HomeMy WebLinkAbout37319-ZTown of Southoid Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
8/7/2012
No: 35868
Date:
8/7/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
1N GROUND POOL
3950 OLD NORTH ROAD SOUTHOLD,
Sec/Block/Lot: 55.-2-3
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/11/2010 pursuant to which Building Permit No. 37319 dated 6/25/2012
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:
INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REAR YARD FENCED TO
CODE.REPLACES EXPIRED B.P. # 35405
The certificate is issued to
ARGYRO LINARIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIHCATE NO.
PLUMBERS CERTIFICATION DATED
37319 04/29/2010
rized/Signat&re
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 #: 37319
Date: 6/25/2012
Permission is hereby granted to:
ARGYRO LINARIS
75-42 190th STREET
FRESH MEADOWS, NY 11366
To:
INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REAR YARD FENCED TO
CODE.REPLACES EXPIRED B.P. # 35405
At premises located at:
3950 OLD NORTH ROAD SOUTHOLD
SCTM # 473889
Sec/Block/Lot # 55.-2-3
Pursuant to application dated
To expire on 12/25/2013.
Fees:
3/11/2010 and approved by the Building Inspector.
PERMIT RENEWAL
$125.00
Budding Inspector"'"'"-
$125.00
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. 35405 Z Date MARCH 23, 2010
Permission is hereby granted to:
F LJkWRENCE (A LINARIS)
3950 OLD NORTH ROAD
SOUTHOLD,NY 11971
for :
INSTALL~ATION OF AN INGROUND SWIMMING POOL IN THE REAR YARD FENCED
TO CODE
at premises located at 3950 OLD NORTH RD
County Tax Map No. 473889 Section 055 Block
pursuant to application dated MARCH 11, 2010
Building Inspector to expire on SEPTEMBER 23,
SOUTHOLD
0002 Lot No. 003
and approved by the
2011.
Fee $ 250.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING/STRAPPING [~)~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)
[ ] ELECTRICAL (FINAL)
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION [
[ ]ELECTRICAL (ROUGH) [
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
INSPECTOR~~~-
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ]INSULATION
[ ]FINAL
[ ]FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)
[ ] ELECTRICAL (FINAL)
REMARKS:,, --
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] I/NS~LATION
[ ]FRAMING/STRAPPING [~'] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)
[ ] ELECTRICAL (FINAL)
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-¶ 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INFLATION
[]FRAMING/STRAPPING [ ~NAL/~ /~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
REMARKS:
] FIRE RESISTANT PENETRATION
] ~ECTRICAL (FINAL)
'¥OWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
/
Examined 3/~ ~ , 2010
Approved /r$/Y-3,29 ~O
Disapproved a/c
Expiration
MAR 11 2010
BLDG. DEPT,
TOWN Of SOUTHOLD
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to: I I ~3
/ Builder ' '
APPLICATION FOR BUILDING PERMIT
Date I-'Lo-col-,
INSTRUCTIONS
a. inls appncatlon MUST b 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
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 Pemfit 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 amenchnents 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.
(Signature of applicant or name, if a corporation)
ALL CONSTRU! ..... ' "IMME:~
MEET THE REQUIPJ~ :IE ENCLOSE PCOL
UPON COMPLE-!ON
CODES OF NEV~ ~.,. ,~ -:
.,, z. ~FORE "WATER"
(Mailing addres~ of applicant)
State whether ~tpplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~ame Ot ow!.e, o£preiulses
If applicant is a ex)rpog'ation, signature of duly authorized officer
~q'a/ne and ti[le~ofcorp-orate officer) ' ' -
OR
(As on the tax roll or latest dee&). :.oT~D.
,,
'-" ', ' '
Plumbers License No.
Electfici~s License No. ~0- M~iVil~l' i~'"--'~''--7 FINAL'"'~'
Other Trade's License No. (%; Ct !PANCY ....
UNBERWR~RSCE~IFIOATE ALL CONSTRUCTION SHALL MEET THE
l. Location o¢land on which proposed work will be donen~BED REQUIREMENTS OF THE CODES OF NEW
~ ~O O ~ ~O(~ ~o~ ~O~k~STATE. NOT RESPONSIBLE FOR
House Number Street H~,~,'~'.I O,~ CC;~ST?,UCT!OH ERRORS
CountyTax MapNo. 1000 Section .~. ~ Block O ¢ ' ~ Lot OO%.
Subdivision Filed Map No. Lot
(Nme)
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
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Demolition
Fee
Addition
Other Work
Alteration
(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 Rear ,_Depth
Height Number of Stories
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
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO~
13. Will lot be re-graded? YES NO/N<~Will excess fill be removed from premises? YES ~ NO__
14. Names of Owner of premises LliyJrtJ
Name of Architect
Name of Contractor J'J'J fOOi.J~r~ cq ~r~,
'
15 a. Is this property within 100 feet ora 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 wetland7 * YES NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation p nd distanc.e.s ~ii~eYty lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
Address Phone No.
Address Phone No
Address //~,~Y'4,4r/,o 7,/J~ Phone No. ~_~/-~- 7~J'
NO
STATE OF NEW YORK)
SS:
COUNTY OF )
~ d~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~{~-~'N~-s~ -~-
(Con' rractor, Agent, Corporate Officer, etc.)
Signature of Applicant
EIL££N 8, COMANZO
Notary Publk=, State of New York
No. 01C06088554
Qualified in Suffolk County
Commission Expires March 03, 2 ~
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 l~est of his knowledge and belief; and that the work will be
performed in the manner set forth in the apphcat~on filed therewith.
TOWN OF SOUTHOLD PROPERTY 'RECORD CARD
OWNER STREET ._~C:~...~'~) VILLAGE DIST.' SUB~. LOT
~N D IMP. TOTAL DATE
~llable , j FRONTAGE ON WATER
N~ ! FRO~AGE ON ROAD / ~ ~ ~ & a o = / ~ ~ ~ .,
M.
Exte.n~Tor~
Path
Patia
Basement /L~ /. /~ Floors
~nterior Finish
Ext. Walls
Fire Place
Type Roof
Rectm~tion Raom
Heat
Raoms 1st Floor
R~a~,s 2n~: Floo~
J Dinelte
DR. ""
FIN. B
SR.
This document will be public
record. Please remove all
Social Security Numbers
prior to recordinD.
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
Page I Filing Fee
Handling
TP-58d
Notation
EA-52 17 (County}
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
5, 00
Sub Total
Affidavit
Certificd Copy
NYS Surcharge 15. 00
Sub Total
Other Orahd Total
4 .[ Diat: :1000 $~fion 055.00 lin°ok 02:,00
Real Property
Tax Service
Agency
Verification
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Sper:./Assit.
or
Spec./Add.
TOT. MTO. TAX
Dual Town
6
003.000
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
John Kapsalis, Esq.
. 1449 l$0th St.
· Dual County
Held for AppOintment
Transfer Tax
Mansion Tax .
Thc property covered by this mortgage is
or will be improvod by a one or two
family dwelling only.
YES or NO .-
If NO, se~ appropriat~ tax clause on
)age # of this instrument.
- ~ 6ommunity preserva~ton
Consideration Amount $ .
I CPF Tax Due $ , '.,
Improved
Vacant Land
TI)
'rD
Mail to: Judith A. Pascale, Suffolk County Clerk
17 [
310 Center Drive, Riverhead, NY 11901[ Co. Name
www. suffolkcountyny, gov/clerk I Xhte #
· .Suffolk County Recording &
- Thin page forms part of the attached i DeEd
FRANK J. LAWRENCE AND PATRICIA LAWRENCE
Title Company Information
; made by:
(SP~x.:J~Y TYPE OF IN~'TRUMENT)
The premises herein is situated in
SUFFOLK COUNT~, ~ YORK.
TO tn ~he TOWN of
ARGYR0 LINARIS In thc VILLAGE
' or HA34LET 0f,
' r ~ :' .'7 ' 'r,
HOME iMPROVEMENT
coNTRACTOR
LICENSE
,JOHN 't' pALMtERI
20841-H
Denis McEttLclott ~,,~,o,,~ 04/01/'2011
· ~ CERTIFICATE OF LIABILITY INSURANCE
~ (631)Z83-~ FAX (63].)287-2207 THIS CERI1FICATE IS lSSUED AS A MA'~ ~ =K OF INFORMATION
~amln Corlx~ate Risk Associates ONLYANDCONFER~NORIGHTSUPONI~EGI3~nFICATE
Southaeptoe, NY 11968
~ 3.3.'s Pool S~;ce Corp. ~ee~. Navigators ~s Co
~]23 3eetcho Tur~l~Jke ~
Cemmck, NY 11725 ~s~E~
Tram of Soethold
Atta: Build,ag Depae'ment
Tm~ Ilall
Soutlmld. ~ 11971
AGORu 2~ (200t/08)
Beth Gardner/S-rACTA
~CORD CORPORATION 1988
STATE OF NEW YORK
WORKERS' COMPENSATION BOARD
CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE
la. Legal Name & Address of Insured (Use street address only)
$.J.'s Pool Set.ce Corp.
1123 Jericho Tumpr~ce
Commack~ NY 11725
Work Location oflnmsced (Only re~'~~
limited t~ co~w~ loc~fio~w i~ N~s, Yor~ ~ t~, n Wr~47p
2. Name and Address of the Entity Requesting Proof of
Coverage (Entity Being Listed ns the Certificate HoMer)
Town of Somtmld
l~uild~
Town HaH
Southold, ~ 11971
lb. Business Telephone Number of Insured
(631)864-7665
lc. NYS Unemployment Insurance Employer
Registration Number of Insured
Id. Federal Employer Identification Number of Insured
or SoeiM ~urity Number
11
3~ Name of Insncance C~rrier
Roct~dal~ Insurance Company
3b. Policy Number of enflly ~ in box "la"
RWC3159974
Policy effeetive period
11/01/2009 to __ 1 !/01/2010
3d. 'l~e Proprietor, Pnrtoers or Exce~ive Officers are
~ included.
~ nil excluded or ~'~tnin imrme.~/oirseer~ excluded.
coverage reqmremena of the New York Sate Workers' Compensa~onPLaw. ess ss complying witk rite mandatory
Title: Auth 'zed Re msentafive
Telephone Number of authorized representative or Hceased agent ofinsur~n~ ce cnrden.
Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced
above and on this form.
that the named insured has the coverage as depicted
Ap~.~l by: Beth
.--~,t,,fi.~ or licensed a~nt of insmam:e can~-)
- 03/04/2010
' (s~) 0)ate) -'
(631 )283-8000
Pletz~e Note: Ordy insurance ' · · ---
autttorlred to issue lt. carriers and thetr licensed agents are authorized to issue Form C~105 2 Insurance brokers are NOT
C-105.2 (9-07)
www.wcb.state.ny.us
STATE OF NEW YOR~K
WORKER'S COMPENSATION BOARD
CERTIFICATE OF INSURANCE COVERAGE UNDER THE flYS DISABILITY BENEFITS LAW
PAITT l'T° be c°mpleted bY D' _~lit~ Benefits Carrier or Licensed Insurance Agent o~ that Carrier
JJ'S POOL SERVICES CORP
1123 JERICHO TPKE
COMMACK, NY 11725
Town of Southold
Building Deparlment
Town Hall
Southold, NY 11971
Business Telq~h0~e Ngmber o~ Inmm~l
631-269-9723
lc NY~ W igl~rael~ ~ I~idmtt~
4513527
DBL196840
~- Polioj ~J~ perked:
04/20/2009
04/19/2011
Tetq~io~e Numlxa- 516-829-8100 T,U~ Sr. Vice President
PAITT 2- To be .~,,Phm~l b~J NYS Wmker's Compensadon ~Bo.~d (Onl~ if box .4b. of pm I has ~., ._.__ :~,~)_
State of New York
Wodu~'s Comperrsafion Board
Please Note= Only insurance sarrfem Ik:ensad to write NYS Disability Benefits insurance policies and N~ Licensed Insurance Agents of
those insurance carrie~ are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this farm.
DB-120.1 (506)
Southold Town Building Department
P.O. Box 1179
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 55.-2-3
Permit #: 35405
Permit Date: 3/23/2010
Expiration Date: 9/23/2011
BUILDING PERMIT RENEWAL LETTER
Dated: 6/13/2012
Applicant:
Location:
Work Description:
ARGYRO L1NARIS
3950 OLD NORTH ROAD SOUTHOLD
IN GROUND POOL
INSTALLATION OF AN INGROUND SWIMMING POOL 1N THE REAR YARD FENCED TO
CODE
A FEE OF $250.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Address:
ARGYRO LINARIS
75-42 190th STREET
FRESH MEADOWS, NY 11366
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
~001
t/~hx
AUG - 6 2012
08/06/2012 12:02 FAX ~002
Nassau Suffolk
P.O. Box 549, Aquebogue, New York · 11931
Tel: 631-591-3097 Fax: 631-591-3098
Application: 8947 Date: 4/29110
Issued to: Linaris
Address: 3950 Old North Rd Introduced By: Bethel Electric
Village: Southold License~: 2880-ME
,AUG - 6 2012
Bi [)(~ OFN.
~'O?,,,Fi OF ,SOL' [!~l O
Residential [] ¢ommrcial
The following was examined and approved up t~ the above date'and found to-
be in compliance with the NEC:
Attic l't Floor 2"~ Floor 34 Floor Garage ConversiOn
Basement Hot Tub Addition Detached Garage Pool []
Oth~ Equipm~t: I-He, at Pump
In Ground Pool
Permit~:
Se~ion:
65 Block: 2 Lot: 3
This certificate must not be altered in any manner
LOT: ~ ,ON SUFFOLK COUNTY TAX MAPS. ~
SURVEY
~" ~ sY ROBERT
~, ~02e W~LU*M ~O~O ~*R~W~Y, SU~E
PHONE ~: 631-281-0162 FAX ~: 631-28~-0292
DATE: ~. ~,%oo~ ~ SCALE:
NOTES:
20'
40'
POOL PLAN
LATERAL 5E(_.TION TH~OUCH POOL
28'
48" CONCRETE POOL ~ALL
HOPERN POOL 5~STEH5 ~ALL PETAIL5
POOL ~t=TAI L~
PqATF:R Tt~.EATIviE NT
DIVING PROHIBITED1
LINARI$ RESIDENCE
3950 OLD NORTH ROAD, SOUTHOLO, NY 1197~
POOL PLAN
JJ'S POOLS
PEG. ASUS ENGINEERING
[ 6 Nodworny Lone, Stony Brook, NY 11790-2100
631-751-6600