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Home My WebLink About13792-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23619 Date MAY 8, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 3940 WESTPHALIA ROAD MATTiTUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section ~13 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 19, 1985 pursuant to which Building Permit No. 13792-Z dated F~%RC~{ 26, 1985 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 INGROUND SWIMMING POOL & FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED HAROLD D. & MART~A A. JONES ~/~ N-691533 -- MAY 14, 1985 Rev. 1/81 Jlin/gInSpector FOU~' NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° 13792 Z Permission is hereby granted to:/~ , ..~.Y...m..~ ~. ~. ..... .~' ~.ii.~i'Y~ ........ ,,, .....~~f"~iii~'~iiil.~ ~~~.,....~ ........ ~..~..:...:. ........................... ~.....:. .................... ~ ....... ~..~ ................. ~,,r.~,,,, ,~,.~ ~,~S....~~~...~., ...... ~~,.~'. ............ ..... ~....~.~...~..~.~...~ .................................................................... co~.~ ~ ~.~ ;~. ,0o~ s.~,,on ..... )...~..~ ........ ~,' ' ~ ........ .~ .......... ~o~ ~o ...... ~.9 ............ Building Inspector. Building Ins~ctor Rev. 6/30/80 Form Ho. 6 '' TOWN OP SO[ITIIOLD BUILD I. NG DEI'ARTHENT TOWN IIALL 765-1802 APPL£CA'I'ION FOR CEI1T[FICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the tt ilding inspector with the foliowiug: for new building or new use: I. Final survey of property xoitb accurate location of ali buildings, property lines, streets, and uuusual natural or topographic restates. 2. Filial Approval from IIehltb Dept. of water sopply a,d sewerage-disposal(S-9 form). ' 3. Approval of electrical installation fro., Board of FJre Uederwriters. ' 4. Sworn statement from'plumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residencee and sfmilar bu' ' ~l~s!,a.~la=tion$.,~a. c?rt,ifzcate of Code Compliauce from architect or en{,Jne~l~d~°gs 6. Submit Planning Board App[oval of completed site plan requirements. B. For existing buildings (prior ~o April 9, 1957) non-conforming uses, or buildisgs 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 coesent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasous tberef9r in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swilmning pool $25.00, Accessory building $25.00, Additions to accessory bailding $25.00. Businesses $50.00. 2.Certificate o~ Occupancy on Pre-existing Buildine - $[00.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5. Temporary C ' ' ert~f~cate of Occupancy R ' ' ' - esldentlal $15.00., Commercial $15,OO Da t e ............................... New Construction ........... Old Or Pre-existing Building ................. Location of Property...A~ff<) ..... tlouse No. Street Ilamlet ......... 0nwer or Owners ,.,f prnperty.. J~Ol4.~. r...~.&rf/~.fi.....jO.t~ ....................... County Tax Map No 1000, Section../.l~. ......... ~h,ck...~ ............. Lot../f. ............... Subdivision ..... ............................... Filed Map ............ Lot ...................... Permit No, [c~--).tS~.~...~., .... Date Of Permit..b.:-.~..~.7.~..Applicant..~(l~¢ ....... Ilealth Dept. Approval / ...... .................... Underwriters Approval ......................... Planning Board Approval ................ qequest for: Temporary Certificate ........... Final Certicate ........... :ce Submitted: ........ co FIEL~ INSPECTION FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL COMMENTS ADDITIONAL COMMENTS: WALL PANEL, (SEE POOL DRAWINGS FOR LAYOUT) SPACER BARS AS REQ'D. WiTH STRAIGHT STEP STRAIGHT OR CURVED STEP UNIT 3/8" NYLON BOLT AND NUT THRU ALL MATING. BOLT HOLES ALL VERTICAL DIMENSIONS ARE TO FINISH GRADE AND ARE TAKEN FROM LINER BEAD TRACK MINIMUM SLOPE OF 112" PER FOOT AWAY FROM POOL EDGE FOR A MINIMUM OF 10' SLOPE MAY BE 1/4" PER FOOT iF CONCRETE [~ECK IS INSTALLED~ FORMULA K BACKBRACE SEE POOL DRAWING FOR QUANTITy & LOCATION HAUNCH THRU EACH BACKBRACE 8"TO12"THICK CONCRETE BOND BEAM UNDISTURBED EARTH TOP OF MASON SAND OR POOL BASE 1-1/2" MINIMUM (TAMP & TROWEL) TYP{CAL SECTION THRU POOL WALL ~HT OF STEP TO MATCH RECEPTOR TOP AND THEN DRILL 6_112- DiA. HOLES IN EACH STEP SIDE FLANGE. BOLT TO WALL PANELS WITH STEEL BOLTS DO NOT OVERTIGHTEN BOLTS. STAKE (BOLT ~ TO BACKBRACE W/STEEL BOLT) EXCAVATION NOTI~S: 1. SOIL TO HAVE MINIMUM BEARING CAPACITY OF 2000 PSF 2. LOCATE TOP OF POOL AT LEAST 1' ABOVE SURROUNDING LAND ELEVATION 3. EXCAVATION SHALL BE 2' LARGER THAN POOL ALL AROUND. FiLL VOIDS UNDER BASE OF PANELS & TAMP WELL. 4. BACKFILL SHOULD NOT EXCEED WATER HEIGHT BY MORE THAN 12". WATER LEVEL SHOULD NOT EXCEED HEIGHT OF TAMPED BACKFILL BY MORE THAN 12". WALL~ PANEL ASSEMBLY DETAILS Cross Section and Detail Drawing - Oval Poois/~ 17' x 35' Oval Offset Step Pool THIS BROCHURE DS FOR ILLUSTRATIVE PURPOSES ONLY. Pacific Pools makes only those representations which are stated in its written warranty. Any other representations, statements, or contracts made by the dealer and/or the contractor to the customer regarding any materials produced by the manufacturer are attributable to the dealer and/or the contractor only, The dealer or contractor who sells or installs your pool is an independent contractor and not an agent or employee of Pacific Pools. The construction methods illustrated are suggestions and appty only to normal ground conditions. There may be additional precautions and/or methods of construction. The responsibility is the cont factors. (TYPICAL) 18'-0 X X EACH SIDE OF STEP SPACER PANELS (18-3/8" LONG) 8'-0" 17'-0" ¢-- 4'-0" USE BACK BRACE AT PANEL JOINTS AND AT CENTER OF 6'-0" LONG STRAIGHT PANELS (MARKED "X") TOTAL 26 BRACES 'THIS IS A TYPE II POOL AND TYPE II DIVING EQUIPMENT MUST BE USED - TYPE II DIVING EQUIPMENT TO BE MOUNTED NO HIGHER THAN 20" ABOVE WATER AND TIP OF BOARD 3'-6" 6'-6" ~' 8'-0" ~ SHALL BE 3' ±3" FROM DEEP END WALL. TEP UNIT - SHOWN AS RIGHT HAND - CAN ALSO BE INSTALLED AS LEFT HAND ~-- 4'-0" RADIUS X X X X X USE 6-6'-0~ LONG STRAIGHT PANELS (3 PER SIDE) 35,.0~ 23'-6" Pool Area: Pool Capacity: ROPE 8'-6' RADIUS / / USE 7 STANDARD / CURVED PANELS // (3'-9-314" LONG) Xx\~ ////~ TO FORM DEEP END. V,d' / / USE 4 STANDARD x,~/~'/ CURVED AND 2 CURVED SPACER PANELS TO FORM SHALLOW END. 5331 Sq. Ft. 1 g,300 Gallons PACIFIC POOLS 765-~802 BUILDINO DEPT. INSPECTION INSPECTION/ [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION FRAMING ~J/FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS lO0].~I BUREAU OF ELECTRICITY ~k~ e5 JOHN ~TREET, NEW YORK, NEW YORK 100,38 THIS CERTIFIES THAT only the electrical equipment as described belo~ and intr~uced by the applicant named on the above application number in the premises of Harold D. Jones, 19lB Westphalia Rcl., Mattituck, outsi~e in the ollowing lo tion; f ~ay 9,.~,,~me~¢ ~ 1st FI. ~ 2ad FL Section Block Lot was examined on and found to be ir% corapliaace with the req~reme~tts of th~s Board: DRYERS JECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS NCANDE$CENT FLUORESCENT SYSTEMS E R V I C NO OF CC, COND pER ~' A. WG OF CC, COND NO. OF HI-LEG OF HI-LEG NO OF NEUTRALS AW, G ~THER APPARATUS: (Swimminq Pool) This certificate~, covers compliance at the date..~of. :Lnspectio~. _. only bec~u.~e of unusual enT~ronments it is advisable to have f.~equen~ test and/or repairs made by a qualifiod person. Jody Pumillo Pat Lane, P. O. Box 182A ~fattituck, N.Y.~ 11.952 lico ~2301 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by COPY'FOR BUILD NG DEPARTMENT. THIS COP~ Examined...~/1~0,~..~,.~e., 19 ~ .~.'7 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 .~.Od~...~'.(e., 19 g(. Permit No. J..~ .~. 9 .~...-~. Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. OEPT, _~ TOWN OF SOUTHOLD Received ........... ,19.. · INSTRUCTIONS 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~t~ctione~ ". ..... .~..~.0,_.. dYatr:'~.....~ ...................... (Signature of applicant, or name, if a corporation) ...o. ~¢.../t/t.~¢/.~ ..... d ............... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~tO'O / ¢-/- 4- '~)~c~ r- '~ ~.- ,~o~¢X (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ .k//fl. .... .~:. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locaho~o~lana on which proposed work will be done. l..t.~:.~. .... '.fl.. ............................ ................. ..... House NumberStreet ......... ..... 7 .......... ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . ~ . . ! .ti. ................................................... . ..... b. Intended use and occupancy ... ~....~......(~TE~.~ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration. j ....... Repair .............. Removal .............. Demolition ............... Other Work... ~. ........ ' o ~ . ~,'~ocl°'~t 17 ~- ~-X' o~z (Description) 4. Estimated Cost...1.~..~.~.~.'. ......................... 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 ... i .................................................................... 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 .................. i... 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 ......... 2 ................... Name of Fonuer Owner ............................. 11. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction vi01ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... : .................... Will excess fill be removed from' premises: Yes No 14. Name of Owner of premises . i .................. Address ................... Phone No ................ Name of Architect ........ i .................. Address ................... Phone No ................ Name of Contractor ....... ~ .................. Address ................... Phone No ................ Locate clearly and distinctly property lines. Give street and bloc interior or corner lot. PLOT DIAGRAM ail buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY 'OF ................. S.S ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ' i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dhly authorized to perform or have performed the said work and to make and file this application;that all statements cofitained 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 ........... /.?. d .......... ayof...Q?I .~t.3F~,.. .......... 19 ~.'. Notary Public ......... It~[r~l ~,!ov.~0~ · · i ........... NOTARY PIJBI lC,, State oJ New '~ork . ./"/~-,'~ I~0. 47o'z~7o, s~!101k c0~,~t~- ~.~. · .--'. ~ ..... '..' .................... Tel. m E×p, res bl!rch 30, 19~.~[ (Signature of applicant) OCCUP^ !CY {3R ! '"~' DATE.~ ~ $~gp ~ ']~ ~ ::' ', FEE: ~.-- BY: ~, G, L, ~? */ ~0~ l~Y ~u~LD[NG DEPARTMENT AT r * ' l. FO?,~'~-*S*.Z _ TW3 REQUIRED L*:"" FOR ~OUZ'-U CONCRETE ~.., 2. ROUC-: ~RAMIN~ ~, PLUMBING 3, !N,:,., ./- ~',' ........ '-*~ ',, ' ,,N MUST '' ALL CO::';"~ ::? ~$',S ?-iAkk MEET ~.. THE REO~ nr:m'-*.r~S OF THE N.Y. STA~-CO~FT:%JC~rON & ENERGY ~ODES. , NOT RESPONSIBLE FOR