HomeMy WebLinkAbout37208-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
8/15/2012
CERTIFICATE OF OCCUPANCY
No: 35879
Date:
8/15/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ABOVE GROUND POOL
350 Willow Pond Ln, Southold,
Sec/Block/Lot: 70.-8-45
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/7/2012 pursuant to which Building Permit No. 37208 dated 5/10/2012
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:
above ground swimming pool.fenced to code as applied for.
The certificate is issued to
Carrozza, John & Darleen
(OWNER)
of the aforesaid building.
SUI~'I~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37208 8/9/12
Auto, zed Sig~nature
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 #: 37208
Date: 5/10/2012
Permission is hereby granted to:
Carrozza, John & Carrozza, Darleen
231 Princeton Rd
Rockville Centre, NY 11570
To:
install an above ground swimming pool~fenced to code as applied for
At premises located at:
350 Willow Pond Ln, Southold
SCTM # 473889
Sec/Block/Lot # 70.-8-45
Pursuant to application dated
To expire on 11/9/2013.
Fees:
5/7/2012 and approved by the Building Inspector.
SWIMMING POOLS - ABOVE-GROUND WITH REQUIRED FENCING
CO - SWIMMING POOL
Total:
$250.00
$50.00
$300.00
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 instalIation from Board 0fFire Underwriters.
4. Sw. orn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, indnstrial 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:
I. Accurate survey of property showing all property line~, streets, building and unusual natural or topographic
features.
2. A properly ~..0mpleted application and consent to respect 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. Certifica{e 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:
Location of Property:
House No. Stree~
· Owner or Owners ofProperty: ~}~)~[,~ ~,: ~x~3&a.~y'~
Date. ~ ~ /L7 -
Old or Pre-existing Building: (check one)
Hamlet
Suffolk County Tax Map No 1000, Section
Subdivision
Health Dept. Approval:
Block <~ Lot ~ ~-~
Date of Permit. 5 -lO - I ~
Planning Board Approval:
Request for: Temporary Certificate
Foe Submitted: $ 5~. {P'(9;~kp
Filed Map.
Applicant:
Underwriters Approval:
Final Ce~ificate:
-- '- Applicant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY I 19714)959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer.dchert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Darien Corozza
Address: 350 Willow Pond Rd City: Southold St: NY Zip: 11971
Building Permit #: 37208 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Brian Brooks Electrical Inc License No: 3613-e
SITE DETAILS
Office Use Only
Residential [~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Su~ey Attic Garage
INVENTORY
Service 3 ph Hot Water GFC~ Recpt
Main Panel NC Condenser Single Recpt
Sub Panel AJC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures ]~] HID Fixtures
Wall Fixtures ].~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture ].~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures b__d TVSS
above ground swimming pool to include, 1-pump motor, 2-GFCI recpticles
Notes:
Inspector Signature:
Date: Aug 9 2012
81-Cert Electdcel Compliance Form.xls
TOWN OF
I
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS/ULATION
[ ] FRAMING/STRAPPING [~'~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:~ ~
INSPECTOR
~/~/TOWN OF SOUTHOLD765.1802BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [~]]~I:IRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~ELECTRICAL (FINAL)
REMARKS:
DATE -~,~~- INSPECTOI~'~
FOUNDATION (IST) (b
PL~G
~D~ION~ cOuNTS ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-95011
SoutholdTown. NorthFork. net
Examined
Approved
Disapprox, ed a.c
[Sxpiralion
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the tbllowing, before applying?
Board of Health
4 sets of Buildiag Plans
Planning Board approval
Survey "-4
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Single & Separate
Storm-Water Assessment Form
Contact:
d
Phone: ~,'~/~-/~ 2 ~- 7 r/~ O~
B~(filding Inspector
APPLICATION FOIl BUILDING PERMIT
Date
INSTIIUCTIONS
· 20/8,
a. This application MUST be completely filled in by typewriter or in ink aud submitted to ti~e Bailding Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to sci]edule.
b. Pict plaa showing location of lot and of buildings on premises, relationship to a~joining premises or public streets or
areas, and waterways.
c. Tbe work covered by this application may not be commenced befbre issuaace of Building Permit.
d. Upon approval of this applicalioa, the Building Inspector will issue a Building Permit to the applicant. Such a permil
shall be kept ou the premises available lbr inspection throughout the work.
e. No building shall be occupied or used in whole or in pa~ for any parpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building pemfit shall expire if the work authorized has not commenced within 12 mouths a~er the date of
issuance or has not beeu completed within 18 months fi'om such date. If uo zoning amendments or other regulations affecting the
property have been euacted in the interim, the Building luspector may authorize, in writing, the extension of the permit for an
additiou six months. Thereafter. a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Departmeut kw the issuance cfa Building Permit pursuant to the
Building Zone Ordinance of the Towu of Southold, Suflblk County, New ~ork, and other applicable Laws, Ordiaances 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, ordinaoces, building code, housiug code. and regulations, and to admit
authorized inspectors on premises and iu building fbr uecessary inspections.
qMMEDIATELY" Ijbk (Signature of a cant Cname, if a corpg tion)
ENCLOSE P~ TO COD. ,
UPON CO~LETION"WTHOUT
BEFORE"WATER"
State whether applicant is owner, lessee, agent, architect, engineer, general col~ ~Sl~[~ber or bmlder
Name of owner of premises ,7~ hFI
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Pluinbers License No. !NSPECTION REGUiRED
Electricians License No.
Other Trade's License No.
1. l,ocation of land on which proposed work will be done:
.%K'O Willow Pond Lane_ .,_,4bu4-ko Icl.
ttouse Number
(As on the tax roll o~t~e~M ~C 4 ~r,~ ~0; rile
FOLLOWING INSPECTION5
1. FOUNDATION - ~ REQUIRED
~ I~FOR ~URED
2. RO~H- FRYING, ~UU~,
i STRAPPING, ELECTRIC~ & CAULKING
3. INSU~
s
Street ~ - ~ ' Hamlet
County Tax Map No. lO00 Section OqO.,O0 Block
Subdivision Filed Map No.
Lot
0q5. 000
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed constraction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Delnolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work ctho¥~ a~-~u_acL, tm~c~
J (Descriplion)
(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
Height Number of Stories
Rear Depth
9. Size of lot: Front Rear .Depth
10. Date of Purchase c~/'~:[O(~ Nan'ie of Former Owner-U~ rUt° 5 C~
11. Zone or use district in which premises are sitaated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES
13. Will lot be m-graded? YES
14. Names of Owner of premises
Name of Architect
Name of Contractor
NO
NO V/Will excess fill be removed from premises? YES NO
GFr0ZZ (~ Address ufholdfl PhoneNo.
Address Phone No
Address Phone No.
15 a. Is this properly 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 X
16. Provide survey, to scale, with accurate lbundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical dala on
18. Are there any covenants and restrictions with respect to this property? * YES NO b/
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
O NTYO S:
D t~/'-~-~]'"} C~rJ/0 z ~'--&'- being duly sworn, deposes and says that (s)he is fl~e applicant (Name of individual signing eontracO above named.
(S)He is the ~ r~O~Oo gs~uOq
~":¢'59:. ~ 2;':"W -: :
, , . ,,, ,, (?dq~r~t~r ,Agent. Corporate Officer. etc.)
of said ow ~ 9~tor~,~gd is dulffqggthor~ed to perfiwln or have perfom'med the said work and to make and file tiffs application:
that all statements co8t~i~ h~ l~8~pJ~ti~ are true to the best of his knowledge and belief; and that the work will be
performed in tb~B~ S~Sit~g~l.icat~ ~ filed therewith.
Swor ~ to befor~]~4~oq~t TOff, 2~ r_ :'~9"
2~ ~ PHILIPPE H FILS Amd[ -- -- ~ ~ ,oY / /
~~ ~ Notmr) Pubric - State of N,w York I ~~ ~~
/ ~j~ NO. 01FI6193432 [ S glatt 'e of ApplJca~
~ ~ -- ' QualifiedJfl Nassau CountyF
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765 1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF' SOUTI--IOLD
August 6, 2012
John Carrozza
231 Princeton Rd
Rockville Centre, NY 11570
Re: 350 Willow Pond Lane, Southold
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
v// Electrical Underwriters Certificate. (contact your electric
__ A fee of $50.00.
__ Final Health Department Approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184)
__ Trustees Certificate of Compliance. (Town Trustees # 765-1892)
__ Final Planning Board Approval. (Planning # 765-1938)
__ Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 37208 - In-Ground Swimming Pool
/,1!,1,,~·
/
/
!
,
LOt 23 /
/
LOT NUMBERS REFER TO 'MAP OF SECTION ONE
FAIRVIE~ PARK' FILED IN THE SUFFOLK COUNTY
CLERK'S OFFICE ON AUG 9 196I AS FILE NO
3388
CERTIFIED TO,
JOHN & DARLEEN C~ROZZA
TITLESERV, ~VC.
SURVEY OF PROPERTY
AT SOUTHOLD
TO'tN OF SOUTHOLD
SUFFOLK COUNTY, NE~r YORK
1000--70--08-45
SCALE: 1"=20' AUG 22, 2001
SEPT. 5, 2001 ( certification )
JAN. JI, ~008 (cerffflceflonl
island recreational'
IIII1 1
~ 1371694
ISLAND RECREATIONAL ._/~..~,~.
~ ~ 1480 DEER P~~OEF~R PARi~I~i "'
ORDER NO: 17-01-00042 · Page 1 of 6
CUSTOMER: - D CARROZZA
350 WILLOW POND LN'~---IJ~v~ '
Time:,
11:01:57
SOUTHOLD NY 11971 '
Q
4
~ELEPHONE: 516-678-7792 ~l~i! 'i i 03242V35140!
Customer mu~t call {$181 ~'0-1880 to ~¢hedule e delhte~ dete.
.UANTITY MODEL ' DESCRIPTION ' . UNIT PRICE
[ SN SS1852 i8' × 52" ROUND 6" ~ITE F~u~E 719.00
1 SMW 1852GS 18' X 52" SOLID GREY WAL Included
1 LI 1848CF0 18' ROUND CARIBN LINER Included-
1 AC 22489 CALYPSO A FRAME LADDER 139.00
1 BS 202PSWTR THRU WL/PRE FILT/WIN PLT 119.99
1 DLV DELIVERY & HANDLING 80.00
1 AC 50032P POOL WATCH SWIMMING POOL ALARM - ASTM 79.99
1 ADK 18 18' EZ DRAIN WINT CVR 259.99
1 GL AG60P WALLFO~_M UP TO 18R-12X20 109.99
1 BS HLXA LARGE H & L BASKET *Free*
1 BS PRC60DB9 #60 DIAMONDBK FILTER TNK 49.00
1 BS SP1600A 2 HP POWERFUL FLO PUMP 50.00
1606.9S
lAX 138.60
?OTAk 1745.56
~A~,C~ OUE .0 0
Customer Copy