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HomeMy WebLinkAbout43792-Z Of souryOlo Town of Southold * P.O. Box 1179 53095 Main Rd COUNT Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46317 Date: 07/14/2025 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1025 Great Peconic Bay Blvd Laurel, NY 11948 Sec/Block/Lot: 129.-1-5.2 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 05/24/2019 Pursuant to which Building Permit No. 43792 and dated:. 05/24/2019 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 in ground swimming pool with fence to code as applied for. The certificate is issued to: Cinchsure LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: . ELECTRICAL CERTIFICATE: 38809 06/03/2014 PLUMBERS CERTIFICATION: UA I uth rize Si ature Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. . S. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling $50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. '0 '17 New Construction: Old or Pre-existing Building: (check one) Location of Property:_ l��-5 �Cc tC �&V - LIA) 1 House No. '� I� Street Hamlet +Owner or Owners of Property: (blinte 0- ri /,l p �a�Vl l Ie, Suffolk County Tax Map No 1000, Section 6 2� Block ! Lot • Z Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Q _ 60VAl _#_ 1)C3Vl Applicant Signature ,0,of SO& TOWN OF SOUTHOLD BUILDING DEPARTMENT • TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT RENEWED (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 43792 Date: 05/24/2019 Permission is hereby granted to: Renewal Date: 09/24/2024 Howard W Boville 100 Barclay St Apt 29B New York, NY 10007 To: Accessory in ground swimming pool with fence to code as applied for. Replaces BP#38809 Premises Located at: 1025 Great Peconic Bay Blvd, Laurel, NY 11948 SCTM# 129.4-5.2 Pursuant to application dated 05/24/2019 and approved by the Building Inspector. To expire on 09/24/2026. Contractors: Required Inspections: FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: Renewal Fee $200.00 Total $200.00 Building Inspector uFFocKc TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE o . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 43792 Date: 6/24/2019 Permission is hereby granted to: Boville, Howard - .22 Watts St Apt 3 New York, NY 10013 To: Accessory in ground swimming pool with fence to code as applied for. Replaces BP#43792 At premises located at: 1025 Great Peconic Bay Blvd., Laurel SCTM #473889 Sec/Block/Lot# 129.-1-5.2 Pursuant to application dated 512412019 and approved by the Building Inspector. To expire on 11122/2020. Fees: PERMIT RENEWAL $125.00 Total: $125.00 Building Inspector gUFFD(� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE, o . SOUTHOLD, NY y�pl BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38809 Date: 4/24/2014 Permission is hereby granted to: Boville, Howard-& Ryan, Connie 22 Watts St New York, NY 10013 To: accessory in ground swimming pool with fence to code as applied for. At premises located at: 1025 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot# 129.-1-5.2 Pursuant to application dated 4/14/2014 and approved by the Building Inspector. To expire on 10/24/2015. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 ELECTRIC $100.00 CO - SWIMMING POOL $50.00 Total: $400.00 Building Inspector Inc TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERKS OFFICE o . SOUTHOLD, NY y�ol � gaols BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38809 Date: 4/24/2014 Permission is hereby granted to: Boville, Howard & Ryan, Connie 22 Watts St New York, NY 10013 To: accessoryin swimming ground g pool with fence to code as applied for. At premises located at: 1025 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot# 129.-1-5.2 Pursuant to application dated 4/14/2014 and approved by the Building Inspector. To expire on 10/24/2015. Fees:. SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 ELECTRIC $100.00 CO - SWIMMING POOL $50.00 Total: $400.00 Building Inspector - pF SO!/��,ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �o roger.richertCa)town.southold.ny.us Southold,NY 11971-0959 O BUILDING DEPARTMENT TOWN.OF SOUTHOLD . CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Boville Address: 1025 Great Peconic Bay Blvd City: Laurel St: NY Zip: 11948 Building Permit#: 38809 Section: . 129 Block: 1 Lot: 5.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: USI Electric License No: 2740-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage -INVENTORY Service 1-ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture' Pumps 2 Transformer Appliances Dryer Recpt Emergency Fixtures Time.Clocks Disconnect Switches 2 Twist Lock HExit Fixtures TVSS 11, Other Equipment: in.ground swimming pool to include,.bonding, 1-pool light, 2-GFCI circuit breakers, salt generator,'pool heater Notes: Inspector Signature: Date:.-June 30-2014 81-Cert Electrical Compliance Form.xis © 7 oF soil G Q cOUNi`1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 'INSPECTION �IFOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: &Z,44 a 7` !�J. c C DATE INSPECTOR - -7 OF SOUTyolo UOUMY, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH.PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ,ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 7;-71Q4-L � DATE INSPECTOR�c q SOUTH°� TOWN OF.SOUTHO.LU BUILDING DEPT. o�m� 631-765-1802 v INSPECTION ' [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ :] FOUNDATION 2ND [ - ] SULAT O,N//CA�ULKING [ ] FRAMING /STRAPPING [ FINAL Ot [ ] FIREPLACE & CHIMNEY [ .] FIRE SAFETY INSPECTION [ ]. FIRE RESISTANT CONSTRUCTION , [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] - RENTAL REMARKS: b4c 5 f DATE n _ INSPECTOR / OF SOUlyol h O * # TOWN OF SOUTHOLD BUILDING DEPT. cou ,N 631-765-1802 q -1A ,� -y'-OI NSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULAT 7AULKING Q [ ] FRAMING /STRAPPING [ FINAL 4,*146 1J`� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: fl) l DATE INSPECTOR OF SOUly�lo # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 v INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL Re,,. [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [` ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: l 0 mor w S DATE INSPECTOR ,`�� :s - ♦ ^�.� ♦ ^. to , +� �� ,. � ,A , � r 77 so Kn/ TOWN OF SOUTHOLD BUILDING DEPT. ��yFOUNTY,� 631-765-1802 q,��q, ,ANSPECTION [ ] FOUNDATION 1ST/REBAR [ ] .ROUGH PL-BG; ] FOUNDATION 2ND [ ] INSULATIOWCAULKING ] FRAMING /STRAPPING FINAL` A�. [ ] FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE:RESISTANT PENETRATION -[ - ] ELECTRICAL (ROUGH). [ ] ELECTRICAL (FINAL) . ]" CODE VIOLATION [ ] PRE C/O REMARK&Ar"17) JR� JUL 14 2025 A B6JBIC11ng DePartmentM Town of.Southold ° a r DATE '°� INSPECTOR f Thomas D. Reilly P.E. Consulting Engineer "For every house is built by someone,but the builder of all things is God" Hebrews 3:4 4 Bezel Lane Smithtown,N.Y.11787 Tel:(631)724-7888 Fax:(631)724-5740 ENGINEERING DEPARTMENT TOWN OF SOUTOLD JUN 13 2014 53095 MAIN ROAD P.O. BOX 1179 SOUTOLD, NY 11971 BLDG. DEPT. TOWN OF SOUTHOLD June 5, 2014 PERMIT# 38809 To Whom It May Concern: Re: Connie & Howard Boville 1025 Peconic Bay Blvd Laurel, NY 11948 This is to certify that the installation of the subject swimming pool was built in compliance with New York State code & to the manufacture's standards. The poured concrete walls are 10" thick and have 3 rows of # 4 rods of rebar. Very Truly Yours, �NwYO0. Rf co OFrcgS� y v p ya $42, 41 Ime r er w iG �� .-, �� �, • � � �� .„ - ,� � i 'A �` t. ,� .....,,,..*'�' • 'gyp-.. yyyyyyyy���' *a � � 4 r 4 ; . C} w ' Yw �t j 14 y Kati. r`• MCA A , .1 Y � t Nk MA � { f } 4 45� _. Y ' y��• Y fS 'lip 4 a'"' _ """' 4 lot! - � e R.A'��'` �. }��r `.ram .� ..,-•- METMy - r �, low- � � +. J• _ � �/♦+Y•/ .4 _ /tom =% '�lii�.. l`_`� r � �v PLUMING a� INSULATION STATE ENERGY CODE C,F'irill%MM7mUnwIt or. ►; '�I u 1. �' PEN AM TFA IF, Ar M _1Jf I 1 i; _ TOW7W OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILLING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. ° Check Septic Form N.Y.S.D.E.C. Trustees Examined ?% 20� Contact: Approved ,2014 Mail to: Disapproved a/c 'F—Mlw 4 4 � e�— Phone: ---,v 0 EBuilding Inspector APR V+ 2014 A PLICATION FOR BUILDING PERMIT RLDG.U?T. J p \ , A TuM OF S Date 20 OUTHU�D 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 areas, 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. 11 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 laws,ordinances,building code,housing code, and r lations,and to admit authorized inspectors on premises and in building for necessary inspections. r I -y ,a � '` L �� (Signature of a cant or n if a corporation) �,a,'6 8- I .'n . � �:L ENCLOSE POOL 0 PLTO CODE,�Z� 1�1 Z�A I� �' UPON C M ETION ``ZZ �l Putt 170- �; BEFORE"WATER" (Mailing (Mailing address of applicant) State whether applicant 4s owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 94"IL �P'?�gv 3Sf�—P9 r4 c . . a w1 V to 19e IVivJTED Name of owner of premises 1 V C flWA10 1IC-,� DATE Z / (as on the tax roll or latest deed) y gzl :� FFE BY If applicant is a corporation, signature of duly authorized officer NOTIFY BUILDING DEP,1,,RTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIo(VS: (Name and title of corporate officer) 1. FOI_iNDxaTIO,1 _ TV%10 FEnUIRED f= . R POURED CON 'RETE Builders License No. 44ao— RT ��,,�� � Q�. 2' PCJGH-FR-� ,'!N1J P� ,, �' S`4AP Ilvt, E,ECTRICn: & CAULKING Plumbers License No. � �f( f ,, ( [{����; �jl' LATION 4. M- L-CONSTRUCTION & ELECTRICAL �:4� I�E MUST BE COMPi ETE FOR C 0 Electricians License No.- ALL CONSTRUCTOOP,SHALL NIEET THE REQUIREMENTS OF THE NEIN CODES 0'Other Trades License No. YORK STATE. NOT P,ESPGtv'SIBLE FGR 1. Location of land on which proposed work will be done: DESIGN OR CONSTRUCTION ERRORS. loos- DOIC &08 &oJ House Number Street Hamlet ?�?©1'i""as P�'to �trJt2 91;'! 6r�y(u�ti�lc County Tax Map No. 1000 Section Z� Block + L:ot 1-0„I,A, ►.,2 Subdivision Filed Map No. 559� �t1nLoOl�otltly of� i��iSoO (Name) RETAIN STORM 1 IATER RUNOFF PLIRSUANT TO CHAPTER 236 OF THE TOWN CODE. 2. State existing use and occupancy of premisqj and intended use and occupancy of proposed construction: a. Existing use and occupancy Y^)W, & b. Intended use and occupancy.1pgep , ljhl'Mmmm aL 3. Nature of work(check which applicable): New Building Addition Alteration-- oq — Repair Removal Demolition Other Work Vl�ly�, 3h/�dpMI'V 9 MIL (Description) 4. Estimated Cost `41u— Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front ram' Rear Jac,' Depth ;23 Height Number of Stories .2 Dimensions of same structure with alterations or additions: Front :frr Rear,L} Depth Height Number of Stories 8. Dimensions of entire new construction: Front �b )cgo _ _ Depth 8' Height Number of Stories 9. Size of lot: Front Rear I Depth 37 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: Nb 13. Will lot be re-graded& ,&C"�Will excess fill be removed from premises:e NO pp da v\ms a A�3 14. Names of Owner of premises [I ik, COnnle, Address New yoA, W 10013 Phone No. Name of Archited- b Q b 11V Address -� &at LAr 54/fAk aPhone No r72-q-7-FF Name of Contractor ddress 919 Zr Z% Phone No. _/W-_7P kj ji XRace I M Y 15. Is this property within 100 feet of a tidal wetlands,*YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE UIRED 16. Provide survey, to scale,with accurate foundation plan,and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) 1 SS: COUNTY 016#*iLy, ) I?n5 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above nameed_ (S)He is the l /� (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 this 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. Sworn tc�before me this day of 20)4 aA�� a, " NotLy P blic LKignature of A icant 'MARGARET a;KIDNEY Ngfary Public-State.of New York No-01 K16021111 Qualified in Suffolk County, My Commission Expires March 8,,20.r� . s ttoaa .ny usus D ie s JUN .j 2014 MMMM DEPAR 'M, ,rr T+tJ3lM OF SOUTH-OL ), BLDG. DET. TOWN OF SOUTHOLD AP' LIC TIO F R FL� C"i'RIC �„ I MOT-1 REQUESTIE� 19Y: Land � G Date; (� l Eon an Nan1e: S � ' P Y.•. 0nte: � tcense,No.; R,ddr+ess•: phone` Nc•' 31 A J.08SITE INFORMATION: (*fndioates.required information) 6-0 *Addr I , . I �� ' a� �" '��Crross Strnet:: �.a.VAQA *Phoney No.: L7 I (� Kermit rvo.: (� 7'aX Mai pisrict: 000 Seion; � I§loak: Lit: -- 'Mm E)ESMPTION OF WORK(please Print CIVON) 21 e. r IA V ' (Please Ma a All Ti.hat *Im jdb ready for inspection: Q Rough in, *ix you need a Temp Cemflcate: NO Temp,-information (if aeer(®d) *SoMwe Sit; 1 Phase. Mase 'ioo 'i so. . 20o soo: 360- 400 Other New Service: Fie-nnneot Underground lumber of Meters Change of Servloe Overh®ad Additional Nbrmatlon: Mw� pEeA_WvwiNT DUE_ V_ffiTfi�►PpLICA,i'ION t,0 ` { � � (� � l of$O�j�,� Town Hall Annex Telephone1630-765-1802 54375-Main Road H (631)765= 5 P.O.sox 1179 � + Q roger.richert ,Iownsoutf IA.ny.us Southold,NY 11971-0959 , BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �- Date: ' Company Name: 'j'. Alec n2.lc Name: License No.: 2 r74J [4 Address M Rio & 3 Pam. Phone No.: �31- 5y-Oyi�D JOBSITE INFORMATION: (*Indicates. required information) *Name:. kwft,0 0 Ong *Address: *Cross Street: *Phone No.: Permit No.: � 6 Tax Map District: 1000 Section:_�� dock: _ Lot: j.2 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Xy _ I M�Lajm�g y iYWL ��l►✓11 mlr�l0 ( T (Please Circle All That Apply) *Is.job ready for inspection: YES e Rough In- Final *Do you need a Temp Certificate: YES / NO Temp-Information'(If needed} - *Service Size: 1 Phase 3Phase 100 150 200 3001 350 400 Other *New Service: Re'-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH-APPLICATION 82-Request for Inspection Form Scott A. Russell °SUFFQ James A. Richter, R.A. � SUPERVISOR Mxchael M. Collins• P.E. SOUTHOLD TOWN HALL-P_O.Box 1179 O 53095 Main Road-SOUTHOLD,NEW YORK 11971 Telephone#: (631)-765-1560O Fax#: (631)-765-9015 MiCHAEL.COLLINSOTOWN.SOUTHOLD.NY.US JAMiE.RICHTERQTOWN.SOUTHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET ( TO BE COMPLETED BY THE APPLICANT) PLEASE NOTE:All Contact&Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) PROPERTY OWNER Ilf Different from Applicant) NAME: gzjik NAME: ADDRESS: I O25 1 ADDRESS: Telephone Number: "I l�— �'Z�D7�Q Telephone Number: Completed Applications can be picked up at the Engineering Department after being notified by the Department,or, it can be Mailed to the Applicant with the submission of a Self Addressed 8.5"x 11"Envelope&Appropriate Postage. DATE: 2 ) Property Address/ Location of Construction Work: I(�2S Cc7t1►e , S C T M *: 1000 )29 ) S.2- District Section Block Lot Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F,when.New Impervious Surfaces are created,and/or when existing Roof Systems,Driveways,Patios or other Impervious Surfaces are Re-Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review! Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors&Windows,Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work. PK A Complete Description of the Scope of Work Proposed under the Building,Permit Application. PK A Completed Storm,water Review Checklist. If No or NA are Indicated, Justification is Required. **** FOR EN 1 G DEPARTMENT USE ONLYLl **** Reviewed By: z Date: APpr ved: Add ti al Information Required: AffROVeD F02_151USTAL,41/0N OF Slui1't'1h9tA.0 �Qc� °S"FFQ� CHAPTER 236 STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST -� DATE: � oa-Iq by 2 APPLICANT. (Property Owner,Design Professional,Agent,Contractor.Other) �l NAME: SCTM #: 1000 12Q � 3.Z �9 _ Telephone Number: q��— -- 2(, W District Section Block Lot S M C P -Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided! 1. A Site Plan drawn to scale Not Less that 60'to the inch MUST If You answered No or NA to any Item,Please Provide Justification Here! show all of the following items: Y NO NA If you need additional room for explanations,Please Provide additional Paper. a. Location&Description of Property Boundaries 0 b. Total Site Acreage. 0� c. Existing-Natural &Man Made Features within 500 L.F. of the Site Boundary as required by§236-17(C)(2). d. Test Hole Data indicating Soil Characteristics&Depth to Ground Water. 0 D RG /GG Lc JG cj ��� e. Limits of Clearing&Area of Proposed Land Disturbance. A56 I,E�I,d Ir�w f. Existing&Proposed Contours of the Site Ninimum7Intervals) 0� g. Location of all existing& proposed structures, toads, driveways,sidewalks,drainage improvements&utilities. "-h ,Spot Grades& Finish Floor Elevations for all existing& ��� proposed structures. I. Location of proposed Swimming Pool and discharge ring. V11 j. Location of proposed Soil Stockpile Area(s). 0� k. Location of proposed Construction Entragce/Staging Area(s). 0�0 I. Location of proposed concrete washout area(s). 0� M. Location of all proposed erosion&sediment control measures. 2. Stormwater jklanagement Control Plan must include Calculations showing that the Stormwater improvements are sized to capture,store,and infiltrate on-site the run-off from all impervious surfaces generated by a two(21 inch rainfall/storm event. 3. Details 8 Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion&Sediment Controls. 000 b. Construction Entrance&Site Access. 00 c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) == f d. Leaching Structures (e.g.infiltration basins,swales,etc.) 0F70 FORM 11 SWCP Check List-TOS JAN 2014 ARTHUR EDWARDS POOL& SPA CENTRE 929 ROUTE 25A MILLER PLACE, NY 11764 516-744-7185 FAX-744-0174 APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD TOWN OFSOUTHOLD MAIN ROAD (P.O. BOX 1179) SOUTHOLD, NY 11971 I (631) 765-1802 jA PAPERS ENCLOSED: /� APPLICATION FOR OUTDOOR POOL PERMIT6�u [ ] EROSION SEDIMENTATION &WATER RUN ASSESSMENT FORM [�,!] CERTIFICATE OF WORKER'S COMPENSATION [� CERTIFICATE OF DISABILITY INSURANCE [� SUFFOLK COUNTY LICENSE �-[-� SUFFOLK COUNTY PLUMBER LICENSE [� SUFFOLK COUNTY ELECTRICIAN LICENSE 4 SETS OF PLANS - (3 STAMPED) -3 SURVEYS APPLICATION FOR ELECTRICAL INSPECTION WITH $100 CHECK APPLICATION FOR CERTIFICATE OF OCCUPANCY [ ] C.o. [ ] TAX BILL $300.00 CHECK FOR PERMIT FEE r 4 NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 15 day of January ,in the year 2014 BETWEEN Linda Zilz,residing at 1025.Peconic Bay Blvd.,Laurel,N.Y. 11948 Ct�F'Y party of tue first part,and Howard'Boville and Connie P.Ryan,his wife, residing.at 22 Watts St.,Apt.3,New York,N.Y. 10013 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part foreyer, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the See Annexed Schedule A Being and intended to be the same premises as described in deed made by William Zilz and Linda Zilz,recorded 04-27-11,liber 12658,page 344. Premises improved by a one family dwelling commonly known as 1025 Peconic Bay Blvd., Laurel,N.Y. TOGETHER with all right,title and interest,if any,of the party of the first part of,in and to any streets and roads abutting the above-described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first,part covenants that the party of the first part has not done or suffered anything whereby the said premises have been.ineumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying•the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. I ' IN WITNESS WHEREOF,the party of the first part has duly executed this deed t 'day and year first ab ve written. IN PRESENCE OF: Linda ilz ' A r!aeity National Title Insurance Company TITLE NO.F13-7404-93324-SUFF SCHEDULE A-1 (Description) ALL that certain plot, piece or parcel of land,.situate, lying and being at Laurel, Town of Southold, County of Suffolk, I� State of New York,known and designated as part of Lot 1 on a certain map entitled "Map of Laurelwood Estates" Laurel, Town of Southold, Suffolk County, New York, survey completed July 15, 1969 by Van Tuyl and Son and filed in the Office of the Clerk of the County of Suffolk on 5/17/71 under File No. 5595, said part of lot being more particularly �I bounded and described as follows: BEGINNING at,a point on the northwesterly side of Peconic Bay Boulevard where the same is intersected by the division �I line between Lots 1 and 2 on the aforementioned map, said point also being 293.66 feet southwesterly from the corner formed by the intersection of the northwesterly side of Peconic Bay Boulevard and the southwesterly side of LaureIwood i' Drive; RUNNING THENCE.South 51 degrees 42 minutes 50 seconds West, 174.51 feet to lands now or formerly of John R. McNulty and Joan K.McNulty; F RUNNING THENCE along said lands now or formerly of John R. McNulty*and.roan K.McNulty,the following three(3) . courses and distances: 1. North 23 degrees 41 minutes 11 seconds West, 84.31 feet; 2. North 23.degrees 13 minutes 21 seconds West,224.87 feet; 3. North 24 degrees 13•minutes 24 seconds West, 1.31 feet to the division line between Lots 1 and 4 on said map; RUNNING THENCE along said last mentioned division line,North 51 degrees 42 minutes 50 seconds East, 94.48 feet to the division line between Lots 1 and 2 on said map; RUNNING THENCE along said.last mentioned division line, South 38 degrees 17 minutes 10 seconds East, 300.00 feet to the.northwesterly side of Peconic-Bay Boulevard,the point or place of BEGINNING. THE POLICY TOBEISSUED under this commitment will insure the title to such.buildings and improvements on thepremises which bylaw constitute real property, FOR CONVEYANCING ONLY:Together with all the right, title and interest of the-party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULER-1,(Description) w USEACKVOWLEDGMENTFORMBELowWITHINNEWYORKSTATEONLY USEACIGVOWLEDGM NTFORMBELOWWITHINNEWYORKSTATEONLY.• State of New York,County of SUFFOLK )ss..- State of New York,County of )ss.: On the 7G y of January in the year 2014 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Linda Zilz personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(ate)subscribed to the evidence to.be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/shetthey executed within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), and that by his/her/their the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon signature(s)on the instrument, the individual(s), or the person upon behalf of which the individual acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. X-It—�Zop�",;rzr oo�r",�E Notsry p>.IFdN�:3zate iit N:w York Nc),iDIOE3-036117 St itiXt Gmmty Commission A Oe res tabor 24. 1 •`� ACKNOWLEDGMENTFORMFOR USE WITHIN NEW YORKSTATEONLY: AciavowLBDGMENTFORMFOR USEOUTSIDENEW YORKSTATEONLY: [New York Subscribing Wimess Acknowledgment Cerrl;ficarel lout of State or Foreign General Acknowledgment CertificareJ State of New York,County of O n the day of )ss.: • (Complete Venue with Stare,Country,Province or Municipality) , in the year before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly swom;did depose and personally known to me or proved to me on the basis of satisfactory say that helshe/they reside(s),in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed (if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,thereof);that he/she/they know(s) on the instrument,the individual(s),Or the person upon behalf of which the individual(s)acted,executed the instrument,and that such individual to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). BARGAIN&'SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TTTLE No. DISTRICT 1000 SECrTON 129.00 Linda Zilz BLOCK 01.00 LOT 005.002 TO COUNTY OR TOWN Suffolk Howard BovWe and Connie P.Ryan RECORDEDAT REQUEST OF Fidelity National Title insurance Company RETURN BY MAILTO FIDELITY NAVONAL TITLE Olsen & Olsen,L.L.P. 0 INSURANCE COMPANY 32495 Main Road,P.O.Box 706 IncokaoMTED 1928 Cutchogue,N.Y. 11935 dB Fidelity ��„��" member New York stare fond 7711t An"iarlon W U LL O Z O , O C) W fS U. O W N O LL W U a a y to S H W W NW W tt Southold Town Building Department �4�OSUFEO�,fCOG. P.O.Box 1179 Permit#: 38809 y� 53095 Main Rd o _ Southold,New York 11971 Permit Date: 4/24/2014 y�►ol (631)765-1802 Expiration Date: 10/24/2015 Parcel ID: 129.1-5.2 BUILDING PERMIT RENEWAL LETTER Dated: 8/17/2017 Applicant: Arthur Edwards Pools Location: 1025 Great Peconic Bay Blvd, Laurel Work Description: IN GROUND POOL accessory in ground swimming pool with fence to code as applied for. A FEE OF$125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Boville, Howard&Ryan, Connie Address: 22 Watts St New York,NY 10013 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Building Department Howard Boville 54375 NY-25 1025 Peconic Bay Blvd Southold Laurel NY NY 11971 11948 Swimming Permit Renewal—Original Permit Number 38809 Dear Sir/Madam Please find enclosed a cheque for$125 for the renewal of the above permit. Could you please call me on 917 557 0421 once the permit has been renewed so that I can arrange for an inspection to issue a CO. Regards MAY 2 1 2019 SURVEY OF LOT 1 MAP OF IL 0 O ,o , ,�� LAURELWOOD ESTATES FILE No. 5595 FILED MAY 17, 1071 SITUATED AT ,�, F LAUREL `' I, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-129-01-5.2 SCALE 1"=50' MARCH 15, 2000 DECEMBER 11, 2000 REVISEO PROPOSED HOUSE FEBRUARY 2, 2001 FOUNDATION LOCATION Q SEPTEMBER 27. 2001 FINAL. SURVEY O AREA = 40.426.40 sq. ft. 0.928 ac. a A5w � S.C.D.H.S. No. R10-00-0112 j CERTIFlE TO:, >� HOWARD BOVILLE ya T" A' 66 CONNIE BOVILLE -FIDELITY NATIONAL TITLE INSURANCE COMPANY MERRILL LYNCH HOME LOANS o p• Q6`�y s... ' � sue'N��'••. V. Jy Lod Viz co e S-D f.m 6+vT CONTROL ��. 2Y\o`` ,r~`4-rA�~ y•' u� •A, •' '. • N� q� �`''` 1Ti> ���o \ , � Boa - w• 0 p1: PFOMM sr w iccoft -WiN THE FOR n{ MaF7En T I®N o (Y11�911 T'i,e` mLesvi,orev uEw ntiex,sri�TE wm (, Roy o �m ►� �.. Os 5 N.Y.S. Uc. No. 50167 J' 4ay�, rou AI�TRAAti��A�1gP1 $�•` SECIM 7209 OF THE NEW YOW STATE .F®���� ��� ., Nathan Taft � COPIES OF TNs SURVEY WIP NOT OM-00 SURVEMn W BE TO BE A VALID TRUE-cm. Land -Surveyor CERIIFIOATIONS INWCAIFDHEAEION SHALL RUN ONLY tm 7f .PEA%a am THE SURVEY !3 PREPARED,AND�!HIS 99WD TO THE Suer To;St•nfq J. Iwbon,Jr. LS. 1RLE CMPANY,OOVERI6&MAL AQDW AM JOeepn A Mq•yn, LS. 1ENOWO RISMnON US=EE7tE0N.AND / TO THE ASSOxM OF THE IENDNO I=- 1Nie MnVs-SubdhishAe - Site Roos - comiructkn Lewd UMON.CERnneATiOM AFE NOT 1RANSFERABIE. ' PHONE(631)727-2090 Foy (631)727-172 THE E%ISTENCE OF RW1R Of WAYS 7,AND/OW EASEMENTS OF RECORD IF OfTTCES LOCATED AT LMfLNO ADt✓ ANY, NOT SHOWN ARE NOT OIIARAMTEED. 1586 Main Rood -A.O.-flax is Jamesport,New York 11947 Jameepa4 New York 11947 A B T. Skimmers Returns B$ Aluminum To Filter Fram •• - Filter& Pump To West Returns (Dry Well Optinal) Rolled Wali Foa Plan A Piping Arrangement Wan Section Vinyl Lin #4 Reber 4 42''Section B—B Z•Son /,, 3500 P.S.I. Concrete G OF INN y g"�P •.r�Fs. \r Typical Wall Section Section A—A �OA a, 0412i5g Rvh�cclnNP� SIZE 'AB CD E F G H AREA CAP. FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. inaee 12'x3o' 19' 30' 8' 12' 6' 4' 4' 4' 360 16,000 ARTHUR EDWARDS POOL&SPA CENTRE Address 16'x36' 1¢' 36' 12' 14' G' 4' 4' 8' 576 21,600 PERMACRETE WALL SYSTEM 18'x36' 18' 36' 12' 14' 6' 4' S' 8' 648 24,300 �929 Route 25A Miller Place NY 11764 at State 20'g40'- ??0' 40' 16' 14' 6' 4' 6' 8'80D.30,000) (631) 744T-7185 FAX (631) 744-0174 Phone Zip 24'x44' 24' 44' 1$' le 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI e 24'x48' 24' 4B' 20' 16' 8' 4' 6' 10' 900 30,000 1 Nassau License -#H174450000