The URL can be used to link to this page

Home My WebLink About30390-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30580 Date: 11/23/04 T~IIS CERTIFIES that the building ACCESSORY Location of Property: 745 STANLEY RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Ts Map No. 473889 Section 106 Block 8 Lot 13 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 2004 pursuant to which Building Permit No. 30390-Z dated JUNE 14, 2004 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 "AS BUILT" ACCESSORY ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to THOMAS & JUDITH HEDGECOCK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALTI{ APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2015203 08/03/04 PLUMBERS CERTIFICATION D~r~3 N/A Rev. 1/81 ~u/o r i ~S i~n~t ur e 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. 30390 Z Date JUNE 14, 2004 Permission is hereby granted to: THOMAS & JUDITH HEDGECOCK i'i~ELM ST SU~ DA~~70 for : "AS BUILT" ACCESSORY ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 745 ST~LEY RD MATTITUCK Cou~lty Ta3~ Map No. 473889 Section 106 Block 0008 Lot No. 013 pursuant to application dated MAY 25, 2004 and approved by the Building Inspector to expire on DECEMBER 14, 2005. Fees 300.00 ////i~-'~ ~ z~/.q'i~~natu ORIGINAL Rev. 5/8/02 I 8 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by 5,pex~xiter or ink and submitted to the Building Department with the following: A. For new building or new use: l. 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 lon'n). 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 tbr 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, 3. 4. 5. Swimming pool $25.00, AccessoD' building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~ff'"~/F o~- ~ 7 (check one) Hamlet Block r)° Lot /,~ New Construction: Old or Pre-existing Building: Location of Property: ~ ~ --~- ~<~/--~/LJ~:Sr"-~ /r~p~,~ House No. Street Owner or Owners ofPropetW: '~'-//Zg,~,4Za r ~'~L)~/',7"-//: Suffolk Count' Tax Map No 1000, Section .~,/~ Subdivision Filed Map. Lot: PermitNo. ~a~Q9 DateofPermit. ~>~/'~: Applicant: ~ Health Dept. Approval: Undep, vriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicanf Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STRE~I ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SULLIVAN ELECTRIC P.O. BOX 1589 E. QUOGUE, NY 11942, THOMAS HEDGECOCK 745 STANLEY RD. MA'I-]'ITUCK, NY11952 Located at 745 STANLEY RD. MATTITUCK, NY 11952 Application Number: 2015203 Certificate Number: 2015203 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdi~-tion, and found to be in compliance therewith on the 3rd Day of August, 2004. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle 1 0 GFC! Receptacle I 0 20 amp Pool/' Spa (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. 1 of 1 This certificate may not be altered in any w*~j and is validated only by the presence of a raised seal at the location indicated. "IMMEDIATELY" ENCLOSE POOL TO CODE Dimensions APPI:JO¥1~D AS NOTED l UPON COMPLETION DATE: ~/4/ B.P.# "~'~C~O'~-.- BEFORE "WATER" Round Pools NO'~Y BUIITDING £E?A~"~MENT AT 755-1802 8AM TO 4PM FORTHE 0 0 FOLLOWING INSPECTIONS: ~'] FOR POU~ED CqNCRETI]8'-- ] 15' 18' 21' I 24' I 27' , 30' k...... 3. IN~_UL,&T-~N ~Capaci~/GallonsL 5100 12237115355 18457 4. F~AL - ~...-.~,,:;:.--- .~--'.u ~-~LE ~ f= l~lei.hL J J · 'D~.ameter (A) T r'~ ALL $~'~q'I~UCTIO~SHALk~"~,~'rET THE lzf"' ' 18' ;~] 24~ L 27' I 30' TS OF' %~'E C,.,'"~.'E" QF ,',I'"'¢' '- ' ~ i~;;;~c~.r~=~l~a~';'l~563 I 7720 , 1027111 13349! 16751 i ?.0135 UNDERWRITERS CERTIFICATE '-'-~ Oval Pools REQUIRED 33' 34' o 26' 31' -~ I Hei§~ Oval Dimension (A x B) 48' 15'x 26' 15'x 31' 15'x 33' 18'x 34' -Capa~y~ 35544 43493 47470 55724 ~ 03,n~ri~/GallonsI 9390 11490 12540 I 14721 Capacity/Liters Oval Dimension (A x B) H ht ;3 15.,26. 15. 33. 18.,34. 38775 ~ 47447 51785 60789 ~'a,n~,rlh//Ga ons 10243 ] 12534 13680 16059 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE Lea(lin§ The Way In 'V~DC, CUPANCY .-.-~ ~ ~ Strength and Durability! ' · Constructed with alkaline-cleaned premium gr~Ve~Ly WITH ALL CODES OF AS REQI fIRED AND CONDITIONS OF // // \ /': //~ SOUT~0LD TOWN ZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S. DEC Premium steel core Hot dipped zinc coating Alkaline treatment Pre-treatment coating-~-~-, Parcolene coating Exterior print application Clear protective coati~ognl Second print applicati ............... .. ,,..... <_~ ~f:~:j " '-~,.=.i:.~,,. · ...... A~.",-..~,,-'~ .' ~:: --, ,'. '" "' ~""' ........ ~0~ ~... '~' ., ~,.. .... ,. : . ~ .~ ~ " · :,..,,:,-~, ', · ,,,, ,~,, ,. , ~ ~ LoT ~0 ' ' ' .-., ~ ....... ,:~.~'~',' · _._..~ '.. - _~, CO~HTY, r~'~' · - - . :' ' '"'" '~ ' ' BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SULLIVAN ELECTRIC THOMAS HEDGECOCK P.O. BOX 1589 745 STANLEY RD. E. QUOGUE, NY 11942, MATTITUCK, NY 11952 Located at 745 STANLEY RD. MATTITUCK, NY 11952 Application Number: Certificate Number: 20'i5203 2015205 Building Permit: BDC: ns11 Section: Block: Lot: as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of Described electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 3rd Day of August, 2004. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle I 0 GFCI Receptacle 1 0 20 amp Pool/Spa (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and, or repairs made by a qualified person. seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 765-1802 BUILDING DEPT. INSPECTION FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~]'~INAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I/NSULATION / FRAMING [.~/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGHPLBG. [ ]FOUNDATION 2ND [ ] I~I~LATION~__~/~ ~'~~'~"~ [ ]FRAMING I FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: FIELD I~SPECTION REPORT II' DATE FO~ATION (1S~ ROUGH ~G & PL~G STA~ ENERGY CODE % TOWN OF SOUTHOLD BUILDING I)F,~ARTMENT TOWN H/~LL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~vw. northfork.net/Southold/ / Examined ff //~ ,20 Approved )/t/~r, 20 . Disapproved a/c Expiration /3 ,20 BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying?' Board of Health 4 sets of Building Plans Planning Board approval Surve3( Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: 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 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 Departme~<.or 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 bnildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hou~h3g code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. '-(si 27e 'f app'li"nt or ~ne, ifa co~ora~ion)' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elecmeian, pl~nber or builder If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Loc~io~o~and ~.~r;posed work will be done: ~~ House Number "Street Hamlet Co ntyTax o. 1000 Sec.o b 7 Subdihsion Fil~ Map No. Lot /'~ Lot '2. State existing use and occupancy of premises and intended use and occupancy of proposed const~ction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Other Work ~-~eration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height. Number of Stories Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 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 zo/~ng law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ~/Will excess fill be removed from premises? YES NO 14. Names of Owner of premises .~.'t~ ~(~tPC/f--~Address ??~"- '- Name of Architect Address ~ff~/t.~/;~ Name of Contractor Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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..b_elow, must provide topographical data on survey. STATE OF NEW YORK) SS: 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 to before me this day of 20 Notary Public