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HomeMy WebLinkAbout26130-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-27134 Date: 06/13/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 235 LLOYDS LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 3 Lot 4.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 1999 pursuant to which Building Permit No. 26130-Z dated NOVEMBER 5, 1999 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 & FENCE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to CHARLES & KELLY BORDSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 43647 05/31/00 PLUMBERS CERTIFICATION DATED N/A , /"� uth rizec 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. 26130 Z Date NOVEMBER 5, 1999 Permission is hereby granted to: SOUND DESIGN HOMES (BORDSEN) CALVERTON,NY 11933 for CONSTRUCT AN ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AND FENCED TO CODE AS APPLIED FOR. at premises located at 235 LLOYDS LA MATTITUCK County Tax Map No. 473889 Section 099 Block 0003 Lot No. 004 . 008 pursuant to application dated OCTOBER 12 1999 and approved by the Building Inspector. Fee $ 150 .00 7— Authorized gnature ORIGINAL Rev. 2/19/98 Form No. 6 _ Sj•��� � C � ����- ��, TOWN OF SOUTHOLD BUILDING DEPARTMENT JUN 52000 'Lj 765 --18OWN 021 RLOu•OUT APPLICATION FOR CERTIFICATE OF OCCUPANCY 7UW.s...w� Iti S�U7HOLD.,,. A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 1. Certificate of Occupancy - New d lin $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 �PC e61� Date . . . . . ..(@. /.i�/�.. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. .*q'sss.. . .. ry�����• • • • • • • • • • • House No. \ , _ ._ , _ Street HamletdNs Onwer or Owners of Property.. . . '• • • • •• • GL,-�, . .d County Tax Map No 1000, Section. .n� . ... .. ..Block. ..© .. . . . .. . .Lot s. . . . . . . . . . . . . . . . SUe�Gt�- �t-ls 8 Subdivision. . �O1. . .Filed Map. . . . . . . . . . . .Lot. . . . Permit No. .' ��./�0,�, Date Of Permit. 0_q. .. . . . . . . pp : . �> rc�S��. • • • • • • • • • • • • .A licant. Health Dept. Approval. . . .. . . . . . . .. .. . . . . .. . . . . .Underwriters Approval. . . . . . . . . . .. . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . .. .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . ,)-S. e b Fee Submitted: $. . . . . . a �� (� . . . . . .�• • • . . . . . #� c....�. . . . . . . . . . . . . APPLICANT co�. a713� -_".`'i''ig�,aiut��z��iPJi�':au1.ieir l�z:i,p,st��,�,i1ur;fd�-a.,�,•ateX�v�`r'i f}}�}a''�,�.4t°'�ua'fAP'Ijfk'l,�'iS 1:..�9'�u':s;:�rY�iaj:+^i-nr�zs'�.z' �t e t�.�;1',:t��s� 0-n S is x a � sr� f•,'yru jd q; Electrical Inspection Certificate a: Electrical Inspection Service, Inc. x F. 375 Dunton Avenue East Patchogue, New York 11772 y; (631)286.6642 Date: 05/31/2000 Application No. 43647 � � cols Issued to: Charlie Bordson ; "- Street: Lot 8 Lloyds Lane Brut, Village: Mattituck Zip: 11952 Town:Southold = Section: 99 Block: 03 Lot: 4.8 Introduced by: De Lane Electric Lic.# 4354-E r: -i was examined and found to be in compliance with the National Electrical Code ❑Attic ❑1st Floor ❑ O/S Residential W Pool ❑ Det. Garage ❑ Basement ❑2nd Floor ❑ O/S Commercial ❑ Hot Tub ❑ NV Defects Switches Receptacles Fixtures GFI Heaters A/C Fans sKF " Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal ,f Furnace Oil Gas Circulator Smoke Detector Bell Transformer j Meter Amps Phase Motors Telephone Television Carbon Monoxide n Other Equipment: Timec%k/poo/light/ZOamppoo/pump V.,. Hugo i. Surdi y President This certificate must not be altered in any manner a " �e•_�g Building Permit No. g Inspectors may be identified by their credentials ;� fZ �x ss 7f 5 1 4• l �' " ! S i �5�� �� L1 � F : �1 .�`. +��nl�y 1;�� }� , i �J3 � �i e�! � : ( gg , A.rr �o �t • ,�'4 ^ pl�� � it i M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. f [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR a&13-(jt- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN,SWCATION [ ] FRAMING [ V11FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 00 INSPECTOR T �41ZS PELT LON RF,PORT DATE COMMENTS - 4=_--____REPO--�___=====ls== _________----_— — - II II 11 11 � D 4DATTON ( IST) ii _ii---------------------- ----- ------ PU II'-----ii------- ------- - -------- - ra 4DATION (2ND) ___________ C` ------------- -------ii InI It JI II SN FRAME S it PLUMBING ii _ tit it — -- TF----- II 11 II ' N O II II ULATION PER N. Y. I--- 11 H STATE ENERGY CODE I II p IA- it Vill � - y IIS it II -JI FINAL N 04 ADDITIONAL COMMENTS: b = H H �+ - H O z ro f BOARD OF HEALTH . . . . .. . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . .. . . .. .. TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . ... . . . . . . . TOWN HAIL SEPTIC FORM . . . . . . . . . . . . .. . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: / ` Y CALL . . . .. . . . . . T — S/f�tl Examined...... ... � . 19.... MAIL T0:�/ �Approves...�/ r 19.... Permit No. .�1:! V.1-7 .1....�L.:T.ff Z :.: .. /.s� ..�.�.., Disapproveda/c .................................. nl L'�CjuV.�,•n,�� :..:n.r,-A j , (Burldrng Inspectalf) PLICATION FOR BUILDING PERMIT Date. . .. . . �(. ., 19•'• /• INSTRUCTIONS .a. .This appliatio6'9fidst'be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 rust be drawn on the diagram which is part of 'this application. c. The work covered by this application may not be camenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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. t APPLICATION IS HEREBY MATE 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, {ard 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 laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildi or necessary tions. ./..... (signature f icant, or name, if a corporation) iling address of applicant St/a1te�whether applicant its owner, lessee, agent, architect, engineer, general contractor, electrician, pludner or builder �.�ciG;e✓ c�b�. .! `.. k(! �.. ..................... of owner` of premises ....0 N ... 1 ...s 6 o ►.. .. se �l ............................. NmLv ............................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .... . . . ................... ..... .. ......... ........ (Name and title of corporate officer) 'IMMEDIATELY" rr� ,,{{ eNCWS'E POOL TO CODE �a ..!!.. BEFRE'WATCOMPUERN . Builders License No. ..... .......Lf Plumbers License No. ..... / . ...... Electricians License No. (P,�•// ,GGJJ •••• Other Trade's License No. ...l�!I'.✓........... 1. Location of land on which proposed work will be done....................... ...................... L Lo V D's L. �i N E V� --rr 17- .................... c.�. ..... ....................Haslet .... Nouse Naber Street CC./� qqQ County Tax Map No. 1000 Section ........l..l.... Block .....D.�;..... Lot ..... •:•�•.�.j. Subdivision ...Y7 Z S G 1Ql7�rFiled Map No.,.7 . �( ... Ivt .,...1?........ (Name) 1 FA A4 - 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructs : d we ` a. Existing use and occupancy ... �, .Q•,,� .. b. Intended use and occupancy ........ c" cc ra ..................... .... ...................... cr L Repair kwhicl applicable): ©p Y Addition ...... Alteratioo .......... 3. Nature of work (deck Wlnd: appl Ne '�..r- r ........ ............. Demolition .....,...... Other Work . $'ia Sb (Description) 4. Estimated Cost .... 6 0'� . ....... fee ..... .............................................. (to be paid on filing this application) 5. if dwelling, comber of dwelling limits ......... ... Hmber of dwelling units on each floor ................ Ifgarage, nuaber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each jpe of use........../............ 7. Dimensions of existing structures, if any: Front... ....... Rear ...!� .'G...... Depth ../V ......... Height .........................` Wmber of Stories ...................... Dimensions of sae structure with alterations or additions: Front ............... Rear ............... Depth .................... IsIeeigllt .................... Wurber of Stories ............... 8. Dimensions of entire new const714joiber lItion: Front ................ Rear . ........... Depth .............. Height ....................... of Stories ........... .. . 9. Size of lot: Front ............II........ Rear .................... Depth .................... 10. Date of Purchase .............. ...... Name of Former Owner ........................................ II. Zone or use district in which premises are situated ...,...........................�.}}................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....! , -4............... 13. will lot be regraded u........ ill excess fill be removed from dsea 19S \�✓ 14. Names of Owref se C �5.. �`: Address ....... !���®.........�. PJla�.No. .a���(�.�...�.. Nae of Architect ...eoX (/(i1.4C4 o,`�........... Address OI..Lam„ 0.'�. f� p4'`�'"�:- rPhoneJ NNyo. .7�.f1!.41N7 f ✓ /f�� D-....... Name of Contractor ....... . gf� ?�......... Address .Y.1 !� :4 Y hfJf�y /...Phone No. 15. is This property within 300 feet of a tidal wetland? * YRS .......... NO ..Y....... *IF YES, SO[AIYHD TOWN Tial l`M PRWT MAY BE WMM. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street andiblocr ruder or description according to deed, and show street nares and indicate whether interior or corner lot. SWE OR Ww YO W I OOONIY OF .... �.Wo AS 0 os A � � x �c--e. ......? : .0 ......ki.,iJy °) ...e....... sworn, deposes and says that he is the applicant ..beim duly (Name of individual signii�g,��briEiq�.39 above n ansed, Ileis line ............................ +d...(....;.................. ................................... (Contractor, agent, o rate officer, etc.) of said owner, or owners, and is duly, authorized to perform or have performed the said work and to make and file this application; that all statements cont�ired in this application are true to the best of his knowledge and ,belief.; and that the work will be performed in tiny manner set forth in the application filed therewith. 9wom Lo before me this .........P. ...daof �. v y ... G_{. ,.....19..� �... . � J ...1 .' Notary Public ..:...YW ( rgnature of ppli t) NOREEN L.HAGER 0"ARY PUSLIQ STATE OF NE Wy' HR QUALIFIED IN SUFFOLK OOUNIY SEG.NO.52-452C433 COMMISSION EXPIRES I$I 0/ �I• VINO-LBfR yrb (1�Yi/ SKIMMER �....., �R B'R ♦B'Ri" p c FX3-3/g' BARS RETURN �.B 'R _-- --`- FORM TIES 24'I fi R 9• \`I B n ap TO FILTER 0• 8'R -n Q FROM SKIMMERS I1 10'R 9' I BETWEENOLLEO FOAMER O FILT EROne PUMP 9'RLIN =UPTIWNL STEPS - ------ / ifi CONCRETE FROM FILTER 8R 2'R B'R 35001E O RETURNS \� '' _ TO WASTE - - POURED CONCRETE / VINYL LINER PIPING ARRANGEMENT , PLAN = % ' ;: `; --j a xoc. vE.s 2- 4 SAND 10` I �E tzl f SECTION _m J SEE TYPICAL T` - WALL SECTION FORM TIE FIBERGLASS 14 'N MOULDED `\ P I PIECE n - Y MAX — — 3/g• BARS 2*- 4 SAND BOTTOM "v f 8•-O- SECTION B- B PLAN OPTIONAL STEP GRADE TYPE 1. - TYPICAL WALL - G- 8-0 G t �PSf-OF Npp�Y � SECTION A- A °yGE1 ;�y, NOTES: °� WALKS TO Sr SMOOTH, NON-SKID TYPE PROPOSED POOL FOR: CONTRACTOR: a § SLOPED AWAY FROM POOL. ISAAC SHLOMO RANDY T. RODECKER, INC. WATER DISPOSAL SHALL BE LIMITED TO am !-' '�•z OWNERS PROPERTY TO SUIT LOCAL REGULATIONS. PL PRESIDENTIAL DR. SWIM KING POOLS / AINVIEW, NY v55'°��a�" ROUTE 25A, ROCKY POINT, NY 11778 I .O Vl WEIAIXISnNO r �'sa• > SURVEY OF En Lor LOT 8 oyQ5 a_ MAP OF 1,0 MG ME HONEYSUCKLE HILLS L FILE No. fBER EXSONG SITUATED AT OT Qn q '� � Pj. 9723 MATTITUCK vr y ' N 89'23'00 E . - TOWN OF SOUTHOLD 0724 ' •; 20.58' - SUFFOLK COUNTY, NEW YORK L' SWOOD STK. S.C. TAX No. 1000-99-03-4.8 ET „ 6 FOUND 899-23'00' w 108.33' SCALE 1'=40' pp CONC O MARCH 2, 1999 Y y423pd Fa �,WD " J a ;- , ; ry•, �o APRIL 6, 1999 UPDATE FOR WELLS & CESSPOOLS N 93 of° m a�'.J �L APRIL 27, 1999 REVISED PROPOSED SEPTIC & WELL LOCATIONS OCCUPANCY OR AREA = 25,900.95 sq. ff. 0.595 CO. y y ` USE IS UNLAWFUL WITHOUT ppCiE'RTIFII CA OF OCCUPANCY CERTIFIED T0: AQUEBOGUE ABSTRACT CORPORATION 0 I SOUND DESIGN HOMES ' 1f1DERWRPTER$CERTlF7 REQUIRED 1. ELEVATIONS AM RETERENCEO TO AN ASSUMED DATUM EtOSiIMG RIEVATI0N5 ARE SHOWN TNU$JW.P 232 T2p L 2P� O 5 ;` ^ 3. REFER TO FMFD MM FOR TEST x032 DATA. �l�y) (,n9//+ AP M V AS NOTED 3. I TMk-NIMUM W LONG. TANK WIDE. 6 FORA 110 { BEDROOM HOUSE IS 1.000 GALLONS, [O ii § S! ]b i TANK; B' EONG. 4'-3' WIDE. 6'-T' DEEP N GI '(� r. }4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 9EDROOM HOUSE IS 300 p ff SWEWALL ARG. Y / W '.;%YTS. B.P fn 3 'G 1 POOL; tY DEEP. W ale. o� PIIOPOYD EXPANSION POOL OTIFY BUILDING' OEOM- FoR T AT f///i7 PRaPosm LEAcww POOL AM TO 4 THE me�g_ 301 . . �- FOUNDATION INSPECTIONS: S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN NEt ARE FROM FIELD � • I* 3i1�?ISATION - 'PVVO REQUIRED MERVAT04 AMD/OR DATA OBTAINED FROM OTHERS. � C. II AU yC FOR POURED CONCRETE s. s.c.D.x.s. Ne. RIO-99-00" 2. r3,1J$1f".H -/�FRA24 MIG & PLl MBiNG h D e T I 3. iNSULATION M6PMED IN KCOIIOVICE MIM IIfE MNMUM 4. FINAL - CONSTRUCTION MUST srANLMRDS FDR TIRE susV AT 6fygMU, I O n ps t C+• J0 9+ sgag AND APPRUWD,AND ADOPTED HAS COMPLETE FOR C.O. _ NEW YOwF SPATE IAHo LL CONSTRUCTION SHALL MEET 5�0� �s ' T s . EOUIREMENTS OF THE MY tp�ytiPx A j < J to STA CONSTRUCTION & ENERGY `Ui o0 0�0 , DES. NOT RESPONSIBLE FOR g y o DDESIGN O. STRUCTION ERRORS x N.Y.S. Lia. No. 49668 UNNIRNfPoZED KIERATgN Olt AOpigx TO THIS SEDUCA�URJEY b A VgtA% aF WELL SECTION 7209 OF THE NEW Y STATE z33° AgEn � Joseph A. Ingegno wD°D �' RESgSv�D TO BE n TRUE SH0i BE coxsm�m Land Surveyor CEIWRiGW W= HFRFgn ShW RUN ONLY'IO TIE PERSON M WHOM THE SURVEY b PIEPAReb.AND ON FIS BEHHF lD TIE TIRE LOYPANt'.GWEwIMpiTK AOFNCY AND Tdle Surxeys - SubdMems - Site Plant - Conskxbm Layout I tFIaWIG NS1111NION LISTED NlRf0f1.AND �( IUTXNt CERIe1gTI ARE HOT iRNlSFEPAIME. PHONE (516)727-2090 Fox (516)722-5093 THE EXISTENCE OF MORT OF WAYS t AND/OR PJSEMEI7IS OF RECORD, IF OFFICES LOCATED AT MAIUNO ADDRESS 1 } - ANY. NOT SHOWN ARE NOT GUARANTEED. One Union Squore P.O. Boa 1931 ARUebogue, N" Yoh 11931 Wwwheod. Nevi Yod, 11901 BUILDING PERMIT REVIEW CHECK LIST f2cu•dy 9061E c1 � Applicant/ Date Owners Name: Gh0.((c5 Reviewed: Architect/ Date Engineer: S wl tO� L�,- C, Submitted: °I SCTM #: Q District: 1.000 Section: 9 Block: _ Lot: U Project �11—) 0 M Subdivisio // 1 Location: d 3�j �1` 0�ciS �t1Q, , (N' Ck Name: an -t5 u c kb Single&separate R certification: Y /No Req. Zoning District: [Lot size: Actual: ] [Lot coverage Proposed:_] Req. Req. Req. [Front Yard Proposed: [Side Yard Proposed: 1 [Rear Yard Proposed: ] Project Description: �/1� � � /fid AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees 1 Town Zoning Board approval: _ Town Planning Board approval: _ Flood Plane Elevation??? Flood Zone: Notes: