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HomeMy WebLinkAbout38394-Z �. Town of Southold Annex 5/9/2014 P.O.Box 1179 �r 54375 Main Road lo! Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36908 Date: 5/9/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1915 Manor Hill Ln, Mattituck, SCTM#: 473889 Sec/Block/Lot: 108.-3-8.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/26/2013 pursuant to which Building Permit No. 38394 dated 10/8/2013 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 FENCED TO CODE AS APPLIED FOR The certificate is issued to Zurawski,John&Zurawski,Patricia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38394 05-07-2014 PLUMBERS CERTIFICATION DATED A riz Sign ure 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE k 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#: 38394 Date: 10/8/2013 Permission is hereby granted to: Zurawski, John &Zurawski, Patricia CR 48 PO BOX 79 Peconic, NY 11958 To: construct an In-Ground Swimming Pool fenced to code At premises located at: 1915 Manor Hill Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 108.-3-8.2 Pursuant to application dated 9/26/2013 and approved by the Building Inspector. To expire on 4/9/2015. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 ELECTRIC $100.00 Total: $400.00 Building Inspector 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 user 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'ele&-Wcal installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 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`(prioko-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 I. 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$15.0 0 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 0 J3p,)A, House No. Street Hamlet Owner orOwnersof Property: �FiJd`� �LCllS1C� Suffolk CountyTsx Map No I000,'Section /C7�_ ' :.BIB 3 Lot. � o� r`Subdivision :Filed Map. Lot: Permit No. Date of Permit ApPlicant:_ �✓� C ✓Z' Health Dept.Approval: Underwriters Approval: Planning Board-Approval: . Request for Temporary Certjflcate- Final Certificate: (check one) Fee Submitted:$ 1 Applicant Signature pF SO!/jyo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 • roger.riche rt(&-town.southo Id.ny.us Southold,NY 11971-0959 ��y�4UNT`I,�1c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: John Zurawski Address: 1915 Manor Hill Lane City: Cutchogue St: NY Zip: 11935 Building Permit#: 38394 Section: 108 Block: 3 Lot: 8.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: homeowner DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: in ground swimming pool to include-bonding, 1-pump, 2-pool lights, 1-60a sub par 1-GFCI circuit breaker, 1-GFCI recpticle, 1-heat pump, 1-salt generator Notes: Inspector Signature: Date: May 7 2014 81-Cert Electrical Compliance Form.xls Of SOpr�o� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) kl ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 7z'F DATE 5- INSPECTO O��OF SOpryo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING / STRAPPING [ FINAL � �' �� L [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: uC DATE INSPECTOR �I ;H I;H' C • t ; , t t • • 1 /; I MW Y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 g� 7 4 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined (© ;20_U Single&Separate Stone-Water Assessment Form //-- r Contact: Approved �u 20 ! 3 Mail to: Disapproved a/c Phone: Expiration ` 120 ` Building Inspector APPLICATION FOR BUILDING PERMIT Date CD , 20 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, 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 necessary inspections. IN POOL � � (Signature of applicant or name, if a corporation) � f tl ■ F I '�a 3E ° �..!', : . 1 1`ai i &ess"of app]itant) e DATE-, .N. #� State whether applicant is owner,lessee,agent,'architect; engineer, general contractor, e ectrician, p um e builder FEE: 5b. BY_.' NOTIFY BUILDING DEPAR I di \,l premises� •rD •��� � ��j/� 9 LAW-9& FLOWING INSPECTIONS: Name of owner of M /i lN�/7 FOUNDATION TWO REQUIRE® (As on the tax roll or latestR �OURED CONCRETE If app ant is orporati n, signature of duly authorized officer 2. ROUGH-FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING (Name and title of corporate officer) 3. INSULATION 4. FINAL-CONSTRUCTION i;<ELECTRICAL Builders License No. MUST BE COMPLETE FOR C.O. Plumbers License No. ALL CONSTRUCTION SHALL MEET THE Electricians License No. REOUIRFMENTS OF T'at (-Or'FS (-1L Other Trade's License No. � � � �ti ST-1 E NO F DEIGN OR CON�TRu i i0 1. Location of land on which proposed work will be done: 43 19d R4 Vilt ca,X-' Fi ECTRI09AR7Z rr House Number Street Count Tax Ma No. 1000 Section Block 2 O Y p 3 Lot �, 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work l XA ' (, (Descr' tion) 4. Estimated Cost 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 IV'439 .4t=:r Depth 0 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 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 191 WMA stW A/.',,( (AW& 14. Names of Owner of premises J I IOA7r'7—ay%t�xAddress_ i v1CT M4 W'3 Phone No. 3) 721 7AZY Name of Architect Address Phone No Name of Contractor Asc rM+olk A,& c_Ayi Address 9;W A*k; R�, Phone No. 6-' , 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 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. s 17. If elevation at any point on property is at 10 feet or below, must provide topographical data cat"survey... 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) 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 true to the best 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 thi -01 day of 20 Notary Public Signature of Applicant aF s°�lyo <o Town Hall Annex Telephone(631)765-1802 54375 Main Road ro (681)07 G nv UP.O.Box 1179 rooerrheaw o Southold,NY 11971-0959 BUQAING DEPARTMENT TO%W OF SOUTHOLD i APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Je%A/ 2v�i�cvsy- Date: Company Name: Grt,,vf Name: License No.: Address: lS /y/�,✓or/ Z G� �c/ Gvs ,v Phone No.: 3 `/ g;--/ . i . JOBSITE INFORMATION: (*Indicates required information) I *Name: =J/1.v Z *Address: i G C *Cross Street: '`Phone No.: t;3/ 7 `/Z$ L Permit No.: 3 'g_3 9`Z Tax-Map District: 1000 . Se ion:ln5� Block: ` Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: a NO Rough In Final *Do you need a Temp Certificate: YES/,,n Ternp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for InspeclJon Form �� i3 � Scott A. Russell ,�d°s � James A. Richter, R.A. SUPERVISOR � Michael M.cc Collins, P.E. SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Telephone#: (631)-765-1560 Fax-#:X631)-765-9015 MICHAEL.COLLINSOMWN.SOUTHOLD.NY.US O'� > JAMIE.RICHTERWO ,US (S Office of the Engineer ~ ' Town of Southold I CT STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER T ( TO BE COMPLETED BY THE APPLICANT) --- - TO: ENGINEERING DEPARTMENT PLEASE ATTACH THE FOLL0#7AV DOCZAEM5 or IAMMATION: FROM BUILDING DEPARTMENT ❑ Copy of completed Application for Building Permit DATE: �� �3 ❑ Stormwater Management Control Plan APPLICANT: /L.�/N/'�✓,� /� C�dG� ❑ Completed Chapter 236 Stormwater S.C.T.M. *: / I f S C Review Checklist PROPERTY ADDRESS /�/j1l�Ik�✓ L� L�kkH�� �!, �� 3 ��'� �, �/�3�- BRIEF PROJECT DESCRIPTION:/ �✓✓cx�•-9 ,`.- ,` c 7G„ FOR G E R G DEPARTMENT USE ONLY''''°'` Reviewed By: Date_ A roved A nal Information Required F suf�tx DATE: 9jlg(o /3 CHAPTER 236 APPLICANT:k> WA,1e AV CA/Z: K _ Stormwater Review Ghecktist S.C.T.M.#: ,o PHYSICAL ADDRESS: Stormwater Management Control Plan Requirements Yes No NA If No or NA,Please Provide Additional Information 1. Plan drawn to scale of nqt less than 60 feet to the inch showing: a. location and description of property-boundaries b. total site acreage c. existing and natural and man-made features on and within 500 feet of the site boundpry as re:aired in§236-17(C)Q. d. test hole data indicating soil characteristics and the depth to water e. proposed limits of clearing and the total area of proposed land disturbance f. existing and proposed contours of the site(minimum 2' interval) g. location of all existing and proposed structures,roads,driveways, sidewalks drainage improvements and utilities h. spot grade and finished floor elevations for existing and proposed structures i. location of the swimming pool discharge ring j. location of proposed soil stockpile area(s) k. location of the proposed construction entrance/staging areas 1. location of the proposed concrete washout area m. location of all proposed erosion and sediment control measures 2. Plan includes calculations showing that the stormwater improvements are sized to capture, store and infiltrate on-site the runoff from all impervious surfaces genexated by a two=inch rainfall 3. Detail drawings Qwulired for.plan=royal)provided for: a. erosion and sediment controls b. construction entrance c. inlet-structures(e.g. catch basins,trench drains,etc.) d. leaching structures(e.g. infiltration basins,swales,etc.) REVISED 7/24/2013 LAND t" OR FORMER / /-,AND ^' SURVEY OF LOT 2 ,1UNE GRO°N a CRIS LY °F: NO 'V "TUTS . ( 5TKD F\N61 1°' - 'r TUrHI L. E II 'Ac;�k�RMa��O MINOR SUBD N I S I ON OF TUTS ACRES 40'� 186.30 �Y AG E r SITUATE: M,4TTITUGK ---- -- X11�j3052, TOM: 5OUTHOLD "-� 10 F 5L)r-FOLK COMM NY s pONO 5MVEYED 04-15-02, STAKE OUT Ob-10-02 FOUNDATION LOCATION 07-22-02 CERTIFICATIONS AMENDED 07-24-02 N ,;,I b""dam envelgje AMENDED 08-27-02, FINAL 08-25-03 UPDATE Oq-Oq-2011 Q ` SUFFOLK C b OUNTY DEPT. OF HEALTH ` REF. # RIO-02-0088 Lu SUFFOLK COUNTY TAX # i '°I, w J, � tY - 1000-108-3-8.2 a_ C RTRWD TO: F I l �Q III µ- _ V!k4 � r ` T PATRICIA G ZURAIVSKI f� Al � . _ SUFFOLK COUNTY NATIONAL BANK LL b Q PIDffi1TY NATIONAL T1TI8 INSURANCE Q V I�•o COMPANYOPNEWYORK a O2 Q 1 j � I 01 T=#02-3704-44192-SUFF > ' ' • � ' ► Q y( �Q p ,'I,' yA�c 1 ��1'��MVM U •C}II �U ; '' u- �IARG� R)N NOTES: a -pl SC k r MONUMENT FOUND a 'f /\k a k }_X� \`�` � O N ys i,�IWI M1lt�� AA6 I AREA = 188,424 5F OR 4.33 ACRES I l k \Y \k\ * ` ,1 6 -Tab'- __ U WATER 4 SEPTIC LOCATIONS PROVIDED BY OTHERS O� 'I '� k\kT l fig' i- �r 1 ' I O �n Ai e�-ope / 1 I 1 k � JAN _ 5 2012 50 I'W - b Noe PRIV,�TE� _ _ _ _ `' ,' � / —� — i� — — _ I V1' TOWN OF SOUTHOLD 563 40'40" AD O 1N 415.00 — `- x _x , I trQ CENTER I � r — — R LINE _--—'`, __-- I i I L'� No — — _ — ' op NEW — GONSrq°rICRE RLY°F: _ - — — — _ _ 5630 S� �, , ; — — — — _ _ y'�off' �� A-��� l L I wn D 1 P o. �v .W.."lvm ....... �W o R�5 * , .kOb. fNor ' ry 7.00' „MpROVED LAND "°W oR� - - - - - _ _ 443.j,4� ' �, - o� m Ieo W. 4 or rA�E�E�Y oF: _ ��y t°w '°';; 04 RRLY: GROS�SS — _ sFO c �J� W , .:�` � ti8 I wtuo.. th tld.de rot 4oNrmb b pa1p1C1 Y.b.11.ti �o C07T3) JOHN C. HLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 ® GR/-�PHIG SCALE I"= 60' - - --� RIVER.HEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-C:\UsersVohn\Dropbox\02\02\02-144d.pro OAL 4 \ LAND NOW OR FO RMER.L - OF:.JUN E CROON e CHRIS LEPONE SU V Y OF LOT 2 STKD F\ Oj�� TTHILL: I I Lg2N�D�G oN�j Q,j � q Es� K r q No W o M I NOR SUBDIVISION OF "TOT'S AGRE5 MR Z � , ofi. 51TUATE: MATTITUCK I N7 o 30 '^V' TOWN: 5OUTHOLD , 10"$ S F SUFFOLK COUNTY, NY , POND SURVEYED 04-15-02, \ STAKE OUT 06-10-02 FOUNDATION LOCATION 07-22-02 } buildin — — CERTIFICATIONS AMENDED 07-24-02 " �, 9 envelope AMENDED 08-27-02, FINAL 08-25-03 In i Q1 UPDATE Oq-Oq-2011 bz olI ; \ SUFFOLK COUNTY DEPT. OF HEALTH REF. # RIO-02-0088 ; SUFFOLK COUNTY TAX # N 1000-108-3-8.2 Z ' CERTIFIED TO: Q �- PATRICIA C.ZURAWSKI JOHN A.ZURAWSKI SUFFOLK COUNTY NATIONAL BANK IL Q FIDELITY NATIONAL TPIZ B INSURANCE 0 X N COMPANY OF NEW YORK a O z d I 01 / M o T11LE#02-3104-4#19?r-BUFF 3'w > ,� ,' O k• I z zQ LOT 2 NOTES: x MONUMENT FOUND r°'pY h* ZOO, AREA = 188,424 SF OR 4.33 ACRES I k % \k ,� 6 Y O LL LLj)Z �� � r O WATER d SEPTIC LOCATIONS PROVIDED BY OTHERS / 14 v\ / O N O 'II I'I � � k � ��� "'�T L�, ' 125' tJ ` ' bu71din9 enveippe JAN _ 5 2012 ;_ I BLDG.DEPT. I WIDE I'RIVq - _ k m - - _ TOWN Of SOUTHOLD I u- dd CENTER LINE I 1 I LAND NO _ - - _ _ ---- - - - - _ I _ I of NEW Y I ;\_ 1 GoNSWANCE M MRRLY OF:: - _ _ _ 'S63o40�UrED $OI ; - - _ _ _ _ ��P�orN C. EH�R O mpp be rY9 a Ik...tl o tl wrvw rb to b a G _ ''V ,/� �,xa a,.«��aov.we a rows .a m. LJLI 'fVT WIDE a«� 1� I�_� SSq°51'30"W oss _ _ �,a�M. '� b I (Nor (N Q i 7.00 _ _ IMPRp LAND - _ VED) �� , k,a " -'0 1n�l8' LOT 4 GO Ow OR FORMERLY_ _ _ - �' ' �� ti �° �'� _s gib; ° � Iry Fps ANGE GR SS OF: _ - - _ _ �s j a w. �«,-dC ��d- l�; RMERLY: OSS Fp sv y . ,.I b "va .�. 6° i t�-rot 1rvrof.r b � tt'%' KO JOHN C. 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