HomeMy WebLinkAbout36270-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
4/18/2011
CERTIFICATE OF OCCUPANCY
No: 34904
Date: 4/18/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
IN GROUND POOL
10775 MAiN RD EAST MARION, N.Y. 11938,
Sec/Block/Lot: 31.-4-18
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/28/2011 pursuant to which Building Permit No.
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:
in ground swimming pool with fence to code as applied for.
Lot No.
filed in this officed dated
36270 dated 3/28/2011
The certificate is issued to
Fernandes, Anthony & Femandes, Jennifer
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
128823H 8/14/09
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36270
Permission is hereby granted to:
ANTHONY & JENNIFER FERNANDES
81 SANDY HOLLOW ROAD
Date: 3/28/2011
PORT WASHINGTON N.Y. 11050
To:
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO
CODE AS APPLIED FOR.
REPLACES EXPIRED BP # 33835
At premises located at:
10775 MAIN RD EAST MARION, N.Y. 11938
SCTM # 473889
Sec/Block/Lot # 31 .-4-18
Pursuant to application dated
To expire on 912812012.
Fees:
3128/2011
and approved by the Building Inspector.
PERMIT RENEWAL
CO - SWIMMING POOL
Total:
$250.00
$50.00
$300.00
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. 33835 Z
Date APRIL 22, 2008
Permission is hereby granted to:
POTHITI SIGALAS
10775 MAIN RD
E MARION,NY
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD,
FENCED TO CODE AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 031
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
10775 MAIN RD EAST MARION
Block 0004 Lot NO. 018
14, 2008 and approved by the
22, 2009.
Fee $ 250.00
~or~S~i~nature
Rev. 5/8/02
COPY
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 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 $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
Date.
New Construction: Old or Pre-existing Building:
Location of Property: i ~"~ ~'-}r~ ~¥'~ ~-~i ['~
House No. Street
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ,~ ~
Subdivision
Permit NO. ~,~'~ D Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Block t~.
Filed Map.
Applicant:
Underwriters Approval:
(check one)
Hamlet
Lot:
Request for: Temporary Certificate
Fee Submitted: $ ~-~)- ~
Final Certificate:
(check one)
Applicaut Signature
Issue Date
8/14/2009
Electrical Inspection Certificate
Electrical Inspection Service, Inc. Application Number
375 Dunton Avenue 128823H
East Patchogue, NewYork 11772
(631) 286-6642
Issued To: Fernandez Residence
Street: 10775 Main Road
Village: East Marion Zip: 11939
Section: Block: Lot:
Contractor:
Town: Southold
Lic. #
Was examined and found to be in compliance with the National Eiectdcal Code.
[] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement [] HotTub
[] Residential [] Det. Gamge [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters
1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps
A/C Fans
Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi
/
Te~vis~n CO Deicer
Bldg. Permit:
Other Equipment
1-Pool Light/l-Time Clock/1-20 amp spec.
3utlet
Hugo S. Surdi
President
Inspector: : Mahon III
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
FRAMING / STRA~NG
[ ] INS,~TION
[~i~NAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
DATE INSPECTOR
~[ELD INSPECTION R~PORT DATE CO~S
FOI~D ATION (1ST)
FO[ NDATION (2ND)
ROUGH Fi~a,M~EN'G &
P[ LYN/[BENG
lION PEP. N. Y.
ENERGT CODE
FEN~L
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
Examined ~,~, 20 t9~2'
Approved ¢/~}/, 20 O~
Disapproved a/c
Expiration /¢~,20 0l /~
t t Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health /[/:t~
4 sets of Building Plans J
Planning Boar~approval ~
Survey
Check i//..~- 2
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit_ fi/~f
Storm-Water Assessment Form
Contact:
Phone:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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
areas, ano~waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
,el· 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 promises and in building for necessary inspections.
"IM G IgTELY" (Signature of applicant or name, ifa corporation)
BEFORE WATtL4" CODES OF NEW YOii?~ 3 i'ATE. (Mailing addres~ o f applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name crowner of premises 7-,/-//7'/f
(As on the tax ro~l or lates~¢~r[~ BUILDiN3 3:E;:7,',RTMENT AT
If applicant is a corporation, signature of duly authorized officer
IPAI',,I Y OR
(Name and title °fc°rp°rate °ffg~ ~'S ~J~I~AWFUL
Builders LicenseNo. \IITLIt~I ITCERTIFICATE
Plumbers License No.
Elect cians License No.
Other Trade's License No. ohi0~h~llErli~ ~r.n. Hrw't~.~,
Location of land on which proposed work will be doue:
House Number Street
County Tax Map No. 1000 Section ~,3/
Subdivision
Block
705-1502 8AM TO 47M FOR THE
FOLLC:W:tqG F'!SPE3T!ONS:
1. FOL,',;L;A'UO,'I - 7¥0 REQUIRED
FOR POURED C:;¢¢RETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - COXSfi~','TYCN MUST
8E COMPLETE FC:i C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE· NOT RESEONSiBLE FOR
Hamle~uRSUANT T0 CHAPTER 236
~O 5/' 0F THELIoOtWN~/[iE~
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existinguseandoccupancy ..5-//t,/~id, cc f ,x¢,g"~ / L ~¢'
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost /~j ~-.
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration_
Other Work .~[,~/ / /*P't l~ J,ff t~, ?'OD
(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
Hei§ht 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. Size of lot: Front Rear .Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~;~CC-SYZ} [//f/.
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO
13. Will lot be re-graded? YES ~ Will excess fill be removed from premises? YES
14. Names of Owner of premises
Name of Architect
Name of Contractor
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. PERM1TS MAY BE REQUIRED.
Address Phone No.
Address Phone No
Address Phone No. /'
NO w-''/
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 s~)~
18. Are there any covenants and restrictions with respect to this property? * YES NO ~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OFq )lr/15'/)A,/t')'SS:
~'"-'~)'///?/'"--t dJ-.- 3"'/42d)O/,'/~',~ ~"/2 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 tme'~b'the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therew~da
Sworn to before me thi~ ,
Not~ublic NOTARY PUBUC, StCe o~ New ~
No. 01D04634870
Qualified m Suffolk Coun~
~mmisaon ~ires September 30, ~`C~ l 0
-- Signature~
qWNER ~. i
TOWN OF $OUTHOLD PROPERTY RECORD CARD
STREET
VILLAGE
DI~T. SUB.
EQ ~ , ~, ACR.
W
LOT
I
TYPE OF BUILDING
P. ES. ~./~l SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION -L ~Z - Ze ~/~-
N~ NORMAL BELOW ABOVE ~
FARM Acre Value Per Value
Tillable 1
Tillable
Fillable 3
~oodland
~wampl~nd FRONTAGE ON WATER
FRONTAGE ON ROAD ~ / *"~ ~ <, ' ~j
~?ushland
aouse Plot DEPTH J~'D~ O
BULKH~D
total DOCK
)LOR
31.-4-18 10/07
Porch
Porch
Breezeway
Garage
Patio
O.D.
Total
Foundation
Basement
Ext. Walls
Fire Place
Type Roof
Dormer
Driveway
Recreation Roorr
Bath
Floors
Interior Finish
Heat
Rooms ]st Floor
Rooms 2nd Floo,
COLOR
Town Hall Annex
54375 Main Road
P.O. Box 1179
Soufl~old, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 76,5-9,502
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
August 13th, 2010
FIRST NOTICE
Anthony & ,Tennifer Fernandes
81 Sandy Hollow Rood
Port Washington, Iq.¥. 11050
RE: 10775 Route 25 (/N-GI~OUNb SWIMMING POOL)
5CTM: # 1000-31.-4-18
Dear Mr. & Mrs. Fernandes,
Please be advised that your Building Permit # 33835 issued April 22nd, 2008 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit please submit a fee of $250.00. At that time we con
Schedule an inspection by one of our Building Inspector's. Enclosed for your convenience
please find a copy of referenced Building Permit.
If you have any questions, please call us at 765-1802.
Respectfully,
$OUTHOLb TOWN BUILDIN~ DEPT.
~ATTACHED ARE DOCUMENTS REGARDING SWIMMING POOL CODES.~
Town 1 lall Annex
5 i373 Mare Ri)ad
P.O. Box 117!1
Southold, NY 11 !)71-0959
Tt'lepllonc {(i~]l) 7GG-1802
Fax ((;31) 7G3 9302
January 18th, 2011
B! IILI)I N(; 1)I:,PAI{rI'M ENT
TOWN OF fiOUTHOLD
F'rNAL NOTICE
Anthony & ,Tennifer Fernondes
81 Sandy Hollow Road
Port Washington, N.Y. 11050
RE: 10775 Route 25 (IN-GROUND 5W:IMMZN6 POOL)
5CTM: #1000-31.-4-18
Dear Mr. & Mrs. Fernandes:
Please be advised that your Building Permit # 33835 issued April 22nd, 2008 has
expired. According to the Code of the Town of 5outhold, a Certificate of
Occupancy must be issued before use of the structure.
To renew your Building Permit, please submit a fee of $250.00; at that time, we
can schedule an inspection by one of our Building ]:nspectors.
If you have any questions, please call us at 765-1802.
Respectfully,
5OUTHOLD TOWN BUILDING DEPT.
7010 0290 0002 8968 1867
CERTIFIED TO:
POTHITI SIGALAS
THE NEW YOK MORTGAGE COMPANY, LLC
/TS SUCCESSORS AND/OR ASSIGNS
CENTURION ABSTRACT, LLC (CEN - 1461.}
UNITED GENERAL TIRE INSURANCE COMPANY
N/O/F KENNETH M. KETCHAM & WIFE
SURVEY OF PROPERTY
AT EAST MARION
TO WN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000-31-0,1-18
SCALE: 1'=20'
SEPTEMBER 2,. 2003
APRIL 14, 2005 (UPDATE.)
KENNETH 14. KETCHAM
0.2'E N87'$8'50"E
EL 25,3'
GAR.
~.s'£
2 S?~ 2.2
_,._~U.UN 720~0F THE NEW YORK STA ~ EDUCATION LA
~ T AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICAtiONS
H~NEON ARE VALID FOR ~IS MAP AND Omn'~ ..............
~,~ ~:~ur U~L~
SAID MAP OR COPIES BEAR ~E IMPRESSED SEAL OF THE SURVEYOR
~OSE SIGNA TUNE APPEARS HEREON.
ou .o o, 103-237
Eastern Long Island Pool Care
22355 Rt. 48 Unit 12
Cutchogue, NY 11935
Bilal Altintoprak
Bill Birkmier
631-734-8455
631-734-8456
BilISpooner
Sabation Cove
Mattituck, NY 11952
516-658-5302
Pool Easement For 12' X 28' Lazy Ell
Excavate pool
12' X 28' Lazy Ell
Cardinal Systems Steal Wall
Triac 8' Straight Roman End Step
One pool light
Two skimmers
Two returns
Two main drains
One ladder
Entire pool in 1 ~" Flex pipe
One HP Super pump
CL200 In-line Chlorinator
DE 36 Filter
1-1/2" Multiport
Includes all electrical work ,, ....... .~ i.
Total pool package ............................................ .~...15,000.00
02/21/2008 11:17 TEL 6313483605 JETLINE-PROD-TSL^NDI^ ~]005/006
'~-1 518"
518"
12'
TRIAC 8' STRAIGHT
ROMAN fiND STEP
18'
R2'
3'-~ 5/8"
NOTE: THIS IS A NON DIVING POOL
-NOT~-
CARO~N/~. SI'STEI4~ IS NOT R~$PONS[OLI~ FOR '¢H~' I~TCRIOR DI6 SPECIFI~ONS ~U~ATED ON
AREA = 323.6 SQ, FT.
PERIMETER = 75'-0
i,~AR DIN AL SYSTEMS
£'2/21/OB]T~, ' 12' X
~1' I LAZY ELL
I~' LR P~ "~"' JETCI3998
02~2!/2008 11:17 TEL 8313483805
JETLINE-PROD-ISLANDI^
~ 008/006