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HomeMy WebLinkAbout35605-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/29/2011 No: 35033 Date: 6/29/2011 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building iN GROUND POOL 1370 Light House Rd, Southold, Sec/Block/Lot: 50.-5-8 Filed Map No. conforms substantially to the Application for Building Permit heretofore 5/25/2010 pursuant to which Building Permit No. Lot No. filed in this officed dated 35605 dated 6/9/2010 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 ~round swimming pool with fence to code as applied for. The certificate is issued to Mastorakis, Dimitrios & Laskaris, Theodora (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35605 5/27/11 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) PERi, IT NO. 35605 Z Date JUNE 9, 2010 Permission is hereby granted to: D MASTORAKIS 1370 LIGHTHOUSE RD SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL, FENCED TO CODE AS APPLIED FOR at premises located at 1370 LIGHT HOUSE RD County Tax Map No. 473889 Section 050 Block pursuant to application dated MAY 25, 2010 Building Inspector to expire on DECEMBER 9, SOUTHOLD 0005 Lot No. 008 and approved by the 2011. Fee $ 250.00 / Authorized Signature ORIGINAL Rev. 5/8/02 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 Underwritem. 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. 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 $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. Ce[tificate 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, Commemial $15.00 New Construction: Location of Property:x'50 ! ~ q O House No. Owner or Owners of Property:''''x3 Suffolk County Tax Map No 1000, Section Subdivision Old or Pre:existing Building: (check one) m house cl, ,g- o-]4n c kt, V Street Hamlet PermitNo. CZO~-~)~ DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ '~-i~) . --- Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765 1802 Fax (631 ) 765-9502 ro.qer, richert~town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Dimitri Mastorakis Address: 1310 Lighthouse Road City: Southold St: NY Zip: 11971 Building Permit #: 35605 Section: 50 Block: 5 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Stasi/Dallas Electrical ContLicense No: 4679-me SITE DETAILS Office Use Only Residential ~ Indoor ~] Basement ~ Service Only [~1 Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~J~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtur(~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS inground swimming pool and accent lighting, to include bonding, 2-pool lights gas heater, l-time clock, l-pool pump, I-GFCl Notes: Inspector Signature: Date: Ma)/27 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INS~ULATION [~AL [ ] FIRE SAFETY INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY DATE INSPECTOR-~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ROUGH PLBG. ~I~AL [ ] FIRE SAFETY INSPECTION INSPECTOR  ~TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRB RESISTANT CONSTRUCTION [ ] FIRE RESISTAI~n' PENETRATION [ ] ELECTRICAL (ROUGH) [~ELECTRICAL (FINAL) ' ~. REMARKS: DATE ~ INSPECTOR ~" TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~LATION [ ] FRAMING / STRAPPING [//]'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTIOH [ ]FIRERESISTANTCOliSTRUCTK~ [ ]FIRERESISTANTFENETRATION REMARKS: ~/ / / / TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. Examined Approved Disapproved a/c 6/9 , 20 /~ Expiration 2010 BLDG. DEP[ TOWN OF SOUTHOLD Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, belbre 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: mhT~} ) ~L~.._.~ I/~_..~ LICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~// 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Builders License No. L'~ q/ ~ / 2. ROuOdd-FRAMING, PLUMBING, Plumbers License No. ~ ........ ~"..,',',' .... on^.. STRAPPING, ELECTRICAL g CAULKING Electnctans License No SU Other Trade's License No. ' wazc, ,nc n:uu,n:~4ENTS OF TH~ Dh~/')'~S*~!JCT*ON & ELECTRICAL CODES OF NEW YORK STATE.-- N~'SVtSET~MFLETE FOR CO ~L CO¥S rRUCTION SHALL MEET THE I. Location of land on which proposed work wi~be done~ · - REQ~RE~,-'~TS ~F THE,C~nF NEW House Number ~ Str~et - ' ' b~ c0NSl;RUCTIO~ ERRORS. County Tax Map No. 1000 Subdivision Section Block C)~ RETAIN STnraa¥1~.E~n~ONOfl. Filed Map N~U,8~~}a 28~ OF mE DWN COOE (Name and title of corporate officer) 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, 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 k;:~uancc or has not been completed within 18 months from such date. !fno zoning amendments or other regulations affecting thc 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, Suftblk 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. / kl t UPON cOM~.~'~ l~ /-4uL;l (~.~- 1( l [F~"f~'-tz.,~.x._....,t_t...,--. (Mailing address ofapplicantA o t~ta'~X'--'hethflEFO'RE''WATE~'"'',/..{ lW£~ ~,~a\C ~( r¢.~/Ll-Jr,5.~kJI/}z M,,,,/ app,cam o general contr*tor, elect ici < plumber or builder 0 ' APPROVED AS NOTED Nameofownerofpremises , . _ ('~}/tb~ ~ DATE B.P.# ( A ~ ° ~'-t he t a'hX~rc;l 1-° r ~:'~ ?~ B y/~ff,_ If applicant is a coporation, signature of duly a~~}[,¢4, ' ' NOTIFY ~UILDING DEPARTMENT AT 2. 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 ~-~(_.~ ¢- 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars Y¢cna' r -r Addition Alteration Other Work i-'):::::~:~J [ I/I ~ ~ [ ' (l~e~p~o~)' (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. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Rear Number Of Sto~io8 . , '-'t ~ Rear I Depth Depth Dimensions of same structure with alterations or additions: Front Depth Height. Dimensions of entire new construction: Front Height Number of Stories Size of lot: Front 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? YES NO 13. Will lot be re-graded? YES NO__Will excess fill be removed from premises? YES __ NO l 4. Names o f Owner o f,premise~)~~d~ress~o~o, t~Q¢--~'~¢ O-__~ Name of Architect~'"~a::>kq~c,q-~v'k , Address ne No.2;~l Name of Contracto~lf~/'3- ~C:r~F ~rp tJfddress~I ,~P,ho..ne No.~ 15 a. Is this property wlth~n 100/eet ora tidal ;etl~an~or a fresh~wat~a d.~*YE~S }l N'~O.~ '' * 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. ' ' 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 topograpltic.~ data,on ~upcey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS,:~ COUNTY O F~..~ ~>~ ~~L'~ S beihg duly S~vorn, deposes and says that (s)he is the applicant (Name;of individual signing eontract~ abe'ce named, (S)He is the .[. ::! ._ ,.,(,Contrg~:tor,~Agent,:. . Corporate Officer, etc.) of said owner or owners, and ~s duly authorized ro perform ~hal/e performed the said work and to make and file this application; that all statements ~ntained in this application are true to the be~t 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 / 8-¢ day.,gf ~r)Q~AAJ,, 20 ~ ~ [1 elNa M. SCACCIO/ 'N~.tary.Public : ' No. 01SC6217947 \ Qualified in King County : i' Commission Expires 02/22/2014 Signature of Applicant 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 SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: 1 2 3 4 (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) 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 creatiD~,O[ ir0pervio~.sprfaces.) Does the Site Plan and/or Survey Show All Pr'6p~6;sed D~Air~ge Structures Indicating Size & Location? This item shall include ali Proposed Grad~-Ct, hah~les-~Slopes Controlhng 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? wil[ this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (1 Off) 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? 7 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? 8 9 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? Yes No NOTE: If Any Answer to Questions One through h'ine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submit[ed for Review Prior to Issuance of Any Bui!ding Permit! EXEMPTION; Yes Does this project meet the minimum standards for classiflcatien as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl __ No STATE OF NEW YORK, : , co Nw ..................... SS ~}1~{ I, . . . }.~ . . . , l~}.~.~~ ..................... being dt,:5 sworn deposes ~ad says fllat he/she is ~e applic~t ,hr Pemlit, (Name of individual signin9 Document) And fl~at be/she is dm ........................ ~.~ ...................................................................................................................... (~er, Con~ctor. Agent. Co~orate Officer. etc) O~mer and/or representative of fl~e O~er of O~er's, and ~s duly au~orized to perform or have performed fl~e smd work ;md to make ~md file fl~is application; that ~dl statements contained in ~is application are tree to tim best of bis ~owledge and belief; ~md fl~at fl~e work will be performed in the manner set forfl~ in fle application filed bere~fla. Sworn to before me tiffs; ........................... !~ d5 o~ ......................... 20.J.D ...... ~ ~ () GI~M.S~CClO , / ~ ~ -- -- ~ Qualifi~ in ~ng C~n~ TOWN OF SOUTHOLD PROPERTY R.~ORD CARD r,'t- ~/_., OWNER ;TREET /~ 7~ VILLAGE DIST. SUB. LOT _~cO~ER OWUER .' .... N E RES. ~J O ~S~S. VL. , FARM CO~. ' CB. MICS. Mkt. Value ~ND IMP. TOTAL / DATE REMARKS / ~ ~ ~ / s~ ~oo ~0o "/~/e7 ~/~G~ / - I FRONTAGE ON WATER Till°ble W~lond FRONTAGE ON ROAD ~ ' Meadowland DEPTH I BULKH~D House Plot Total COLOR ~/~-'~ TRIM Extension Extension Porch Porch Breezeway Garage Patio Oo B. Total :oundation Basement Ext. Wails Fire Place Type Roof Recreation Room Dormer Bath FlOOrs Interior Finish Heat Rooms 1st Floor Rooms 2n~ Floor Driveway Dinette Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone {631) 765-1802 Fax (631) 765 9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 16, 2011 Dimitrios Mastorakis 262 90th St Brooklyn. NY 11209 RE: 1370 Light House Rd, Southold TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: 'x,q Application for Certificate of Occupancy. (Enclosed) C~ Electrical Underwriters Certificate. x,,,1 A fee of 50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (tUl permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 35605-Z swimming pool ,guf£olJc Co~ty. Executive'S Of~'ce. .... DATE ISS~D: ,... _ . "._ .' .." ,." · ' .~ ~:,~DD~G~-~C.'..'"'"'.'-' ' '." ."m . ' ~e~a re.la&om of~e Coun~ of ~uff6m,'St~te.o[~'e~:Zork;is'hera~ 'licenged:t6. co~Guct bu~mgss as a Thle cer~e~ that the hearer ~s du~y It~ensed by the County of Suffolk RANDY 'T RODECKER 214~2-H 06/0~11992 This certifies that the bearer is duly licensed by the County of Suffolk COMMISSIONER SUFFOLK COUNTY DEPARTMENT OF CONSUMER AFFAIRS MASTER ELECTRICIAN NAME RAYMOND T DALY 5141-ME EXPIRATION DATE IDate Issued 08/13/2001 08/01/2011 BUSINESS NAME RAYMOND ELECTRICAL CONTRACTING '! AREA = 2'~ztlO sq./L CERTIFIED TO' FIRST METROPOLITAN ABSTRACT CORP, DIMITRIO$ IViASTORAKI$ THEODORA [v~4$TORAKI$ G.F.I. MORT6AEE 8ANKERS, INC. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY TITLE~,'NO; ;4' 31.~EE'-$-1£65 SURVEY OF PROPERTY AT SOUTHOLD TO WN OF SOUTHOLD SUFFOLK COUNTY, IV.. Y. 1000 - 50 - 05 - 08 Scale~ 1" = 30' May 7, 2009 SOUTHOLD, IV. LIe. NO, 49618 765 - 1797 S TREE T , ~' , 7' ~ 20' / ¢ CHECKVALVE~ P~N ~. ~,,~. PLUMBING SCHEMATIC LINE ~ ~O~Ep CONe S~PS ~ NOTES ~2"~o ~" SANP BOSOM ING~UNDSWIMMINGPOO~FO~AWPEIIPOOL. GROUND WATER TASLE IS A MINIMUM OF 4 '-8" ~ELOW ~E PROPOSED FINISHED G~DE COPING AND WALKWAY ~ 3. BACKFILL WITH CL~N ~RTH, FREE OF ROO~ AND DEBR[S. DO NOT ALLOW THE HEIGHT {BY OTHEr) OF BACKFILL TO ~CEED THE HEIGHT OF THE WATER IN THE POOL BY MORE THAN SECTION A ~,~ ,L ~ ~ ~ ~ ~ ~.~__~ ~ & ANDP~CE CONCR~E ON SAN DY TO LOAM SOil COMPACT CLaN BACKFILL, REMOVE ANY C~Y DEPOSIT Scale: ~/~" = J'-O" k ~ 5, WAL~ TO ~E SMOOt, NON SKID WPE, SLOPED AWAY FROM POOL LINERANDROLLED FOAMcoNc[~EB~EEN ~ ~ [~4~/~ 6. WATERLO~L REGU~TIONSDISPOSAL 5HALL ge LIMITED TO OWNE~ PROPERW IN ACCORDANCE b ~ ~ ZE VINYL LINER ~ ~ COMMENCEMENT OF CONSTRU~ION. I ' ~ ' 10. THIS POOL SHALL BE EQUIPPED WITH AN APPROVED POOLA~ ~HICH 15 C~S5IFIED ~'///~//fi'//&//&//fi~//fi~//~/~///~//&//~ 11. A TEMPO~RY ENCLOSURE, OR 4 ~ FENCE SHALL BE INSTALLED AND ~E~[N IN SECTION B WALL SECTION s~le: ~/8": Y-O"