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Home My WebLink About29646-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30696 Date: 01/20/05 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 580 LLOYDS LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 3 Lot 4 .2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 2003 pursuant to which Building Permit No. 29646-Z dated AUGUST 13, 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 IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to ROBERT FOX (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 76348C 07/15/04 PLUMBERS CERTIFICATION DATED N/A Authorized Signature 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. 29646 Z Date AUGUST 13 , 2003 Permission is hereby granted to: ROBERT FOX 580 LLOYDS LA MATTITUCK,NY 11952 for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD FENCED TO CODE at premises located at 580 LLOYDS LA MATTITUCK County Tax Map No. 473889 Section 099 Block 0003 Lot No. 004 . 002 pursuant to application dated AUGUST 12 , 2003 and approved by the Building Inspector to expire on FEBRUARY 13 , 2005 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 a 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.r C. FegEG 2 2 0 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. Dec— v t7z New Construction. Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: (� }� Suffolk County Tax Map No 1000, Section Block 0C')03 Lot CV 4- Subdivision 46 /!s Filed Map. Lot: Permit No. �,�4 7L� Date of Permit. 8'13 .Gk3 Applicant: Health Dept.Approval: j "0L "d 'q Underwriters Approval: 710348 Q Planning Board Approval: L(check Request for: Temporary Certificate Final Certificate. one) c3� Fee Submitted: $t`- Applicant Signature Electrical Inspection Certificate Issue Date Electrical Inspection Service,Inc. Application 7116104 375 Dunton Avenue 76348C East Patchogue, New York 11772 (631)286.6642 Issued To: Mr. Robert Fox Street: 580 Llyods Lane Village: Mattituck Zip: 11952 Town: Sou'.hold Section: 99 Block: 03 Lot: 4.2 Contractor: Two Gang Electric Lic, # 46,33-E Was examined and found to be in compliance with the National Electrical Code. Commercial NV Defects XI Pool iX: 1st Floor Indoor 11 Basement 1_..' Hot Tub X Residential 1 Det.Garage 'X_; Attic .X.i 2nd Floor Outdoor ._J Additior, LJ Survey Switches Receptacles Fixtures GFl Heater.: A/C Fans 97 99 125 12 3 9 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Micro Naves 2 2 20 1 30 1 gas Furnace O!,' Gas Circulators Smoke Detector Bell Transformer X x 4 9 2 Meter Amps Phase UG/OH Jacuzzi Television CO Detector 1 400 1 x 1/20 3 Bldg. Permit: Other Equipment r 2 20\220V electric heaters/'20\1 20V ice maker/20\120V wine refridgerator/ 15\220V elevator/40\220V wall oven / 20\120V Hugo S. Surdi garbage disposal / 12' uc low voltage uc President lighting / 1 50\220V ac/ 1 40\220V ac/ 1 20\220V ac/2 200amp panels / 170amp pool (panel/ironing board circuit 20\20V/ 1 30amp Rough Inspection: 0023/200---- -— dryer gas/ 1 well 20\220V / 3 15\220V air dandier/ 1 100amp sub panel / 1 pool light/ 1 Inspector: Edwin Rodrguez 20\220V pool speciality outlet/ 1 time clock Final Inspection:—07/151200x-----�--- Inspector: John Mc M 3hon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. W- - - - -- - - 1 1. c Albert J. Krupski, President ��. QG Town Hall James King,Vice-President �� 'yam 53095 Route 25 Artie Foster H P.O.Box 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A. Dickerson Telephone(631) 765-1892 1 `�► Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Building Dept. FROM: Board of Trustees DATE: January 18, 2005 RE: Robert Fox 580 Lloyds's Lane, Mattituck SCTM#99-3-4.2 The Southold Town Board of Trustees has inspected the above-referenced property and determined all permitted activities to be in compliance with Wetland Permit#5224. Please let us know if we can be of any further assistance. suFFot� Albert J.Krupski, President ��0 C� Town Hall James King,Vice-President �`1` �y53095 Route 25 Artie Foster co P.O.Box 1179 C#* Southold,New York 11971-0959 Ken Poliwoda Peggy A. Dickerson �.f. O�� Telephone(631) 765-1892 ��j `1►a Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD e TO: Building Dept. AUG 9 A s J FROM: Board of Trustees DATE: August 27, 2003 `" " 0'J'f-QLD RE: Robert Fox 580 Lloyd's Lane, Mattituck SCTM#99-3-4.2 With regards to the above-referenced property, please be advised that the Trustees would like to be notified prior to the issuance of a Certificate of Occupancy so that the Board can make a compliance inspection. Thank you for your cooperation. Applicant/ Date. Owners Naive: +�,�- Reviewed: �3 3 Architect/ Date Engineer: Submitted: SCTM M: Dis(rim I.DOa Sec(ion: Block: _ Lot: Project �Vy��Vtfl SubdivisionLocation: Name: --__ Sin&le& separate Required cerdfica(ion: (Yes R". Rcq, _ Coning Uislriu: _ [I,ol size: I [L.ol coverageI'rupuscd Req. rIcq' Req r (Irroni Pard proposed/ [Side arA _____ Proposc�N_I [Rear Pard �� _ Proposed(f� Project Description: .1'.5t AGENC14-VERMITS Permit REQUIRED FOR REVIEW N.A.. NO YES Number Suffolk County Health Dept. New York State D. E. C. _ Tov i Trustees Town Zoning Doard approval: _ 'Down Planning Board approval: --- -- Flood Plane Elevation ??? Flood Zone: Notes.:to e ' I I I I o i TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ',r) VILLAGE DIST. SUB. LOT rct�� 'Fob r 1" Ro Lr sucj< c FORMER OWNER N E ACR., -ToI� r S W CODE DATE OF CONSTRUCTION LAND IMP. TOTAL DATE REMARKS 2AW Z �', a ✓ 1 9 G--L `S�/� �� o'Z S i h m 'l 11 ilk O '�2002F✓ mp -� 200 Z7 26% Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total r S ( r � � G IJ— r t4r LN a t M. Bldg. Foundation Bath Extension Basement Floors Extension Ext.Walls Interior Finish Extension Fire Place Yes. Heat Porch Pool Attic Deck Patio Rooms 1 st Floor Breezeway Driveway Rooms 2nd Floor Garage O. B. i 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. i [ ] FOUNDATION 2ND [ ] INSULATION ' [ ] FRAMING [ I-NAL [ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: C aj ICIC .0 DATE (� � INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [� FINAL (POOL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �� '� g � INSPECTORS�'" FIELD INSPECTION REPORT DATE COMMENTS 0 FOUNDATION(1ST) - - FOUNDATION(2ND) c z � o - O ROUGH FRAMING& PLUMBING t INSULATION PER N.Y. STATE ENERGY CODE / y3 FINAL ADDITIONAL COMMENTSLA Cat I� _ b l TOWN OF'S-OUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILVING DEPARTMENT Do you have or need the following,before applying? TOWN HALL SOUTHOLD,NY 11971 Board of Health TEL: (631) 765-1802 3 sets of Building Plans FAX: (631) 765-9502 Planning Board approval www. northfork.net/Southold/ PERMIT NO. p�t-(� c � Spey Check Septic Form N.Y.S.D.E.C. Examined 2o3 Trustees Contact: Approved Mail to: Disapproved a/c Expiration Phone:,20 b� „ Q Q Building Inspector APPLICATION FOR BUILDING PERMIT AUG 12 ' ' .,� Date 200.3 INSTRUCTIONS a. this application,NI UST be Forripletely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets otpIW4^ate plot pl� e. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public areas, and waterways. p streets or 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 authorized inspectors on premises and in building for necessary inspections. "IMMEDIA s ELY" OCCUPANCY 0 ENCLOSE POOL O CODE - ZN�fvc UPON COMPLETION USE IS UNLAWFUL (Signature of applicant or name, if a corporation BEFORE"WATER" c''`&jAen ?� UNDERWRITFRSCERtIFICATE WITHOUT CERT Q2 pF�'�p�� OF OCCUPANCY ( ailing address of pplicant) Sta whether applicant is � eP, essee, agent, architect, engineer, general contractor, electrician plumber ber or builder Name of owner of premises O8&W X n the If a pli_ant is a co oration, signature of dul author( officer ax roll or atest d ed�APPRO X CbNM -U4(== cW ramDATE: 3 B.P.B (Name and title of corporate officer) `� FEE. BY: ' Builders License No. .; NOTIFY BULDWG DEPARTMENT AT Plumbers License No. 765-ISM 8 AM TO A PM FOR THE Electricians License No. FOLLOWING INSPECTIONS: Other Trade's License No. 1. FOUNDATION - TWO REWIRED FOR POURED.CONCRETE 2. ROUGH I FRA" S PLUMBING 1. Locat �f land on which pro osed work will be done: 3. INSULATION LO S Gc t GIC FNVAL CONSTRUCTION 81UST House Number Street FOR C.O. Cy lHa -11ALL CONSTRUC County Tax No. 1000 Sectio / REWIARE� � dWO OF NEW Block �� YORK -- Subdivisionglf Filed Map No. (Name) ru 2s yx.. w �• t State existing use and occupancy of premises and intended use and occupangy of proposed construction: a. Existing use and occupancy S'1nwJ't� V C*4%-1rV07a", V1CD 19G- ReX b. Intended use and occupancy ZS 92F Nature of work (check which applicable): New Building AdditionAlt tion Repair Removal Demolition Other Work 6 tJ rte �� (Description) •. Estimated Cost -�� Fee (Tobe paid on filing this application) If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars �. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 3. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner CetK �� - 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 N(j,-"`WilI excess fill be removed from premises? YES ivy O ��-- fa31- (o +943 14. 14. Names of Owner of premises RU L , Address w«� "PMU Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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. )IIJ � � • 1- 16. Provide survey, to scale, with accurate foundalii IV4 and d stance property lines/ 17. If elevation at any point on property is.a l ei or below, mush �roviWopographical d t an P vey. STATE OF NE YORK) SS: COUNTY being duly sworn, deposes and says that(s)he is the applicant (Nalne Oda 1p ontra t) ab ve named, (S)He is the . ,d. ( "Teontrat; r, Agent, Corporate Officer, etc.) of said ov ner or owriers, and"&duly authorized to perform or have performed the sai ork and to make and file this application; that all statemt9 contained it this appligation are true to the best of his knowledg a belief; and that the work will be performed in the maniiei'sZflfotth;ih tho,application filed therewith. Sworn tq before"ihis w No PubiiC " Signature of Applicant Tenn ►�.�._� ARBA ro TD R� e►� � \ I O \ O of qS + — e ,$O OOa \ ^•1 d O 0 N/ y li Oj rr�d u�+�, �•�+ ,�, i I i I ' i $:MMER _ LRO.UNC WATER $MALA NO? 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Ft NT 7M TY PO q __:>._ _.�:__ <_ _. •_. _ s _ _-BE 'SUF LIE ;T*J^� ._ ..� it ? +t.C.rRS. -- — aa .ALL �IPiNG`SHOWN 5 ,DIAGRdMMAT.0 ,. .PIPING HA B P Tai t.E __. NOTED 5 Ll E 0 E E� n.. .. A 8 T :BE .NDN IP AN T P A FR .M . .., .,;_-- .- ..: '. ,. s :x _ .. - . x :. _. , ., - 7.w L S 0 SL C c SLOPE AWAY D PPDDL .-, �. �_ �.._, _ ,..«.°� � - .'�'< � � .+.• r r- - 1 RADIUS` V x :-_?» II+/O-DIVING BOARD SHALL BE INSTALLED UNLESS:.Pbo0 - 2 r ', : ..aF .. -- � = ... �#RADIl1S..NARIES «- - •s p,, _ -'PR �IIS'T .:COPING ... ,�> -: -,ps x:'xy'r x.., - 2�-,"-'s ate`, ,.:.;� .r.,..--: . aK0 'BOARD CONFORM TO dTEST -YIN STAN ARD F;'- (TrP7- y„ .1, EL *_, s _ D;W!SHALLOW-END TM NATIONAL :'.. - F ONAL PDO _ :� UP-ON. ., L 3 DEEP:END � 9 LOCATION OF .DvEF+MEtD WIRES TC MEET REAUIR1:MF1N75 �. O DO R,, OF FIRE .UNDERWRITERS _ L _(D, D AL'� - �� LO THIS DRAWING FOR STRUCTURAL SMELL. ONLY ALL 3 .. ��i i ACCESSORIES fl APPURTENANCES SMdLL bE 'Br - v � -OL` > [ r r �s CTMERS. ALL WORK SMALL CONFORM TO THE LATEST STANDARDS OF T+tF NATIONAL SWIMMING P L=A N v n POOL INSTITUTE AND .LOCAL -ODES �DIVIhG BORRD 'SECTION - (OPTIONAL) - SEE'WALL SECT IDN .DETAIL PRECAST COPING 'MATER LINE OF TILE ..-,. 3 STEP LADDER "-SKIMMER <NLET (OPTIONAL' - �j - ♦.1.� WASTE FILTER Z" - �— uNDERwATER LIGHT /PUMP HAIR 8 LINT - - F CATCHER SKIMMER UNDERWATER (OPTIONAL) I WATER LINE IOPT!ONALf - -RADIUS - - 1%2 RETURk TO 1 INLET ---_ ----- MAIN DRAIN - _ MAIN DRAIN Q MAIN DRAIN - j 1 j2 8 t6 ,� SECTION O:N. B B SCHEMATIC PIPING ARRANGMENT i - SECTION A— A -- .----._ - ,tom _G4. ?L^ '!Z?, `�.D 'STEEL REINFORCED NA& 9 DEPTH <3'.0 >5' O` MORIZ 1.2 O C 2 OC ` ERT --- -1-2--c.C_ sy OC PALIFI-DID-OL 1 `t" • 2 12'�OC EACHwAY OR 43 Lovell Rd. Hampton Bays, NY 11 946 �'" "' � FLOOR MESH EOUIYALENT �.a.OTLS o E516172S-1777