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Home My WebLink About33951-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34687 Date: 11/19/10 THIS c~KTIFIES that the building SWIMMING POOL Location of Property: 280 ROSENBURG RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 21 Block 1 Subdivision Filed Map No. __ Lot No. -- EAST MARION (HAMLET) 23.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 2008 purs,,a-t to which Building Permit No. 33951-Z dated JUNE 3, 2008 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 SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JESSE PERETZ of the aforesaid building. ( OWNER ) SuFfOLK COUNTY DEPARTMENT OF HEALTH APPRO~-AL ~.~CI~ICA5 c~KTIFICATE NO. PLUMBERS C~KTIFICATION DA'r~u N/A 120675C 01/14/09 N/A A/onature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEP~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33951 Z Date JUNE 3, 2008 Permission is hereby granted to: PERETZ 5795 ROCKY POINT RD EAST MARION,NY 11939 for : CONSTRUCTION OF AN IN-GROUND SIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 280 ROSENBURG RD EAST MARION County Tax Map No. 473889 Section 021 Block 0001 Lot No. ~_ pursuant to application dated MAY 23, 2008 and approved by the Building Inspector to expire on DECEMBER 3, 2009. ~_f Fee $ 250.00 Rev. 5/8/02 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. Swom 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 Plmming Board Approval of completed site plan requirements. 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, 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, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy 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 New Construction: Location of Property: Old or Pre-existing Building: House No. OC ,~ ~ .Street Owner or Owners of Property: ~:gq~. ~F,X~:~_ ~'~~9~v'~3~2"/-~-~ Suffolk County Tax Map No 1000, Section ~ ~ [ Subdivision Permit No. 1 Date of Permit. (ol 3 lQ)r~ Health Dept. Approval: Date. (check one) Hamlet Block (~30 Filed Map. Applicant: Oa Underwriters Approval: Lot 0~ Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Sign~t~ - 1/14/2009 Electrlcat Inspection Certificate Elect~iclal In~pactlon [~ervlee. Ina. Application Number 375 Ounten Avenue 120675C East Pat~hogue, New Yo~k 11772 Issued To: Mr. JeS~de Peretz Street: 5795 Rocky Point Road Village: East Madon Zip: 11939 Section: Block: Lot: Town; Southold Contractor: Lademann Electric Inc. (L) Lfo, # 4141-E I.' Commercial {'1 HVDefect~ IXJ POol IXl istFIoor {Xl Indoor t Basement I I He~Tub IXi Residential [ I Der. Garage Ixl Attic iq 2ndFIoor Ix' Outdoor Ixl Ad~Uoo CI Survey Switches Receptecle~ Fb~ures GFI Heaters 87 93 52 16 Dishwasher Washer/Amps O~},er/Amps OVe~I Range/Amps 1120a 2 20 2 30 1/30a 1 Gas Fumaee Oil Gas Clrculatom Smoke Dele~ter I x 3 By O~erS Meter Amps Phase UG/OH Jacuzzi Television 1 300 t {xl / Bell Transformer co Detector 3 Other Equipment ~.-150AMP MIB Pa~0 1-50 amp & 1-20 amp 3eo Thermal Disconneot/1-40 amp Steam Jnit Disconnect/1-20 amp &1-3Q amp A/C 3isconnect/1-15 amp Air Hand{er Disconnect/ 10-20 amp Spec. Circuits/2-20 amp Well 3isc./1-50 amp Subpenel/1-40 amp Raintight Subpanel for Pool/1-Time Clock/3-Pool Lts/ 1-20 amp Spec. Circ, for Pool Hugo S. surdi President TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]/~tJLATION [ ] FRAMING I STRAPPING [ '~] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ~] FIRE RESISTANT PENETRATION REM,~RKS: ~ DATE ~--~~~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INflATION [ ] FRAMING / STRAPPING [,/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESb'T4.T C0.STR~ [ ] F~RE RES~r~T Pf:.ETRA'n0N REMARKS: F~-~ c~ .~u~.~'/~ - DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION [ ] FOUNDATION 1ST [ ] R~GH PLBG. [ ] FOUNDATION 2ND [ ]/~NSULATION [ ] FRAMING / STRAPPING [ r/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: / DATE J / INSPECTOR IFlt;LD ENSPECTION REPORT i DATE I COM2M]ENTS . FOLqNI)ATION (1ST) _ '~ ~-SL~ATION PER N.Y. -~ '~ STATE ENERGY' CODE k~ TOWN OF SOUTHOLD BUILDING DEP~RTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Approved ~. Disapproved a/c Expiration 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 Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: ,20 Mail to: ,20 .~ /~ - -: i~ ~l~ng'InsPectotx,,,~ APPLICATION FOR BUILDING PERMIT~--~ INSTRUCTIONS a. T~lS__~.Pl~lj/cation MusT be '~mpletely filled in by t~ewfiter or in i~ and submitted to the Building ~spector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pl~ showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issu~ce of Building Pemit. d. Upon approval of this applicmion, the Building ~spector will issue a Building Pe~it to the applic~t. Such a pe~it shall be kept on the premises available for inspection t~oughom the work. e. No building shall be occupied or used in whole or in pa~ for any p~ose what so ever until the Building Inspector issues a Ce~ificate of Occup~cy. fi Eveu building pe~it shall expire if the work authorized has not co~enced within 12 months after the dine of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the prope~y have been enacted in the interim, the Building h~spector may authorize, in wdting, the extension of the pemit for an addition six months. Thereafter, a new pe~it shall be requked. ~PLICATION IS ~BY M~E to the Buil~ng Depa~ment for the issuance of a Building Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordinances or Re~lmions, for the construction ofbuild~gs, additions, or alterations or for removal or demolition as herein described. The applicant a~ees to comply with all applicable laws, ordin~ces, building code, housing code, and re~lmions, and to a~it authorized inspectors on premises and in building for necess~ inspections. (Signature of applicant or name, ifa co~oration) (Ma~ingaddressof~licfint) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofowne.v~fpremises ~"(..~,~-~ ~"C~ + ,~Lh ~,C_~C}/' (As on the tax roll or latest deed) If alcpqicant is a corporation, sigBatur.e of duly au. tl~rized offic~er - ~'(Iq~ add title ot c~o-~/e 6fficer) ......... Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pro~oosed wor, k will be done: House Number '---]Street Hamlet County Tax Map No. 1000 Section Subdivision Block ] Filed Map No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. EXisting use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost ~q~;. 0OO. OD 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work Y t (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 Height Number of Stories Rear 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. Sizeoflot: 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 NO--v~Will excess fill be removed from premises? YES__ 14. Names of Owner ofpremises_'-~'x~tY'~ ~'\{c_K¢W Address . Phone No. qlT- NameofArchitect ~t~OarY~ CIII ~.¢r~¼! Address~ ~ 3~{~(.~ eo~/l'PhoneNo Name ofContracto~:~/~,e% +.<z~x ~x&4er. s~r_~Address4Vo /~ox ~7~. Phone No. -7,3q 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *~ES NO __ * 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 1/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO 1~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ~5~t~&/~ ) Sir ~)x~,--Z~ being duly sworn, deposes and says that (s)he is the applicant (N~e of individual si~ing contract) above named, ~NNIE D. ~NCH N~ ~blic, ~ ~ ~ ~ (S)He is the ~ ~ OO~ ~_~ NO. 018"81"050 ~a~ in ~k ~ - '(Contractor, Agent, Co¢omte Officer, etc.) ~ml~l~ ~lr~ ~i~'~ I ~ 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 tree 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 c~'~rr~ day of ~ 2003.5` Notary Public Si~natur~ of Applicffnt' Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District Section Block L THE FOLLOWING 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 YORK. Item Number: (NOTE: A Check Mark (,~) for each Question is Required for a Complete Application) Ye_._~s N__g.o 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious 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 Surface WaterFIow! 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 Course Running through the Site? Is this Project within the Trustees jurisdiction or within 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? 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-of-Way 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? O/ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permifi EXEMPTION: Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl Ye__~s N~o STATE OF NEXAr YORK, ~, , ~ COUNTY OF .....~L3..5"2x~.l.)...~ ............ SS ~f ~ _ ~ -~- CONNIED. BU~ Tfiat I, .....0~.~....~.~.~..~, ...................... being (lilly S'V('"I, deposes m~,l says ~~l' Pemfit, (Name of ffid[vidual signing Document) aual~M (Owner. Contractor. AgeNt. C0~omte Officer. etc) O~er and/or representative of d~e Ore, er of O~mer's, and is duly authorized to perform or have performed fl~e s~d work ~md to m~e ~md file ~is application; that all statements contained in tiffs application are true to tim Best of his ~owledge and belief; and ~at dze work will be performed in the manner set ford~ in d~e application filed herewith. Swm-n to before me dfis; Not*~ Public: ...~.~...~.....~..~ ........................... FORM - 06/07 TOWN OF SOUTHOLD PROPERTY RECORD CARD /d~ ._ .~/. OWNER FORMER OWNER RES. SEAS. LAND MP. (~oo VL. STREet '?dO S W FARM WLLAGE SU~.LOTS Total House Plot Woodland FRONTAGE ON ROAD Meadowla,nd ' Acre Tillable AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM goo Value Per V¢lue Acre FRONTAGE ON WATER DEPTH BULKHEAD DOCK TOTAL DATE REMARKS COLOR TRIM M. Bldg. Extens~,~ ~ Extenslm- Extension Porch Porch Breezc',v~y Garor, Patio ][:oundation IExI. YVolIs jFire Place jType Roof Room Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor J Dorm ~r Driveway L Dinette LR. DR. BR. FIN. B Total I O~NE~-R --- ~ STREET. ¢;~ (~"'~Z: VILLAGE -b~T~ SUB. LOT ACR. REMARKS TYPE OF BLD. FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND I DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL M. Bldg. Extension Extension Extension Patio Porch Deck Breezeway Garage Pool Foundation Basement Ext. Walls Fire Place Dormer PC CRAWL SLAB ~terior Finish ;eat ~'loodstove L.R D.R BR. Fin, ~,,~tic i, ;ores ls! Floor Driveway i ,~oms 2nd Fk_~r TOWN O: $OUTHOLD OWNER STREET' Vl LLAGE LOT ' Q~9}'? ~c. /'L.,4'-c;?;t /,.~.¢C~ FORMER OWNER (" DISTRICTI SUB. ACREAGE ~ TYPE OF BUILDING SEAS. IMP. VL. FARM TOTAL DATE COMM. }AGE NEW Total Tillable Woodland ;wampland 3rushlond House P!ot Tillable 2 BUILDING CONDITION BELOW ABOVE NORMAL Farm I Acre Value Per Acre Value Tillable I Bldq : I Foundation ~'.. Bath _ Basement .... r; ....... _Floors '.~-_ ,' ~ ....... ~..t, Walls .,.,. . Interio¢ Finish ~" , Fire Piece Heat Porch Attic C~,, ~ Por'b Rooms 1st Floor /~.-%.-~' Patio Rooms 2nd Floor Oct 27 09 02:04p BEEBE BUILDERS AND SONS I 6317345261 SID BEEBE & SONS BUILDERS INC PO BOX 979 CUTCHOGUE, NY 11935 October 26, 2009 RE: Extension on permit ~ ~ ~ ~ ( Requesting a 6 month extension on Permit # 344~32 For Jesse Peretz's swimming pool, located at 280 Rosenburg Road or 5796 Rocky Point Road, East Marion. Thank you for your attention to this matter Sid SURVEY OF DESCRIBED PROPERTY AND PART OF LOT 1, AND LOTS 7,8,9 IN SUBDIVISON MAP PROPERTY OF MARION RICHARDSON EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURV£YED FOR: JESSE PERETZ 27.6' N 04"21 26 7' N 76'30'00"E ~o~ 2 5225' 51 .~3' 52.25' 2000' N 56'50'00"W 7455' SURVEYED BY STANLEY J ISAKSEN, JR P 0 BOX 294 N£W SbFFOLK. NY ~'~1956 .... ~YS L~c No 4~'273 07R156Z OCCUPANCY OR USE IS UNLAWFUL ?:~~'W!THO ' '~." ~" v 1 v I/~ OF OC(:U~ ~ATE: r65-1 ~,P. PROVED AS NOTED~ i' BUILDI~,i,3 D'"E"'P'?d~TMENT AT ~* ~ 8AM TO 4PM FOR THE 'FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE '~'-~-~- REQUIREMENTS OFTHE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR ...... DESIGN OR CONSTRUCTION ERRORS. "IMMEDIATELY,, ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" RENOVATION ~ OF THE PERETZ 5796 ROC~ POl~ RD ARCHITECT F~K P.O.~xUE~N~L516 F~: 631-477 2~7 OWNERS PROPO O