HomeMy WebLinkAbout28065-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32216 Date: 03/01/07
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2460 ALBERTSON LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 52 Block 4 Lot 1.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 4, 2002 pursuant to which
Building Permit No. 28065-Z dated FEBRUARY 4, 2002
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 MARGARET GUARINO & JOSEPH CARUSO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 33865 12/29/99
PLUMBERS CERTIFICATION DATED N/A
thor zed dignature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ! ? +'
TOWN HALL j
765-1802
� a
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.
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. �1%g_d - 0
New Construction: y Old or Pre-existingBuilding:ing: (check one)
Location of Property: Q7(-4 0 i4_aL__
House No. Stree Hamlet
Owner or Owners of Property: C �F C I} �,- Pq R-�n-� �i►9� T- c
Suffolk County Tax Map No 1000, Section Block 0 ON _Lot (010/. (),03
Subdivision Filed Map.— Lot:
Permit No. Date of Pen-nit. N 0�1 G �Q Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
�G��� Ap lica t Signature
ELECTRICAL INSPECTION SER VICE INC.
375 DUNTONAVENUE
EAST PA TCHO G UE,NE W YORK 11772
(516)286-6642
33865
DATE: 12129/99 APPLICATION No.ON FILE
VILLAGE: Greenport TOWN: Southold
ADDRESS: 2460 Alher.cnn Lnnp
ISSUED TO: Joseph Caruso
INTRODUCEDBY: Hank's Electric LIC No: 2675-E
was examined on 12-29-99 and found to be in compliance with the National Electrical Code
LOCATION: Base.. X 1st 2nd 3rd Attic
Det.Garage Hot Tub Pool x
SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR.COND.
2 2 1
DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKE DETECTOR
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SER VICE DISCONNECT
METER AMPS PHASE
OTHER
EQUIPMENT
Outside, Res.
1-500watt pool light
1- 1112 hp motor
1-20amp time clock
1-20amp special
Section 52
Block 041 Lot 1.3
--A
UGO S. SURDI
PRESIDENT
BUILDING PERMIT No. This certificate must not be altered in any manner
Inspectors may be identified by their credentials
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
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. 28065 Z Date FEBRUARY 4, 2002
Permission is hereby granted to:
MARGARET GUARINO
230 EAST 18TH ST o2��d . �rr� X';)
NEW YORK,NY 10003
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR. (See permit #25718Z)
at premises located at 2460 ALBERTSON LA GREENPORT
County Tax Map No. 473889 Section 052 Block 0004 Lot No. 001 . 003
pursuant to application dated FEBRUARY 4 , 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
Author ' d Sign ure
ORIGINAL
Rev. 2/19/98
j6R:e7Z� 6S 765-1802
Gu a�•. a BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL••.T�G
[ ] FIREPLACE A CHIMNEY
REMARKS:
a � �
DATE /&/0-0- INSPECTOR
r
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION(1ST)
-------------------------------------
FOUNDATION
-----------------------------------FOUNDATION(2ND) -
z
O
- — r
ROUGH FRAMING& -- --
y
PLUMBING -T,
INSULATION PER N.Y.
STATE ENERGY CODE ----- --
lol-�, ok /
T
FINAL \
ADDITIONAL COMMENTS
c-
N
rn O
-- - --- - O
� m
- -- -- - -- --- -- ll y
O
- x
d
b
y
OCT 41999 , . . . . . . . . . . . . . . .
1; BOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS
BLDG.DEFr TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . .. . .. . . . . . . .
TOWN OFSOUTHOLD BUILDING DEPARTMENT CHECK . .. . ..... .. . . . . . .. . . . . . . .
TOWN HALL SEPTIC FORM . . . . . .. . . . . .. . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
Lit II
CALL . I `T—�L 0�.. .
��TT
Eua,nined.................. 19.... MAI,L/ TO:JWtIUr� �$. . .
Approved.................. 19.... Permit ND7�� ...T .. � ✓ .............
Disapproved a/c ..................................
��ea/ ........q t, ��:W.V J.1.:77�.
......................................................
.[l4 U.. .........
(Wilding Inspector)
APPLICATION FOR BUILDING PERMIT
DatA � . . . . , 1q.q -
INSTRUCTIONS
a. Zhis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector win
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 giving a detailed description of layout of property must be drawn on the diagram which is part of
"this application.
c. ltuwork 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 throughaat the work.
e. No building shall be ocewied or used in whole or in part for any purpose whatever until a Certificate of
Oc,cupgncy shall have been granted by the Building Inspector.
APPLICATION IS BE[EBY MALE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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
regulations, and to admit authorized inspectors an premises and in building for necessary inspections.
.....................................................
(Signature of applicant, or name, if a corporation)
(Mailing address of applican
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildem
Name of owner of premise .....................
Kas an.the•tax roll or-latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No.J�qA.1414 R. .........
Plumbers License No. ... .. .......
Electricians License NC((,1 :✓.. .......
Other Trade's License No. ....................
1. Location of land on which proposed work will be done..............................................................
�4- W.A�aa-��.. O.........a . � .....N .:...
House Naber StreetII Hamlet
County Tax Map ND. 1000 Section .. ........ Block ......[....... Int ..!l.�........
Subdivision ......................................Filed Map ND. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. misting use and occupancy ...p� 1L..: t ...f. �........................
)^-
b. Intended use and occupancy ......�. . .�...Pp.. ...�... ..........
3. Nature of work (check which applicable): New Building .......... Addition .... ternon ..
..... . .... .
Repair ............ Removal ............. Demolition ............ Other Work
(Desvpti ) [ (/1
4. Estimated Cost .. OPP-............. fee
..............................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............ umber of dwelling units on each floor ................
Ifgarage, 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 ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Height ..........................''.JNumber of Stories ..................... -7
9. Size of lot: Front SI! r.1. .... Rear ..4:q✓rc 2.'...... Depth�7-.4o G 1.:.....
10. Date of Purchase ..................... Name of Former Owner ........................................
11. Zone or use district in which promises are situated ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .....................
13. Will lot be regraded ... ............ Will excess fill be rammed from premises: PqND
14. Names of Owner of premi .�l,�A.!.0 .. ���� b� .. U-7
........
Address .�(( No
Name of Architect&'PkqC-. .l::l, r ......... AddreitK-+..�.J:�:1:T�........ Phone
Name of Contractor �....... Address;-Z?0Ggitj..Y z)1.a(::5.......Phone NoyY:"l.:
15. Is this property within feet of a tidal wetland? * YES .......... ND .......
*IF YES, SQTI1)rID IUAN MMM PERMIT MAY BE MPH=.
PLOT DIAGRAM +
Incate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block maber or description according to deed, and show street names and indicate
whether interior or corner lot.
s
SPAIT OF N31 YORK,
SS
ODUN[Y OF ............
...... .........being duly sworn, deposes and says that be is the applicant
(Name of indi4idual signing contract)
above named,
Ileis the ............. .........................................................................
(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 to before me this
.....v�.P�..�.....day of ..��.e. ....19...`�.�..
Notary Public ..... ......... :...... .. .... N'
(Signa..• .o. Applicant)
NOREEN L. HAGER
volw Pvn&to
QUALIFIED IN SUFFOLK COUNTY
AM NO.52.452UU
cow�nssaNE>c�s y��rdl
4'
SURVEY OF PROPERTY
SITUATED AT "
ARSHAMOMAQUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
p,� S.C. TAX No. 1000-52-04- 1 .3
g O ouzSCALE 1 "=40'
O coxc.o MON
OCTOBER 9, 1997
. OCTOBER 29, 1997 SET STAKES
APRIL 7, 1999 ADDED FLOOD ZONES
605 9Q eal"oo 1 ,+ JUNE 15, 1999 UNDER CONSTRUCTION SURVEY
p es. CCHG.
�cE
H9 a w°p0 twIHK- AREA = 226,190.92 sq. f}.
5.193 DO.
CERTIFIED T0I
TgA�ApOS 10110TINA
C) MARGARET GUARINO
e
NOTES:
,,
\ \yK„� FLOOD ZONE INFORMATAN TAKEN FROM:
�. —.0 ° \ \ _ FLOOD INSURANCE RATE MAP No. 36103CO159 G
wnE
op0w \ nd ' ZONE AE: BASF FLOOD ELEVATIONS DETERMINED ,9.0
ORM'H9 °° w ZONE X ARDS OF 500-YEAR FLOOD; AREAS OF 100-YEAR FLOOD WITH AVERAGE
DEPT4 OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
�1 3Dz as 1 SC'UAR'E MILE, AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD.
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JOSEPH IOIFZMSXI
& HELEN PARSZCZ119KJ
PREPARED IN ACCORDANCE WITH THE MINIMUM
BYTHEAOS FOR AND SURVEYS AS ESTABIISHED
BY THE LIALS. Nlp APPROVfp ANO ADOFTEp
FOR SUCH USE BY THE NEN YORK STATE LAND
TITLE ASSOCNTNIN.
x., 0\,AND S
W' =52 PH A.IN, Lml
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9 y
ALBERTCtiON ���� N.Y.S. <. No. 49668
IJ
NNPTHIS S.E ALTERADON OR ,DRpN
TO iN15 SHRVEY ISA VIOIADON OF
SECTION 7209 OF THE NEW YORK STATE
EoucATION ".
THE OF ,HIS SWRVEY MAD NpT Brl - Joseph A. Ingegno
THE UNO STTEySUW WKEO SEAL Oq
SEp SHALL NOT BE CONSIDERED
BESJD TRITLand Surveyor
TO BE A VAE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHO
THE SURAE/
_ IS PREPARED, AND ON HIS BE TO hIE
TIRE COMPANY. GOVERNMENTAL AGENCY ANO
LENDING INSORIDON THE HEREON, AND rile Surnys — Subdinsmns — Site plane — Canebuc8an Layout
TO THE
ASSIGNEES OF RIE LQlCING INSD-
RRION. CEHIIFlGTIONS ARE NOT TPANSFEIUBIE
PHONE (516)727-2090 Fax (516)722-5093
THE EXISTANCE OF RIGHT OF WAYS OFFICES LOCATED AT MAIUNG ADDRESS
AND/OR EASEMENTS OF RECORD, IF One Union Square P.O. Box 1931
ANY. NOT SHOWN ARE NOT GUARANTEED. Aquebpgue, New York 11931
Riverhead, New. Yank 11901
•a-.,•:G*ee«e 016094v.ti t• •�jj..yRtA to WOOD
s .«rt�.ae. 20,81. [[
rat ►4 rs NCNO CD .TO C EYE r •f ltfS CiAGST CONCRETE
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AWAY-fN 1 • POOL *' RANDY T. BODECXER, INC.
Iii SZ• I6 31 a a 12 A 4 Sit 10.500
WATER OtipQy�4 SHALL E LIMITED TO OWNERS SVtK KING POOLS
PROPEIIT7 1q SUIT LOCALE REGULATIONS
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