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HomeMy WebLinkAbout37794-Z Z2 .. �f of Town Town of Southold Annex 7/14/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37018 Date: 7/14/2014 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 5220 Stillwater Ave, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 137.-2-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/5/2013 pursuant to which Building Permit No. 37794 dated 2/8/2013 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: INGROUND SWIMMING POOL, FENCED TO CODE AS PER ZBA DECISION#6607 AS APPLIED FOR The certificate is issued to Lipovac,Denis&Lipovac, Suzana (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37794 05-07-2013 PLUMBERS CERTIFICATION DATED /dSig6ature Auth TOWN OF SOUTHOLD BUILDING DEPARTMENT n 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 #: 37794 Date: 2/8/2013 Permission is hereby granted to: Lipovac, Denis & Lipovac, Suzana 32-58 37th St Astoria, NY 11103 To: construct an Inground Swimming Pool per ZBA decision #6607 as applied for At premises located at: 5220 Stillwater Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 137.-2-14 Pursuant to application dated 2/5/2013 and approved by the Building Inspector. To expire on 8/10/2014. 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 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 I%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. 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 Date. 7//`+l 1�( New Construction: ?/ Old or Pre-existing Building: (check one) Location of Property: ;Z 2,o _5-b (IntJa.,— Aiz- Q_C, House No. Street Ham] Owner or Owners of Property: �2N Alydl �It2QaQ Li�pva Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 7 Y Date of Permit. Z�0 3 Applicant: bQN► L;( e y Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ Applicant ignature g�►FFO�,� Town Hall Annex p� C� Telephone(631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 Q, • Southold, NY 11971-0959 y�j►�l ��0�' roger.richert(5-town.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Lipovac Address: 5220 Stillwater Ave City: Cutchogue St: NY Zip: 11935 Building Permit#: 37794 Section: 137 Block: 2 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: USI Electric License No: 2740-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1 st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 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 30a A/C Blower Range Recpt Fluorescent Fixture Pumps11 2 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches Twist Lock Exit Fixtures TVSS 11 11 11 Other Equipment: in ground swimming pool to include, bonding, 1-pool light, 2-GFCI circuit breakers 1-salt generator Notes: Inspector Signature: -� Date: May 7 2013 Electrical Certificate.xls TOWN OF SOUTl10LD BUILDING DEPT. 765.1802 INSPECTION k/ [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION I ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEIiE7RATIW! [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL(FINAL) REMARKS: DATE -/-/// �'� INSPECTOR OF SO(/jy�6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) V+9L.ECTRICAL (FINAL) REMARKS: DATE '7 Z/3 INSPECTOR `j. / 4t�ZZ- ✓ �'� yOf SOUIy TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [XROPLBG. FOUNDATION 2ND [ TION FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ( ] ELECTRICAL (FINAL) REMARKS:J 6 -- C ' DATE i S �� INSPECTOR A—, pF SO(/ryo ,`0 6 romm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUG PLEIG. [ ] FOUNDATION 2ND [ ] I L [ ] FRAMING /STRAPPING [ FIN [ ] FIREPLACE & CHIMNEY [ ] FIR INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: r DATE �` INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI N 0 hT GH PLUR FOUNDATION IST RO H PLUMBING ] FOUNDATION 2ND SULATION FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: cc DATE -6100C16 — INSPECTOR-// FIELDINUMONREPORT DATE OM1I�NTS � ro FOUNDATION(1ST) � FOUNDATION(2ND) Q C ROUGH FR.AM[INQ& !- y PLUMBING � y • p� INSULATION PER N.Y. � STATE ENERGY CODE C . V OAT Z ..� w c FINAL 1 .�....d s AFIONALCOMTYIEpns . 7ppe2---_. c' o Z m o z 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 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. J 791L Check Septic Form N.Y.S.D.E.C. Examined a K 20 Trustees Contact: Approved ,20_%3_ Mail to: Disapproved a/c 11e.n-¢11P Phone: � f Building Inspector Q AUG 2 2 2012 A PLICATION FOR BUILDING PERMIT LUG.f�PT. TOVIN OF SOUlHOLD Date � g8— INSTRUCTIONS a.This application MUST be 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 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 a Certificate of Occupancy is issued by the Building Inspector. 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 demolit'on.as.herein described.The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, regulations,and to admit authorized inspectors on premises and in building for necessary inspections'. °°INI11�1E®lATELIf" ENCLOSE.POOL TO I IX a; � UPON COMPLETION (Signature f app an . name,if a corporation) BEFORE"WATER" q2q pr ZS- /( )JJe4 4,tce 117CV ���,�,��� � (Mailing address of applicant) State whether applicant is owner, lessee, agent, lam' {, l�� twtntn g6 1 r builder Name of owner of premises �CNIS Q, . &tWAk Ll OWAC. FEE:.—So: (as on the tax roll or Tates BUILDING DEPARTMENT A I" 5-1 2 8 AM TO 4 PM FOR THE If applicant is a corporation, signature of dul authorized officer FOLLOWING, INSPECTIONS: y 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) 2. ROUGH-FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING Builders License No. 3. INSULATION ' 4. FINAL-CONSTRUCTION&ELECTRICAL Plumbers License No. MUST BE COMPLETt'FOR C.O. ALL CONSTRUCTION SHALL MEET THE Electricians License No. 07* He REQUIREMENTS OF THE CODES OF NEtn,/ YORK STATE. NOT RESP0,14S!BLE FOR Other Trade's License No. DESIGN OR CONSTRUCTION ERRORIS RETAIN STORM WATER RUNOFF 1. Location of land on which proposed w rk will be done: pPP�URSUANT TO CHAPTER 236 5�n s-h 1�►�,Alet TOWYF, 03PAf-I N CODE. House Number Street ��� Hamlet o� 'Ny' ?o�tf," .t ,BtOV! County Tax Map No. 1000 Section Block SubdivisionFiled Map No. -77 ,,, (Name) 2. State existing use and occupancy of premises anA intended use and occupancy of proposed construction: a. Existing use and occupancy k1s,(�CC4U b. Intended use and occupancy 1r(('S\ta2n�flz �m111�i✓A �" -_ 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ln4gwmo 64 A/I* V (Description) 4. Estimated Cost � il 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 30 Rear 30 Depth 42- Height ZHeight 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 1(0 Rear 3�0 Depth Height Number of Stories 9. Size of lot: Front 2-' Rear b2- Depth 12_0 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: 1 v� 13. Will lot be re-graded O Will excess fill be removed from premises•(YES NO �•}� 25�,l Iw%�Ac 14. Names of Owner of remises "mac_ Address 1193 ' Phone No. `7344-S 38q Name of Architect D RejjW a: Address �� U Sw Mb.Dhone No _72-q--70 Name of Contractor F � _�5Da Address 2 t- 21�A --Phone No. 7W--7/h- 15. W--71h- 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BER QUIRED 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. STATE OF NEW YORK) SS: COUNTY OF 5�k ) ,Aj��D W,4-VQ being duly sworn, deposes and says that(s)he is the applicant (Name of individ 1 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 this rY day of L& 20/2 Not4 Public i ature of A licant' MARGARET A. KIDNEY Notary Public-State of New York No. 01 K16021 111 Qualified in Suffolk County My Commission Expires March 8,Zo„La FORM NO. 3 NOTICE OF DISAPPROVAL DATE: September 4, 2012 TO: Denis Lipovac 5220 Stillwater Ave. Cutchogue, NY 11935 Please take notice that your application dated August 22, 2012 For permit for accessory in-ground swimming pool at: Location of property: 5220 Stillwater Ave., Cutcho ug_e, NY County Tax Map No. 1000 - Section 137 Block 2 Lot 14 Is returned herewith and disapproved on the following grounds: The proposed accessoryground swimming pool is not permitted pursuant to Article XXIII Section 280-124, maximum permitted lot coverage is 20%. The survey shows proposed lot coverage at 25%. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson �Of $OUTyoI 53095 Main Road•P.O.Box 1179 p Southold,NY 11971-0959 James Dimzio,Jr. Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank George Homing ;�► • �O 54375 Main Road(at Youngs Avenue) Ken Schneider ��yCOM Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD t Tel.(631)765-1809•Fax (631)765-9064 Li r j .a aEC 2 7 i 1 FINDINGS,DELIBERATIONS AND DETERM r AT ON MEETING OF DECEMBER 20,2012 ! ZBAFILE: 6607 NAME OF APPLICANT: Denis and Suzana Lipovac PROPERTY LOCATION: 5220 Stillwater Avenue, Cutchogue. SCTM: 1000-137-2-14 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated October 23, 2012, stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The Applicant's Property is a 7,484 sq. ft. parcel in the R-40 Zone. The northerly lot line measures 124.80 ft. along adjacent residential parcels. The easterly lot line measures 62.54 ft. along Stillwater Ave. The southerly lot line measures 116.62 ft. along adjacent parcels, and the westerly lot line measures 62.00 ft along another adjacent parcel. The property is improved with a 2 story single family dwelling and attached decking, as shown, with the proposed pool location, on the site survey drawn by Gary J. Benz, Licensed Land Surveyor, and dated Sept. 14, 2012. BASIS OF APPLICATION: Request for Variances from Article XXIII Code Section 280-124, based on an application for building permit and the Building Inspector's September 4, 2012 Notice of Disapproval regarding proposed accessory in-ground swimming pool, at; 1)more than the code permitted maximum 20% lot coverage. RELIEF REQUESTED: The applicant requests a variance to construct an in ground swimming pool which will i result in an increased lot coverage of 23.1%,when a maximum of 20% lot coverage is allowed by Town Code. i ADDITIONAL INFORMATION: The Applicant's property currently has a lot coverage of 23.3%, which includes a single family dwelling with a valid Pre-existing CO, and an attached deck that also has a valid CO. The applicant stated at the public hearing that he will completely remove the existing deck in order to reduce lot coverage to accommodate a new pool. As a result, there will be a net reduction of lot coverage to 23.1%, including the proposed new pool. At the public hearing the Board requested that the applicant submit information regarding the decibel level of the pool pump equipment and the filtering system for the proposed pool that eliminates the need for a drywell for pool de-watering,which was received on December 11,2012. f Page 2 of 3—December 20,2012 ZBA File#6607-Lipovac CTM: 1000-137-2-14 FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on December 6,2012, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Swimming pools located in rear yard areas are incidental and customary accessories to single family dwellings. Replacing an existing deck with a in-ground swimming pool will slightly reduce the overall non-conforming lot coverage. The existing rear yard is totally enclosed by a 6 foot high wood fence that will provide complete visual privacy from neighbors and the street for the proposed pool. 2. Town Law &267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The Applicant's property currently has non-conforming lot coverage of 23.3%, with valid COs for the existing dwelling and attached deck. The Applicant will remove the deck, but a pool can not be built on this property without a variance for new proposed non-conforming lot coverage of 23.1%. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is not mathematically substantial, considering the small size (7,484 sq. ft.) of this parcel, and it represents 15.5% relief from the code allowed 20% maximum lot coverage. Furthermore, the Applicant will remove an existing deck which will reduce the existing lot coverage of 23.3%to a slightly less, but still non-conforming,new lot coverage of 23.1%that also includes the area of the new proposed pool.This will result in an actual small, but relevant,reduction in total lot coverage. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The pool will be located in a relatively flat lawn area, and construction will not require any significant vegetation or tree removal. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created because the Applicant has decided that he would like to have an accessory swimming pool of a size that will create new non-conforming lot coverage. 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a swimming pool located in a rear yard area while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-13, motion was offered by Member Horning, seconded by Member Dinizio, and duly carried,to GRANT,the variance as applied for, and shown on the survey prepared by Gary Benz, L.S. dated 9/14/12. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future Page 3 of 3—December 20,2012 ZBA File#6607-Lipovac CTM: 1000-137-2-14 use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes:Members:Horning, Weisman(Chairperson), Dinizio,Schneider, Goehringer. This Resolution was duly adopted (5-0). Leslie Kanes Weisman,Chairperson Approved for filing �' J /2012 Town Hall Annex Telephone(631)765-1802 54375 Main Roadax(681)7 .g�pg P.O.Box 1179 rO er.ricl3 ,it $oUi1101C! ny Us Southold,NY 11971-0959 ` ' BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: 20//2 Company Name: Name: EA klp* icense No.: 2 r14J Address: 12� P�vis>L, 9j) k,qS PAL Phone No.: (o31- l-OyI�D JOBSITE INFORMATION: f*Indicates. required information) *Name: S c L �VQ. *Address: 220 &1 vjake Aw *Cross-Street: �JeA5 R Ave *Phone No.: b31--73q-iR Permit No.: 3 7 91 V Tax"Map District: 1000 Section. 13-7 Block: 02 dot; *BRIEF DESCRIPTION OF WORK(Please Print Clearly) VL41C rn/ All (Please.Circle All That Apply) *Ise job ready for inspection: YES10. Rough 1n Final *Do you need a Temp Certificate: YES / NO Temp-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 APPLIC pN 82-Request for Inspection Foran TOWN OF SOUTHOLD PROPERTYRECORD CARD 'V , b - / .37- > OWNER STREET VILLAGE DIST, SU6. LOT i S llZal1'16Lr tc. •" a toy- Ave, 7/C "/0o v e Q FORMER OVVNER t y� . ACR.. UOC w i ' ra{t>1 p(-spen S W 4 TYPE OF BUILDING / a /C IlUla.7`e 1- /S Ve, 06a.!^,lm RESP SEAS. VL. FARM COMM. CB. MICS. Mkt. Value... LAND IMP. TOTAL DATE REMARKS,.?/ f-Od f ism Of 0E a 6 6, �D�d k4-,"IrITb Gl�i%a! ;Z IQ 3o0 . 5 7'4 - 1 - - ti '05 Coo A-D 3 �7- N 3s.co I 71o?- L 1a60 .0 57cr- Go-tw1h)n 0/sem o wc. `*yr&,v be 9 0 - 1 _ r--.44a �b AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE ' FARM Acre Value Per Value Acre / q Tillable Woodland FRONTAGE ON ROAD CZ; Y-Sl Meadowland DEPTH House�Plot , /7 160-0 "7 BULKHEAD Total DOCK TA ■■ ■■�■�/ /�I;■!ui■■■®tt■■/��■iii 11 1:101 K i fir--ice al►: � ��� _ .' ■■■■■■■■■■■■■■■■®■■■■ ■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ONE MINI ■■■ foundation Basement ! .. Fire Place Rooms Ist Floor Recreation Room Rooms 2nd. Floor i I • SOUjyQI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 G • Southold,NY 11971-0959 'Q 4,00um, June 18, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD Denis Lipovac 32-5837 1h St Astoria, NY 11103 Re: 5220 Stillwater Ave, Cutchogue TO WHOM IT MAY CONCERN: The :Ing Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 37794 — Swimming Pool w i 1. a'v �R T 4 d = r- lira! i z � 'r x � � xx t+�x r 111 R ,,p `� 1 t ,,��:.r ,i 4•r 'SCK �,,,:. � ,ap: ,n 4 .. r ryt a j y E " I h RI i I i d$'7 1 it 4 Q' } +A LOT COVERAGE CALCULATIONS LOT AREA = 7,484 S.F. HOUSE FOOTPRINT AREA = 1,256 S.F. DECK FOOTPRINT AREA = 491 S.F. PROPOSED POOL AREA = 476 S.F. CURRENT LOT COVERAGE = 23% (1,256 + 491) / 7,484 = 23.3% P4°��° °���0��� / PROPOSED LOT COVERAGE - 23X of �\ (1,256 + 476) / 7,484 = 23.1% P�oO��P pp G UGy``��v�p9tioT { pF ro� Zo o FO�OC3'e� & °yFs of OR �5P !• \ elo 0-b <11 F , Joys{, o^ �� 50'•?`'f t.5' q`�� (9ti \ o. g DECK TO BE REMOVED On 000 0 ' 0995 O• yFo�i °f'.bF m" ��,Es c€ O� C} s roll, v0 y�op -10 o9s o G % k,\ yh Q` i , t r; �. a. 0% 9� sy Is, P .461 +o d vP LJ v 9a -yG F t copy from ZBA ft�lOG31`�I G� Bldgdocu ents ie pinal revw,ec�_ 0� ZBA pile `. � Date: I CERTIFIED TO: ' R�_�J DENNIS LIPOVAC GUARANTEES INDICATED SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND/OR AGENCY, AND ARE NOT TRANSFERABLE. S.C.T.M. NO. 1000 — 137 — 2 — 14 SURVEY OF: DESCRIBED PROPERTY GARY BENZ, L.S. SITUATED IN: CUTCHOGUE TOWN OF: SOUTHOLD Surveying and Land Planning SUFFOLK COUNTY, NEW YORK 24 Shorehaven Blvd. Ronkonkoma, N.Y. 11779 DATE: 9/14/2012 JOB NO. G12-022 SCALE: 1" — 20' (631) 648-9348 THE EXISTENCE OF RIGHTS OF WAY AND/OR UNAUTHORIZED ALTERATION OR ADDITION TO THIS COPIES OF THIS SURVEY MAP NOT BEARING THE LAND EASEMENTS OF RECORD IF ANY, NOT SHOWN SURVEY IS A VIOLATION OF SECTION 7209 OF THE SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL ARE NOT GUARANTEED. NEW YORK STATE EDUCATION LAW. NOT BE CONSIDERED TO BE A VALID TRUE COPY. STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name& Address of Insured (Use street address only) 1b. Business Telephone Number of Insured 631-744-7185 Arthur J.Edwards Mason Contractor,Inc. 929 Route 25 A lc. NYS Unemployment Insurance Employer Miller Place,NY 11764 . 24108715 1d. Federal Employer Identification Number of Insured Work Location of Insured (Only required if coverage is or Social Security Number spec 1cally limited to certain locations in New York State, i.e., a 11-2377925 Wrap-Up Policy) 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Ullico Casualty Insurance Company Town of Southold 3b.Policy Number of entity listed in box"la" P.O.Box 728 WCS-700093700 Southold,NY 11971 3c. Policy effective period 01/01/2012 to 01/01/2013 Proprietor,Partners or Executive Officers are [x] included. (Only check box if all partners/officers included) all excluded or certain "partners/officers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box"I a"for workers' compensation under the New York State Workers' Compensation Law. (To use this form,New York(NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2 The Insurance Carrier will also notes the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box "3c",whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide thot-certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'CompensationLaw. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as don this form: Approved by: JZ /' d an J' rint n me of aut rize eprse tative or licensed agent of insurance carrier) Certified by: (Signature) (Dat Title: Telephone Number of authorized representative or licensed agent of insurance carrier: o2Uad ��7 Please Note: Only insurance.carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us OP ID: VM CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYYYY) 01/12/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bagatta Associates,Inc. 631-8641111 cAMAC E: 823 W Jericho Turnpike Ste 1A 631-864-8274 PHONE Ex FAX Smithtown, NY 11787 E-MAIL AIC No Bagatta Associates,Inc. ADDRESS: CUSTOMER ID K:ARTH U-1 INSURERS AFFORDING COVERAGE NAIC Contracting Co Inc DBA Arthur k INSURED ArthurEdwards Mason INSURER A:Worcester Insurance Company 26182 Edwards Pool&Spa Center INSURER B: 929 Route 25A INSURER C: Miller Place,NY 11764 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR TYPE OF INSURANCE POLICY NUMBER MM/DDfYYYY MMDDYf1M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY MPA00000038801 H 01/01/12 01/01/13 PREMISES Ea occurrence $ 100,00 CLAIMS MADE OCCUR MED EXP(Any one person) $ 3,000 PERSONAL&ADV INJURY $ 1,000,000 X BLANKETADDITIONA I GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OP ASS $ 2,000,00 POLICY PRO )ECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS PROPERTY DAMAGE $ (Per accident) NON-OWNED AUTOS $ IDErDUCTIBLE B OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY WCSTATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y f N TORY LIMITSI ER OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) If yes,describe under E L DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS f VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION 0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall P.O. Box 728 AUTHORIZED REPRESENTATIVE Southold, NY 11971 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and.logo are registered marks of ACORD STATE OF NEW YORK WORKER'S COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier i a. Legal Name and Address of Insured (use street address only) 1b. Business Telephone Number of Insured ARTHUR J EDWARDS MASON 631-744-4455 CONTRACTING COMPANY INC 1c. NYS Unemployment Insurance Employer Registration 929 ROUTE 25A Number of Insured MILLER PLACE, NY 11764-2700 2410871 1d. Federal Employer Identification Number of Insured or Social Security Number 11 2377925 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage (Entity Being Listed as the Certificate Holder) The Guardian Life Insurance Company of America TOWN OF SOUTHOLD 3b. Policy Number of entity listed in box "1a": P.O. BOX 728 009844240000 SOUTHOLD, NY 11971 3c. Policy effective period: 07/01/2012 to 07/01/2013 4. Policy Covers: a. ® All of the employer's employees eligible under the New York Disability Benefits Law b. ❑ Only the following class or classes of the employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed:06/28/2012 By: Stuart J. Shaw, FSA, MAAA Telephone Number: 1-888-278-4542 Title: Vice President, Group Insurance IMPORTANT: If box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If box"416"Is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8- -of the Disability Benefits Law.It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit, 20 Park Street,Albany,New York 12207. PART 2. To be completed by NYS Workers' Compensation Board (Only if box "4b"of Part 1 has been checked) State Of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board, the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed: By: (Signature of NYS Workers'Compensation Board Employee) Telephone Number: Title: Please Note:Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. insurancd.brokers are NOT authorized to'issue this form. 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DATE ISSUED: '17/1/78 No. 4436-H ' rl�' SUFFOLK COUNTY mor?e .inprove-inert Contractor License This is to certify that ARTHUR J EDWARDS doing business as ARTHLJR EDWARDS MASON CONTRACTING INC I :iv1s7gs,r�er►mei.-I set:fiordh ij, accoi•dance w ti; -nd subject to the provisions of applicable laws, arG iCLls o ,' c County of SufY'olk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. j SUFFOLK COUNTY DEPARTMENT Additional Businesses OF CONSUMER AFFAIRS HOMEIMPROVEMENT CONTRACTOR NAMiI.IQFNSE i ARTHUR J EDWARDS I This certifies that the B ART HUR EDWARDS MASON bearer is dulyART CONTRACTING INC DBA licensed by the County of Suffolk 07/01/1978 Director w 4436-H �«M^ ^w I °MRA7ON DATE 07/01/2014 { •f _,f.J+ .`\� t^"k - r r .ry yr � rgyr s�, M 5� re �` ,,''• � i V i! �d� .� n'a o.�h y.opy y .t r � r'r+.tir a?✓�r�t4��,�a ry YS. -W � r �r C�"J1AHp ' 'r��r,�nJr *J�v44.1 `+�X 4 r +hh'. tf r '.r�'� nrrapl�..�+��,�.y Y day. f�p11v,A � RlNDM,'.,2.' �riQX;S`\ ri� i 7�r _`f. 1 $• rIA P }F��t�� '.k r�.a""q!- 5 .�. .; .J"•. �.,��: ,A,� �'..r` H i. �; r..�f C. 4!`�1r r .,�ryt�h.• rY,v,.r,+ .� ,,,� +,. 5 {YJ) ,d r AJ7);n:' /:".rni � r?a',;;`�^gil�,a� ti'u ''q/?'aw^��, Y d y�� �r!r 4dN�'�":,�, Tr�'L�4 .�`f•Y �Z err� Yr� '`'i,4 y;{.{Y• yjr �h" fYh i�••• 'f• r Y� !rr x'`.4:�' i..vYr� � /'r' '�t ,rr, hM ,,�5. 7. 1. Fr,..Y.. y.0 �� 5'? ''kr �S '�..}�N '�a'' •'�'r�. 1!,�.. {�4i'':Y,.� Jfrr 'aj. .4J• 3 a .;{'k+'�, N• F' 6 i4\r'C= FLE55AS PA.O L UCC .'. VP . - 2 4 62.o ' " 3 .� n co u W lb 2 u a far l IR.REGUL&2- PAX 10 413 t t � - N it CoNcq � � w 7 ��: tiy�=';�T1t�i'�"t�ty 1 :�tia 6,Le,•,:.� CYCLONE EF NECK ENce l 09 3p W LIS 7'�i��-�ffi4�j`E t►MgF2 CUggsD BLKrop �.rA_[,:f' ��i`I�E:E- 7- -11COG T; "t. E L i�A' ­-EEi U• _ANL TOi��U ,'"r Gi-G �=:P: 1 t 1GS BAINJI V— . . - -- Ate '��J�2VF`fE:t� .. _.._ ,��ti.8, 99 YL w;� f :P::fa. 'U40- 7- t[,1 suQVEYED - Juni,2 1%6 �' v - - AMENDED JUN. 81 1%2 DEC. 1492 LIC. , A`-ib:_JQ'l,/EYO2S — G-REENIPOtG3'jt•J.Y. }i i A aimew. Rhee. B E F BAkynMum To Fptw From Fft /y Filer!Punp To W de✓ --To RehwM Oky Won OP*4 Roisd Mbi Fmrr Plan A Piping Arrangement Seeftn vbvI #4 Reber 42" 7— Section B—B 35W P.S.I. cowrie H - 11 Section A—A Typical Wall Section J - = SIZE A B C D E F G H AREA CAP. FEET FT. FT. FT. FT. FP. FT. FT. FT. SQ.FT. GAL. >Pure>,eee 16x32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 16'x36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 POOL 8C. PA CENTRE Ad&e PERMACRETE WALL SYSTEM 18'x36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300 929 Route 25A Miller Place NY 11764 20'$40' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000 (631) 744-7185 FAX (631) 744-0174 24'X44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI 24'X48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 Nassau License #HI74450000