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Home My WebLink About33960-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 07/22/08 11I0: Z-33170 THIS CERTIFIES that the building ACCESSORY Location of Property: 195 VILLAGE (HOUSE NO.) County Tax Map 11I0. 473889 Section 18 LA (STREET) Block 5 ORIENT (HAMLET) Lot 8 Subdivision Filed Map 11I0. Lot ilia. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 2008 pursuant to which Bui1ding Permit ilia. 33960-Z dated JUNE 5, 2008 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 AS PER ZBA #5632 DATED 12/29/04. The certificate is issued to ELIZABETH J PEYTON & ANO (OWNER) of the aforesaid building. N/A SUFFOLK COUlhox. DEPAR~ OF HEALTH APPROVAL 06/18/08 ELECTRICAL CERTIFICATE 11IO. 4003136 N/A PLUMBERS CERTIFlCATIOIII DATED Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f71r-J r) 0 7 /l.lliJir 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 2/1 0 of 1 % lead. 5. Conunercial 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 bnildings 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 I. Celtificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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, Conunercial $15.00 Date. New Construction: ~ Old or Pre-existing Building: Location of Property: l'1r V(.c.(,fCc c;/IAlc OJ(rET-Jr House No. Street ,M1 f ( check one) II f ~- 7 Hamlet Owner or Owners of Property: Eot:. { 2. #.6 ErH /' L;''7'~,<-( y A ~.AJ 7" ri~~ I Suffolk County Tax Map No 1000, Section I i Block s~ Lot y Subdivision Filed Map. Lot: Permit No. 3 3~6" Date of Permit. ,/ d" S" Applicant: Ez /2.<'J ~ C71f- "-?c'/"TO,,v , , / Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ..2"" '-' C-{O 2::~:"/a 00 J-.{ ~ '-n ~'~~~ ~7~/~t:. J6.pplicant Signatur / ,7 _ S -9 '. [!J.[!J ~ .' BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ ~ ~ ELIZABETH JOY PEYTON ELIZABETH PEYTON ~ @I PO BOX 540 195 VILLAGE LN @I ~ ORIENT, NY 11957 ORIENT, NY 11957 ~ ~ Located at ~ ~ 195VILLAGELNORIENT,NY11957 ~ ~ Application Number: Certificate Number: ~ ~ 4003136 4003136 ~ ~ Section: Block: Lot: Building Permit: BDC: ~ ~ . ns11 ~ ~ Described as a Residential Electrical Survey occupancy, wherein the premises electrical system consisting of ~ I electrical devices and wiring, described below, located in/on the premises at: <7 ? c' ~ ' I ~ Detached Garage, PooJ/Spa, '_, " /,:- :,.', ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 18th Day of June, 2008. ~ ~ ~ .QIY Rate Ratinl! ~:um: ~ ~ Appliances and Accessories m! ~ Exhaust Fan 2 0 F,H,P ~ ~ Furnace 1 0 Gas ~ ~ Paoli Spa Bondin9 1 0 ~ ~ Pool Heater 1 0 Gas ~ ~ Time Clock SWitch 1 0 ~ ~ Panels 1 40 10 ~ ~ Wi~g~d~~ ~ ~ Dimmer 5 0 120V ~ rnJ Fixture 2 0 pool Incandescent reJ ~ Fixture 5 0 Incandescent ~ ~ GFCI Circuit Breaker 1 0 20a ~ @I Lighting Track 600ft @I ~ Outlet 5 0 Fixture ~ ~ DuUet 12 0 Gen, Purpose ~ ~ Receptade 1 0 GFCI ~ ~ Receptade 1 0 pool GFCI seal I ~ Cootinu<:d 00 Next Page I of 2 ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, I [!J~.[!J Il 1 'tr"" '.. !",f. '~'I ".,...".. . rn.rn ~ .-- BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ ~ ~ ELIZABETH JOY PEYTON ELIZABETH PEYTON '2 3 ~ @! PO BOX 540 195 VILLAGE LN /] 0.0 J ii!I ~ ORIENT, NY 11957 ORIENT, NY 11957 J ",) ~ ~ Located at ~ ~ 195 VILLAGE LN ORIENT, NY 11957 ~ ~ Application Number: Certificate Number: ~ ii!I 4003136 4003136 ii!I ~ Section: Block: Lot: Building Permit: BDC: ~ ~ . ns11 ~ ~ Described as a Residential Electrical Survey occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Detached Garage, Pool/Spa, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 18th Day of June, 2008. ~ ~ ::ptacle ~ R~te R:~:OOI Circuits :::ciall twist lock ~ ~ Receptacle 9 0 Gen, Purpose ~ ~ Switch 31 0 pool Gen, Purpose ~ ii!I Switch 0 Gen, Purpose ~ ~ ~ ~ ~ ! (Swimming Pool): This certificate covers compliance at the date of inspection only_ Because of unusual enviromnents it is advisable to bave I ~ frequent test and/or repairs made by a quaJified person. ~ ~ An as built visual inspection, of the delineated electrical installation, detennined that an obvious hazard is not present and the installation is ~ ~ believed to be in confonnance with the applicable reference standard for the estimated period of construction of the premises wiring system. ~ ~ No visual defects: an electrical survey has been made of the exposed electrical equipment in the premises indicated. No obvious unsatisfactory ~ ~ condition was found. ~ ~ ~ ~ ~ ~ seal ~ ~ 2 of 2 ~ ~ ~ ~ ~ ~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ rn~~~rn 'I 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. 33960 Z Date JUNE 5, 2008 permission is hereby granted to: ELIZABETH J PEYTON PO BOX 540 ORIENT,NY 11957 for : CONSTRUCT INGROUND SWIMMING POOL IN THE SIDE YARD PER ZBA # 5632 FENCED TO CODE. THIS PERMIT REPLACES BP 31148. at premises located at 195 VILLAGE LA ORIENT County Tax Map No. 473889 Section 018 Block 0005 Lot No. 008 pursuant to application dated JUNE 5, 2008 and approved by the Building Inspector to expire on DECEMBER 5, 2009. Fee $ 300.00 ~~ ili / Authorized Signature ORIGINAL Rev. 5/8/02 ij 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) 32,'1100 {~4 PERMIT NO. ~8 Z Date MAY 19, 2005 "'- Permission is hereby granted to: ELIZABETH J PEYTON PO BOX 540 ORIENT,NY 11957 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE SIDE YARD PER ZBA DECISION #5632, FENCED TO CODE at premises located at 195 VILLAGE LA ORIENT County Tax Map No. 473889 Section 018 Block 0005 Lot No. 008 pursuant to application dated MAY 18, 2005 and approved by the Building Inspector to expire on NOVEMBER 19, 2006. Fee $ 300.00 ~*'~.:. ~ ;f~ Authorized Signature ORIGINAL Rev. 5/8/02 , , l! I APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer Lydia A. Tortora Vincent Orlando James Dinizio, Jr. Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 Tel. (631) 765-1809 Fax (631) 765-9064 hllp:/ /southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF DECEMBER 29, 2004 ZB Ref. No. 5632 - E. Peyton and A. Just Property Location: 195 Village Lane, Orient; CTM 18-5-8 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. , ! PROPERTY FACTS/DESCRIPTION: The applicants' 13,875 sq. ft. lot has 130 feet along Village Lane, 118.20 feet along the northerly property line, 140.45 feet along the southerly side property line, and 90 feet at the rear line. The lot is improved with a one-story frame house and accessory garage building, as shown on the June 5, 2001 survey prepared by Peconic Surveyors, P.C., amended May 4, 2004. BASIS OF APPLICATION: Building Department's September 10, 2004 Notice of Disapproval, citing Section 100-33 in its denial of a building permit application concerning construction of a proposed swimming (lap) pool. The reason stated in the disapproval is for a side yard location, rather than a rear yard location. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on December 16, 2004 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: The applicants wish to construct a 12 ft. by 55 ft. lap pool along the side of the existing dwelling, in the northerly side yard. The pool is proposed at least 40 feet from the front property line and seven (7) feet from the side lot line, as shown on the survey prepared by Peconic Surveyors, P.C. amended December 16,2004. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of alternative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant's home is centered on the lot. , Page 2 - December 29, 2004 ZB Ref. No. 5632 - E. Peyton and A. Just CTM Id: 18-5-8 \ Most of the rear yard is occupied by an accessory garage building and a sanitary system. The lap pool construction is proposed within a fence enclosure along the northerly yard, near the house, and at least 40 feet from the front line along the street. No objections or concems were raised at the December 16, 2004 public hearing concerning this proposed location. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The rear yard of the property contains an accessory garage and a sanitary system. 3. The amount of relief requested to locate a lap pool structure in a side yard at least 10 feet from the side property line is the maximum relief the board would approve. 4. The difficulty has not been self-created and is related to the location of the existing sanitary system in the rear yard and garage in the rear yard. To move these structures would be very costly I and would require other types of variance applications before agencies. ! 5. No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an accessory lap pool structure, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town law 267-B, motion was offered by Member Goehringer, seconded by Member Orlando, and duly carried, to .. DENY the variance as applied for with respect to the proposed 7 ft. side yard setback, and to ... GRANT alternative relief with a minimum side yard setback at 10 feet, SUBJECT TO THE FOllOWING CONDITION: That screening be placed on the north side. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly ~ lik ~ t' Page 3 - December 29, 2004 ZB Ref. No. 5632 - E. Peyton and A. Just CTM Id: 18-5-8 addressed in this action. Vote of the Board: Ayes: Members Orlando (Acting Chair were Chairwoman Oliva and Member Tortora. This Resoluti 'I Dinizio. Absent 3-0). Vincent Orlando, Acting Chairman 1/ rJ../ /05 Approved for Filing '- -s-~ TOWN OF SOUTHOLD PROPERTY RECORD CARD / STREET 11 . 2.. o tWNER II z Ct bet-h J""" p~ yto Y1 21- ORMER 0 VILLAGE . C>"rl <! E DIST. SUB. 'LOT "DESC. abdr VL. "A t3 of ACR. .~ O' lYPE OF BUILDING IMP. TOTAL DATE W, . LLC4- ~ COMM, CB. MISC. REMARKS ,... e,.. Mkt. Value '9-1." "fM <...1 So 't FARM G,oc ())tG(a.;h~ AGE.JJ' 'fW NORMAL BUILDING CONDITION BELOW ABOVE \RM Acre Value Per Acre Value ... able J able 2 Jble 3 ~... <l.dt!Vl.- ~ tj~ x1lond mpland ih land - FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD :30 ~ : ,J-() se Plot ..,.... ( ,I DOCK ". . , , ". " ~........ , ,.. , . , , COLOR /,:f .' ". : ~_~ .0'//;(:- " .- , .n .t:~ L, ",-' . . TRIM . f I' ,*. -."1 ..: , ~ J IIJ I'~,I /< ., 1''- ~)l/:.J "'" , -' 0. L ".. Foundation I VA:' ~ 1.0 .,. Basennent ;2. I~~ 41G4- Ext. Walls !p ~ ~ Fire Place I Type Roof QA J /. 2. -l Co I Recreation Roonn (J Both / Dinette Floors (0 oJ, K. / Interior Finish 9~~ LR. I Heat .~^ . DR./ Roonns 1 st Floor e- BR. Z- Roonns 2nd Floor FIN. B. I -'" . / :z- '3 ')- 9g'J ,..") ILl Oe I J It u Jr4(f ~ 5 II ';'1, t?"",.l . j')(f ~ Ik> u..;. '^ 'orch" . ('I. 'v:. 70 1-1,{. 'orch /4Xf :,../],.1, ~RXl./tf. :- I X/I/-: ) )( 11", A. Bldg. :xtension :xtension :xtension I~ Dornner Breezeway I~ ~ 2:J NO v Driveway 30rage ,t 0 X)..O : 't'" Patio O. B. , 'U hI. ' SIlIfo ("I ~ .ilk. 24 - 7q''f "/ ~12.cl9C{-) ~f:!-~~ I ~ ~, '. ..' ......"..........'~ Total y h. ~ . G 3~~fo(] -:-1 ~ 554~3-i?- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSUL _ ~-"/J ] FRAMING I STRAPPING INAL ~ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR , 3~CfCo()~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I,.oLATION [ ] FRAMING I STRAPPING [MINAL ~ [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REM~SCPfM V;&... r;;,~ ~ (' ~ (i) ~()L ~~ (U'=j~~. DATE INSPECTOR ~~ TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION / [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~ATION [ ] FRAMING I STRAPPING [ 41NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARK~~ Jwc fc &~~ -Iz, ~ ,<7/ /;; $-/Gff ~d:K -' r- ;;/~ G,,/) r. ~ .0 DATE~J[t7h I INSPECTOR -",.---~- s?> 1(Po c- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1.,.n;~ATION [ ] FRAMING I STRAPPING [~INAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRlJCnON [ ] FIRE RESISTANT PENETRATION CD REMARKS: WO ~. U...-...JUA- f"...v~ 7D k ~ ~N J-!r (0 ~. 'P o-I~ &u:f -lfJ~ ~ Z~~r r;,-~ %,::~U- ~ ~ I u -: ~- DATL~!&(Of INSPECTOR 11 . FIELD INSPECTION REPORT DATE COMMENTS ~~ ~ FOUNDATION (1ST) ~ -, "\ ------------------------------------ FOUNDATION (2ND) ~ o l"l r Z ~ - .,..S) (n", ..., ROUGH FRAMING & <~ --l"l PLUMBING -..., - I': 1- f ~ t"" l"l INSULATION PER N. Y. ..., STATE ENERGY CODE 0 ~j7n ;., PJ.C"d' A~ 73. ~c.4J~ 73 tjWL tp p. lb I / I;J fILl (!n4 r ~.L.A'~A ~ ell" (11._, ..L-/ .t. ' '''' 4- -0, 'DJr:;... ~ I?l HAUl!.. ~~..rn:;L ' G..L c C/P),;""'<1 ,J MhifMISJY) (i) dn )\~ .L ~ v l." '/,<ML FINAL i::;.JrJ/J "'.1 J? .~_./ I. k II Ii> (() No ~^,," ~ I/'A~.G._ - 70 It.- M..D_ 7'T 7lf7IriJ J- ". It::1 ~ ~ 7l!.':;;';::;;" 'I ""', ,"'"- I... ,." . 1/ A_ '1-1 AhlJ L'- . In.lw ... b. ') "(;J';. t., r~ IC:', JI _ ('. ,A.J _ .f)A '-,A", krj,.r ~ ADDITIONAL CO MENTS ~ i=fLG-_ rL: If. 12.~.1">' :.,L\ - 1f:h-J/ AJL1A... P.L."" .h',\. Y1'..J ?J . /' /' jy / ~ "/f A/~ p,. c-1;h ~ GO 0 '7 '<'"'IT , -" ('{l~ 'l / /1 ~a_ _ ~ ~ :T-. . (1 -/ .J<:'// m , / / / / ( . ~7 ;:u t // / g V 0 q';l - QJ .., ~... ~ ~ ..., (J N~ ..:l'l == A~ ;:::-..., ..,.. == I;:j l"l ~ I ~ & ~ ~ <,j . ,~ .~ c8> ~. ~ .J " RD ANY AL TERA TION OR ADf)ITION TO SUR VE Yj IS A VIOLA TION MAIN . OF SECTION 7209 OF THE NEW YORK STATEEDUCATION LAW. (N. r.s.' Rt 2''') EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTlFICA TlONS . 8. ~ HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. ADDITIONALL Y TO COMPL Y WITH SAID LAW THE TERM "AL TERED BY' MUST BE USED BY ANY AfoIi) ALL SI./RVEYORS UTILIZING A COpy OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS "INSPECTED" AND "BROUGHT - TO - DATE" ARE NOT IN COMPLIANCE WITH THE LAW. ~O/..c- eo> .s: 6'6'~ . /:JAI/:J ..L>~ <9<>0- ~-1Ira' ,o.,,:~ ' ~ ~o """, '0 I;; I- y.... 1 ,<:: e// I '//, "'''C''''C' ,I ~. f/" "~ ....... / ~ . '......' " ............ " .J...... '.3.5 .............. " J. .....-...... <D.s' , / N. 83'39'20' IV. . ...... ...... //cS' '<.''0. "'. (<:~) . '-.-, D/EMo/..IS If E.Jt:/5711\1(; GAIZ4<it! """'17 8"1/...0 New AS' Sf#WN {N t"1.~"7 "6 '<<. "- lA' -. 4 -_I'tfa),F'EJIt::c r <>""" ,~=- . oJ , '.3' t_..~ t /~"c; '- _ a. WACHSBERGER 1'10.'15' N/O/F. AREA = 13;1i!?5 sq. ft. ~; / , I 8 O' OJ ~ ~ " ",. Oc)' (J (c: ~ ~ ~ 31/~ --~--.--- .-- SURVEY OF PROPERTY AT ORIENT TOWN OF'SOUTHOLD SUFFOLK COUNTY, N y: 1000-18-05-08 Scale.: 1" = 20' June 5,2001 Mtr~ 4- ,zoo<t(f'KT. /'CO<-) THIS .5();< 1/& If ff;tI5 t3~ A(..fF:~W lTo (/VOf 0'/j1!:. f'f!!..If>tl > &.0 CON 5pE't) c l' oA.J, CERTIFIED TO' ELIZABETH PEYTON ANTHONY JUST FIDELITY NA nONAL TITLE INSURANCE COMPANY OF NEW YORK f'N--o- . .:~ . Y.s. LlC. fiO. 496/8 s,P.C. ;4X (631) 765 - 1797 STREET 1/971 TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. ~ 3~9bo ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the' following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved Disapproved a/ r ,20~ ,200) Mail to: Expiration lrtrt,20~ Phone: I~ I Building Inspector APPLICATION FOR BUILDING PERMIT , 'I \ '\' 11lO11l1 ," \ INSTRUCTIONS , SEP .. ,~.; l~: This applicati()1l MT TS:~be ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets 01 rlanil;accurate"plot.p P-do sca . Fee according to schedule. \ b. PI<1>tl'lim$hOWing~Oca IOn of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, ahawa"terways. 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. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. - . 8l. CONSTRucrroN SHAll MDfJ1.1E RF.QUIREMENTS OF THE CODES OF NEW YORK STATE. TELY ENCLOSE POOL TO COD UPON COMPLETION ~~i\WJ.r . ner, lessee, ~()Ify~;H.e,llt;~Vr, general contractor, electrician, plumber or builder ~1Ellli CEllTlFtAft P Date September 1 , 2()o~ OCCUPANCY OR USE IS UNLAWfUh.o. Wl1't4OUT CERTIFICATE corporation) Box 1547, Riverhead, NY 11901 (Mailing address of applicant) State Agent . APPltOVED A ~ ~("\TED r.. E . 3 t (4 f c-; Name of owner of premises Anthony Jus and Elizabeth Peyton (As on the tax roll or latest de oJ. - V: If applicant is a corporation, signature of duly authorized officer NC' iFY 8v,_, ;NG Dt=~A~7MENT AT 76,,:,02 811M T.J .. ~M FOR THE . N/A RETAIN STORM WATER RUNOFfll FOLc":WI',G :NSPECT'ONS' (Name and tItle of corporate officer) PURSUANT TO SECTION 45-1OC . 1.; ~"Jt.i);\TION . ";,'10 REQUIRED OF THE TOWN CODE. FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSUlATION 4. FINAL. CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSiBlE FOR Orient. NY 11957 DESIGN OR CONSTRUCTION I=RROqS Ha::;.._:k.~_ 1 Block 5 _ Filed Map No. . r...... . Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: lOc; House Number Village Lane Street County Tax Map No. 1000 Subdivision N/A (Name) Section 18 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , b. Intended use and occupancy 12' X 55" inground pool 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration in2:round pool (Description) 4. Estimated Cost $30,000 Fee $150.00 (To be paid on filing this application) Number of dwelling units on each floor i~ "'j;.!c, ':.l ~la .f ", I. ,nwl 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. 5. If dwelling, number of dwelling units If garage, number of cars N/A N/A 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth .. 9. Size oflot: Front Rear Depth ro. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13. Will lot be re-graded? YES ~ NO_Will excess fill be removed from premises? YES ~ NO_ Just & Peyton Address 195 Village Ln.OrianotneNo. 323-9722 14. Names of Owner of premises I'n 'Name of Architect Address Phone No Name of Contractor Address Phone No. 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 ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. . 't,H? i<\OIT:~RT2W)' jJA. ". -;( 2,-,il3M3A100:l:l 3"'T n~ 16. Provide survey, to scale, with accurate foundation:pilttJ.lind distances to property linc:iS.... -.' ~P.OY W3~ ciJ e"'GOO JU=lWAJt-1lJ en j(....' ...tJ3TAICBII..... 17. If elevation at any point on property is a~Ul feet'fI~l5~~tiWOgraPhiC~b~~~;~"'3 STATE OF NEW YORK) SS: COUNTY OF Suffolk) jW'~l~O~: ,Q:nqwR3I.'W Charles R. Cuddy being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Agen t (Contractoq';!\jWD.t, Corpol'lW ~~e,tG-A : " . : ~ ; , _ ':<~:..~'~ 01 T~. ,.:, 'J8A, t'-i of said owner or owners, and is duly authorized to perform.9f, J?8.'\\i'Pl?tio~ .tPlI said work and to make and file this application; that all statements contained in this application are true to tne'best 6tlii's mowleoge and belief; and that the work will be performed in the manner set forth in the application filed therewith. 200Cf ~G.l;r 1107 If FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: September 10, 2004 TO: Charles Cuddy for E Peyton & A Just 445 Griffing Ave. Riverhead, NY 11901 Please take notice that your application dated September 7,2004 For permit for an accessory swimming pool (lap) at Location of property: 195 Village La., Orient, NY County Tax Map No. 1000 - Section 18 Block ~ Lot ~ Is returned herewith and disapproved on the following grounds: The proposed construction. on this non-conforming 13.875 SQuare foot lot in the R-40 District. is not permitted pursuant to Article III Section 100-33 which states; In the Agricultural-Conservation District.... accessorv buildings & structures or other accessorv uses shall be located in the reQuired rear vard. subiect to the following: "On lots containing UP to twentv thousand (20.000) SQ. ft.. such buildings shall be set back no less than three(3) feet from anv lot line." The survev indicates the proposed swimming pool in the side vard. The total lot coverage is less than 20 percent. U:" ~ Q 11~~ . Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. 05/18/2005 12:57 FAX 8102740255 64fllf2665 66:59 6315853171 APR-1l-2005110N 12=47Pl'f CLUm CQlf/lERCIAL - - - -,-'---'.-'-' ,., ,. HIPr;RI"L GUNlTE JIH.! M TITOLO INSURA 1ai003 PAGE 67/10 FAX 00. 17816823910 p, 13 STAT! OF NlOW YOn \VOJlXll.llS' COMPINSA'nONBOAlU) CERTIFICATE OFNYS WORKERS' COMRNSATION INSl1RANOt COVERAGE la. Lepl ~1IlIO Id ~ of'flIIaNd (l1&e -- .ddres. 0D!y) Jmpe.tiaI Ouoita Illc. II c-aardal A_ 0Ikdale, NY 11769 lb. JIIloilIls8 Tckpl'- Nuraber of~ 631 244 0073 Ie:. N'lS U\lemploymcm W-p EmpIO)'W ~... Number of.bll=4 2.500822 1 Work laclllloA of1Dlared (On!>> ~ I/_wrgp u IJH1I'ifo&Q]ly limi1IIl1lD wmtlI lDIItIt/QM IN ~ YII'" s.-. i.& IJ ~L1p Pdiq) Ill.. l'edoraI EmpJuyer IdemiflcolioP Nazaber o( lIlsurcd or Si>eJol SocmiI:y NIIIIIbcr 1127l1l1167 TOWl1ofSou~ ~lJiIi"l~ To.... Hall SooI1IlDI4, NYU9?1 311. N_ off......"" CmiK -.icID.~ A.uuI:uCC 0lnIpulY 3b.'olilly Nwnber of enlil)llIsled lD bor. MIa": we 1&85038 3c. poliay e&cIM pllllod: 04I18/GS lD CI4I18lO6 3d. 'DIe Propdea'. ~ or Execulivo Oflic:ca om: L1lDGh14ed (OI1y-~ bole ifall..-<<i_1IclIIdId) S all el\Olwllld or -"liD ~offil:lI1I e~1JtAaA 3e. Otnlollli......' (Dofi1UlJ- 0/ lJetrlaJiIlDlI Of! Re-.aJ o iI>t!udo<L 181 excJl'''''''. 2. NamulldAdd1'ess orl!l&~ lltql1C8lI.,.Prootof CovClllIll (B:llIity BeinS Uaz4 85_ ~ Ho!dar) TIlI5 0IIIiftn maIm ~ ...... ill"'........ allOw la 1le:c ":J" w-lba buaiaUll.'IfcreDcocllllove iIl_ "II". for worlr.a&' =lIIp Roll"" 1IlIlIE ~ N.w Yeldt S_ W.... c...~tlI..... Law. (1'0 _lblJ fllnD. New YlIlk (NY) lIlIIIt be liIlId lIIIller IIt!Il ~ 041he INfO)MAnoN' PAGIl ofchlo wotIa:o'. . 0II""<j... >-- -". poiie)'). TIle IDsl1IUClI Cmio:r or lm IiCCllllCllI&* will seal! lIIiI CeIllfIc8llI ~ce fb lIIe CIIlll)' Ilsl=d above 81 the ocrIiIlc8II holder Ill. bell "2". Tha /rlsflrGllce eam" will . IIII/UY It.. 0lil11'" -tIJIuM M1tI6 wtrhIA /0 . IF a policy i< ~fIIJCI" dJRl 10 nDIIpII1l1f/Rl~ fJ{ prrtIIIll/1III Dr wiIItbI JO da}Ir IF""''' retMI/III oIW tIUIII ~ of~"" """ -' IM]IIIIIcy'" ~ rAe i1UU1W4 jroIIltM ~ fndk:al6ll "" 1hb c..JJf --w ('lMi1e 7WIl&.. JllCO' be St:IIt by rquler JIIIZIL) Otlruwiu, t1rIs Cllffi/'IMI' is 'I6lI4 /tit · m'V'iP_IIf/lNlytlA' plib/_" ....4nmt4.".IM_u CIJIri.,....- Ii..._ ag-. PIMa"* 11,... _I..... oidia ...1lilIJ' M , IIIIIlMl poIlq IadlcaH<l.. tIlIa CUll, iftblllUilIaI aBlIDur" be... oa & ,......... or,....... '-'" 117 a CCl7"- . laeldIt, a........ --,...w. dlat eertIIle* 1IaIder"" nlll Cct1Ifi_ orWorlled' ,. L -...~.... _ uIII01'lzod pn>II 6I1111e ...... 10 .....""" ..ta tb& _daI8r1 __ ~ or III, !lOW YOIk_WorIrUs' c-poua_ Law. VDd... ptlI~ olperjury, I ~ 1IW I am aD lutbDi'lJld rel"'....-m or 1IcItIlIll....t or lIIelllllllnlDCll 1lIrric:r refcr.....d aIIcM lIIId tb\ tile lIameli iIII1II'Id 1118111e ClJWrIII u depi.... OD IiIis fonD. Approved by: ~.!:~;'tIlot-.....~~_ot_-) Appr0w4b)'l 1\aLl~' Felli 0 f"*" LIlli/or ~~ (~~ TUle: 0Cpllli . Te\cphoJ1a NumbIr ofaatllDrized~W or liaaOd ",01"~-- -*r. ~- n; ~ I \Q 0 U .PWw N* 0II(y illl_/lIr ClIrrWn tlIIII their liCPJIed l18'li11 fIJ'8 /lJltI.tn/rlrI.. irIIIC tJw: C-IOS.Z fb- 1.._....-..... NOr ....r1IIIriMtI... w..e II. C-l05.2 (12-031; :1 05/18/2005 12: 5:: FAX 6102740255 HIPE:f(UL GUNlTE ~002 STAnOF"'~YORIC WORKERS' COAII(lENSATION BOARD TKIS AGENCY Elm.OYS AND SERVES PliOPLIi: WITIof DfSABILlTl&:s \N'IT"OUT DlSCRIMINATIDN. EMPLOYER'S APPLICATION FOR CERTIFICATE OF COMPUANCE WITH DISABIUTY BENEFITS LAW INSTRUCTIONS TO EMPLOYER: Complete PART 1 ONLY and hill'l your Disability Benefils I ~suranCQ Carrier complete Part 2. PART 1. TO BE COMPLETED ft.( EMPLOVER ~s NAME AND ADDRESs (Ho_." lIo/n 0IIic0) LlICAT10III C1FoPEllA_ IJIPERlAL GUNITl, INC. -.-__" "F S~\o. 81 COIIIIERCIAUVENUE """B- . \ A.:..... b.t* OAICDAU; NY 11169 RB: POLICY. B6336Q.OOO 6o..........,.'a. .,,'\ \ \ "..., I ~ _UNDIR _ __IS CONDUCTED." _RENT _MOVE -., DISABILITY Bl!NEI'lT5'CAIlIlIa:l'" m;n lIiin lliii;JIl;lllll STANDARD SECUlUl'Y LIfE INStJkANCE CO_ OF NEW YORK ~ \o'S' JIIYS.II!.~~ENTIIISlIRANCE ElllPLOYER'S m:.G. .NO: dS- OCl<6 d.~ \ ~1s honbJ_ta ""'CARRliRror.. CIItiIica..or~'I--~ ""~_Low. lIalISIpd Y' /;,d,-r- 111-:::::;: ~ ~~~ , , 'ISllnlllnol"""er.po/IlIll,.o'IUIl1011zedOIll:1ll') TeL No:. I (0 Q\ . C1'+\ - '" <."1 ~ 111>> '\l. -? . PART 2. TO BE COMPLETEDBV DlSABlJTYB!NEFITS CARRIER CERTIFICATE OF COMPUANCE WITH DISABILITY BENEFITS LAW . STANDARD SECURI1Y LIfE INSURANCE CO., OF NEW YORK ThIs 1110 urlify 1hIl1hI_ "'p~ Is _ _ ' oncIlhalllle policy........: ".. II AU. of IIIe ~ER'S lIIIpIOyollS e1igibl. ~II' 1M _ York D1u1llllty _ Low. "lLD ONLy.... f__......" _of"'" PIPLtlYERoS-"'-: . --'.,. -~-- --.--...... October IS, 2004 Dole Si!lI"'" 111 TeLNo:.~ 3Ss-4141 ...... 'IMPORTANf: W.... .." Is chedled. WI COJtiIiC:Illelo COMPLETE. _ k _, to tIIo employer, ..... 'b"1s ~.1IlIa _Is NOT COMPLETE for purpooos '" _ ZZO. aulld.' o/tIIo DIsalliIily S...lfill Low. k IIIUII __ _...Ior oomplollon k> tho _... Compenaolion BoIInl, 0i00IliIiIJ 1_ ~_ 100 B.-ay_.~. NY 122011.0005. PART 3- TO lIE COMPLETEDBY WORKERS' COMPENSATION BOARD (Only I'_"lt- qf Pen l: ... boon ehIoked) STATE OF NEW YORK WORKERS' COMPENSATION BOARD lIIorIlo on 1Ila_ u..1IIGdran' ~.._Ioord. _ of__ indlu*lt lhol "'" - ompIDJo...... -plied...... "'" 1llAbIII&J- ....wiCh....... lO..oIli1......4*-...... DISAiIIun BEIIEI'ITS 8llREAU - Sigo-' 81. Tel. No~. L-.-J ..... OB-120.1 (4-99) -S-,5 TOWN OF SOUTHOLD PROPERTY RECORD CARD I /1- 2.. 00 - OWNER :::-1/zCtbet-h -J P-eyt-nn 11- STREET VILLAGE DIST. SUB. LOT Orl f!' DESC, a htJ r N '7)_ . ~,l. t-'APA: I\JTDtJID\:li. S csf, E 'fP. fd 0 K? ACR. ,jSo I TYPE OF BUILDING I iNert hES / : '/ W / SEAS. VL. Jo,,-to FARM LL" ~ COMM. CB. MISe. , ,I - "'Yl c,.... .~ Mkt. Value IMP. TOTAL DATE ;:'11111 i /, . .~ /" ~o AGEJJ" NEW NORMAL FARM Acre BUILDING CONDITION BELOW ABOVE Value Per Acre Value Tillable 1 Tillable 2 rillable 3 "1' ~l./LL"'/ <4.( el-l-. ~t C; I) Noodland - - FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD :30 ~-G ,.ra ;warnpland lrushland iouse Plot I rota I DOCK '.....,.. \ \-<' .\ ;~, , , , _t~~ -' i. '~L' COLOR ~,' tJe,- - - _/ :.'- - , .. ~,. ~ , - . 4",::~,;~_.,;( I TRIM Ii c. v vi. Bldg. ~ c? X 4~. ~ J.j., 3:J.-.- '7 X Iii: " 9%,1 I~\) xtension ) )( I L( -. l!:L o~ I-f 7GJ1.-- Ext. Walls :xtension j 3.1.J . (./ ~ ~ Fire Place "'S 1l~1'/IvI.~L J'-)(f~.tD v Type Roof .< x I <J -;. 7 () '\ .k3c, I ~ 2. ~ C. / Recreation Room j '-IX!! =- (y(, ) Dormer xtension Foundation Basement u.-- Jrcn ~f..( reezeway . 0"2c.') , lfelL I v~ ~ Driveway 2J~/ lrage .1-JLX)...C: Jtio B. 'tal - ..::-. ~~ \~- ,,,l't.... '-~fit. 7';'f ..3/5 /~ '1cOe, Sll'lo (l,yUUJ,) - '5H '/ 4- 'tJ 'l4- I~ I~ J Iyl~-' / !In"" ~O p. ,../ ,,(j '- '~ ,~L. ;1,dI tu~ I 9 A..lk. i/ ........1-- II , ~':, ~ '~ '\ tl IL - . 7 L~ ~. Bath I Dinette Floors f~~ K. / Interior Finish 9~~ lR. / Heat f:t:; "-'" ~ DR. / Rooms J st Floor ~ BR. 2-- Rooms 2nd Floor FIN. B. -- -- ---t --- ~ ... C> C> !II Sk, \1/ l'lJIP191'>1c. 1'1.1\1>1 ;<I ,.. ... z: ;> :.II ;;l ... ~ ... ... :.II ~ I "' " rl.." ..., \ ~ ."--~ = , . "~L _ ,f"'t.,-rrf t-S__ n nE-NP~Ar. "NOTR .'/z..' ,f}' IllniSllESlGN&"M!lEDIlNAD_6Ca~ ~11WfIDll5l.T"_1IR5WUNIIT U18TlIlftlNTlIOlMISOFT/lEIlCH/ATOf. F GIlOIJN_TeRDI&ElG8T_ellCfEEJ IlELOlV GRAIlE,__m:IIGFIAIrE&1IILLIE ~~IXeI'llllALI8IUlEPTOTIIO .. I2lNO_M.lIlEI'WlIIIEDWI1HN4FEEJ ; DF5IWUlIYEIIIHlD8fEEff1IIlIoI1lEErN. D HE IHEtIIoIAlKY Al'l'llBJGIlIlCRE1E.ICllHre.>. .. L 1lE^~H1lOF I&",,"At.WlIINMlIF :: 3.6t.ml11N&OFI'OTIllUl'IA1liRPER-lt61BGllF ..~ .. 141 REIIlFGIllaU!N1"&Tl!fLetlALLGEtlrl!llMEllll\ D 1}1(Io.DE!.!I!l!.EI'!'T!1!.M!I!AMlIIM!.!M!...:'C!=~O ..MR_ , os: (61 rOIl. WA1lR &I.l'ft.Y.&YOIWlERS6MDEN ". iI(l6E, flL6r1l\lT OlllUGMIlIlCfEIIIEIl. . .. 161 Ml'CAI'IIQ1YllllllBl!5WFJ:INHOElol'TY . ~l1QLNZ4_ rI/ll.llllOlI!l\mfllLl_ .. !'REElING_THI!Il: ~ 1'710IllllOOKrlllll&IHlllIDGEPROIEC1EDDY^ F~CE.III\LLIlItIUJUl;IIIA01:01l17N1CE TOft 'I N.Y,S"G~lDIII9OO1lE. 'I [t>lllSfl>U.ATlDNB1lllll!DONeIIACCllKIWI:E "' IIllHIllLFIIlUAI..lJAlIHlDlGClUULIlING .. lXlOE6follllBLMlIIrI&IJG.lE5jl1)&TAJoI)IIIll5(I " LGCATI'llIOf/ll'J!ltQDMUBTDIlEET " RECUreMEII1S0.R.Y.a_llFFlRI! ~ l.INUWkI1ERS .J 0' -I " " :> ~,. i. . .' . o en "- .... "" "- '" o o en .... '" en 0" I . - ' .c,:r ~.- ~ .. FILL' ~ ....R.GftJ'" . ,., .~ " 55' :l8' PLA N . -~~ ~ .r;~!~~... ..:.., . John Teufel P~P!., 50 GIatJ6tor~J~V8 . ,West Isllp. NY, '. -.... .e Jf,f. ~ , 0> .... o '" ... .. o '" en en . . .r.. . . -'~. SEC.71oN 8-R . . . . ".. ..,~.. .._lI:az:. . .. 12." i I .. 'irE , .'.~- ij tr. r_' ~ :>- t" ,~ i.ii! ... t;l 'l1l.1>5 I I'l..-Qf,. 1)'--,1' . 51 CP lYPiCIIl IIIIP.l.l- SE<"T/tm A-.'\ I&o.w~, V~~fs Got c : .. 0UNlTE SWIMMING POOL DETAIL POR: ~H~a64P~. @ .195 Village, Lane, Orient, NY, 1195' ~