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HomeMy WebLinkAbout42305-Z Town of Southold 9/24/2018 0 P.O.Box 1179 o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39913 Date: 9/24/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1000 Marlene Ln, Laurel SCTM#: 473889 Sec/Block/Lot: 144.-2-40 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building"Permit heretofore filed in this office dated 1/9/2018 pursuant to which Building Permit No. 42305 dated 1/18/2018 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 Fogel,Jean-Michel&Sharon of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42305 05-02-2018 PLUMBERS CERTIFICATION DATED ut oriz ignature ods ��co TOWN OF SOUTHOLD BUILDING DEPARTMENT ca TOWN CLERK'S OFFICE o • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42305 Date: 1/18/2018 Permission is hereby granted to: Fogel, Jean-Michel & Sharon 151 Overlook Ter Roslyn Heights, NY 11577 To: demolish existing accessory garage and construct accessory in-ground swimming pool as applied for. At premises located at: 1000 Marlene Ln, Laurel SCTM # 473889 Sec/Block/Lot# 144.-2-40 Pursuant to application dated 1/9/2018 and approved by the Building Inspector. To expire on 7/20/2019. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 DEMOLITION $205.60 Total: $505.60 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCIJpANCY TMs_application must be filled in by typewriter or ink and submitted to the Building Department with the follo*ing: A, For new building or nesvuse: 1.' Final survey of property with acettrate•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 froth Board of Fire Underwriters. 4., 'Sworn statement from plumber certifying that the solder used.in system contains less than 2110 of I% lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliahcvfrom 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)Ron conforming uses,or buildings and"pre=existing"land uses: 1. Accurate survey of property showing all property lines,streets, building abd•unusual natural or topographic features. 2_ A properly cpmpleted application and consent to inspect signed-by the applicant. If a Certificate of Occupancy is denied, the BiOding 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,Allerations to dwelling$50.00', Swimming pool$50.06,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00: 2. Certifteate of Occupancy on Pre-existing Building- $100.00 3. 1 Copy of Certificate o€.Occupancy,-$25 4. Updated Certificate of OFcupancy- $50.00 5- Temporary Certificate of Occupancy-Residential$15.09,Commercial$15.00 Date. Vew Construction: Old or Pre-existing Building' cheek one) , location of Property. obo 1 1House No. [reef amlet ?wear ar Owners of Property: 01 Wolk County Tax Map No 1000,Section _Block Lot ►ttbd:ivision Filed Map. jot: 'etmit No. Datef Permit. . oApplicant: lealth Dept.Approval: Underwriter's Approval: 'lanning Board Approval: .equest for: Temporary Ce 'f tate � p rY`/" Final Certificate: (check one) . ee Submitted: $ pMicant Zin ure pF SO!/Tyol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 • �Q roger.rich ert(a-)town.southoId.ny.us Southold,NY 11971-0959 Q COUNTY,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Fogel Address: 1000 Marlene Lane city;Laurel st: New York zip: 11948 Building Permit#: 42305 Section: 144 Block: 2 Lot: 40 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Bethel Electrical License No: 40557-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool 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 A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1 Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, 1- Pool Light, 1- Cover Motor, Control Panel, Salt Generator, Gas Pool Heater, 2- GFCI Circuit Breakers. Notes Inspector Signature: Date: May 2, 2018 0-Cert Electrical Compliance Form.xls 0f 50UTyO� # TOWN OF SOUTHOLD BUILDING DEPT. ooum" 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLSG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [3�,j ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE `� INSPECTOR OF SOUIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm��' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULAT ON [ ] FRAMING /STRAPPING [ ?;FINAL A&�� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING R ARKS: o65r QnlrA sW14 DATE INSPECTOR �o�apF SOUTyo� # TOWN OF SOUTHOLD BUILDING DEPT. `ycou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING /STRAPPING FINAL pk� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Y)w rov- &q" DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) --------------------------------- FOUNDATION(2ND) tsi o C� O d ROUGH FRAMING& ._ PLUMBING � r INSULATION PER N.Y. H STATE ENERGY CODE 10 b �fS R6 tw(lL4 Awho k444A r rl K FINAL ADDITIONAL COMMENTS 2 Z rn 1 O z H p; d b H TOWN,OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees ly- C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: Approved ,201 Mail to: Disapproved aaw ., Expiration ,20 Bu Spector 471 Route 25A• Rocky Point,Now York 11778 D r..`tXV PLICATION FOR BUILDING PERMIT Date201 INSTRUCTIONS T 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. 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 construe ' f ' dings,additions,or alterations or for removal or demolition as herein described. The appl' n 11 able laws,ordinances,building code,housing code,and regulations,and t mit auth rrA r a building for necessary inspections. JAN 9 2016 � I (Si ature of ap is or ame,if a corporation) w >��� I n � i I 1 fib® IvIG��)e f�-- TOWN OF S® �)-? I 7o, /� y(Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises (As on th ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 2-4 LPI W Plumbers License No. Electricians License No. Other Trade's License No. 1. Locatto of landonwhich roposed work will be done: House T4umber Street Hamlet 14+County Tax Map No. 1000 Section Block Lot 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 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 I L 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 o pretonise � Address (CDO Marl '�VV_ . `i Name?of Architect U Addr sZ73 Ha-ok4nc Ate- Phone No Name,of Contractor ress U--L( -Ft aj� Phone No 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES N * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY B REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NOQ * IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan'and distances to property fines. 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 ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing cont act)above named, (S)He is the_ (Contractor,Agent,Corporate Officer,etc.) of saidowner 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. Swornefore me t day of 2 �E B MILLNER - NOTARY PUBLIC STATE OF NEW Y K OLK COUNTY Notary Pub is UC."I MI 231 Si atur of Applicant COMM.EXP. i ?tio Scott- A. Russell �a"°SUF���� SUPERVISORI�v]CA\�A\�G�]EMUENT z SOUTHOLD TOWN HALL-P.O.Box 1179 u" 53095 Main Road-SOUTHOLD,NEW YORK 11971 'ky�0 ��- Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET __ --.-__ ( TO BE COMPLETED BY THE APPLICANT)i - -- DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY Yes No ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑ B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑R D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑EI E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, ignaturerContact-lnformafion,-Date-&-Count}--Tax-Map-Numberi Cbapter-236-doesnot-appl*-to4oui-pro ect If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Aaent.Contractor,Other) S.C.T.M. '°: 1000 Date. Dntnct NAME. iSec t3)'ocH of l�C)��Lt;iE_i�l\a Dl�;t'A1?T�9E Reviewed By. ' Contact In(or anon: rn.Nn�„<�o��o. ,,� Q ' �tM_�*_ — — — — — — — — — — — — — — — — — — Hyt Date: Property Address / Location of Construction Work- — — — — — — — — — — — — — — — — — y O Approved for proce�,stng Building Permit. C� Loll + — — Stormwater Management Control Plan Not Required ❑ Stormwater Management Control Plan to Required_ (Forward to Engineering Department for Review) FORM ` SNICP- TOS MAY 2014 o��o�so�ryo! � o Town Nall Annex 1R l [ Telephone 7 8 54375 Main Road (631 ro er.richert town DD P.O.Box 1179 �. �' �Q Southold,NX 11971-0959 �O APR 2018 BUILDING DEPARTMENT BUMDING DEPT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION QUESTED BY: 1\�O FAA Qt P\ 4'� IOtt`C ©C Date: 01 I F )mpany Name: 'j,Q. V)Q_ 151 On(N COAI lei ' I L )me: n U1 f- .i Or, ;ease No.: :;R -7 eI idress: 1��7�' �JJ�c.a. v-\ AU 0 1-00 �, Ill ) 174-( lone No.: �j"j f-- 50 - (0 aBSITE 'INFO.RMATION: (*Indicates required information) ame: I CA e L F GG I-- L_ ddress: ) 00 1\Aeo -Q,nQ. A-t_ C i :ross Street: hone No.: wmit No.: 2 0 ix-Map District: 1000 Section: Block: 2 Lot: RIFF DESCRIPTION OF WORK (Please Print Clearly) lease Circle Ail That Apply) job ready for inspection: YES NO Rough InFinal o'you need a Temp Certificate: YESNO mp Information (If.needed) ervice Size: 1 Phase 3Phase 100 150 200 300 360 400 Other ew Service: Re-connect Underground Number of Meters Change of Service Overhead -ditional Information: PAYME T DUE WITH APPLICATION 5tXd. jjo e- A f/j)P- -7�q,4c- �tO sl. cejiffi�n 0VJJAQ,r S leo 82=Request for Inspection Form 1 . n ! 1 - SURVEYED FOR: SHARON FOGEL JEAN-MdCHAEL F9CEL 8 --- - - - LOCATED AT; JWq7-n LOT: 1-1 �DESCRIBED CKSOUTHOLDSUFF_CO.,Y. MAP OF: ASS 25) S.C.T.AII# 1� 2..gd SCALE: 1"=S0' - toe • 4 pz P a it os' H L top ! � 9i 15 tooFILE- 51047 r � ' 11111111 IIII IIIII IIIII IIIII Illll IIIII IIIII IIIII IIII IIII 1111111 IIIII Illll IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/27/2016 Number of Pages: 5 At: 02:45:32 PM Receipt Number : 16-0012894 TRANSFER TAR NUMBER: 15-17988 LIBER: D00012850 PAGE-: 273 District: Section: Block: Lot: 1000 144.00 02.00 040.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $430,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $200.00 NO Transfer tax $1,720.00 NO Comm.Pres $5,600.00 NO Fees Paid $7,720.00 TRANSFER TAX NUMBER: 15-17988 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County e RECORDED / 2016 Jan 27 02:45:32 PM Number.of pages JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012850 This document will be public -,P 273 -redord.Please remove all DT# 1§-17988 Social Security Numbers = -prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recd • g/Filing Stamps 3 Fells �.L Mortgage Amt. Page/Filing Feey 1. Basic Tax Handling 20. 00 2.Additional Tax TP 584- Sub Total SpecJAssit. Notation or, EA-5217(County) `7/ Sub Total Spec;/Add. fj+� EA-5217(State) TOT.MTG.TAX ocM Dual Town Dual County_ RPT.S.A. ti Held for Appointment Comm.of Ed. 5. 00 /�A� Transfer Tax 7 a0 Affidavit + ' V Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one,or two NYS Surcharge 15. 00 ,� family dwelling only. Sub Total �7 YES or NO Other _ • Grand Total L770If NO,sea appropriate tnx clause on �i page# of this i ent 16002312 i000 14400 0200 oa0000 4 1 Dist. y i t i 5 Community Preservation Fund Real Property (�g Consideration Amount$ 0Tax Service Agency CPF Tax Due Vedfication Improved r G Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD TD TD Mall to:Judith A.Pasdale,Suffolk County Clerk 7 Title Conivafty Informatiow 310 Center-Drive, Riverhead,NY 11901 www.suffolkeountyny.gov/clerk ode# $ Suffolk Count yReeording & indorsement Page This page forms part of the attached �'ee made by: 1 (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in !!S SUFFOLK COUNTY,NEW YORK. TO In the TOWN of �— L ��� In the VILLAGE r✓ •GU/ Por HAMr.Ft'of _ ��7?7-�� BOXES G THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 4 CONSULT YOUR LAWYER BEFOREBIGNING�.HIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY s �A THIS INDENTURE,made the /�� day o2015f" BETWEEN Lawrence A.Herrmann,as Trustee of the Herrmann Premises Trust,residing at /Ove e,q,,g lPlle' 1,a party of the Ti prt,and i Jean Fogel and Sharon Fogel,his wife,residing at 151 Overlook Terrace,,Roslyn Heights,NY 1,1577 party of the second part, WITNESSETH,that the party of-the first part,in consideration of fir' -I• L 1"7;.. ' 1, .. ? ; ` .1' :; i_ . t;t�i,s .r. j?-1..0 ,5:; Y,_-_=ten "dollars -:,,.j paid by the party of the second,pah,,does hereby grant-and release unto the party of the second part,the heirs or successors apd assigns,of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and Improvements thereon erected,situate, lying and being In the See attached herein Premises known as: 1000 Marlene Lane,Mattituck,New York District: 1000"Section: 1444.00;"'Brock:02.00 Lot: 040.000 Being and intended to be the same premises described in deed dated-11-6-02•reorded 3-5-03 in Liber 12238 page'839 from Edward L. Herrmann who died 5-23-08. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,In compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other- purpose,The word"party"shall be construed as If it read'parties"when ever the sense of this indenture so requires. - - IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. " Lawrence A.Herrmann,as Trustee Standard N.Y.B.T.U.Form 8002 Bargain and Sale ted,with Covenant against Grantor's Acts-Uniform Acknowledgment Form 3290 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of ss: State of New York,County of as: On the day of 1 in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared personally known t o me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the Individual(s)whose name(s)Is satisfactory evidence to be the indivldu al(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislherAheir me that hefshalthey executed the same In his/her/their capacity(les),and that by his/her/thei r signature(s)on the capacityges),and that by his/her/their signature(s)on the instrument the Individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behal f of which the individuals)acted,executed the Instrument the individuat(s)acted,executed the instrument (signature and office of Individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE m Ary awa�'�izr1 State(or District of Columbia,Tsgi o I�nCiountry)of On the "7t' day of ` the year Ot before me,the undersigned,personally appeared 6A1&lRr�vCf X h�01?,IAAVAI personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is(are) subscribed to the within instrument and acknowledged to me that he/she/hey executed the same in his/her/their capacdy(ies),and that by his/her/heir signature(s)on the instrument,the individual(s),or the person upon behalf of which the individuals)aced, executed the instrum"e�tt,Ia�nd that such Individual made such appearance before the undersigned in the —P1WrP . _in (Insert the City or other political subdivision) I rand Insert the State cr C�oyunnt�tnr orbther place the ackriftledoment Wea-taken) - (sign ture and office of I%VftrliW aC no�krl¢dgment) In and for the of f Ohio ��J �t(WlrmhlkA .1cL'O�ua_i.Q DISTRICT 1000 SECTION 144.00 T BARGAIN AND$ALE DEED BLOCK- 02.0 -- --` WITH COVENANT AGAINST GRANTOR'S ACTS LOT 040.000 Title No. COUNTY OR TOWN Suffolk STREET ADDRESS 1000 Marlene Lane,Mattlt TO Recorded at Request of RETURN BY MAIL TO: DISTRIBUTED BY Edward L.Kavanagh, Esq. 3 School Street Glen Cove,NY 11542 yo 8 LL Q _ yW 7 lC LL W V N yN W • OAK TITLE_ ABSTRACT CORP. as Agent for Westcor Land Title Insurance Company SCHEDULE A(Description) Title Number. OAK4054 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being near Mattituck,Southold Town,Suffolk County,New York,bounded and described as follows: BEGINNING at a point on the westerly line of Marlene Lane,953.36 feet(deed)1035.71 feet(actual) southerly along said westerly line from a concrete monument set at its intersection with the southerly line of the Main Road(Route 25); (l) RUNNING along said westerly line of Marlene Lane south 20 degrees 39 minutes 10 seconds east,75.0 feet; (2) THENCE along land of the party of the first part,on a line at right angles to said westerly line of Marlene Lane,south 69 degrees 20 minutes 50 seconds west,145.00 feet to land now or formerly of Mattituck Park Properties,Inc., (3) THENCE along said land now or formerly of Mattituck Park Properties,Inc.,north 20 degrees 39 minutes 10 seconds west,75.0 feet; (4) THENCE along land conveyed,or about to be conveyed,by the party of the fust part to Edna Schade,north 69 degrees 20 minutes 50 seconds east,145.0 feet to the point of beginning. TOGETHER with an easement for passage between Wconic Bay Boulevard and Peconic Bay over a certain 10 foot right of way,in common with all others now having such right of way and those to whom hereafter such right of way and easement may be granted,which right of way is more particularly described as follows: ALL that parcel of land situate near Mattituck,Southold Town,Suffolk County,New York,bounded and described as follows: The easterly line of subject 10 foot right of way is described as follows: Beginning at a point on the southerly line of Peconic Bay Boulevard,200.20 feet westerly along said line from the northeasterly corner of land of Haggerty Estate; RUNNING along said land of Haggerty Estate on a line parallel to the easterly line of said land of Haggerty Estate and 200.00 feet westerly therefrom,south 20 degrees 23 minutes 00 seconds east 500 feet,more or less,to ordinary high water mark of Great Peconic Bay; the westerly line of said 10 foot right of way is parallel to and 10.0 feet westerly from the easterly line herein described,and runs from Peconic Bay Boulevard to Great Peconic Bay; Said easement is subject to the following covenants and conditions: 1. said easement is for foot travel only. 2. It shall not be obstructed in any way and the maintenance thereof shall be the joint responsibility of all those having a right to use said right of way for the time being. ^- - --Schedule A3Page-l-o€2----:-- -- : OAK TITLE ABSTRACT CORP. as Agent for Westcor Land Title Insurance Company MUNICIPAL DEPARTMENT SEARCHES AND STREET REPORT Title Number: OAK4054 3. Said easement shall be perpetual and shall run with the land but no easement or rights in said right of way shall vest in the general public. It shall be a private right of way. �d I - y- -- -- — ` -- -- - —--- — Municipal-Department Searches-and StreetReportPPag—e 2 of 2- Town of S,_,hold fi 11/3012015 P.O.Bog 1179 53095 Main Rd # Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37937 Date: 11/30/2015 THIS CERTIFIES that the building DECK Location of Property: 1000 Marlene Ln.Laurel SCTM#: 473889 Sec/BloddLot: 144.-2-40 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fled in this office dated 10/29/2015 pursuant to which Building Permit No. 40248 dated 11/5/2015 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: "as built"deck addition to an existing one family dwelling as%Mhed for. The certificate is issued to Herrmann,Lawrence of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED r ed igna e OFFICE ADDRESSTOWN Ub' SUfU'1'HUl.l� OFFICE HOURS&PHONE 53095 ROUTE 25-P.0.8OX/409 CONSOLIDATED REAL PROPERTY TAX BILL MON-F.,..AMT04-00PM SOUTHOLD,NY 11971-0499 1 DECEMBER 1.2016-NOVEMBER 80,2017-TAXES BECOME A LIEN DECEMBER 1,2°16 631-765-1803 FAX:631 765-5189 SUFFOLK . .. .. IF THE WORD*ARREARS'IS PRINTSD HERE SEE r313111yanqu 0 11 NOTICE OF ARREARS ON REVERSE SIDE 4473889 144.-2-40 382 14 17558 PROPERTY LOCATION ACRES EXEMPTIONDESCRIPTION VALUE FULL PURPOSE 7 1000 Marlene Ln 0.25 273,247,763 1,958,178 210 1 1 Family Res 0000013264"""""'a'AUTO"3DIGIT 115 LA14D ASSESSMENT TOTAL,ASsEs,srIENT IIIIIhllrld'Ilt�ll'II'u�ihhlulhlhhlP1i1116dd'41u' 12/s/2o1s Soo 5,100 Fogel Jean-Michel OWNEF AS OF TAXABLE STATUS DATE ON MARCH 1,2016 Fogel Sharon 151 overlook Ter Fogel,Jean-Michel Roslyn Heights,NY 11571-1434 2015-2016 TAX PAYMENT INFORMATION • • ■ VALUE ='F�•,.it t;wl5tf`"Y _ 17556 g3502.51 12/23{15's _• :ASSEsseD uAtue; w.r RATIO.:_,y r,a toe%aRFUEt va' r1 ...AVN R g 1:� 5 7.756 350 >ra0;d,' 1 :•, ?58' 5 6/18 �" :;i�,;Y w• " ^ .,,1t:� ,IiCr �,�11 pof OFFTS a;'p� ��.//��r 7a1 { 5 _ .•'+i i M :viY, 'I / 1.'s 6� Q Yr \, x:.15':!`,J.OV./� -S• 2',x')li;,•Y.!l2yKryL�G.,"^: }, ....}.•,...,t�C.1,4n .f. uv- 1..,:•,t4, l,fcn�,.•,F'-'! - .7} n n�Q.. 1 -.7.vrn i,•>.�,11,%tir; -DE IP IO V -1EVY% 'TAXABLE VALUE,-: - -- Az' - _s.. 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('.._ (.fjg'�t's-`:'- �:..•''__�•-.tti -�y-}�l':r ',_ _ _ - _ J . E.NGOL TO CODE ,CLOSE UPON COMPLETION 'BEFORE "W�'rER" AP R VED AS NOTED DATE: B.P.# (345 FEE: BY: 'NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ELECTRICAL 1. FOUNDATION - TWO REQUIRED INSPECTION REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION 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. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE` AS REQUIRED AND CONDITIONS &- N. S. -N. . . OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. i D_ 0 NOTES i 36' I- NO SPOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION ATTHE SHALLOW END,OR FEET OF EXCAVATION AT THE DEEP END. O 2. TH15 POOL MEETS THE REQUIREMENTS OFANSI/NSPI-5 "AMERICAN NATIONAL STANDARD FOR RESIDENTIAL INGROUND SWIMMING ' P POOLS"AND 1996BOCACODE-SECTI0N 421 DIVING EQVIPMENTI5NOTALLOWED Q b 3, SWIMMING POOL SHALL BE COMPLETELY AND CONTINUOUSLY SURROUNDED WITH ABARRIEP CON5TRVCTEDLAW REQUIREMENTS OF f� SECTION R326.5,3 OF THE I NTERNATIONAL RESIDENTIAL CODE(2016)AN D IN CON FOP M ITY WITH ALL SECTIONS OF THE SOUTHOLD TOWNCODE. ACCE55 CATES SHALL COMPLY WITH SECTION R326.5.2 OF THE IRC AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY cc i LOCKED WHEN POOL 15 NOT IN USE OR SUPERVISED. ALL GATES ARE TO OPEN AWAY FROM THE POOL AREA O 4. DURING CONSTRUCTION THE CONTRACTOR SHALL ERECTA TEMPORARY BARRIER AROUND THE EXCAVATION LAW THE CODE OF THE 0 O TOWN OF SOUTHOLD } H2O O 3� D. POOL MUST BE EQUIPPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING CHILD ENTERING THE WATERAND SOUNDING v z AN AUDIBLE ALARM WHEN DETECTED THAT 15 AUDIBLE ATPOOL5IDEAND ATANOTHERLOCATION ONTHE PREMISES WHERETHE POOL QZ IS LOCATED• THE ALARM MVST BE INSTALLED,MAINTAINED AND USED IN ACCORDANCE WITH THE MANVFACIVRERS INSTRUCTIONS, >C N THE ALARM MUST MEET ASTM F2208 "STAN DARD SPECT FICATION FOR POOL ALARMS. THE DEVICE MU5TOPERATE IN DEPEN DENT(NOT w'p ATTACHED TO OR DEPENDENT ON)OF PERSONS. 6 POOL SUCTION FITTINGS(EXCEPT FOR SURFACE SKIMMERS)MUST BE PROVIDED WITH A COVER THATCON FORMS TO A5ME/ANSI j p ?-- A112,19 SM ORA MINIMUM 18'x23"DRAIN GRATE ORA CHANNEL DRAIN SYSTEM POOL CIRCULATION SYSTEM MUSTSE EQUIPPED WITH CONC WALLS ATMOSPHERIC VACUUM RELIEF IN THE EVENTTHE GRATE COVERS LOCATED WITHIN THE POOL BECOME MI5SINGOR BROKEN. SUCH B VACUUM RELIEF SYSTEMS SHALL CONFORM WITH A5ME A112,19.17 OR BE A GRAVITY SYSTEM APPROVED BY THE TOWN OF SOUTHOLD. POOL SHALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOVE MENTIONED TYPE, THE SUCTION FITTINGS SHALL BE SEPARATED BY A MINIMUM OF 3'AND MUST BE PIPED SUCH THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINE TO THE PUMP(OR PUMPS) VACUUM/PRESSURE CLEANING FITTINGS SHALL BE IN AN ACCE551BLE PLAN POSITION,MINIMUM OF b"AND NO GREATER THAN 12"BELOW THE MINIMUM OPERATIONAL WATER LEVELOR BEAN ATTACHMENTTO THE SKIMMER/SKIMMER5, } 7. ALL ELECTR ICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC)PRINCIPALLY ARTICLE 680 AND THE IRC SECTIONS Z 4201 THROUGH 4206 ALL ELECTRICAL DEVICES MUST BE APPROVED BY UNDERWRITERS LABORATORIES AND BE PROTECTED BYA Q1 GROUND FAULTCURRENTINTERRUPTER(GFCD CURRENT CARRYING ELECTRICAL CONDUCTORS EXCEPT FOP,THOSE PROVIDING POWER V 3 TO POOL LIGHTING AN D POOL EQUIPMENT SHALL MEET THE SEPARATION REQVIREMENT5 OF TABLE E42035.ALL METAL ENCLOSURES, FENCES OR RAILINGS NEAR ORADJACENTTO THE SWIMMING POOL THAT MAY BECOME ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELYGROUNDED. .a 2'to 4'SAND BOTTOM i B WATER SOURCE FILLING THE POOL SHALL BE EQUIPPED WITH A BACKFLOW PROTECTION DEVICE LAW NYS PLUMBI NG CODE 608 ti 9. ALLPIPING 15 DIAGRAMMATIC UNLESS OTHERWISE STATED. v SECTION A0 10, WALKS IF PROVIDED SHALL BE NONSLIP AND SLOPE AWAY FROM POOL EDGE v �- TOP OF WALLWATER LINE RL I 11 A MEANS OF EGRESS FOR DEEP AND SHALLOW ENDS MUST BE PROVIDED IAW AN51/NSPI-5 SECTION 6, o 2 ,!✓ 4 r 6' 4' 12. CONTRACTOR TO PLACE THE POOL LAW TOWN OF SOUTHOLD CODE SETBACKS. m 13 ALLDRAINAGEFROM THE POOL SHALL BEMAINTAINED ONTHE SUB)ECTPROPERTY n 15. THE DESIGN 15 BASED ON A DRAINAGE 501L WITH<10%SILT. GROUND WATER SHALL NOT EXIST WITHIN THE EXCAVATION. IFGROUND S WATER EXISTS WITHIN 6'-0"FROM GRADE,DEWATERING FACILITIES WILL BE REQUIRED. 16, ALLGAS AND OIL HEATERS(IF INSTALLED)FOR THE INGROVND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY SECTION B CONSERVATION ACT(NAECA)COMPLIANT, POOL HEATERS SHALL BE TESTED IAWAN51Z2156AND SHALL BEINSTALLED IAW MANUFACTURERS SPECIFICATIONS OIL FIRED POOL HEATERS SHALL BE TESTED IAW VLY26, POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROTECT AGA IN ST ACCIDENTAL CONTACT OF HOT SURFACES BY PERSONS. POOL HEATERS SHALL BE PROVIDED WITH U CHECK VALVE TEMPERATURE AND PRESSURE-RELIEF VALVES. FOR HEATERS NOT PROVIDED WITH AN INTEGRAL BYPASS SYSTEM. A BYPA55 LINE SHALL 2'-2" BE INSTALLED FROM INLETTOOUTLETTOADJVST WATER FLOW THROUGH THE HEATER, POOL HEATERS SHALL BE PROVIDED WITH THE PUMP FROM SKIMMER COPING AND WALKWAY ip•• FOLLOWING ENERGY CONSERVATION MEASURES: +�y (BY OTHERS) WATERLINE GRADE 161 ATLEAST ONETHERMOSTATSHALL BEPROVIDED FORFACHHEATINGSYSTEM. �_ v 8 162 ALL POOL HEATERS SHALL BE EQUIPPED WITH AN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THE .� ti• OPERATION OFTHE HEATER WITHOUTAD)VSTING THE THERMOSTAT SETTING AND TO ALLOW RESTARTING WITHOUT RELIGHTING THE a� !•. ' PILOT LIGHT W > r N UNDISTURBED EARTH r m CO Li ro DI 16.3 HEATED SWIMMING POOLS SHALL BE EQUIPPED WITH A POOL COVER(EXEMPTED FROM THIS REQVIREMENTARE OUTDOOR POOLS W Q�- a; DRYWELL 3500P51POVREDCONG •D, DERIVING 20%OF THE ENERGY FOP,HEATING FROM RENEWABLE SOURCES AS COMPUTED OVERANOPERATINGSEASON) z C CIDW 16.4 TIME CLOCKS SHALL BE INSTALLED SO THE PUMP CAN BE SET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERIODS AND CAN BESET tO CO / are REB 4R 2)TYv TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL WATER INA CLEAN AND SANITARY CONDITION IAW APPLICABLE �O t° c DIwE RJ VINYL SANITARY CODE OF NEW YORK STATE = O r r ue VA O V 2'TO 4'SANDD • ,, •. W h C vv y 17. THI5 DRAWING 15 FOR STRUCTURAL SHELL ONLY. ALL ACCES5ORIE5AND APPURTENANCES ARE DEFINED BYOTHERS, } a ° FILTER 0~ b 18, BACKFILL WITH CLEAN EARTH,FREE OF ROOTS AND DEBRIS DO NOTALLOW THE HEIGHTOF BACKFILL TO EXCEED THE HEIGHTOF THE w a WATER IN THE POOL BY MORE THAN 8", OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8" (�'t 19 PLACE CONCRETE ON SANDY TO LOAM SOIL. REMOVE ANY CLAY DEPOSITAN D COMPACT CLEAN BACKFI LL O�- E-LN_ 0 VERTICAL 3/8'REBAR®3'0 C I �`" (NOT SHOWN) 21, THERE 15 NO MAIN DRAIN IN TH 15 POOL SUCTION FOR POOL WATER CIRCULATION 15 PROVIDED BY THE SKIMMERS ONLY. TH 15 MEETS Q/ lm HOgq IN REQVIREM ENTS0FTHEIRC-5ECTIONR326.6FOP,ENTRAPMENT PROTECTION. ;/� Q�� /( Y F, 77 EWALL SECTION 22. THE POOL WAS DESIGNED IAW THE FOLLOWING. 1 a Pyr 1 f ! 'U (t u TO RETURNS N TS ppn ,la,' ' yy�\ LmW 221THE INTERNATONALRESIDENTIALCODE(IRC)-CHAPTER 42(2016) 6\ CHECK VALVE 222. THE INTERNATIONAL ENERGY CONSERVATION CONSTRUCTION CODE-SECTION 8403,10(2015) r `� 22.3. THE INTERNATIONALFVELGA5CODE(2015) •x'' 22.4. THE NEW YORK STATE CODE SUPPLEMENT-SECTION P326 (2016) 22,5 TH E N EW YORK STATE SAN ITARY CODE 22.6. ANSI/NSPI-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. O�if 22.7. BOCACODE-SECTION 421 t �'ROFESS� PLUMBING SCHEMATIC 22.8. CODE OF THE TOWN OF SOUTHOLD 23. ALL BACKWASH TO BE SELF-CONTAINED ON-51TE N T5.