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HomeMy WebLinkAbout29863-Z ! FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29953 Date: 01./09/04 I!I THIS CERTIFIES that the building ACCESSORY: Location of Property: 2005 NEW SUFFOLK. AVE MATTITUCK . (HOUSE NO.) (STREET). (HAMLET) County Tax Map No. . 473889 Section 114 Block 9 Lot 11. Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore ! filed in this office dated OCTOBER 27, 2003 pursuant to which I!! Building Permit No. 29863-Z dated NOVEMBER 12, 2003 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 JACQUELINE D MURRAY (OWNER) of the aforesaid building. !II SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL N/A IIS ELECTRICAL CERTIFICATE NO. 12454 06/19/96 PLUMBERS CERTIFICATION DATED N/A I! r Authorized Signat e 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. 29863 Z Date NOVEMBER 12 , 2003 Permission is hereby granted to: JACQUELINE D MURRAY 735 REEVE AVE MATTITUCK,NY 11952 for III INSTALL ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED RI3AR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP #23433-Z at premises located at 2005 NEW SUFFOLK AVE MATTITUCK County Tax Map No. 473889 Section 114 Block 0009 Lot No. 011 pursuant to application dated OCTOBER 27, 2003 and approved by the Building Inspector to expire on MAY12 005 . Fee $ 150 . 00 o iz ig ure ORIGINAL Rev. 5/8/02 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) Date................` •/ •.., . ..d ................., 19 ��:. N2 23433 Z Permission Is hereby gra to: .............. 4........................... :.............................. � y... �. 01 to . .:.. .......:........ ..... ... . ..... .... ...............: . ........................ .. ..... P . . .. .... .......... .... . .................. . .............. ....... .. .... ... ............ . ............................... ................................... ................................ at premises located aT...... ��o '....f�� i�.. ..... .................... .............................................................. . ... County Tax Map No. 1000 Section ...... /... ..... Block.........Y............. Lot No. ................ pursuant to application dated ................... �j......., 19... .., and approved by the Building Inspector. Fee$...162 . ........ .... ............. .... ........ ......... ' Building Inspect Rev. 6/30/80 Form No.6 TOWN OF SOUTHOLD y4, BUILDING DEPARTMENTul TOWN HALL 765-1802 JAN -9 APPLICATION FOR CERTIFICATE OF OCCUPANCY - _ This application must be filled in by typewriter or ink and submitted to the Building Department wzth 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. Swom 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,Additiyuis 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. Lo New Construction:_ �JE'1 j Old or Pre-existing Bu ilding: (check Location of Property: 734'- PFa t 7'T UG 7 J I 1 [t GA House No. Street Hamlet Owner or Owners of Property: -1"U C 14)c:�• /// � � � �V Suffolk County Tax Map No 1000, Section Block Lot 'I 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: $ t Applicant Signature ' ,z�. - '"_"'.".'.',.....*­ '"*"' ' ­­��" '*�'"'*.....�""' '� ' � : �­ `..........�..` "', ""', """" , �­ """' . �.....*­' "',.11-1-1 -..­� 11�1-11 ­'."""'I.­"_I`_"I_' -1 ,-- .'_�'_' : ......... "" ........*......�""" ... �_.' 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H"x b'a 16"CONC.BLOCK PRISTEfl A PPE CAST CONCRETE BO � COPINGV p A 2' B"WOLMANIZED WOOD PLATE ANCHOBEO TO6LOCK SKIMMERS RETURNS C D -T TROWELED OG PIBEflGL0.S5 CEMENT TROWELED ON EACH FACE ROLLED OF DONOHUE BLOCK WALL TO FILTER WLLED 1 A -FROMIIKIMMERS FI P4.AN LTFN AND PUMP FROM FILTER O RETURN TOWASTE VINYLLINER PIPING ARRANGEMENT WALL SECTION �� T'6AN0 ' 7 �2"SAND BOTTOM ,, POUREOCONCRETE F -1R•�T�I FOOTING SECTION B-B GRADE TYPICAL WALL SECTION n,.�.... »vim, �,dh•..' O Uzi] G G - zm yG) N r SECTION A-A c� c� Pools C Sin A B C D". . E F G H AREA cAP. SwimmingSwimming.* V/C''S1. j FEET FT. FT. . FT. FT. FT. ". FT. 60.FT. GAL. � rurw�F�rys PURCHASER r � 16'x32' 16 32' T'6" 1A• 5' 4'6" A 'I� " '6" T' 512 17,250 T R■ M ADDRESS f6" T 36' 11'6" 14. P 4'6" ' 9B 19.MD 929 Route 25A• Miller Ploce, NY. 11764 16'x36' ID 36 11'6" tA' S' ASP6" S' 5x8 stfia0 (516) 744-7185•-TELEFAX(516) 744-0174 CITY STATE 20'xA0' 20' AS 130"15'5" b'6' 6' S' m BOD 27.000 Suffolk License No. 10.374-HI PHONE ZIP CODE Nassau License No. 1-11744550000 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND { ] INS ION [ ] FRAMING FINAL j ] FIREPLACE &ACHIRSUElf REMARK 10 DATE INSPECT F11 (:61 tlt5l1i11O1f hllVQA( UDIt ... l.U�iljl ❑i t. FOII11UA 11011 (. I5iiI ... � ruultUn 1 ru11 ( L�u1) -- -------.. ----- --- n -- - - - ------ ROUGH I'Ii Atll; 6 I'LIII 111111(. �n ae�vvvu� ------------- -- --- -- -a n .� v we vvK.TWZ/'� 1 I l:i ll i A 1 1 1111 VER Il 11. Y SI A IR VIM IM Y c !! F IIIA 1. m��a o ., . A1)01110IIAL 1011t IN i1'i`i .., _ - -- - - YC- - -- -- ° - I,t a 1 r.. o � BOARD OF HEALTH PLANS . . . . . 6 LvJ l5 IJ V 6 FORM NO. 1 7 SETS OF PLANS . . pp ( TOWN OF SOUTHOLD SURVEY . . . , . [i APR 29 1996 k BUILDING DEPARTMENT CIIECK . . . . TOWN HALL SEPTIC PORN . . . . . . . . . . . 840�.4EPL SOUTHOLD, N.Y. 11971 ¢ TOWNOF.SOUTHOLD i TEL: 765-1802r1oTIFYi / CALL 7. . .. . . . . Examined .� .l.�. ., 19` HAIL NAIL TO Approved C . /. . ., 191&;,Permit No. ... . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . (Building Inspector) AP ATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit] 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 stye or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl cation. c. The work coverer) this application may not be commenced before issuance of Building Permit. d. T' T' s.j. o ,. e;� ;� •.tion, the Building Inspector will issued a Building Permit to the applicant. Such pear sltallbe :.. ! •)n1i. •, i ' ui:, b .ulal•!r for inspection throughout the work. e. 2vv uuiiding atva )�b ucufned or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been grafi t'ed bythe 13i llding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, builgirig code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary ins ections i 1 . • l',. . � l �. `cam _ (Si�nat To o pplieant, or name, if a corporation) _ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde 'L a .4, . . . . . . . . . . . • . . . . .. . . . . . t Name of owner of premises fl N. . R(4*K!+. l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. 44 7y, (Name and title of corporate officer Builder's License No: Plumber's License No. Electrician's License No. . . . . . . . . . . .. . . . Other Trade's License No. .. . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done . . . . .: . . /.! -7� Gr 6{ e_ . :. . . . ... . . . . . . . : I ouse Number Street Hamlet County Tax Map No. 1000 Section Block . . . . . . 09. . . . : . . . Lot . . . . . . . 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 . . . . 4 "bo- G.. . . .. . . .I . . . . . . b. Intended use and occupancy 47 D 1, IVOW bUildlug . . . . . . . . . . Addition . . Alteration . . Repair . . : . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition .; . • . . . . • • . Other Work y A"V.(,.f )0x,. (Description) 4. Estimated Cost .spa? . . . . . . . . Fee . . . . . . . . . . . . . . . : (to be paid on filing this application) 5. If dwelling, number of dwelling;units . . . krte . . . . Number of dwelling units on each floor . . ° ey.-%. . . . . . . . . Ifgarage,number of cars . . , . . .. ,fi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G. If business, commercial or mixed occupancy,specify nature and extent of each type of use ! !a . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. . . . . . � . . Rear 1U ' . . 'Depth a . . . . Height . . . . . . 16.`. . . . . Number of Stories . . . Z. . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . a? 3 c?. . . . ... . . Rear. . . . . . . . .! 7:.. : . . . . . . Depth ! v . . . . . . . . . . 10. Date of Purchase . . . . :. . Name of Former Owner . . .. 1 . . . .. . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . : . .N . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation o ' . . . 13. Will lot be regraded ! . ✓ . . . . Will excess fill be removed from premises 4�R> No 14. Name of Owner of remises06ff .Mu22tiY. . . . Address ;M+73,' oe_ . .V45 • Phone No. 4 9 . f Pr. . . Name of Architect . . . . . . . . . . . . . . . . . . . Address . . Phone No Name of Contractor . . X722 �cctr � No. �`�� •��cPS . /-�(.C77Is(.2 e'AFt�Mt�.S: :. . . . . Address /y.�ec.c�'KAcsxcx: • • . .Phone . . 15. Is this property within 300 feet of a tidal wetland? Yes. . . . .e{?f'fjo. . :X *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. LZ fir:7 A-GftE� UNDERWRITERS CERTIFICATE REQUIRED i N APPROVED AS NOTED � - _, R , � .IST Lrq I FEE: ffes� BY yilu G z m 0 U i� t%1,141"s U L NOTIFY BUILDING DEP T a 0 Tc' _ 765-1&02 S AM TO 4 FOR THE l,ng PE FOLLOWING INSPECTIONS: 101- ION 1. FOUNDATION - TWO REQUIRED TEC)r0 FOR POURED CONCRETE r 1 _ RztaH - FRAMING k'PLUMBING 1, , N 3. INSULATION 4. FINAL - CONSTRUCTTON MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET $&EMMEDIATELY" THE REQUIREMENTS OF THE NrY. y I° iGY 'I ENCLOSE POOL TO CODE uT,4'rE CONSTRUCTION & ENERGY 1dL6 FOR COMPLETION CODES. NOT RESPONSIBLE FSPR. „�...., BEFORE"MW1W DESIGN OR CONSTRUCTION ERRORS riGt ION ERRORS �I STATE OF NEW YORKy S.S COUNTY I OF . 5u.t.. ..?t is . . ., , , . .. . t jl)-f S . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. {e is the . . . .:. . . . . . . . . . .�rl. . i6��?r ., . . . . . . . . . . . . . . : . :-. . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) Iif 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 vork will be performed in tire manner set forth in the application filed therewith. >wom to before me his //''// . . . . . . : . ... . day o . . . : �.L. . . . . . 197.1 ` I Jotary P.ubhc . : . . tr"v ."h:L County � LORRT A_SCHQENEWERK (Signature of applicant) Notary public, State of New York No.480928A Qualillec i>t Suff !k Ct9 Y Term Expires –.S t" , ARPIQ4�r '-o. (OE:G UB�R 7086 PAGE: 321) J~` 2r -217•60 FOUND 7 S. 060E FFN'E CONC�MON, 8o CONG 1 Z5 00 uoN. 1111 3°>40>' E tt w 1 z N _ s INCECg S 86'39'40" _ _V�—. •_: _ �^_._-_ _ __:..__.=�F+� c:' ... � a(M OF CF1u'R TP=�S. .. a 8 E e qTRm , d Z 1 at n. V „ co FRAME � �� '� m ` . < . •�✓'...-a�� ,7�i < � GARAGE R . ASPNAU DRIVEY�AY.. d { I • f+''^(" / 11 .. 4 .• �• \A� NF CONOR10UE�_+-w� �. d.• Asp,til ORN9VAY N R �J • ,y. ,. _a.. •.. . . LAMP PDS( .. .'b •. '� d Op 4 Z * G r • (� �� \ ROOF,VJERKWG �w ' � - - e' 6 �• • J Bim*' '• • CIL.M EMRAMCE P ` CO44 Alh NC '� STOR eP � nA V LAMP POS E co q.TREES ry L e W -C) ,J ( 1 o O BRlcxt moo .. �fB �oo� ��,!. e• v h 1 `' l LMU� POLE WT #7 � �Q� > PROPERTY ! k � TED A T � ITU CK d. SOUTHOLD a W � w c/ r 000- 114-09- 11 Y I , 3 =20' Sg. I c N S off. 12, 1996 os OQ•, co 330.19 sq.. ft w J,z.R ' o04 ac- 8 1'01 ,3pn 4 w N 87 D7'3D < • �. . MPR,, 93. ' 1 D0.00 W N 81'D7' Or PAVE4ENr �^' M1RF8 '-QTREFS 53.4p Q" w •4 .d S.O.S. 1.<94. FOUND N 74. 6' " N poir C. M 4 3D YFAp D GREs N. 6.gD, W :S FOR DESCRIBED PARCEL ARE REFERENCED TO DEED LIBER 8509 PAGE Ob. TIT Su RES (WALKS, PATIOS,. DRIVEWAYS, etc.) IF ANY ARE NOT SHOWN Q :OVER AT DATE OF SURVEY. SAIF SZ 2'a N D m 111 VIRGINIA C PARKIN FOUND 'm (DF ED LIBER 7086 PAGE 32') , LONG. NON 217 60 , A �a FOUND mom 7.5 S,,,N E FENCE 2mLONC 12 �EY 125.00' ra SracKnoE FENCE 5 86'39'40" W E _ FENCE 5e'W I jN.,dC,E I/Y �m N 86'39' _�--- d 1 g I aaw OF cmAR IREEs . ' • J(/��� . GO l ' .• $ '� ,y ,,� .�-- I .. . . FRAME , ° 1 " `• ° 0 GARAGE 224- �,/ 8 O b • 'Ji ' ` -e ASPW1i ORNEWAY d I •,e • II . }./�� •l N, ,°• ./ - • . k ♦ ONLRIaNER w ; t 4 �ASPHAL. ORNFN.Y' , O MR UNa tD �'aRNe47 y DO. UNP Posrl • ♦ ' ' . ♦ L C5 t 0 ROOF DVERH4JE ' , e • ,`d CONIC. PATiOJ y edp C[WR ETORANCE A' UNP POI Pus V p N 4 4 W • "SOI sj, 4. /'—I �q� �, J , . • ° O BRICK a CONI +[e _ C� 41-al a � ✓ � e:J o�. m OUEF"Te Y OF PROPERTY MEET SITUATED AT e ��• ry/ I 4ATTITUCK �.o,o•. / w N OF SOUTHOLD � • e. y / �I �\ 3 - - I IF o No. 1000- 114-09 - 11 N 59 / ICc N SCALE 1" =20' s0 °so JANUARY 12, 1996 So' o p I • GUYBSW 1REA = 26,330.19 sq. ft. 4 N 81 01 '3p" N 81'01'30" IN 100,00' W N 0.604 ac. ° ; •d • • Alp,,, 93. 53.40 0, . W M e M11E EOCE OP PAl£MENT WIRES E 4 51 41W FOV N 74'06'30" 06'3 , e• ^—••',d ,wERNFAD WIRES m"co MON 46.60, W UFI POU` 1 i & BOUNDS FOR DESCRIBED PARCEL ARE REFERENCED TO DEED LIBER 8509 PAGE 06. StJP OL Z STRUCTURES (WALKS, PATIOS, DRIVEWAYS, etc.) IF ANY ARE NOT SHOWN To SNOW COVER AT DATE OF SURVEY. VENUE RATION OR ADDRION I A NOTATION OF THE NEW YORK STATE OR'S MAR NOT OWINGCERTIFIED TO_ DR'S INKED SEAL ORR ,HALL NOT BE CONSIDERED TUE COPY. COMMONWEALTH LAND TITLE INSURANCE COMPANY A.TEDHEREON SHALL RUN TITLE No. RH95-1574 .SON ROR WHOM TRE SNRJEY NORTH FORK BANK F� 00 f2 ION HIS 11% TO THED DANIEL MURRAY D LS OVERNMEMAL AOENGO AN ON IJSTEO HEREON, AND OOF THE LENDING IN91- JACQUELINE MURRAY .ES ARE NOT TRANSFEN,BI£. I) j APR 2 9 1996 OF RIGHTS OF WAY BLDG. DEPT ENTS OF RECORD, IF VN ARE NOT GUARANTEED. IOWN OF SOUTHOLD NIMUN PREPARED I AUTH ESATESUSA RUSHED ,ph A. Ingegno IPOyoNST° R SUCH USE Ry KENRSTATELND nd Surveyor A,t Ko lVEk,1• , E �. y�Px A.Iry, �u 5abd1Vl5lan9 — Site Plans — Construction Layout 2090 Fax (516)722-5093 'I` AT MAILING ADDRESS ��M ire P.O. Box 1931 \OU©., moi�� f N.Y.S. Uc. NO. 49668 . 11971 Riverhead, New York 11901 I