HomeMy WebLinkAbout33235-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33127
Date: 06/30/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 835
(HOUSE NO.)
County Tax Map No. 473889 Section 98
ROBINSON LA
(STREET)
Block 5
PECONIC
(HAMLET)
Lot 6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 3, 2007 pursuant to which
Buil.ding Permit No. 33235-Z
dated
JULY 10, 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 WITH FENCE TO CODE AS APPLIED FOR.
Tbe certificate is issued to CHRISTIANA M & PAMELA L FISHER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
7756
08/01/07
PLUMBERS CERTIFICATION DATED
N/A
~zed~
Rev. 1/81
,
fY\Ci I
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.
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:
I. 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 ofOccu ancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
~lmmmg pool 25.00~ Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certlttcate ot Uccupancy 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. '/2--rjo8
New Construction: poo L
Location of Property: g 3 S-
House No.
Old or Pre-existing Building:
!<-ob ,-" So n
Lc. I'\i'
Street I
Hamlet
Owner or Owners of Property: ~&-'tn4 h~/...--
Suffolk County Tax Map No 1000, Section
q~
oj... 0, ri<;4i~ Fi' '5l--U""'
Block ~ .5 Lot
b
Permit No. b P ?;"'J z.. "3 5 Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
')<, DO
Fee Submitted: $ ()(.J
7/07
Filed Map.
Applicant:
Lot:
Subdivision
Underwriters Approval:
Final Certificate:
/
(check one)
r;~
APPlicantSign~ ~
CD ~ -::,~ \~ (
~GI L\Ssl
Nassau Suffolk Electrical Inspections, Inc.
p.a.Box 549. Aquebogue, New York 11931 · Tel: 631-591-3097. Fax: 631-591-3098
Application: 7756
Date:8/1/07
Issued to: Fisher
Address: 835 Robinson Lane
Village: Peconic
Introduced By:: Bethel Electric
License#:2880-ME
was examined and approved up to the above date and was in compliance with the NEe
New Harre
151 Roof
2nd floor
ResidenliaIlRI
PooIlRI
I-ti Tub
Del Gerage
Pddition
BasEment
Cullll::ldal
Switches Receptacles Fixtures G.F.1. Pool Panel Heater
2 2 \
Fans Dishwasher Washer/Amps Dryer/Amps Oven Salt Generator
Range/Amps
Furnace Oil Gas Heat Zanes Whirlpool Bell
Transformers
Rough Insp: Meter Amps Phase Motors
7/27/07
Finallnsp: B/1/07
Other Equipment: lnground Pool
Out Res
~ur~kcmca/~~;:t
This certificate must not be altered
in any manner
Section: 98
Block: 8
Lot:6
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..
33235 Z
Date JULY
10, 2007
permission is hereby granted to:
SCOTT CASABURRO
835 ROBINSON LA
PECONIC,NY
( f 6{tet2-)
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at
835 ROBINSON LA
PECONIC
County Tax Map No. 473889 Section 098
Block 0005
Lot No. 006
pursuant to application dated JULY 3, 2007 and approved by the
Building Inspector to expire on JANUARY 10, 2009.
Fee $
250.00
&= ~ (]-p.-
j Author~zed Signature
ORIGINAL
Rev. 5/8/02
33~3SZ
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
] FRAMING I STRAPPING )><1 FINAL
] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION
REMARKS: j/t17t 4e~
~ Or/< ~
e~~
ev-::t r ~"tL.
DATE
i~ ?-'f~o l
I
INSPECTOR ~~
FIELD INSPECTION REPORT DATE I
I.
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMlNG &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
---1---
_._-_._._--- --_._.._-------
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ADDITIONAL COMMENTS
COMMENTS
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TOWN OF 60UTHOL.o 1-~
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
:'3? :z 3,,,,?
tiU1L1JiNli l'cKlVlll Al'I'LlCAflUN CHcCKLl::i'
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N,Y,S,D,E,C,
Trustees
Contact:,
, ,
It.
!/jo 20~
ID : 20U-
J /;0 10 'j
, { ,
Examined
Approved
Disapproved alc
Mail to:
Rrf
Phone:
-P
Buildmg Inspector
APPLICATION FOR BUILDING PERMIT
Date
7 ~L-
~
,20!fJ
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 scliedule,
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 appr-oval 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 througho,.nhe work.
e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan
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 South old, Suffolk:County, New York, and other applicable Laws, Ordinances or
Regulations, for the c'onstruction of buildings, additions, or'a:1terations 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. ~~'pr~ITIise:>..aRcl ;'I-~lding for nece~safy inspections.
~ (" ' .1 \C \", '
\\~'.~, I,.. "- R~TAINSTORMWATERR N
\ M_ ,p' RSUANTTO SECTI'*'
" JUl - 3' JT OF THE TOWN CODE., ' if a co:,or.tlOn)
, 'J::'
, , " L CONSTRUCTION SHALL (Mailing ad ress of applicant)
~~IMME IA TEL Y" MEET THE REOUIREMENTS OF THE
~E~~btffi)l~~ owner, lessel(j~sesOF<f4iW.;'f~iSlAD,Egeneral contractor, electrician, plumber or builder
UPON COMPlETION 'iOERWRITERSCERTlAOOE
8&FORe "WATER"
Name of owner of premises
Fi'S,~eR- ~ ~
OCCUPANe~0Rax roll or latest dee~) '}, h " 7, J ).., c-b
',., " DATE. I'D.; B.? # . ,2 :2 2
ure U IStlY '. , " 'lIJL, FEE: /}<;7). p"fc I ;
'CATE NOTIFY BUIlD':,~ 'k,"RTMENT AT
765.1802 8 AM T .: b'.1 FOR THE
FOLLOW'NG INSPE; S:
1. FOiJi:DATION - " REQUIRED
FOR POURED CC :;RETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSmUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
Il_. _ YORK STATE. NOT RESPONSIBLE FOR
'''''e~ K- DESIGN OR CONSTRUCTION ERRORS.
Hamlet
Itle of corporate of r I .
Builders License No. \-\-I ,"&~~CCUPANCY
Plumbers License No.
Electricians License No.
V\.\E> UiI ~
Other Trade's License No.
1. Location of land 9l:! which proposed fV~rk .;;yill b, e dope:,
_835 ~lblf.,)Wt0 tI\M::.> "',
House Number Street
County Tax Map No, 1000 Section-3~
Subdivision
, Block
Filed Map No.
,/
~
(Name)
Lot
Lot
I()
State existing use and occupancy of premises and intended use and occupancy qf proposed construction:
a, Existing use and occupancy" R.10\~.A\\~' '
b, Intended use and occupancy
~e~~
l. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
Other Work ~~ltJjl> ~tM.~
(Description)
~)
J
" If dwelling, number of dwelling units
If garage, number of cars
I, Estimated Cost
Fee
(to be paid on filing this application)
Number of dwelling units on each floor
J, If business, commercial or mixed occupancy, specify nature and extent of each type of use,
Dimensions of existing structures, if any: Front
Height Number of Storie,s
Rear
Depth
tb~ 40 ut4ll.lS I-
'3wlj\\N\jLlb ~ Rear
Dimensions of same structure with alterations or additions: Front
Depth
Height
Number of Stories
" Dimensions of entire new construction: Front
Height Number of Stories
Rear
Deplh
Size of lot: Front
Rear
Depth
0, Date of Purchase
Name of Former Owner
------
I, Zone or use district in which premises are situated
2, Does proposed construction violate any zoning law, ordinance or regulation: 'krD
3, Will lot be re-graded tv-o Will excess fill be removed from premises:@ NO
4,NamesofOwnerofpremisesJ/~~w Address~. ~peNO'~
Name of Architect :r~ /).-> ~~I Address llItlflV!i'1Th.e No 2q" -71\(,..
NameofContractorl)lIl'lR-tTE IJ~ Ad,dr~t~,; ,!~oneNo, S8&-/bllo
5, Is lhis property within 100 feet ofa tidal wetland? 'YES ,-,- H1'\~, NO K
. IF YES, SOUTHOLD TOWN TRUSTEES PERlv.!ITS-MAV BE REQUIRED
, ',.~ ..... '
6, Provide survey, to scale, with accurate foundatiOll plan and distanC1;s to property lines,
,j ~ .".,' -' :".-, .--iH . ,. hj~ ~
7, If elevation at any point on property is at 1 0 ,~~et 0: below,mo'sf'Prd~id~'!opographical dati~i?':IJ~MOO~~~~l'13
;:,- " oRJTAW' 3AOlIiI
TATE OF NEW YORK)
SS:
COUNTY OF '3lLffOu.::)
,..;,', "'" 'JI "'ao
CLIFFO~ ,BMTHN,t'\-t-J beiri~(r~1,Y, S"f~~: d~?~s,~~n<J says that (s)he is the applicant
(Name ofmdlvldual slgmng contract) above namedJU., ~V A..J /1:) '.' ::it.;, I
n ~.. A "':JtT~;:J' \ ",'! 'Ol~TJ' iJ
~~ ,t,,-J'J,! .J'-' 'J r, '.';
~ctor~ent, ~te Officrer;:~I-C "1C
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
lat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith,
'.. ........
3)He is the
worn to befi2re me this
t.IVIJdayof ~~
~-J .. =-.
Notary Public
'-'-
PETER BOOTH
Notary Public, State of New York
No. 01806092004, Suffolk County
Term Expires May 12, 2011
,
',,",--
TOWN OF SOUTHOLD PROPERTY RECORD CARD
S
.' ot.l ,
STREET
VILLAGE
DIST.
SUB.
n.-:r+t7"\~
D,
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o '
t\,~:,f.'(
FORMER OWNER
N E
S W
VL. FARM COMM. CB. MISe.
TOTAL DATE REMARKS '\
~ ew
ACR. /' a ~
, 41'5. 6 / 7-.l
TYPE OF BUILDING
Mkt. Value
IMP.
o
;7-3
:1,/-00
2 ifo 0
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LOT
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L
-!Of -fo CasaburrD 'fu.>-t - :rI73q Dim
*.
/(""00
_00
1500
I "'-"",')
. ~.
Tillable 3
Woodland
Swampland
Brushland
...!,../
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
Hause Plat
Total
--
DOCK
,., -
-- v i\ '.< -. : '
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, ~ COLOR
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-----------.-----.-..---.-.--..------...-.....!
I
M. Bldg. ), t. s-t'f /;'50 SJs/ I~.mdatian Bath 3 Dinette
,.)C) 4'/ ~ ' U99 G :;r:p
, . ,.-
Extension --+'c /733 Basement Floors K.
33x fS c '/"r 5 35'0 Fc/L. L O-'f-A
,
Extension 10"./90 I o//}) Ext. Walls IF I t.,r-l t-- Interior Finish <; ;.Ii'1 -j .f:'" c.J: LR.
<t! /1-, I }', ,~
~-e> .-
Extension ur- t7/ Fire Place .. -R. Heat DR.
~ x I ,,? ~ ..f. &:., 3.t.s ELfie.
. /
Type Roof GliB/.. C Rooms 1 st Floor .' BR,
- ----
Porch Recreation Roon Rooms 2nd Floo FIN. B.
Porch Dormer ,+,L< Ice ,. .
,'; ').",,! -
Breezeway Driveway
Garage :J/,/.5q . ,. () q ,,,D t,,,q
./ " )( /0- laD '7
Patio (- 100
.-- 1--- ---- 1--_._..___________
0, B. .
9/.f2 "'- --~- ----..----"."-
Total .4 ss- -- Vt/c, 11100 rf/!
-
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Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M.I:
100lL 9L ....5- 1L-
District Section Block Lot
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN
CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
----------------------------------------------------
Item Number: (NOTE: A Check Mark ( </) for each Question is Required for a Complete Application)
Yes
~
1
----------------------------------------------------
2
3
4
5
6
7
8
9
Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This item will include all run-off created by site clearing and/or construction activities as well as all Site
Improvements and the pennanent creation of impervious surtaces.)
Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location?
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow!
Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel?
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand (5,000) Square Feet of Ground Surface?
Is there a Natural Water Course Running through the Site?
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (100') of Horizontal Distance?
Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-off
into and/or in the direction of a Town right-of-way?
Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of
any Item Within the Town Right-of-Way or Road Shoulder Area?
(This Item will NOT Include the Installation of Driveway Aprons.)
Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse?
~[J
X[J
[J~
[JX
[JX:
[J2s-
[JX-
[JX-
[J2S
NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark in the Box, a Storm-Water, Grading,
Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Pennltl
EXEMPTION:
----------------------------------------------------
~
Yes
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requlredl ~
----------------------------------------------------
STATE OF NEW YORK, S
COUNTY OF.... ~............. SS
That I, ..CJd..~....~......,..,............,......., being duly sworn, de~oses and says that he/she is the applicant for Pennit,
And that he/she(::::;nd;~:~.~~:.~;~:::~.~~............................................................................................................
(Owner, Contractor, Agent, Corporate Officer, elc.)
Owner and/or representative of the Owner of Owner's, and is duly authorized to penorm or have penormed 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 penormed in the manner set forth in the application filed herewith.
Sworn to hefore me thi~ ~
................................6.....~.... day of ....t9.................P~O;~TH
N P bl' -=:: ~ - :.. =-.---NobIIvPubllc, State of New Yo
otuy u Ie: .~ 7' . m "',.~.li3eee92oozI;.SUftOlk Ccili"
Term Expires May 12, 2011
FORM - 06107
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~~
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1198.-5-6
,
I Casaburro. Scali
f 835 Robinson Ln
ii
U Parcel 98. .5.6
I
~I
<
~rjnts-'the screen
.__-... r
I~ ~ ~ ~I 0 iii
473889 S outhold
RolIYear: 120'07 Curr Yr
Land Size: 0.95 acres
1.tJ~1'
Active RIS: 1.
1 Fam~.l' Res
Schook Southold School
LandAV:1..~00
T alai AV: 9.700
Site No:
Propell~ Class:
Route No.
Nbhd Code:
S~wer Type:
Water Suppl~:
L. _ _ -'co.,.
Utilities: ':,
Site Desilabilit~:
Nbhd Type:,
Nbhd Raling:
Road Type:
D~ ~ntr~ T ~pe:
Zoning Code:
i \\.l-lJ- '. < I v'L t l; I G {6'
-(t" * "~\j~r<I'q, J
(~---;
f,)
I" LONer. WEL06 ON
&Ioe OF"'~
IIJEI...OEOTOP"ceoTTOM
A& ei-IOWN AND COYER
OVER WEL06 WITI-I
.Al..JJI"1lNUM COA TINer.
TTT
~~~
TYF. FANEL 5TIFFNER
!
!O-32><e/." &ELF PRIWNG &CREIII6
FACED. 12" O.C.
CONCRFTE OR WOOC DECK UP TO
COPINcr. leY OT\oER&J____
6l..OI"'ED AWAY l"ROM 1"001. ,..ANa.
6TIFFENER (8ETONDJ
LONer. 6TEB. ANci1.E
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20 1111. VINTL L/NElQ:
6TEEL. WALL. PAHEL
3/.".i6x1" SOl-T, 1'Vt,l2J ~
2" n.IICK VERMICUUTE Acr.GREcr..4TE MIX
I-IARD eoTTOM
18" LONer. 6TEEl.. REINFORClNG ROD
INTOLlNDl6T1JR&B:l~Tf.l'fl.lR0lJGI.I
IoIOLE& IN SOTTON OF ,..ANa.
TYFICAL WALL 5ECTION AT 'A' FRAME
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