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