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HomeMy WebLinkAbout39895-Z t ,AUFOI�ta Town of Southold 9/1/2015 1' P.O.Box 1179 co x 53095 Main Rd c+�� bc5'c ` Southold,New York 11971 - ...-,-00 CERTIFICATE OF OCCUPANCY No: 37757 Date: 9/1/2015 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 855 Soundview Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 94.-1-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/24/2015 pursuant to which Building Permit No. 39895 dated 6/24/2015 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 fenced to code as applied for. The certificate is issued to Landau,Adrienne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35800 7/29/2011 PLUMBERS CERTIFICATION DATED p Author ' d S' ature „,,011FFOI,re TOWN OF SOUTHOLD �,�,� ay; BUILDING DEPARTMENT y i TOWN CLERK'S OFFICE kits. - o� r= SOUTHOLD, NY ?ror * -ia v 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 #: 39895 Date: 6/24/2015 Permission is hereby granted to: Landau, Adrienne 350 W 50th St New York, NY 10019 To: CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL, FENCED TO CODE PER TRUSTEES APPROVAL. REPLACES EXPIRED B.P. # 37553 At premises located at: 855 Soundview Ave, Mattituck SCTM # 473889 -Sec/Block/Lot# 94.-1-7 Pursuant to application dated 6/24/2015 and approved by the Building Inspector. To expire on 12/23/2016. Fees: PERMIT RENEWAL $125.00 CO - SWIMMING POOL $50.00 tales— $175.00 A._ r Build' g Ins ector • FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35800 Z Date AUGUST 12, 2010 Permission is hereby granted to: E & A LANDAU 350 WEST 50TH STREET NEW YORK,NY 10019 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL, FENCED TO CODE PER TRUSTEES APPROVAL at premises located at 855 SOUNDVIEW AVE MATTITUCK County Tax Map No. 473889 Section 094 Block 0001 Lot No. 007 pursuant to application dated AUGUST 12, 2010 and approved by the Building Inspector to expire on FEBRUARY 12, 2012 . Fee $ 250 . 00 ( Authorized Signature ORIGINAL Rev. 5/8/02 %0S®U� ® - Town Hall Annex ttti� ' " ; Telephone(631)765-1802 54375 Main Road ; erg 4' f r Fax(631)765-9502 P.O.Box 1179 ,".......^.q,, ® r O 11� Southold,New York 11971-0959 - ® -� a �1 roger.richert(a�town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Adrianne Landau Address: 855 Soundview Ave City: Mattituck St: NY Zip: 11952 Building Permit#: 35800 Section; 94 Block 1 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Peconic Electric License No: 5230-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 NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps 2 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 2 Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment in ground swimming pool to include, bonding, 4 GFCI circuit breakers 2 pool lights, 1 heat pump, 1 pool cover motor Notes Inspector Signature: S '... Date: July 29 2011 i 81-Cert Electrical Compliance Form • 27763 - TOWN € 4\ OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ._ [ ] FOUNDATION 1ST [ ] ROUG 'LBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRL L (ROUGH) [ ] ELECTRICAL (FINAL) J REMARKS:" «6(0i 14( chi AL C-31)-TE �6 k- G747;g (J(777 L- r' ), hul Pik J./S, o`eziz.JU- ('�-- c-7-“--,4_ cf.-62)--rp-r- ,e _..) ‘ . -4-<_i (ZtiLut.4,_‹4 `-fft-yl,r 4/ ciic_i /6-4 Pci-zi-e_ a c is .)(-,9..i.-C...pc-• -- Arv- -- etr..4/ , ie,, c- , __.,/, --, kefi (--ce,a4_,/- .) . f/l DATE , INSPECTOR . 4',• _ z - 3 , , e4g) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] I CATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Go'd-rt • AV-7yDATE INSPECTOR_.247__ ‘//c'1' • ,,,,,,,,,,,,,, 3 sootA,,,._, ss„ .4.o,P _zecoutrono ,,,,,,,, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] 1 ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: s (/ 2 /6 il- .7.44„.,(1 DATE 7A-5-.‘ INSPECTOR - 4-44-51‘ FIELD INSPECTION REPORT DATE , COMMENTS M . FOUNDATIONOST) • A--1 tt r • FOUNDATION(2ND) .-V • . ./ •�....�.r. .n '�f� O `t v y (A• y • ROUGH FLING& G tg PLUMBING 7--_, • M • -"‘f"' ; . ' • tai • INSULATION FERN.'Y. - H STATE ENERGY CODE • )17 41�.4,1.,a'c / pii cry a.:,„ a ' _).1,..., , - .4,,a/ ..4 St,. "/.... .....," ii.._ ..._._ ., . . ........_. 3. . Tip—— Q-[` L. �r.`l / ..:'17444-1 ••444-1 1: c _ /a____c1J FINAL (9,= 1 .acv t/-d- « '`- . P37(544- ,- .A.i?if i.e() Lac.../e9 ' .1•7'-' 77,0o tal-f-y-v GPI/Z,-- ' :.,,atX). itr- fje-'147; � f . . r __ ..-b-_________,,____ T-- ADD ►nr AL :I')KMENTS • r ►a -I.-1a - 9.k & p- r�� lr Co C o ri i.1a14. ?4vve- 0.1e.----- 117.440/ '- . -_ • (p-ai-i-is pa. lon5- )4 ' n rte__,4�6.7 / p# 33563 . .,*04D m 5 , • it�] ^7 I�; Z Li. r g H . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT e Do you have or need the following,before applying? TOWN HALL i 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. _7).S-Tar2) Check Septic Form - N.Y.S.D.E.C. Trustees / Flood Permit Examined 05',20 /0 Storm-Water Assessment Form Contact: Approved ,Vj'J ,20� Mail to: Disapproved a/c Phone: a- VP Expiration /)_,20 4) �n / Building Inspector ECEIEDU APPLICATION FOR BUILDING PERMIT AUG 1 2 2010 Date Al.C4(AS1. (0 , 20 /Q INSTRUCTIONS a.This�alls% tb'IUST b- •,ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 set of. ,1 _ . . - . o p an 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 .remises and in b � ep s co,r s n tions. u r USE IS UNLAWFUL M5f�x) Low: .� i4c6 641‘IMMEDIATELY" (Signature of applicant or name,if a corporation) ENCLOSE'PobL TO CODE WITHOUT C RTIFIC TE UPON COMPLETfON j ,, ,� ,� o /yJ#4,�� (R, . //'/At7'r'�ae1C AV- BEFORE 'WATER OF CCU;"' AN:,- i (Mailing address of applicant) //iia State whether-app ican is owner, lessee, agent, architect, engineer, general conAgvIg alIVbI�CUuiber or builder UNDERWRITERS CERTIFICATE ?0 (- , iL) ' REQUIRED DATE' V2-0° B.P. # 35- Name of owner of premises e2 -:'/iJ \ig/O(U6- L,4 t-A--Asv BY,,.f‘t (As on the tax roll or�Ea� tYd DING DEPARTMENT AT Ifzictisaco3 orat'ln, si ature of duly authorized officer 765-1802 8 AM TO 4 PM FOR THE r FOLLOWING INSPECTIONS. r 4. eaddeRe 1. FOUNDATION-TWO REQUIRED (Name and title of corporate officer) FOR POURED CONCRETE 2 ROUGH-FRAMING,PLUMBING, Builders License No. STRAPPING, ELECTRICAL&CAULKING 3 INSULATION Plumbers License No. 4 FINAL-CONSTRUCTION & ELECTRICAL Electricians License No. MUST BE COMPLETE FOR C 0. Other Trade's License No. IA(93 .7 - fri ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of land on which proposed work will be done: YORK STATE NOT RESPONSIBLE FOR D. -I. C STR��TION ERRORS. eSs' 6012.41)� i- SAI 1\11.10W DATER RUNOFF House Number Street Pi A T TO CHAPTER 2 6 County Tax Map No. 1000 Section 9 4` Block / OF THE TOWN cippE• ' Subdivision Filed Map No. Lot . 2. State existing use and occupancy of premises and intended use and occupancy of propoAled construction: :%tea. Existing use and occupancy Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work jtJ J ?Dee- (Description) DeL(Description) 4. Estimated Cost '/POO, 0 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. `PooC. / o2X 17/0/ 7. Dimensions of existing structures, if any: F-Feftt Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front "-?7 i'!> /Rear - Depth Height Number of St©res - 1 8. Dimensions of entire new construction: Front Rear \1,\:111 i; 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 14. Names of Owner of premises 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 * 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 propertyhle. . iT =8MN µl�,:`C CT JC `1r 17. If elevation at any point on property is at 10 feet or below, must prouide_topographicl'yaata,on.survey. t..r v r . 1.. .... 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PRQUIDEaA;,COPY,7 - CONNIE D.BUNCH STATE OF..NEW YORK) _° -'` Notary Public State of New York No.01bU6185050 SS: Qualified in Suffolk County COUNTY OF '~ r� - _ Commission Expires April 14, 0 j `� %,P ,i f i'rrr; being duly sworn, deposes and says that_(s)he is the applicant (Name oftindividual sigiaingr contrapt);above named, (S)He is the /�i�'ll i'Lj';� ' I,/ ipt; (Contracto`r,Agent, Corporate Officer, etc.) v"'JI- 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 infthe manner set•forth in-the application filed therewith. Sworn to before fne:tlii:I ;(:r % : '• i a.—leer) day o£ a r; 2040' Notary Public' Signature of Applicant 12/03/2013 15:03 6317347712 OLSEN PAGE 09/14 \ Ce/ • t• BOARD OF$OUT130lLD TOWN TiUSTEES I=:• ; �� `f SOUTSCILD,NEW YORK *•*i./ 1 ' • <.,._ I' DATE:JUNE 24.2009 i `� r't t- i PERMIT NO. .• a� ! 1, is I • A ISSUED TO ADRIENNE.LANDAU �J '�� • • - PROPERTY ADDRESS 855 SO►NDVI&W AVE INATTITUCII I. ::-.,--^:.:• --"1- SCTM11941-7 1,' •• / JJj AUTHORIZATION �J.•l '•.•!' Pursuant to the provisions of Chap=275 and/or Chapin 111-ofthe,Town'Woof the Town of ' • Southold and ie accordance with the Resolution of the Board ofTwte s adopted it the meet ng held on .i,•y 1 •June 7A.2009 in coosldefatign of ripplication feel()the sum of$2p aid by=ono Landall.aed subject to i-1.-• �- •I�:i the Terns mend Coadition7.as atated in he lteaoiuoen,.the Southold Tows Hoard of Trances authatizoa and pe(mi:: �` the following: • �I ?i� .;' I I • Wetlapd 1?crm t to renovate the aoytthtg single family dwelling,construct a 548 • ?'I sq.ft.addition,replace the existing pool and patio,and npgrade"the sanitary system,with I.%'+ : the condition gutters,leaders,and tiryweUs are Metalled to contain the roof run-off In ' 1 i--...,....._ accordadce with Chapter 236-Sforrawater•Msnngetmeut of Me Tawe Code,,a Ise of f ':I staked hay bales with silt fencing i9 installed prior to any construction activities,and the '1',.. : • t ; area seaward of the deck is non-turf,and as depicted on the site plan prepared by . Narofsky Architecture&PP+igd ittt dated July 14,2009:Any proposed,demolition of th•, 1 exixtin structures would requifti urther review-by the Board of Trustees. .: i!,:,:. ', IN WI NESS WI•>EaEOF,thn hdili•Board of Tmatccs hereby canseaits Corporate Seal to be affixed. r",-....11 and those preseub to be sobacobod by a tmjority of the said Board as of this doe. "'"'I J j _ , . Bob Ghosi-, Jr. 11 .•tx -irt11 `fir ..• ,x % I ii.:• G, ,-:. James F.King,President i� �l�F SOU,,, .- Town Hall Annex Bob Ghosio,Jr.,Vice-President ��e/h0� ��� 54375 Main Road . P.O.Box 1179 Dave Bergen " 4 4 Southold,New York 11971-0959 John Bredemeyer bec 3 Michael J.Domino Telephone(631)765-1892 O �i� Fax(631) 765-6641 COUNI1 Ael BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE • #0917C Date:October 9,2013 THIS CERTIFIES that the renovation of existing single-family dwelling;a 548 sq.ft.addition; replacement of existing pool and patio;upgrading of sanitary system;gutters, leaders and drywells;a non- turf indigenous ground coverage buffer area along the bluff side of the property;grade on bluff side not altered;on the side yards,grade raised to within±1'6"of the deck top; replacement of decking and railing on existing deck;removal and relocation of steps and landing; deck squared off at existing location;hot tub on deck;and new pool fencing perimeter At 855 Soundview Avenue, Mattituck,New York Suffolk County Tax Map#94-1-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 29,2009 pursuant to which Trustees Wetland Permit#7123 Dated June 24,2009,was issued and Amended on October 17,2012 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the renovation of existing_single-family dwelling;a 548 sq.ft.addition;replacement of existing pool and patio; upgrading of sanitary system; gutters,leaders and drywells;a non-turf indigenous ground coverage buffer area along the bluff side of the property;grade on bluff side not altered;on the side yards, grade raised to within±1'6"of the deck top; replacement of decking and railing on existing deck; removal and relocation of steps and landing;deck squared off at existing location;hot tub on deck;and - new pool fencing perimeter. The certificate is issued to ADRIENNE LANDAU owner of the 'aforesaid property. ,PArvr-e-f .„4 - Authorized Signature •i, .�� 1 �'0, Town of Southold i5,3Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM z i '9 �1: PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A "'- 01�j Y+D ( STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN "�'''••.., "''' District Sec on lock Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT YesNo a. What is the Total Area of the Project Parcels? I Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F./ ) (This item will include all run-off created by site b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all Ail and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Acres) 2 Does the Site Plan and/or Survey Show All Proposed /111 PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and • A. (... ?DO c / ®� Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion (ovtxfe Tp. (.c)yeti-( 111;u4( Lc✓-)eAr and sediment control practices that will be used to _ III ' / it control site erosion and storm water discharges. This 7 at AIS O v P C,✓itt 6,,, item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural • ,// Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? • 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the / Site? Is this Project within the Trustees jurisdiction ✓ General DEC SWPPP Requirements: or within One Hundred(100)feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes / are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to IN / including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious / for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Ruh-Off 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of-way? _✓ submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ll — constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(This item will NOT Include the Installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm Water discharges. NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.81 Acre In area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage$Erosion Control Plan is Required by the Town of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit that is knowledgeable in the principles and practices of Storm Water Management. (NOTE: A Check Mark(I)and/or Answer for each Question is Required for a Complete Application) UUIVNIL D.BUNCH STATE OF NEW YORK, lifie Notary Public State of New York COUNTY OF� SS Quallo. lbU6185in 50 let)""' Counk r`l e� Commission Expires April 14, 0 That I,..1 being duly sworn,deposes and says that he/she is the applicant for a t, (Name of individual signing Document) And that he/she is the &);A0-/ /6 i/ -n7et (Owner,Contractor,Agent,Corporate Officer,etc.) 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 that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; , ` 1 D C`p, day of✓••114 4 / 201.d Notary Public: 0fit/ (Signature of Applicant) FORM - 06/10 ill pf Town Hall Annex 2111 - * Telephone(631)765-1802 54375 Main Road (631)76ii 5Q� P.O.Box 1179 G . +1 rogersicherttagrliou g .nv.US Southold,NY 11971-0959 ``a _``ate 1�� UNT`I, • BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION - REQUESTED BY: 61,1 A,%( /')?,;a/ Date: ?/[ Company Name: L-_--3-�Sre-tik) Z,NoG-h( ] Pot.) C Ci4f7� Name: � J ` P ✓,Ylc :-ems - License No.: i/( ?39 _// Address: l '?o 0 , 4 j (, 77-2•7-4-c.// ./- //iK2 • Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: FA.&:/il/Gti-fte}t., Re572) e_C *Address: g s - Aug. //i477-/-7-4_6_ie *Cross Street: l��Sa *Phone No.: ( 3/S ->p 90 Permit No.: Tax Map District: 1000 Section: . Block: / Lot: 7 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) �L� 61 i () V.0' Coucie5re i.3,/i6c4;/uel, (Please Circle All That Apply) *Is job ready for inspection: YES Rough In 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 APPLICATION 82-Request for Inspection Form f� #1 Town Hall Annex J * ' Telephone(631)765-1802 ax(631)765- 5 2 54375 Main Road • Q i role r.richert(dtown.soutiio�d.ny.us P.O.Box 1179 •O Southold,NY 11971-0959 \ itC0i Nri 144.1'' BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 67,6-efiv � Date: ��pri/l� /0/0 Company Name: • 6G/7 Name: License No.: 52_3 0 -Ile lbari-(if7-0/; �JAddress: .(�� ,�a 2 /3 /�� /fi f Phone No.: ‘,3/ — 2oPi— F? JOBSITE INFORMATION: (*Indicates required information) *Name: Ae/.1KJA/E /A//1 M) *Address: �s-S LP)UN,av/Elie .Ar/t *Cross Street: kW/WA/ 6/l// Ir/f *Phone No.: Permit No.: s F'o 0 Tax Map District: 1000 Section: 99 Block: -' I Lot: 7 *BRIEF DESCRIPTION OF WORK (Please Print Clearly) SQL /ilize✓!// /t/e/A / ot 410/1/4 /O d� cfe/S- .494 2 (Please Circle All That Apply) *Is job ready for inspection: YE I NO Rough In Final *Do you need a Temp Certificate: YE 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 APPLICATION PoL-i -4340 ge-'0/-/ OY, 82-Request for Inspection Form Ii r � Southold Town Building Department �q�OS��F�I'�caG P.O.Box 1179 Permit#: 35800 fel 54375 Main Road T Southold,New York 11971 Permit Date: 8/12/2010 Expiration� ` (631)765-1802 Expiration Date: 2/12/2012 . . x..at . Parcel ID: 94.-1-7 BUILDING PERMIT RENEWAL LETTER Dated: 9/21/2012 Applicant: ADRIENNE IRIS LANDAU Location: 855 SOUNDVIEW AVE MATTITUCK Work Description: IN GROUND POOL CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL, FENCED TO CODE PER TRUSTEES APPROVAL A FEE OF $250.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ADRIENNE IRIS LANDAU Address: 350 WEST 50TH ST. PENTHOUSE 1-A NEW YORK,NY 10019 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. I Adrienne Landau 350 West 50th Street . Penthouse 1A New York, NY 10019 212-459-1980 September 28, 2012 Southold Town Building Department , P.O. Box 1179 54375 Main Road Southold, NY 11971 To whom it may concern: I have enclosed a check for $250 to renew Permit # 35800 as per attached letter. Please contact me if you have any questions. Sincerely, 2.,) i fir; 1 . 0 - , A ,_ i , Adrienne Landau - D OCT - 1 2012 BLDG DEPT. TOWN OF SOUTHOLD z Southold Town Building Department '�,pSUFFO06, P.O.Box 1179 Permit#: 37553 53095 Main Rd ; cf, ; Southold,New York 11971 • Permit Date: 10/1/2012 oy,,!# *, (631)765-1802 Expiration Date: 4/1/2014 �;. �. Parcel ID: 94.-1-7 BUILDING PERMIT RENEWAL LETTER Dated: 4/23/2015 Applicant: ADRIENNE IRIS LANDAU Location: 855 SOUNDVIEW AVE MATTITUCK Work Description: IN GROUND POOL CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL, FENCED TO CODE PER TRUSTEES APPROVAL. REPLACES EXPIRED B.P. #35800 A FEE OF $175.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ADRIENNE IRIS LANDAU Address: 350 WEST 50TH ST. PENTHOUSE 1-A NEW YORK,NY 10019 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. 1 June 18,2015 , Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 To whom it may concern: Please renew the following permits I have enclosed a check for the fees which totaled $582.20. Permit#37553 $175.00 Permit#38560 $407.20 Please mail these permits to: Adrienne Landau 350 West 50th Street, Penthouse 1A New York, NY 10019 Feel free to contact me if you have any questions at 212-459-1980 or 646-284-2455. Sincerely, i i , 1 i 4, Adrienne Landau ' ` rI- _I 'T f �1 �I .\-\ `l''I I \l-� I� � i I, `�I tl-, no ---\ JUN 2 2 2015 DA 1Loc_, ocrr n T�`l�l : P44- , rri ,........ z A. , 4 - ° IC 11 I/ 1 i el" 1 ' : [ 4,..rt....140) ' ' < .14.4*.**,,,'WON 0 .Moif."0"..1004 r ( ,m- , ^ j 410.) (410) , a \ ' **,, ' -4 C (:) r 1 S mmisrr I ; CU II CD N , _._ ., ,.,„„, ,, c ON FEB, RDUARYBuu::EA:2". 11.1111111...: f , _ . , . _ v ,,, 5 5 s c) , , , ; _ . _ 1 1 952 . _ __, , ,..„ mi. , . . _ U C K . SITE PLAN - BASED ON SURVEY PREPARED BY JOSEPH INGEGNO W/ NAROFSKY ARCHITECTURE DESIGN 1 " = 20'-O" LONG ISLAND SOUND N 67°57'30" E , 75.57 20.84 TIE UNE ALONG AREA = 31,772.62 sq. ft. (TO TIE LINE 0.729 ac. N 78°09'14" E wooD & BULKHEAD) NosGEASwoo WATER MARK ;I WATER UNE EQUTIDAL WETLAN TIE UNE ALONG APPARENT HIGH - 1,1111° WATER MARK ZONE VE (El- 13) NOTES: -,,, APPARENT,, HIGH 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM im EXISTING ELEVATIONS ARE SHOWN THUS: = ... EXISTING CONTOUR LINES ARE SHOWN THUS: 50 - MINN Imo 7, 1 (C) ZONE VE (El-• 15) mow — FIRST FLOOR . ;.1 ZONE X . , ., — GARAGE FLOOR 1 ic - - . IFA0OuNN....011:0DKRMApBliNop_ETTAR_D_0ENT:ECY:—BLCu_OrrNSTUT._.,: , '114144"*"16"*Drclxi * _,2.=1. .. ,, ,, , 2 63 14 'ALS6 ° .„.7:A3K7:90 . . — TOP OF BULKHEAD ,, ., „ , ,, ' - BOTTOM OF BULKHEAD c.o ____ , -,t, - TOP OF WALL • ?4- , -- , - - .1. 2E, , - _. _ -,,,, , •. — BOTTOM OF WALL 2. FLOOD ZONE INFORMATION TAKEN FROM: 0 ''s - - - - - , i- ITA - ,,,,,,,„ - , oss, FLOOD INSURANCE RATE MAP No. 36103C0143 G -,„ •.'s ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); ,,,,, , :,,, muiv)4. ZONE X 0 UNE AS _ BASE FLOOD ELEVATIONS DETERMINED 14 HtatkR t.1 Vitagli) —A - \ ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. AO Lanwt,i vi- owyro 14 • 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1 ,000 GALLONS. REAR YARD LAWN, LAND WARD , - ,. _ ,,4 disTING \ ' ,,,,„ sti-Ex 0,P, . OOD ' 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP SIDE OF TOP OF BLUFF, TO BE DECK REMOVED AND REPLACED WITH 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300sqft SIDEWALL AREA. so.UE FOUND CONC. 'NON TURF' INDIGENOUS - - , Exism ma STCN a MON. 0.5T. 1 POOL; 12' DEEP, 8' dia. GROUND COVERAGE 1 C:j -VT.PS 5 \ ,:<,- 41110:Nliii'ellii' \ \ ' ,,, \ \ cri,-grl \ --' . ,), PROPOSED EXPANSION POOL • a . , 1 --, , •,-----' tilittli' A ., _ ROW OF STACKED oj • --, HAYBALES WITH SILT z 0 ..444014 '1(;°,,,,74.4th..._° srep PROPOSED LEACHING POOL • •,;:: - aii„, 4v0:141,, 0.1.111.,:,;....,,as ‘,,,s,;\ '''''s NI' RETENSION FENCE TO I OU i , Lu 0 '41441(' BE INSTALLED PRIOR H m z 4(4S(JrciAIG 1) C 6 PROPOSED SEPTIC TANK -ISA 40Q•1 Or= TO THE START OF F- 0) 1.6.E. IP1) .CrirtilZ V:A/Ew `----•:"------ CONSTRUCTION y R * .; 11-' i ei X' 6.5 ..38.9, 0 a *011111-W (1) PROPOSED 8' DIA X 8' DEEP DRYWELLS FOR ROOF RUN-OFF Z , z _II 0 , m ,,i , \:,,,,, e;f, 00,37-,N , ,, 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD —J LIJ Woo°,..G 1 sr„... Ars ,:s. 11,',1c) WALL • Pi HOuseS.RAWDs'ffY 4 it4ILING sigow....1HONIGO......,„H' SITTBA:siNC:14,R1014:4i067M I. OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. IfiE-444/ , ,•,11,, ..' ALL NEW CONSTRUCTION E• I ‘. t t• C-D'' 1 TO BEGIN SOUTH OF 6. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND BACK FILLED , og" I: EXISTING CONSTRUCTION WITH CLEAN SAND, IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. ,.. ,,, , -:.:.4, . p.r , s Z/S77,vc 1W-10' • ' °OD 441. . \ t,',Cic w ,,,,,*opplim„,,„ SIDE YARD SE1BAC . 1: • PROPOSED AREA OF ziNEW, ,CONSTRUCTION 'PIO 111111111111111, k,%.....Ammo I il . ,1645NPH1111 ' 1 -- NEV/C1061V;1412-UC11. 01 '9 — 10 ‘c C:) 11111' 1111111111k I killiii iill l'i / 111110111111111 Or P1111111114 1 L TA'S T HOLK DATA AppRoximATE„EsssoL 0 LOCATION PUN * I....,N i_Trl is._,,,,.1-)CS EXIST 6 OESSPO• f......2.0011011711COAL ---41,,,,. . r_ -g r..\•1N, TO BE REMOVED ,,..1 a- -,- _Ai i 1 r i••- z c)-4 iti i pN 0 tm....1 (TEST HOLE DUG BY McDONALD GEOSCIENCE ON OCTOBER 27, 2005) rah° i , 4'-' 5'MK V CIC fil t 61‘ 11 FENCE I .,T) X A DARK BROWN LOAM OL a„, . 20--0* HATCHED AREA INDICATES NEW ..' MIN 412'-0' 1 32'-Cr POOL SID YARD SETACK / ' WI I P. . 43 WOOD FRAME DECK CONSTRUCTION: a BROWN SANDY CLAY CL 01 08.09.10 Issue for Pool Permit , . /414041 , i 'It SEE DRAWING A-1 FOR MORE INFO I ?1 IIIIIIIIIkNt < . - , , • No Date Issue z > . . • ,,,> '11 , 4' -0 , :rtz IN 2 0 0 3 7 7' 0 r- Li, 110.5i1,11iiiiililiiiiii, !!! / a c ' .i.,,r44 11 NEW LAP POOL _, g:(5-121 I 0 13°.11 EXISTING POOL . , , TO BE FILLED IN \ t 11 ,, , ILI II#37A-. • I i urerY Og co o. c ,,,:p,, NN ARCHITECTURE & DESIGN . , , , ,sto . 42 20 m Id 0! , : /-----prri PALE BROWN FINE TO COARSE SAND SW 227 East 24rd Street, 1st Floor • FENCE ./. New York, NY 10010 5.2•c. 0...11 , A Of, . = . APPROXIMATE WELL c,,, g tiVi \ , • . .: LOCATION T 212.675.2374 F 212.675.2375 ;, *. \ , ?. b O , , • PROJECT TITLE: / • ... , ..,,,, • FAGIN / LANDAU .... : . WEI! A \ :: I• Po- is \ Is, t% rTi cp : RESIDENCE ,-,-, - , ,), .: - . 63 855 SOUNDVIEW AVE. -,:-, 17' GRPNEL ,k o 0-Cble° PREPARED IN ACCORDANCE WITH THE MINIMUM MATTITUCK, NY 11952 ---- k.-/ LUESIONE ...( STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED ------ \ ' 0 0 vo 00 FOR SUCH USE BY THE NEW YORK STATE LAND ,,,,,,,,, •,01 4. / TITLE ASSOCIATION. 0 et'` UNAUTHORIZED ALTERATION OR ADDITION -_,. ,. -9'tt CA TO THIS SURVEY IS A VIOLATION OF :, \ - SECTION 7209 OF THE NEW YORK STATE Drawing Title: 0! .1:4,,, ..,..,..,,, \ ',..,- 1 2 e0 o) EDUCATION LAW. .4,,,,,:„ . 0 ' CO ' i: -/ \ 0 Client Contact Info, Site Plan Ogs ''''--,' COPIES OF THIS SURVEY MAP NOT BEARING to 4" \ , _ - THE LAND SURVEYOR'S INKED SEAL OR 0 \ , ,,, Foust) . ____----- EMBOSSED SEAL SHALL NOT BE CONSIDERED , - Oh \ , ;-, coRc• mw• --EDG-Cor , AI TO BE A VALID TRUE COPY. ,, DRIvo ,-,_ . \ ,,,•,.,„•, 4 ; 2v>>. .. „, ,,,.... --ti -_ , •:.,,, CERTIFICATIONS INDICATED HEREON SHALL RUN g . - otri— P.11. ONLY TO THE PERSON FOR WHOM THE SURVEY Job No.: Drawing Number: - 9 , ut. #3 4 IS PREPARED, AND ON HIS BEHALF TO THE 0818 pmur ,---- F• ND ,, NpRON 0vEPHEAD "FtS ,---- ------4* --' 100.55 <, ,,,,,• - 4 4 TITLE COMPANY, GOVERNMENTAL AGENCY AND ' Scale: c"71 WELL --------- c oN. . •,...,- 4 LENDING INSTITUTION LISTED HEREON, AND As Noted — , ,s 1 \N .Z,, ----- - ' 5 0 U / - v v TO THE ASSIGNEES OF THE LENDING INSTI- B i =4 _ TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 13 E — ----- -&,.. s .§1° _.----- . v _ — -, ANE- Date: . .\ :, ,,s, ,,, ip -v-IEW THE EXISTENCE OF RIGHT OF WAYS 08.09.10 7 7 \ \ 4 4 S Q U N AND/OR EASEMENTS OF RECORD, IF 1.-ese o ens are an Instr.J''.?"' C• t'' p,^oppr ty r' tnp (\rchrpc-t 6ry In f•-•rqprIcr-ts ---------- ANY, NOT SHOWN ARE NOT GUARANTEED. — — Aril ce. prosecuted i 1