HomeMy WebLinkAbout34658-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34383
~te: 05/28/10
THIS CERTIFIES that the building SWIMMING POOL
Location of Property: 145 MEDAY AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 8 Lot 10
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 6, 2009 pursuant to which
Building Perm/t No. 34658-Z dated MAY 6, 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 SWIPING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to KIM AZZARELLI & MATTIA FILIACI
(OWNER)
of the aforesaid building.
SUFFOI~KCO~DEPAR~qTOF~THAPPRO~-AL N/A
ELRt-i-KIC3%L U~TIFIC3%TE NO. 7184 06/01/07
PLU~ERS CERTIFICATION DA'rl~;u N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
76S-1502 ~ C_o~/.3~ c~ j 7 f
APPLICATION ]FOR CERTIFICATE O]F O~CUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Dopa~
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, stree~
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-diaposal (S-9 form).
3.
4.
5.
¸6.
Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder used in system contains less t~tan 2/10 of 1% lead.
Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect, or engineer responsible for the building.
Submit Planning Board Approval of completed site plan requimmeats.
Be
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
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accossory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Oc~cupancy 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
Date. ~.~/~ ~//0
New Construction:
Lochtion of Property: ~
House No.
Owner or Owners of Property: ~---~
Suffolk County Tax Map No 1000, Section \
Subdivision
Permit No.
Health Dept. Approval:
Old or Pm-existing Building: (check one)
Date of Permit.
Street ~d~1 " I~et ,
Block ~ Lot [
Filed Map.
Applicant:
Underwriters Approval:
Planning Board Approval:
Request for: Te~orary Certificate
Fee Submitted: $ D
Final Certificate:
(check one)
+
SUFZOl K
B U R F A U ,,
40 Nottingham Ddve, Middle Island, NY 11953
Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Maih SBEIG
MAY 14 2,909
BLDG. DEPT.
TOWN O[ SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough [n Inspection Date:
Application No.:
Raymond Electrical
June 1,2007
7184
Certificate No.: 7184
Final Inspection Date: June 1,2007
Building Permit No.: 32864z
Suffolk County Tax Map No.: 1000 113.00 008.00 010.00
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: Hattia and Klm Fillaci
Site Location: 145 Heday Ave, Hattituck, NY 11952
Owner's Address (if different):
~'1 Residential [] Indoor ~] Basement [] Service [~ Shed
~] Commemial [] Outdoor [] First Floor [] Pool ~-I Hottub
[] New [] Renovation [~ Second Floor ~ Attic [] Garage
E~ Addition ~! Survey Other:
INVENTORY
Single Phase Heat gas Duplex Recpt Ceiling Fixture HID Fixtures
Three Phase Hot Water GFCI Recpt 1 VVafl Fixture Smoke
Main Panel AC CoRd Single Recpt 1 Recessed Fixture CO Detect
Sub Panel 4CAt AC Blower Range Recpt Fleurescent Pumps
Transformer Appliances D~yer Recpt Emergency Time Clock
Disconnect Switches 2 Twist Loci( Exit Fixtures TVSS
OFCI Breaker 1-2po Heat Pump Electric Heat Pool Luminaire 2 Exhaust Fan
Other Equipment: Electric Pool Cover
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
License No.: 514tME
Date Of Certificate: Jun 05,2007
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL
COMPLETION OF THE WORK AUTHORIZED)
FULL
PER~IT NO. 34658 Z Date MAY 6, 2009
Permission is hereby granted to:
FILIACI, M & ASSARELLI, K
411 E 53RD, APT 12K
NEW YORK,NY 10022
for :
CONSTRUCTION OF AN IN GROUND SWIMMING POOL WITH FENCE TO CODE IN
THE REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES 32864.
at premises located at 145 MEDAY AVE
County Tax Map No. 473889 Section 113
pursuant to application dated MAY
Building Inspector to expire on NOVEMBER
MATTITUCK
Block 0008 Lot No. 010
6, 2009 and approved by the
6, 2010.
Fee $ 250.00
- Authoriz~ 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. ~2~¢ Z Date MARCH 30, 2007
Permission is hereby granted to:
KIM AZZARELLI & MARRIA FILIACI
411 E 53RD ST, APT 12K
NEW YORK,NY 10022
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 145 MEDAY AVE MATTITUCK
County Tax Map No. 473889 Section 113 Block 0008 Lot No. 010
pursuant to application dated MARCH 29, 2007 and approved by the
Building Inspector to e~ire on SEPTEM -f ....
Fee S 250.00 ~/~/~_t~~gn t~e
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[~FINAL
[ ] FIRE SAFETY INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ IFRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
~,,,FI NAL
] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
FO~ATION (2~)
ROUGH ~G &
PL~G
~SULATION PER N. Y.
STA~ E~RGY CODE
.~D~ION~ COMMENTS
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD~ NY 11971
T. EL:~631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved a/c
Expiration ~ {'/~.0
/) /., t , 20~
,go 7
,2o5f
Do you have or need the tbllowing, before applying'?
Board of Health
4 sets of Building Plans
Plmming Board approval
Survey.
Check
Septic Form
N.Y.S.D.EC.
Trustees
Contact:
APPLICATION FOR BUILDING PERMIT
Date ]~0..fF_Jq zq ,201~7
INSTRUCTIONS
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 shewing 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 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. Tllereaffer, 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.
~)~(~< 'gT[ture'~Oapp~l'c~me, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~'~O-3~& I- ¢l&q ~"il; 0,_£;
(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. c2.tqloq. ¢1
Plumbers License No.
Electricians License No. ,.5\tM G
Other Trade's License No.
Location of land on which proposed work, will be done:
House Number Street t
Hamlet
County Tax Map No. 1000 Section
Subdivision ~ [I e_oO OODI,-
(Name)
Block <~
Filed Map No.
Lot I ~
Lot ~-¢q
b. Intended use and occupancy :.'.%'rl~/~ ,Jf2tm,' lc/
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost <~l~O90 ~
5. If dwelling, number of dwelling units
If garage, number of cars
State existing use and occupancy of premises and intended use and occupancy'of proposed construction:
a. Existing use and occupancy ~r)~le_ -~m)]c{, f~.s,6('e_t/t..¢ '
Fee
Addition
Other Work
Alteration
(Description)
(To be paid on filing this application)
Nmnber 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
Height Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimeusions of entire new construction: Front Rear Depth
Height Number of Stories
Rear
9. Size of lot: Front 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 C/NO Will excess fill be removed from premises? YES__
14. Names of Owner of premises ~O~a ~'l~tl C. ~
Name of Architect ~ ~ n St),n ~
Name of Contractor'~ ¢?,?[tt.u,"f- ~¢,¢_rJre,.¢
15 a. Is this property within 100 feet ora 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 J
Address t~-~ fl'/ex~/~Vt Phone No. q'l'3-t~6'0 ~'2-t:O ¢j
Address ~ L~ ~ Phone No ~ -~tO ~
Address ~ ~6~ PhoneNo~ ~-~t6 0
NO /
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'~6tt4 ~ ~0~0~ 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.)
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 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 _~q day of,
SignatUre of Applicant
KATHLEEN QUIGLEY
NOT^~Y PUBLIC, Sla~e of N~ York
No. 01QU61~4124
Qualir~d in Suft~k ~
Commission Expires ~ ~d~. ~
/ ~ ~ ~ - */s- ~-/6 TOWN OF SOUTNQLD PROPERTY RE( iORD CARD
FOYER OWNER N E ACR.~ ~
~ ~/0 S~S. VL FARM, COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS
N~ NORMAL BELOW ABOVE
Acre
Tillable
Tillable 2
Tillable 3
W~dland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
~ ~ BULKH~D
Total ~ '
Bldg.
xten~sion
Lxtension
-~'ten~ion
)orch
~orch
Breezeway
:-arage
Patio
O. B.
Total
Foundation
asement
t. Wells
ire Place
Type Roof
Recreation Roor~
Dormer
Driveway
Bath
~lnterior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Ko
LR.
DR.
M. Bldg.
Extension
Extension
Extension
COLOR
Jndotion
Walls
Fire Place
:[oors
eat
O
O
LOT 68
0
Ol I
,' rccjr
iREBAR
I~OOND
Barrett, Bonacci & Van Weele, P.C..oo,.o.U~*o'"°"'~°,..,,,.*~"'**°".~,.~. ,~ o~.
CIVIL ~NGtNEE~SURVEYO~IPLANNERS ~w vo~ Sr*~ ~ouc:~tm~ caw
175A Com~r~ Drlv~ H~upp~ule. NY 11788
TEL ~3t/4~1111 FAX ~l/4~-I0~
www,bbv~.com ~ ~ B.B.V~
BL~K: ---- R~SIONS:
175 CO,
3728
INSURANCE
YORK
JOB NO.: AO~Sf14 '
JUNE 20, 2006
D~, 1000 SEC, i~5 gLZ. 8 LOT 10
PLAN
SECTION A
SECTION B
2" w 4" 5ANO ~O~fOM
CAST-IkFH*AC~ CONC, S~PS
. APPROVED AS NI
,TE:~.~ B.P~.~
-)TI~IY BUILDING DEP/
,5-1802 8AM TO 4PM
%LOWING INSPECT
. FOUNDATION - TWO
FOR POURED,?CR*T, ~
!. ROUGH FR~,¢NG & PLO
· INSULATION
< FINAL - CO:','CTRUCT~ON MUST
BE COMPLEFE --O~ C,O.
tLL CONSTRUCTION SHA~ MEET THE
~EQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPON~I~ FOR
DESIGN OR ~RU~ ~,
oCCUPANCY OR
CODES OF NEW ¥0[
fO PILlaR FROM
ROM 5KI/v~R
fiLleR Ak~ PI~F
fO W~ ~ ~fO ~
PLUMBING SCHEMATIC
NOTES
WALL SECTION