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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