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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