HomeMy WebLinkAbout33547-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33384
~te: 11/14/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 370 DOGWOOD LA EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
Couzlty Tax Map No. 473889 Section 38 Block 5 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 15, 2007 pursuant to which
Building Pelq~it NO. 33547-Z dated NOVEMBER 27, 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to PAUL & STACEY LEIBOWITZ
(OWNER)
of the aforesaid building.
S~IFFOLK CO~DEPAR~TOFf~F~kLTHIEP~O~-AL N/A
EL~-rRICAL C~K'rIFICA~ NO. 8702 06/07/08
PL~S CERTIFICATION DASD N/A
uthorize
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: 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. Swom 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. Ifa 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
New Construction: L// Old or Pre-existing Building: (check one)
LocationofProperty: _~C) -~13~¢-~C>C~ ~C ~O._q~ Iq~ccv~,
House No. Street
Owner or Owners ofProperty: '~ci,Q d3,16~ ~_~-~C~_J~ L-~-i~¢~,)i
Suffolk County Tax Map No 1000, Section '~<~ Block
t'~/Hamlet
Lot ~:~
Subdivision
Permit No. ~ ~ ~ q "1
Health Dept. Approval:
Planning Board Approval:
Request for:
Date of Permit.
Temporary Certificate
Filed Map. _ Lot:
Underwriters Approval: ~ 6L'~ 'c.l, ae
Final Certificate: ~ (check one)
Fee Submitted: $ '~'~, ~
., /
Applicant Signature ,,~
+
SUFFOLK
BUREAUo~
ELECTRICAL
INSPECTORS, inc.
40 Nottingham Ddve, Middle Island, NY 11953
Telephone:6314958136 · Fax:6319806455 · E-Mail:SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
Certificate No.: 8702
Final Inspection Date: 3une 7 ~2008
Building Permit No.: 33547
Leos Electric Corp
3une 7,2008
8702
Suffolk County Tax Map No.: 38 5 3
This Certificate of Electrical Cdmpliance is limited to the inspection and ~Ompliance 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: Paul Liebowitz
Site Location: 370 Dogwood Lane, East Marion, NY 11939
[] Service [] Shed
[] Pool [] Hottub
[] Attic ~] Garage
Ceiling Fixture HID Fixtures
Wall Fixture Smoke
Recessed Fixture CO Detect
Fh~urescent Pumps
Emergency ~me Ch3ck
Exit Fixtures l~SS
Pool Luminaire 1 Exhaust Fan
2
Owner's Address (if different):
[] Residential [] Indoor [] Basement
[] Commercial [] Outdoor [] First Floor
[] New [] Renovation [] Second Floor
[] Addition [] Survey Other:
INVENTORY
Single Phase Heat 1-gas Duplex Recpt
Trtree Phase Hot W~ater GFCI Recpt 1
Main Panel AC Cond Single Recpt 2
Sub Panel 1-8ck AC Blower Range Recpt
Transformer Appliances DpJer Recpt
Disconnect SwitcJ3es 2 Twist Lock
GFCl Breaker Heat Pump Electric Heat
Other Equipment: Automatic chlorinator
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
License No.: 2199
Date Of Certificate: Jun 08,2008
Applicant: Leos Electric Corp /]
Inspected By:
Signature:
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. 33547 Z Date NOVEMBER 27, 2007
Permission is hereby granted to:
VESEY & SCHLITT
370 DOGWOOD LA
E MARION,NY
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 038
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
370 DOGWOOD LA EAST MARION
Block 0005 Lot No. 003
15, 2007 and approved by the
27, 2009.
Fee $ 250.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
.335'{'77_.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ I INSULATION
[ ] FRAMING / STRAPPING ~' FINAL /~ ~'
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~ULATION
[ ] FRAMING/STRAPPING [,~IN~'~-~.,~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAI~I' PENETRATION
R EMARKS.~'/~
DATE (~/~~ IN/SPECTO' ~?~~
COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUBI~ING
~S~ATION PER N.Y. '~-
STATE ENERGY CODE
~DITION~ COUNTS
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork, net/Southold/
Examined ///,c,2 ~2,20 O~
Approved /t/cE 7, 20 t~7
Disapproved adc
Expiration '~/a 7, 20 O ~
/
PERMIT NO,
FF_,FdVII 1 APPLICAIIUN (dHIz, CK. LI~'I
you have or need the following, before applying5
Board of Health
3 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
/ Building Inkp~ctor
- / ~,-~-~ !-- - .... ~ APPLICATION FOR BUILDING PE~IT
Date
~. ~m~e-~etely filled in by ~emt~ or in ~ and subm~ed to ~e Building Inspector with 3
seB of plans, acetate plot plan to scale. Fee according to schedule.
b. Plot pl~ showing location of lot ~d ofbuild~gs on premises, relationship to adjo~ing premises or public s~eem or
areas, and wate~ays.
c. ~e work covered by ~is application may not be co~enced before issuance of Building Pmmit.
d. Upon approval of this application, the Building Impector will issue a Building Pe~it to the applicant. Such a pe~it
shall be kept on ~e pre~ses available for inspection t~oughout the work. '
e. No building shall be occupied or used in whole or in pan for any pu~ose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Ev~ build~g pemit shall expire if ~e work au~orized has not co~enced ~thin 12 monks after the date of
issuance or has not been completed wi~in 18 months ~om such date. If no zon~g amendments or other re~lations affecting the
prope~ have bern ~acted in ~e ~te~, ~e Building Impector may au~or2e, ~ ~fing, the extension of the pemt for an
addition six monks. ~e~affer, a new pe~it shall be required.
~PLICATION IS HE,BY M~E to the Building Dep~ent for the issuance of a Building Pe~it pursuant to the
Building Zone Ordinance of the To~ of Sou~old, Suffo~ Co,w, New York, ~d o~er applicable Laws, Or~nances or
Regulations, for ~e construction of buildings, addifiom, or alterations or for removal or demolition as herein described. ~e
applicant a~ees to co~ly with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
au~ofized inspecton on presses and in bulldog for necessaw inspections.
ENC~ O$E ~OOLIO
UPONCOMPLETION USE IS UNLAWFUL
~ uo ~'7'h ' * (Mailing address ofapplic~t)
BEF~E~ATER'
W THOUT CERTIFICATE
S~te whether applic~t is ~r,
Nameofo~erofpremises ~¢~1 ~e~f7 ~ Cq~7
]
(As on the tax roll or la~:de~3~..
If applic~t is a co~orat/on, signa~e of dulY am~~[~RTiFiCA~ r: .:: - · _
-' 7(;(.~ ?7 ~'
~e and title of co. orate off. IN STORM W~ RUN0~ ~. ~-. - -
Builders License No, PURSU~TO ~ ~6 F ......
Plumbers License No. -' -}A~CPU~x-~,I-,ON SHALL '~ ...... IN~u,.~,,
Electricians License No. ;,,'EST 7HE REQUIREk~ENrS OF THE 4. FIHAL - t:¢ ~ ~ ~ ~U 2,'
Other Trade's License No. CODES OF NEW ~'O~SK STATE. BE co[~;',
ALL CONS-Fat;;, ON Si P,t.L ~EET THE
o. whic proposed work wi. don :
House Number~ 'Street ~a~
County Tax Map No. 1000 Section
Subdi,,ision
C/mc)
Block ~.~ Lot ~.3
. Filed Map No. Lot
2. construction:
State existing, use and occupancy of pre~0ise? and in?nded use and occupancy o'f'proposed
a. Existing use and occupancy geS, e{~,t{
b. Intended use and occupancy. ~oO I / I?o ,' l ,/~cP~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition x/~ Alteration
Other Work
4. Estimated Cost ~ ~-)O. O/Dt-~
5. If dwelling, number of dwelling units
If garage, number of cars
Fee 42c~F9 (Description)
(To bc 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
Heigh[ -- 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 /~.
Height -- Number of Stories
9. Size oflot: Front [OL,l, O0t Rear ~(.]
Rear / c ' Depth
Depth ~ ~/. ~ 0 I
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated l~ - L{ 0
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO X
13. Will lot be re-graded? YES__ NO .>4 Will excess fill be removed from premises? YES 2( NO
~/r~.~ ~.)q~l~ Ad~ . ~
14. NamesofOwnerofpremises. V~.,~ , ~YI~ ~ess~~0neNo.
Name of~chitect ~m,;~d~ ~- G~I~0 Ad~ess~Phone No
N~ae of Con~ctor ~ Address ~ Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* 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 2<
* 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 Qn property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
7.OUNTY OF )
· b~ing duly Sworn, deposes and says that (s)he is the applicant
(Name of individual sib~g contract) above named,
(Contractor, Agent, Corporate ~c'e'~,
>f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
hat all statements contained in this application are tree 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.
Cwom to before me this,
/o/- day of .~ff/4~-~ 2007
/~ Nota~ Pubhc
~ 80TO · '~ '
NO. 01806016707
Qu~l~ed In Queens Coun~
C~lmt~ton £x;lros 11/30,;2~0
Signature of Applicant
OWN ER
FORMEROWN E~
~ND IMP.
TOWN OF SOUTHOLD
~$TR~EET
S
VL
TOTAL
FARM
DATE
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre
PROPERTY RECORD CARD
VILLAGE
E
Value Per V~lue
Acre
DIST.[ SUB.
ACR" r (' '
LOT
W TYPE OF BUILDING
COMM. CB. MICS. Mkt. Value ~ ~'"
Tillable FRONTAGE ON WATER
Noodland ~ FRONTAGE ON ROAD
V~eadowland
DEPTH
BULKHEAD
DOCK
Total i
38.-5-3 9/06
COLOR
TRIM
1st 2nd
~M~A~Bldg 5~ S~O Foundation ~ Fin. B. Bath ~ ¥~2.--- Oinette
PART~AL Floors ~ ~ Kit
,Extension ~%k~ = ~ ~ ~Q¢-- ~ Basement s~,
Extension ~ ~ ~ ~[--__'~ Ext Walls ~,~w~%~, Interior Finish ~_ LR
Ex"ns'°~ I~._~.~__ _~ ~ FirePlace d~5 Heat ~,t ~;~ D'R
~Z2~ Woodstove__ BR'
Porch ~ ~ ~ ~ ~ 2 ~,~ , 5~ ~ O~ Dormer Baths
Deck ~ ~2~ = ~G , ~ ~ ~ Dock ~ Fam. Rm.
~ -
OB.
Attention: Southold Building Department
November 6, 2007
Please be advised that Paul and $tacey Liebcwitz have permission from the owners
(S~phen T Vese~ & Cheryl Schlitt) of 370 Dogwood Lane, E~t Marion, NY, to begin
the application process tot permission to build a pool at 370 Dogwood Lane, East
Marion, NY.
Signed, Date:
(Stephen T. Vesey, owner)
igned,
mt, own > //¥ '0 7
CYNTHIA M. MANWARING ~'-
NOTARY PUBLIC, STATE OF NEW YORK
NO:01 MA6100507
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES OCT. 20 ~
A
[B C. -D I E F-- jB ~ ~
Plan ~ ~ ~ ~" ~ Piping Arrangement
Section B-B ~. ~~
Section A-A Typical
Wall
Section
16~' 16' ~' 8' 14' 6' 4' 4' 8' 51~ 19,~0 ~
3qO
16'~6' 16' ~' 1~' 14' 6' 4' 4' 8' 576 21,6~ ~
PER.CRETE W~I.I. SYSTEM ~tT ~[O~ ~
18'~' 18' ~' 12' 14' 6' 4' 5' 8' ~ ~,3~ 929 Route 25A Miller Place ~ 11764 '~ m~'
~'~' ~' ~' ~' ~' ~' 4' ~' ~' ~,~ (~) ~-7~ F~ (6~) ~-o~4 ~3~ 7~q-~ ._~
~'~' ~' ~' 18' 14' 8' 4' 6' 10' ~ ~,~ S~fo~ ~cense ~36-~
~'x~' ~' ~' 20' 16' 8' 4' 6' 10' ~ ~,~ Nassau ~oense ~7~50000
~URYE¥ OF LOT I-~
"PIAP OF ~ARDIN~R5 E~A'r' ESTATES, 5EC.,TION THR.EE"
FILJED IN THE 5Ut=FOLK C. OUNT'r' C.L.tER, K.~ OFFIC. E ON AF~IL 24, Iq68 A5 MAP NUMBER
51TUATE, EAST MARION
TOI,~I, 50UTHOLD
.SUI=FOLK ~Ot)NT'K, NY
~V~¥EO~ JAN. I0, 200~
REVISEO, JAN I&, 200&, JAN. 22, 200~
E~UFFOLK GOUNT¥ TAX #
I000- B6- ~-~
PAUL Lmo~l'lz
STA(~ {'.mowtlz
CI-11CAO0 TITLE IN$URAIVCB COlVIPAI~Y
N
NOTES~
MONUMENT FOUNO
Areo= 20~20 5. F.
Areo= 0.4665 Acres
®RAPHIC, 5GALE I": ~0'
JOHN C. EHI.ERS LAND SURVEYOR
6 EAST ~ STREET N.Y.S. MC. NO. 50202
RIVER.HEAD, lq.Y, 11901
369-8288 Fax 369-8287 REF.\\Compaqscrver~pros\08\08-105.pro
Z
0
0
13-
, EL NiAMONITAKIAS
MICHA ITAKIAS
EMANUAEL NIAMON
50°49'40'' E80.00'
10'
REAR yARD
SETBACK
ASPER CODE
POOL
t6X32
STRUCTURE
BUILDING
ENVELOPE
SITE DATA
SCTM #
PROPERTY:
ADRESS
OWNER:
SITE:
TOTAL AREA
LOT COVERAGE:
1000-38-05-03
370 DOGWOOD LANE
EAST MARION, NY. 11939
STEVEN VESEY & CHERYL SCHLITT
370 DOGWOOD LANE
EAST MARION, NY. 11939
20,318.65 SQ. FT. = 0.467 ACRES
ALLOWABLE: 20% OR 4,063.73 SF
EXISTING: 2,698 SF OR '~3.2%
PROPOSED: 3,210 SF OR 15.8%
ZONING: R-40
SURVEYOR:
JOSEPH A. INGEGNO
P.O. BOX 1931
RIVERHEAD, NY. 11901
(631) 727-2090
AP ROX LOCATION OF
EX'SiT. ~ANITARY SYSTEM
BRICK ,5'ATI 0
DECK
EXISTING
1-1/2 STORY FRAME
HOUSE & GARAGE
EXIST.
PORCH
L=iO0.00' CHORD=S54'O0'O0" W 99.72'
OVERHEAD WIRES
IRRIGATION
WELL
~'~. UTILIW POLE
LIL 5
3'V/
DOGWOOD ,ANE '
SCALE: I" = 20'-0"
",:: "I
0310
NS
NOV. 15, 2007
1" =20'
SITE PLAN
SHEET NO,:
SP