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HomeMy WebLinkAbout34314-ZFORM NO. 4 TOWI~ OF SOL~fHOLD BUILDING DEPA=qTgrENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34695 ~te: 11/19/10 THIS C~KTIFIES that the building TENNIS COURT Location of Property: 495 PADDOCK WAY MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 107 Block 4 Lot 2.10 subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 2008 purs,,~nt to which Building Permit NO. 34314-Z dated NOVEMBER 21, 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 TENNIS COURT WITH 10 FOOT FENCE AS APPLIED FOR PER ZBA # 5012, DATED 10/25/01. The certificate is issued to SHAWN & JOLYNE FITZGERALD (OWNER) of the aforesaid building. Su~'~nO~ ~00~,~ DEPAR~ OF }~ALTH ~P~O~-AL RT.RC~rKIC~J~ ~KTIFICA~ NO. I~LU~ERS U~(TIFICATION DA'rmu N/A ~/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34314 Z Date NOVEMBER 21, 2008 Permission is hereby granted to: SHAWN P FITZGERALD 205 CIRCLE DRIVE PLANDOME MANOR,NY 11030 for : CONSTRUCTION OF AN ACCESSORY TENNIS COURT AS APPLIED FOR PER ZBA CONDITIONS. THIS PERMIT REPLACES BP 32195. at premises located at 495 PADDOCK WAY County Tax Map No. 473889 Section 107 Block pursuant to application dated NOVEMBER 21, 2008 MATTITUCK 0004 Lot No. 002.010 and approved by the BuildingFee $ Inspector75.00t° expire on~ ~ 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. 3~95 Z Date JULY 11, 2006 Permission is hereby granted to: SHAWN P FITZGERALD C/ 205 CIRCLE DRIVE PLANDOME MAiqOR,NY 11030 for : CONSTRUCTION OF Aiq ACCESSORY TENNIS COURT AS APPLIED FOR PER ZBA CONDITIONS. THIS PERMIT REPLACES BP 27879. at premises located at 495 PADDOCK WAY County Tax Map No. 473889 Section 107 Block pursuant to application dated JULY 11, 2006 MATTITUCK 0004 Lot No. 002.010 and approved by the Building Inspector to expire on JANUARY 11, 200~_ Fees 75.00 ORIGINAL Rev. 5/8/02 FORM NO. 3 ToWN OF souTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL (THIS OF THE ~ORK AUTHORIZED) pERMIT NO. ____------ Permission is hereby granted to: .... for : CONSTRUCTION OF AN ACCESSORY TENNIS cOURT AS APPLIED FOR PER ZBA CONDITIONS MATTITUCK 495 PADDOCK WAY at premises located at ______------ County Tax Map No. 473889 Section 107 Block 0004 Lot No. 002.010 pursuant to application dated N__OVEMB~ER----8' 20~01 and approved by the Building inspector- Fee $ 75.00 Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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. 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. Ifa 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 Pm-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. July 2, 2002 New Construction: XX Old or Pre-existing Building: (check one) LocationofProperty: h05 Paddcsck I/ay House No. Street Mattituck Hamlet Owner or Owners of Property: Shavn Fitzgerald Suffolk County Tax Map No 1000, Section I07Block Subdivision: '"D'4 '~ l q [ [-oX,[-l.~' __ Filed Map. Permit No. 2-1879 - ' Date of Permit. ~ Applicant: Lot 2.10 Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicanf Bignature 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE INSPECTORv/~-~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ F,...,"~INAL [ ] FIREp~C.E & CHIMNEY DATE INSPECTOR ]'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~,ATION [ ] FRAMING [~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING / STRAPPING [ FINAL FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION , [ ] FRAMING / STRAPPING [ "~AL ~'~,,,,,/,~Lr' ~..c~,,"--- [ ] FIREPLACE&CHIMNEY [ ] FIRESArc~lrlNSPECTION [ ]~lm'~'r~ [ ]RR~R~sm',m'rpmLrrmTml REMA~ DATE ~ INSPECTOR l~t,u~AT[OH (IST)' (2h~) ~.OUCH FRAHE & rleSU~.T~ONI'KR N. Y. STA*fKE~KKCY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 E~,-~-ed d/- ~ ,20. ~ ' Approved //- ~ ,20. co/ Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health Survey 4/ C ok Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Buildin g.lasl~;~r APPLICATION FOR BUILDING PERMIT INSTRUCTIONS / "-] ~ 20z~! a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, 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 are. as, 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 a Certificate of Occupancy is issued by the Building Inspector. 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. (Mailing address of applicam) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (as on the tax roll or latest deed) ~ap.p.!ilant is ja corl~or~tiota,/si?aturgof duiy ~Jl~torized officer ~ame and tit~ of corporate officer) Builders License So. /'~ ~' ~>~3 '/-~T . Plumbers License No. Electricians License No. Other Trade's License No. 1. Loca6.'o!t of land on.,}vhich proposed work w. ill be done: HouSe Namber Street -- Hamlet Co nty Tax nap No. 1000 / ¢7mook Subdivision P]~DO/2 (f12o~. ~ iO,"T'llTO~o lb FiledMap No. ' (Name) Lot /I State existing use and occupancy ofpremises,~md intend, e~ .use ~d, occupancy of proposed construction: a. Existing use and occupancy J~ ~' ~, I / t-t-) ~' b. Intended use and occupancy ~ ,0 tO I ¢, C O ~7 ~ ~ 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other Work ~-g, (Description) Estimated'Cost ~?, ~-0 ~ Fee (to be paid on filing this application) Number of dwelling un/ts on each floor 7. Dimensions of existing structures, if any: Front ~ Height Number of Stories 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of same structure with alterations or additions: Front ~ ¢ Rear Depth ,2i ~ Height Number of Stories. Dimensions of entire new construction: Front ] 2--0 / Rear ~ O / Depth Height /V/' ~ Number of Stories 9. Size of lot: Front q"'O 6~ ' Rear 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: 9/ e ~ Will excess fill be removed from premises: YES 13. Will lot be re-graded 14. NamesofOwnerofpremises~. ~t~,eg~£1> .address '.~me PhoneNo.~(~- Name of Architect Address ,' ~ Phone No Name o f ContractorC"e ~?/"orz,1 'l~,v g t~ /~'t. Address '~ ~ {,)~1~, t.~ [lee D~.e- Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) ss: COUNTY 0 ~t~l( ) //~,//O~t ~/.. ~'//~ {--;o~ bcqngduly sworm deposes and says that (s)heisthe applicant 0[lame of individual signing contract) above named, (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 ~ill be performed in the manner set forth in the application filed therewith. Sworg.!o before me th~s .) ' LO 200/ ~ ~'ture of AI~l~'cant MARYLYNN MILLER Notary Public. State of New No. 01 MI4828180 Qualified in Suffolk County,)/ Commission Expires Aug. 30. FORM NO. 3 NOTICE OF DISAPPROVAL DATE: August 3, 2001 TO: Shawn B. Fitzgerald 495 Paddock Way, Mattimck, NY 11952 Please take notice that your application dated June 17, 2001 For permit to construct an accessory tennis court with fence enclosure at Location of property 495 Paddock Way, Mattituck County Tax Map No. 1000 - Section 107 Block~4 Lot 2.1 Subdivision Filed Map # Lot # Is returned herewith and disapproved on the following grounds: The proposed ten (10) foot fence is not permitted pursuant to Article XXIII Section 100-231B which states that, when located in or along side or rear yards, the same shall not exceed six and one-half (6 ½) feet in high. Authorized ~ignatureff CC: file, Z.B.A. APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Horning BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 25, 2001 Appl. No. 5012- SHAWN FITZGERALD 1000-107-4-2.1 STREET & LOCATION: 495 Paddock Way, Mattituck DATE OF PUBLIC HEARING: October 18 and October 25, 2001 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The applicant's property is shown as Lot 11 on the Map of Wolf Pit Pond Estates, and is located on the north side of Tuthill Road in Mattituck. This five-acre parcel is improved with a single-family dwelling and accessory 1-1/2 story frame garage as shown on the 5/12/01 survey prepared by Constance Pilnacek, PLS. BASIS OF APPLICATION: Building Inspector's August 3, 2001 Notice of Disapproval for the reason that, under Section 100-231B, the Code limits a fence height to a maximum of 6.5 feet in the rear yard. The proposed fence enclosure for applicant's accessory tennis court will be 10 feet. AREA VARIANCE RELIEF REQUESTED: Applicant is proposing a 10 ft. high, mesh tennis court fence enclosure, instead of the code permitted 6.5 feet in height. The tennis court is located in the rear yard. REASONS FOR BOARD ACTION: The Board o~ Appeals held public hearings on this matter on October 18, 2001 and October 25, 2001, at which time written and oral evidence were presented. Based on all testimony, documentation, personal observations by Members of the Board, and other evidence presented, the Board finds the following to be true and relevant: 1. Grant of the variance will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than a variance. The Code does not provide an alternative for any type of tennis court fencing in any yard area at 10 ft. in height. 3. The variance is not substantial in relation to the height allowed for other types of accessory buildings/structures (which are allowed up to 18 ft. in height). 4. The proposed variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood. 5. The diffficulty has not been self-created. In considering this application, the Board deems this action to be the minimum necessary and adequate for the applicants to enjoy the benefit of a fence enclosure around an accessory tennis Page 2 - October 25, 2001 ZBA Appl. No. 5012- S. Fitzgerald Parcel 1000-107-4-2.1 at Mattituck court, new dwelling, and that the grant of this variance will serve the character of the neighborhood, and the health, safety, welfare of the community BOARD RESOLUTION: Now, therefore, on motion by Member Dinizio, seconded by Member Collins, it was RESOLVED, to GRANT the variance requested, for the proposed 10 ft. high fence enclosure around the accessory tennis court, SUBJECT TO THE FOLLOWING CONDITIONS: 1. Applicant (property owner) shall plant and maintain in good condition at all times screening with a mw of 6 ft. high, 6 ft. on center evergreens for a length of 220 feet, starting at the northwest comer, and extending the evergreens for a distance - northeast 220 feet in length to Screen the northerly yard area (now or formerly Dickerson) - and extending evergreens a further distance 147 ff. in length, from the northwest comer of the property, southeast to screen the westerly property (now or formerly Tuthill). 2. There shall be no outdoor lighting or illumination of the areas immediately adjacent to the tennis court. This action does not authorize or condone any current or future use, setback or other feature of the subject property that violates the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Goehrin~ Din/i~37-FG'tto~Collins. (Member Horning was absent.)This Reso~du,~~. ~~J ..~./-"Gerard P. Goehringer, Chairn~an /' OWNER LAND 5~oo STREET ].~q~,~/ VILLAGE I D~§T.I SU[. LOT Il ACR, TYPE OF BLD. PROP. IMP. TOTAL DATE qSoO / 6O FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAF, HOUSE/LOT TOTAL d COLOR TRIM -M Bldg. -~ .~ ZL~ ~ ~{~ ~,6o L~t'~'~_ Foundation ~ Bath ~ Dinette I~ ~- ~ FU~ ExtenSion ~ ~ ~ ~ ~ 5.7~ ~O Basement SLABCRAWL ~A~, Floors ~Ab{,~D Kit. Extenson ~ ~ ~ = ~ ~,~ ~O~O Ext. Walls ~{~, Interior Finish L.R. ~ L~ o~L ~FA Extension t ~ 5 ~ ~ = 5 I~ ~,~ ~ ~ ~ Fire Place ~ Heat . D.R. e~ ~ ~ ~ ~ O = ~ O . ~o ~ Woodstove BR~ Porch Dormer Fin. B. ~./~ ~ ~1~ qo~ .~ ~ Attic Breezeway Rooms 1st Floor ~a~ ~ 5~ ~ /~ ~4 ~ ~ 9riwway Room~ 2.~ F~oor O.B.. TOWN OF SOUTHOLD PROPERTY RECORD CARD I LAND TYPE OF BLD. 3{.,4o o ~,oo IMP, TOTAL DATE VILLAGE i ~i~Tt~ SUB. LOT II qSoo o 0 / ~ ooo I 'TZ-oo / FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLA~ HOUSE/LOT TOTAL COLOR TRIM -M. Bldg. -~, '~ ,~_L~ = %/~ ~o~;o L~t-'/¥.,~ Foundation ~ Bath ~ Dinette Extension ~W ~ ~ ~ ~ 5~5 5~0 Basement ~L~/~L ~. Floors [~x~ Kit' Extension Z5 ~ ~ = ~ ~,~ ~O Ext. Walls ~(~, Interior Finish LR. Extension ~ ~ ~ ~l~ H.~ (%~ FirePlace ~ Heat . D.R. ~ , ~0 ?~ W°°dst°ve Porch Dormer Fin. B. ~fl~ ~ ~t~ qO~ .~ ~ Attic Rooms 1st Floor Breezeway ~ ~, ~a~ ~ ~ 5~ = /~ ~ ~ ~ ~ Driveway Rooms 2nd Floor O.B, Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD Office of the Building Inspector November 26, 2001 Mr. Shawn Fitzgerald 205 Circle Drive Plandome Manor, NY 11030 Dear Mr. Fitzgerald, Please take notice that in review of the field site because of a filed complaint on 11/19/01. Reference Building Permit Number 27879z for an Accessory Tennis Court at 495 Paddock Way Mattituck, N.Y. County Tax Map Number 1000 - Section 107 Block 4 Lot 2.010 The work on this permit needs to stop at this time until all approvals are submitted. 1) Review and approval from the Town Planning Board for use of the natural non- disturbance area for access. 2) Review from Town of Southold Tmstee's and NYS DEC as required for access. If there are any questions you can contact us at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. ~~Respectful~/~ Building Inspector CC:file Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 8th, 2006 Shawn P. Fitzgerald 205 Circle Drive Plandome Manor, NY 11030 RE: 495 Paddock Way S.C.T.M. # 107 0004 002.010 Dear Mr. Fitzgerald, Please be advised that your Building Permit # 27879 issued Nov. 8th 2001 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $1"~'5~ at that time we can schedule an inspection by one of our Building Inspector's. ~" If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 8th, 2008 5hawn & ,Tolyne Fitzgerald 205 Circle Drive Plandome Manor, N.Y. 11030 RE: 495 Paddock Way (Tennis Court) $CTM # 107.-4-2.10 bear Mr. & Mrs. Fitzgerald, Please be advised that your Building Permit # 32195 issued ~Tuly llth 2006 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit please submit a fee of $75.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions please call us at 631-765-1802 Respectfully, 5outhold Town Building bept. HOW RECEIVED, TEL~ MAIL__ LOCATION OF COMP AINT REPORT DATE J]/l~/O'j IN PERSON COMPLAINT NATURE OF COMPLAINT ASSIGNED TO ' A~TION ~ FILE # (IF APPLICABLE). RE-INSP DATE ACORD. CERTIFICATE OF LIABILITY INSURANCP [% PRODUCER Affiliated Agency, Inc. 255 Executive Dr. Suite 308 Plalnview NY 11803 Phone=916-576-0166 Fax=516-576-0168 INSURED DATE (MU~OD/TY) 06/19/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Centur~ Tennis Inc. Michael Healion 56 Brook Avenue Deer Park NY 11729 INSURERB: Blue Ridge Ins Co INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDiCA~ED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE MM[TS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS G[GEE POLICY EFFECTIVE POLICY EXPIRATION I~ITS~ TYPE OF INSURANCE POLJCY NUMBER DATE (MM/DD/YY) DATE ~MM/DD/YY) UMITS NERAL LIABILITY EACH OCCURRENCE $ 1000000 I X COMMERCIAL GENERAL LIABILITY CC003043 08/04/00 08/04/01 FIREDAMAGE(Anyonefire) $ 50000 J CLAIMSMADE [] OCCUR MEDEXP(AnyOnepe~on) $ 5000 PERSONAL & ADV INJURY $ 1000000 ~ GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPERI PRODUCTS-COMP/OPAGG $ 2000000 PRO- I A~OMOBILE LIABIUTY COMBINED SINGLE LIMIT S 1000000 1~ X ANYAUTO BA005320 08/04/00 08/04/01 (Eaaccideflt) EXCESS LIABIUTY EACH OCCURRENCE $ 1000000 A X~ OCCUR [] CEAIMSMADE CU'1~2007088 08/04/00 08/04/01 AGGREGATE $1000000 IDEDUCTIBLE $ ~ RETENTION $ 10000 $ WORR--COMPENEATIONANO I TORYLIMITEI' CERTIFICATE HOLDER r N I ADDITIONAL INSURED; INSURER LETTER: __ CANCELLATION Town of Southold Main Road Southold NY 11971 ACORD 25-S (7/97) TOWN'SOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOf DATE THEREOF, TIlE ISSUING INSURER WILL ENDEAVOR TO MAJL ~t 0 DAYS WRII'i'E N REPRESENT~,~VES. ©ACORD CORPORATION 1988 86/21/2001 08:58 6319797485 SCHAEFER AGENCY PAGE 02 5~375 Main Road P.O. Box 117!1 Somhold, NY 11971-09,59 Telcp]lonc (6;I 1) 765-1802 Fax (631) 76,3-9,30'2 BI JII.DING DEPARTMI';NT TOWN OF $OUTHOLD October 20, 2010 Shawn Fitzgerald 205 Circle Drive Plandome Manor, New York 11030 RE: 495 Paddock Way, Mattituck 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 $2~i.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ 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: 34314-Z tennis court L FOUNDATIOII o 110 ~- HOUGH - ~ · _,1 INSULATION 4, FINAL . 4~ STATE COflSTNUClIOII · ~ OCCG?ANCYOR USEIS UNLAWFUL WITHOU¥~ERTiFICATE OF OCCUPANCY FENCE DETAIL PLAN PLAN FOP-..: F ~ ,.'¢ TT-, "'i-,,.) ¢_.. ~___..: ,. S.4V'21' 1 6" E' 355,.50' REVISIONS DESCRIPTION BY DATE APPROVAL aUAq~r~.u TO= 1. STAKE OUT OF NEW TENNIS COURT dWS CO. 11-01-01 dWS01079 2. ADDITIONAL TOPO FOR ACCESS ROAD dWS CO. 12-05-01 dWS01090 5. FINAL AS BUILT SURVEY FOR TENNIS COURT dWS CO. 06-21-02 JWS02061 BY ARKADIUSZ WODKIEWICZ, L.S. 'JERR~ - 2 2002 D/B/A JWS CO. CONSULTING SURVEYOR .~ ~-~.~-_~.~ ~ A~ ~. ~. ~--~. = 30' a~.'m. ,x. ,2,n-~, mn ,o. JWS 02061'~"~'~'""~'~J.LAN~S??~z CENTURY TENNIS INC. (71s)-~-r/Ig F,~X ~-g~lO SURVEY OF LOCATED AT PROPERTY FOR TENNIS # 495 MATTITUCK, SUFFOLK PADDOCK CO., N.Y WAY COURT DISTR. 1000, SEC 107, BL. ,i, LOT 2 10 Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal is a violation of section 7209, sub-division 2, of the New York State Education Law. Only copies from the original with shall of this survey marked an original of the land surveyor's embossed seal be considered to be valid true copies. NEW TENNIS COURT 55' x 120' FRESH WATER POND Iii C) Certification Indicated hereon signify that this survey was prepared in accordance with the existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors. Said certifications shall run only to the person for whom the survey is prepared, and on his behalf to the title company, governmental agency and lending institution listed hereon, and to the assignees of the lending Institution. Certification are not transferable to addJUonal Institutions or subsequent owner. OERTIFIED TO: SHA~V FITZGERALD /,.CAP NO. 896~,, FILED 8/21/1990 [AX MAR DES/GNA PON D/STRICT ~000 SCALE: 1"--40' I/IAP OF LOT l! AS SHOWN ON "/,dAP OF WOLF PIT POND [$TA TE~... " IdA TTITUCt~, TOWN OF SOUTNOLD SUFFOLK COUNTY, NEW YORN. SECTION ~07 BLOCX 04 LOT 002 10 CONSTANCE ?ILNACEK, PLS P.O. BOX 53 ST. J.A/~ES, NY 11780 ~ uc. ~o. DATE 5/12/01