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HomeMy WebLinkAbout28735-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29726 Date: 09/18/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 4690 MILL LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 4 Lot 2 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 2002 pursuant to which Building Permit No. 28735-Z dated SEPTEMBER 10, 2002 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 LOUIS & LISA CARACCIOLO, JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 69855C 09/08/03 PLUMBERS CERTIFICATION DATED N/A u or' ed Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28735 Z Date SEPTEMBER 10, 2002 Permission is hereby granted to: LOUIS CARACCIOLO JR 4450 MILL LANE MATTITUCK,NY 11952 for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 4690 MILL LA MATTITUCK County Tax Map No. 473889 Section 100 Block 0004 Lot No. 002. 001 pursuant to application dated SEPTEMBER 9, 2002 and approved by the Building Inspector to expire on MARCH 10, 2004 . Fee $ 150 . 00 Authorized Signature COPY Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 12003 TOWN HALL 765-1802 i APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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. Accurwe 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 I. 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, 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 Date. New Construction: Old or Pre-existing Building: (check ��oonne)/// / Location of Property: �(p9O Al// zow /r(/7�9y> k House No. Street Hamlft Owner or Owners of Property: 4y,,3 V- Lam_ �G=C�- 7n�o Suffolk County Tax Map No 1000, Section 1GlJ Block ewoO l Lot LJZ_f9(J/ Subdivision _Filed Map. Lot: Permit No. ��� _Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ,9-C4 735 11 C_(o41 �-j 7 ApplicantSignatur a 8'�a8 Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application Number 9/8/03 375 Dunton Avenue 69855C East.Patchogue, New York 11772 (631)286-6642 Issued To: Mr. Caracciolo Street: 4450 Mills Lane Village: Mattituck Zip: 11952 Town: Southold Section: Block: Lot: Contractor: USI Electric (L) Lic. # 2740-E Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects X Pool ! 1st Floor � Indoor ❑ Basement ❑ Hot Tub EXI Residential ❑ Det. Garage LI Attic ! 2nd Floor !X! Outdoor ❑ Addition ❑ Survey Switches Receptacles Fixtures GFl Heaters A/C Fans 2 2 1 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: 28735 Other Equipment IPool p panel /na el /time clock ' f ii Hugo S. Surdi I President I Rough Inspection: ' Inspector: Final Inspection: 11/18/2002 Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials. 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMN_EY- / REMARKS: 0;0, DATE 7 D INSPECTO Cil �- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR i FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION(1ST) ----------------------------------- C FOUNDATION (2ND) z o y ROUGH FRAMING& y PLUMBING i4 Ave r � r INSULATION PER N.Y. STATE ENERGY CODE 14 I FINAL ADDITIONAL COMMENTS O z Z M yC 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 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. � 7 Check Septic Form NX.S.D.E.C. Trustees Examined T to ,20o> Contact: ApprovedI() ,200 Mail to: Disapproved a/c C �re6 " o toy Phone: o Building Inspector - 9 2 L1 TION FOR BUILDING PERMIT Date alaaJoa 20 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 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 a Certificate of Occupancy is issued 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 d olition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing od and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. U4-A4 � I 4e,� "IMMEDIATELY" (Signature of app can e,if a cokporation) UNDERWRITER$CERTIFICATE ENCLOSE POOL TO CODE Q�Qj �7` 0j Wee p�( ��7b REQUIRED UPON COMPLETION BEFORE "WATER" 0/ItrC2�CT0✓t (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Y1lYC11 C� Name of owner of premises )-OU 15 a k164 C f+ Aee i OLv APP ONED AS NOTED (as on the tax roll or late o o If applicant is a corporation, signature of duly authorized officer NO IBUILDING DEPARTMENT AT 765.1802 9 AM TO 4 PM FOR THE (Name and title of corporate officer) FOLLOWING INSPECTIONS: ll'' 1. FOUNDATION • TWO REQUIRED Builders License No. ^l4,3&- )4 1 FOR POURED CONCRETE Z ROUGH -FRAMING & PLUMBING Plumbers Licence Nn OCCUPANCY OR a INSULATION - 1 2. State existing-use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancyo� u�h�2r� �RPSlpely-u b. Intended use and occupancy, �ges)peldt\R-i, Swi vin m IhJ9 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work V (Description) 4. Estimated Cost �ZI 000- Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units JJ) Number of dwelling units on each floor If garage, number of cars x)14- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Z b Rear 21 Depth SQ Height Number of Stories L2 S-A y4 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front N; Rear 1 Depth 3?Height Number of Stories 9. Size of lot: Front 2D1 Rear 2W Depth aO.a-7 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: NO 13. Will lot be re-graded Will excess fill be removed from premises: YES NO -TvePhorc 14. Names of Owner of premises�a Lovls C!l,wee'ola Address �1�50 �'1 I Ln/ ldQT""Phone No. 2ge- 0,214 Name of Architect'--AoNas b d 14 q Address J{ fkzeJJ &mffokwPhone No 72w-AS k Name of Contractor sicl nuacns pools Address 924 63" Pt Lu Phone No. -74q--7 O5 a 15. Is this property within 100 feet of a tidal wetland? *YES NO V-� • IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) SS: COUNTY OF } .• -31A " hy being duly sworn, deposes and says that(s)he is the applicant (Name of individu"gning contract�4ove named, �aC!.P1118 "C 9 (S)He is the T Ma 8 Sk1'OY1'TO CT15C. 01(C riti2dtor,Agent, Corporate Officer, etc.) of said owner or owners,and I t4 authorized to perform or have performed the said work and to make and file this application; that all statements cont2ihedApplication are true to the best of his knowledge and belief; and that the work will be } - - - •. - xwven rauou�a a__ e-u.au. j pt _ s G�Z•7� il/AP a� P,enaE.eTY AT v - �^/o7,po' MFTT/TrJGK ToW.c/OF'X�uTsfciCO - DE✓EIOFMF.C/TSP/GiYT3�T.y'ETOIs�.VeK'E�iTH0l0�2o,3PG/Ift� - ff,QEA L/PR(/lfL/TYE.91EMe,!/T s e3.86/AftE1 h • /9REA ,Pc�'3E.lYEO r�dG'T/a,G/= /,d3G f+ G-C6'".5 - h A,2rA � 7/JGlE3 � GU..QANTEEOTa 'LOU/� C9.PACC/Gt[O,f,(,L�/ZV C'AR.9CC/OCO f d T,s's z'/'f-✓IYE.QGTAlq,(,p T/7GE/NflURA.vIC l�rYpA.t/Y Fi.P.ZI �AR//CRr�i� � Tow•voi�vi/.MxOM�/off /QO -Dy-OOL 2 I V 372'y7 as iy -L �aoyivddi � Liv.s /�aOj �>:witW Y _ � A,l/l.Seu/Y I!/Lfiv9,e/OOw.�,e'i O.aJE'MA,lt,YZ7 Zaoo - N7Z'y7oa�g1x'�'-3 d LA.t•09L[Yf�IYOt � Q i I /-Laucs�/e Moc/vrrcUT ' v I 7 yED 4N0 N r 4 v `1 1p 33800 L I COe MFW YOPY, v i m1lwAirlretlr.baer adCitla, a•N New V"svr - __ Ee�oea"1•� O O I 0. ve•�"wry , xo; auu.nun m•rc�vvi.mraa• IJ` � I A Q _— r.eeimwHrvrn�xwevn..m.m _ amwi ta S W I i '1 fii Z. I fi W f � L�E7A/G OF,�jrvLOLC/G$ � ,u 7z%c•oa E 7Z%O'qp E i 3Z0.y7' v 9.Qw ta,aao a.a - (N LA \14 ty O WS) lb r i' zc Q i _ rci ..e•r i �� N' �l •37r'/o'ao•K/ 3.�i.5sr'..` V � C.t� � ro .r ' Q � • 41 �0 . iii w.rr • �3 .v�F /UA.ET.PE//�,V9•LCYdWrir/ � O V O , 372%O'Op Vit/ ZO. Z7' A 77 Ds, ,aa.. RMw,r B AluMwa B r'' F / T" Fwar F. Fwar& Prow TO Msy„/�—Ta ftb n @T wa oFud) ROY�d Wal F Plan A Piping Arrangement H 42" Section B-B PSA °oitl"" H 10" Section A-A Typical Wall Section SIZE A B C D E F G H AREA CAP. FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. Pureb a 16x32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 4-GQ((A4Z�IL 16'x36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 POOL&SPA CENTRE PERMACRETE WALL SYSTEM 18'x36' 18' 36' 12' 14' 6' 4' S' 8' 648 24,300 929 Route 25A Miller Place NY 11764 _ 20'x40' 20' 40' 16' 14' 6' 4' 6' 6' 800 30,000 (631) 744-7185 FAX (631) 744-0174 24'x44' 24' 44' 16' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI 24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30000 Nassau License #1117445OOOO