HomeMy WebLinkAbout33021-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32770
Date: 12/07/07
THIS CBRTIFmS that the building IN-GROUND SWIMMING POOL
Location of Property: 870
(HOUSE NO.)
County Tax Map No. 473889 Section 56
SOUTHOLD
(HAMLET)
Lot 2.9
SUbdivision
Filed Map 1110.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 8, 2007 pursuant to which
Building Permit No. 33021-Z
dated
MAY 9, 2007
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 JOSEPH A & LORRAINE SFERLAZZA
(OWNER)
of the aforesaid building.
SUFFOLK COUlIITY DEPARnmNT OF HEALTH APPROVAL
N/A
ELECTRICAL CBRTIFICATE NO.
31707
09/15/99
PLUMBERS CBRTIFlCATIOlII DATED
N/A
~'od~
Rev. 1/81
.
.
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:
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 I~~~ !fan 2/10 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildil)*sd.~.i\ist}),~lations, a certificate
of Code Compliance from architect or engineer responsible for the building. /; /; J! '"'-i" ;;"',
6. Submit Planning Board Approval of completed site plan requirements. I /Jill ~ k' .
. / "-
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or bui !ings~"p~e/:tBting" l";~d uses:
I. Accurate survey of property showing all property lines, streets, building and '. flatur,,1 or taix>grapflic
features. C ,lo:> /0,'
2. A properly completed application and consent to inspect sigoed by the applicant. If aCe . '~O~C~Cy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant. <JV
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
If /2'J;J 7
t .
Date.
Owner or Owners of Property:
~5C/Jlf
~ ~!A./L
,
1/ (check one)
SdVT?ftf t. b
c f~cA LA ""Z- LA
Hamlet
New Construction: Old or Pre-existing Building:
Location of Property: ?J? () m/~ tf t/ ,c
House No. Street
Suffolk County Tax Map No 1000, Section
Block
Lot
Subdivision
Filed Map.
Lot:
Permit No. :3 3D 2- (-2:: Date of Permit.
Applicant:
Underwriters Approval:
Health Dept. Approval:
Planning Board Approval:
v ( check one)
Request for: Temporary Certificate
n
Fee Submitted: $ 6lCOO.
Final Certificate:
~'1~t-/7 ~
COr:31773
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.
33021 Z
Date MAY
9, 2007
Permission is hereby granted to:
JOSEPH A SFERLAZZA
870 PARK AVENUE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL W/ FENCE TO
CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP # 25930
at premises located at
870 PARK AVE
SOUTHOLD
County Tax Map No. 473889 Section 056
Block 0001
Lot No. 002.009
pursuant to application dated MAY 8, 2007 and approved by the
Building Inspector to expire on NOVEMBER 9, 2008.
Fee $
150.00
Aut
ORIGINAL
Rev. 5/8/02
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EAST PATCHOGUE,NEW YORK 11772
(516) 286-6642
31707
DATK 9/15/99 APPL/CA TION No. ON FILE
VILLAGE: Southo/d TOWN: southo/d
ADDRESS: R70 Park Avenue
ISSUED TO: Sferlazza
INTRODUCED BY: USI Electric UCNo: 2704-E
was examined on 9/15/99 andjound to be in compliance with the National Electrical Code
LOCA TION: Base.. X 1st 2nd 3rd Attic
Det. Garage Hot Tub Pool x
SWiTCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR. CONDo
1 2 1
DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE OVEN SMOKE DETECTOR
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT
METER AMPS PHASE
I
OTHER
EQUIPMENT
Outside resident
swimming pool
1- 500 watt paollight
1-11/2 hp motor
1-20 amp TC
1-20 amp special- pool heater-Fgas
056 0001 2. 009
~~L~~k
uC',o S. SURD! t!'.t?
PRESIDENT
BUiLDING PERMIT No. 1bis certificate must notbeahered in any manner
Inspectors may be identified by thW credentials
BLUE ORIGINAL YELWW COPY PINK COPY OFFICE
? 31> Ql--\ Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS: jJ~ ~ ~ok,
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DATE
J 1- ';--1- 0 7 INSPECTOR ~
3 3>OL.l~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE R CONSTRUCTION
[ ] ROUGH PLBG. () /J (
( ] IN~TION 1M-'( ~ &J
[J>flN~~
[ ] FIRE ~INSPECTION
[ ] RRE RESISTANT PENETRATION
INSPECTOR
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DATE COHKENTS .
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Section A-A
Typical Wall Section
ARTHUR EDWARDS
POOL & SPA CENTRE
-
16%32' 16' 32' 8' 14' 8' 4' 4' 8' 512 19,000 PERMACRETE WALL SYSTEM
16':r36' 16' 36' 12' 14' 8' 4' 4' 8' 576 21,600 929 Route 25A Miller Place NY 11 764 Cl<T
18':r36' 18' 36' 12' 14' 6' 4' 5' 8' 64lI 24.300 (516) 744-7185 FAX (516) 744-0174 ()
Suffolk License #4436-HI ......
Nassau License #HI74450000
ABC D E F G H AREA CAP.
FEET :rr. FT. FT. FT. FT. FT. FT. F'l'. SQ.F'l'. GAL.
-
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. ZO'z4ll'
zo,. 40'
14' 14' 8' 4' 6' 8' 600 30,000
___-.;.._~_.______'~__. -.__. ....~ .._..___._.__.....___._._.F___......
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IOOO.Sw-I-Z.9 TOWN OF SOUTHOLD PROPERty RECORD CARD \
OWNER STREET VILLAGE DIST. SUB.
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COMM. clf MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
Tillable
Woodland
Meadowland
House Plot
,t:t '7
{.,OD
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
Total
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~S\Y "':~o\l 3/2/7'0 ~q~3 Basement C \t Floors , b(('
Extension \ 7 K. i&>'R..' I o"S'1J- 31fS ~ IN oo~
E\E.~X!l?. -Ie 1('2.2- . 2~O) -
xte slon I.CI., 3,,,,0, .8tfZ~1 F.xt. Walls C~~o..., clo.l) Interior Finish ~,-t
~l~~ ,_~ ~ J( ':\ < ~S1-),\ Fire Place '(c-S Heat 5 ~e '~
Extension {i'l v:3 ~ '2-0
\~.1l'~ ;,"K2 , c "3 ~."75" 2ab s,k\-'.....
.
- - v
Porch (0 x.eZ = \3~ .50 fo~ Pool Attic
Deck 7 1<'2.1 ~ l t7 < 307 ,2." 77 Patio Rooms 1 st Floor
,,," I. '" I(no"':::
Breezeway Driveway Rooms 2nd Floor
Garage 25 ~;Z < 8= 1.2S"" \)oo~
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.FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. ]]971
TEL: 765-1802
BOARD OF HEALTH ...............
.....3 SETS OF PLANS ...............
.......sURVEY ........................
.....cHECK .........................
SEPTIC FORM ...................
Exanired.~:..r... 1/12 . d.5c;3()~
Approved.~:.~.... ]9~ Pemut No. ................
Disapproved alc ........ .... .......... ............
NOTIFY: "
'\L\~. 1115S"
CALL ..................
MAIL TO:....................
.........................f..........
r-I D' c' ~ n f? ill
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" .1 '",,' U 'j(,
Jj r-~!~L.I.~~~ .~ I ~
..~.~
tor)
........................................................
APPLICATION FOR BUILDING PERMIT
Date....... .7:-..I~:. .19QQ
BLDG.DEPc INSTRUCTIONS
T WI< FS . THOLD
a. 'This application DUSt be CXJq>letely filled in by typewriter or in ink and sul:mirred to the Building Inspector wi
3 sets of plans. accurate plot plan to scale. Fee according to schedule.
b. Plot plan sharing location of lot and of buildings on prenises. relationship to adjoining prenises or J1Iblic
streets or areas. and giving a detailed description of layout of property 11llSt be draom on the diagran .t.ich is pare of
this application.
. c. The..ork rovered by this application 1'8}' not be CCIIlreOCed before issuance of Building Permit.
d. Upon approval of this application. the Building Inspector will issue a Building Permit to the applicant. Such
permi t shall be kept on the prenises available for inspection throughoot the ..ork.
.
e. No building shall be occupied or used in Wale or in part for any purpose .t.atever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLlCATIal IS IEREBY !WE to tbe Building Department for the issuance of a Building Permit plIsuant to the
Building Zone Ordinance of the Town of Southold. a.ffolk Coonty. New York. and other applicable Laws, Ordinances or
Regulations. for the construction of buildings. additions or alterations. or for reIOOI781 or deoolition. as herein
described. The applicant agrees to CXJq>ly with all applicable laws. ordinances. building code. housing code. and
regulations, and to aanit authorized inspectors on prenises and in building for necessary inspecAions.
....... .bl: .fIMMM..r~:'I. ~fA. .(f.~e..
(Signature of applicant. or "'""". if a corporation)
. .12..1.. ~1. . p.~/J. . . !!t.&{ . .f.bt.e.. JII..117!11
(Mailing address of applicant)
~~~~~ .~~~~ .~~~~~~. ~~ .=~: .~~~~: .3~Z;~~~: .~~~~~: .~~~~ .:~~~~~: .~~~~~~~~~: .~~~~.~~ .~~~~r
Nare of CMler of prenises . .:f.Otljlh... S.f.E?~h17.,!L.............................................................
(as on the tax roll or latest deed)
-'
If applicant is a corporation. signature of duly authorized officer.
..../M;-r:uuI::.T .@~~X. .....f~~...
(Nare and title of corporate officer)
Builders License No.
. . .J.j~3~. : .I'U . .. . . .. . .
Pludlers License No. .........................
Electricians License No. .. .~.lJ':IQ:. t........
other Trade's License No. ....................
I. UJcation of land on .t.ich proposed ,..,rk will be done..............................................................
....... ~.'70................... YMt. .Av.~................................... .Scv.ntoh ~.....................
\hJse lUJber Street llan1et
Coonty Tax Map No. 1000 Section .....Q1........ Block ...J............ Lot .2.9.........
Subdivision... ........ ................. ... ....... Filed Map No. ........... ....-'..ot .. PlJ............
(Nare )
.1....;:,.,1'" .~,.., ^ ~RA.OAAM
~. State existing use and oc~ prenises and intended use and occupanqr of proposed cOnSl1JoI'f~1t
a. Existing use and occupancy ..52.-KeslQ(~tI.......:...,.., I....... ........... ...... ........ ...,........
~~~jJ~, 1<:...,.....":..0:;..:.'...\..1 _{ .",
.0 i rv~ C'C:I.~liO "'~j
b. Intended use and occupancy .... ::J'j""" "'~'" .".~.1...:.;'..1.;;~..,..,. ... ............. ....................... .....
UUV' ",'0 tut,;. .11 - ',',,: ..'~.
,8 rt:l1&M d611'lX;J no!~.;mmo:>
/'
J
J.
!'.ature of work (d>eck "hidl applicable): New ltJilding .......... h1dition ..... ~C... AlteratWn ..........
Repair............ Reonval ............. IlenDlitioo ............ Other Work . >.JW11Jll1lIlliq. ..rP.Q(,................
(llescription)
I,.
EstinBted Cost ..~l.OOO..-:::...........
fee
...............................................
5.
(to be paid on filing this applicatioo)
If a....lling, lUrher of dwelling .mits .b.!\!.r....... IUrtJer of dwelling mits on each floor .N/A..........
If garage, rutber of cars .....JliIA............................ !
If business, camercial or milled occupancy, ~ nature and extent of eadl type of use... 1/)1.1...............
Dimensioos of existing structures, if any: ~... ..3g~...... e-... J".&?5.:. Depth .. ~:.....
lleight ........_............. lUrber of Stories .......!...........
DhrensilJl18 of 'Ii"'" structure with alteratilJl18 or additioos: Front... .N~. ':A"'" Rear... !\IJA.......
~Pth :.......'Y I~........ lIeight :.... .'j~.... 3& j tblber o~,~:ries j ..,."i1ft......... 3'12- '"' pi
DurensllJl18 of entIre new coostructlon: i'ront: .................a........... .~........ llepth ..............
lleight ...... ..^.!lIT............. lUrber of ' Stories ... }')iJfi..............
Size of lot: Front. .J.lqQ~............ Rear ....1 ~9.:......... . Depth . P!~ / ~~......
Date of Purd18se ..................... Nare of Former Oroer .0...J~.~.~0Y.'-:':-!L....CA'f..........
Zone d. t . t' ''''ch' 'tuB ed
or use IS TIC In _,1 pI'BlllseS are 8:1 t ................................................................... "'....... ...........................................
\: ..
Does proposed constructioo violate any zoning laJ, ordinance or regulatioo: .. f!!o,................. .
, ,
Will lot be regraded .................... Will excess fill be reuoved fran preu\ises: ' YES lP,
Nares of Oroer of premises ~(J.LS.ff{..Y1??1..... h1dress .~'J.q..~~.!M..;.~. Phooe lb. .l.I.q.~.I.......
Nare of Ardlitect .. 'lL~_"" .,......................... h1dress ..lJ-,..q.... S...... t.... '.;;.i-' iI. .... i.) J~; .iJ.L....:~ :'. 7"./f. '.1/_. ..7...'..fS.....',
Nare of Contractor .f.IJY~..~~~~............ h1dress '11. .. f: Ql.ur I:1<Lh... r! "'u", '" .1:
Is Ulis property within :JOO feet of a tidal wetland? * YES .......... 00.. X. ....
*IF YES, mmun ~ 11l1lSIEIl.'l I'IllMIT Mt\Y IJI! IlE'QJlllllO.
6.
7.
8.
9.
10.
II.
12.
13.
14.
15.
PLOT DIAGRAM
IDeate clearly and distinctly all buildings, ~U>er existing or proposed, and indicate all set-back dhrensilJl18
fron property lines. Give street and block n.nber or description according to deed, and show street names and indicate
~Uler interior or corner lot.
See.. SueVQy
srA'!E U' n;w YORK,
SV~ri K. 55
tUlNIY 01' ......... .0.<,..........
........... .A&l/t,.... flJ.l/ttI!}~..... ,................ .being duly sworn, deposes and says that he is Ule applicant
(Nare of irxlivid<l81 signing contract)
"~ ""red, t!ol'i-rrtM-foc
lie JS the........ _............................................................... ......... ..................
(('AJIltractor, agent, corporate officer, etc.)
nr said ~ler or oomers, and is duly authorl>:e<l to perform or have l'erfonred Ule said work and to mke and file this
"pplication; that all staterents contained in this application are true to the best of his knowledge and belief; and
that the work will be perfonred in tile mOIler set forth in the application filed therewith.
~m to bef~ Ire this
.......... J.6.'.-:.. .day oE . 0/JJ.:.......... .. 19. qq...
Ibtary Public .11: ..... .J.. ~
MNlGAR A. BI'I\l""^'-'RTIt
~D.i"'l~ '.qwYork
"It"
('I"
C"~
.ty
_,20_
MARGARET A. BANNWARTH
Notary Publlo, Stat, of New YcllII
No. 01 BA6021111
Qualified In Suffolk Counlr ~.
CommiaaIon Explr. MlIrCh .. 2CULL
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'1 ~ ~ OCCUPANCY OR 14
I (Ill ~ i USE IS UNLAWFU~ \23';
I!~ ~i WITHOUTtCERTIFICA~t.:i)
I V ~. i OF OCCUPA~CY
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..., . ~:' "'70.369JE.. ""~-)<-
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"IMMEDIATEL V"
IIltt08E POOL 10 CODE
UPON COMPI.ETION
IEFORE "WATER"
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INSI'EcnoNS:
AnON . 1WO REQUIRED
POURED~'I:
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L.L CONSTRUCTION SHAll MEET
. /'IE REQUIREMENTS OF THE N.Y.
/' STATE CONSTRUCTION . ENERGY
CODES. NOT RESPONSIBLE FOR
. /DESIGN OR CONSTRUCTION ERRORS
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MAP AMEJooWEO/.5EPT.I2,19S9
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SUFFOLK CO. HEALTH DEPT. APPROVAL
H.S. NO. B9.,5Q'B7d
STATEMENT OF .~TENT
THE WATER SUPP1.Y AND SEWAGE DIS~AL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK CO, DEPT, OF HEALTH SERVICES.
(S)
APPUCANT
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES - FOR APPROVAL OF
CONSTRUCTION ONL Y
1:)A TE:
H. S. REF. NO.: 89.50-87
APPROVED:
'SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT. BLOCt<: PeL.
JO<:X) - - ..~l 2.9 -',-
0WMEfIrS ADDRESS:
i:.lo TO" TO~l.50N
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:sat:ITHGt:D,N.'l.'IIVT I
DEED: ,L.
TEST HOLE
P.
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'; .;"'~.':'<!'.. .:. al'Ki on his bei":.s.:fto t.'hi
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SEAL
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ARTHUR EDWA.RDS
POOL &:- SPA CENTRE
8' 14' 8' 4' 4' 8' 512 19,000 PERMACRETE WAlL SYSTEM
12' 14' 8' 4' 4' B' 576 21,600 929 Route 25A Miller Place NY 1.1 764 ....
12' 14' 6' 4' 5' B' 648 24,300 (516)744-7185 FAX (516) 744-0174 ()
Suffolk License #4436-m .......
Nassau License #m74450000
..
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Plan
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I SIZE ABC D E F G H ARE! CAP.
F.E:ET n FT. FT. FT. FT. FT. IT. IT. sQn. GAL.
16%32' 16' 32'
T
4.2" -l
Section B- B
\ H. 7
Section A-A
16'%36' 16' 36'
18'%36' 18' 36'
20'x4O' 20' 40' 14' 14'
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8' 4' 6' B' 800 30,000
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Piping Arrangement
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3!100 P.sJ.. eoncr..
~10"
Typical Wall Section
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