HomeMy WebLinkAbout29488-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30614 Date: 12/08/04
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 4365 DEEP HOLE DR MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 115 Block 16 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 13, 2003 pursuant to which
Building Permit No. 29488-Z dated JUNE 16, 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 VINCENT & CATHERINE BARRY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
t riz d Si ature
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. 29488 Z Date JUNE 16, 2003
Permission is hereby granted to:
VINCENT & CATHERINE BARRY
4365 DEEP HOLE DRIVE
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE
at premises located at 4365 DEEP HOLE DR MATTITUCK
County Tax Map No. 473889 Section 115 Block 0016 Lot No. 025
pursuant to application dated JUNE 13 , 2003 and approved by the
Building Inspector to expire on DECEMBER 16, 2004 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL 3 0
765-1802
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
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: _y31.� bW H (.v 6r . P1+44,+ c K u. [P7 s'JA-
House No. Street Hamlet
Owner or Owners of Property: V i hcen4- B11-'11,r j
Suffolk County Tax Map No 1000, Section // 5-00 Block /6. 00 Lot b a DB 6
Subdivision Filed Map. Lot:
Permit No. Date of Permit. /G d 3 Applicant: f3ACWI
Health Dept. Approval: Vit 6/ - Underwriters Approval: 2-J2.,
Planning Board Approval: 0�:
Request for: Temporary Certificate Final Certificate: r/ (check one)
Fee Submitted: $
c�
Applicant Signature
VR 2-
co
Com 3aG I
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street• Center Moriches,New York 11934 • Tel:631-878-3500 •Fax: 631-878-3764
Application: 3762 Date: 8/14/03
Issued to: BARRY
Address:. 4365 Deep Hole Rd
Village: Mattituck Introduced By: Avey Electric East Lic#:5120-E
was examined and approved up to the above date and was in compliance with the NEC
Mc 1st Roor Rmklertal❑x Pod® Det Gernge
Basement 2r d floor Cmrrrrvdal Hat Tub Akhm
Switches Receptacles Fixtures G.F.I. Timeclock Whirlpool
1 2 1 1 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
ther Equipment:
Inground Pool
ut,Res
This certificate must not be altered
in any manner
Permit#: 29488-Z
BUILTTT�T T rc
l� n�1_ L ILI T��1�Z T_"(VT ,�T T_L�-1 �
Applicant/ Date.
Owners Name: Us C R�� Reviewed: /b
Architect/ , �� Date
'Engirteer: M l�' Submitted 6/A�3
SCTNJ N:
District: 1 000 Section: 13 lock: Lot:
Project Subdivision
Location: q3b� �, � Name:
( Single 8 separate Required
cerl(fication: (Yes/No)
pp Req. —
Lolling 0isvicl: F d 11,0(size: ne(ual: - 1 (Lot coverage F'roposcd
Rcy. Req. (--� Req*
(I''ron( Yard . Proposed: , nJ [Side Yard S Proposed:— —J [Rear Yard Proposed/0
r�,ciwL l J�OC_- •
Project Description: Q S
AGENCY,RERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept. /
New York State D. E. C.
Town Trustees /
Town Zoning Board approval:
Town Planning Board approval: Z
Flood Plane Elevation???
Flood Zone: >(
to •
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATIION
[ ] FRAMING [ FINAL TOO
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:P '
PIC
,N
e
DATE INSPECTOR
( a,�s
acs-ieo2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS
[ ] FRAMING IN
[ J FIREPLACE & CHIMNEY [ ] FIREINSPECTION
REMARKS:
DATE �� � INSPECTOR
a
FIELD-INSFEMON MORT DATE commit _
►,e
FOUNDATION(1ST) .
C
FOUNDATION(2ND) in
• o
rA
ROUGH FRANIING&
PLUMBING y
INSULATION PER N.Y.
STATE ENERGY CODE
o r
v ver Nx
A v"Iq )c <<
FINAL c T
ADDMONAL CO
9
0
m
x
d
t�
TOWN OF SOUTHOLD
BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT ..►, Do you have or need the following,before applying?
TOWN HAiLL r 3 '
Board of Health
SOUTHOLD,NY 11971 J 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey--Z-
www. northfork.net/Southold/ PERMIT NO. e� Check ,/
Septic Form
N.Y.S.D.E.C.
Examined (v ,20 63 Trustees
Contact:
Approved 1/(,, ,20 03 Mail to:
Disapproved a/c
73y J.�
Expiration_ lAlt( , 20 o4- one:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date G,�i� , 20dS_
INSTRUCTIONS
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 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
authoriafMM� L J)Vt s and in building for necessary inspections.
ENCLOSE POOL TO CODE
UPON COMPLETION OCCUPANCY OR
BEFORE"WATER" (Signature of applicant or name,if a corporation)
UNDERWRITERS CERTIFICATE USE IS UNLAWFUL
REQUIRED WITHOUT CERTIFIC
ff,,agent, (Mailing address of applicant)
State whether applicant is owner, lesseve, CCI PANCY
engineer, general contractor, electrician, plumber or builder
Annr
Name of owner of premises >�,�� z� DATE:__ B.P.8
(As on the tax roll or 14HR deed) BY_
If applicant is a corporation, signature of duly authorized officer NOTIFY .BUILDING DEPARTMENT AT
765.1802 SAM TO 4 PM FOR THE
Nam�and�titlef corporate officer) FOLLOWING INSPECTIONS:.
1. FOUNDATION • TWO REOUIRED
Builders License No. FOR POURED CONCRETE .
Plumbers License No. 2. ROUGH. •FRAMING & PLUMBING
Electricians License No. 3. INSULATION
Other Trade's License No. 4. FINAL - CONSTRUCTIONS MUST
BE CQMPLETE FOR C.O.
ALLEET
1. Location of land on which proposed work will be done: RECONSTRUCTION SHALL SOF THE
QUIREIUENTS OF THE CODES OF NEW
S + Aam
STT . NOT RESPONSIBLE FOR
House Number Street
County Tax Map No. 1000 Section 1Z _Block Lot o?�
Subdivision 14,.e,,�T Filed Map No. -yam -6 Lot
(Name) - I y
2. State existing use and occupancy of premises and intended use and occupancy of proposed conslructOS:
a. Existing use and occupancy / 57LI,
/4-r,te
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition er W :.v� ,va . ,.. ,,�s.•.� r'
(Description)
4. Estimated Cost vyza'WD Fee i SD
.tib
(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 7�-t' Rear 2,; 5' Depth
Height Pv' 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 %�S d 5'' Rear /1S Depth -1,4,6 '
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ,����
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES _NO Will excess fill be removed from premises? YES 'k NO
14.Names of Owner of premisesj-..,zj r -,6,qzRy_Address Z&?A,,e D.Z. Phone No.
Name of Architect Address '`' Phone No
Name of Contractor Address -Pe 9 -Phone No..73,p-, S-
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* 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.
� , ,, 5 8': jai
16. Provide survey, to scale,with accurate foundationan and disaxices to roperty lines.10
HT1 '
.r �vi3
17. If elevation at any point on property is at 10 feet orb o q ,r! v
t(rraphical data on survey.
STATE OF NEW YORK) 1 33 VV
COUNTY OF CUM 3Vw1'!, J: i
1, 3 r� being duly sworn deposes and says that(s)he is the applicant
(Na=Qf,indixiidual signing qo cjj-ab6+e named,
(S)He is the a#s Ra j" I-elA3 a:
(Oomlfactor,Agent, Corporate Officer, etc.)
of said owner or owrWr4'4WA AASIJ %ad to perform or have performed the said work and to make and file this application;
that all statemA%Y,4n i4 eed iir'ICMs 31 atibnlre true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth rication filed therewith.
Sworn to before a t �
bel. ,t X20
' .%ta'y 1i'TRTL
Signature of Applicant
J�.NotaNew Yatk
QCounty
No.01 SC9
Term Expires Mayay 3131.,
NEWSUFFOLK AVENUESURVEY OF
LOT 49
A MAP OF
s$ DEEP ' HOLE CREEK ESTATES
FILE No. 4256 FILED ,JANUARY 28, 1965
H SITUATED AT
MATTITU C K
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
40
} S.C. TAX No. 1000- 115- 16-25
cow7m SCALE 1 "=30'
of
MAY 16, 2003
AREA = 22,426.65 sq. ft.
LOT 4B o ' 0.515 ac.
�o S 87 19
' " E
20 -
164.54' s
0
041
Lr) W CERTIFIED T0:
w CLASSIC ABSTRACT LTD.
N z W r- TITLE No. E787-732
teecow. STom VINCENT BARRY
LOT
C49) $ j r i CATHERINE BARRY
to t::: ::_: '=::_ __:_ j i /
wa � 72.6' — 40 0_o TE
STEPS
OVER
Fj ' y C
H PREPARED IN ACCORDANCE WIN,THE MINIMUM
0.3'H, 20.4
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE LLA-L.S. AND APPROVED AND ADOPTED
FO(p�D vi \ 8.5" o Qom- Q FOR SUCH USE BY THE NEW STATE LAND
COW NON. , 0. I o TITLE ASSOCLK N.
Lj
26.2 � � � � •- �
FRAME
R GARAGE :: • . • W ..
. �`
'� Q ► >r TT DR1VElW1Y. 4 •� � � T -•. }. � i � � n ,��i�
9.8• 26.2' '• . . w,`• ,, • - O �'1 - D
Z o b 1 i v
N.Y.S. Lic. No. 49868
•o (n
p STOCKADE FENCE �-. UNATHORQED ALTERATION OR ADOPTION
N 07 74 1 9'2O" w '' SECTM 7209 OFTO THIS SURVEY �THE " YORK STATE Joseph A. Ingegno
' C 6 0 ION OF
EDUCTION LAW.
COPIES OF THIS SW*TY WW NOT BEARING
THE LAND SdRVEYOR`S INKED SEAL OR Land Surveyor
LOT 50 EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VMI TRUE COPY.
CERTIFICATIONS *KXCATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOIA THE SUR4Y
I IS PREPARED, AND ON HIS BEHALF TO THE itle Surveys - Subdivisions - Site Plan - Construction Layout
i TM1 COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LUTED HEREON, AND
+w .ee+.vlcce nc .arc .cunni.- •len_ I PWrAW (Iti/N777-TAINTS Fnv /Ri117�7-1777
1.1 !@.. e. .. . 1 ... .. i_
��e�iY'e�lYiiilllhRiir.:,�'i"c+w+A t.cvtsm,euv r��►�s:r.rl mua4x � .i X4,11 1111111 IIIItlInYllllui s� I ,� ou�ee 1R L i 111:Ju 1111 v,.ii.-w�.,l .Iii I iu.
D
BILL OF —T C
13.8'Plain Posh(08-009) L
1-1'Plain Pont(08-013)
41� 26'Plain Pork(08-014) _
14'Plain Ponel(08416) LIE�- F a H J K J
1-1'Plain Panel(08-019)
8' 8' 8' 8 1� 1-45°x45 xnel Reverse Corner(08-216) SIZE A BIC JD ;� F G H J K L
1-(arner Assembly Kit((08-036) I6'a 41'x 14' 4'6" 4'6"
6�
8' 12-Ecerloely Braces(08.210) •'
* 1-Steel 8ordware IC4(08-204)
1-StraiBh(aping Set(10-058) �. :•-w
16 q' Q� 1-Sl 4k Coping Set(I W2) —®- — I PAN" a„
$" 24, 14 6verse Caping Corner(10.216)
I-V Realms Caping Career Set(10.004/5) "oT
1 VWO Iver(see oplow below)
•
STEP OPTIONS ACRYLIC FIBERGLAS&
SS
S 2 7' 8' 6'Skr Remove 2-(OIL009)8'pank.
8 6'3'' Insert 1401-006)6'step,2408-015)5'ponek �
45x45ic and 1408-210)economy brace.
REVERS FILL FILLET
ot R ERs
8'Stec-Remove 2-(08-009)8'panels. OR SAM"""
25 16"—� Insert 1-(01-002)8'step,2-(08-016)4'ponek •a An.NE
Md 1408-210)economy brace. PANELS T`
{'DEPTH YIN,
F.
STEEL PANEL
• •
Replace 3-(08-009)8'plain panels and 1-4'plain COPING LAYOUT
41' panel(08416)with:
8' 8' 8' 1-8'sllilleeer panel(08-011)
2-8'inlet panels(08-010)
7 1=
6, 1-4'Wal pond(08-025)
8�
* NSPI TYPE II
VINYL LINER 16 q' O►� �;
OPTIONS
;Q g' 24'
6, 't,0
8
8'
26::,23''
45x45x9�-� ii
EVERS FILL 4� q- TOPAZ STERLING STONETITE
25 t03i8lL) (032891) (03 389L)
(03-M) (03-2898) (03-3898)
8 An.nfion D•el•P M is your aponsib list' see Ihaf the saFey pockoge provided by FWP is delivered a pool owner and 11x1#w
5, No DIVMIG warning labels err.properly inaall.d.
J THIS DOCUMENT IS FOR ILLUSTRATIVE PURPOSES ONLY. raRT WAIS PaaLS®.rK.SIO SaNrTER aRIVE,
a0lagonals en to 90'point of corners. 6 •' FWP makes amt'those represemotiom whidm ore sated in id wnftn F f2 O N T I =f2 FfWAYIn,e14Ne4 USA (2111432-131
True-L left shown. h1es.dig dmsensions camP1Y with the National Spa and PCd W°�'��� �^�'di or Contractsenals P O O L-SrnsliMa suggmad minimum sasdords for residential Pools. regarding any DuwlNo NURs•et
GENERAL • • • 8 diving Goads or slides are a be used with these pods please P •d by FWP ora attribulnbla a the dealer/wntracar only.Tho
Consult 4+a n arsurocarers instructions and dme Nat anal °&Pod dealer a corm mdw who sells or installs your pad is an independent FRN-037
SI controcar mid is nal an agent or employee of FWP The construction
1.All vertical dimensions aro from liner wdrusions on all pads. 1.561 a have minimum bearing capacity of 2000 PS.F. 3.Excavation shoe be 2'larger dIan all around. Instiev R's Minimum standards prior a installing drying boards or rtNA s iruseomd here ora:ons and apply only a normal DATE into s
2.locate cep of pod a kcal 6'above wrroundiag Fill voids oder base of panels and amp well. slides an Ouse pools. For information concerning NSPI m nimum graxd candit ons.There maybe add l a d procaunans and/or � 16'X 41'X 24
ksrd ekvalion. 4.eodA vnih non-expansive material. standards,write: Nasional Spa&Pod Institute,2111 E"'Ahower madmods d construction.Tho raspomibiliy is the contraclars.
37 Avenue,Alexandria,VA 22314.703/838-0083 1995 TRUE-L bn RADIUS
COPYRIGHT 1995,FORT WAYNE POOLS•,INC.
rN-GROL,Tv'D S%WMING POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A _
VINYL LINER THAT W7EL HOLD APPROXIMATLY 35,000 GALLONS OF WATER. r-- '� ���•
FENCE WILL BE CHAN' LrN`K CONSTRUCTION, 4- HIGH WITH SELF CLOSING GATES THAT
W!LL MEET TO WNCODES.
L