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HomeMy WebLinkAbout37501-Z Town of Southold Annex 2/26/2014 P.O. Box 1179 ~r 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36786 Date: 2/26/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 180 Wicks Rd, New Suffolk, SCTM 473889 Sec/Block/Lot: 110.-8-21.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/31/2012 pursuant to which Building Permit No. 37501 dated 9/7/2012 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: accessory in ground swimming pool with fence to code as applied for. The certificate is issued to Peter Pezzino (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37501 10/21/13 PLUMBERS CERTIFICATION DATED e"A rth9 •ized Signature a!~s-1.'.1 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 37501 Date: 91712012 Permission is hereby granted to: rebel, Mart ha (PPzuno) - Wicks Rd PO BOX 665 New Suffolk, NY 11956 To: construct accessory In-Ground Swimming Pool, fenced to code as applied for At premises located at: 180 Wicks Rd, New Suffolk SCTM # 473889 Sec/Block/Lot # 110.-8-21.1 Pursuant to application dated 8/31/2012 and approved by the Building Inspector. To expire on 3/9/2014. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 tf1I t)A M1 Stas~ ~nC1..ni1__ Building Inspector Form No. 6 J 1 G r TOWN OF SOUTHOLD. /ll BUILDING DEPARTMENT a33~ 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 Compliance1rom 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 epmpleted 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. 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 $/1,5.00 Date. New Construction: V1 Old or Pre-existing nBuilding: (check one) Location of Property: ap I -r',/ Il D /3 L • ~-[9-Q.~ House No. Street Hamlet Owner or Owners of Property: EZAP)L. W7 2_l M 0 Suffolk County Tax Map No 1000, Section Block Lot / . I Subdivision Filed Map. Lot: Permit No. Date of Permit. /2- Applicant: Health Dept. Approval: Underwriter's Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 50, PV t Applicant Signature r 3 f 0~,~,OF SOUIYo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND (CATION [ ] FRAMING /STRAPPING FINAL O--o [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIC - (ROUGH) [ j ELECTRICAL (FINAL) l REMARKS: r1i L V w la V W/ t DATE / INSPECTOR SOUK TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION PLEIG. [ ] FOUNDATION 1ST [ XFNA FO UNDATION 2ND TION FRAMING /STRAPPING S [ ) FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ) ELECTRICAL (ROUGH) [ ) ELECTRICAL (FINAL) REMARKS: ZE T 1, pil ;p, DATE INSPECTOR S 4 ho~aoF SOVIt TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: d DATE INSPECTOR FIELD RggjSj3LN DATE COMMENTS U~ ro FOUNDATION (1ST) ~ (~!Z y FOUNDATION (2ND) x y . ROUGH FRAMING & PLUMBING C/o INSULATION PER N. Y. C STATE ENERGY CODE O r "44r Aew FINAL t7 / eta /rll dac/,E 0jr c~c a? ~„I jj( otJtrtfJ 33 DMO AL COMMENTS _N~ iG ,6P C42 E&eLft,,~ dZr-foA IN to~a~ l3 h,~..Q_ El~(Yic z ~z w rd h TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NV 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey South oldTown.NorthFork.net PERMIT NO. .3 7SV I Check 300 - 04-e I, loll 2,Ut Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 7 20 Single & Separate Storm-Water Assessment Form Contact: Approved ,20 Mailto: (_l,;je_ Epp `ft<)pp•,(+j Disapproved a/c V~5eb, " Phone: Expirations p , 20 f ~~I 1 1 g q L ~l Building Inspector 6 Y 6 AUG 3 1 2012 APPLICATION FOR BUILDING PERMIT I! Date Rmu. A-7 20 1~ TOPrvM Of iff SOlIll"H01 INSTRUCTIONS 1] 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 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 nece~ssaryryins~jection l,fCCUPAN 1~ VR ELECTRICAL (Signature of applicant e a corporation) INSPECTION REQUIRED IV ~"e_n~P l~15g 7 I I v wT- ~',1 I IVTa mg a ress of apphcant) Dk1~~FP # a25VI State whether applicant is owner, lessee, agent, architect, engineer, general cont tor, electriciapor builder R~-_ NOTIFY BUILDINC WF AR-MENT AT 5-i80T ;1 FOR THE Name of owner of remises F LL WI v~ I ~S E ; ^CNS' P ~rbtlri~~~;RL (As on the tax roll or Ian ~ ED CONCRETE If applicant is a corporation, signature of duly authorized officer 2. ROUGH - FRAMING. PLUMBING, STRAPPING ELECTRICAL & CAULKING (Name and title of corporate of'fic°y~~~~~~ of 3. INSULATION Builders License No. {.~lgED' TnCODE + MUST BECCOMPLETEFORCp~CTRICAI ~~~~nee ornrn Plumbers License No.oNCbl'ETbN ALL CONSTRUCTION SHALL MEET THE Electricians License No. BEFORE "WATER' REOUMEMENTS OF THE CODES OF NEW Other Trade's License No. YORK STATE. NOT MVIONSW MR DESION OR CONSTRUCTION ERRORS. 1. Location of land on which proposed work will be done: L4) a"U121h" House Number Street IM TO CHAPTER U236 N I , County Tax Map No. 1000 Section Block OF THE TOWN CME Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy d-5 c 7~ t~A "cA- I b. Intended use and occupancy ke-S Vi0 k ~pt7' p X 3 6 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 1~ I (Description) 4. Estimated Cost ~.S 61 PC) a Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 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 ;don 1 t.-' ~ / 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 14. Names of Owner of premises PC-AP -F Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO t~ * 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 topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO l/ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) l: y rI I )p c~ 4 'C vC- V u-vl 6'n,' C Zi being duly sworn, deposes and says that (s)he is the applicant (Ka-me of inAividual signing contract) ab"o e named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the I c?~ No. 01BU6185050 17" Qualwhed I.. StAffoffi q. (C,ontr tp{jyAgent, Corporatg4 f tf Ite Commission Expires April 14, 2 O/ (0 -4jT T311 of said owrib'rsM4lvhfrr9, Add is4d*Aath2Rita jW perform or4 ave.performed the said work and to make and file this application; that all statem^k, MeAttklfWhpp lfh3aii2~KIke true to the best of his knowledge and belief; and that the work will be performed in theih e1 Pset fbWW~AeNOW Pion filed therewith. Sworn to before me this X5t day.of 20 )a' -,-"o ._III-i5-..; Notary Publtc Signauir pp is t e Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INg RMATION. (All Requested Information is Required for a Complete Application) APPU E. 'ConsWWIt Ctraeler on or DMe (Cure. 0.) NY OWNER (If mM Man I `CNeative &V- mnmental " Address; Ox 160 L~ ~W0-w Tekpbone?. C, 1 ,rp'k T wren. far. v ~ E-1121. ! l E-Nak Propsry Addssc W. ' ~s ~ /1e l ),~~yppa of CDaeG»<Oan ArAVity. )?rte stnlceaat BMPs, sal s.e.T.M.R ion sulnLmon BM11%ft dScope anwor Sequ ofCoaaboctioa Activity . oTal3 a'1i-cfW-r del'- PiavMaMMmrlppn eNeetleuj . Nam.acal[rapmrarldr«oaMaa Person aesperoibk Asrlnpkrlnnbllori ofSWPPR _ - Address: I----------------- --"----r-------- ' .r PP AfliA M'1958 T rraR f - I _ Name of PennsReapormkk for boblbaen It Mtlnbmnes or Won Cmtaol PraWp: c C~JA-ti4'e'S____________Y_____________ I I I LDCK 1&4 - --J ! Tekpiwne P-~ a~ Fax I I r E-Mail gl?..~C (C _~I~kC. TdMAle of : Trial Area mLand Oeadrg Project P.ar¢n: andlor Grotmd Dos Dislwnar,ce: lsf.i~ae.) Ia.F.l,bal . Project Duration: SWA End - (Anddpaled) Dale: Oatc c-- WillthisProject Disturbe live (5) or More Acres at Any One Time During the Proposed Development ? YO O If YES: Please Answer the Folbwirml a- Does the Applicant have a Qualified Inspector On Staff To Conduct the Ptgquired Inspections ? Yes No b. Does the SWPPP Indicate How Frequently the Site Q Uzi Me NAMES or desaipllon of all Potentially Impacted WMt dies an&w WeIIMMs- Inspectionswill Occur andforWhat Period or Time? Yes No c. Doesthe SWPPP Adequately Identify Al Temporary ~~,,pp , _ V----------------------------------- and/or Permanent Sod Stabatizalion Measures? YO O ~a/_L_-------------------------------------- d- Does the SWPPP Adequately Identify a Complete Project Phasing Plan? Yes No e. Does the SWPPP Indicate Additional Site Specific O O 8blea W Impacted Walemoq: (ae: Te1Dl, ws(dj lJskd, bnpaeed-) i Practices that WIN be Utilized to Protect Water Quality? Yes No I. Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance Font for Review O Tree of Impacted WalerGody: IM Laea, Creek, asy, pond, SeoM, FreshwaM Wemne_1 by the Town of Southold ? Yes No I - - S7 A7F OF NF,W YORK, COUNTY OF SS Notary Public, State of New York No.01BU6185050 ~tG yctilowf L u ifi9d 'nSuffolk 'oun ul6 9 hat I . (Manx, I k}._.--.... Douj..-...being duly swum, deposes and sa s y, I G?q I Mama d41dlrNinl spNns Dogarlem) y And that he/she is the _....X/.a~ cn~~lz.lA 5V Y~_ (Dwney CmaactgAgas. cuparA.ai6ar, ele)_.............................................. I i. Owner and/or representative of the 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 best of his knowledge and belief; and i I that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; 1 , i . ~ : 20- day of - Notary Public SWPPP Assessment FORM: 03-12 ' Tdvm ffA Antm 54875 Maia Goad Tdqlbow (681) 76* 180z P.O.Boz 1179 ~ppef Sw&oK NY l l9n-09a ny us BUILDING DEPARTMENT TOWN OF SOLTPHOLD APPLICATION FOR ELECTRICAL INSPECTION REGIUE&Tf=D UY: Date:-~p-~ f3 . Company Name: - C-O U V% \ ate: _ I Gr d l~ nse No;: / ©C7 S" L address: op Gt h v` Sau N o Phone No.: Ov I t."t?: t Co 1 ? ~Z JOB SITE INFORMAPON: *Indicates required inforMati©n) *Nacnr G LZ~ r1 t7 W K.ks RD Now SoyFalk *Address: ~$Q. t GIC 4 b \a S u rl"Fe~tiCr *Cross Street: *Phone No-: Pelmit No.: ~ -7 5b Tax Map OHstrict 1000 c lion: l *BRIEF DE=SCRIPTION OF WORK (Please Print Cl",W -~eok - - - \Y \VVzS 2 - M0'Tor-s ~Y eon d.h - 100 a,.N s ~b Ar1e~ rods% cover- ~n8VS4 .(#elease 0mle All That Apply} *Is jcb heady for inspection: YES / NO Rough Ins Rrtal- *bb you need a Temp Certificate: YES / NO Temp lnfbnnat_ion (If aeeded} *Swvlce Size: 1 Phase. 3Phase 400 -150. 200 SW- 35a 400 Other *New Service: Re-connect Underground Number of Meters Change of SeMoe Overhead Additional Information: PAYMENT DUE 1NIThtAPPLICATION Me _ OWN OF SOUTHOLD PROPERTY RECORD CARD _ y OWNER STREET VILLAGE DISTRICT SUB. LOT 799 a,-I/7a L.~6Q W,'c Roav /VeWfvf~p~k "s s' Desc. FORM R OT ER N E ACREAGE lee - Rod CZ S W TYPE OF BUILDING Zr ,L7,.fT`~ Ue~ J '`((/d.?. re - f ~ro1 Q?- 8i e/ 4,,L, RES. 2~0 SEAS. VL. FARM COMM. I IND. CB. ( MISC. Est. Mkt. Value ift ~i d~Kfr 7a i~.LAND IMP. TOTAL DATE REMARKS/Q/&~~ ~3OQO vf1 . (Ed ~ikc y T, 74t/e~ a /~/0 D ~a 4 7zIP.r. /40) P.b. 4-9-1t ~.Z bda ? /c~Pwl Ta :e.0-e /I 3 ea a1 aQ 3 / s~ l A'~ d"C. eDe/~~ M4. 77e6d yY 6 Q / 9Q a ~S'a o / ~ 72 I, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK - Tillable 3 Woodland Swampland Brushlan House Plot Total 411 J/ -A ~ I I vl. Bldg. undotion C Bath &N -xt fi `(F~- - ` 6 - - - ~ s ment Floors - _ 1 Walls - _ Interior Finish ~e~ - --I I xtension -Fire Place - Heat - c - - - Porch ! j Roof Type l Porch j Rooms 1st Floor - - I-~,- Ireezeway Patio FRoomm s 2nd Floor - - - - Sarage vewa ~ - - ~ y Dormer I i N SURVEY OF PROPERTY AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-110-08-21.1 SCALk 1'-20' JUNE 14, 2012 ~y0 Ju 19 po/2(Prop pm~J~ S~ ,~v '3i.ej. ~ICkS' S S 0.JE' ~+'~lN UNk 1 , "f Q0 4?0 1 ~B~C f C34~ 100.0p• J. Q B~•S' i N a i~ O• It O C6 03'W N DtCk I 104 M~4y M' 70.6 . s4,3, aNf Ha/Sf h j ~ c 77.1• 6.4t ),7• ti i 2 ,o° tY >2 ~O 2 2 Zv C r~rP~/ 2~ O t Jyy 4 0.4f. AC, 3G• ZI.g• ~ } s"~ CAR O 2 FfNOf'p , (DJQP)$ .W N7371'00 27S ~ ~.e. N/O~ RA~Sf Y Rf 10p 0a3js 0 Vp ' ~'Rf 4f CqeZZ as n4UST N/0/F J f R fY OPATN CERTIFIED T0: r.T4r PETER PEZZINO ADVOCATES ABSTRACT, INC. .y i fb i I ~ P p t , i. ¢ 7 AREA=15,000 SO. Ff. NO. 49618 ANY ALTERA77ON OR ADDI77ON TO THIS SURVEY IS A VIOL A77ON ECONIC EYORS, P.C. OF SEC77ON 7209OF THE NEW YORK STATE EDUCA77ON LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECT70N 7209-SUBDIVISION 2. ALL CER77F7CATIONS P. 0. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR 7H£ IMPRESSED SEAL OF THE SURVEYOR =MONUMENT 1230 TRAVELER STREET 12-200 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 I, #3 RE BAR m ILL ~JD rY J CERAMIC TILE ro - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - l9 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I W'o 0 d 3" CLR z III I I O w I I I I z #3 @ 12' O.C. VERT. III III III III m 3' CLR O III IiI III III. III 36'-0" ~0 I I #3 @ G" O.C. VERT. I I I 6 12"@ VERIE5 FROM I - 4' DEPTH 0' @ 8'-6" DEPTH III III III III III III III I I III IiI I III ' ' WALL DETAIL JI tT IF A Vi CLAT:CN OF THE LAA7 FO n, t.;'{ F'jzRSON, UNLS UNDER THE POOL LAN < j! OF A LICENSED ^ :.:Ht,FCT,TOkLTERANY 419 ON THIS D;zf)tN14G IN !titYYIA:Y.ANYA.. HORIZED o tD ^ Lc' , ~S7AEt-1 . a PEZZINO RE51DENCE POOL Ya" ~~PEpAROAyT CREATIVE ENVIRONMENTAL DE51GN ~g LB p Robert I. Brown Architect, P.C. * r w/ Ealrweather Design A55oclate5, Inc. yoQ 20-D DAY AV W F. q N~ 012 vK I_NPOZr. I zF 631-4; 7 °1 -7 5 2 3X' / 63l-47 7 0) - D'