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HomeMy WebLinkAbout29410-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30530 Date: 11/04/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 400 MOCKINGBIRD LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.54 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22, 2003 pursuant to which Building Permit No. 29410-Z dated MAY 23, 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 IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROBERT A & ANNE-MARIE VANMATER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3689 07/04/03 PLUMBERS CERTIFICATION DATED N/A ut riZ sigrjkture 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. 29410 Z Date MAY 23 , 2003 Permission is hereby granted to: ROBERT A VANMATER 400 MOCKINGBIRD LANE SOUTHOLD,NY 11971 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 400 MOCKINGBIRD LA SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 054 pursuant to application dated MAY 22 , 2003 and approved by the Building Inspector to expire on NOVEMBER 23 , Fee $ 150 . 00 thori d Signature ORIGINAL Rev. 5/8/02 Form No.6 e, TOWN OF SOUTHOLD --- n BUILDING DEPARTS - TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCC JANCMY This application must be filled in by typewriter or ink and submitted to the Building Department with Jhe followingb 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. _�,Z!(Q New Construction: Old or Pre-existing Building:_��(check one) Location of Property: M oc_[<,.i ak',, 1-4. ��y�� o /Z House No. Street Hamlet Owner or Owners of Property: �, e�. /9,J N jC_-M A f,'e UA J M I4 Suffolk County Tax Map No 1000, Section Block Lot !�� Subdivision N,gyp Po ,t Ili I Filed Map. Lot: 7� Permit No. q l b -Z Date of Permit. 512- a 3 3( Applicant: + foot til Wi 644"-- Health 44"-Health Dept.Approval: Underwriters Approval: 3 l 9 Planning Board Approval: / Request for: Temporary Certificate Final Certificate: l/ (check one) Fee Submitted: $ 2-57 0D /O� Applicant Signature Co � 3o53 � Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street• Center Moriches,New York 11934 • Tel: 631-878-3500 •Fax: 631-878-3764 Application: 3689 Date: 7/24/03 Issued to: Vartmater Address:. 400 Mockingbird Lane Village: Southold Introduced By: Bethel Electric Lic#:2880-ME was examined and approved up to the above date and was in compliance with the NEC Attic 1st Floor ReWerfal D Pod Det Garage Baserrlent lid floor OmTrlerdal Hat Rb PdMm Switches Receptacles Fixtures G.F.I. Timeclock Whirlpool 2 2 1 2 1 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide Furnace Oil Gas Heat Zones Smoke Bell Detectors Transformers Meter Amps Phase Motors 1-11/2H Other Equipment: Inground Pool 10 ut,Res This certificate mus not be altered in any manner Permit#: 29410-Z q1D Z; 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ v]'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE � � INSPECTOR_��� '"- /' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;71NAL ATION ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: �(� YD • /P .,. .r .cam DATE � � INSPECTOR `� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS;:- 1-2 EMARKS: DATE �d INSPECTOR ✓""' 1 l a FIELD INSPECTION REPORT DATE COIVDWgIS FOUNDATION(1ST) r a 4 � C FOUNDATION(2ND) z ' O G ' H ROUGH FR4lvJUNG& PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE O/ • lS FINAL aD oxaL Com S 0 M m y 0 x d y , BOARD OF JIEAL17A . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . .. . . . . . . . . SOUTHOLD, N.Y. 11971 DEC .. .. . .... . . . .. .. . . . . . . S TEL: 765-1802 TRUSTEE . . . . . .. . ... . ..... . . . . . NOTIFY,�? (a-�©O CALL . . . ! . . Examined..... ...... ...., ZO.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved...... .?�..T, . .. Permit No. ................ ................................... Disapproveda/c . ............................ ... ................................... ... .... ...... . rld-ng .._) ....... APPLICATION F BUILDING PERMIT 2 2n 1 i Date. . . . . . . . . . . . . . 20. INSTRUCTIONS -L a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 must 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 time 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 HERE" 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in it i ecessary inspections. (Signature•Of applicant, or name,•if�a corporation) .........P......Se. (Mailing address of applicant) 1176 State whether applicant i owner, sseP, agent, architect, engineer, general contractor, electrician, pluaber or builder .... ...... 9 Name of owner of premises �:✓ �r...V`'`!!!.. 1 Cl� ..yW 464(��b! .. f/QOId .(as on the tax roll or latestdeed) . .................. If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ....................... " Coves�7'y Plumbers License No. Electricians License No. ..................... Other Trade's License No. .................... t, 1. Location of land on which proposed work will be done... gU../V0c-klnS�✓ifid.L ........ ..... . .... ..... .........................................................�.�. � ?dl�,!�, /�/�ccl. ! le . House Number Street •. Hamlet ............ Carty Tax Map . 1000 Section .... ...... Block ....46.... .. Lot .. Subdivision ..� )�t..�jlUUl(ls..... Filed Map No. .... lot ...W9...... 2. State existing use and occupancy of premises and intended use and ocnmpammcy of proposed construction: a. Existing use and occupancy ........ -6)s l It y ......s��% .!?:. ...................... b. Intended use and occuparny ..... !/,�. ......I............................................. --a 1. nature of work (check which applicable): New Building .......... Addition .. Alteratioxr ? .... Repair ............ Removal ............. Demolition ............ Other Work tv.mJ (Description 4. �Estitnated Cost ..... � �� ......... fee .... (to be paid on filing this application) 5. If dwelling, ouzber of dwelling units umber 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..../"J4 .......... 7. Dimensions of existing structures, if any: Front....... ---- Rear ... �........ Depth ...3 Z......... height ......................... Number of Stories .. ................ Dimensions of same structure with alterations or addi i Front ............... Rear ............... Depth .................... Heiglht r of Stories ............... 8. Dimensions of entire `new construction: Front .....I. .!/..... Rear ............... Depth .............. Heigbt .............N�9 ..... Nuumber of Stories ..... .......... 9- Size of lot: Front .. 2.!?: '?��? .. ..... Rear .....a2 6 Sj...... Depth .................... 10_ Date of Purchase .../.. v__._..... Mame of Former Owner ........................................ 11_ Zone or use district in which premises are situated .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... v..0 ............ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES ND 14. Names of Owner of premises P.�: �. ..VGi!A'J, m ....��Address 0O/ ocAu. 0".........L?f lone No. 76, �?/./�.. Name of Architect ......... Address ..... Phan No. ............ Name of Contractor ................ . .. dress / Address f•?7/7-S/YI/7HZ71cJiJ pcWO Ito- ... ✓ PMOl?:sF7" lone 15. Is this property within 300 feet of a tidal wetland? * YES .......... ND .. ..... *IF YES, SQAIlrgD 1Udl M]SIFES PERMIT MAY BE W4MED. 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. Sege Surv&) i E Klii OF N;,W YOM, SS )UUNIY or ....................... ` .........................being duly sworn, deposes and says that he is the applicant ,Name of individual signing contract) hbove nand, ieis Lhe ................................................................................................... (Contractor, agent, corporate officer., etc.) hf 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 hat the work will be performed in the manner set forth in the application filed therewith. koorn Lo before me this ..---4 J........day of _ ........:20 3. Notary Public . ....... ..... . ... ......... .. AMY LATTANZIO (Signature of Applicant) Notary Public, State of New York No. O1LA6030584 Certificate filed in Suffolk County Commission Expires Sept. 13, 20W //L/f�Q PUNP � NOT O.0 �"/a Jat Nle( NO i0(r P � Or/[O'J (iN/ S.r/MNE.p-S,t:TION .4C(/../.!Qr/N� p -/t./<L, N!x IVO.OOLY lovl.CETE Oq �p�11C 11 r V OU S /+!X ,vur (I�IFi..T W_yOW!/1 li/J S ..�iio O/C r l/✓ -` o ca�i.vc f[K7�cW � 1,0101'' COyLR YfjV /NFR 'Lovt srtlC n.wcLE . L ALTERNATE 10J4 � Q 20 M1t- MIN. O RIM LOCK COPING v ao DOTE- SLOPE DECK/TERRAIN AWAY FROM POOL -A~« S74Aq -AACIC •fir K�-� "IMMEDIATELY" PLAN VIEW OF- POOL TrPruc 4PT ENCLOSE PQOL TO CODE COMPL WITH CR „46, UPON COMPLETION p AMAGE PREVENTIO 2.'{-x 6 co C RE "WATER " SOUTH LD TOWN CODE. couAR �,T vooL MeTHETE>Z . 0 a ' rtcrruL v.'s v • • /�L/X att«N� .evcc�v�rre.�-rw�c��MPL'f WIT ALL c - .•.••«..— fa r LONGITUDINAL SECTION NEW YOg�C ST TE & A Q IRED ANDOItDITI� "'"' �'�_ encu ��, LWOISTI� EO Ei�RTN ��sp Lt►ivc �►l-Iu.� fKG�.Q(it11 APPROVED AS NOTED - /♦v SOUTHOLD TOWN N c" _ \J rN. t/s•!Etl?/N - ATE: Z B.P.8 SOUTHOLD TOWN KRIM BOW- EE' BY: $OUTHOL ION 4-A- FRAME cuerEO 3/4- ST.STJ ILDIN� ., P " TMENT AT spy y STRAIGHT PANEL INTERSDCTIOLV�L�� 0 66-ISM 8 TO 4 NEL _ CORNER CONNECTION _ = IN C. 5/8 TH'Dt. TION - O IRED * " BOTH ENDS NC E His 401V�ivE er PANEL, i'-i� D, <.awc, we4.,otry rn/�Garro v - F ING I mem $ �+s s yo.vn/, i►cdN.N.zco 1~�H. x4. 4. FOCCUPAN .T(nFMC JW BE COMP TE FOR V LSk�$rU N L A W F U L ALL CONST CT SHAH MEET THE ' REp1 fE pOF_ ,4 a1 Sd � YPRCAT..A.. T RE r CA �� � MOM + OCCUPANCY 1.S a 1.5 X 24- - 14 Ga. fYPJCAt, PANEL STIFF-(NCR REVISED 4/02 H. ROY JAFFE, Y. E. WATER MAIN r �NGg1R L4 NE / L=171.46' 3 ` < \ c4°ZSCQ 0 CHIMNEY SEI' H �� 2 STORY FRAME Q G HOUSE 9 GARAGE y w 24.1' ]T.,• q M \ N N cyto D / OS' ` r?o 7gAr�o`` o 79 2. �O \ s% SURVEY FOR " �UFF0 COUNTY DEPARTMENT OF HEALTH SERVICES ROBERT A. VAN MATER a ANNE-MARIE VAtk-M'ATE'R %, LOT NO.48, HIGHPOINT MEADOWS ,SECTION THREIE MAR. 25, 1992 " ITL�.,fS�!LY DWELL.IN ONLY 11 11 JAN. 8, 1992 A tyy AT SOUTHOLD (DATE : NOV. 19 1990 DA' H.S. RrF. NO. fl TOWN OF SOUTHOLD SCALE: I"= 40' The Sewage disposal and �',iter supp!Y facilities for this k , IMbOn have beet!ins'petted by th;s Department arid;or SUFFOLK COUNTY, NEW YORK N0 90 -0913 r ' Other ag£1Ci'S an�lfcou 52 CIp. *4)"AUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED T0i -,l,{j„ � SURVEY Q A VIOLATION OF SECTION T2ov OF THE ROBERT A., yAN MATER NEW YORK STATE EDUCATION LAW ANNE- MATER Chief of S read of S,Vastewater Management COPIES OF THIS SURVEY NOT BEARING THE LAND BRI FA P TIONAL BANK SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE,COPY T T E NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO LA CORP zHEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUC T THE PERSON FOR WHOM THE SURVEY IS PREPARED IR EIRICAN I SURANCE J AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- PA NE RK �Mi1LAM)E.jT:WRTUI-*AIN_MI ' II SOURCE OF WATER PRIVTE_PUBLIC, MENTAL AGENCY AND LENDING INSTITUTION LISTED 1 IF CA 007 1000 SECTION 55 BLOCK 6 L 0 T 7 .54 HEREON, AND'TO THE ASSIONEES OF THE LENDING 1y ARE NO DIMELLINBS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE T '�NAS THOSE,SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT TlliltZMLYANpSEWAGE DISPOSAL SYSTEM FOR THISRIMIOEM(x OWNERS IEOMI'TO THE STANDARDS OF THE Su"OLK COUNTY DEPARTMENT •DISTANCES SHOWN HEREON FROM PROPERTY LINES z TH'fplvlCES. TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE.NOT TO BE USED TO ESTABLISH # :LICAMT� PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS ��. TEL - ��' '�YOUNG � YQUNG AVENUE NOTE • =MONUMENT Q = STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER :SUFFOLK''COUNTY ON MARCH 19,1990 AS FILE N0. 8912. AND LAND SURVEYOR N Y.S.LICENSE NO.IZ845 THE LOCATION OF WELL(W),SEPTIC TA NK(ST)B c(ssPooLs(CP)SHOWN N[REON HOWARD W.YOUNG, LAND SURVEYORN Y.S. LICENSE NO 45893 Z.B. i _x