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Home My WebLink About28253-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP/~NCY No: Z-28492 Date: 06/07/02 THIS CERTIFIES that the building ACCY POOL ALTERATION Location of Property: 733 OLD WOODS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 87 Block 1 Lot 23.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 2002 pursuant to which Building Petit No. 28253-Z dated APRIL 9, 2002 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 AN ALTERATION TO AN ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR. · ~ne certificate is issued to LONNIE SOURY of the aforesaid building. (OWNER) SUFFOLK COUN~T-fDEPARTMEiTr OF ~R~LTHi~PPRO~]%L ELKCr~ICAL C~TIFICATE NO. PLUMBERS CERTIFICATION DA'r~3 N/A 2094 06/04/0~ / A/hoWl zed Signature Rev. 1/81 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. 28253 Z Date APRIL 9, 2002 Permission is hereby granted to: for : LONNIE SOURY 733 OLD WOODS PATH SOUTHOLD,NY 11971 ALTERATION OF AN EXISTING ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR at premises located at 733 County Tax Map No. 473889 Section 087 pursuant to application dated APRIL Building Inspector. OLD WOODS PATH SOUTHOLD Block 0001 Lot No. 023.008 5, 2002 and approved by the Fee $ 150.00 / A~tq~-o~i~zed Signa'ture Rev. 2/19/98 COPY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL /?"7 APPLICATION FOR CERTIFICATE OF OCCUPAN This application must be filled in by typewriter or ink and submitted to the Building Department with the followihg:-.~-.~ 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupa~ncy - Residential $15.00, Commercial $15.00 New Construction: ~- Old or Pre-existing Building: Location of Property: 2~ ~.~ /A/OOd~ House No. - Street Owner or Owners of Property: /O~t~ ~td/r Suffolk County Tax Map No 1000, Sectiorl~7~tP~°] ' Subdivision Permit No. ~,,~} Z~'~ Health Dept. Approval: Planuing Board Approval: · Request for: Temporary Certificate Fei Submitted: $ ~,F' ~ Date of Permit. Date. ~ / ~ (check one) Hamlet Block ! Lot Filed Map. Lot: Underwriters Approval: Final Certificate: ~ (check one (~' '~rpp~ure Nassau Suffolk Electrical Inspections, Inc. ~"~ 5A Canal Street * Center Moriches, New York, 1 i934 '* Tel: 631-878-3500 * Fax: 631-878-3764 Application No: 2094 Date:6/4/01 Issued to: Soury Address: 733 Oldwood Path Village: Southold Zip: 11971 ' Township: Southold Introduced By: Bethel Electrical Cont. Lieense#:2880-E was examined and found to be in compli ,ance with the National Electrical Code Attic 1st Roar Reside'rial [] P(x~ [] Dat. ~ ~ ~ floor Cc~q-~T.:~al I-bt Tub NV Defects Switches Receptacles Fixtures G.F.I. Heelers Air Conditionen I 2 1-500W att 1 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide Furnace Oil Gas Circulators Smoke Bell Detectors Transformers 3 ther Equipment Meter Amps Phase Motors Inground Pool 1-11/2 Hp Out,Res This certificate must not be altered in any manner Section: 87 Block: 01 Lot:.23.8 Applicant/ Owners Nmne: Architect/ Engineer: *-'- SCTM #: Dislricl: I~O00 Seckion: I>rojec~ I.ocalion: 0 i~ ,B Single & separate Ccrlificalion: Date Subm Required _{Yes I No) /a~ ~5 ~ _ {I.ol size: __ Req Req [l:ronl Y~d - Proposed:. , ] {Side Yard Project Description: ~ i]P. AG ENC.lO~aPERMIT,q REOUIRED FOR REVIEW Suffolk County Health' Dept. New York State D.E.C. Town Trustees Dale Reviewed: Subdivision ~-~x_F_. 5 ~. Nan,e: · _ Aclual: j r Req. .-o _/ d~,'~ _ Proposed: . J [Rear Yard~"~ Proposed. Town Zoning Board. approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Reg. (Lol coverage ~_L I'lopo~cd Permit . NO YES Number APPLICANT: SCTM# DISTRICT: 1,000, SECTION: STREET ADDRESS: PROJECT DESCRIPTION: BUILDING PERMIT EXAMINER CHECK LIST DATE IS'SUED: / /02 DATE REVIEWED: / /02 DATE;SUBMITTED: / /02 , BLOCK: ___, LOT: CITY: SUBDIVISION: ESTIMATED PROJECT COST: ARCHITECT / ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger (A nonconforming at any time after 7/1/8: ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: ACT. LOT SIZE: __ REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ. REAR PROP. REAR WATER FRONT? PANEL #: FLOOD ZONE: DESCRIPTION: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #):__ TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: emi-DEC 9/1/?s YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL pRE (SPLIA): YES or NO DTE: /__/__ PERMIT #:R10- NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total)" VENT (SQ. FT. x 4%). BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0- Z- NOTES: LIGHT (SQ. FT. x 8%) FEE STRUCTURE: FOUNDATION: SF 1. ( SF)- ( 2. ( SF)- ( FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: SF SF)= SF X $ =$ SF)= SF X $ =$ INIT FEE OTHER FEE +$ +$ = $ +$ +$ = $ TOTAL FEE Albert J Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631} 765-1892 Fax (631) 765-1366 Apfill3,2001 BOARD OF TOWN TRUS'rEES TOWN OF SOUTHOLD Mrs. Catherine Mesiano 12 Mill Pond Lane East Moriches, NY 11940 RE: 825 South Harbor Road, Southold SCTM#87-1-23.8 Dear Mrs. Mesiano: The Southold Town Board of Trustees reviewed the survey dated October 7, 2000 and last revised February 12, 2001, and detemfined the proposed pool to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGinG. [ ] ~J~_ TION [/.,~FINAL ] FIREPLACE & CHIMNEY REMARKS: DATE ~,~/0 ~,/ INSPECTOR g~D ~S~ECTm~ ~eOaT FO~DATION (1ST) FO~ATION (2ND) ROUGR F~mG & PL~G ~S~ATION PER N. Y. STATE E~RGY CODE F~ TOWN OF SbUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined y/~5~ , 20r'~ Approved Disapproved aJc Expkafion 20 L BLDC. P:}?',r. PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, betbre applying'? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 4 I,¢ / ,2ovz., 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 prermses 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 perm& 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 Departmmat for the issuance ora 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. ~/~ ..~ (Signature of~pplicant or name, if a corporation) ~ ~I~ ail'.mg.address of applicant) ur Zd, //qTI State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises LO~9/ ~_~ Z/~)tJ'~¢] (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done:,,___ ? 3 old House Number Street County TaxMapNo. 1000 Section t-~'73 Subdivision {Name) .o 7 Block Filed Map No. //77l State existing use and occupancy of premises and inten~ted use and occupancy of proposed construction: a. Existing use and occupancy ~o a/v b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition Addition Alteration Other Work 4. Estimated Cost :~,oo o 5. If dwelling, number of dwelling units If garage, number of cars Fee / l--O . fro (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. , ~,~,~ , 7. Dimensions of existing structures, if any:~ttF. roiit/& / ff R~a~ .3 ~; Height Number of Stories Depth Dimensions of same structure with alterations or additions: Front Depth 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories Number of Stories 9. Size of lot: Front 10. Date of Purchase Rear Rear Depth 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 v/' NO ~ill excess fill be removed from premises? YES NO · 14. NamesofOwnerofpremisesXt--~'ot~ Address 7~J.'3 ~P~t~0~X PhoneNo. C~) 7~ q N~e of ~cMt~t Ad,ess Phone No ' N~e of Con.actor 15 a. Is this prop~ * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~S MAY BE REQUIRED. b. Is~isprop~Mthin300f~ofafidflwefl~d?*~S ~ NO * IF YES, D.E.C. PE~S ~Y BE ~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 ) / ~1~ 50/.] ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual si~tmlng contract) above named, (S)He is the (ConLraetor, 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. Swo.m_ to~ore me this --~ , - day of ~ 20 O ~ Notary Public HELENE D. HORNE Notary Public, State of New York No, 495 ~ 364 Qualified in Suffo k Coun~ F_._~ : ¢ r~ES)PNO ~p~, 16 ~801 09:53AM ~1 'J'uwn HoI[ 630g$ Rouia 25 P.O. Box 1175 Telcpho~e (~1) 766-1S92 BOAI~D OF TOWN TRUSTEES TOWN OF SOUTHOLD April 13, 2001 .. Mrs. Catherine Mesiano 12 Mill Pond Lane East Moriches, NY 11940 RI/: 825 South Harbor Road., Southold SCTM#gT-] -23.8 If you bare any ft~.her questions, ~geas¢ do not tgsitato to call. '- Albert L Krupski, Ir. President, ~osnl of Tru~tee~ Dear Mrs. Mesiano: 'Thc $outhold Town Board o f Trogtees reviewcd thc survey da~ed October '7, 2000 and last rcvised Feln~ary 12, 2001, and de~ermincd th~ prol)osed pool ~ be out of the Wetlalld jgrigtiction und~ C~ptC~ 97 of the ToWn Wetlaml C~:le~. : ~ Howcver, oay activity within 100' of~he WotlandItne ~ould require permits from this o~cc. This detem~inaiion is not a determination from any other agency. LAND NOW OR FORMERLY OF STANLEY VAN DEN HEUV£L / X~X X S90 O0 O0 W -~sro~ /' / IRON ' ~ / / ~ ~ ~k~ ~ ~ / CERTIFIED TO: JOB NO, F5265 SURV~ QF COMMONW~LTH :ND ~:g INSURANCE COMPANY R~ISIONS: DESCRIBED PROPER WELLS FARGO HOME MORTGAGE, INC. n~. mPO 1,0/25/2000 w~os LOC. 01/04/200~ xooro ce~ orl~Ol=OO~ SITUATE AT . ~oo~o ~o~. ~oo~ o~/~/2oo~ ~OUTHOLD ' TOWN OF SOUTHOLD SUFFOLK COUN~ NEW YORK SCAL~' 1'~50' DATE: OCTOBER 7, 2000 S,O,~M, DIS~ 1000SEO. 87 BLK, I LOT 2~,8 ~S[M~S AND/OR SUBSURFACESTRUCTURES RECORDED OR UNRECORDED ~ H~~8~~ U A~EN~,UARANTEEDUNL,SPHYSI~LLf ~I, NT~ THEPREMiSES.TTHE ~, OF 'E SU,.~. ' - GUA~NTE~S INDICTED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR ,,. :.::: ~: :::::::::::::::::::::::::::::::::::::::::: ::.:.::;;.;.. NHOM TH~ SURV~ tS PRePAReD, ~D ON HIS B~LF TO THE TITLE COM- ~ ~;:~:~ PAN~ GOVERNMENT~ AG~CY AND LENDING INSTITUTIONS LISTED HEREON, l~2~~hwoy AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUA~NTEES AR~ :::::,.:: NOT TRANSFE~BLE TO A~IDONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE OFFS~S (OR ~MENS~NS) SHOWN HEREON FROM THE STRUCTURES TO ~E P~P~ LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING Marc ~ Chomst, WALLS, POOLS, PATIO& P~NTING AR~S, ADDITIONS TO BUILDINGS AND Succe~8o~ to ANY O~ER CONSTRUCTION. ~oul ~ Cono#zo, L.S. Robe~ A. Kgb, Good G~und Su~eyo~, P.e. zc~o~