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HomeMy WebLinkAbout27478-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29643 Date: 08/19/03 T~IS CEI~TIFIES that the building ACCESSORY ~ocation of Property: 1060 HARVEST LA MATTITUCK (HOUSE NO.) (STREET) (F_~MLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.9 Subdivision Filed ~4ap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2001 pursuant to which Building Permit No. 27478-Z dated JULY 17, 2001 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to GREGORY J MCCOY & ANO ( OWNER ) of the aforesaid building. SUFFOLK COUi~T~f DEPART~/qT OF ~IF~LT~{ APPROVi~Ja N/A ELEC'~RIC~ CERTIFIC3%~ NO. 55290 08/31/01 PLUMBERS CERTIFICATION D~u3 N/A Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 27478 Z Date JULY 17, 2001 Permission is hereby granted to: GREGORY J MCCOY 1060 HARVEST LANE MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR at premises located at 1060 County Tax Map No. 473889 Section 120 pursuant to application dated JULY Building Inspector. HARVEST LA MATTITUCK Block 0003 Lot No. 008.009 13, 2001 and approved by the Fee $ 150.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOV~N HALL 765-1802 /~UG I 4 2003 APPLICATION FOR CERTIFICATE OF OCCUP~CY - This application must be filled in by typewriter or i~zk and submitted to the Building Department with A. For new building or new use: 1. Final survey of property with accurate location of ali 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 Plamfing Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property sho,ving all property lines, streets, building and unusual natural or topogaphic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa 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, Bnsinesses $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, Cormnercial $15.00 New Construction: v" Location of Property: ! O(~ {5 House No. Street Owner or Owners ofProperty: ~¢~.3{~t~ o,.~'~& ~C~&~'~t~,a, Suffolk County Tax Map No 1000, Section_ I'~ "~ ° ~' ~ Old or Pre-existing Building: (check one) Hamlet Block ~ Lot Filed Map. ~> ~t 6 ~ Lot: Applicant: G(~5 '~' Chi',, Undem~riters Approval: $ e (_. et .~ ~ Subdivision ~' Permit No. I~ IO Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ _ ~,~', Final Certificate: (check one) Appl~tnt Signature Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 286..6642 Date: 8/31/01 Application No.: 55290 Issued to: Mc Coy Street: 1060 Harvest Lane Village: Mattituck Section: Block: Zip: 11952 Lot: Town: Southold Introduced by: Richard Kleinfeldt Lic.# 665-E wa.~ e#ami#~d a~'~ foufd to I~ i# com~/ionce wit~ tl~e N~tio~l Eltcteic~l Cod~ Commercial ~NV Defects [] Pool [] lst FIoor [~lndoor [~Basement [] Hot Tub Residential l~ ~ Det. Garage ~Attic []2nd FIoor [~Outdoor I~ Addition [~Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 1 I 1 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Beil Transformer Meter Amps Phase UG/OH Other Equipment: poolpane bmer Telephone Building Permit No. BP27478 Rnal Inspection: 8/31/01 Rough Inspection: Television Carbon Monoxide Hugo S. Surdi President This certificate must not be altered in any manner Inspectors may be identified by their credentials [nspector: Quentin Reynolds BUILDING PERMIT P, EVT[EW CHECK Applicant/ Owners Name: Architect/ Engineer: t.}.~ . $CTM fl: District: 1,000 ~ecdon: /2~ Block J)roj¢cl koca,io,,: 10G0 Ho4~es{- L~,. Date Reviewed: Date Subdivision Name: Single & separate Require~7~'~ cemfication: (Yes /._~°}J) Relr-~ [From Yard __ ProlSoSeXt: -- I [Side Yard Project Description: REOUIRED FOR REVIEW .N.A. Suffolk County Health Dept. New York State D.E.C. _/_ Town Trustees Town Zoning Board approval: Town Planning Board approval: ,/' Flood Plane Elevation ??? Flood Zone: Permit NO YES_ Number Notes: JAMES K. MORROW, JR., P.E. 2066 BEDFORD AVE. * NO. BELLMORE, NY 11710 July 6, 2001 DESIGN PERMITS INSPECTIONS · (516) 785-8032 Town of Southold Department of Buildings Re: New Inground Swimming Pool Drainage Facilities 1060 Harvest Lane Mattituck, NY 11952 Dear Sir or Madam: The new inground swimming pool for the above referenced premises will not require permanent drainage facilities because the pool is constructed with a vinyl liner. The pool water will be continuously recirculated through the filter and will be reused from year to year. The discharge from the filter backwash is nominal and will not interfere with public highways, public water supply, existing sanitary facilities or neighboring properties. Sincerely, JKM:lm J~K. Morrov/, Jr., 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY ROUGH PLBG. INSULATION FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~'~t [ ] ROUGH PLBG. [ ] INSULATION [ ~t~L DATE INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] RO~i. BG. [ ] FOUNDATION2ND [,~LATION [ ] FRAMING [~] FINAL [] FIREPLACE & CHIMNEY ,, DATE INSPECTOR FIELD' INSPECTION REPORT ' .BAYE . '...~,i~= .... COIiiENTS FOUNDATION (2ND) ................................. ROUGH FRAME & PLUMBING INSI~t. ATION PER N. Y. STAI'E ENERGY CODE FINAL · ADDITIONi~ C(]~4ENTS: FO~M NO. t TOWN OF SOUTHOLD · BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 ~,~ TEL.: 765-1802 Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ..::::::::::::::::: S~PTIC FORH ............. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ets of plans, accur0te 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 ir 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 cbmmenced before issuance of Building Permit. .; d. Upon approval of this application/the Building Inspector will issued a Bui/ding Permit to the applicant. Such permit .hall 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 Certi~cate of Occupancy · hall l~ave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordnances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herei~ described. Cqt¢ applicant agrees to comply with aU applicable laws, ordinances, bui/ding code, housing code, and regulations, and to .dmit authorized inspectors on premises and in building for necessary inspeqions. ........')}~cer6,~.~. ~s .................... ~ "IMMEDIATELY" : (Signature of applicant, orname, ifa corporation) ~ I~X3L TO ~ ~o~ ~o~P~,~n .~. O.t .~0oa~... Po~ 3~. ~..~ ........ ~ ~AT~ (Mailing address of applican~I kate whether aPpEcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. <an,~ ~: ow,, o:~:~m:,, ....~... ~....~ ...................... f applicant i~ a corporation, signature of duly authorized officer. . ~-~ ~ ~ 1~ ~ ~ ~ ~ ...... :. ......... (Name and tine of corporate t FOUNDATION · ~O R~ °mce°oc CH~ fir USE 18 A~ ~ ~ATE QONSTRU~ON i ENER~ Od~er Tra~e's Licen~~ No, ' ..................... CODEI. NOT Eocafion of Zand on w~ch proposed work wil~ be ~onc.. ................................... '.. Ho~se Number ~: Street Hamlet Cmmty Ta~ Map No. ]~00 5ec~io, ........... Block . .~ ........ Lot..~4 ...... (Name) -- ' ...... existing use an~ occ~pancy of premises and incen~e~ ~se an~ occupancy of proposed construction: e~h~ ~ ana o~. D~.~%~ .~emo~ ......................................... 3. Nature of work (chec}~hich applicable): New Building .......... Addition_ i ...... ~.. Alterationl _....1 e .' '" ...... ' Repair ..~ ........... Removal .............. Dcmolition ....... .. O,,hcr (Description) 4 Estimated Cost ?~.O~.Q..C:~ Fee (to be paid on filing this application) $. If dwelling, number of dwelling units ..... J .......... 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 ............... Heiglit .............. . Nmnber of Stories ........................................................ Dimensions of same structure, with alterations or additions: Front ................. Rear .................. Depth ...................... lleight ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. H igl .~N b f Stori e It .............. UiTI ero es trio R JLa'. DSO: ' 9. Size of lot: Front .................. ear ............... Depth ................ l'd Date of Purchase · Name of Former Owner t I~ Zone or use district in which premises are situated .................................................... 1 2 Does proposed construction rio ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... ¥~-~. ................... Will excess fill be removed from premises: ~ No 14~ Name of Owner of premisesrO¢¢g3~'¢~J. .l~.c.~q. ..... Addressl~q .h~.'~&b0,.t~s:8~4:.Phone N/~101~': ~'[.tk.5 .... Name of Architect ~¢~..1~ I,~.¢..o~. .... ~ ......Addres~leL~l~.'~0f<Cd0~uL.I,L~Phone Nd~l/~.-ll~5.qgl:~.~. .... Name of Contractor ~(e~0~',.e--(¢ ~.qo.3~ Address qqt ~g-~.sJ. ~4 ~i~674~, Phone .5. Is this property within· 300 feet of a tidal wet~and? *Yes ........ No..~ ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ~xisting or proposed, and, indicate all set-back,dimensions from aroperty lines. Give street and block number or de,scrilaQonaccording t~ .d.~ed, a~n_~d §ho._w~street names and indicate whether nterior or corner lot. · .,.~~.~;~<~.~..;'C4~ .......... ~~~ sxv~, deposes and says that he is tho applicant is th~ ........... ~~..~. ~(~. ~ ~&~ ............................. ~ (~ontr~ctor, agent, corporat~ officer, etc.) ......... said owner or owners, and is duly authorized to perform or ha~c perton~ed tim said work ~d to m~c and fil~ this ,lication; that ail statements contained in this application ar~ tra~ to the best of his knowledg~ and holier; and that 'k will be pcrfo~ed in the m~ner set forth in the al)plication filed therewitli. )m to before me this ..... i..;i;;2z ......... , kLTO ~9 30 E. 5.70 ~? ~ W !60.O VAC, I. LO NO'5. F~EFE~ TO MAP OF' FARI'dVE~ILED tN,THE " SUFF, C0.~d-ERK~ OF~ MAP N~.880~[- ~.C.O.'.4TOUR. ~ ~t.~V^~ON r~EFE~ TO 1,'tATT ITUCk OF So.:J1'I--~O LO N.Y. // C~Af~AI,,ITEED ~ h,I~TH ~',,¥ cor~..~ TO LA'VCCE:I;~ T~TLE INIG'u~ANICE RO~[RICK VAN T~L, P~. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROV, h.S. NO. FdO-94-oIol STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPC SYSTEMS FOR THIS RESIDENCE V CONFORM TO THE STANDARDS Of SUFFOLK CO. DEPT OF HEALTH SERVI APPLICANT r SUFFOLK COUNTY DEPT. OF HEA SERVICES -- FOR APPROVAL CONSTRUCTION ONLY DATE H. s. REF NO. RtO"-/.,~-'--lu,-~ APPROVED: SUFFOLK CO. TAX MAP DESIGNATIOn- DIST. SECT, BLOCK P( ' OWNERS ADDRESS: ~o ko~z~ ~,¥ co r~P. TEL.~99-3Z55 DEED: L. N/A P. TEST HOLE STAMP SEAL . 1 I/~ J 24' · ~4 ~.. NOTE: BACK.~LL 'TO 9( S~O. GRAVEL. OR 01t-I;.R NON E'XPAaSaV~ UA~RF. AL r NOTES: NO SPOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCAVATION. 2. PIPING IS SCHEMATIC ONLY. 3. THIS POOL MEETS THE REQUIREMENTS OF ANSI/NSPI - 5 "AMERICAN NATIONAL STANDARD FOR RESIDENTIAL LNGROUND SWIMMING POOLS", 199S AND 1996 BOCA CODE - SECTION 421. DIVLNG EQU/PMENT lS PERMITTED. STANDARD DETAILS - STEEL WALL POOLS NONE p~PA~D BY: JAMES ~ MO~OW, ~-, P-~ NO. BELLMO~,N 1~710 JKM