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HomeMy WebLinkAbout27141-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28303 Date: 03/25/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1275 GABRIELLA CT MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 16, 2001 pursuant to which Building Permit No. 27141-Z dated MARCH 14, 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 ALFRED R & LISA L TESTINY JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 52199 05/29/01 PLUMBERS CERTIFICATION DATED N/A r ut rized 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. 27141 Z Date MARCH 14 , 2001 Permission is hereby granted to: ALFRED R JR TESTINY MATTITUCK,NY 11952 for CONSTRUCTION OF INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. at premises located at 1275 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 036 pursuant to application dated JANUARY 16, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorize i nature COPY Rev. 2/19/98 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 I%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. J At-i 1 o rd.U 0e1, New Construction: Old or Pre-existing Building: (check one) Location of Property: 1c� �I Ca� House No. Street Hamlet Owner or Owners of Property: —7 Suffolk County Tax Map No 1000, Section /O� Block Lot / Subdivision Filed Map. n Lot: Permit No. ) '71 q l -'2- Date of Permit. a l l��o l Applicant: A L i e S i ti jl Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ a J - 0 0 C_ Applicant Signature LA tg '�c�'"�- r r • r r , Electrical Inspection Certificate icate ti• • Electrical Inspection Service, Inc. ? 375 Dunton Avenue r East Patchogue,New York 11772 (631)286-6642 '• Date: 05/29/2001 Application No. : 52199 ti >: Issued to: At Tesiny Street: 1275 Gabriella Ct. Village: Mattituck Zip: 11952 Town:Southold Section: 108 Block: 4 Lot: 7.36 Introduced by. Hank's Electric Inc. (L) Lic.# 2675-E was examined and found to be in compliance with the National Electrical Code ❑ Commercial ❑NV Defects © Pool ❑1st Floor ❑Indoor ❑Basement ❑ Hot Tub 0 Residential ❑ Det. Garage ❑Attic ❑2nd Floor DOutdoor ❑ Addition ❑Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 1 1 1 1 Dishwasher Washer/Amp Dryer/Amp Oven RangeiAmp Garbage Disposal Furnace Oil Gas Circulator. Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Television Carbon Monoxide ❑/ ❑ • Other Equipment. 20A time switch 11/2 HP filter Motor Hugo S. Surdi President j` Building Permit No. This certificate must not be altered in any manner Inspectors may be identilled by their credentials Final Inspection: 05/29/2001 Rough Inspection: 05/29/2001 Inspector: Quentin Reynolds .•:s M-1802 � BUILDING DEPT. V INSPECTION [ ] FOUNDATION iST [ ] RO H PLBG. i [ ] FOUNDATION 2ND [ ] CATION [ ] FRAMING [ pINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE L&A / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: L/ cc DATE INSPECTOR i FIELD INSPECTION REPORT DATE .�-=c===-------_��__—�___�—_----=�-----------------------COMMENTS I it u n � hal FOUNDATION ( 1ST) If f I�I rb FOUNDATION (2ND) 1 n ROUGH FRAME & PLUMBING =�h II1 INSULATION PER N. Y. STATE ENERGY p w CODE ,t n cla n C+J H t n uu N FINAL li N ADDITIONAL COIlMENTS: M 1 H� x H ft . BOARD OF HEALTH . . . . . .. . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . .. . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . x `45:• -G- BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . "'--'• - TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC .... . . . . . . . . .. .. ... .... . . . . S TEL: 765-1802 TRUSTEE . . . ..... . . . . ...... . . . . NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined .........., LQ.... MAIL TO: . . . . . . . . . . . . . . . . . . . . ApprovedPermit No. ............... .................................. Disapproveda/c .................................. .................................. . .. (Building tor) APPLICATION FOR BUILDING PERMIT Date. INSTRUCTIONS a. This application must be caopletely filled in by typewriter or in ink and submitted to the Building Inspector u 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 mist be drawn on the diagram which is part of this application. 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 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. . APPLICATION IS IMY 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, and 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, nannces, buildi housing code, and regulations, and to admit authorized inspectors on premises and in it ng f y i ... . ............ .................... (Si e f applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, ®, architect, engineer, general contractor, electrician, plumber or build( ............................ ................................................................................ Name of owner of premises ... L ........1&-S.LA-).I............................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. CQN &A ed ........ Plumbers License No. .....!�1/./1............. t Electricians License No.( 577 .4.......... Other Trade's License No. .................... 1. Location of land on which proposed work will be donne.............................................................. ...............61.x$ JI61 LSA...C.f.......................... Styu+..HAffi.t�(<K........ House Nunber Street Hamlet County Tax Map No. 1000 Section ....lo.mLl.�(.... Block .. ............ Lot ,../. ,• 6..... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................1.................................. b. Intended use and occ upatncy X�7 V/. :Xb C?RPl�N '..l L7S71...'.. �:.� Ce...1-a... �/ e a X I C3 S 1. P:;muhre or work laheck wlutlh applicable): New Building Addition Alteratio�h ` Repair ............ Removal ............. Demolition Otlrer Work G�4G1 ..�6.0/....... (Description) 4. Estimated Cost . Z.V./�,�v.. 1.......... fee ............................. , (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ timber of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, eomnercial or mixed occupancy, specify nature and ext nt of each type of use...................... //�� �EMMm7w PtTpl 7. Dimensions of existing structures, if any: Front. V.X.36/.... Rear ......`5......... Depth ................. Height ......................... Umber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Umber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 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: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES N3 14. Names of Owner of praises l.eSiw.... Address Q.76....^Tq,16�(n-4ill>one No.0'-t- .'. i .... /.. Name of Architect G6MC,.MIChOC ................ Address 41.1Q%�&114.1/�.����5..�.. .. Phare No. 'QingK2 Name of Contractor !Gv A-1. ( .f4odeck(t......... Address y71)?1A6a...+lrrsL+F COlNt..Phone No. .7MV-S .0 15. Is this property within 300 feet of a tidal wetland? * YES .......... ...... *IF YES, SOUMD Mad TRQSIEES PERtIIT MAY BE RE HEM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bark dimensions from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior or corner lot. srN1E of ww Yom, SS COONIY or .. U F. P.C..1�..... ....F 'KtkAed...%..yRWat.f.i. ...................being duly sworn, deposes and says that he is the applicant (Name of individual signing contra^t) above named, Ile is the .....................✓d.(TV 1...................................... ............................. (Contractor, agent, corporate 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 contained in this application are true to the best of his knowledge and belief; and that the cork will be perfonmhed in the manner set forth in the application filed therewith. 9worn to before me this .......... ....day of AJM0!1..... Notary Public ..... ..�,:, . . . . ... .. .. ..... ......... NOREENI_NAGER (Signature of App ant) NOTARY PUBLIC,STATE OF NEW YOU OUALIFIEDINSUFFOLK COUNTY M NO.OIHM526433 carlws�ou�xrlaEs yl Ol CPANCY OR SCOHS REF. NO. = R10 — 97— 0028 USE IS UNLAWFUL N -9 THOUJT CERTIFICA F, OCCUPANCY �. ` 1. SURVEY OF LOT 12 k Q "EUJAHS LANE ESTATES, SECT. 2 N ' r. G FILED OCT. 8;1* FLE NO. 9912 a a�� AT mA TTI TUCK �o ,a y ¢ R _- zoo TOWN O t7UTHOLB �, �. p;� ` 3�2r SUFFOLK COUNT Y,r N. Y. 1000 - 108 • (4 - P/O 7. _ h2•�920 , �� �a t Scare: 140' Dec, 4, 996 a n .� n *7(fkW) u Q, tl� TA �e „ APLVEDAS NOTED - � IMMEDIATELY DATE: B.P ENCLOSE POOL TO CODE 2� weo (� UPON COMPLETION FEE: BY r_ BEFORE"WATER" NOTIFY BUILDING PART AT 0 IV765-1802 9 AM TO 4 PM FOR THE sem- UNDERWRITERS CERTIFICATE FOLLOWING INSPECTIONS: UNBE3irN 46 � REQUIRED FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION � Ud 4.-FINAL - CONSTRUCTION MUST J CERTIFIED TO, BE COMPLETE FOR C.O. 4 w ALFRED R. TESINY; JR- ALL CONSTRUCTION SHALL MEET �• GQ� L/SA L. TESINY THE REQUIREMENTS OF THE N.Y. 'Q 0 J COLUMBIA TITLE AGENCY, INC. STATE CONSTRUCTION & ENERGY NORTH FORK BANK CODES. NOT RESPONSIBLE FOR 9 h2 ! DESIGN OR CONSTRUCTION ERRORS 0.e \ Cj �PZE Of NFyI;Y Mf NO r. rrQ D� AREA 40, 172 sq ft. 39 xz �p ei �r I am Tamil/ar with /he STANDAF'0S APPROVAL The locations of wells and cesspools ANY AL'T&U"ON OR ACUT70N TO TtsS SUK' S A VIOLATION � � � � S. LIC. NO. 49618 OF SECTIGN " OE /wEll YpRK STATE: TION-LAZY, AND CONSTRUCT/OP( OF SU9�URF SEREST and o hereon ore from field o6sethers. s EX ! , T t7 pv/s/o/I c£II ATIQNS DISPOSAL SYSTEWS FOR SINGLE. Y RESIDENCES and aT from data obtained from others. 'S Ali WE C E V and will abide by the condllfons se! I hera/n and on Me P.C. x r plpgfssE ,' A 774, "J�VEYOR t permif to consltucl. , ► Y irr»l SAv LAM,Z ttf ' 'MW Br- ELEVATXIN,4 4 STREET 1Nb .UiN.il!t rERu AT ISD TO Aw ASS J7 y Ttl(�y ' FN.1 11971 • 8 F �`•, SKIMMERS ., .. :oma.�.s•. r:' V�•: ,• • ��, RETURNS L_ O a 4 �'•�;A' DIVING BOARD „: � ' t •p �.: 8 I I ELOPE 0 I i+ 113 .3Y8� BARS � 'I 1 _ B TO FILTER I O t 1 I OC Op O F FORM TIES FROM SKIMMERS 1 p FILTERond PUMP .-� FROM FILTER TO RETURNS QI'_ ^ TO WASTE a! a • ROLLED., AM p eET►vE€ri 'INER: PIPING ARRANGEMENT VINYL LINER CON TE LeinR END 35001b STEPS OPTIONAL - B �'. Ic'coac. P L-.A N .•�% POURED CONCRETE t7l-� 121 ►kits VINYL /•. ; • LIjIER t•' `�•..-.• � 1 DIVING BOARD T (SEE DETAIL SHEET) $=q" t ': :1 •+,s w f �� 1 1 z .•v.» .'� •:a•:•'r `,�'•�!...a . FIBERGLASS on MOULDED o' 2= 4' SAND 1.0" N I PIECE In lr `SECTION --L SEE TYPICAL WALL ! c!F io DETAIL ± 2 - 4'SANQ BOTTOM: FORM TIE .� .13" �— g'- 0 � ;r { • . 24" MAX 3'"' OPTIONAL STEP 8 BARS SECTION 8- 8 =� :.-v0 ��.-_ = ..__- - - TYPE 1. GRADE {. .. r-•7,tlsCTo�.rt�r��TrpRRT la GO 8=0� G i s 3 STEPS PLAN ~ _ colic . '•• 01 r , _ TY . A L WALL --~ 1 SECTION - A- A 1 1 Of ' OPTIONAL STEP g S►2E A 8 C D E F G AREA CAP �ORt;E �E'y TYPE 2. FEET rT. rt rT. IT. rt R rt. sort aAL. '+ "A,`��' Ig• o Z1 1 I12' b� A# A2c�' 1S,1oo *r r NOTES.... c. CONTRACTOR ,'( 1 /y WALKS TO B SMOOTH - ,DN SKID TYPE SLOPED AWAY FROM POOL " RANDY T. RODECKER, INC. I6•: 32' 16 32 9 ` 8 I t2 4 4 I .512 IB.S00 yQ 0561 ° ��rr WATER DISPOSAL SHALL BE LIMITED 70 OWNERS PROPERTY TO SU'T 'LOCAL REGULATIONS SWIM KING POOLS 16• s 36' 16 136 12 8 12 4 I 4 1 976 I ZODW I �VFEts10%0� 40 _t2 Ip 12 ( ROUTE 25A !0 : 40' 20 6 6 800124,000 ROCKY POINT, . NY 11778