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
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