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30552-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31447 Date: 02/27/06 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 440 WINDWARD RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 30 .6 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 2004 pursuant to which Building Permit No. 30552-Z dated AUGUST 9, 2004 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 IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to PETER & GRACE GORMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 6157 12/03/04 PLUMBERS CERTIFICATION DATED N/A //Aut�6rizecf Signature Rev. 1/81 Form No.6 ; TOWN OF SOUTHOLD I I, BUILDING DEPARTMENT ! TOWN HALL FEB 2 2 765-1802 L 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: I. 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 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 - $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. �0 C v aA ti ?U rJ 6 New Construction: Old or Pre-existing Building: (check one) � ( l Location of Property: "1 y U Wy] d t J d P A OC 1 e"-� I4 1 V House No. Street Hamlet Owner or Owners of Property: O'{-C,r e �--� c� � � '� 6(' 'M C✓✓., N ��3 Syy Suffolk County Tax Map No 1000, Section 6 1 V Block 60o Lot 6 ��) _ Q1 6 Subdivision Filed Map. Lot: 6�c, R rPermitNo. 3SS Date of Permit. Applicant: 6�5, v: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Olvw..___ � s3 Applicant Signature �. 6q o 1 4 V 7 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764 Application: 6157 Date:12/3/04 Issued to: Gorman Address: 440 Windward Rd Village: Orient By: B&R Mechanical License#:2761-E was examined and approved up to the above date and was in compliance with the NEC Attic 1st Floor Residenlial❑x Pool El DetCerage Basernerd 2nd floor Commercial Hot RID Addition Switches Receptacles Fixtures G.F.I. Range Hood Whirlpool 2 3 2 t v Oven Carbon Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide Furnace Oil Gas Heat Zones Smoke BellDetectors Transformers Meter Amps Phase Motors Cher Equipment: - Out,Res .. -Ira Xf, G/ctncaG9nsbvc Gy This certificate must not be altered in any manner Permit#: 30552 SOpjyolo Town Hall,53095 Main Road Fax (631)765-9502 P.O. Box 1179 G Q Telephone(631)765-1802 Southold,New York 11971-0959 :N a3dCMt 0 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 7, 2006 Peter& Grace Gorman 162 East 80`h Street—Apt. 4C New York, N.Y. 10021 To Whom It May Concern: We are unable to complete your Certificate of Occupancy because of the following reason/s:, ✓ An application for Certificate of Occupancy is not on file. (Enclosed) ✓/ No Electrical Certificate on file. ✓ The Check is not on file. —$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984.) BUILDING PERMIT #30552-Z (inground swimming pool) 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. 30552 Z Date AUGUST 9, 2004 Permission is hereby granted to: PETER & GRACE GORMAN 162 EAST 80TH STREET NEW YORK,NY 10021 for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE at premises located at 440 WINDWARD RD ORIENT County Tax Map No. 473889 Section 014 Block 0002 Lot No. 030 . 006 pursuant to application dated AUGUST 4 , 2004 and approved by the Building Inspector to expire on FEBRUARY 9, 2006 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 o�apF 800Ty0 N co , TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] IN TION [ ] FRAMING / STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:Zen 1 DATE Z- INSPECTOR �'�^� Y�arf SOUry� • ao �ye0UHf1 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING / STRAPPING [ FIN Lf [ ] FIREPLACE & CHIMNEY SATfTY INSPECTION G REMARKS: =%=/v=im/ ,�` c.j✓ DATE } S? © INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: G�J DATE INSPECTOR SO�lyo coum TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS- DATE INSPECTOR �. Albert J. Krupski, President Town Hall James King, Vice-Presidento�OgUFFO(,�c 53095 Route 25 Artie Foster 0/i P.O. Box 1179 i Ken Poliwoda C Southold, New York 11971-0959 Peggy A. Dickerson HTelephone (631) 765-1892 Z Oy �� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 3, 2002 Ms. RosemaVerrecbhio Property Unc� erfect, Inc. P.O. Box 606 Southold, NY 11971-0606 RE: 440 Windward Rd., Orient. SCTM#14-2-30.6 Dear Ms. Verrecchio: The Southold Town Board of Trustees reviewed the survey dated December 1, 1999 and last amended January 19, 2000 and determined the proposed single-family dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. 2 Sincerely, (? n / c Albert J. Krupski, Jr. President, Board of Trustees AJK:lms New York State Department of Envifonmental Conservation Building 40 - SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0373 John P. Cahill Commissioner LETTER OF NONJURISDICTION TIDAL WETLANDS ACT January 19, 2000 Re: 1-4738-02535/00001 Sica Property Construct r house and Septic system 440 Windward Rd. , Orient Fred & Flor 'Sica 1548 Holiday ark Drive Wantagh, NY 11793 Dear Mr. & Mrs. Sica: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The property landward of the topographic crest of the bluff as shown on the site plan prepared by John C. Ehlers, dated December 1, 1999 is beyond jurisdiction of Article 25. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR. Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 151 to 201 wide construction area) or erecting a temporary fence, barrier, or hay bale berm. , 5 Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, �p a 14r— George W. Hammarth CAF Permit Administrator cc: Catherine Mesiano, Inc. FIELD INSPECTION REPORT DATE COMMENTS W O � FOUNDATION(1ST) — — LA7 y f � ----------------------------------- 1 FOUNDATION(2ND) 0 c y 77 [i7 ROUGH FRAMING& PLUMBING _ y INSULATION PER N.Y. STATE ENERGY CODE a s �- rn FINAL �1 ADDITIONAL COMMENTS O ✓ta 0 Z'z m z �1 ty1 N k ro '1 - O O z a r x c ro POWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST 3UILDING DEP ARTM[ENT Do you have or need the following,before applying? COWN HALL Board of Health ;OUTHOLD,NY 11971 3 sets of Building Plans CEL: (631) 765-1802 Planning Board approval ?AX: (631) 765-9502 Survey PERMIT NO. 30 5S,2 j Check Septic Form N.Y.S.D.E.C. Trustees Examined 20--Q± Contact: tpproved 20 0 Mail to Asapproved a/c xi Ctd(j , e4 PhonejQ4-bl()D Expiration 20� Building Inspector APPLICATION FOR BUILDING PERMIT A}� - Q 2Q04 Date 120 INSTRUCTIONS a. This applicatiion nLTS P>,P t-'�y filled in by typewriter or in ink and submitted to the Building Inspector with ets of plans, accurate plot plan to scale.Fee according to schedule. b. Plot plan showing location of lot and of buildings onpremises, relationship to adjoining premises or public streets or real, 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 hall 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 the Building Inspector :sues a Certificate of Occupancy. f Every building permit shall wTire if the work authorized has not commenced within 12 months after the date of suance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the -operty have been enacted in the'intezim,the Building Inspector may authorize, in writing, the extension of the permit for an Edition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the wilding Zone Ordinance of the Town of Southold, Suffolk County,New York, and-other applicable Laws, Ordinances or egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The Tlicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit Lthorized inspectors on premises and in building for necessary inspections, rr`iMMETENCLOSE POOL TO CODE OCCUPANCY OR UPON COMPLETION (Signature of applicant or name, if a corporation) BEFORE "WATER- USE IS UNLAWFUL 440 tv,nduaay-A- 1?4�, WITHOUT CERTIFICATE- Or,ecyy P+ NY OF OCCUPANCY (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder to MITERS CERTIFICATE A1P012OVED AS NOTED une of owner of premises �{'PX k �0.C1L (-56,~n FEE• /S7i• BY•.,� (As on the tax roll or latefiWl d)BUILDING DE E"i applicant is a corporation, signature of duly "oloN SHALL 7este02 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: (Name and title of corporate officer) EQUIRE ENTS OF 1118. FOUNDATION - TWO REOUIRED CODES OF NEW YORK STATE. FOR POURED CONCRETE dlders License No. \4 I RETAIN STORM WATER RUNOFF 2. ROUGH - FRAMING d PLUMBING g. INSULATION umbers License No. MWANT TO SECTION 45-10C 4. FINAL - CONSTRUCTION MUST ctricians License No. akafS (:�pF THE TOWN COUt. BE COMPLETE FOR C.O. her Trade's License No. ALL CONSTRUCTION SHALL MEET THE REOWREMENTS OFTHr ::ODEFC JEW Location of laud on whichproposed work will be done: YORK STATE. NOT RESPONf "_C FOR f Atf() l nd i\� CL .Qrk, 6r\ � DESKiN OR CONSTRUCTION ERRORS. House Number Street Hamlet County Tax Map No. 1000 Section /I Block ' — ,Lot 1�301 �p Subdivision Filed Map No. tat a. Existing use and occupancy -'"lWe --aM14 ✓0&rlW(V b. Intended use and occupancyoZOK 40 ipfwhscA l Y� 411Y DO 1,. 1 41 I Nature of work (check which applicable): New Ptr} ng CY) Addition Alteration Repair Removal Demolition Other Work I` (Description) 4. Estimated Costboo 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 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 Depth Height Number of Stories 9. Size of lot: Front Rear 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?YES_NO 1;. Will lot be re-graded? YES ✓ NO—Will excess fill be removed from premises?YES_NO 14. Names of Owner of premises "CSOrmarl Address y4O I.l1tn u10.rd Whone No. ata' 535- 13D.(,o Name of Architect Leal No So Address t 15u�b:`a, `a�� Phone No �1- a io5 Name of Contractor Address 2 _Phone No. -1 14-bloo 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO t, ' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to properly lines. 17. If elevation at any point on property is at 10 feet or below,mustprovide topographical data on survey. STATE OF NEW YORK) SS: COUNTY//OF ) 2.�lSo rm0.rl being duly sworn,'deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He,is the 00V� (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed'the4said work and to make and file this applicatic 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 therevAa Swom to before me this day of u E7f' 2004 PI�1 d0 - Notary Public Signature of App}icant KOLEENP. RODECKER NOTARYPUBLIC,STATE OF NEW YORK No.01806099540 QUALIFIED IN SUFFOLK COUNTY MYCOWSSION EXPIRES SEPT.29,200 J V 0 9o' 10 w U w Z O Z Q Ln Z 00 N � cy-e iz� v N f0 FILV FROM FiMp FpOM SKIMFp 7' 10' 1 7' 16' FILTEAWFUMF A WeA f0 W1159 f0 RE71m PLAN coNcrrE WALLS PLUMBING SCHEMATIC B 10„ FO ACP CONCRETE 5V5 WATER UNE WATEP,LINE G d w RO LEI FOAM 3EIVVEEN //� z Nn LINEA AJNI COWFET $ �� Z w 2" to 4'' 5ANI2 POITOM � � Q SECTION A \\ COPING ANI WALK FORM 11E5 4d � � x O 6Y OW5 3500 P51 FOLHP CONCtiTE \� VINYL UNEP: \ CAP•AV7 5' 10' S' 5ANI a NOTES I, 54 ZILM 15 12E5I6NED FOP OSE BELONG AND MY IN AT.P6 NMERE IK(WUND WATER WANE 15A MAN Of 4'-8"XI,ON 1F�PROPOSED PINY,FED am, 2ME FEIGNf GF 6CALIXEPNNLlEWf0 EN%,LFEREEDEGtrPERuOdplpSifPNGrDTDIEE2RW5AtEDROINNO1NEAF0LO0.W SECTION B 13YMOnTKAN8" WALL SECTION 3. W&K5 fO BE 5MOOM,NON 5KV rff.%a'EDAWAYFROM POIa., A. WA1ER DISP05N.SKAlI DE LIMIfED fOOMNERS PROf'ERII'f0`J111 LOCAL CONDmON5. 5-27-03 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION LONA OF SECTION 72090F THE NEW UCATION LAW EXCEPT AS PER SECTION 7209YSURDIOSION ORK STATE 2.UALL CERIIFlCAnONS ISLANDHERsouft D SAIDMAP OR COPIES BEARTHEIMPRESSEDSEAL ON ARE VALID FOR P AND THEREOF OFTHESURVEYOR EO V.N. NLY F w.M. S773T'p�" E- WHOSE SIGNATURE APPEARS HEREON. 11 (,� N cOI nF�NF_41¢ - Y ""*4e m SURVEY OF PROPERTY. �x c + AT ORIENT TOWN OF SOUTHOLD ° or SUFFOLK COUNTY, N Y. P 1000-14-02-30.6 I CA °"B, SCALE: 1'=40' o " MARCH 15, 2004 MON. z i � z D m L7 I D � Z , i D 7c 1 m a0l<Yo a ul 2,. c PROP 20 ° � S� - C? i P �- (A co Z I ELECTRIC y METER IDERGROLINO D I ep -< UTIUIIES BRICK WAy GRAVE! DRIVEWAr ORj� PIPE I 30' R.O.W. yrs X= 0.6'S125.00 l C.L.F. SS 6#29'40'W I _ N/0/F NICHOLAS & SHIRLEY E. KARAS a 0 hof New �OMETrC��.� i N. Y.S. LIC. NO. 49618 ORS, P.C. sJ AREA=47,653 SQ. FT. P.0. BOX 909 0 FAX (sat) 765-1767 TO TIE LINE 1230 TRAVELER STREET / ,,pp SOUTHOLD, N. Y. 77971 04°_1�ICz7 HUI L Applicant/ Date, Owners Name:, -e ,� ' '� Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Sectioli: I—f Block: 02 Lol: 30, ro Projecl �n Subdivision Location: 0 UJ a„- a d Name: $inle& separate Required certirjcation: (Yes Req. �/dw Req. -------- . I_aaillg t)istricl: (Lol size: Acuial: •/d e Req. --�fud " (Lolcoverage AdvropasedPro se& SkidR�[I'=ronl Yard po l. (Side Proposed: I (Rear Yard ! Proposed- Project �Q— Description: /560 A.GENCI#ER_M . RMUIRED FOR Fvtrw Perm><t NO YM Number Suffolk County Health-Dept,. New York State. D. E:C. / Town Trustees _ 0-e-e.I� Town Zoning Board approval: Town Planning Board approval: 1. Flood Plane Elevation M Flood Zone: Z