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HomeMy WebLinkAbout34496-ZFORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~/~CY No: Z-34418 Date: 06/28/10 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 410 HUCKLEBERRY HILL RD (HOUSE NO.) (STREET) County TaxMap No. 473889 Section 31 Block 16 Subdivision Filed Map No. Lot No. EAST MARION (HAMLET) Lot 3.2 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 2009 pursuant to which Building Permit NO. 34496-Z dated MARCH 11, 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 ANDREA TUNG of the aforesaid building. ( OWNER ) SIIFI~DLK C~)~lqTY DEPAR~ OF ~TH APPRO~L~L N/A ELEt-rKICAL CERTIFICATE NO. 128242C 05/29/09 PLI~B~ C~KTIFICATION DA'r~3 N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT APPLICATION ]FOR CERTIFICATE OF ~s application must ~ fi.~ ~ by ~t~ or i~ ~d submi.~ to ~e Bufl~g ~mt wi~ ~ follow~ [ 0LDO. OEPI. For new bu~ng or new use: L ~0WN 0F SOU~HOL~ 1. F~ a~eY of p~pegy wi~ acc~te location of ~1 buil~s, p~pe~y lines, s~ts, ~d ~usual na~ or to~p~c f~s. 2- Fb~ Approv~ ~m He~ Dept. of wat~ supply ~d sewe~ge~iaposal (S.9 fo~). 3. Appro~I of elect~ ~lation ~m Bo~d of F~ Unde~dt~. 4. Sworn s~t~ent ~m pl~ber ce~g ~ ~e solder us~ in system con~i~ less t~ ~10 of 1% l~d. 5. Co~erci~ bu~, ~d~ b~l~ng, muI~ple ~sidences ~d ~i~l~ bail~gs ~d ins~llatioas, a cegi~cate of Code Compli~ ~om ~t~t or ~g~r ~sponsible for ~e buil~g. 6. Sub~t Pl~g Bo~d A~v~ of ~mpleted site pl~ ~u~m~ts. 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, stmets, building and unusual naturat 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 New Construction: ]t~(,// Old or Pm-existing Building: ~H/ffuse No. ' ' Location of Property: Suffolk County T~ Map No I000, S~tion ~/ Subdi~sion Pe~it No. ~ qqg Date of Pe~it. H~I~ D~t. ApprovM: ~ Pla~ing Board Appmvah ~ ~ 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 Pm-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 (check one) Hamlet Block [~ Lot "~. ~ Lot: _ . Applicant: '/~,r~ ~)oJ Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) 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. 34496 Z Date MARCH 11, 2009 Permission is hereby 9ranted to: ANDREA TUNG PO BOX 603 EAST MARION,NY 11939 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REAR YARD FENCED TO CODE at premises located at 410 HUCKLEBERRY HILL RD EAST MARION County Tax Map No. 473889 Section 031 Block 0016 Lot No. 003.002 pursuant to application dated FEBRUARY 25, 2009 and approved by the Building Inspector to expire on SEPTEMBER 11, 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Issue Date 5/29/2009 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 128242C East Patchogue, NewYork '11772 (631) 286.6642 Issued To: Andrea Tung Street: 410 Huckleberry Hill Road Village: East Marion Section: 031 Block: 16 Contractor: Elec Tec Inc. Zip: 11939 Lot: 32 Town: Southold Lic. # 4814-E Was examined and found to be in compliance with the National Electrical Code. [] Commercial [] NVDefects [] Pool [] tstFIoor [] Indoor [] Basement ~lHotTub [] Residential [] Der. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters AJC Fans 1 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: 34496 Other Equipment 1-Pool LtJ 1-20 amp Spec. Outlet/1-Time Clock Hugo S. Surdi President Rough . Mahon Ill This certificate must not be altered in any manner. Inspectors may be identified by their credentials, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ .] IN~,~I~_ATION/ [ ] FRAMING/STRAPlqNG [//]~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-i: i l' INSPECTION [ ]FIEl~S~STi~r[~ [ ]FIRER~IST4#T~..ETR~T~I REMARKS:A/// ~r.~ ~m ~. DATE ~ INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~FINAL ~ ~' [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: f~ ~'~ ~ ~' '~'-- DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION t ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [~)~ FINAL ,~ []FIREPLACE&CHIMNEY [ [ ] RRE RESISTANT CONSTRUCTION [ REMARKS: f~,~ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING D~PARTMENT TOWN FiALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined '~ [ t l , 20~0 Approved Disapproved a/c Expiration c~ { I { , 20 lO sets of FEB 2 5 2009 BLDG. DEPT. a. This ~N~I~0~IflOST be con dans, accurate plot plan to scale. ] PERMIT NO. ,~ qqq {, ~/ ~Building inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey 1~ Check ~" Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: PPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date _.~/? ,20 O~ tpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ee 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 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. Thereafter, 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. ALL CONSTRUCTION SHALL Ik~EET THE REQU-C: OF THL · CO ESOFN , USE iS UN,_AWFU _ (Signature of applicant or name, if a corporation) (Mailing address of applicant) State Whether applicant is owner,~e.!~)ggn~, agc~[~,lEr~ '~e~eneral contractor, el;ctrician, plumber or builder Name of owner of prmises ~ ~U~?Ason the tax rollt~o L~.'.:~~)'7"--- -9 o', E' rrb,': .,'.Fi,,~:2 ~7'~2'-'~ AT ~' If applic~t is a co~oration,~i~ature of duly authorized officer 5 UNDERWRITE? CERTIFICA - (N~e and title of co~orate officer) ' REQUIRED Builders License No. /Dc/(,, 7 -.kd Plumbers License No. Electricians License No. Other Trade's License No. "IMMEDIATELY" FOOL TO CODE CO.%.,~LET!O~. ! BFF©RE "WATER" Location of land on which proposed work will be done: /-//0 /-/UO(I,,&-F~-F~ZY ///gL House Number Street County Tax Map No. 1000 Section Subdivision ~Ox/Div~q (Name) Block ?Za Filed Map No. 765-1802 8AM TO 4PM FOR Tile FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUbiBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.C. ALL CONSTRLICT[O;! SHAt L MEET THE REQUiREMEN ~.; OF TFiS ,30DES OF NEW YORN STATE. NOT RESPONSIBLE FOR D ESI~,~~~¢. 'a SUANT T0 CHAPTER 236 OF THE Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed constmdtion: a. Existing use and occupancy f) ,-5:~tJ~,~?~ ~ ~'zL~-/ce'~- b. Intended use and occupancy ~ ,5~'toz~ ,~. 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost .$/:Cz~.~>oC.~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration (Description) (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. 7. Dimensions of existing structures, if any: Front ,~ ?' Rear Height ~,~5- ' Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Storie~ Dimensions of entire new construction: Front Height Number of Stories Rear Size of lot: Front /~?,~Z ' Rear /~D' Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ';~.~5/vc-/,~-/~ve_ 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,5( NO__ 14. Names of Owner of premises/-),<~ev,* Name of Architect Name of Contractor A,~2ue ~ ~_~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ~f NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address e/,~/~_t~r~r~ ~ ~/~ ~Phone No. ,'/22 Address ~. ~=,o~ Phone No Address-~'o ~,~ 9 t',~e,~,~;~-Phone No. 7'fid- ~ D~-~ 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) ~U~g'TI.~r ~/~////~"l~d being duly sworn, deposes ~d says ~at (s)he is the applicam ~ame of individual si~ng contract) above nme& (S)He is the ~~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have perf~rnled~.. ~ ~t~lt_.~ said work ~d to make ~d file ~is application; that all statements contain~ in this application are tree to ~ 3~t o~teq~ ~d behef; and that the work will be perfomed in the ma~er set forth in the application filed tBete~th. Swonfto,.~efore me t his /(-~ N~ta~ public ~ - Claire L. Glow Not~y Publl~, State of:New York No. 01GL48~9~05 , Qualified i~-Suffdlg C0u6t¢ ' Commisaion Expires Dec. 8.~ 'l'o~n llali Anne× P.(). Bo× 1179 Southold, Nh' 11971-09,59 Telephone (Ctl) 76,3-1802 Fax (C~ 1) 76,S-9.5052 B[ 5ILl)IN(; I)I'~PAI>,TMENT TOWN OF SOUTHOLD June 16, 2010 Andrea Tung PO Box 603 East Marion, NY 11939 RE: 410 Huckleberry Hill Road, East Marion TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: '~' Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. '~ A fee of $25.00. __ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 34496-Z swimming pool Town Hall Afl'h~k'N~ 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 stony ~r~ BUILDING DEPARTMENT TOWN OF SOUTHOLD · L ,,0~ SO,UTHOtD ~ $~'C1~ toss - oYJ- Iff-' that the above project /,~ ?~ore than 100' from ~rsahwater Wetlands. The Freshwater WetZande present are te~tatively mapped as leas than 12.4 acres and have not bean desi~nated by the State as having u~usua~ 1o~1 importance at chis t~e ~ are nsc cur~ntly re~aC~ by~. The wetlands present are Tidal and it appears that you need to apply for a Tidal Wetland Per~xiC. Therefore, no permit under Article 2~ (Freshte~ ~etlands) of the EnvtromnenteX Cense~vationLaw is required, TOWH OF SOUTHOLD PROPERTY,.~BCORD _.CARD ~-. OWN~ ' ' STREET ~ 10 ~/ILLAGE DIST. SUB. LOT ~RMER OWN~ . ~ ' S W ~PE OF BUILDING .~. ~. S~S. VL. ~:,~ FARM CO~. CB. MICS. Mkt. Velue liable 'FRONTAGE ON WATER ~6~, -~- ' eed~[~d DEPTH )~e P~t BULKH~D TRIM Extension Breezeway - Garage patio "O.'B. - Tara I Foundation Basement Ext. Walls Fire Place Bc~th :roars Interior Finish Heat Zooms 1st Floor Type Roof Recreation Room Rooms 2nd Floor Dormer Driveway r Dinette LR. DR. FIN. B ~9~909P~OIOUVqOd James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD February 19, 2009 Mr. Eugene Chituk Chituk Pools, Ltd. P.O. Box 9 Cutchogue, NY 11935 RE: ANDREA TUNG 410 HUCKLEBERRY HILL ROAD, EAST MARION SCTM# 31-16-3.2 Dear Mr. Chituk: The Southold Town Board of Trustees reviewed the site plan prepared by Chituk Pools, Ltd., received on February 10, 2009, and determined that the construction of a swimming pool, pool patio, pool fencing and associated pool structures is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, James F. King, President Board of Trustees JFK:eac Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: loso BI lb -~,~ 11~E FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 8T~R~-WATER; GRADING; DRAINAGE AND EROSION CONTROL PLAN . Gi=~4 ir,~u BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete App~ination) Ye~s N__~o 1 2 3 4 $ 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2') Inch Rainfall on Site? ('l~is item will include all mn-off created by site cleedng and/or construction activities as well as all Site Improvements and the permanent creation of impewiees surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicaitng Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WatenClowi 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 Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Weitand or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Veriical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Sto~n-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right*of-Way or Road Shoulder Area? {This Item will NOT Include the Instellation of DHveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? r~ NOTE: If Any Answer to Questions One through Nine ia Answered with a Check Mark In the Box, a Biotin-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Bubmtiteq for Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: ff You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl __ .~ STATE OF NEW YORK, ~ /~ ,, or That I, ...-.~..~..~...~...~........C .~.../...~'...~...(. ....................... being du]y sworn, d/poses and says that he/she is the applicant for Permit, (Name of individua~ signblg Docume~0 th , ,robe i, the ............................. (Owne~, Contractor, Agent, Coqxxate Officer, et~) Owner and/or representative o£~h¢ Owner of Owner's, and is duly authorized [o perform or ha'~e performed the said work and to make and file [his 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 manner set forth in the application filed herewith. Sworn to before me this; ~ ...................... .................. Notary Public..~...~ Z~~ ...... er': ...... q ~'ia-~' ~filSll ~ 7 ~' ~WYI~'"' '" .......... ~~~... No. 0t GL4879505 (S~gnature of Agpl~mt) FORM - 06/07 co~i~sio. Expires eec. J LlCiN~D LA~ ~E .E_ N~R~ NEW YORK . ~A~ .,, . ", ,. ~- · ..~. POOL DIMENSIONS TYP. PANEL STIFFNER POOL PLAN TYPICAL WALL SECTION AT 'a' FRAME CORNER CONNECTION DETAIL MIN. 2' THICK YERMICULITE AGGREGATE TAMPERED D2 .h C2 N DATE DRAWING NUMBER OF