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HomeMy WebLinkAbout27848-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29353 Date: 04/11/03 T~IS CERTIFIES that the building ACCESSORY (aka 1630 Landing Path) Location of Property: 1530 CLEARVIEW AVE (SOUSE NO.) (STREET) County T~x Map No. 473889 Section 70 Block 9 subdivision Filed Map No. __ Lot NO. __ SOUTHOLD Lot 53 {HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2001 pursuant to which Building Permit No. 27848-Z dated OCTOBER 30, 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. ~e certificate is issued to SALVATORE W & CHRISTINE D CAMPO (OWNER) of the aforesaid building. SUFFOLK COU1Fi"f DEPARTMENT OF I{EALTtt APPROV~f6 N/A ELECTRICAL CERTIFICATE NO. 1052812 05/17/02 PLUMBERS CERTIFICATION D~r~o Rev. 1/81 N/A Authorized S~ature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 1 0038 CERTIFIES THAT Upon the application of upon premises owned by S. CAMPO SALVATORE CAMPO 1630 LANDING PATH 1630 LANDING PATH SOUTHOLD,NY 11971 SOUTHOLD, NY 11971 Located at 1630 LANDING PATH SOUTHOLD, NY 11971 Application Number: 1052812 Certificate Number: 1052812 Section: Block: Lot: Building Permit;)7848 BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in therewith the 17th of May, 2002. compliance on Day ~ Name QTY Rate Ratin~ Circuit Type Appliances and Accessories Pool/Spa Bonding 1 0 Time ClockJSwitch 1 0 Panels 1 40 2 Wiring and Devices Receptacle 1 0 20 amp Pool/Spa Fixture 1 0 Pool/Spa Receptacle 1 0 GFCI (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-00787/00003 FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental Conservation Law EFFECTIVE DATE 23 Ma}, 2001 EXPIRATION DATE(S) 23 May 2004 TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport E] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] Aflicle 17, Titles 7, 8: SPDES [] Adicle 19: Air Pollution Control [] Adicle 23, Title 27: Mined Land Reclamation [3 Adicle 24: Freshwater Wetlands · Adicle 25: Tidal Wetlands [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control [] 6NYCRR 608: Water Quality Cedifica- E] Article 27, Title 7; 6NYCRR 360: tion Solid Waste Management PERMIT ISSUED TO Salvatore W. Campo ADDRESS OF PERMITTEE t 630 Landing Path, Southold, NY 11971 ITELEPHONE NUMBER (631) 765-4792 CONTACT PERSON FOR PERMIT~-ED WORK Salvatore W. Campo, 1630 Landing Path, Southold, NY 11971 NAME AND ADDRESS OF PROJECT/FACILITY Campo Proper[},, 1630 Landing Path, Southold ITELEPHONE NUMBER (631) 765-4792 LOCATION OF PROJECT/FACILITY SCTM No: 1000-70-9-53 COUNTY Suffolk TOWN Southold WATERCOURSE Goose Creek · DESCRIPTION OF AUTHORIZED ACTIVITY INYTM COORDINATES E: 716.5 N: 4547.5 Instalt a built-in swimming pool surrounded by paving blocks and add a deck. All work is to be done in accordance with the affached plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: (KSW) George W. Hammarth, Deputy Permit Adminstrator IADDRESS Region 1 Headquarters Bldg. #40, SUNY, Ston}, Brook, NY 11790-2356 IDATE / Page 1 of 4 Board Of Southold Town Tru tee SOUTHOLD, NEW YORK PERMit NO ......... DATE: ........ ~./~S~.~..,... ? ISSUED TO s^L c^MPO Pur, uenf fo the of (~ha ,, the St&re of New Yark !~ ' Sf~fe of New Yo~E the ~IN AND ON 1'OWN .'? ~ REMOVA~ OF ~AND, ~VEL OR OTHER ~: LANDS UNDER TOWN WA~R~It~,,a,d M ao~ordanCe Resolufio, of the Board adopfed af, moefl~g held on 2OOl a~d i~ eo,~idetailon of the sum of ~ 20o.00 .... ~A~ .OAM.~o ~._ ................................. TeFml ~and'Oo~dlflo~ Ifsfed o~:t~e re~e~e Wetland Permit to co~si~u~ :a 16~x32' built in deck~ TERIdS ,.nd CONDITIONS The Petmltt~ Sal Camt~o ~ ~ ..... ~ ~'~'~ ' ~ tO Iflaifltaln the structure ot project htvolvM, to ptovtd~ evldat~ t~ nflyua~ toaty~med thit tuth~ IJtl~/ttOtl w~ ortgtmilly obtalfled. That ~ete will be no unn~tstaxibls ltlt~tf~'e~ce with fliirlg~tloa ti a i't~tlt O[ the it~tho~ed. BUILDING PERMIT EXAMINER CHECK LIST DATEREVmWED: q /o,~/01 .DATE SUBMITTED: ~/,~c~/01 SCTIvI# DISTRICT: 1,000 SECTION: ~ BLOCK: q LOT: ,~ STREET: [~.~' t ~dl~ ~c-: '~-'~-r-~ c/rY: ~_~,,rr'~o~ , S~D~. N~: PROmCTD~SC~TIO~ ~. ~ ~ ~o~ ~C~ECT / ENG~ER: ~ / ~ , FAST T~CK? S~GLE & SEP~TE CERTWICATION-~Q~D? A/o NOTES: ~ ~,~SF -1~-24. ~t ~ifion.(C~D befo~ June 30, 1983), ~DE~D ~TS FROM J~.1997 1~-25. M~g~.(A non~nf~ng at ~y fi~ ~ 7/1/83) ZO~G DB~CT: '~-HO COlOr,G? &lo ~q. ~T S~:,o~o ACT. rOt S=~:~ ~q. ZOt COY. ~o ~ XCT. rOt C~~ ~Q.~Om r, ' P~OP.~O~QSm~ ,C/~ ACT. Sm~ ~Q. ~ ~O PROP. ~ 7,~ ~ ~o ~_1~ I WATER FRO~? . ~T ON: , P~L ~: 7~ mOOD ZOO:~ff~ ,~cc'==~g"~%~ AGENCY PERMITS REQUIRED FOR REVIEW APPI~OyALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or O~q3ED #):. DTE:__/ / PERMIT #:R10- lqEW YORK STATE DEC: ~'m~ozc,na~ NO TOWN ZONING BOARD APPROVAL: YES ol~O~ O"--~ e.-q -- F'*,/~- ~"~,/~' - "f~) ' SOUTHOLD TOWN TRUSTEES: TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or]~ ' EGRESS (18 H min.? 4 sq total) ___ (SQ. Fr. x 4%). LIGHT (SQ. FT. x 8%) Btmn~qG F.E..,~m~_ ~S OFENmXPmED: BP HAVE PRE ~O S: Y, ORN FEE STRUCTURE: FOUNDATION: SF SECOND FLR: SF TOTAL: ~ SF OT( /., Off ~ SF)- ( o°-'4~ SF)= INIT OTHER TOTAL FEE FEE FEE APPLICATION ~' PAGE 1 ol 4 -- TOWN OF SOUTHOLD FLOODPLAIN DE\rELOPMENT PEILMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and L No work may start until a permit ia issued. Z The permit may be revoked if any fahe statement~ are made herein. 3. If xevoked, all work must cease until permit ia re-issued. 4. Development shall not be used or occupied until a Certificate of Compllance ia L~ucd. 5. Thc permit will expixe ff no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be rcquh-ed to fulfill local, state and federal regulatory requixements. 7. Applicant hereby gives consent to the Local Administrator or his/her repreacntative to make fcnsonabte inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AIffD IN A'UYACH/vLENTS TO . THIS APPLICATION ARE, TO Tr~.~BEST OF MY KNO'~VLED..QE, TP~4E AND ACCURATE. SECTIQN 2: PROPOSED DEVELOPMENT (Tb be completed by APPLICAJN'I') NAME ADDRESS TELEPHONE BU=,ER ,q4/4 ENGI'I'~ER To avoid delay in processing the application, please provide enough information to easily ideutffy the project Ioeatiom Provide the street address, lot number or legal description (attach} and, outside urban area. s, the distance to thc nearest intersecting road or w~Al-knowa lancknark. A sketch attached to tl~ application showing the projec~ location would be helpful. FDP(93) A~ PLICATJON ~ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A STRUCTUP.2~ DEVELOPMENT Addition [2 Alteration [] Relocation [] Demolition E] Replacement ~TRUCTURE TYPE ESTIMATED COST OF PROJECT [] Residential (14 Fro:oily) [] Residential (More than 4 Family) Non-residen6al (FloodprooFmg7 [] Yes) ~ Combined Use (Residential & CommerdaJ [] Manufactured (Mobile) Home (In Manu- factured Home Park? [] Ye.s) 00O, o4) l B. OTHER DEVELOPMENT ACTIVITiES: [] Fill [] Mining CI Drilling Fl Grading UI Excavation (Except for Structural Development Checked Above) [] Watercourse Alteration (Including Dredging and Charmel Modifica6onz) [] Drainage lmprov~?,menCs (Including Culvert Work) [] Road, Street or BAdge Co~truct~oo I-I Subdivision (New or F_.xpansion) [] Individual Winter or'Se~:r System [] Other (Please Specffy)i' After completing SECTION 2, APPLICAI;4;F should submit fqrm to Loc. al Admi~iatrator for review. SECTION 3: FL,QODPLAIN DI~II~RMINATION (To be completed bv LOCAL ADMINISTRATOR) The proposeaJ development is located ou FIRM Panel No. , Dated The Proposed Development: [] Lq NOT located in a Spedal Flood Hazard Area ('Notify the applicant that the application renew is complete and NO FLOODPLAIN DEVELOPMENT PER.MIT IS REQUIRED). FI Is located in a Special Flood Hazard Area. I~IKM zone d~ig~ation ia 100-Year flood elevation at thc site ia: Ft. NGVD (MSL) El Unavailable El The proposed development is located in a floodway, FBFM Panel No. Dated FI See Section 4 for additional instructions. SIGNED DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~ [ ] FRAMING I~].."FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~/ ,NSPE ~ DA~E FO~ATION (IST) . PLUI4BIIqG [N~ULA~IOIq PER l~. Y. CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined /~/~3~ ,20 O~ Approved /-x~/&O_ ,20 107 Disapproved a/c ~: ! ~ !BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? ~. Board of Health ...--3 sets of Building Plans PERMIT NO. ~7~~- -'"'Survey Check Septic Form ~ N.Y.S.D.E.C. ~.Trustees Contact: V Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20o! 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 waterways. c. The work covered by this application may not be conunenced 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 preirdses 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 Occupancy 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 la~vs, ordinances, building code, housing code, and regulations, and to adm/t authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) ro State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eledtrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (as on the tax roll or latest deed) (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: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block 7 Lot Filed Map No. Lot 2. State e~isting use and occupancy of premises and intended use and occupancy of pr°p a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Estimated Cost 7,, O o 0 If dwelling, number of dwelling units If garage, number of cars Demolition Addition Alteration OtherWork ~o~- /a~ poo~ (Description) Fee ~/5-O (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height_ Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height 8. Dimensions of entire new construction: Front i'~ 2< ~ 3. t°o 0 Rear Height ff~ ¢~ ~ ~W°°w Number of Stories 9. Size of lot: Front Re~ Dep~ Number of Stories .Depth 10. Date of Purchase Name of Former*Owner ~ 11. Zone or use district in which premises are situated ' 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded 14. Names of Owner of premises Name of Architect Name of Contractor Will excess fill be removed from premises: ~/t/~ P~ddress /6~Y°/~l~m~'ml Phone No. Address Phone No Address Phone No. YES NO / 15. Is this property within 100 feet of a tidal wetland? *YES b/ NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16 Provide su~ey, to scale, with accurate foundation plan ~d dist~ces to prope~ lines e .vation on is at,O b ow, must p ovid STATE OF NEW YO~) ss: CO~TY OF ~o~ a~) ~ ,.g'-..4,/..6.,-~T~'~£ (~, C~,'~to0 being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~'~&~6r~ ~ /A~, ~ ~ ~ too ~D _(Contractor~Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th/s 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. Swum to before me this / dayof /Iu~usT Notary Public 20 O? Signature of Applicant ANN O. ROMEO Notary Public. State of New York No. 4764227 Oualified in Suffolt~ County Commission Expires Map of Lot 3 "Map of Smithfield Park" Filed: Decembe? 27, 1966, Map Number 4770 Situated at Southold Town of Southold, Suffolk County, New York District 1000 Section 70 Block 9 Lot53 Certified To: Salvatore W. Campo Christine Campo ANTHONY ABRUZZO R.L,S. REGISTERED LAND SUR'v~EYOR 1700 HOrtons Lane Southold, New York 11971 (516) 765-6242 SURVEYED: May 7. 2000 I 2J3A¥ -I ~ETLANB VEGETATION BDUN~RY PRDPERTY LINE I I II