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HomeMy WebLinkAbout27832-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29334 Date: 03/27/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 4765 MILL LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 5 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 2001 pursuant to which Building Permit No. 27832-Z dated OCTOBER 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to RAYMOND J & DEBORAH M GURRIERE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1112833 03/21/03 PLUMBERS CERTIFICATION DATED N/A ho ' zed SegInature 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. 27832 Z Date OCTOBER 25, 2001 Permission is hereby granted to: RAYMOND J GURRIERE PO BOX 289 MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR at premises located at 4765 MILL LA MATTITUCK County Tax Map No. 473889 Section 100 Block 0005 Lot No. 003 pursuant to application dated OCTOBER 19, 2001 and approved by the Building Inspector. Fee $ 150 . 00 a Authorized Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTOLD BUILDING DEPARTMENT TOWN HALL ,u►J 2 2 765-1802 Jrv, 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 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. Copy of Certificate of Occupancy-$25.00 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 one), ,( Location of Property: YN025 A.u 1frV, At/ /1/ Ouse No. r— n- Street// Hamlet Owner or Owners of Property: �q�trtoh t� A/f GyI Q�l rri o-zA- Suffolk County Tax Map No 1000, Section loo Block 5 Lot 3 Subdivision l Filed Map. / Lot: Permit No. / B. Date of Permit.Applicant: A!i rr 11,-4— Health 1,-4--Health Dept. Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Certificate: _ (check one) Fee Submitted: $ a�1 / OJS App;' Signature O LrL3��lr��J��ncncn�Jffl3l�l111:111: 1lrJ�r�rJcncPcPcnrJ�rJ@nrJ�rJ�r�r ncnrJ�cicncncnrJ��l�l�l�l�l�l�I�I�P�P�P�Pr�r�rJRnrJ�rJ�r1�PcncnrJ�r��P o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 r5j 7c CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 C-CAT CO. RAYMOND GUIRRE9280 SOUND 5 NE MATTITUCK, NYE 1952, MATTITUCK,. 4765 NYILL 11952 CS Located at 4765 MILL LANE MATTITUCK, NY 11952 5 5 Application Number: 1112833 Certificate Number: 1112833 5 5 Section: Block: Lot: Building Permit: BDC: NS11 C5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 55 5 Basement, Outside,Pool/Spa, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 5 found to be in compliance therewith on the 21st Day of March,2003. 5 5 5 Name QTY Rate Rating Circuit Type 5 Appliances and Accessories 5 Pool/Spa Bonding 1 0 5 5 Furnace 1 0 Gas 5 Panels 5 1 40 4 5 5 Wiring and Devices 5 f55 Receptacle 3 0 20 amp Pool/Spa 5 , Fixture 3 0 Pool/Spa �5 5 Receptacle 1 0 General Purpose Receptacle 1 0 GFCI �' 5 (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have 5 5 frequent test and/or repairs made by a qualified person. 01 5 5 5 Sea, 5 5 1 of 1 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the.location indicated. 5 O cfcncnr3PLPLPrnr3PrJ'rJ'r PLPC rJ'rJLPL rJrJrJ�rJrJcPrJ�cPr1rJ�rJ�r�r�cnrnrJ�rJ�rJrJrJr�r�r�rJ�rJ�rJrJrJrJrJrJrJrJrJ�rJrJrJrJrJrJrJ�rJ arJ�rJ�cn o � TTT T1T1�� t I-11�1J III�T;TR 7��f T'T T ' �T�',v i"TVT T� vv Applicant/ t Date Owners Name: Reviewed: �O , Architect/ Date Engineer: Submitted: !c9 G a1__ SCTM : District: 1.000 SectJon:100 Block: 5 Lot: _ Project l /r� Subdivision � Location: �7 k� S t��� � � _ Name: '� o t o T e i Single&separate Required w , certification: (Yes/No) Ivo Rey. Rey. Coning District: J I of size: G2S� Actual: (Lot coverage , � µroixisedf Req. Req. t Req. (f=ront Yard P oposed:�� (Side Yard _ Proposed: _) (Rear Yard _ Proposed- Project Description: _� . E AGENCUERMITS Permit . �2UIRED FOR REVIEW NO YES tuber Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation .?? n Flood Zone: �� Yrs-�..�� I3 o Notes '�- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL 90—L [ ] FIREPLAQE & CHIMNEY r REMARKS: U,Q.,,, c,ti.�E,I (—CES V l) r3) Jf,�e- 6 c- � Y INSPECTOR DATE `'`�`� 765-1802 BUILDING DEPT. r INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ oo FINAL [ ] FIREPLACE& CHIMNEY / REMARKS: /(/a GE r DATE ( ✓�� INSPECTOR FIELD INSPECTION REPORT riATE Ja C0 FOUNDATION f IST) w ATION f2ND) c a �( g HOUGH FRAME 6 PLUMBING At t— INSUEATION PER N. Y. S F.< H STATE ENERGY CODE FINAL. AUDITI S: A s J TOWN OFEOUTHOLD BUILDING PERMIT APPLICATION.CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWNIIALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 7tSJ'�Zi Check Septic Form N.Y.S.D.E.C. Trustees Examined to t ig 20 O� Contact: Approved 1 O.1�5- ,20roL Mail to: Disapproved a/c hone: Z' 7--5-1 -S! 3 ML-7-0 -FOICte-p— XL&-�- Feu Cwioc Building Lae APPLICATION FOR BUILDING PERMIT 19 (::>q Date 20. INSTRUCTIONS A-47ok) Jo Hfi 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 applicant agr to comply with all applicable laws, ordinances,building code,housing code,and r ations,and to admit authorized ins rsrpn g for necessary inspections. !� UNDERWRITERS CERTmcm REQUIRED 9 ignature applicant or name,if a corporation) dIDG. OF T. "1-MMEDIATELOV Lx 214, Aff.IV4, by ENCLONECO OLT6IONDE (Mailing address of applicant) BEFORE'WATER" State whether applicant is owner, lessee, agent, architect, engineer,general contractor, electrician,plumber of builder 'issn-t if- W a 1MED 03 NOTED Name of owner of premises os9'- fie-60 Paul Wen C K.- CIA (as on the tax roll or latest dee !-'- 1- BY: NOTIFY BUILDING DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer TU-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: (Name and title of corporate officer) t FOUNDATION - TWO REQUIRED OCCUPANCY OR FOR POURED CONCRETE Builders License No. USE IS UNLAWFUL a INSULATION FRAMING & PLUMBING W1 I HOU f ERTIFICWE 4. FINAL - CONSTRUCTION MUST Plumbers License No. BE COMPLETE FOR C.O. OF OCCUPAhCY ALL CONSTRUCTION SHALL MEET Electricians License No. THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Other Trade's License No. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be done: y?65 Ali-// LAre- / tf ► �v House Number Street Hamlet ? County Tax Map No. 1000 Section JeO BJpckS Lot .3 Subdivision kiled Mag No. Lot (Name) :. State existing use and occupancy of premisesd intend use and occupancy of proposed constcuctioW. , a. Existing use and occupancy �fim f ZAMe2DD b. intended use and occupancy -t4 �9 f i0►7 of I Io/ Qt / ! I ✓ � ' v'�0�� 1. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work ati f a ,-i �ool (Description) 1. Estimated Cost (o©00000% Fee (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars i. If business, commercial or mixed occupancy, specify nature and extent of each type of use. � 7. Dimensions of existing structures, if any: Front ?© / Rear a p 0 1 _ Depth ,3J� Height YD/ Number of Stories / Dimensions of same structure with alterations or additions: Front 6+? ( ' Rear Depth$y t H / Height y� l Number of Stories 3. Dimensions of entire new construction: Front �� / Rear 3U Depth Height Number of Stories �. Size of lot: Front 201 Rear2t? 7 Depth 3L 31 10. Date of Purchase I?g 7—Name of Former Owner "if 10"t t ASOc t@#'-*- 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 re graded _Will excess fill be removed oved from premises: NO 14. Names of Owner of premises Address 4_76001 " Phone No. 3 m- -u lva Name of Architect Address hone No., -- Name of f n Phone No../ a?7-573 S- 15. Is this property within 100 feet of a tidal wetland? *YES NO` ✓ • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE•44EQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to propertyknes. .7. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. ;TATE OF NEW YADRK),­-1 SS: rnr �� rrtP:f 0-- being duly sworn, deposes and says that(s)he is the applicant (Name of individual sig&Ag P.AnhWt)above named, P� , , V S)He is the w�/1 ., ,t ° •t (Con(ragtor,Agent, Corporate Officer, etc.) f said owner or owners,and is duly qu orized to perform or have performed the said work and to make and file this application; hat all statements contained is this application are true to the best'of his knowledge and belief-, and that the work will be rerformed,in the manner set forth in thetpppheation filed th�W ;worn to h'eftore me this L day of-o U ~ 20) Notary Public Signature of A cant MELANIE V.BROWN Notary Pablo,&W of N"York No./90012 CommOANsd In S"Cn* drNtar Was OOL t%Q`U S Y M.0 m •Va VI1 A e c o s s • AIHI. tN. 1�1� Y Ri* i� V ��1 Wsi !1•iwq Y t/•a� � 1 Y N e � Y N m V • Y T p Pool P VIN aca7loN A -A ENMAL NOfo5 : :: •• rrma+ �Lv . i_ " 3 • t11'wtt Ntis a*"a*"rfEirMMMMIMAIASIIMMs*s. Mfw � 6" s'• •� I�TOt wtow f wmm*nwI, If*016ue— isMMNilst sYlulw MIs.K slip. 7M 1!<'� � �frr1�M � I"M/y11L hW*v vmob mmff. W1MWMtN►•�1MW�//1/11�� A s *w Ago #/K isr► sm i . Y Mom ►�=efp t. Mt•Mrisi I w.st vjnowAYAw A r q qYj t) ispk a =' ,,..R " *ICHIMAV& rWfi� -AWW1i<I$"ON' 1pwfftlw 4f66 UIII�K fsMswlfirM111L en. MAIM Army'n w..MS*wm oft Mwr.rv+$ HMFsw I AAM IW04%sr1 N dbf~ wMss i V7 _ a`.• t > - p Nyrt 1m, w si itfbe IIN•N ss+a. s. tr..k #�T& TYrWAL NRI.V ',i• M11� �A M. M 1 GI. G�aGteoN , u..s �rM'ww�r • yD� m m P 1f_ i nJn Jl ki At Gix-114PfA W 10/17/2001 12:23 6312875136 PELICAN PO0.6 INC tlo 3 Of Sxgt� , S PA O. Q Ls M sad s Young & Young, Lana Surveyors ba 400 Ostrander Avenue, Riverhead, New York 11901 516-727-2303 D1IIt13 s�': Alden W. Young, P.E. & L.S. (1908-1994) ` to \ Howard W. Young, Land Surveyor 0 Thomas C. Wolpert, Professional Engineer planning Asa. _ John Schnurr, Land Surveyor r= Oi• Wg IENginrrring ,F burveying NOTES C° ^j G = MONUMEN' SE! ■ = MorvuMEnr rouMo p = srnkE sEr ♦= sTAKE rourvo Rh n AREA = 5.0001 ACRES o / • LOT NUMBERS SHOWN HEREON ARE REFERENCED TO a SUBDIVISION - "WOLF PIT POND ESTATES" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE N0. ° Z 8963 € .0 \50k • WE HEREBY CERTIFY TO RAYMOND GURRIERE JR., DEBORAH M. GURRIERE, FIDELITY NATIONAL =o€ TITLE INSURANCE COMPANY 6r NORTH FORK BANK THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH ) THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONA " o�,, o ,,.:5`� // �9 SURVEYORS, D �S U o a o w U P gs 4 w d O$ _9- / 509 29� A N'\it / / �1HN SCHNURR, N.Y.S. L.S. N0. 49517 11 d 3 ' OWARD W. YOUNG, N.Y.S. L.S. N0. 45893 `E 495 =�y CIF v °� SURVEY FOR 0. LOT 3 "WOLF PIT POND ESTATES" o RAYMOND GURRIERE JR & DEBORAH M. GURRIERE gE o Seg S roti At Mottituck, Town of Southoldg o� "� Suffolk County, New York aWe wR. 0, va C 6� County Tax MOP Drstri& 1000 Seg❑°, 100 e°ck 05 L°t 3 „ SANITARY LOCATION foo PLOT SANITARY LOCATION JULY 31, 1999 0 0 FOUNDATION LOCATION FEB. 25, 1999 \ STAKED PROPOSED HOUSE DEC. 23, 1998 ADDED CERTIFICATIONS JUNE 11, 1997 �OD \ MAP PREPARED JUNE 3, 1997 FNs SCALE 1" = 100' eoN \ JOB NO. 97-0325 OF 1 gao flDWG. NO. GU970325 O