HomeMy WebLinkAbout33462-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33462
Date: 12/23/08
THIS CERTIFIES that the building ACCESSORY
SOUTHOLD
I~ocatlon of PropeI~cy: 1000 LAUREL AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 56 Block 1 I~)t 2.29
Filed Map No. __ Lot No. __
Subdivision
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 1, 2007 pursuant to which
Building Permit No. 33462-Z dated OCTOBER 11, 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 KEVIN L & LINDA M SANTACROCE
(OWNER)
of the aforesaid building.
S~FF~)LKCOL~rYDEPAR~TOFI{~kLTHAPPRO~L~J~ N/A
EL~CLr~IC~kL CERTIFICATH NO. 4018450 12/23/08
PLI~B~S CERTIFIC3kTION Da'f~u3 N/A
Ahoriz~
Rev. 1/81
'( . Form No. 6
[. 0J! ' ~ -~ "'ii i BUILDING DEPARTMENT X,/
l 1
OEG I 9 2 08 765-1802
I ~DG. D?T. A~LICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Depamnent with the following:
For new building or new use:
1. Final survey of property with accurate location of all buildiugs, 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 Under~vriters.
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.
For existing buildings (prior to April 9, 19571 non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate smwey of property sbowiag all property lines, streets, building and unusual natural or topograplfic
features.
2. A properly completed appIication and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state tim reasons therefor in writing to the applicant.
Co
Fecs
1. Certificate of Occupancy - New dwelling $25.00, Additions to d;velling $25.00, Alterations to dwclting $25.00.
Swimming pool $25.0(/, Accessory boilding $25.00, Additions to accessory building $25.00, Busincsscs $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. Te~nporary Certificate of Occupancy - P, csidcntial $15.00, Cmmnercial $15.00
Date.
New Construction: (check one)
Location of Property: /1~00
House No. Hamlet
Owner orOwnersofProperty: ~'~ ' Zl~
Suffolk County Tax Map No 1000, Scdion ~ ~Block ~, '-} Lot
Subdivision . Filed Map.
Health Dcpt, Approval: Underwriters Approval:
Old or Pre-existing Building:
Street
Lot:
Planning Board Approval:
Reqaest for: Temporary Certificalc
Fee Submitted: $ ,~:g". O0
F1 al Ccmficale, _ ~ (cbeck one)
Applicant Signature
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
noon Drem~ses owned by
B.J. ELEC. CO.
4300 STILLWATER AVE
CUTCHOGUE, NY 11935.
Located at
1000 LAUREL AVE SOUTHHOLD. NY 11971
Application Number:
40184S0
Section: Block: Lot:
Described as a
KEVIN SANTACROCE
1000 LAUREL AVE
SOUTHHOLD, NY 11971
Certificate Number:
40184S0
Building Permit: BDC:
ns11
occupancy, wherein the premises electrical system consisting of
Swimming. Pool
electrical devices and wiring, described below, located in/on the premises at:
Outside, Pool/Spa,
A visual inspection of [ne premises electrical system, limited to electrical devices an(] wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code an0/or standard
promulgated by the State of New York. Department of State Code Enforcement and Administration, or other
authority having jurisdictior and founo [o be in compliance therewith on the 2Sth Day of November, 2008.
Name .0~X. Rate
Appliances and Accessories
Paol / Spa Bonding I 0
Pool Heater I 0
Time Clock Switch 2 0
Panels
1 1oo 4
Wiring And Devices
Fixture 2 0 pool
Receptacle 1 0
Receptacle 2 0 20a-oool
Incandescent
GFCI
Special I twist lock
(Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
frequent test and/or repairs made by a qualified per~on
I of I
seal
This certificate may not be artered in any way and is validated only by the presence of a raised seal at the location indicated.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~DING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33462 Z
Date OCTOBER 11, 2007
Permission is hereby granted to:
for :
KEVIN L & LIN]DA SANTACROCE
1000 LAUREL AVE
SOUTHOLD,NY 11971
CONSTRUCTION OF ~N INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD WITH FENCE TO CODE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 056
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
1000 LAUREL AVE
SOUTHOLD
Block 0001 Lot No. 002.029
1, 2007 and approved by the
11, 2009.
Fee $ 250.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[/V~FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
INSPECTOR__._~~, ~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-t 802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
~"FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
FmL~ mSX;SCnON mn, oaT [ DAT~ [ cot,,nvm~rs
FOUNDATION (1ST)
FO~DATION (2ND)
ROUGH F~G &
PL~G
LNS~ATION PER N.Y. ---
STATE E~RGY CODE
~D~ION~ CO~TS
TOWN OF SOUTHOIn~
BUILDING DEPAYfTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO. ~q ~ --~
Examined /0//
Approved
Disapproved a/c
Expiration
,20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Plmming Board approval
Survey.
Check
Septic Form
N.Y.S.D.EC.
Trustees
Contact:
Mail to:
Phone:
, ,~')1 FIR- (',~ _. I " , APPLICATION FOR BUILDING PERMIT
!Ptii,, q', Date ,206~
INSTRUCTIONS
, ~his pp. Fi~o~MU_S~ b pl ly fill by t~ g h
, m. ;a e corn ete ed in ewriter or in ink and submitted to the Buildin spector with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
c. ~e work covered by this application may not be commenced before issu~ce of Building Pemit.
d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applic~t. Such a pemit
shall be kept on the premises available for inspection t~oughout the work.
e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector
issues a Ceaificate of Occupancy.
f. Eveu building pemit shall expire if the work authohzed has not commenced within 12 months aaer the date of
issuance or has not been completed within 18 months kom such date. If no zoning amendments or other re~lations affecting the
propeay have been enacted in the interim, the Building Inspector may authohze, in whting, the extension of the pemit for an
addition six months. Thereaaer, a new pe~it shall be required.
~PLICATION IS HE,BY M~E to the Building Depaament for the issuance of a Building Pe~it pursuant to the
Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or
Re~lations, for the construction of buildings, ad~tions, or alterations or for removal or demolition as herein deschbed. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to a~it
authorized inspectors on premises and in building for necess~ inspections.
(Signature of applicant or name, if a co~oration)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises /</gt-,/// ~- Z~,,'~ ,~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section ,5"6, X-,'Block O/
Subdivision Zft.~z //~n,~ ~.cr~tT~5 ,Filed Map No.
/(Name) ,:
Lot
Lot
Z. o2_q
2. State existing use and occupancy of premises and intended use and occupancy of propos.e,~._cdh~truction:
a. Existing use and occupancy .~t)9~ & .-~;l~//,~ Z~'l/~£,ale. ~,/
b. Intendeduseandoccupancy ~n~ /? ~,/v /'des/C[ez,~e t~,/dt'c/c * l~,o:gL
3. Nature of work (check which applicable): New Building_ Addition
Repair Removal Demolition Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units ~.~/~
If garage, number of cars
Fee
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
Depth
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front N/~q Rear
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth ~,,~ Height ~,/~
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front ./%'0 Rear r
Rear
Number of Stories
Rear tv/~ Depth
Depth ,~ fo q
10. Date of Purchase I ~qS'
Name of Former Owner
11. 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 ~
14. Names of Owner of premises $;~'~"' Address
Name of Architect Address
Name of Contractor _~f~r ,fax6 ~ffr~/r Address
Phone No.
Phone No
Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES __ NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property?. * YES __ NO ~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF ~6,x$~ol~ )
~(ev~n [ ga ~-t,~ c~ *"~ ~- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Own e ~
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
~b*~ day of ,~ei0~ml~'r
Notary Public
20 t7
KATHLEEN MOTT
Notary .P, ubl~, State Of New'¥mk
No. 01M06101734
Qualified In Suffolk County
Commission Expires 11/17/200?
Signature of Applicant
TOWN OF SOUTHOLD PROPERTY RECORD CARD
REMARKS .
TYPE OF BLD. / ~
PROP. ~ _ .......
F~O~TAGE ~ W~TE~ TILLABLE
DEPTH M~ADOWLAND
BULKHEAD HOUSE/LOT '~~
TOTAL
56-1-2.29 10/01
COLOR
M~'-¢oT~ ~ t ~ ~ q~' ~0 5,-~-0 ~¢,~ Foundation ~ Bath ~ t/~ Dinette
E~ten~ ~ >' Z~' ~ ~O /(~ ~ O Basement SL*a Floors ~C) Kit.
Extension Ext. Walls Interior Finish L.R
Extension Fire Place ~/~ Heat D,R.
Patio Woodstove BR.
~ 13XtT~ ~ -- RoomslstFIoor
Garage ~ ~' Z ~ = ~g /,~ 7q~ Driveway Rooms 2nd Floor
Pool
. :Tow___ n o_ f Southold
Erosion, Sed,mentat,on & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S,C.T.M. #: ~ THE SUBMISSION OF A
/000 ~'~ (~! ~-, O~.~ 8TORM-WATER~ GRADING~ DRAINAGE AND EROSION CONTROL PLAN
District Section Block Lot CICK~I~-tED 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 N.._~o
1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This item 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.)
2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? t,~ r~
This Item shall include all Proposed Grade Changes and S opes Controlling Surface WatenCtow[ --
3 W/ti this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural r
Existing Grade Involving more than 200 Cubic Yards of Matedal within any Pamel?
4 w,i this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand (5,000) Square Feet of Ground Surface? ~ --
5 Is there a Natural Water Course Running through the Site?
Is this Proiect within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? --
6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise t(~ r~
one Hundred (100') of Hodzcotal Distance?
7 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? /- ~ --
Pro ect Re ulre t ~" r~
8 Will this j q ' he 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.)
9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? r'~
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Watar, Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permffl
EXEMPTION: Ye._.~s N._.~o
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 Requiredl -- __
STATE OF NEW YORK,
COUNTY OF ,.~5'.~...~.~.. ......................... SS
...................................................................................... oe~ ~my sworn, deposes ~d says ~lat he/she is ~e app~c~t for Femfi~
~d fl~at he/she is ~e
(Owner. Con,actor, Agent, Co~orate ~cer, etc.)
Owner and/or representative of ~e Owner of O~er's, ~d is duly aud~orized to perform or have performed ~e shd work ~d to
m~e a~d file ~s application; fl~at ~l smtemenU con.ned in ~s application are ~e to ~e best of Iris ~owledge ~d belief; md
· at ~e work mil be performed in fl~e maner set forfl~ in ~e application filed here~.
Sworn to before me ~s;
NO, 01M06101~ (Signa~re
'~ ~ ~. ~ .--'"~ I DETAIL A
I ~- .~.~ .,-."/~/ IJ WALL ~RACE ASSEMBLY DETAIL
I L
,,,,, ; ; ,,,,
"NO DIVING
POOL SIZE ^ ¢:8~bl'~ ¥' D E F O H J K L
12' x 24'* 12' 24' 8' T6" 6' 2'6' 6' 2'6" 7' `3'6" 26'10"
14' x 26'"' 14' 26' 10' 7'6" 6' 2'6' 6' 2'6" 9' ,3'6" 29'6 3/8"
16' x .:32' 16', ,32' 8' 14' 6' 4' 8' 4' 8' ..3'6" .35'9 1/4"
16' x `36' 16' 36' 12' 14' 6' 4'
18' x .36' 18'i 36' 12' 14' 6' 4' 8' 4' 8' `3'6" `39'4 `3/4"
6' 4' 10' 3'6" 40' 3"
20' x 40' 20' 40' 14' 14' 8' 4' 8' 4' 12' `3'6" 44'8 .5/8"
-NOTE-
C~LVANIZED ANGLE
EN .G!_,.,,.~ r, nMPLETION
~¢~¢ q,~p[NAL SYSTEMS
~ 2- 18-97 J~ 6" R. CORNERS
~: NONE ] RECTANGLE
~: D.D. "~ ~": RECT6RC
-d