. Nature of Work (check%hid► applicable): New Building .......... Addition .......... Alt4ration ...
Repair ............ Removal ............. Demolition ............ Other Work
-.�4 ..... (Description)
+. Estimated Cost ..... � fee
(to be paid on filing this application)•••.
i. If dwelling, number of dwelling units ............ umber of dwelling units on each floor ................
Ifgarage, number of cars ......................................
i. 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 .................
Height ......................... Number of Stories ......................
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... Number of Stories ...............
3. Dimensions of entire new construction: Front ................ Rear ............... Dep
Height ......................... Number of Stories .....................
►. Size of lot: Front .................... Rear .................... Depth
10. Date of Purchase ..................... Name of Former Owner ........................................
II. Zone or use district in which premises are situated ...............................................................
12. Does proposed construction violate any zoning lass, ordinance or regulation: ........................
13. Will lot be regraded .................... Will excess fill be removed fromi
�- �L premises: YE�S/ ND
14. Names of Owner of premises .`�1 .T�5......... AddressS. .�I.............. .;%, Phone No. ..............
Name of Architect .................................... Address ................. ..... ...... Phone No. .............
Nene of Contractorz. -,....... Address 1-,2-7-65'12--
..............................Phone No. .............
15. Is this property within 300 feet of a tidal wetland? * YES .......... No ..........
*IF YES, SQTIi3= MW TWSrRS paWT MAY HE W¢JIRED.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
irom property lines. Give street and block number or description according to deed, and show street names and indicate
,nether interior or corner lot.
A
�,..,.........wn...
�!
rn1r: or tax74uw
ot"1113?'n.J10.s OCAU SSS=ff O[' Yi i:.ry
. ... .. ..� .
Name of individual i% ; j ''*deposes and says that he is the applicant
s� a contract) ' ,�;,
bone n4M3rMI hVE'Au T334eA JJAH3 t1 xT '�itw'Ir.,:'?3 . ilk
�3A .Y.H 3.iT q0 $'lb' "'.,.,,' ":-I 7.;4T
eis the ...............................
(Contractor, nt coWTVl#3i + ..T�s4':c x '3:7 ..............................
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and
hat the work will be performed in the manner set forth in the application filed therewith.
worn to be
,EQre me this
.... .......... ay of (J
Notary Public }!1...... :.. c..
.. . . . . . ........ .... .........
i tore o ppli
Pub i C 0;bvPw Vr�'
►�U . 0 � G- A CSS �4- SI KCcx�
0()VAUl -S i C)YV t�-' i rtS OLrju" 1 a
COASTAL EROSION HAZARD AREA 'MAP
,� >t Photo No. 51 - 609 - 83
0
�, �.,. ; ,S'UR VE Y
OF R
�i)VASTARJ(
A T
TO
60p2 SUFFOLK COUNTY
ICY 1000-21—.06-14
SCAL R.- 1 "=60'
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hen �
,i
.AAK BNOWN SANDY LOAM OL NO TES.
i1D�N LOAMY BAND sN
SUBSURFACE SEWAGE DISPOSAL
: � SYS TEV DESIGN
o BYE JQS9PH FISCHET Tl P.E.
° H00ART ROAD
�*VW SILTY SAND VM lGs GRAVEL sM SOf lTHOLD, N.Y. 11971
r, r' (5161 765 - 2954
cp.�. 5
N 6�w 6z ?7 0o Y
Y bROVN VINE TO COARSE BAND "M 10% GRAVEL Si�.�'� Alµ3f 014R.
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SIZE( FY I A I BIC D . E" F. -G' ARI CAP.
d VY14' 1&' ISQ.FT. GAL.
DIVING BRD
OA
A A
�l- INLET LADDER INLET FITTING
c
AUTOMATIC SKIMMER
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LIGHT
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� = PLAN ..
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' 6-x Ir SECTION A—A
j iflmLnT
EFIAL NOTES TILE FACING WLINNEE
<t <
11%
E SOIL WITH 1
DES IS BASED ON A ORAINAG SO
DESIGN
_ .GROUND WATER SHALL NOT EXIST WITHIN THE 1y4 WTE FILTER
JJJTS OF THE EXCAVATION.IF GROUND WATER EXISTS 1 tP HAIR S LINT
IN 6'-0"BELOW GRADE SPECIAL DEWATERING nr-CATCHER SKIMMER
LITIES WILL BE REQUIRED.WATER DISPOSAL IS e G
LIMITED TO OWNER'S PROPERTY. U o ——WATER LINE ————
3 03 BARS F"
2. NO SURCHARGE ALLOWED WITHIN 4'-0"OF SHALLOW CONT.BOND BEAM >� '' {15 RETURN TO
END AND 6'-0'OF DEEP END. ALL AROUND MARBLE
TIES tr OC DUST x
3. THE PNEUMATICALLY APPLIED CONCRETE(GIJNITE) FINISH MAIN DRAIN
SHALL BE A 1:4 MIX WITH A MAXIMUM OF 3%GALLONS OF
WATER PER SACK OF CEMENT. 4'THICK
114
4. REINFORCING STEEL SHALL BE INTERMEDIATE GRADE
BILLET STEEL WITH A MINIMUM LAP OF 30 BAR
DIAMETERS. -SCHEMATIC PIPING ARRANGEMENT .
RADIUS VARIES -
5. POOL WATER SUPPLY BY OWNER'S GARDEN HOSE POOL r to W SHALLOW END
UP ON DEEP END
TO BE KEPT FULL DURING FREEZING WEATHER.PUMP
CAPACITY TO BE SUFFICIENT TO EMPTY POOL IN a3`STELL REINFORCED
24 HOURS. POOL SPECIFICATION CONTRACTOR:
DEPTH <s-w >S'-V Have M a typical Pool apedlka m
- WALL SECTION '
B—B HORIZ. 1r oc a-oc�
VFRT. Ir OC r OWNER:
FLOOR it OC EACH WAY OR
N%3 - MESH EQUIVALENT
COASTAL EROSION HAZARD AREA MAP
Photo No. 51 - 609 - 83
w .
AF' ,c 0 SURVF Y 0 ' 0nL
AT FAST MARIO
TO WN OF S
N
3 �7 eS UFFOLK CO UNTY ,
o h�
1000-21-06-14
SCALE: 1 "=60'
r,RCH 23, 1988
•�-59.9'
/4—y 27, /999
Aj 17, )19 9(a>a ns a, l
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.AIM UNGWN SANDY LOAN OL ArOT f'
SUBSURFACE SEWAGE DISPOSAL
�NU.N LOAMY BAND sN �� SYSTEM DESIGN
`off BY' JOSEPH FISCHETTI P.E.
H08A8
T ROAD
"OWN SILTY SAND WM 10% GRAVEL BN SOOUTHOLD, N.Y. 11971
(516) 765 - 2954
pp• f ,5A a ,150'00 1
'N p yp• S ro t �A l
'S NNO•N VINE TO COARSE BAND W"N 10% GRAVEL SW '/.�+'� G`A,.3 ONV ) 1
■ =YoxvMrrr
`:1IM45
LAREA = 1.2257 acres
to "tie line
Lot numborn reior to 'Pebble Beach ..
W„ NEUMM FM APMTAL �y`b. Flled in the Suffolk County Clerk's Ot
WNUW MX MAN C .• on June 1, 1475 as 1! a No. am.
t~o oao t Mt R!?o
•
AN ASSUMM DA
3ip:
4? J 7., . `.M
°
A10
ST
.�'��•, �
Tg$ Y.S. LIC. NC
AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA 710N--'--"-- C
,.
C TION 7209 OF THE NEW YORK STATE EDUCATION L A w '(✓ l0 764 b� O
DT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATION-',
DN ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y If"
MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE S(JRVEYO/, 1 R STREET
E SICNA TORE APPEARS HEREON. SOU THOL D, N. Y. 11971