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Home My WebLink About35477-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34652 I~te: 11/04/10 THIS ~K-rIFIBS that the building SWIMMING POOL Location of Property: 2520 PINE TREE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax M~p No. 473889 Section 104 Block 2 ~ot 12 subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 2010 purs%~%nt to which Building Permit No. 35477-Z dat~ APRIL 16, 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 HENRY & ELLEN F SANTACROCE, JR (OWNER) of the aforesaid building. SUFP~)I=KCND~DEP~T OF }~g~J~THI~PPI~OVAL N/A ELECTRICAL u~KTIFICATE NO. 35477 09/29/10 PLUMB~ ~K-rIFICATION DA'r~u N/A nature Rev. 1/81 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. 35477 Z Date APRIL 16, 2010 Permission is hereby granted to: HENRY SANTACROCE 2520 PINE TREE RD CUTCHOGUE,NY 11935 for : INSTALLATION OF AN ACCESSORY INGROUND SWIMMING POOL, FENCED TO CODE AS APPLIED FOR at premises located at 2520 County Tax Map No. 473889 Section 104 pursuant to application dated APRIL Building Inspector to expire on OCTOBER PINE TREE RD CUTCHOGUE Block 0002 Lot No. 012 5, 2010 and approved by the 16, 2011. Fee $ 250.00 / Authorized Signature ORIGINAL Rev. 5/8/02 NOV 4 BLDG. DEP'L TOWN OF SOUTHOLO 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. 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 cor/sent 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. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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: ~<~/1/~.~ Location of Property: c~o,~ House No. ~oo / Date. Old or Pre-existing Building: Street (check one) Hamlet Owner or Owners of Property: )1~ c/ Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ ~/7~ Date of Permit. ~/,/~//0 Block Filed Map. Applicant: Lot //7 ? Lot: Final Certificate: Health Dept. Approval: Planning Board Approval: /¢,//,O Request for: Temporary Certificate Fee Submitted: $ ~ '5 ~' Underwriters Approval: / (check one) '/Al ii~t Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~,~ATION [ ] FRAMING / STRAPPING [ ~/]'/I~iNAL [ ] FIREPLACE&CHIMNEY [ ] FIRE SA,-.. ~ ,f' INSPECTION [ REMARKS: ] FIRB RESISTANT COItSTRUCTION[ ] FIRE RESISTANT PEliE11~TIOll / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 76~-1802 FAX: (6;1) 765-9502 SoutholdTown.NorthFork.net Examined q/~, 20 ! o Approved ~,, 20/ 0 Disapproved a/c Expiration ///6, 20 II PERMIT NO. 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 Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector PPLICATION FOR BUILDING PERMIT . a. Tiffs ai~It~atl&~I.!MUST be coIlapletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ~g[~:~,~u, k, ~cate.'~'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. (~S.gnatur~pp~tcant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises /~"~7' 9~b~t/'~o O (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of lan~d on which propose, d work will be done: House Number Street County Tax Map No. 1000 Section Subdivision., (Name) Block //tgi/ Filed Map No. I IZc] Lot ,,% State existing use and occupancy of premises and intended use and a. Existing use and occupancy /4~bt~ ] b. Intended use and occupancy ~ 0 ] 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 4V,~Ot 0o~ q- 5. If dwelling, number of dwelling units If garage, number of cars .4--//A occupancy of proposed construction: Addition Other Work Fee ~ ~ ~'0, oo I Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. ,~/~ Dimensions of existing structures, if any: Front ~q'?~ Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front 9. Size of lot: Front 10. Date of Purchase 11. Depth Rear Depth Height Dimensions of entire new construction: Front ,/~ t )~ Height Number of Stories /~5~ Rear / LO Number of Stories Rear Depth Name of Former Owner .Depth Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES/~ NO Will excess fill be removed from premises? YES,)(~ 14. Names of Owner of prem~ses/~t-ar7' ~//~ ,~ddress' ~£~/~' ~. - "r? ~ ~/.~ ,~Pho ne No. Name of Architect Address t~.~j~- ~/~, -~ Phone No Name ofContractorO~.>,- /(~? Address .e/5~7/~rz.¢'~., Phone No. //a,~'-7 ta,~ ~. I I-t Z g 15 a. Is this property within 100 feet of a 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 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 ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~ r,/,~ SS: COUNTY OF~)~dk~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ,~ONNiE O. BUNCH (S)Ho is the No~.arv Public.State of New ~r~ (Contractor, Agent, Corporate Officer, etc,) . Ouaii'fl:~"n~.~u~f~0"l'~o~un~ t ~ Commission [x~ires April 14, 20_/__ol..' of said owner o~/ 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 / ' r L~ ~'f~3~ day, of ~ 20/0 Notary Public v / ~plicant Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · (631) 765- 50 ro,qer.rlchert(~,~own.$oui~iofd.ny.u$ BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: JOBSlTE INFORMATION: (*Indicates required information) *Address: ' '~-?'~ F~''~ ~ ~ / ~~ *Cross Street: ~4 ~/ d~)~ *Phone No.: 7~¢~ ~ / Permit No.: 25- ~ '-~7 Z Tax Map District: 1000 Section: Block: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed} *Service Size: 1 Phase 3Phase *New Service: Re-connect Additional Information: 100 Underground YES / NO Rough In YES / NO Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form TOWN OF SOUTHOLD PROPERTY RECORD CARD ~onq~cr~ ~c FORMER OWNER LAND 7oo 7oo Tillable I iMP. ~ ~o0 Tillable 2 Tilrable. 3 Woodland Swampland B rush~and House Plot Total ~ tST~T ~_.Z-,~ 0 $ VL, TOTAL FARM DATE VILLAGE w DISTRICT SUB. TYPE OF BUILDING COMJv~. [ND. ,l,~b ~,o - ~8' ~: '~ '' M. Bldg. ExtGnsion ~:x"tensior Extensior Breezeway 104.-2-12 3/08 Garage~~ bi oo . I, IH Foundation Basement Walls Fire Ptace Driveway Perch Porch L Bath Fl,~ors interior Finish Heat Attic Rooms 1st Floor Rooms 2nd Floor FH~' Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T,M, #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE EUBMI881ON OF A STORM-WATER; GRADING~ DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE 8TATE OF NEW YORK, Item Number: (NOTE: A Check Mark (,~) for each Question is Required for a Complete Application) Ye.._~s Nc, 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 mn-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 Surfaco Wateriqowl 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 Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surfaco? Is there a Natural Water Course Running thruugh the Site? is this Project within the Trustees judsdiction 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 dirpction 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? O'his 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? 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 Permitl EXEMPTION: Does this prelect 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 Yes No STATE OF NEW YORK ..... COUNTY OF ...~.....~..~.~..~ ........... SS That I,. ............................................................................... being duly sworn, deposes and says that he/she is the applicant for Pennit, (Name of individual signing Dccumont) CONNIE D. BUNCH And that he/she is the ....................................................................................................... llota~?.u.blic..Stata.of.J~a~.Yark .............. No. 01BU6185050 (Owner Contractor Agent Coq3omte Officer etc.) ............. , ' uua.neo ~n ~UnO~K uount~ I ~ Owner and/or representative of the Owner of Owner s, and is duly authorized to lxtrforr~llql~r40~gl~r/trn~ltri~d-dgd~l_m:)rk and to make and file this application; that all statements contained in this apphcafion are true to the best of Iris knowledge and belief; and that the work will be peffommd in the manner set forth in the application filed herewith. Sworn to before 111e this; .......... ....................... da, ..................... Notary Public: ...... ~ ..................... FORM - 06/07 : CHECK VALVE WA~R LINE~ ~OmEP CONC. S~PS~ NOTES ' ~ N~YORK~TE-2~TAND~EANSI/NSPI-S~STANDAR~FORR~IDEN~AL .,~ 2,,to 4~ ~ND ~OM [NGROMNP SWIMMING POO~ FORA ~PE II p~L. ~ 2. S~U~RE IS D~IGNEP FOR USE BELOW G~PE ANp ONLY IN AR~ WHERE~E COPING AND WALKWAY G~UND WATER TABLE IS A MINIMUM OF 4'-g' BE~W ~E P~P~EP SECTIONA ~,~,,,~, ' C S~[e: 1/8"-1'-0' ~ ~" ' ~ ANDCOMPA~CL~NBACKFILL ' ~ .:5 ] ~ ~ ,x BY UNPEKWITE~ ~BO~TORY, INC TO REFEKENCE ~ANDAKD~TM 11. 5 ECTIO N B WALL SECTION / CONCRETE WALLJ 4' 8' 7' 19' ,~ 8' h20 3'-2" H20