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Home My WebLink About34313-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33914 Date: 08/24/09 THIS CERTIFIES that the building SWIMMING POOL Location of Property: 305 HYATT RD (HOUSE NO.) (STREET) Cou/lt¥ Tax Map No. 473889 Section 50 Block 3 Subdivision Filed Map No. __ Lot No. __ SOUTHOLD Lot 21 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 34313-Z dated NOVEMBER 21, 2008 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 LINDA TSONGAS & ORS ( OWN E R ) of the aforesaid building. S UF~DI~KCO~DEPART~T OF ~TH~PRO~L N/A EL~t-rKICAL C~TIFIC3%TH NO. 10273 05/09/09 PLieRS c~KTIFICATION DA'£~U N/A Rev. 1/81 Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCL This application must be filled in by typewriter or ink and submitted to the Buil~ For new building or new use: 1. lAUG 14 2O09 PAI~ ¥ BLD D PI. Depar tmq~ll~ ~ ~'flilowing: 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 (8_9 form). 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. Commemial 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 reqmremems B. For ey, isting 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 masons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwel!ing $25.00; Swimming pool $25.00, Accessory building $25.00, .Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pm-ex/sting 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 / Date. / New Construction: ~ Old or Pre-e~sting Bu~ldi[tg: , Location o f Property.¥'/x % C)~-'"- ~L~ House No. ~ ~' (J Street Owner or Owners of Property. '~, ~/0 ' Suffolk County Tax Map No 1000, Section ~ O BloCk Date of Permit. Filed Map. Applicant: Subdivision Pat No. % · Health Dept. Approval Underwriters Approval: Planning Board Approval: (check one) Hamlet Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) [XpPlicdnt 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. 34313 Z Date NOVEMBER 21, 2008 Permission is hereby granted to: LINDA & ORS TSONGAS 5205 39TH AVENUE LONG ISLAND CITY,NY 11104 for : INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQ REAR YARD OF EXISTING SFD AS APPLIED FOR. at premises located at County Tax Map NO. 473889 Section 050 pursuant to application dated N/A Building Inspector to exq~ire on MAY 305 HYATT RD SOUTHOLD Block 0003 Lot No. 021 and approved by the 21, 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Applicant: Rough In Inspection Date: Application NO.: Suffolk County Tax Map No.: SUFFOLK BUREAUof EtECTR!CA INSPECIORS, nc 40 Nottingham Drive, Middle Island, NY 11953 Telephone:6314958136 · Fax:6319806455 · E-Mail:SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Raymond Electrical May 9,2009 10273 Certificate No.: 10273 Final Inspection Date: May 9,2009 Building Permit No.: 34313 1000 50 3 21 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final ~nspection date above: Owner: GUS and Stacey Tsongas Site Location: 305 Hyatt Rd. South, Southold, NY 11971 Owner's Address (if different): [~ Residential [] Indoor [] Basement [] Service [] Shed [] Commemial [] Outdoor [] First Floor [] Pool [] Hottub [] New [] Renovation [] Second Floor [] Attic [] Garage []Addition []Survey Other: INVENTORY Single Phase Heat Duplex Recpt Ceiling Fixture HID Fixtures ~ Pha~ H~ V~ter GFCI .ecpt 1 Wall Fixture Smoke AC Cond Single Recpt Recessed Fixture CO Detect Sub Panel 4ckt AC Blower Range Recpt Fleuresoent Pumps 1 Transformer Appliances O~yer Recpt Emergency Time ClOC~ 1 Disconnect Switches 2 Twist Lock I Exit Fixtures TVSS GFCI Breaker 1-2pl Heat Pump I Electric Heat Pool Lumir~ire 2 Exhaust Fan Other Equipment: Chlorine Generator 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. Applicant: Raymond Electrical License No.: $141ME Inspected By: Gene Surdi Date Of Certificate: May 15,2009 Signature: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTI0N ] ROUGH PLBG. ]INSULATION [~)~ FINAL ] FIRE SAFETY INSPECTION 1 FiR~ ~ES,STA., REMARKS: INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION ~FINAL REMARKS: INSPECTOR~~~--~ DATE ?r~]',D INSPECT/ON RI~OR.T I DATE'[ FOB/NI)ATION (1ST) FOUNDATION (2ND) ROUG~ FRASiING & PLIJIVI~IN G LNSULATION PER N.Y. ---~ --- STATE ENERGY CODE ADDITIONAL BUILDING DEPARTMENT TOWN HALL' £OUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20 Appro,~ed ,20 Disapproved a/c PERMIT NO. Do you have or need the fallowing, before applyiog'? Board of Health 4 sets of Building Plans Planning Board approval Smwey Check Septic Form N.Y.S.D.E C. Trustees Col~tact: Pno=: qq-? Expiranon ,20__ Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20__ a. This application MUST be completely filled in by typewriter or in i~ and submitted to the Building Inspector with 4 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 Nspector will issue a Building Pmmit to the applicant, Such a pelqnit 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 ~ssues a Ce~ificate of Occupancy. f. EvelT building pe~it sEall expire if the work authorized has not commenced witNn 12 montks a~er the date of issuance or has not been completed within 18 months from such date, If no zoning amendments or other regulations affecting the prope~W have been enacted in the interim, the Building Nspector may autho~ze, in writing, the extension of the permit for an addition six months, ThereaRer, a new permit shall be required. ~PLICATION IS HE.BY M~E to the Building Department for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of South&d, Suffolk County, New York, and other applicable Laws, Ordinances or Regulafions, for the construction of buildings, additions, or alterations or for removal or demolition as herein described, The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, a~ulations, and to admit authorized inspectors on premises and in building for necessary inspection~ // ' ~ -(Signa~e ~f appl cant or name, ifa co~oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~llgq- ~ql'~cu ~"~Of~ ~gk5 (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._ ~,9_lh[ I ~ht Plumbers License No. Electricians License No. ~1 ¢1 ~' Other Trade's License No. 1. Locatign o.f l{q'~d 011 whi~'~ pro22~_sed work House Number Street County Tax Map No. 1000 Subdivision (Name) Section will be done: · ~~o bi Ok k~Harnlet Block Fried Map Lot 02 I Lot 2. State existing use and occupancy of prem!ses and i~ended use and occ.upancy of proposed ¢°nstructi°n: b. Intended use and occupancy ._qlo~},~.f~m,h4 ~$i(le.t'lr_g 3. Nature of work (check which applicable): New ~ Addition Alteration. Repair Removal Estimated Cost ~L-5,/)oO- If dwelling, nm-nber of dwelling units If garage, number of cars Demolition Other Work Fee (Descr/ption) (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. Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Dimensions of entire new construction: Front Height Number of Stories Depth _ Rear Rear Depth Size of lot: Front Rear Depth 10. Date of Purchase Name of Fonner Owner 1 I. Zone or use district in which premises are situated I2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES t~NO__Will excess fill be removed from premises? YES__ 14. Names of Owner of premises/~on~ Name of Architect Name of Contractor ~0.11414.'l-(5~ottte- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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 ,--'"- * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 3o_5 '1 ~g-z'zu Addresst~' fiqoat I~t ~. Phone No. Address 116 k, be~ ~ Phone No Address ~ ~4t~ ~ Phone No. ~0 16. Provide smT, ey, 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 _) (5~omdcf'l- ~X~{'¢k~-~'- being duly sworn, deposes and says that (s)he is the applicant (Name of individual sig~aing contract) above named, (S)He is the (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 true to the best ofkis knowledge and belief; and that the work will be performed in the maturer set forth in the application filed therewith. Sworn to beibre me this~ Iq ~ day of ~0~°~.,( 20~_ KATH~EEN ~LEY NOTARY ~, ~ of N~ Y~ No. 01Q~t24124 Qualifl~ in Suff~ Coun~ ! 7gn'ature of Applicant 0'~-..r-,~-,~-.z/ N OF H PI~OPERTY ~,,~O~D CARD OWNER STREET ~.,~)C) ~ VILLAGE DIST. I' SUB. LOT F~ER ~NER~ · ,. N E ACR. t I S W ~PE OF BUILDING ~ND IMP. TOTAL DATE R~RKS ~ '~ ' immoble , FRONTAGE ON WATER t~lo~ k~ ~OO . ~ FRONTAGE ON ROAD j jA ~ ~ &'~, ~ : /j ~ ~ ~ ' DE~H ~ P~ ~ ~ ~ G~ ~ ( ~ BULKH~D .. COLOR TRIM Foundation Basement Ext. Walls Fire Place Roof Both Floors ,Interior Finish Heat Rooms Ist Floor Recreation Room Rooms 2nd Floor ~/~ 7 _~ Dormer Driveway ~~ Floors Kit. Extension Basement s~*~ ~ ~ Extension ~1[ = ~G Z~ [~ FirePlace ~ Heat ~ D.R, Z Patio Woodstove BR. ~ Porch ~ ~ It ~ ~ ~O ~ Dormer Fin. B. ~ Deck Attic Breezeway: Rooms 1st Floor Garage Z~' ~O~ ~ ~33 Driveway Rooms 2nd Floor ~ ?~ ~ Pool ~ %~ ~ _Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM EXEMPTION S: A. Does this project meet the minimum standards for classificatiou as an Agricultural Project. t~ Note: If you an*wored Yes to any of the above, a Storm-wat0r, Grading, Drainage 8, Erosion Control Plan is not requksd, ACTIONS REOUIRING THE SUBMISSION OF A STORM-3VATER~ GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE. OF NEW YORK. Item Number: (A Check Mark (4) for each question is required for complete application) Yes 1No 1. Will this project retain all Storm-Water Run-off generated on Site? _ - (This will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2. Will this project require any land filling, grading or excavation wheie there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? 3. Will this application require land disturbing actixdties encompassing an area of five thousand (5,000) square feet of grouod scrface si mo~e? 4 Is there a Natural Water course n]rmmg through the site or is this pro eot within One hundred (100) feet of wetlands or a beach? 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to r~ One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Strum-Water Run-off into and/or in the direction of a Town Right-of-Way? [.~ 7. Will this application require'the placement of material, removal of vegetation and/or the construction of any Item w~th~n he Town Right-of-Way or road shoulder area. ("[his item does not include the installation of driveway aprons.) 8. Will there be site preparation within the one hundred ti00) year floodplain of any watercourse? [ 1 Note: If any answer to questions ~)ne through eight is answered with a check mark in the Box, a Storm.water, Grading, Drainage & Erosion Control Plan is required and most be submitted for review prior to issuance of any building permit. STATE OF NEW YORK, COUNTY OF ~1~,~2)IL[~ ss That f ~11~1~¢~'1~. ~(} t~.~ ~:~ being duly sworn (ieposes aug says that he/she is the applicant fo, Pcm0L tN'amc of individual signing Docurnenl) And tlaat He/She is the Owner and/or representative of the Owner or Ox~mei's, and is duly authorized to perform or have perfmmed fl~e said work and to make and file this application; that all stalements contained in this application are m.]e work sill be performed m the maturer set fmXh m the application filed herewith Sworn to befOle me this; "a ~u'~ ~t ~h~ ~g' ~T~EN~y ~ ~ 0 ~ No. 0~4~4 --" Q~al~ in S~ Coun~ C"'~m,*s~on Expi~s April 25 ?o 0~ g]~atu]e of Applicant) SUFFOLK CO. HEALTH DEPT. APPROVAL / \ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES. {S) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAl FOR CONSTRUCTION ONLY DATE Hl S- REF NO APPROVED SUFFOLK CO TAX MAP DESIGNATION: DtST SECT BLOCK PCL. OWNERS ADDRESS: ' 'E0O E~E-I~K'v A N .'~ y L TEST HOLE STA~4P ' ' I':-~ Z~°m~:"""m,.;,'~/'°~ LICENSED LAND SURVEYORS GREENPORT NEW YORK /-, PLAN .'<' E:~WR;TER$ CERTIFICATE COPIN~ ANP ,. FC;,.q;E ' :04 - 2. ROUGH - 3. iNSULATiON 4. FINAL - COiF'cS.. ~ON MUST BE COL'?LE-i2 ~' >L r:O. ALL CONSTRUCTION SH:,LL ~/EET THE REQLU2EbtEHTS OF T~ iE CODES OF NEW YOBK STATE. NOT RESPOFS~BLE FOR DESIG~I OR CONSiSUCTION ERRORS. SECTION B "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" NOTES RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE LOC,AL CONPlT10NS ',':::' ,, c ..... '-: :,: ,'lb 0,- THE .... ' '-' 2, ,~ P~OM%IMg~ ~ ~/"'~ PIL~g~At,~PUN~P E] () / DES PLUMBING SCHEMATIC WAFER Lli~ ~ R(~LBP POA~ ~I'Wg[N LINP-R ANP CON051~ POeM ~SOQ P51 POt~P CONE~I'¢ -- VIN'~ LIaR 2" fO 4' 5AN~ -- WALL SECTION COivlP~ ¥ wiTH CHAPTER "46" FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. °<z ~u~z :bU