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Home My WebLink About34239-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-33925 Date: 08/31/09 THIS CERTIFIES that the building SWIMMING POOL Location of Property: 5223 INDIAN NECK LA (HOUSE NO.) County Tax Map No. 473889 Section 98 Subdivision PECONIC (STREET) (H/LMLET) Block 1 Lot 1.4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 2008 pursuant to which Building Permit No. 34239-Z dated OCTOBER 17, 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 LISA 0KULA & ROBERT DE FRESE (OWNER) of the aforesaid building. SUFFOLK COU1TFY DEPARTMENT OF HI~;%LTH APPRO~-AL ELR~-rKICAL CERTIFICATE NO. PLD~ERS CERTIFICATION DA'r~u 126635C 01/07/09 N/A ~zed~ Rev. 1/81 AUG 7 BLDG. DEPT. TOWN OF SOUTI~OLO 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 °f pr°perty 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. 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 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 pr°perly c°mpleted 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 1.' 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: Location of Property:. ~' Old or Pre-existing Building: House No. 'X Street Owner or Owners of Property: Suffo~ County T~ Map No 1000, S~tion Sub~hsion Permit No..~-C/=~. ,~t/o)27 Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ t~,~ ~- Date. (check one) Hamlet Block Lot Filed Map. Lot: . Applicant: Underwriters Approval: /.5/ Final Certificate: t/~ (check one) J[pplicant Signature James F. King, President Jill M, Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0444C Date: July 8, 2009 THIS CERTIFIES that the installation of an in,ground swimming Pool~ patio and shed and maintaining the 50' Non-Disturbance Buffer At 5223 Indian Neck Lane, Peconic, New York Suffolk County Tax Map # 98-1-1.4 Conforms to the applications for a Trustees Permit heretofore fried in this office Dated 7/1/08 pursuant to which Trustees Wetland Permit # 6967 Dated 9/17/08 was Issued and was Amended on 11/19/08 and on 5/20/09 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of an in-ground swimming pool~ patio and shed and maintaining the 50' Non-Disturbance Buffer The certificate is issued to ROBERT & LISA DEFRESE owner of the aforesaid property. Authorized Signature Issue Date 1/7/2009 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 126635C East Patchogue, New York 11772 (631) 286-6642 Issued To: Robert & Lisa Defrese Street: 5223 Indian Neck Lane Village: Peconic Zip: 11958 Section: 94 Block: 1 Lot: 1.4 Contractor: Elec Tec Inc. Town: Southold Lic.# 4814-E was examined and found to be in compliance with the National Electrical Code. --J Commercial ~ NVDefects [_Xl Pool [~ lstFIoor ~ Indoor [] Basement [~ HotTub [] Residential ~ Der. Garage [] Attic [~ 2nd Floor [] Outdoor ~ Addition ~ Survey Switches Receptacles Fixtures GFI Heaters 1 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps A/C Fans Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: 34239 Other Equipment I-Raintight Subpanel/1-20 amp Spec. Outlet/ 1-60 amp Heater Disc./1-Time Clock Hugo S. Surdi President Rough Insl~taction: Fi ~~~,,.~Inspector;~ , ~/~ / Int, t3e'ctor: / John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. 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. 34239 Z Date OCTOBER 17, 2008 Permission is hereby granted to: ROBERT L & LISA M DEFRESE 5223 INDIAN NECK LA PECONIC,NY 11958 for : INGROUND ACCESSORY SWIMMING POOL AS APPLIED FOR, PER TRUSTEES PERMIT #6967 at premises located at County Tax Map No. 473889 Section 098 pursuant to application dated OCTOBER Building Inspector to ex"pire on APRIL 5223 INDIAN NECK LA PECONIC Block 0001 Lot No. 001.004 10, 2008 and approved by the 17, 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 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 REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~X~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]RRERESISTANTCONSTRUCTION [ ]RRERESISTANTPE#,-~.ATION REMARKS: ~::~ ~'~ ~~ DATE ?I~ELD EXrSPECTION REPORT FOI~XtDATION (1ST) EOt _~qDATION (2ND) R ()UGH FILZu'vrlTqG & PLErb IBE'q G DATE COMMt;NTS LNSL~ATION PER N. Y. STATE ENERGY CODE ELNAL ADDITIONAL COIVI2VIENTS BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 , FAX: (631) 765-9502 www. nor thfork.net/Southold/ Examined_ ! o I t ~1 ,20 O~ Approved tO\ ~."'[ ,200~ Disapproved a/c q 1 _, 2o PERMIT NO. Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Sul-vey. Check Septic Form N.Y.S,D.EC, Trustees Co]~ttact: Phone: ---tel t}. i o 0 Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,::t ,20 O& a. This application MUST be completely filled in by typewriter or in ink 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 Pemzit. d. Upon approval of this application, the Building Inspector will issue a Building Pe~rnit to the applicant. Such a permit 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 Ce~ificate of Occupancy, f. Eveu building pemit 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 tl)e propet~y have been enacted in the interim, the Building Nspector may authorize, in writing, the extension of the pennit for an addition six months. Thereafter, a new permit shall be required, ~PLICATION IS HE. BY M~E to the Building Depmtment for the issuance of a Building Pe~it 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 necessau inspections, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder NaT~e of owner of premises ~(~.. b~¢4 .4- ~l,So.._ ,~)e~-e % ~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duiy authorized officer (Name and title of corporate officer) Builders License No, r-/TIq [ & Plumbers License No, Electricians LicenseNo. ..~ql t~ Other Trade's License No. Location of land on which proposed wor. l~ will be done: House Number Street County Tax Map No. 1000 Section Oj ~' Subdivision_ (Name) Hamlet Block ] Filed Map No. Lot i. q Lot ,¢,q. 2. State existing use and occupancy of premises and i~tended use and occupancy of proposed construction: a. Existing use and occupancy snqd~/'~,~m',l~4 ~r-~s~dddr';¢ - ' . b. Intended use and occupancy_~l~S~ t~ (~1~ ¢ ~ IO0(~a"'~ S~m~Jn~ ~oo 3 Nature of work (check which applicable): New ~g_~OOI ~ Addition_ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost $'~ ~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units_ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each t~e of use. Dimensions of existing structures, if any: Front Height Number of Stories Rear .Depth _ Dimensions of same structure with alterations or additions: Front Depth. Height Dimensions of entire new construction: Front Height Number of Stories Number of St~rie~} Rear 9. Size of lot: Front Rear .Depth .D'~pth ,. r 10, Date of Purchase Name of Former Owner 11. Zone or use district in which prernises are situated 12. Does proposed construction violate aay zoning la,v, ordinance or regulation? YES ~ NO · 9 13. Will lot be re-graded? YES ~'/NO Will excess fill be removed from premises. YES 14. Names of Owner of premises 00~6~'~ ~q~/,o~ Name of Architect ¢O.,O,~0h~a ' Name of Contrac~On~q T ~d~ck~ Address ~/~9,'zS ~t~LlL Phone No. Address I~ C,b~q~, ~ t~'J-Phone No Address ~ ~4~ Z~ 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. STATE OF NEW YORK) SS: COUNTY OF ') '"'~O,~- ¢~'~-~'~ being duly sworn, deposes and says that (s)he is the applicant (Name ofindividuaI si~aing contract) above named, (S)He is the ~aC~ 0'~ (Contractor, Agent, Corporate Officer, etc.) of' said owner or owners, and is duly authorized to perfoma or have performed the said work and to make and file this application: that a ~ statements co :tamed m this application are true to the best of his knowledge and belief; and that the work will be performed in the maturer set forth in the application filed therewith. tlgnature of Applicant NO. 01QU6124124 Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM EXEMPTIONS: .~ A. Does this project meet the rmnimom standards for classification as an Agncultural Project. _ __ Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage g Erosion Control Plan is not required, ACTIONS REQUIRING THE SUBMISSION OF A STORM;WATER~ GRADING~ DRAINAGE. &. EROSION CONTROL. PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Yes bio L Will this project retain all Storm-Water Run-off generated on Site? .- (This 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. Will this project require any land filling, grading or excavation where there is a change to natural existing grade involving more than 200 cubic yards of material within any parcel? 3. Will this application require land disturbing actisdties eucompassmg an area of five thousand (5,000) square feet of ground surface or more? 4 Is there a Natural Water course mrming througb the site or is this pro eot xmthin One hundred (100) feet of wetlands o, a beach? 5. Will there be site preparation on slopes which exceed fifleen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? Will this application require'the placement of material, removal of vegetation and/or tbe ~ const'ruct]on of any ~tem w]thm the Town Right-of-Way or cad shoulder area? (This item does not include the installation of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? I~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 must be submitted for review prior to issuance of any building permit. STATE OF NEW YORK, ('h COO T¥ That I,~ 17.~ .... ~1-~7 ~dC~ berg duly sworn, ~eposes and says tbat he/she is tl~e applicaal fei ~ame of individual si~ing Documenl) ~d that He/She is the (Owner. Con~racloh Agent, Coq~m ale Officer, elc) Owner an~or representative of the Owner or Ox~mer's, and is duly authorized to pe~onn or have perforated d~e smd work and Io make and file this application; that all statements contained h~ this application a~e ~e to the best of his B~owledge and belier: nnd thal work sill be performed h~ the maturer set fmih ~ the applica6on filed herewith BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK 1T NO. 6967 DATE: SEPTEMBER 17~ 2008 iSUED TO: ROBERT &LISA DEFRESE PROPERTY ADDRESS: 5223 INDIAN NECK LANE~ PECON1C SCTM# 98-1-1.4 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 17, 2008, and in consideration of application fee in the sum of $250.00 paid by Robert & Lisa DeFrese and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 20'x42' in-ground swimming pool, patio and 16'x10' shed, with the condition of a line of staked hay bales with silt fencing is installed prior to construction, maintain the 50' Non-Disturbance Buffer on the property, and as depicted on the site plan prepared by Randy T. Rodecker, and received on July 1, 2008. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. NeW York Conservation Division ¢ ;ii sUNY at ~tony Brook 50 Circle Road, Stony ,B~k~ New York 11790-3409 Phone: (631) 444~0365 FAX: (631) 444-0360Webslte: www. dec.state.ny, us July 11 2008 Alexander B. Grannls Commissioner Randy T. Rodecker Swim King Pools 471 Rte 25A Rocky Point NY 11778 Re: Application of Lisa Defrese for 5223 Indian Neck Lane, Peconic DEC No. 1-4738-01481/00001 Attached is a Letter of Non-Jurisdiction which was sent to the applicant in 1996. It states ~that the property lying landward of the 10 foot elevation contour is outside the jurisdiction of the Tidal Wetlands Act. Since the newly proposed swimming pool and patio are to be situated landward of that contour, these structures would also lie outside the jurisdiction of the Tidal Wetlands Act. If any alteration to the plan were to be made so that any part of the pool and patio were to be situated seaward of the 10 foot contour, a permit would be required. It is also the responsibility of the applicant to ensure that no disturbance or sedimentation of the land within the Tidal Wetlands jurisdiction occurs. To this end it is recommended that erosion control methodS~.b..e,employed, such as establishing an adequate work are and placing hay bales or a silt 'screen between the work area and the area seaward of the 10 foot contour. if you have any questions, I may be reached at 631-444-0362. Very trulY yours, Karen S. Westerlind Environmental Analyst I cc: L. Defrese OWNER LAND IMP. ~G~O yev 17oo ~Boo' I Too 7~4-0o TOWN OF SOUTHOLD PROPERTY RECORD CARD ~ I D~T~~u~l LOT ~ STREET ~ Z. 2_~ VILLAGE ACR. .G1 TYPE OF BLD. PROP. CLASS TOTAL DATE REMARKS FRONTAGEON~ FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL I-/06- M. Bldg.. I~Xz~Z- ~ 11"7~ t ~,.~_o (~!~ ~ Foundation ~ Bath ~ Dinette Extension 7x ~ ~ ~ ~ ~, ~ ~ ~ Basement ~w~ Floors Kit. Extension ~ SLAS ~ - ~ Ext. Walls Interior Finish L.R. Extension Fire Place Heat D.R. ~ Pail° Woodstove BR. ~ ~ ~ ~ ~ , ~O { ~ Dormer Fin. B. ~k Attic ~ezeway~ Rooms 1st Floor ~ge ~ ~ 2~ = E~ J'~ ~ ~5 Driveway Rooms 2nd Floor .B, R{A: 16072 A ores Board of Rustees L ~ i NUMBER6~ ARE REFERENCED TO ' M/NOR :UFJDIS/'ISION POR THE O'KULA ~CDHS Re/. # R/O-BS-O06,9 NIO/F JOHN PONTINO S. 85?2'00- 30. N/O/F M. & E ~CKIERNAN 37. b? · ¢,~o' ¢' 48.19' 'e lines olon, g ~ ol~ gu/mr al RIchmond s tree ,6' SURVEY FOR RQBERT L. & LISA M. DeFRESE A T INDIA N NECK TO WN OF SOUTHOLD SUFFOLK COUNTY, N. Y. lO00 - 98 - Ol- PlO ~ I Soda: 1" = 50' July 3 ~ 1996 AUg. 19, 1996 (Cerllf/callon~ · Ocl. 7, 199S (foundation) Nov. /5, /996 (con/ours added) Apr# 7~1997 (finol) CERT?IED ?0. ROSER F L. D,~FRESE LISA ~ D~CRESE REPUBLIC ABSTRAC? CORP. FIDELITY NA [IONAL TITLE INSURANCE OF NE~ YORK BR[DGEHA~PTON NATIONAL BANK j275.58' INDIAN NECK ROAD S 78,44'00" 'H · 20.05' ANY AZ IT_RA fK)N OR,~DO~V TO ~ ~ ~ A A ~ ~c~ 7ZO~S~Z ALL ~LY TO CO~LY ~rH ~ ~; TIE rEJM 'ALrER~ ~Y" ~T ~ U~ BY ANY A~ ~ S~V~Y~ U[~IZ~ A The Iocoh'ons o/ we/Is and cesspools shown hereon ore /rom I/eld observoh'ons and or Iron dolo oblo/ned /rom olhers. CONTOUR LINE~c ,aND ELEVA T/OHS ,aRE REFERENCED FO N.O. V,D. ~CONIC' ', /516) 785 - ?. O. ~OX 90: t230 TRA VELE~ SOUTHOLD, N.'?. ' 11971 AS F ~ ' SONES OF s TC,',N CODES /O CO'<D',T!ONS OF SSJ,4OLD TOWN PLANNING BOARD SOUTNOLD TOWN NYS. SEC REQUIRED , OC RE*'A N STORM w.-..,~ ,h,~ Ju, r PURSUANT TO CHAPTER 236 OF THE TOWN CODE. "IMNL. DiAI ENCLOSE p~LTO CODE uPON coMPLETION BEFORE ~A~R" .... *~,~n AS NOTED raNG 2 .....,~H ' FRA~'~IHC & ¢ 4. FtNAL cONSTR~ 7,:;;4 .... BE cOMPLEtE:-, , ~,~*; , ~x&LL r,~ETTHE ALL CONS~n~C .- REQUIREMENTS OF 7~,7 CODES OF NEW YORK sTATE. NO( KESPONS~BLE FOR DESIGN OR CONSTRUCTION ERRORS. Q STN STL TUBE SH~ ~- i RODS TYP (4' WIDE MIN.~ B DONE BY OTHERS .~j~ ~ , , , , , , ~ ~ ~ ~ ~~ , , ,_, ~ *,~ ~. I ;'*':" - * DIVING BOARD , ~,..~: ,~( D~AIL ~ GRADE ROLLED FOAM BE~EEN ~ LINER AND CONCRETE ~ P~ N ~ ~ MIN. DIM. SECTION ~ ~~4~ Z ~X ~ ~ WATER LINE . ~: . : ~ . WALL'. SECTION 5 ECTIO N A GROUND WATER TABLE IS A MINIMUM OF 4'-8" BELOW THE PROPOSED FINISHED GRADE. MIN. DIM SECTION ~ "; ~ ~ ~ 4 WALKS TO BE SMOOTH' NON SKID 'PE' SLOPED AWAY FROM POOL * WATERLINE ~ X ~ ~ ; g ,~ 6 DIVING BOARD AND INSTAL~TION TO ~NFORM WITH ANSlmSPI-5 1995 B) COMPREssiVE STRENGTH OF CONCRETE SLAB FOR D~V~NG BOARD ro ~ ~ ~s~ o~ ~. M IN. DIM. SECTION S ECTI ON B PLUM BI N G SC H E MATI C ~' PROPERTY OWNER IS RESPONSIBLE TO INSTALL FENCE AROUND POOL