HomeMy WebLinkAbout40412-Z ,4+0�}1S11FF01K% Town of Southold 6/30/2016
1. cr" � P.O.Box1179
y 53095 Main Rd
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1#01 00� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38373 Date: 6/30/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 3285 Camp Mineola Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-6-12.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/1/2015 pursuant to which Building Permit No. 40412 dated 1/19/2016
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 with fence to code as applied for.
The certificate is issued to Raymond Yeung&Wing Yee V Foo
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40412 5/24/2016
PLUMBERS CERTIFICATION DATED
Autho ' Zgnatur-
_r,,rstl -� TOWN OF SOUTHOLD
/0) ate k BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
tinS ‘,.11. SOUTHOLD, NY
a!r+
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#: 40412 Date: 1/19/2016
Permission is hereby granted to:
Righi, Alan
3285 Camp Mineola Rd
Mattituck, NY 11952
To: Construct an in-ground swimming g pool as applied for with flood permit.
At premises located at:
3285 Camp Mineola Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 123.-6-12.3
Pursuant to application dated 12/2/2015 and approved by the Building Inspector.
To expire on 7/20/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Flood Permit $100.00
Total: $400.00
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Buildi : Inspec e
Form No.6
TOWN OF SOUTHOLD
6 BUILDING DEPARTMENT
--1?;\
TOWN HALL
765-1802
SUN 2 8 2°1 APPLICATION FOR CERTIFICATE OF OCCUPANCY
This applicatB,nnt;+i. ii.by typewriter or ink and submitted to the Building Department with the following:
13
A. For n��ig 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.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
Dat 6 '23'at
New Construction: Old or Pre-existing Building: (check one)
Location of Property} 32-&5- Mineo(,Q, Qac4 , q {Rd‹
House No. Street Hamlet
Owner or Owners of Propert}�� Ralf-ma k I (API Yeip L/.e,1-112„ica bio
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision 'J Filed Map. Lot:
Permit No. D'T jDate of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 0 1
11.110.12•41-
Applicant
Applicant Sig,a ure
Town Hall Annex _ W : Telephone(631)765-1802
54375 Main Roadg ills Fax(631)765-9502
P.O.Box 1179 % G Q ,1�
�o �0 roger.richertRtown.southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Righi (Yeung)
Address: 3285 Camp Mineola Road City: Mattituck St: New York Zip: 11952
Building Permit#: 40412 Section' 123 Block: 6 Lot: 12.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Main Breaker Electric License No: 5150-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New X 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 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Inground Swimming Pool to Include; Bonding, 1- GFCI Circuit Breaker,
1-Salt Gernerator, 1-Heat Pump,2-Pool Lights
Notes:
Inspector Signature: CZ7 ) Date: May 24, 2016
z Electrical 81 Compliance Form(2).xls
SOpT�,olo,,
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE Z4 1 INSPECTOR
Lid IeV ,
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,� iss o4 sou opo•:
VTy` ,
el
=_yCUUNi'1,*�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: C,
DATE
06/7/6 INSPECTOR 7i-u-4-49/- 4
FIELD 3INSPECTQN rtunkr DAA CO v1 TS •
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INSULATION PES.N,Y. H
STATE ENERGY CODE
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' FINAL
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TQWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
&''BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL' _ Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 �`l��� L� Survey
SoutholdTown.NorthFork.net PERMIT NO. 0 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 1 1 q
,20 L Single&Separate
l Storm-Water Assessment Form
Contact:
Approved ` I ,20 l 1(2 Mail to:
Disapproved a/c 1"`,! --
Expiration 1� 0 ' 7 til �'11
tt.
illi
Buil 4. pector 471 Route 25A® Rocky Point,New York 11778
L
DEC - 12015 , 1
APP CATION FOR BUILDING PERMIT
BLDG (�rF1 Date P L / /j
1/45
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale.Fee according to schedule. r
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
- :-►rctperty have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
'1 clition six months. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections. ---
i
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V_ a,
(Signature of appli,ant •byname,if a corporation)
5225 l�iMi el .. l. ..
ailibg address of applicant)
. c .
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
. ..7 1.2/1/1,
•
Name of owner of premises x.1 Y,,, -_,,^A .P
As oil 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. 2-J LH _
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Locion of land o which proposed work will be done:
85 I M ✓►Po I . Rd M c --1-1 i lui cC
House Number Street Hamlet
County Tax Map No. 1000 Section ) Q3 Block (L/ Lot 10 eA1
f
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy - /--,---i.51../ ,c'
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO
13. Will lot be re-graded?YE° NO . Will excess fill be removed from premises?YES NO
14. Names of Owner of premises 1'a-~.l rr...- "//al Ac tress Phone N l )
Name of Architect --s.®h -- Address 11 r c 44Phone No 3 i—zI cG.—
Name of Contractor 1 -&-1 T.2.41e4_kei/ Address 1"71 B 2a.-- Phone No. *1`1-9"-- - --
( -4:(4.--(e'f' M-1 n77&
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO )
* IF YES,D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO>()
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
Vv.—,^c lP�^� being duly sworn,deposes and says that(s)he is the applicant
(Name of individual siT-z:Zmg contract) ove name,
(S)He is the 6,-L✓1-ems
(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 EVE MIER
I ='X �day�of QCT . 20 N ��1/
" Vvi A, ) `!C.A01 tSUFFOLUOUNTY t
NotaryPublic 11` '7_u n ' .__.._
C01�l.EEl6P. � Signature o App cant
APPLICATION 4,
• t " ji °4ffil—.
PAGE 1 of 4 --
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sienl.
1. No work may start until a permit is issued.
2 The permit may be revoked if any false statements are made herein.
3_ If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if no work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE,TO MY KNOWLEDGE,TRUE AND ACC TE.
12 el I
(APPLICANTS Sk ATURE i4j
DATE
SECTION 2: PROP ED DELOPMENT (Ti, be Dieted by APPLICANi)
NAME , ADDRESS TELE\P�J�'NE ,�f('
APPLICANT / / { / I V l(�i�1 v ""
BUILDER 1r. ' X '— 4J�Jf► I l , �i V Al 47
ENGINEER L u)Ci N ` l -' 211C):5--
,
PROJECT LOCATION:
• To avoid delay in processing the application, please provide enough information to easily identify the project
location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing
the project location would be helpful.
325 itA_- i .wat
ZTAIrdl ,o i CCDO — i 2 -- ', — I 2_,___,3
FDP(93)
•
APPLICATION
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PAGE 2 OF
_PAGE2OF d
DESCRIPTION OF WORK (Check all applicable boxes)-
A. STRUCTURAL DEVELOPMENT
ACTIVITY STRUCTURE TYPE
folAAddition
New Structure 0 Residential (1-4 Family)
Residential (Marc than 4 Family)' Z ' 0 Alteration
0 Non-residential (Floodproofing? 0 Yes)
O Relocation 0 Combined Use (Residential & Commercial)
O Demolition � 0 Manufactured (Mobile) Home (In Manu-
O Replacement facturcd Home Park? 0 Yes)
ESTIMATED
ESTIMATED COST OF PROJECT S o .�D
B. OTHER DEVELOPMENT ACTIVITIES.
O Fill 0 Mining 0 Drilling 0 Grading
ti Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications)
•
❑ Drainage Improvements (Including Culvert Work)
O Road, Street or Bridge Construction
❑ Subdivision (New or Expansion)
❑ Individual Witer or Seer System
0 Other (Please Specify)
After completing SECTION 2, APPLICANT should submit form to Local Administrator for review.
ECT ON 3: $ •DP DETERMINATI•N o .c com.feted by •CAL ADMINI TRATOR
The proposed development is located on FIRM Panel No. , Dated
The Proposed Development:
O Is 1+IOT located in a Special Flood Hazard Area (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED)'
•
O Is located in a Special Flood Hazard Area.
FIRM zone designation is
100-Year flood elevation at the site is: Ft. NGVD (MSL)
O Unavailable
0 The proposed development is located in a floodway.
FBFM Panel No. Dated
❑ ion 4 for additional instructions.
SIGNS
ai?'" DATE I
APPLICATION i/
PAGE 3 OF 4
SECTION 4. ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATOR)
The applicant must submit the documents checked below before the application can be processed.
•
0 A site plan showing the location of all existing structures, water bodies, adjacent roads, lot
dimensions and proposed development.
❑ Development plans, drawn to scale, and specifications,including where applicable:details for
anchoring structures,proposed elevation of lowest floor(including basement), types of water
resistant materials used below the first floor,details of floodproofung of utilities located below
the first floor and details of enclosures below the first floor.
Also,
❑Subdivision or other development plans (If the subdivision or_other development exceeds 50
lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations
if they arc not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
❑ Top of new lull elevation Ft. NGVD (MSL).
❑ Floodprooftng protection level (non-residential only) Ft. NGVD (MSL). For
floodliroofed structures, applicant must attach certification from registered engineer or
architect.
❑ Certification from a registered engineer that the proposed activity in a regulatory floodway
will not result in any increase in the height of the 100-year flood. A copy of all data and
calculations supporting4his fording must also be submitted.
❑ Other:
E S : PERMIT D ! RMIN;TI sN • •c co • etc. • LI D IN ' , S R
I have determined that the proposed activity: A.0 Is
B.❑ Is not
in conformance with provisions of Local Law # . 19 . The permit is issued subject to the conditions
attached to and made part of this permit. •
L
SIGNED , DATE
• If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated
fee.
If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a bearing from the Board of
Appeals
APPLICATION a _
PAGE 4OF4
APPEALS Appealed to Board of Appeals? ❑ Yes 0 No
Hearing date"
Appeals Board Decision --- Approved? ❑ Yes 0 No
Conditions
SECTION G: AS-BUILT ELEVATIONS fro be submitted by APPLICANT before Certificate of Compliance
is issued)
The following information must be provided for project structures. This section must be completed by a
registered professional eng-necr or a licensed land surveyor (or attach a certification to this application).
Complete 1 or 2 below.
1. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard
Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is:
FT. NGVD (MSL).
2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL).
NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant.
.
SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will comple e-this section as applicable based on inspection of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? 0 YES 0 NO
DATE BY DEFICIENCIES? 0 YES 0 NO
DATE BY DEFICIENCIES? 0 YES 0 NO
E •N :: ERTIFI TE •F •MP IAN El. . ►e c►m Ie • • .D 4INI RA •
Certificate of Compliance issued: DATE BY: •
1
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
r
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA
(OWNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
0 NEW BUILDING
o EXISTING BUILDING
❑ VACANT LAND
•
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
- LOCAL LAW # , 19
SIGNED: — DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
• C/C(93)
12/16/2015 09:34 6317448292 FENCE KING OF ROCKY PAGE 01101
° -- TE •MM A.T�J R i
Scott A. Russell •,,' i,„5 ) Q_eNjl- -4No _1-60A,`17,
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tt,,:,
SUPERVISOR .
MANAGEMENT
SOUTHOLD TOWN HALL-11',.O.gaz 1179
53095 A[n-0ta Roed•90VfHq�D,NEW VQttIC 71,9TA �_`, ``r
. litit.0%. Town. of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED.By THE APPLICANT )
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11-7.7 ,.,:::::,,,....-.--.. ..-::,:::-. 2.±..._- DOIiS. :II �SLv1EANY P -W`_ , : ._ -i
FOLLOWING:
Yes •No
(Neck ALL THAT APPLY) I
0 /,I A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground-surface. 'I
1 ❑A B. Excavation or filling involving more than 200 cubic yards of material 1
within any parcel" or any contiguous area.
❑'C. Site preparation on slopes which exceed 10 feet vertical rise to 11
I 10.0 feet of horizontal distance. I
I OR D. Site preparation within 100 feet of wetlands, beach, bluff or coastal iif
erosion hazard area, Ili
,ral �! E. Site preparation within the one-hundred-year floodplain as depicted 'I
on FIRM Map of any watercourse. jI
0110 F. installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management l
Ij 'Control Plan was received by the Town and the proposal includes
replacement
-
_ryin-kind re lacement of impervious surfaces,gL -_ „ :— � - - : mo _ --------F--==---.---------=------------.* you answered
NO to ail of the questions above;"STOP! Complete the Applicant section'below with
Signature, Contact Informations Date &County Tax Map Number! 'Cb your 1Vaavt.
If you answered YES to one.or more of the above, please subxnii Two copiesof a S dtorrn not apple to your pContr
and a corn eted(heck List Form to the Building Management Control Plan
r:-.-13,.. -7-7,--Ent77-2-1 ,-.. :,.W-T.�_^ ... t1"Dep�artrnent wit�ur Building Pertnit Appticatiau.
—,L—' CA Y r perey Owner.Design Profe14 tonal Agent.
t ontrncker,othr- S.CT• I. 1-000 ��
�� d,�I DAte
;f NAME Mii LL7il I i. r a ,, _,, ;�i l, /23 /21L /J5
it ma �__ jo t II 5eet14n k Let ��
�f contact Infornfe[�fofJc ] ! —)C111:0.1 -- IIS r:4.al A mid III ' FOR BUILDING DEPARTMENT—USE ONLY II
II '�fYIT� i IIIs .6
Illr - - - Reviewed By: �t,71 I
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1I
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Pro a Address I Location of Construction Work: . 1DDote: �� ' -/5 ��
Ii �Vir iA► /:/. I 0Approved for isrocessing Builds g Permit,
IStc'rmwater Mara
�I; _` ``�;� � `.�� /. �.', 'li gement Control Plan Nit Required.
� I + Stormwater Mono geretnt Conti=oi Plan is Required.
I IF ,- _ - -••u i - _II! � (Forward to Engineering Department for Review)
RM SMCP-TOS MAY 2014 .- ,.. :_ ; ;
_,C: e-r.51 i ) —7‘,2 -.-- .' 1 --(_-_--,,,,F.2_,
CHAPTER 236
Pi {( � 1 • _ t, --(2 r b : StormwaterManagementControl Plan CHECK LIS):
bb , -• ;£' �z S Ni C P Plan Etequirerr,ents, ProvKle ONE copy of the Hudd,., "-:-n-ut Appl)ca',(c i
f.,.......::s.,_,,,. ...,,,,,,
..,,,."''.x} gs,:_. .L 1:;.‹, e _ 2014,1 a *, Tic:applicant rule p;ov de a Carnpie.C;Expla as i<`E;and/or R.e<asor ,or not pro,„,:r''<€+i^'
1 all Inf`orrnat,on tliat has been Required:by the failoE ing Cheexli`a'
I, ,. , ''' i
; :, r -x_ l 4 _ , if You answered No or l' o anyRem, Please
1 a a`e Provide, si.sr;f=crnc; !E,. d. < `''' NNAI
W If you need additional room for explanations,.Please Provide C :l; it r?.
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lAdditional Information is Required.
Stormwater Management Control Plan is Nct Complete,
_ • 1Ei
Stormwater Management Control Plan is Complete.
1 SIVICP has been approved by the Engineering hepar tmer:t
S C T M NO DISTRICT. 1000 SECTION 123 BLOCK 6 LOT(S) 123
P '
TERRY PATH
03 C § o J1ND N/F
6. O_ 0 OF
VI C T y MONA BROWNE I
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S87'27'00"TY 97.58' D ITN'
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� � � I ,, r.
at O o Q < LAND N/F j�U
LOT COVERAGE OF
I MARK & PAULINE STUFANO
HOUSE W/COVERED PORCH
WOOD STOOP, CONC STOOP
& SHOWER - 2,142 S.F FEMA MAP#36103C0482H
FRAME SHED - 230 S F
. 2,372 S F or 16.2-%
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
PARCEL IS 10G% CLEARED LOCATIONS SHOW)ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM 071-ERS
AREA 14,462 77 SQ FT or 0.33 ACRES ELEVATION DATUM NAVD88
UNAUTHORIZED A_TERA TIDY OP ADDITION TO THIS SURVEY IS A NOL ATION OF SECTION 7209 OF THE NEW YORK STAY EDUCATION LAW COPIES CF THIS SURVEY
.MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COSY GUARANTEES INDICATED HEPEON SHALL FUN
ONLY TO THE PERSON FOR AllON THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COM"AN". GOVERNMENTAL AGENCY AND LENDING INS APUTION
L,STED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A 5PECIF,C PURPOSE AND USE P-EREFORE THEY ARE
NOT INTENDED TO'MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADOIPO.'AL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCPJRES RECORDED OR UNRECORDED APE NOT GUARANTEED UNLESS PH"SICALLT EVIDENT ON THE PREMISES AT THE TIME Or SURVEY
SURVEY Of DESCRIBED PROPERTY 1 CER"IFIED TO RAYMOND YEUNG, __
r1A"OF I WING YEE VERONICA FOO,
I WELLS FARGO BANK, N A,
r'ED
THE JUD'C1AL TITLE INSURANCE AGENCY, LLC.
SITUO TED AT MATTITUCK f--""--- --"" --"----
1
TOWN or SOUTHOLD ;KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUP'a_K COUNTY, \EW YORK , Professional Land Surveying and Design
4r,1I ie.-47d-4. P.O. Box 153 Aquebogue, New York 11931
15-148 A� - PHONE (831)28B-1568 FA). (631) 286-1588
'IEE
4 SC.LE "=20' DATE' SEPT .?,4, 2015 N YS USC NO 040882 1 melntalnIn(the records of Robert J nenn T&Kenneth Y xogchuk
i
off° SOF SO074
Town Hall Annex * • • * Telephone(631)765-1802
54375 Main Road N max(631}7 65- 5Q2
P.O.Box 1179 4. 11 roqersichert(a)town.sout�
old.ny.us
Southold,NY 11971-0959 : 'Q ,I
`®Util t s
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
• REQUESTED BY: 10o li CO1,C Date: Li _ a 0_ l 4
Company Name: ifvkAiA c,tck r 1� c 1c c CO LEI c.•.
Name: 6e.Or
License No.: 51 S �
Address: �� ( ,f� �-e [6,5)- IC / S /R-b y/oii AN)1-70 y.
Phone No.: C.P C Cl `-1 VAD
JOBSITE INFORMATION: (*Indicates required information)
*Name: l�a. \/e ',
*Address: _---. 3 �� -ceal
*Cross Street:
*Phone No.: qi7- 7 - /1 f
Permit No.: D(+
Tax•Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) - - ,w I11.c -177,4 Ii,
I LA/,"r 1\.7)
(Please Circle All That Apply)
*Is job ready for inspection: O Rough In Final
*Do.you need a Temp Certificate: YES / O
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
4dditional Information: PAYMENT DUE WITH APPLICATION
loo . -
82-Request for Inspection Form
ii.
se AS?Town Hall Annex 1 y �® : Telephone(631)765-1802
54375 Main Road ' , , 1E3i Fax(631)765-9502
P.O.Box 1179 G 1
Southold,NY 11971-0959 ••O' -."`
•04.
. COUNII,�^�°._,.'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 20, 2016
Raymond Yeung
16 Surrey Road
Great Neck, New York 11020
RE: 3285 Camp Mineola Road,Mattituck
TO WHOM IT MAY CONCERN:
The items marked below are required to obtain your Certificate of Occupancy.
u /
X Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final Survey with Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
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: 40412-Z Swimming Pool
•
m TOWN- OF SOUTHOLD PROPERTY-RECORD CARD
wie.- /o? 3 -' - /a . 3 - - AS
a OWNER STREET 324: VILLAGE _ . DIST. SUB. LOT
El
t�C 4 kv„' A l 4 ?nil" ! ? Pfd Ili
�'tl 'e a E , - e,
FORME OWNERI N c. kal• 65. i E � emagewACR. an.cy
A reirn i ll.�e.am z3+01.5. S W TYPE OF BUILDING 2 O
yyam�,, ! Rei f }+600 f k�:Le-
3) 4,'&:$014‘;-7 et-4e. ��e�lc�ax f�avvytn lrlr'htoht re -, 1
9
v; RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
o 0�) 0
u-)
LAND IMP. TOTAL DATE REMARKS .
/ ! o
'Uzi_LIO
Vf 0 t� `7`D 6 ,2f� ? ' 1 *id Cre �'t 7te 4'6)16477 4/es da 6 4 G gS3 .forrettr
/s
O 600
feet). 4 Co Vas/if 14/7F r.«14 [. F ad-.+.. o /4 1 :r /4D60 L "c4/Z
D Goo zoo Roo) Ar ,J
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r
500 F0OO 3, `00 a 07 ,Litt ' -1--[ . øM . -sit',:arf >!i •. �' is 1 : ' _..rs�l
500 4600 "v 7 Dai ' / _ ,ll Y 2J
• . 9 1 7 5-ilitritaUitr .
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/ D P# J8.33 t eti dug,1r; 5•m.0, ,,,(06c4na°39S-51
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LID
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Tillable FRONTAGE ON WATERm.
61 t
m -
Lo Woodland FRONTAGE ON ROAD -
- Meadowland DEPTH -
a3 .
House Plot i6o0 4. . 5 la BULKHEAD
m- —
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COLOR cr€y TRIM 'Y Jv --
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11.
Extension
7X3f = SKg�S$7 S.S4C5t E 1484a ■ ■
Eic#ension 111osiimmimolimumimi
i
Extension 1 k a..7:-::: 3 a- 3.50 _ //3r
.
iO Foundation Both t Dinette
in
- Porch 7A-3/ _ a / 7 . S 0 f 0 8, Basement L� Floors ' K.
1
o " J'IrL%.io r �_ Ext. Walls �� Interior Finish 371e•-• LR.
Breezeway Fare Place '4.5 Neat DR. J
m Ga rageLan't� oaye Type Roof Rooms 1st Floor 1 BR,
m r AC (a) Se 07
00 Recreation Room Rooms 2nd Floor FIN. B
- -
up
CD- -0. B. \Aif 00 Dormer Driveway y / ,
/
\•1 "� te`
TOW -�}�aD L
N Total r I�^� 74a4.10 �;t[w 007 _
m
5000 0 tr+v 11ihi'#
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—__ +9
6 6caD 4lT
S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: 6 LOT(S): 12.3
TERRY PATH
o LAND N/F
-,,. OF
MONA BROWNE
• I x a
- o 1 58727'00"W 97.58' 0.1'N
VINYL0/L
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/ 41$„ 1f it�f '.ia' 9� I og
/ C/1 ENCLOSEIPOOL TO CODE ^J
io" // 40' // 10" ijpON COMPLETION Z
€ ` �+ '•BEFORE_"WAT.ER" 0 — co
0 PPRO ED AS NOT DK VALVE O o
�a FROM SKIMMER >-
o DATE: B.P. ._ _0 .r_arl - v w Z
\ -,:,
r\ \ FEE: ��B�'' `
Z o I--
NOTIFY BUILDING DEPART. ,q' "' lesAuL<
Cc 1802 $AM 10 �r�M •
F K I t1t ':
B. WATER RETURNS I-- N O
FOLLOWING INSPECTIONS: y- w y-
7'6"H2O 1. FOUNDATION - TWO REQUDR TE O a__. a U
3 4"H2O CONCRETE Z
/ 4' / 9' / T / 20' FOR POURED QQ O O
op izo c9 2. ROUGH - FRAM NG & PLUMBING d cL
3. INSULATION
P WATER RETURNS _ C1l/ FILTE'
4. FINAL - CONSTRUCTION MUSTCIN LC COVESTEPSED BE COMPLEI E `C^ 0.0.
CONC.STEPS _
ALL CONSTRUCTION SHALL MEET THE eb
0 / 74- REQUIREMENTS t THE CODES OF NEW TO RETURNS ;` s�e; 3 \1.
\ \ \ YORK STATE. NOT RESPONSIBLE FOR PLUMBING SCHEMATIC ; ' 4,7-0 J \ �'�'
N b \ DESIGN OR CONSTRUCTION CLt V,q�E �,, -,� ��1\ v,
CONC.BENCH CONC.WALLS NOT TO SCALE { 13 1 3�.p:. ;c`';
PLAN COMPLY WITH ALL CODES OF 1
/ 4'-6" 8' / 16 x 40 Rectangle NEW YORK STATE & TOWN CODES DRAINAGE INSPECTIONS ARE REQUIRED , *\ a „ i
Contact TOS En ineerin at 765-156®before �'
AS REQUIRED AND CONDITIONS OF Backfill,OR=Provide Engineer's CertificatiorT ��e. 9'I '� ®°�'
��!1T1��n TnWni�gq that the drainage has been installed to Code ` y ,
ELECTRICAL
INSPECTION REQUIRED
WATER LINE - NOTES v
all-1- TV \ LYS"-"--' I ALL CONSTRUCTION IS TO BE IN ACCORDANCE WITH THE RESIDENTIAL CODE OF NEW YORK
II . • X11 II �= STATE-2010 AND THE ANSIMSPI-5-03 STANDARDS FOR RESIDENTIAL INGROUND SWIMMING
._1 i i -1=1' i9 POOLS FOR A TYPE II POOL QJ
-in-in-iii-' OCCUPANCY OR 2. STRUCTURE IS GROUND WATER TABLES S D AMINIMUM OF 4'-8 BER USE BELOW DLOW THE PE AND L OY IPOSED FIN AREAS WHERE
SHED GRADE.
N ,
N 3. BACKFILL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGHT Q.) ra-N
,.
USE IS,UNLAWFUL OF BACKFILL TO EXCEED THE HEIGHT OF THE WATER IN THE POOL BY MORE THAN 8',OR 1LI Q
:- .7:.\_.2"to 4"SAND BOTTOM THE WATER TO EXCEED BACKFILL BY MORE THAN 8' 0 N---
WITHOUT CERTIFICATE 4. PLACE CONCRETE ON SANDY TO LOAM SOIL. REMOVE ANY CLAY DEPOSIT AND COMPACT O >-
Z FORMED CONCRETE STEPS COPING AND WALKWAY CLEAN BACKFILL `f
(BY OTHERS) ^ ,1
A.
SECTION A '� I p tiGY 5. WALKS TO BE SMOOTH,NON SKID TYPE,SLOPED AWAY FROM POOL. 00 Z E-
\•.I�r; }.i lam.\ 'LY a , Fj
WATER LINE 8. WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY IN ACCORDANCE WITH LOCAL p L)-.4'
SCALE:1/8"=1'-0"
to /\ \ REGULATIONS. N W t
\ a y 7. PROPERTY OWNER IS RESPONSIBLE TO INSTALL PERMANENT FENCE AROUND POOL IN O N
Y\ ACCORDANCE WITH THE NYS BUILDING CODE,APPENDIX G,SECTION AG105. PERMANENT 0. } r'
8 /�� ENCLOSURE MUST BE COMPLETED WITHIN NINETY DAYS AFTER THE DATE OF 0
TOP OF WALL WATER LINE ROLLED FOAM BETWEEN • \\//: ca.
COMMENCEMENT OF CONSTRUCTION. eL
LINER AND CONCRETE ° 8 THERE IS NO MAIN DRAIN IN THIS POOL. SUCTION FOR POOL WATER CIRCULATION IS
T.I. �— 1111 �� PROVIDED BY THE SKIMMERS ONLY THIS MEETS REQUIREMENTS OF RC-SECTION AG106
Ilan 4' 8' . 4'iy:11J1 r° FORM TIES-
3500
\\\/ FOR ENTRAPMENT PROTECTION.
irn v= io a / `9
VII
11=1 1 ° � 20 9. THIS POOL SHALL BE EQUIPPED WITH AN APPROVED POOL ALARM WHICH IS CLASSIFIED BY LLJ }
�' o 3500 PSI POURED CONC.- \\ UNDERWITERS LABORATORY,INC TO REFERENCE STANDARD ASTM 2208 ENTITLED
in // 'STANDARD SPECIFICATION FOR POOL ALARMS,"AS ADOPTEDIN 2008. Z'-' z
VINYL LINER1 \\\ 10. A TEMPORARY ENCLOSURE,OR 4 FT FENCE SHALL BE INSTALLED AND REMAIN IN PLACE ~W Z In
I �/ THROUGHOUT THE PERIOD OF CONSTRUCTION OF THE SWIMMING POOL,OR UNTIL THE 0 Lv 0
4 /\\ COMPLETION OF A PERMANENT ENCLOSURE Z i_,Q N
2"TO 4"SAND--. .,,,,..,„-------------1.1- --------...._.... \ Lu•,--
-
r
° \ 11 POOL SHALL BEAR ON UNDISTURBED SOIL,FREE OF PEAT,MUCK OR OTHER DELETERIOUS I= LL-M
�j\ MATERIAL OF ANY SIGNIFICANT AMOUNT. Oval {y SECTION B /\• \„ -„7„„‘„,\\ \\„\;.,\� \\/\\•\ \ 12. THE PRESUMPTIVE SOIL LOAD-BEARING PRESSURE IS ASSUMED TO AS 2,000 POUNDS PER LU
T GLS m
�\\\\\ \ \\ \ \ \\/\\�\\\\�\ SQUARE FOOT,IN ACCORDANCE WITH TABLE R401 4 1,RCNYS. .<LJ I-
SCALE:1/8”=1'O" >\ \ \ \ \ \ \ \ \ \ \ 13. THE MINIMUM COMPRESSIVE STRENGTH OF CONCRETE USED FOR WALL AND OTHER e-
��/��/�� /��`/�� /��/��/�� COMPONENTS OF THIS PROJECT SHALL BE 3,500 POUNDS PER SQUARE INCH CONCRETE e O
SHALL BE AIR ENTRAINED,WITH TOTAL AIR CONTENT(PERCENT BY VOLUME OF CONCRETE)
SHALL BE NOT LESS THAN 5 PERCENT OR MORE THAN 7 PERCENT IN ACCORDANCE WITH
TABLE R402.2,RCNYS. 11-30-2015
14 STEPS OR LADDERS SHALL BE PROVIDED AT EACH END OF POOL PER CODE.
WALL SECTION 15 IF THE SLOPE FROM SHALLOW END TO DEEP END IS MORE THAN 11,A SAFETY ROPE SHALL
BE PROVIDED WHEN REQUIRED.