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Home My WebLink About34603-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~uRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34351 Date: 05/14/10 THIS CERTIFIES that the building IN GROUND SWIMMING POOL Location of Property: 265 DOGWOOD LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 8 Lot 24 Su]~division Filed ~4ap No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2009 purs~mnt to which Building Permit NO. 34603-Z dated APRIL 10, 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 JOHN KYRIAKIDES & RITA TENAGLIA (OWNER) of the aforesaid building. SUFFOLK COUI~I"fDBP~TMENTOFHEALTHAPPROVA5 N/A BL~t-rKICAL C~TIFICATH NO. 10300 05/22/09 PLL~B~S C~U(TIFIC~%TION DAI~ N/A Rev. 1/81 TOWN OF SOUTHOLD BIflLDING DEPARTMEN TO~I',IHALL MAY I 2 765-1802 BLDG. DEPI. ~PLICATION FOR ~CATE OF 9CC~F SOUTHOLD ~S ~h~on m~t ~ ~ ~ by ~e~ or ~ ~d ~b~ ~ ~e B~I~ ~t ~ ~e foH~- ~ For new b~ or new use: 1. F~ ~ey ofp~ wi& a~ l~on of ~1 ~, pm~ 1~, s~, ~d ~ ~ or to~c f~. 2. Final ~ ~m H~ D~t. of water ~pply ~d s~ge~ (S_9 fo~). 3. ~ ofel~ ~l~on ~m Bo~ of Fke Uncleared. 4. Sworn ~t ~m pl~-~ ~ ~ ~ ~ ~ s~ ~ t~ th~ ~10 of 1% 1~ 5. ~ b~ ~d~ b~g, mnl~le ~d~ ~d s~ b~l~ ~d ~Om, a ~fi~ of C~e Co~.~ ~ Or ~ ~ible f~ ~e b~g. 6. Sub~t pJanninE ~ ~p~ of~ si~ p~ ~u~m. B. For ~ b~dlnss ~r ~ Ap~ 9, 195~ nonvoting us~, or b~ngs and "pr~g" land 1. A~e ~ey of p~ sho~g ~1 ~ ~, ~, bu~g ~d un~l na~ or to~p~c f~. 2. A pw~ly compl~ ~plicafoa ~d ~ to ~p~t si~ by ~e ~li~t. ff a Ce~ficate of O~cy is d~ ~e B~l~g ~ctor s~l state ~e r~o~ ~e~for E w~t~g to ~e applic~t. C. F~ 1. C~fi~e of O~cy - New ~e~g $~.00, Ad~o~ m dwelt&g $25.00, ~t~tio~ to dwelt~g $~.~, SwimminE ~l $25.~, ~ b~ $~.~, Ad~tio~ to ac~ ~il~g $25.00, B~~ $50.00. 2. C~fi~ of O~p~cy on ~s~g B~g - $1~.00 3. Copy of~eof~cy- $.25 4. U~t~ C~te of~p~cy - $50.~ 5. T~ C~fiote of O~up~cy - R~ide~ $15.00, Comme~ial $15.~3 New Co~c~on: Old or ~g Bu~g: /(ch~k one) Suffolk County Tax Map No 1000, Section ~.~ ~0 Subdivision P~mit No. 3 L~ ~ 3 Date of Pcrmit. Health Dept. Approval: Block Filed Map. Lot: Unde~te~ A~ro~: Planning Board Approval: .Request for:. Temporary Certificate Fee Submitted: $ ~' ~' Final Certificate: ~(check one) ppticant Signature SUFFOLK BUREAU E L EC T R',C A~ I N S P [ C I 0 R S, : r~ c 40 Nottingham Drive, Middle Island, NY 11953 Telephone:631 4958136 · Fax:631 9806455 · E-Mail:SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Raymond Electrical May 22,2009 10300 CerLificate No.: :1.0300 Final Inspection Date: May 22,2009 Building Permit No.: 34603 Suffolk County Tax Map No.: ].06 0008 024 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 inspection date above: Owner: Rita Tenaglia Site Location: 265 Dogwood Lane, Mattituck, NY 1Z952 Owner's Address (if different): ~ Residential [] Indoor I-I Basement [-~ Sen/ice [] Shed [] Commercial [~ Outdoor [] First Floor ~ Pool [] Hottub [] New [] Renovation ~__1 Second Floor [] Attic [] Garage [~ Addition [] Survey Other: INVENTORY Single Phase Heat Duplex Recpt Ceiling Fixture HID Fixtures TI1 ree Phase Hot Water GFCl Recpt 1 Wall Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture CO Detc:~t Sub Panel 1-8ck AC Blower Range Recpt Flourescent Pumps 1 Transformer Appliances Dryer Recct Emepgency Time Clock 1 Disconnect Switches 2 Twist Lock 1 Exit Fixates TVSS GFCt Breaker 1 Heat Pump 1 Electric Heat Pool Luminaire 2 Exhaust Fan Other Equipment Chl~rir~ 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 Inspected By: Gene Surdi Signature: ~¢--~ ~ ~--//~ License No.: 5141ME Date Of Certificate: May 30,2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/3ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34603 Z Date APRIL 10, 2009 Permission is hereby granted to: JOHN KYRIAKIDES & RITA TENAGLI 2-21 100 48TH STREET WHITESTONE,NY 11357 for : CONSTRUCT IN GROUND SWIMMING POOL IN THE REQUIRED REA~R YARD WITH FENCE TO CODE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 265 DOGWOOD MATTITUCK Block 0008 Lot No. 024 7, 2009 and approved by the 10, 2010. Fee $ 250.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~.ATION [ ] FRAMING / STRAPPING [//~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS. ~)~ ~"~ ~" ~_/"~ · DATE 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]~SULATION [ ]FRAMING / STRAPPING [ ~ FINAL [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRERESISTANT~.S~ _U~TI~#~ [ ]FIR. E~E~STANT~I~TTION REMARKS: ~ . ~ ~ DATE INSPECTOR FW.!,D INSPECTION REPORT I DATE [ COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS BUILD. lNG DEPARTMENT TOWN HALL $OUTHOLD, NY 11971 ['EL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ i)isapp~oved a/c Exph atlon ?hq 7 2000 TOWt~ OF $OUTHOt~ PEPaMIT NO. .,,fi'-/(~e:, D Building Inspector Board of Health 4 sets of BuUdir, g Plans Stawey Check Septic Form __ N.Y.S.D E C Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS oq ,20 a. l'his application MUST be completely filled in by typewriter or in ink and submitted to the Building h~spector with 4 Fets o[' plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bnildings on premises, relationship to adjoining premises or public streets or c 1-he work covered by fi'tis aspiicahon may not be commenced before ~ssuance of Build ng Pemtit. . Such a pen]~]t d. Upon approval oF this app~,caLlon, the Building ~spector will issue a Building Penrzit to the applicant. :bzb[ be kept on the premises available for inspection t~oughout the work e No building shall be occupied or used m whole or in pax for any pm?ose what so ever until the Building Inspector :ssues a Certificate of Occupancy, f Evel~ building pe~it shall expire i7 the work authorized has not commenced within 12 months after the date of ~ssuance or has not been completed within 18 months from such date, If no zoning amendments or other regulations affecting th~ property have been enacted in the interim, the Building Exspector may authorize, in writing, the extension of the permit for an uddhion six months. Thereafter, a new penmt shall be required. ~PL1CATION IS HE.BY MADE to the Building Depalxment for the issuance of a Building Pe~it pursuant to the ~cfilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction ofbu ldings additions, or alterations or for removal or demolition as herein described The applicant agrees to comply with ail applicable laws, ordinances, buildin.g code, housing code, arid regulations, and to admit uutborized inspectors on premises and in building for necessary inspectmns. (Mailing address of applicant) Stare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nxme of owner of premises~~ ~" (As on the tax roll or latest deed) It ap?hcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) SuUders License No, ..J2, !41 ?htmbers License No. l-;[ectricians License No,_ ~1 ~ Other Trade's License No. which proposed x~ m-k w2i be done','~ ....... , Location oflandon . [4ouse Number Street Hamlet County Tax Map No, 1000 Sexton_. IO& _Block Subdivision~x D ~~ % Filed Map No. (Name) Lot ,~_~ State existing use and occupancy of premises a~ i.ntended use and occupancy of proposed constructi&: Nature of work (check which apphcable): New B~.~,~,,-~r~t~0 / Addition Repair _ Removal Demolition Other Work Est/mated Cost_ If dwelling, number of dwelling units tf garage, number of cars }Zee Alteration (Description (To be paid on filing this application) Number of dwelling units on each floor If business, commerdaI or mixed occupancy, specify nature and extent of each ty~t of use. Dimensions of existin~ structures, if any: Front Rear ~ ~.: ~epth_ Height. Number of Stories ~ Ih Depth_Dimensi°ns of same structure Heightwith alterations or additions: FrontNumber of St[r~s~2 ~ ~ar L ' Dh:tensions of entire ~ew construction: Front Rear Depth Height Number of Stories Size of lot: Front ~ear Depth _ l O. Date of Purchase Name of Fonr~er 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 o f premises~ htt[~ O~l~ i~. Address~ L,~ Phone No.ct Name of Architect Address Phone No Name of Contractor Address Phone No. 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 16. Provide smwey, to scale, with accurate foundation plan and distances to propel-ty lines. l 7 If elevation at any point on property is at 10 feet or below, must provide topo~aphical data on survey. SLATE OF NEW ¥OP, X) SS: COUNTY OF '/'~20,~l~C~ r~ ~----d3~5[(~ ~-{~'- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) ct'said owner or owners, and is duly authorized to perfom2 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 of his lcaowledge and belief; and that the work will be perfomaed in the mamaer set forth in tiao application filed therewith. / / Signature of Applicant Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A, Does this project meet the nnnimum standards for classification as an Agricnltural Project. Note: If you answered Yes to any of the above, a Storm.water, Grading, Drainage & Erosion Control Plan is not required. ACTIONS. REOU1RING 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 Mm'k (4) for each question is required for complete application) Note: 1, Will this project retain ail Storm-Water Run-off generated on Site? . ' (This w/Il include all mn-off created by site clea~dng and/or construction activities as well as all Site Improvements and the pe~*aanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing actixdties encompassing an area of five thousand (5,000) square feet of gTound surface o] mole? Is there a Natural Water course nu,a~ing thrm~gh the site or is this lU eject within One hundred (100) feet of wetlands or a beach? Will there be site preparation on slopes which exceed fifteen ( t 5) feet of vertical rise to One hundred (100) feet of horizontal distance? Will driveways, parking areas or other impervious surfaces direct Stom~-Water Run-off into and/or in the direotion of a Town Righbof-Way7 Will this application require'the placement of mater/al, removal of vegetation and/or the construction of auy ztem wzthm the To,wi Right-of-Way or road shoulder m'ea? (This Item does not include the installation of driveway aprons.) Will there be site preparation within the one hundred (100) 3,ear floodplain of any watercourse? If any answer to questions ~)ne through eight is aaswered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted [or review prior to issuance o1' a'ny buildlng permit. STATE OF NEW YORK, --"-" ~ COUNTY OF ~Ck ,.3c,,.._~( SS That I ........... 7 eC- ~2-'O""" being duD. sworn cieposes aad says. that he/she is the applicanl roi' Pemlil 0%m~ of individual sig~ing Documeng And that He/She is tbs &0~l£'qt~ ( Ox'mcr and/or replesentative of the Oxm~er or O~tq~er~s, and is duly attthorized to pegonn o~ have perfomaed tim said wink aad k~ mak~ alld file this applicafioo; that all statements contained b~ tkis application ale ~e lo the bes~ of his knowledge and belier; nnd dlnt lite work sill be performed bi the mam~e[ set fol~h il~ (l~a application fi)ed Iletewith Sworn to befole me th/s; KATHI~EN QUIGLL=y (Siguahn~ of Applicaifl5 l'ox~u [ Jail Anm'x ,~ 1375 Main Road P.O. Box [179 5;indllold. NY I 1!t71-09,$9 Telephone Fax (63[) BI TILl)IN(; I)I'SPARTMI:,NT TOWN OF SOUTHOLD October 20, 2009 John Kyriakides 2-21 10048th St Whitestone, NY 11357 RE: 265 Dogwood Lane, Mattituck TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 34603-Z swimming pool TITLE No. /,4 II~ 0'7' OC) I!,/ IO0. OC~ DO O O'D A . I 1HE EXISTENCE OF RlOm OF WAYS A~DTOR ~AS~EmS ~ RE'RD, ~ ANY' ~EASUREMENT IN U.5. STANDARD NOT SHOWN ARE NOT GUARANTEED. THE D[~NStON~ SHOWN HEREON, FROM THE ~TRUCTURES TO THE PROPER~ LINE, ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES, STRUCTURE~ OR ANY OTHER IMPROVEMENT. GUARANTEES INDICATED HEREON SHALL RUN ONLY ~ORIZED ALTERATION ONLY COPIES FROM THE ORIGI- ~0 THE PERSON FOR WHOM ~HE SURVEY IS PRE- OR ADDITION ~0 A SURVEY MAP NAL OF THIS SURVEY MARKED PARED, AND ON HIS BEHALF TO THE TITLE COMPANY, SORVEYOR'~ SEAL Ig A VIOLA- LAND SURVEYOR'g EMBOgSED LISTED HEREON~AND TO THE ASSIGNEE9 OF THE LENDING INSTITUTION. TIbN OF SECTION 720~, SUB- SEAL SHALL BE CONSIDERED GUARANTEES ARE NO7 TRANSFERABLE TO DIVISION 2~ OF THE NEW YORK TO BE VALID TRUE COPIES. TION~L INSTITUTIONS OR SUBSEQUENT OWNERS. SYATE EDUCATION LAW. ~~~ ~ P~ SECTION BLOCK DATE IARANTEED TO P~NO ~{~E NY P.O. Box ~7~ ~~ ~ WESTCHES?EE AVE. . LOHO~EACH, NY POUNDRI~E, NYI057e ~1~10 ~ ~ JOB NO, TELEPHONE:800-541-~124 I~ ~Ct~ -'~/~ FAX: 800.242.4955 DATE fSSU~D: 6/!/92 91A1 o_Tu~ SVT~OLK ~OuHl x ~om e ]rnpro veto on t Con ~ cior £Jcense This is ~o cemfy that doin~ business as N-A2qiO Y ROD]~CKiBR RANDY T RODECBLBR-IHC haying fumish&d the requirements set forth in accordance wist and subject fothe provisions of apphcabie laws rules and regulations of the County of SuffoLk. State of New York ~s hereby licensed'to conduct business as a HOiVEE IMPROVEM]BNT CONTP~CTOR, m the Copnty of SuffoLk Th~s certifies that the bearer is duly licensed by the County of Suffolk SUFFOLK COUNTY EXECUTIVE'S OFFICE OF CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR LICENSE RANDY T RODECKER 21412-H 06/01/1992 ~.,~. o*~ 0610112010 Addition'al Businesses Dizec~or ~ ~, FULCRUM PAD ~ ~ ~ PURSUANT TO CHAPTER 236 ~ ' ~: ~ 2 ~p~F THE TOWN CODE. ~' ~WATERLIN , ~ X a X~FOh POUhE3 ¢C',C::T: WALL SECTION YnRK; STATE NOT DFSP")'~~O~Z~E'~~ RE--WA: ~ ~ k X FORMED CONC&~'E DuSIGN OR CON~, hUCTiON ERROR~ SECTION A ~,_,,, L OR THE WATER TO ~CEED BACKFILL BY MORE THAN 8". bNDERWRI~RSbtm iribx:c~r"r'~'~*~ ' : ) ( ~ ~ 5 WATER DISPOSAL SI:ALL BE LIMITED TO OWN ERS P ROPER~ TO SUIT I.O~L RECU~TIONS WATER LIN E -- '' ARE DRILLED TO ACCOMMODATE ~/8"¢ REINF RODS R~R STAND HA52) 9/16" HOLES J S~LE:i/8":I'-O" [NACCOKPANCE'>,']THTHENYSBUILDINGCODE, APPENPlXC, SECTIONAGi05 MIN, DIM SECTION