HomeMy WebLinkAbout34822-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33819 I~mte: 07/08/09
T~IS CERTIFIES that the building SWIMMING POOL
Location of Property: 1475' WATERVIEW DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 7 Lot 20
Su]~division Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JWJNE 30, 2009 pursuant to which
Building Permit No. 34822-Z dated JUNE 30, 2009
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 ALAN & MELISA MILLER
( OWNER )
of the aforesaid building.
SUFI~DLKCO~I"fDBPAR~%~TOFf~L~APPRO~J~ N/A
EI.R~-rKICAL CERTIFIC3%~ NO. 104164C 11/14/05
PLIERS CERTIFICATION DATED N/A
//Aut~rized ~ignature
Rev. 1/81
JUL 6
6LOG. O~PT.
TOWH OF SOUTHOLe
Form No. 6
TOWN OF SOUTHOLD
BUILDINGDEPARTMENT
TOWN ttALL
765-1802
APPLICATION ~)R CER'rLFJC~TE OF occUPANcY
This. application must be filled in by typewriter or ink and submitted to the Build~ Department with the following:.
A. For new building or'new use: " 1.. Final sur~ of pr~ty with accurate location of all buildings, pmpet-~/l~cs~ streets, and unusual natural or
topographic features..
Z .Final Approval from He~th I)ept 0f:w~rsupply and ~-~vorag~-dispo~l (S-9 form).
3. Approval ofele~i~l.im~allafion fi'omBoardofFire Underwriters.
4. Sworn statement from plumber ceOifyi~ that the solder used in system oon~in,'less than 2/10 ~f 1%~ lead.
Commermal buildi~g~ ind~-ial building-multiple residences and ~mdar buildings and installafions,.a ce~ificate
of Code Complioace fr0fii architect or enginccr responsible for tho building.
6. Submit Pb,~.{.g Board Approval of completed sito plan r~qui~m~nts~
B. For exiNling'buildin~s ~0rioP ~o April 9, 19~7) n0n. conforming.uses, o.r buildings ~md ,pre~existingn landuse~:
I. Accurate sm'vcy ofPWpcrty qhowing all propcrty.line~, strect~,.building and,unusual natural or topographic
features.
2. Apr~perly completed.apptiC~fio~ a~d COnsent to inspect signed by the applicant. If a Certificate of ocCUPancy is
de~ed, thc Building I~nspector shall'state the masons therefor in writing to the applicant.
C. Fees
L Certificate;of Occupancy - New dwelling $25.00, Additions to dwclling $25.00, Alterations to dweBing $25.00~
Swimming pool $25~00, Accessory building $25.00, Additions to accessory buildin§ $25.00, Businesses $50.00.
Certificate of Occupancy. On Pre-existing Building - $ ! 00.00
3. Copy ofCerfificat¢ofOccupancy i $.25
4. Updated Certificate of Occupancy - $50.00
TempOrary Ce~ificate 0f Occupancy ~ Residential $15.00, Conuncrcial $15.00
New Conshuct/On: ' / Old or Pre-existing Building:
LocationofPror~r,:. I qq~ Lu&.{e_r~ e~: ~ct ~,~'
HoUSe No. Street-
owner or ownm of etoperty:.O. IO r3
-~ ~u~lk Coumy Ta~ M~pNo 1.000, ~ection
Sulxlividon
Health D~t..Approval:
· Planning Board Approval:
Request for: Temporary Certificate
Fee SubmitUxi: $ ~ 5 ~
Date·
(check one)
Hamlet
Block 0007
Filed Map. 'Lot:
AppliCant: ~7~ D0f[~70
/
Underwriters Approval: - -V
/
Finai Certificate: V (check one)
1011212005 82:51 100800000000 RAYNOR PAGE 88
11/14/2005
Electrical Inspection Certificate
$7~ DuMoq Avenue
IEa~t Pateho~ue, New yMa ~TT2
Isaued To; Melissa Miller
1475 Watarview Ddve
Village: Southold Zip: 11971
Section: 78 I~lock: 07 Lot: 20
Town: Southold
Contractor. Gmat ~outh Bay Ele. ConL Inc,
Mc,# 1805-E
-----..-.--- Was e~mined ~___~.~nd to t~ in ec~npaem:e wt~h e~e Na~ia~l Elecltical Co~,.
~~ O~~Amc ~Z~F~r~rO~ ~
MIc~weye~
Bell
CO
Rainflght Sub Panel / 1- Ti~e Clock
Spec Oullet
President
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34822 Z
Date JUNE 30, 2009
Permission is hereby granted to:
ALAN & MELISA MILLER
27 CHITTENDON AVE
NEW YORK,NY 10033
for :
CONSTRUCTION OF INGROUND SWIMMING POOL AS APPLIED FOR PER NYSDEC &
TRUSTEES, FENCED TO CODE. REPLACES PERMIT#31478
at premises located at 1475 WATERVIEW DR SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0007 Lot No. 020
pursuant to application dated JUNE 30, 2009 and approved by the
Building Inspector to expire On DECEMBER 30, 2010.
Fee $ 250.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 31478 Z
Date SEPTEMBER 28, 2005
Permission is hereby granted to:
ALAN & MELISA MILLER
27 CHITTENDON AVE
NEW YORK,NY 10033
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL AS APPLIED FOR PER
TRUSTEES & DEC FENCED TO CODE
at premises located at 1475 WATERVIEW DH SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0007 Lot No. 020
pursuant to application dated SEPTEMBER 22, 2005 and approved by the
Building Inspector to expire on MARCH 28, 2007.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH~q. BG.
[ ] FOUNDATION 2ND [ ] IN~]LATION
[ ] FRAMING / STRAPPING [~']' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RF.~ISTANT PENETRATION
REMARKS: ~/~ /~ ~
DATE
0 ~INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING [~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
DATE ~-- ~ O ~ INSPECTOR
FOUNDATION (2ND)
ROUGH FRAMING & - ' --
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
it t ~~_~
ADDITIONAL COMMENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
Examined
Approved
Disapproved a/c
Expiration "51 'y~' 20 O 7
PERMIT NO.
Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health b) I
3 sets of Building Plans
planmng Board approval
Survey
Check
Septic Form ~ I ~f
N.Y.S.D.E.C. /~
Contact:Trustees /k/~/~ /'
Mail to: :,J.J;'ttl~h
Pho :. 3 i - - >ea3 S
"
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date
,
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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
area~, 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 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 akerations 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.
(Mailing addreds of applicant) 11 7b q
#
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises .
(As on the tax roll or latest deed)
If appli$,arff'~s~a~orpor~a/,9~j,signature of duly authorized officer
~'~' ~ame ~l~of~te 6f~c~)
Builders License No. i
Plumbers License No.
Electricians License No. /
Other Trade's License No.
Location of land, on which prop~se.d work will be done:
iq- 5 wJc4tecV ie
House Number Street
County Tax Map No. 1000 Section '] <~
Subdivision (--~cc~e.lqt~ ,_~ t~q'Jrr~ ~'~ q
(Name) /
Hamlet
Block ~)'~
Filed Map No.
Lot q/g
Lot
2. State existing use and occupancy of premises a, nd intended use and occupancy of proposed construction:
a.. - Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition .--- Alteration
Repair Removal Demolition Other Work . ~7/~v~zg~ t/t~d ~
d (Description)
4. EstimatedCost 000 Fee
/, (To be paid on filing this application)
5. If dwelling, numberofdwellingunits. ~J//P Number ofdwelling units on each floor ~/~
If garage, number of cars ~/~- /
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /Ld/~
7. Dimensions of existing stmctures, if any: Front /O//4 Rear /b///{t Depth /b,?~'-
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 St
o'de~
9. Size of lot: Front /~/~'Q Rear .Depth
10. Date of Purchase ,~//~ Name of Former Owner
11. Zone or use district in which premises are situated g ~ ZJrO
A-)/~. Rear
Number of Stories
Rear .Depth
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~
13. Will lot be re-graded? YES ~X" NO Will excess fill be removed from premises? YES X NO__
),on
14. NamesofOwnerofpremises~,q~q ~,J)O{' Address PhoneNo.
Phone No
Name of Architect /d//q Address
Name of Contractor -Stu:~ "7-'ot'h ~,',*1 5~',qn~ 6k'Address q67/l']d~r ~/~/'. Phone
.r,,c.' f ,ller v7//70)t
15 a. !s this property within 100 feet of a fidal wetland or a freshwater wetland? *YES '~ NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM1T~ MAY BE REQUIRED.
9*
b. Isthispropertywithin300feetofatidalwetland. YES /- NOr
* 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 )
~~e / dO tyro_ r'; C k being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 00~'~g'O C 1~
(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
' ~- - Notary l~bli}
New York State Department of Environrhental Conservation
Division of Environmental Permits, Region One
Building 40 - SUNY, Stony Brook, New York 11790-2356
Phone: (631)444-0365 · FAX: (631)444-0360
Website: www.dec.state.ny.us
Edn M. Crotty
Commissioner
AMENDMENT TO PERMIT
Date: July 21 2005
To.'
Melissa Miller
27 Chittenden Ave
New York NY 20044
DEC No.: 1-4738-03425/00001
Permit(s): Article 25: Tidal Wetlands
Project Location:
The Department of Environmental Conservation has completed its review of your request to amend
the referenced permit. This permit authorizes the removal of a fence, the installation of an in-
ground swimming pool and a drywell and construction of a shed
We have determined, pursuant to the Uniform Procedures Act and Tidal Wetlands Land Use
Regulations (6NYCRR Parts 621 and 661 respectively) that the requested changes will not exceed
the scope of the original permit and can, therefore, be approved.
The permit is hereby amended to authorize the reodentation of the swimming pool on the property.
All features shall conform to the attached site plan stampted NYS DEC Approved on 7/21/05.
All other terms and conditions remain as wdtten in the original permit. This document is an
amendment to the original permit, and, as such, must be available on the project site with the
original permit and approved plans whenever authorized work is being conducted.
If you have any questions or wish to discuss this determination, please contact your Project
Manager, Karen Westerlind, at 631-444-0365.
Very truly yours,
George W. Hammarth
Deputy Regional Permit Administrator
Enclosure
cc: Valerie Marvin
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER
1-4738-03425/00001 EFFECTIVE DATE
· 20 April 2005
FACILITY/PROGRAM NUMSER(S) PERM IT ~xp,~T~ON DATE(S)
Under the Environmental 30 April 2010
Conservation Law
TYPE OF PERMIT · New [] Renewal El Modification [] Permit to Construct [3 Permit to O~erate
E3 Adicle 15, Title 5: Protection of Waters
[] Article 15, Title 15: Water Supply
[] Article 15, Title 15: Water Transport
[] Article 15, Title 15: Long Island Wells
[] Article 15, Title 27: Wild, Scenic and
Recreational Rivers
[] 6NYCRR 608: Water Quality Cedifica-
El Article 17, Titles 7, 8: SPDES
[] Article 19: Air Pollution Control
El Article 23, Title 27: Mined Land
Reclamation
[] Article 24: Freshwater Wetlands
· Article 25: Tidal Wetlands
[] Article 27, Title 7; 6NYCRR 360:
[] Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
[] Article 34: Coastal Erosion
Management
[] Article 36: Floodplain Management
[] Articles 1, 3, 17, 19, 27, 37; 6NYCRR
380: Radiation Control
· Solid Waste Maria ement
PERMIT ISSUED TO ~
Melissa Miller
ADDRESS OF PERMITTEE
27 Chittenden Avenue, New York, Ny 10033
CONTACT PERSON FOR PERMI'i ~ ~-u WORK
Valerie Marvin, 218 Front Street, Suite 2, Greenport, Ny 11944
NAME AND ADDRESS OF PROJECT/FACILITY
Miller Pmperb/, 1475 Waterview Drive, Southold
LOCATION OF PROJECT/FACILiTY
ITELEPHONE NUMBER
SCTM: 1000-078-07-20
COUNTY ITOWN IWATERCOURSE I NYTM COORDINATES
Suffolk Southold Goose Creek E: N:
DESCRIPTION OF AUTHORIZED ACTIVITY
Remove existing fencing and install an in-ground swimming pool measuring approximately 20 feet by 40 feet, a shed
for equipment Storage and a drywell. All work is to be done in accordance with the attached plans stamped NYSDEC
approved.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable
regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit·
PERMIT ADMINISTRATOR: (KSW) ADDRESS
George W. Hammarth, ~ Region 1 Headquarters
Deputy Permit Adminstrator I Bldg. #40, SUNY, Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE ..,¢I ~,'~ DATE //
~~/'/. ~ 7/,~2.5~- ..ge, of 4
Albert J. Krupski, President
James ICing, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
September 15, 2005
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Valerie Marvin
218 Front Street, Suite 2
Greenport, New York 11944
RE:
ALAN AND MELISSA MILLER
1475 WATERVIEW DRIVE, SOUTHOLD
SCTM# 78-7-20
Dear Ms. Marvin,
The Southold Town Board of Trustees reviewed the survey certified to Fidelity National Title
Insurance Company of New York and last dated June 11, 2005 and determined the proposed in
ground pool to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code
and Chapter 37 Coastal Erosion Hazard Areas in the Town Code.
Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal
Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no
construction, sedimentation, or disturbance of any kind may take place seaward of the tidal
wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated
above, without a permit. It is your responsibility to ensure that all necessary precautions are
taken to prevent any sedimentation or other alteration or disturbance to the ground surface or
vegetation within Freshwater Wetlands, Tidal Wetlands jurisdiction, and Coastal Erosion Hazard
Area, which may result from your project. Such precautions may include maintaining adequate
work area between the freshwater wetland boundary, tidal wetland jurisdictional boundary and
the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay
bale berm.
However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard
Area would require permits from this office.
A condition of this no jurisdiction determination ~ t_~_hat a haybale line be 131aced at the hun
foot line from the tidal wetlands and aJ)re c0--*-'-,.'-- ,- ........ ~und_~Q.d.~d,
b.b._efore_ the start of an - ,'~St~uction ~ ,,o,,,,,.L,,~ im.e !nsp.e. ction De made
· _ _ an~Q.y_.~ · e contact th~s offica for the Inspecbons. In a~,,
~n order to satisfy the requirements of the agreement concerning the violation for the removal of
Phragmites the area that still remains unvegetated be planted with Spartina patens 12" on
center·
This determination is not a determination from any other agency.
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SUFFOLK
S.C. TAX
SURVEY OF PROPERTY
$[TUA TED A T
SOUTHOLD
TOWN OF SOUTHOLD
COUNTY, NEW YORK
No. 1000-78-07720
SCALE 1"=40'
MAY 19, 2000
AREA = 296,195.09 sq. ff.
(TO TIE LINE) 6.800 aC.
CERTIFIED TO:
FIDELITY NATIONAL TITLE INSURANCE CON, PANT OF
J, p, MORGAN CHASE BANK
ALAN MILLER
MELISSA MILLER
NOTES:
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:~
EXISTING CONTOUR LINES ARE SHOWN THUS: ....... o .....
TEST HOLE DATA
20-325I