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Home My WebLink About35403-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34647 Date: 11/04/10 THIS c~KTIFIBS that the building SWIMMING POOL Location of Property: 160 STERLING RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 4 Lot 4.1 suhdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23, 2010 pursuant to which Building Permit No. 35403-Z dated MARCH 23, 2010 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 PAULETTE GARAFALO & THOMAS E GIESE (OWNER) of the aforesaid building. SUF~OI,~t~)[~%'~YDEPAR~)~TOF}~ALTH~O%5%L N/A ~3.RC~RICAL c~KTIFIC~%TH NO. 122849C 05/09/08 PLU~E~S C~K'rIFICATION D~r~u N/A +/h~/d~ignat ure Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PEI~MIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35403 Z Date MARCH 23, 2010 Permission is hereby granted to: T. GIESE & P. GARAFALO P.O. BOX 509 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD FENCED TO CODE. REPLACES EXPIRED BP # 33509 at premises located at 160 STERLING RD County Tax Map No. 473889 Section 104 Block 0004 pursuant to application dated MARCH 23, 2010 and approved by the Building Inspector to expire on SEPTEMB~~ Fee $ 250.00 u~-~~rized Signature CUTCHOGUE Lot No. 004.001 ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Town Hall Southold, N.Y. BUII~)ING PEIA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP, MIT NO. 33509 Z Date NOVEMBER 2, 2007 Permission is hereby granted to: T & P GIESE STERLING RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE AS APPLIED FOR at premises located at County Tax ~ap No. 473889 Section 104 pursuant to application dated OCTOBER Building Inspector to expire on MAY STERLING RD CUTCHOGUE Block 0004 Lot No. 004.001 24, 2007 and approved by the 2, 2009. Fee $ 250.00 Authorized Signature Rev. 5/8/02 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , APPLICATION FOR CERTIFICATE OF OCCUP~C~ This application must be filled in by ~ewritcr or ink and submated to the Building Ao For new building or new use: 1. Final survey of property 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. Commercial 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of properly showing ali 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. Co Fees 1. Certificate of'Occupancy - New dwelling $$0.00, Additions to dwelling $$0.00, Alterations to dwelling $$0.00, Swimming pool $$0.00, Accessory building $`50.00, ,Additions to accessory building $S0.00, Businesses $$0.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $?`5 4. Updated Certificate of Occupancy- $.50.00 5. Temporary Certificate o£ Occupancy - Residential $15.00, Comruercial $15.00 New Construction: '""',4 Location of Property: House No. Owner or O~vners of Property: Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: (check one) Subdivision '"""4 PermitNo. ~Wl0g-~ DateofPermit. /7/O~ Applicant3/~/.,&_/-,.~rs Health Dept. Approval: Underwriters Approval: Hamlet Block .~ Lot ~/ Filed Map. Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~---"~- ~- Final Certificate: ...-.4.check one) ~ Applicaot Signature Issue Date §/9/2005 Electrical Inspection Certificate Electrical Inspection Service, inc. Application Number 375 Dunton Avenue 122849C East Patchogue, NewYork 11772 (63t) 286-6642 Issued To: Tom Giese Street: 90 Sterling Road Village: Cutchogue Section: 103 Block: 0004 Contractor: Elec-Tec Electrical Contracting Was examined and found to be in compliance with the National Electrical Code. Zip: 11935 Town: Southold Lot: 043 Lic.# 4814-E l_-J Commercial [] NVDefects ~X~ Pool [] lstFIoor [] Indoor [~ Basement [] HotTub [] Residential [] Det. Garage ~] Attic [] 2nd Floor ~ Outdoor [~ Addition [~ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans I 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH / Bldg. Permit: 33509 Jacuzzi Television CO Detector Other Eq_ U.!?m_ent Lt/1-20 amp Spec./1-Time Clock President Rough Inspeddon: Inspector: Final Inspection: 05/07/2008 Inspector: John Mc Mahon ltl 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~SUL'ATION [ ] FRAMING / STRAPPING [//~NAL y~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION 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 ] FIRE RESISTANT PENETRATION ] FIRE RESISTANT CONSTRUCTION [ REMARKS: DATE q- / ~/-~ ~p ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION t~AL [ ] FIRE SA~-,', '( INSPECTION [ ] m~mT~'reom'mug.o~ [ REMARKS: ] FIRE RESISTANT PENETRATION DATE INSPECTOR FII~LDINSPECTIONREPORTI DATE [ COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRA2VIING & PLUMBING INSULATION PER N.Y. -- STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ltALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c /t~-, 20 O? Expiration 3r/R. , 20 Oq PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans / plamung Board approval Survey ~ Check ~ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date /g)/..O~ ,20 ~57 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pla~; 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 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. fi 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 constmction 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 promises and in building for necessary inspections. "IMMEDIATELY" ENCLOSE POOL,TO CODE UPON COMPLETION ~EFORE "WATEI~' (Signature of applicant or name, if a corporation) (Mailing address of applicant) UNDERWRll R$ CERTF1C, ' State whether applicant is owner, lessee, a'gent,~t, engineer, general contractor, electrician, plumber or builder Name of owner of premises /&~A5 . ~~_ ~/~TE: on the tax roU or Ifappli%~tisaco~or~tip~¢~e~f~sp~t~o~Oo[fi~ NOTIFY BUILDING [,:~SBT~?T AT -~e~itle°fc°m°rate°B~[ IS UN~WFUL 1. FOUNDATION - ;',:0 nEQUi~ED FOR POURED CO5 SSETE 4 /. - ITHOUT CFRTIFICATE z ,OUSH- , AM,N Plumbers License No. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~x / 3. INSULATION Electricians License No. Other Trade's License No. ALL OONSTEL ,x S~ MEET THE REQUIF: ' OF THE 4. FINAL - CONoTR~..,TION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE 1. Location of land on which propose~S~fi ~ done: House Number Street County Tax Map No. 1000 Section Subdivision -~/~/-~ ~77,C::~ (Name) .,: ATE. REQUIREMENTS OF THE CODE~ OF NEW ~.~O, aO~I~,.~z~.~AT~. NOT R5S?~:,~iBLE FOR PURSUANT TO CH~T~ 236 Block ~ ~ OF THEff~N CODE Filed Map No..W2~ ~t 2. State existing use and occupancy of premises and intended use and occupancy of proposed constru¢Iion: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal 4. Estimated Cost o~5'/~,uo. ~.~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Demolition (Ot~r W o~ fx.y-~ ~.,~o'0 ,:?~o,~.,-o ~ (Description) Fee ¢t~"Xz)- ~ (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 7/~ Rear Height ~___.~' Number of Stories tx Depth ~ ' Dimensions of same structure with alterations or additions: Front Depth. Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front ~e5' / Rear _~V.~ a 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 ~' NO Will excess fill be removed from premises? YES j( NO 14. Names of Owner of premises Name of Architect Name of Contractor Addressll~ Address Address Phone No..~?.6/ Phone No 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. ? ., :; 2 .... ~... '-.: 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) r~fUff-7~:,'~g/~ ~--/d/~'~// 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. Sw°j~ mLJ~f-~°re me this /'f~'}'"' / 1~,-~ day of ~ , ~0~ Not~ Rublic TM Qual~te~~, k Commission Expires Dec. 8~lM S~gn ure of Apphcant OWNER TOWN OF SOUTHOLD ~OPERTY FORMER OWNER ~, ES~;~.. ! 0 SEAS. LAND IMP. AGE ~ ~' 0 ~ NE~,~ NORMAL -illa.ble -illable 2 "illable 3 ¥codland wampland VL ;rushlnn-I Jouse Plot STREET } rh ~TZc~,%,.~, _~ ~ FARM TOTAL DATE BUILDING CONDITI VILLAGE COMM. I IND. Val LOW ABOVE ' /do RECORD CARD DISTRICT SUB. ACREAGE /?~/6 TYPE OF BUILDING ,&¢¢'/o , oral M. Bldg. Extension Extension Extension Bfeezewa? Garage Foundation ' ' ' Basement ~ ,, /' Ext. Walls Bath Interior Finish Fire Place Porch ! Attic _ Pc~rc.%~ __ ' 'Room~ 1st- FJ~or Patio Rooms 2nd Floor Driveway OWNER FORMER OWNER STRE LAND AGE NEW Farm SEAS. IMP. VL. q TOTAL FARM DATE BUILDING CONDITION NORA'~AL Acre BELOW Value Per Acre VI LLAGE COMM. fIND. ;Fotal -touse Plot 3rushland ~wampland Tillable 1 Tillable 2 DOCK Tillable 3 CB. MISC. J Est. Mkt. Value ~, ~ (~) i ~Voodland ABOVE Value FRONTAGE ON ROAD BULKHEAD TYPE OF BUILDING A. Bldg. xtension xtension xtension Foundation Basement !Ext. Walls Fire Place !reezeway ~arage Driveway Bath Floors IInterior Finish iHeot Porch ' j Roof Type Porch I Rooms ist Floor Patio Rooms 2nd Floor iDormer TOWN OF OWNER FORMER OWNER STREET L~; VILLAGE DISTRICT SUB. ACREAGE RES. ,.~1 ~. SEAS. VL. FARM COMM. I IND. LAN D IMP. TOTAL DATE ~d d AGE BUILDING CONDITION NEW NOP, AAAL BELOW ABOVE - TYPE OF BUILDING CB. Farm Acre Value Per Acre Value Tillable Woodland Swampland Brushland House Plot Total FRONTAGE ON WATER d~'? :~ r,~ ,/~¢, ~, ~o ~' -' ¢t~'I~' '<~ BULKH~D Tillable 2 DOCK Tillable 3 Est. Mkt. Value M. Bldg. Extension Extension Extension Breezeway Garage Foundation Basement Ext. Walls Fire Place Patio Driveway Bath Floors Interior Finish Heat Porch Roof Type Porch Rooms 1st Floor Rooms 2nd Floor Dormer Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District Section Block Lot THE FOLLOWIRG ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER~ GRADING~ DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOftK. Item Number: (NOTE: A Check Mark (~r) for each Question is Required for a Complete Application) 1 2 3 4 5 6 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will Include all run-oft created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of irupervious surfaces,) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surfaca WaterFIowl 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 Matedal 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 Course Running through the Site? Is h s Prolect w th n the Trustees unsd ct on or w th n One Hundred (100) feet of a Wetland or Beach. Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Yes Nc, 7 8 9 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-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-oPWay or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? m/ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Sox, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to issuance of Any Building PermRI EXEMPTION: Ye~s No Does this project meet the minimum standards for classification as an Agricultural Project? J Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required! -- -- ............. ss COUNTY OF .............. That I, ..~..~/~r~...... ~d'~.Z~. ......................... being duly su om, deposes and says that he/she is the applicant [or Pemfit, INamo of Individual s~ning Documonl) And that he/she is the ......................... &'~,~..~.z~...~-?/_,2~'-~.. .................................................................................................. (Owner, Co~tractor, Agent, Corporate Of~ce~, e~c.) Owner and/or representative of the Owner ot OwBerr$, a~d is duly authorized to perform or have performed the said work mid to make and file this application; that all statemenLg contained in tiffs application are uae to the best of his lmowledge and belief; and that the work will be performed in fl~e rammer set forth in the application filed herewith. Sworn to before me this; .......... ..5.. ................................. day of ...~.0.....':~4%.~..~ ........... 20..0.. '-] FORM - 06107 ~ ~~ Tl~ml l I;dl Annex P.O. Box 1179 Soulhl~ld, Nh' 1 t97 [-09.59 Telephone (631) 765-1802 Fax (631 ) 76,5-9~502 BI riLl)IN(, DE1 All 1 MI~,N 1 TOWN OF SOUTHOLD October 1, 2010 Thomas Geise PO Box 509 Cutchogue, NY 11935 NOTE: 160 Sterling Road, Cutchogue 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 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35403-Z swimming pool THOMAS E. GIESE & PAULETTE GIESE ~ ~r - ~ ~'~' . ~ Town of ~__, ~0o ~- "~- ~~' So~tho,d ~,- Suffolk County, New York SCALE: 1'=40' NOTES: h ~EA OF E~T PAR~L = 45.645 S.F. 1. ~EA ~ ~ST PARCEL = 2,031 S.V. 2. a = MONUMENT FOUND, & = STYE F~ND. - SUFF~K ~UN~ ON MAR. 28, 1935 4. REFERENCE DEED L 6298 ~ L. 6551 CP 80 L 7169 CP 172 S.C.T.M.: 1000-104.00-04.00-002.000. 00.3.000 & 004.000 ~¢.~. 1000-038.00-02.00-027.000 ~ 028.000 ~ .q~ ~.o o 40 0 /.~,v~ DATE: MAR. 8, 2007 ~-~'=~ /i dO~ NO: 2007-111 CER~FIED TO: THOMAS E. G~ESE PAULETTE CIESE FIRST AMERICAN 33~.E INSURANCE COMPANY OF NEW YORK DAM0 H. FOX, LS. P.e. N.Y.S.LS. ~50234 FOX I~4ND S[IRVEYINC 64 SUNSET AVENUE WESTHAMPTON BEACH, N.Y. 11978 (631) 288-0022 OWG: 2007-111