HomeMy WebLinkAbout34851-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33851
Date: 07/24/09
T~IS C]~RTIFIES that the building IN-GROUND SWIMMING POOL
Location of Property: 280 POND AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
Co%~ty Tax Map No. 473889 Section 56 Block 1 Lot 2.30
Subdivision Filed~4ap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 13, 2009 purs,,a-t to which
Building Permit No. 34851-Z dated JULY 13, 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 PATRICIA CALDERONE
( OWNER )
of the aforesaid building.
SIIFI~DI~KCOI~I"fDEPARR~T OF ~J~T~APPRO%r~J~ N/A
EL~t-rKIC3%L c~TIFICATE NO. 1150460 08/11/03
pLOR~BERS c~TIFICATION DATED N/A
~~ tborize~
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. 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.
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. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. 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.
V// Old or Pre-existing Building: (check one)
Location of Property: ~-~O ~)O"~ ~-~ ]/~ ~0}~ ~ ][~
Hamlet
House No. . Street ~~ ~,[/~
OwnerorOwnersofPrope~y: ~'C,~ ~ [de ~ I
Suffolk County Tax Map No 1000, Section ~ ~ Block 0 } Lot ~-3D
Subdivision ~O~ ~ ~~ FiledMap.~. ~/~
Pe~it No. ~9~I
Lot:
Date of perufit ~-?...j ~ ~.O t~ Applicant:
Underwriters Approval:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate: ~ (check one)
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 1OO38
Upon the application of
CERTIFIES THAT
upon premises owned by
DOUBLE R. CONTR./R. RAGEN
165 EADS ST.
W. BABYLON, NY 11704,
BEN & PAT CALDERONE
280 POND AVE
SOUTHOLD, NY 11971
Located at
280 POND AVE SOUTHOLD, NY 11971
Application Number: 1150460
Section: 056 Block: 0001
Described as a Residential
Lot:
Certificate Number: 1150460
002.030 Building Pe~mfi(~''~ ~ BDC: NS11
/ 29470-E /
occupancy, wherein the ~ '~cal( system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside, Pool/Spa~
was ~nspected in accordance with the National Electrical Code and the detail of the installation, as
found to be in compliance therewith on the t 1th Day of August, 2003.
QTY Rate Rating Circuit Twe
Name
Appliances and Accessories
Time Clock/Switch 1 0
Furnace 1 0
Panels
Gas
40 2
Wiring and Devices
Receptacle 1 0 20 amp Pool/Spa
Switch 1 0 General Purpose
Receptacle 1 0 GFCI
Fixture 1 0 Pool/Spa
set forth below, was
(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 person.
seal
! of 1
This certificate may not be altered 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~)ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34851 Z Date JULY 13, 2009
Permission is hereby granted to:
PATRICIA CALDERONE
280 POND AVE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD W/ FENCE TO CODE AS APPLIED FOR.REPLACES EXPIRED BP # 29470
at premises located at 280 POND AVE
County Tax Map No. 473889 Section 056
pursuant to application dated JULY
Building Inspector to expire on JANUARY
SOUTHOLD
Block 0001 Lot No. 002.030
13, 2009 and approved by the
13, 2011.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 29470 Z Date JUNE 9, 2003
Permission is hereby granted to:
BENJAMIN CALDERONE
280 POND AVE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD WITH FENCE TO CODE AS APPLIED FOR
at premises located at 280 POND AVE
County Tax Map No. 473889 Section 056
pursuant to application dated JUNE
SOUTHOLD
Block 0001 Lot No. 002.030
5, 2003 and approved by the
Building Inspector to expire on DECEMBER 9, 2004.
Fees 150.00 ~~~
ORIGINAL
Rev. 5/8/02
Page: 1 Order: 462352
Order Date: 07/20/09
SHIP VIA: UPS - GROUND
SHIPPING CHARGES: 8.42
WEIGHT: 8.000
BilITo: CATHLEEN MONTILLA
280 POND AVE
SOUTHOLD, NY 11971
Ship To: CATHLEEN MONTILLA
280 POND AVE
SOUTHOLD, NY 11971
Bin Location
C-8
Quantity --
To Pick Picked SKU #
1.00 ~ PE22
Product
Description I Special Instructions
POOL EYE INGROUND ALARM W/REMOTE
PickerlD: ~
Fulfillment Instructions:
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 [ ] RRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved a/c
Expiration
PERMIT NO. oQ- et cl
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Building Inspector
Mail to:
Phone:
., APPLICATION FOR BUILDING PERMIT
Date (O1,,9) , 20 (.~/~
INSTRUCTIONS
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
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 Peri-nit to the applicant. Such a pern~t
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 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.
- (Sign~mrdo-f applicant or name, if a corporation)
' - (Ma{lihg ad~s of applic~t) ' '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises _~_ Cr~,'Ll'~,Ch ~ 'lO0?Cr-, ,'2_ ,..'l. ld e r oD
(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. Oq0 (/2 Q
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 ~(42) Block I Lot C'~- ~
SubdivisionLf3rxr3,0~V~r{ ~'~,5-~q-r~% Filed Map No. ~.~i ~t
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy~fh
Nature of work (check which applicable): New Building_
Repair Removal Demolition
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Other Work (3C r-- c ~-~
· [(Desc~ptio'n)
(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 ~3 .--% ~ Rear ~ ~ .q Depth
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 oflot: Front I'~0,0q Rear /_~0,
Number of Stories
Rear
Depth
Rear
Depth
10. Date of Purchase
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 v/'NO~..__Will excess fill be removed from premises? YES '~NO__
14. Names of Owner ofpremisesa~z~t~k~kkltz:l:~Address Z._~D 'PO~ ,chr~ Phone No.2~ q/a~- Icg O~
Name of Architect Address Phone No
Name of Contractor M~r'l~,,'~ ~°o~:>\~ Addressgqs-Dve:~ ~4~,,) PhoneNo. -~:~2~
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 ~D.
b. Is this properly within 300 feet of a 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
.~('~_+r ~ ~ t~ C~[(~-~>,~"-I~)T)---~ being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 0 [,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.
SWOl;~ to~,b~ore me thi~
Z..,._lka dayofx |t1.'rh--t° 20~'9)
~ No~aryi>u~Iic - - - Signature of Applicant
Christi A. Santulll
Notary Public, State of New York
No. 01SA5040403, Suffolk County
Term Expires March 13, ~.c~O0
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
ACR. , Ci ~.
LAND IMP.
FRONTAGE ON
DEPTH
BULKHEAD
TILLABLE
\
M~ADOWLAND
HOUSE/LOT
TOTAL
COLOR,/ _y/__
'* ~"~" ~,~{'~'T-- -~..~.-~t-, Foundation ~ Bath Dinette
~X /~= ~ ~ /~ ~,~ ~],~ Basement ~L Floors Kit.
xion Ext. Walls Interior Finish L.R.
~ Z ~ ~ ' !~. ~ 5~ ~ Fire Place ~ Heat ~ .~, . ~ D.R.
Patio Woodstove BR.
~ { ~[ 7/~T~ Dormer Fin. B
/
Deck ,~j .~ /, = ~ Z~ Attic
Breezeway Rooms 1st Floor
Garage ~ X ~ ~ C?~ /, ~ ?~'0 Driveway Rooms2nd Floor
o~B.. ? ~,, 2_. ~ q~ ~qT~ /, ~
Pool
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN' OF SOUTHOLD
May 1, 2006
Benjamin Calderone
280 Pond Avenue
Southold, NY 11971
RE:280 Pond Ave.
S.C.T.M. # 056 0001 002 030
Dear Mr. Calderone,
Please be advised that your Building Permit # 29470 issued June 9th, 2003 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150..00 At that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
K.Miller
Clerk Typist
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
February 5th, 2007
Benjamin Calderone
280 Pond Avenue
Southold, N.Y. 11971
RE: 280 Pond Avenue (in-ground pool)
SCTM# 56 1 2 30
NOTICE
Dear Mr. Calderone,
Please be advised that your Building Permit #29470 issued June 9th, 2003 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDiNG DEPT.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York I 1971-0959
Fax (631) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 2nd, 2007
Benjamin & Patricia Calderon
280 Pond Avenue
Southold, N.Y. 11971
RE: 280 Pond Ave. (In-Ground Pool) FINAL NOTICE
SCTM # 56 1 2 30
Dear Mr. &Mrs. Calderone,
Please be advised that your Building Permit #29470 issued June 9th, 2003 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of 150.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
EDWARD FORRESTER
DIRECTOR OF CODE ENFORCEMENT
Southold Town Hall Annex
54375 Route 25, P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1939
Facsimile (631) 765-6639
e-maih
ed. forrester@town.southold.ny.us
TOWN OF SOUTHOLD
March 11, 2008
Benjamin & Patricia Calderon
380 Pond Ave
Southold NY 11971
Re;
Property at 280 Pond Ave Southold
SCTM# 1000-56-1-2.3
Dear Mr. & Mrs. Calderon,
Please be advised that the Building Department has forwarded your file to this office for
enforcement action. Letters have been sent requesting you obtain a C.O. for the work
that was performed under expired permit #29470.
It is a violation to use a structure without a valid C.O. issued by the Building Department
Please take the steps necessary to remedy this violation.
Thank you for your anticipated cooperation.
Sincerely,
Forrester
Director of Code Enforcement
cc: Building Department
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
LAND
IMP.
ACR. , ~i 2.
TYPE OF BLD.
PROP. C~.~ ~t ~)
TOTAL
~1oo
DATE
FRONTAGE ON WATER
FRONTAGE ONROAD
DEPTH
BULKHEAD
TILLABLE
~o ..~L~D
,,
M~ADOWLAND
HOUSE/LOT
TOTAL
COLOR/
· .~ P,h~ .~"~'"1~-'- ~ ~ Foundation ~ Bath Dine~e
~X /g= ~ ~ /~ 3, ~ ~/~ Basement ~;' Floors Kit.
Extension Ext, Walls Interior Finish L.R
Patio Woodstove BR.
.~ (~' ~(~ Dormer Fin. B.
/ · .,,.-, ~/
D~k .~ ~ .,, ~ , '"~ ~ ~ Attic
Br~zeway Rooms 1st Floor
Pool
'~'" "'"r' 6<'"=r' ,ALTERNATE,
RIM LOCK COPING
NOTE: SLDPE DECK/TERRA.T-N
A~Y FROM POOL
LONGITUDINAL SECTION
AT EVERY STRAIGHT PANEL INI'~RSECTi(~9].COf~N~C~ CONN~CT~N
a/4' ~.ST plP£
a:xza~~ pAh"Zl.
BOTH ENDS
, ~ Ls x ~ x ~ - . ..... ~ ~.z~/,
"A' ~ D~L
1.5- X 1.5' X 24' - 14
REVISED 4/02 H. ROY JAFFE, P.E.
UNI~ERwR~iERS CERTIFICATE
, REQUIRED
B.P.#~
1. ~DA~- ~0
3.~
~ ~P~E FOR C.C.
YORK STATE. ~T
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
NOTE ,~ :STAKE
~,URDIVISION MAP FII ED IN TIlE OFFI(I[ OF THE CLERK OF
SUFFOLK COUNTY ON NOV ~9,1990 AS FILE NO 9031
COMP~-Y WITH ALL CODES ~:~c $;)~ce,
~w ¥o~ ST~T~ & TOW~Oa~'O~S
AS REQUIRED AND CONDITIONS OF
--/'~ ~\ SOUTHOLD TOWN ZBA
a./... \, SOUTHOLD TOWN PLANNING ~ARD
--/a- \ ,, SOUTHOLDTOWNTRUSTEES
-'/' , NY.S, DEC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
FLOOD ZONE */~
COMPLY WITH CHAPTER '46'
FLOOD DAMAGE PREVENTION
STEVEN R, SPRENGEL I~ PATRICIA SPRENGLL
LOT NO, 36,"LONG POND ESTATES, SECTION TWO"
AT ARSHAMOMAQUE [,a,~ ,'~'~ ~,,
~WN ~ SOUTHOLD s, at~ ~"
SUFFOLK COUNTY, NEW ~RK ~' '*l- 30~
~.0 ~ .,S ~.*t~ m ~.~ tmttt C~.~. OOV~.. OF ~W~~' ' )
OWN~.S ~
YOUNG a
~'O~TRANDE R AVENUE
RIVERI4EAD, NE~ YORK
AL DEN W YOUNG, PR()FfSSIONat fNGINE
AND LAND SURVEYOR N Y~, Ut[NSf N~')
HOWARD W YOUNG, LAND SURVEYOR
NY5 tIC[NS[ NO 45893