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Home My WebLink About27332-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28144 Date: 01/04/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 1605 MARYS RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 139 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22, 2001 pursuant to which Building Permit No. 27332-Z dated MAY 25, 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 ABOVE GROUND SWIMMIMG POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROGER F & LINDA A RICHERT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 12/12/01 PLUMBERS CERTIFICATION DATED N/A A or' ed Sig ature 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. 27332 Z Date MAY 25, 2001 Permission is hereby granted to: ROGER F & LINDA A RICHERT 1605 MARY' S RD MATTITUCK,NY 11952 for CONSTRUCT AN ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. -Poor GP'Tf,S PAoWULw �PNtiJ'1 Nor if-3 USL oft- NZ-T- at oTat premises located at 1605 MARYS RD MATTITUCK County Tax Map No. 473889 Section 139 Block 0004 Lot No. 004 pursuant to application dated MAY 22 , 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Sign ure COPY Rev. 2/19/98 �j m � a1�8 - �fllcl 9� Form No-6 TOWN OF SOUTHOLD !•�' BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. ?2 6 Z New Construction: Pool' Old or Pre-existing Building: (check one) Location of Property: 110otr House No. / Street Hamlet Owner or Owners of Property: /Ioe hl*l9 -- P�� Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No.7 153 Z Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Z (check one) Fee Submitted: $ nj ot/?- L C. `.F or) (a V Applicant Signature 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS S 5 5 BUREAU OF ELECTRICITY S 540 FULTON STREET — NEW YORK, NY 10038 5 3a . 5 5 1 CERTIFIES THAT S 5 5 l 5 Upon the application of J 3 �O' upon premises owned by s 5 5 SS BRIAN BROOKS ELEC. INC �/ V ' ROGER RICHERT C5 BOX 1001, 455 BEEBE DR. �(.�� 1605 nTUCK, NY 11952 5 S CUTCHOGUE, NY 11935, MATT a� 5 Located at 1605 MARYS ST. MATTITUCK, NY 11952 5 �5 5 `j Application Number: 2039650 Certificate Number: 2039650 5 S 5 5 Section: Block: Lot: Building Permit: BDC: nsl1 5 5 5 S Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: S 55 5 Basement,Outside, 5 5 5 rj A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed Cj herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 5th Day of April,2005. S 5 Name OTY Rate Ratine Circuit Type C5 5 Miscellaneous J 5 service only 5 Service 5 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 Meters: I 5 5 5 S S 5 S S 5 5 S S Seal 5 5 1 of 1 5 S rj This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S 933 M-1802 suiwINa oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA ON [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE / 3 INSPECTOR 1 r FIELD INSPECTION REPORT DATE COMMENTS -------- ----- I --------------- FOUNDATION ( 1ST) I� IJ �1 FOUNDATION (2ND) 1 1 ROUGH FRAME & 1 li PLUMBING `Tt n II ------------------- II if INSULATION PER N. Y. ss, Cr STATE ENERGY CODE II R i q FINAL I � ADDITIONAL COMMENTS: 7 u O tj � e I � 8 a . Zcaus; 8v ro H 1� ^r �a TOWN OF SOUTHOLD ! ! BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMEN Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 i1 3 sets of Building Plans TEL: 765-1802 ; r� Survey K + GIIT�fOy' "' d � Check Septic Form N.Y.S.D.E.C. Trustees Examined �� D '20 Contact: Approved 6J '20 Mail to: Disapproved a/c Phone: e;* --�11 Z> Building Inspec r AP ICATION FOR BUILDING PERMIT Date , 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 demolition as herein described. The applieant agrees to comply with all applicable laws, ordinances,building code,housing code, andrelations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) Hpffzy�& i---Iw> , wa.-4-- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises 6c2 + L(gt44 33 (as on the tax roll or latest deed) O FLONGAT If applicant is a corporation, signature of duly authorized officer TOS-1802 9 AM TO 4 PM FOR THE 00 Q a we* FOLLOWING -1 1FOUN . DATION - TWO REQUI LI (Name and title of corporate officer) FORPOURW CONCRETE L ROUGH - FRAMING i PLUMBING Builders License No. i INSULATION 4 FINAL - CONSTRUCTION MUST Plumbers License No. BE COMPLETE FOR C.O. OCCU-P—ANCY ORUNDERWRI ALL CONSTRUCTION SHALL MEET Electricians License No. TM CEFU fall THE REQUIREMENTS OF THE N.Y. USE 1S UNLAWFUL REQUIP4 STATE CONSTRUCTION A ENERGY Other Trade's License NoWITHOUT CERTIFICATE CODES. NOT RESPONSIBLE FOR OF OCCUP Nc DESIGN ON ERRORS 1. Locati n f land wh�h roopo�sed wo wi be done: V�' House Number Street Hargl. County Tax Map No. 1000 Section �' BlockLot— Subdivision Filed otSubdivisionsFiled Map No. Lot 2. State existing use and occupancy of premises ntended use and occupancy of proposed construction: a. Existing use and occupancy n (>CgC�= b. Intended use and occupancy Qlry - gyi ��- G�1\4 3. Nature of work(check which applicable): New Building Addition Alterat' Repair Removal Demolition Other Work pf4vc Az,. �/ (Description) 4. Estimated Cost �� S 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 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 Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 7Z Rear 14 Depth //4/ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violat any zoning law, ordinance or regulation: 416 13. Will lot be re-graded Will excess fill be removed from premises: YES NO r 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address 'Ph/one No. 15. Is this property within 100 feet of a tidal wetland? *YES NO Y • 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 COUNTY T- being duly sworn, deposes and says that(s)he is the applicant SHT R ntract)above named, 110R 314,2 1, kyr 3';3etc.) VK1l8Mt1J9 A Dili AAAI . HiDIU101 2 of said owner or owAM ",J&iii*authorized' performed the said work and to make and file this application; TZtff& TlAM &ain&AW"application are true to the best of his knowledge and belief; and that the work will be erforme"ffQWM4R3c in the application filed therewith. T3 M JJAH2 1A0iT.URT2P03 JJA Y.i t10 2 o 1+C43A �iT Y^ TATS 200( ")'A , !t:. ry .•k i- - Notary Public Signature of Applicant PAYMMADW Notary Public,State of New Ypk No.30-47411rA Quz;;'icJ h Nassau/ k Commission Expires uNAUTHOM7.!0 ALTERAT73li_,•If_A=_IJIUH -IN ptA_, 7:09 CF THE NEW YO;K STATE cwa5 IF THIS PLA114 N,;7 THT PltOFESSiCNAL OT DIG;N ' SEAL 02 EMSOSSj7,SIAL`HALL N, cr=,S;rzlso TO HE A II—M --;U- CO?`. J/ '71 A 0 72 a. o (J) 00 0 t NO 7T: I9 z MONUMENT LOT A/UMBERS REFER TO MAP OF GA POEN HE I GN rS _%�a FILED IN THE OFFICE OF THE CLERK OF SUFFOLK' COUNT Y ON JUNE 24,19Z9 AS NAP NO. 577. V! 74 49 Zo L ot e REVISIONS � YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK A N ALD W. YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.Y.S. LIC. NO. 12845 N.Y.S. LIC. NO- 45893 18 / 0.00 SURVEY FOR: nA 0 0 ROGER S. RICHER,r OF S• ow pSk D K, Z, /17 14;� AT GUA A.N,1rEED_&_-'4�`jj 't MATTITUCK FCRE G -INC. I +- I Q )o AN sou 0 s K TOWN OF R(j'vE 5 �'FIC f SOUTHOLD BY SUFFOLK CO., N.Y. SCALE: I i GATE" 1 N Cr: ` 3 40 1 PR 26 , 198 83- 295