HomeMy WebLinkAbout33717-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33301
~te: 09/26/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2146 MAIN RD IJIUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 3 Lot 6.5
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 28, 2008 purs,,~nt to which
Building Perntit No. 33717-Z dated FEBRU~Y 29, 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.
The certificate is issued to JOSEPH A GEBBIA & ANO
(OWNER)
of the aforesaid building.
S~3FFOLK CO~DEPART~T OF }~J~THAPPRO%rAL N/A
ELR~-rKICAL c~RTIFICATH NO. 8395 04/12/08
PLUMBERS C~KTIFICATION DATED N/A
/~~k thorize~
Rev. 1/81
This application must be't?l'terl~
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
?LICATION FOR CERTIFICATE OF OCCUPANCY
t by typewriter or ink and submitted to the Building Department with the following:
Ao
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. Commemial 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.
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. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
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
New Construction: ~
Date.
Old or Pre-existing Building:
LocationofProperty: '2- [~ C0 ~CC~cx k~'~.
House No. Street
Owner or Owners of Property: ,,To ~>e2_~)~C~ ~---~5%~k~' Ck
Suffolk County Tax Map No 1000, Section ~ [~-~ Block
Subdivision
eermitNo. ~] ~'-~ Dateofeermit.
Health Dept. Approval:
(check one)
Hamlet
Filed Map. Lot:
c,,Q - ~q- O~:~ Applicant: ~:_~__~l~ I~' ~ Underwriters Approval: (~,fv/~Tf~
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate: J (check one)
Fee Submitted:
Applicant Signature
SUFFOLK
BUREAUof
ELECTRICAL
INSPECTORS,~DC
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
Raymond Electrical
April 12,2008
8395
Certificate No.: 8395
Final Inspection Date: April 12,2008
Building Permit No.: na
Suffolk County Tax Map No.: na na na na
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or
work described below, installed by the applicant named above, located at the premise of and not after the final
inspection date above:
Owner 3oe and Terrie Gebbia
Site Location: 475 Condor Ct, Laurel, NY 11948
Owner's Address (if different):
[] Residential [] Indoor J~] Basement [] Service [] Shed
[] Commemial J~] Outdoor ~-~ First Floor [~ Pool [] Hottub
[] New [] Renovation ~ Second Floor [] Attic [] Garage
[] Addition [] Survey Other:
INVENTORY
Single Phase Heat Duplex Recpt Ceiling Fixture HID Fixtures
Three Phase Hot Water GFCI Recpt 1 ~ll Fixture Smoke
Main Panel AC Cond Single Recpt Recessed Fixture CO Detect
Sub Panel 1~I c AC Blower Range Recpt FIourescent Pumps
Transformer Appliances Dp/er Recpt Emergency Time Clock
Disconnect Switches 2 Twist Lock 1 Exit Fixtures TVSS
GFCI Breaker 1-2po Heat Pump Electric Heat Pool Luminaire 2 Exhaust Fan
Other Equipment: Automatic Chlorinator
The electrical work and/or equipment described above were inspected and appear to be in compliance
w~th local, state and national electrical code requirements and this office.
Applicant: Raymond Electrical License No.: 5141 ME
Inspected By: Gene Surdi /'~ Date Of Certificate: May 04,2008
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. 33717 Z Date FEBRUARY 29, 2008
Permission is hereby granted to:
for :
JOSEPH A GEBBIA
2146 MAIN ROAD
LAUREL,NY 11948
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 2146 MAIN RD
County Tax Map No. 473889 Section 127 Block
pursuant to application dated FEBRUARY 28, 2008
0~
LAUREL
Lot '06.005
approved by the
Fee $ 250.00 ~zed Si
ORIGINAL
Rev. 5/8/02
,.73 7/?,z. ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING [/~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE ~"'~ ~'~'~ ~ ~) ~ INSPECTOR
FmI,D INSPECTION REPORT I DATE I COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
RO UGH FK~G &
PLI~G
_
LNS~AT1ON PER N. Y.
STATE ENERGY CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork, net/Southold/
Examined ~./,.2~} ,20_~
Approved ,20
Disapproved a/c
Expiration ,20
BUILDINO PERMII AFFLIk. Ak I lt31'q t...n.c,c.~bio l
Do you have or need the follow ng, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval.
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:S tO,r'm ~, rlO.)g0 15
Phone: 'qqq -~'1 ~:0 t I'~?~'
'-~'-15~TICATION FOR BUILDING PERMIT
Date
PL5 Z 8 INSTRUCTIONS
a. This;application MUST be complet ly tilled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, a~urate plot plan to seate. Fee a~cording to schedule.
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 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.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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.
~ (Sig~nature of applicant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises 30S. PJO~
~ (As on the tax roll or latest deed)
If applicant is a corporation, signature of duly author/zed officer
(Name and title of corporate officer)
Builders License No. c>q,\ql~-. H
Plumbers License No.
Electricimas License No. ~\t41 ~
Other Trade's License No.
1. Location of land on which proposed work will be done:
qq5 C+ Lanai
House Number Street
County Tax Map No. 1000
Subdivision k~tw'r ~ [
(Name)
Section. 12 '7
· ., ,,, , ~amlet
lock 05
Filed Map No.
Lot
Lot
State existing use and occupancy of premises a~.d intended use and occupancy of proposed construction:
a. Existinguseandoccupancy ~14..~trn,l~ Osa.'401r~'
b. Intended use and occupancy c~,r)~/t~rnd,~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost.It; ~.0o0- Fee
5. If dwelling, number of dwelling units
If garage, number of cars
pool
Addition Alteration
Other Work_ no~o ,,q~cou~.,~L '-ooo j
(Descrit~tion)
(To be paid on filing this application)
Number of dwelling units on each floor
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
Depth Height Number of Stories
Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Sizeoflot: Front Rear Depth
Rear
10. Date of Purchase
Name of Fon:aer Owner
11. Zone or use district in which premises are situated
14. Names of Owner of premises ~J~ ~-tbbit:t.
Name of Architect
Name of
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
Address fl-/~ Ce~l,~o- PhoneNo.
Address tl~hlg~-rq/~Jg ~T Phone No ~3gl-& ~O~
Address _q2!~e 2St~ _~j~__Phone No. 'lqq
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 ora 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 property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
-~ -,('~°'-~ L4q- ,. --~O~6C¥--~'"' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to per£orm 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 ofh/s knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
/ ' Si'ghature o f Applicant
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
FORMER OWNER
RES.
S~AS.
VL
STREET
TOTAL
· DATE
VILLAGE
E
w
DIST. SUB. LOT
/t' J
TYPE OF BUILDING ~c~l~r
COMM. CB. MICS, Mkt, Value
REMARKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value
Tillable
, Woodland
FRONTAGE ON WATER
FRONTAGE ON ROAD
Mead~/.lar)~L ~ ~-. DEPTH
House Plot BULKHEAD
Total ~ DOCK
Extension
Breezeway
Bo
Foundation
Walls
- Place
Type Roof
Recreation Room
Dormer
F,, II Floors
~A, ~ (~/, /JlnteriOrF~nish
Heat
Rooms ist Floor
Rooms 2nd Floor
Driveway
OWNER
· LAND
IMP.
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
ACR.
TYPE OF BLD.
PROP. CLASS
TOTAL
DATE
REMARKS
SUB LOT
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
COLOR
TRIM
127-3-6.2 3/03
1st 2nd
· ,B_ldg. ~-~ ~ ~ 5'/o I '~ (¢'~ ~2.0m,~ Foundation ~. Fin. B. Bath ~ Dinette
Extension ~ K 2%: ~% ~ Basement s~B P~TIAL
Extension Ext. Wails ~~ Interior Finish L.R
Extension ~/z¢~,{% ~ ~ Fire Place ~6~ , Heat D.R.
Patio ~t~ ~ ,~¢ 751 ,~ 5~ Woodstove
c~ 8~87 ¢2~ ) Dormer Baths
= t~ Dock Fam. Rm.
Deck 7~7 ~ ~ ~ 50
Pool
?osion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM
Yes ~o
EXEMPTIONS:
A. Does this project meet the minimum standards for classification as an Agricultural Project. /
Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required.
ACTIONS REQUIRING THE SUBMISSION OF A STORM;WATER~ GRADING~ DRAINAGE. &. EROSION
CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
Item Number: (A Check Mark (-1) for each question is required for complete application)
Will this project retain all Storm-Water Run-off generated on Site?
(This will include all mn-off created by site clearing and/or construction activities as well as all
Site Improvements and the permanent creation of impervious surfaces.)
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
of five thousm~d (5,000) square feet of ground surface or mine?
Is there a Natural Water course mrming through tile site or is this pro ect within
One hundred (100) feet of wetlands or a beach?
Will there be site preparation on slopes which exceed fifteen (15) feet of vertical nsc to
One hundred (100) feet of horizontal distance?
Yes l'qo
Will driveways, parking areas or other impervious surfaces direct Ston:n-Water Run-off
into and/or in the direction ora Town Right-of-Way?
Note:
Will this application require'the placement of material, removal of vegetation and/or the
constructron of any item wtthm the Town Right-of-Way or road should r area?
('rhls item does not include the Installation of driveway aprons.)
Will there be site preparation within the one hundred (100) year floodplain of any watercourse?
If any answer to questions ~ne through eight is answered with a check mark in the Box, a Storm-water, Grading,
Drainage &Eroston Control Plan is required and must be submitted for rev ew pr or to ssuance of any bu Id g permit.
STATE OF NEW YORK.
COUNTY OF ... ~-~ kQP~.~-~ ss
That I .........~fC[L4~.~O~ f~ being dty sworn aeposes and says that he/she is the applicant for Pernet,
~ame of individual si~ing Document)
~d that He/She is the
/ ~ (Owner, Contractor, Agent, Coq)o~ate Officer, elc)
O;~er ancot representative of the O~er or O~er's, and is duly authorized to peffom~ or have perfo~ed file said work and to make
and file this application; that all statements contained ~ this application are ~e to the best of his bmwledge and belier; and that the
~EENQUI~
work sill be performed in the manner set ford, in the application filed herewith.
Sworn to before me this;
..................... of
Notary Public: ........
NOTES
10" ~ ~ ' 38'-3"~'= 1 10" 1. STRUCTURE IS DESIGNED FOR USE BELOW GRADE AND ONLY IN AREAS WHERE THE
GROUND WATER TABLE IS A MINIMUM OF 4'-8" BELOW THE PROPOSED FINISHED GRADE. .-~
2. BACKFILL WITH CLEAN EARTH, FREE OF ROOTS AND DEBRIS. ~ NOT ALLOW ~E HEIGHT
OF ~ACKFiLL TO EXCEED ~E HEIGHT OF THE WATER IN THE P~L BY MORE TH~ 8",
OR THE WATER TO ~CEED BAC~ILL BY MORE ~AN 8".
3. P~CECONCRETE ON SANDYTO LOAMSOIL RE~VE ~YC~Y DE~IT
~D ~MPACT CLEAN BACKFILL
4. WALKS TO BE SMITH, N~ SKID ~PE, SLUED AWAY FROM P~L ~ TM Z
~ Z
I 5. WATER DIS~SAL SHALL BE LIMITED TO OWNERS PROPER~ TO SUIT L~AL REGU~TION5 Z
6. NO DIVING BOARD.
7. PROPER~ OWNER IS RESPONSIB~ TO INSTALL FENCE AR~ND ~L
IN AC~RDANCE WITH THE NYS BUILDING CODE, APPENDIX G, SECT;~ AGI~.
~Z~
"IMMEDIATELY" ~ ~ o ~ o
ENCLOSE POOL TO CODE
APPROY UPON COMPLETION
ED AS NOTED BEFORE "WATER"
DATE:~/2~/~ B.p.~ 3~1~ ~
NOTIFY BUILDING DE~ART~ ENT ~ ~
765-1802 8AM TO 4PM F~)R ~E
FOLLOWING INSPECTIONS: ~ ~
1. FOUNDATION - TWO REQ.~I~D ~
FOR POURED CONCRETE ~ _
2. ROUGH- FRAMING & PLL~BI~ ~-~ _
3. INSULATIO~ ~
4. FINAL- CONSTRUCTION N U~T / /
P~N ~E COMPLETE FOR C.O. ~,. ~
20 x 39 Mountain L~
ALL CONSTRUCTION SHALL MEET ~e ~
" eU'" M.NTS
YORK STATE. NOT RESPONSIBLE ~'~'- ~ "
DESIGN OR CONSTRUCTION '~~
hoe IS UNLAWF'UL PLUMBING SCHEMATO~r:~. .
WITHOUT
Or OCCUPANvY
POURED CONCRETE ~ G~DE
WALLS AND STEPS ~ 1 0"
WATER LINE ~E ·r' , ~ ' '
SECTION A .o~o~ .~ ' -'
SCALE: 1~" = 1'~" LINER AND CONCRETE ~
T~ OF W*LL ~ CWATER UN~ }~: ' Z
~Y~~ 10-15-O7
SECTION B
sc~: ~,. ~,~- WALL SECTION
/ /j,' ~, (Ju
,( ,0 U~~' )lB~'~'j
~%
~URVEY OF
ZI'/'/JA ?'b'/) ,,t T
] ,/\ U 1,, L, L
TOWI',I OF SOUTIdOI_D
SUFFOLK COUNI-Y~ NEW YORK
S.C. TAX No. 1000'-'127-q]5-6.2
SCALE 1"=20'
NOVEMBER 22, 2000
JOseph A. Ingegno
Land Surveyor
PIIONE (631)727-2090
Iux {631)727-1727