HomeMy WebLinkAbout44179-Z Of SOUlyo`o Town of Southold
* * P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46174 Date: 05/20/2025
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1065 Mill Rd Mattituck, NY 11952
Sec/Block/Lot: 106.-9-10.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 09/17/2019
Pursuant to which Building Permit No. 44179 and dated: 09/17/2019
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 in-ground swimming pool fenced to code as applied for.
The certificate is issued to: Catherine Canade ,Lori Panarello
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 40228 12/15/2015
PLUMBERS CERTIFICATION:
Aut o ' d ignature
of so TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• TOWN CLERK'S OFFICE
Ulm, SOUTHOLD, NY
BUILDING PERMIT
RENEWED
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44179 Date: 09/17/2019
Permission is hereby granted to: Renewal Date: 05/06/2025
Catherine Canade
1065 Mill Rd
Mattituck, NY 11952
To:
Construct a swimming pool. Replaces BP#40228
Premises Located at:
1065 Mill Rd, Mattituck, NY 11952
SCTM# 106.-9-10.1
Pursuant to application dated 09/17/2019 and approved by the Building Inspector.
To expire on 05/06/2027.
Contractors:
Fees:
Renewal Fee $125.00
Total $125.00
JAY)
Building Inspector
r
�o�sUFfa TOWN OF SOUTHOLD
�cay BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • � � SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44179 Date: 9/17/2019
Permission is hereby granted to:
Canade, Catherine
1065 Mill Rd
Mattituck, NY 11952
To: Construct a swimming pool. Replaces BP# 40228
i
At premises located at:
1065 Mill Rd., Mattituck
SCTM #473889
Sec/Block/Lot# 106.-9-10.1
Pursuant to application dated 9/17/2019 and approved by the Building Inspector.
To expire on 3/18/2021.
Fees:
MIT RENEWAL $125.00
Total: $125.00
Building nspector
�s `X TOWN OF SOUTHOLD
BUILDING DEPARTMENT
.yam TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT_ ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 40228 Date: 10/29/2015
Permission is hereby granted to:
Canade, Catherine
1065 W Mill Rd
Mattituck, NY 11952
To: construct a swimming pool
At premises located at:
1065 Mill Rd. Mattituck
SCTM # 47388.9
Sec/Block/Lot# 106.-9-10.1
Pursuant to application dated 10/27/2015 and approved by the Building Inspector.
To expire on 4/29/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
(aBpector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewrites-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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool $50.00,Accessory building$50.00, Additions to accessory building$50.00,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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: A _ �—
House No. Street Hamlet
Owner or Owners of Property: ZzP'Xi ��-
Suffolk County Tax Map No 1000, Section /0& Block 09 Lot /D, I
Subdivision. Filed Map. Lot:
Permit No. 40 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
SO�j�,ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G rimer.richert(aD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE-OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Catherine Canade
Address: 1065 Mill Road City: Mattituck St: New York Zip: 11952
Building Permit#: 40228 Section: 106 Block: 9 Lot: 10.1
.. WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc. License No: 4814-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 40A A/C Blower Range Recpt Fluorescent Fixture Pumps 2
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks H
Disconnect Switches H Twist Lock Exit Fixtures 11 TVSS
Other Equipment: In Ground Swimming Pool To Include, Bonding, 3- GFCI Circiut Breakers,
1-Pool Light, 1-Salt Generator
Notes:
Inspector Signature: Date: December 15, 2015
Electrical 81 Compliance Form.xls
-
� o
f # TOWN'OF SO.UTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND" [ NSULATI WCAULKING-
[ ] FRAMING /STRAPPING [ ]` FINAL
[ ] -FIREPLACE & CHIMNEY - ( ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
] ELECTRICAL (ROUGH) [ f ELECTRICAL (FINAL) -
[ ] CODE VIOLATION n [ ] PRE C/O
REMARKS: . �1A� DQ'bl� IAlv1 �OAVI 444
-( QL 4
re �,Aote_ Aw v tlo&
DATE -INSPECTOR
�o�aUE SOUTyO<o
# TOWN OF SOUTHOLD BUILDING DEPT.
coum, 631-765-1802
INSPECTION:
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]. I LATION/.CAULKING
[ ] FRAMING/STRAPPING [ FINAL ge
[ ] FIREPLACE..& CHIMNEY . [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ .] .FIRE RESISTANT'PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REM KS:
DATE l Y . . INSPECTOR
M• r I u Ems s 1 ID
O
I •
STATF,ENE-Roy • r
I � - AIN
�!%III% 'l�j.'�'/�� �A!J ` •
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey ✓
SoutholdTown.NorthFork.net PERMIT NO. � � Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined - ,20 Single&Separate
Storm-Water Assessment�Form
✓ J Contact:
Approved 120 Mail to:
Disapproved a/c
ho
Expir Al 10 11 _
Building Ins e r
OCT ?, i 2015 PLICATION FOR BUILDING PERMIT
FY r" ' T Date /'��23 , 20 f�
;n FBI i) INSTRUCTIONS �—
a.This application MUST be completely filled in by typewriter or in ink and submitted to the'Building Inspector with 4
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 the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months.Thereafter, a new permit shall be required.
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 a-gr-ees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
�411 L41— p6pZ-S L7'b
Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
�lU7i�,�y2
Name of owner of premises L,r
�ld
(As on the tax roll or latest deed)
If applica t is a corpor ti n, signa ure of duly authorized officer
ame and title of corporate officer)
Builders License No. Zg�IZ,2 Aj
Plumbers License No.
Electricians License No.
Other Trade's License No.
s
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section �J�(� Block U t..-_"vt; 3 L6t_f9,
Subdivision 'Sa e_Is;:!5(h�i S L1kNM7 Filed Map No. 5_7-9�-V Lot Z G
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy��511 6�- 2�3 mtwt --
b. Intended use and occupancya 6,—ylL.'7 F1*7,
3. Nature of work(check which applicable):New Building Add' ' Alteration
Repair Removal Demolition er Wor LIA-7n ��v,,•�,c i„u;
(Description)
4. Estimated Cost �'d 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 Z.3 9 1 Rear 6 Depth 30, 3�
Height 05 ' 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 /Z/, 541 Rear :5�E f Depth �()
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated `Ze3nca�iAL
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOx
13. Will lot be re-graded? YES IX NO Will excess fill be removed from premises? YES Jac NO
"P4
14.Names of Owner of premisescx+�i ,,�- e,&vAT.- Address szD Phone No._-,7Yo-- -s 3r
Name of Architect Address Phone No
Name of Contractor Address:tea .9 �kr.,,,?hone No. Z3,1-7G&S
T
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO )C
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NOP
* IF YES, D.E.C. 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO x
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
S:
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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 work will be
performed in the manner set forth in the application filed therewith.
Sworn t ob� dye t a7 + his
a f A 20/5
c.
Nota lic CAROL HYDELL Signa ure of Applicant
NOTARY PUBLIC-STATE OF NEW YORK
NO.61HY6189695
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES 06/30/20�/
c r
Town Hall Annex Telephone(631)765-1802
54375 Main Road H (631)765-g5
P.O.Box 1179 G �.. roaer.richert c olbn.south015 ny us
Southold,IVY 11971-0959 �
BUILDING DEPARTMENT
TOWN OF-SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: _
Date: _
Company Name: '
C'C -T_i1G. - -
Name:
License No:: `
Address: G
Phone No.: fo - ice _6 01a
JOBSITE INFORMATION: (*Indicates. required information)
- - - - --
_ ame:=
*Address: �� Mn ,
*Cross Street:
*Phone No.: �..T
Permit No::
Tax Map District: 1000 Section:--- - Block: Lot:. ,
-*BRIEF DESCRIPTION OF WORK(Please Print Clearly) c-n ryl fn
--
1260 �.
(Please Circle All That APPIy)
•)ob ready for inspection: ES NO Rough In Final.
*
.Do you need a Temp Certificate: . YES
Temp•Information (If needed).
`Service Size: 1 Phase 3Phase' 160 150 200 3001 .350. 400 Other
*New Service: Re.-connect Underground Number of Meters, Change of Service Overhead.
Additional Information: PAYMENT DUE WITH APPLICATION -�
82-Request for Inspection Form �" �
r
Scott A. Russell ��d° j ��: STOR IM[WA, ']E)E,
SUPERVISOR I�M[AN A(G�]EI�MHENT
SOUTHOLD TOWN HALL-P.O.Box 1179 t� S
53095 Main Road-SOUTHOLD,NEW YORK 11971 l Town of Southold
CHAPTER 236 '- STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
DOES 'I HXS PROJECT INVOLVE ANY OF THE E FOLLOWING:
Yes JNo (CHECK ALL THAT APPLY)
❑ rAA. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑[ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ID/C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑[3/D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ E. Site preparation within the one-hundred-year floodplain as depicted
.on-FIRM--Map-.of.any- watercourse:-
; E] �F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES.to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. l OOO Date ,
District
NAME: 17WL-6 � OBI Z3
(P-0 Section B., Lot
:`":' I OR.Bl 1LDJNC; DEPAft-FN
- 1GNT l ISE ONLY
Contact Information Ze 1
rarParc,umoni /Y ^ / 1 \ 7,i�s/C�Y/L,
Reviewed By:
Date:
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
Stormwater Management Cojitrol Plan Not Required:
�9A79/7 lC, i✓y //96 Z- Stormwater Management Contro]`Tlan,is Required.
ED (Forward to Engineering'Department for Review.)
FORM SMCP- TOS MAY 2014
Southold Town Building Department
o�S11FFal,�DG P.O.Box 1179 Permit#: 40228
53095 Main Rd
Permit Date: 10/29/2015
.., Southold,New York 11971
(631)765-1802 Expiration Date: 4/29/2017
Parcel ID: 106.-9-10.1
BUILDING PERMIT RENEWAL LETTER
Dated: 1/23/2018
Applicant: Canade, Catherine
Location: 1065 Mill Rd. Mattituck
Work Description: IN GROUND POOL
construct a swimming pool
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
---------------------
Owner: Canade, Catherine
Address: 1065 W Mill Rd � .
Mattituck,NY 1195
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
t
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
R - ' / .
GUARANTEES INDICATED HERE ON SHALL RUN /v -oa 00 FOR S.C.D.H.S. USE ONLY
ONLY TO THE PERSON FOR WHOM THE SURVEY _
_ IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY, t -�
1 LENDING IN57IW77WJ, IF LISTED HEREON: AND ' 1
TO THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITTONAL INS77TU7IONS OR SUBSEQUENT OWNERS ^• 2.
UNAUTHORIZED ALTERATION OR ADD171ON TO THIS
SURVEY15 A VIOLATION OF SECTION 7209 OF - - ---THE NEW YDRK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO,BE A VAUD TRUE
COPY.
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TM# 1000-106-09-10.1 SURVEYED_ 4 JANUARY 2002
SURVEY of SCALE 1'= 50'
DESCRIBED PROPERTY AREA = 27,246 S.F.
SITUATE OR
MATTITUCK, TOWN OF SOUTHOLD 0.625 ACRES
SUFFOLK COUNTY, N.Y.
SURVEYED BY
STAEY
SURVEYED FOR: JOSEPH T. BARTOLOTTO 11 P.O. BO J. iSAKSEN, JR.
PASQUINA BARTOLOTTO P.O. BOX 294
- NEW SUFFOLK, N.Y. 11956
631-734-5835
GUARANTEED TO:
JOSEPH T. BARTOLOTTO
PASOUINA BARTOLOTTO +,. N
NORTH FORK BANK 1.IPECONIC ABSTRACTSU YOR
1. 28 AUGtrST 02 FINAL SURVFY. SANITARY LOC. PROVIDED BY ARTCO• N1927 01( I UIl7
POOL:DIMENSIONS
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SET EFF :s' a sa- a• peso
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MIOi- lE� 3id i •i. ra •o. a a�oo_ _ APPROVED AS NOTED-.
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aaoo DATE: B.P.#' � _ `
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NOTi Y BUiL Nh:G �EPARTR�iENT AT
765-1802 8AM TO 4 PM FOR THE- -� I = _
-POI-LOWING INSPECTIONS: t DM G BOARD UC UPANCI( OR
OUNDATION TWO REQUIRED' A
FOR POURED CONCRETE IS UNLAWFUL-
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2. ROUGH - FRAMING.& PLUMBING , p�
H.LONowELDsoN BUT CER
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WERWEIISWRH E COMPLETE FOR C.O.
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AL CONSTRUCTION 'SHALL MEET THE
RE UIREMENTS OF THE'CODES OF NEW
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DESI OR CONSTRUCTION RORS
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-
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1852 OF NUMBER
DESIGN IS ACC ABLE FORQb PATH DRAWING NUM
ALL COMMON `.COlOf t101r3 MATT1�iJi�K NEW PORK 1