HomeMy WebLinkAbout39274-ZTown of Southold 6/1/2015
P.O. Box 1179
w P 53095 Main Rd
,1 W
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37583
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 4020 The Long Way, East Marion
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 30.-2-98
Filed Map No.
Date: 6/1/2015
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/3/2014 pursuant to which Building Permit No. 39274 dated 10/16/2014
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 AS APPLIED FOR
The certificate is issued to Cinelli, Antonio & Cinelli, Gina
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39274
05-12-2015
Aut ed ignatu
Permit #: 39274
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)
Permission is hereby granted to:
Cinelli, Antonio & Cinelli, Gina
1714 Park Ave
New Hvde Park. NY 11040
To: install an accessory inground swimming pool, fenced to code
At premises located at:
4020 The Long Way, East Marion
SCTM # 473889
Sec/Block/Lot # 30.-2-98
Pursuant to application dated
To expire on
Fees:
4/16/2016.
10/3/2014
Date: 10/16/2014
and approved by the Building Inspector.
SWIMMING POOLS - IN -GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Ir (2d
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 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 (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. Ce a e offl-fOFO ancy g
denied, the Building Inspector shall state the reasons therefor in writing to the app t I1;
C. Fees �
1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Al # t4WellQ,$5W$,
'Swimming pool $50.00, Accessory building $50:00, Additions to accessory buil $5 00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy.of Certificate of Occupancy - $.25 Bi_DG CEP C
4. Updated Certificate of Occupancy - $50.00 ------
5. Temporary Certificate of Occupancy - Residential $15.00, ,Commercial $15.00
Date. 5' a 9 a o i J
New Construction: Old or Pre-existing Building: (check one) `S
Location of Property:
House No.
)—Or16- W A q - - Oq s, /
Street
Owner or Owners of Property: �J�%71/J ('0 +- hAM 0_)�VE �- 1
Suffolk County Tax Map No 1000, Section O 3 0, Do Block Do? - O 9 Lot � Do n
Subdivision PEi
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax(631)765-9502
roger. riche rt(aD-town.southoId. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gina Cinelli
Address: 4020 The Long Way City: East Marion St: New York Zip: 11939
Building Permit #: 39274 Section: 30 Block: 2 Lot: 98
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: LC Electrical License No: 38043 -ME
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 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 100A A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks 1
Disconnect F-1 Switches 3 Twist Lock 1 Exit Fixtures TVSS
Other Equipment: In Ground Swimming Pool To Include, Bonding, 1- Control Panel, 1- Gas Pool Heatl
1- Salt Generator, 3- GFCI Circuit Breakers, 2- Pool Lights, 1- Pool Cover Motor
Notes:
Inspector Signature: Date: May 12, 2015
Electrical 81 Compliance Form.xls
SO(/jyol
TOWN OF .SOUTHOLD BUILDING DEPT. -
765-1802
INSPECTION.
[FOUNDATION IST [ ] ROUGH PLUMBING
Y:kl FOUNDATION 2ND [ ] INSULATION.
]
FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE `` l� INSPECTOR
pF SOUTyo
TOWN :OF SOUTHOLD. BUILDING' DEPT.
765-1802
INSPECTION
} FOUNDATION 4ST
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE A CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
1/®, . , r
[ ]ROUGH PLUMBING
I l�N N
FINAL
[ L
[ ] FlRE SAFETY INSPECTION
I lFIRE RESISTANT PENETRATION
I 1 ELECTRICAL (FINAL)
[ ] CAULKINGAtaD K"
4cc-41,p r -v 4,6�, - t
7?/ -
INSPECTOR
hO��OF SOUryolo
I�YCm.M e1�
TOWN OF 'SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION—,.
[ j FOUNDATION 15T [ ]ROUGH PLUMBING
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL
I- ]
FIREPLACE 8 CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTAIIT PENETRATION
[ ]ELECTRICAL (ROUGH) [�j '] ELECTRICAL (FINAL)
[ ]CODE VIOLATION [V�] CAULKING
REMARKS:
,row
DATE '� Z �� INSPECTO �
o��OF SO(/r�ol
couHr+,��'
TOWN=OF SOUTHOLD .BUILDING DEPT.
765-1802
I=NSPECTION
[ ] FOUNDATION 1 ST- [ ] R GH PLUMBING
[ ] FOUNDATION -2ND [ ] SUI
U N
[ ] FRAMING /STRAPPING [ FINA
[ ] FIREPLACE & CHIMNEY [ ] FIRE $ INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL,(FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE � �'
_7 r[S
INSPECTOR
• •
WAN
..
INSULATIONPLUAMING
r
0 0►'�• r �tl�
VIA
0
do
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined 20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
PERMIT NO. 3
Approved /t'P 20—/Y
Disapproved a/c
Expiration i 20
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application_
Flood Permit_
Single & Separate
Contact:
Storm m -Water Assessment ForAWA ��Ohy
Mail to: �7 '-�/ A" � A
/i-.41-7V�r ,'i1 e /t//
/(!j-f2
Phone)y
Building Inspector
1TION FOR BUILDING PERMIT /� (/
111 20 4 1�...�' Date le � , 20
OCT - 3
INSTRUCTIONS
a. ThisBR
lUn MUST be comp etely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plarlQk46fat IUn to scale. F according to schedule.
--''--5. P of pwing 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 Soutfiold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for rempavyl or demolition as herein described. The
applicant agrees tocomply with all applicable laws, ordinances,`building code sin ode, and regulations, and to admit
authorized inspectors on premises and in
6buildmg fog n cess i, inspections.
r
C
O M�� ,. U p � � L AFUL
(Signature of applican�� ame if corporation)
1~14COSE POOL TO CODE , �d6 6—+
UPON COMPLETION wrn
(Mmihnga rapplicant)BY
�BEFORE:y"'WATER
A 17 N IF, . E U111.( 'I Vv E . IST VIENT AT
State whether applicant is �d9ne> o ri ra hl tt�engineer, general contractor.,ele�tdr�c�an,Upyumbe i`buI.- OR THE
FiJLLOVNIP.G !NSPEC;(-"NS
Name of owner of premises /•6 /1`�l/)
If of c& is a corporation, signature
.1"1111k7,M-1 k1� •;Z-°
(Name aid -title of corpofate officer)
Builders License No.
Plumbers License No.
Electricians License No. Al
Other Trade's License No.
of land on whieb proposed work will be done:
Number Street
County Tax Map No. 1000 Section 50
,q D1 A - t v ,r, r r_QUIRED
PC)UhED CONCf,ETE
ff%YJiA�csr uucuT - - .. .... ,..
STRAPPING, ELECTRICAL & CAULKING
GUM INSULATION
4. FINAL - CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT -RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
Block 02
Hamlet
LUTAIN� RM -WATER RUNOFF
PURSUANT TO CHAPTER 236
' OF THE TOWN CODE.,,
Subdivision (�- &e "6 /K-' Filed Map No. 62C-1� Lot 6t5
2. State existing use and occupancy of premises and inten d use ajp�d occu ancy of proposed construction:
a. Existing use and occupancy �%7rr/r� 7/-i /�/ L�/ el/, :c
r r
b. Intended use and occupancy 1%1�-7Gj le T�� i 6� �1 �S 6: /'"
3. Nature of work (check which applicable): New Building Addition Alteration �jlp�1
Repair Removal Demolition Other Work ►'►r ' m2l ;-7SA//4f,�v,
4. Estimated Cost_; ' ��, ��� Fee (Description)
(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—A61,171 / ?1e.Depth
Height Number of Stories 7—
Dimensions
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front �� / Reer' 4g / Depth
Height Number of Stories
!
9. Size of lot: Front �/. I / Rear 14 ! Depth
10. ate of Purchase Name of Former Owner
11 Zone or use district in which premises are situated
12. Does proposed construction violate any zonin ordinance or regulation? YES_ NO
13. Will lot be re -graded? YES_ NOWill excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect r? V Address f-a&0"e Phone No
Name of Contractor ILA -illi /,' $nc Addressz-f;4G0G2' Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO_
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Z,-;-<�6.Pro ' survey, to scale, with accurate foundation plan and distances to property lines.:,
..J" .
If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.:,,.
CONNIE Gy`
18. Are there any covenants and restrictions with respect to this property? * YES Notes , State'' o$ New York '
* IF YES, PROVIDE A COPY. o. 1 5116165050
Qualified in Suffolk County /I
STATE OF NEW YORK) Commission Expires April 14, 2 �b
SS:
COUNTY OF )
being duly swom, 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 an to make and file this application;
that all statements contained in this application are true to the best of his knowledged that the work will be
andref;
performed in the manner set forth in the application filed therewith. /� i
Sworn to before me thi fs '
day of �Q�/ _ 20
Notary Public V Signatu of Applicant
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September 22, 2014
Town of Southold
Building Department
54375 Route 25
Southold, NY 11971
To Whom It May Concern:
I, Gina A. Cinelli, owner of property located at 4020 The Long Way, East Marion, NY 11939,
Authorize, Patrick Kenney of Patrick's Pools, Inc., to be my agent, and act on my behalf, in applying for
All Building Permits needed for construction of an IN ground pool at above mentioned property.
Gina A. Cinelli Ai4 /I iv;i it ju A ;`�J 2?
4020 The Long Way
East Marion, NY 11939
1000-030-00-02-00-098.000
LISAMARIE MORE -LU
Notary Public, State of New York
No. 01 fv1O6122056
Qualified m Nassau Feb.
Commission Exp
0 000"Pat
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4 14.
V,
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iAk
Suffolk- County Deparbnent of Labor, Licensing &
Consumer Affairs
VETFIRAMS MEMMAL 1-3IGHWAY HAUPPAUGE. NEW YORK 11 7:9$
N,o. 51699-1-1
'Dj-A, ISSUED: 5,/16/2013 -
SUFFOLK COUN"ry
"n 11-10 T t Cantractor License
Ir I **F
This as to certifi, that PATRICK 0 KENNEY
doing busmessa-s PATRICKS POOLS INC
hat iner furnished tile requireTpelits setfoah in accordance with and subject to tile, provisions, of applicable laws, rudes,
and reguiLmons of the County of SuIT01k. State orNevx- York is here -by licensed to conduct business .35 a 110NAE
V,1 .NjL,'\",j'C0NT1;UNCT0R, in the County OUSWTOIL
Licensc CategOTY
NOT VAUD Nif ITHOUT P
Additional BUSjUCA�tS- ooWSpas
DEPARTMENTAL SFAL
ANDA CURRENT
CO,NSUNIER AFFAIRS
I D CARD
CammiSsinaer
s" WJ
- .40
THE LONG WAY
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SURVEY OF
LOT 63
MAP OF
PEBBLE BEACH FARMS
FILE No. 6266 FILED JUNE 11, 1975
SITUATED AT
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-30-02-98
SCALE 1 "=30'
MAY 10, 2007
AREA = 31 ,009.57 sq. ft.
0.712 ac.
LOT g
a~_
coPaD 01 p -0 5
SO q'
Lo
:5
Wiz•.- -.. L� _R L,.. .���_'
9
oma o�soAs `
�s00
T
32 5 i a'p
P�
%1y 0N0
To $�
LOT 62
LOT 6
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
37 9 52,
-5(34.90 11
94 90'
PREPAREC# IN ACCORDANCE WITH THE MINIMUM
STANDAR FOR TITLE SURVEYS AS ESTABLISHED
BY THE - I.A.L.S. AND APPROVED AND ADOPTED
FOR SUCUSE BY THE NEW YORK STATE LAND
TITEE- _ TION.
ca
IIlrr `',arc.. rr 4`,vF"?�1j 1
�kfso
N.Y.S. Lic. No. 49668
Joseph A. Ingegno
Land Surveyor
Title Surveys - Subdivisions - Site Plans - Construction Layout
PHONE (631)727-2090 Fax (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
322 ROANOKE AVENUE P.O. Box 1931
RIVERHEAD, New York 11901 Riverhead, New York 11901-0965
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