HomeMy WebLinkAbout29414-ZFORM NO. 4
TO~¢ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29857
Date: 11/19/03
T~IS CERTIFIES that the building ACCESSORY
Location of Property: 2650 REEVE RD MATTITUCK
(ROUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 100 Block 1 Lot 9
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. 29414-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 WITH FENCE TO CODE AS APPLIED FOR.
· ~ne certificate is issued to RANDALL H EILERS & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUlqTY DEPARTMENT OF ~ALT~ APPROVAL N/A
Er.~CTRICA5 C~RTIFICATE NO. 78581C 08/06/03
PLUMBERS CERTIFICATION DATED N/A
~A//~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. 29414 Z Date MAY 23, 2003
Permission is hereby granted no:
RANDALL EILERS & WF.
2650 REEVE RD
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL FENCED TO CODE IN THE
REQUIRED REAR YARD
at premises located at 2650 REEVE RD
County Tax Map No. 473889 Section 100 Block
pursuant to application dated MAY 22, 2003
Building Inspector to expire on NOVEMBER 23,
MATTITUCK
0001 Lot No. 009
and approved by the
2004.
Fee $ 150.00
Authorized Signature
COPY
Rev. 5/8/02
Form No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TO~X~ HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and subnutted to the Building Department v:ith the following:
A. For new building or new nsc:
Final survey of property with accurate locativn of all buildings, ptopetW line,, ~treets. and umtsual natmal or
topographic features.
2. Final .A. pptoval from Health Dept. of water supply and sewerage-disposal (S-9
3. Approval ofelecnical installation from Board of Fire Underwriters.
4. Sworn staten'tent fi'om plumber certifying that the solder used in system contains le,s than 2 l 0 of 1%, Icad.
5. Commd-ck~l building, mdu,trial building, multiple icsidence~ and similar butlduugs ami iasrallation~, a certificate
of Code Compliance fi'om architect or engmeei responsible £ot the building.
6. Subnlit Pkumillg Board Appmx al of completed site plan lequirements.
B. [rot' e×istin2 buildings (prior to April 9, 1957~ mm-conforming w, es, or huihlillgS and "l~re-existing'' land uses:
I Accurate sut~:ey of propclly showing all pr,,pert!,' lines, streets, building and ,musual natural et lopograpbic
Ne',, ( 'OliStl~lCli,Ml' ~ (lid ~t Ibc cd;rin.~ ]qkli]dll/~: iClleC'k ,}lie}
HOLISO NO. 511'¢ u't Hamlet
Suftblk Couaty Tax Map No 10o~),Section [~ Block ~OOt Lot O~
Subdivision
Pein'fit No. ~
Health DepL A. pproval:
Date of Pernut
Filed Map. Lot:
Applicant: ~1~ ~-.~. I. ~. ~.. ~..~ ~ ~5~t ~"t~lC.~ ~
Uuderwl iters Apl>royal:
Plmmmg Board Approval
Request tbr: Temporary Certificate _
Fee Submined: $ ~ o ~
Final Cemiicate'_ /
<check one)
Applicant Signature
Issue Date
08/06/2003
Electrical Inspection Certificate
Electrical Inspection Service, Inc. Application Number
375 Dunton Avenue 75581C
East Patchogue, New York 11772
(631) 286-6642
Issued To: Eilers
Street: 2650 Reeve Road
Village: Mattituck Zip:
Section: Block: Lot:
11952 Town: Southold
Contractor: Richard Kleinfeidt Lic.# 665-E
Was examined and found to be in compliance with the National Electrical Code.
Commercial [] NV Defects LX~ Pool [] 1st Floor [] Indoor ~ Basement [~1 Hot Tub
Residential [] Det, Garage ~] Attic L~ 2nd Floor X~ Outdoor '] Addition ~J Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
2 1 1 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH
L
Bldg. Permit: 294142
Other Equipment
Jacuzzi Television CO Detector
I-l-Sub Panel
-Time Clock
Hugo S. Surdi
President
Rough Inspection: 08/05/2003
Inspector: Ed Scavelli
Final Inspection: 08105/2003
Inspector: Ed Scavelli
This certificate must not be altered in any manner, inspectors may be identified by their credentials.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (63l) 765-1802
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
October 27, 2003
Randall Eilers
2650 Reeve Rd
Mattituck NY 11952
RE: 2650 Reeve Rd
TO WHOM THIS MAY CONCERN:
We are unable to complete your Certificate of Occupancy because of the following reasons:
X
X
X
__ An Application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
__ The check is (not in file)S25.00
__ No Health Department Approval on file
__ No final inspection has been completed.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 29414-Z
Please contact our office on this matter. Thank you for your cooperation.
SOUTHOLD TOWN BUILDING DEPT.
JAMES K. MORROW, JR., P.E.
2066 BEDFORD AVE. NO. BELLMORE, NY 11710
DESIGN
PERMITS
INSPECTIONS
· (516) 785-8032
May 15, 2003
Town of Southold
Department of Buildings
Re:
New Inground Swimming Pool
Drainage Facilities
2650 Reeve Road
Mattimck, NY 11952
Dear Sir or Madam:
The nexv inground swimming pool for the above referenced premises will not require
permanent drainage facilities because the pool is constructed with a vinyl liner. The pool
water will be continuously recirculated through the filter and will be reused from year to
year. The drainage from the filter backwash is nominal and will not interfere with public
highways, public water supply, existing sanitary, facilities or neighboring properties.
Sincerely,
Jam~: Morrow~Jr.,
WARNING - Ir is a violation of Section 7209.2 of the Nexv York State Education Law for any person,
unless acting under the direction ora licensed professional engineer, to alter this document in an.,,' way.
Applicanv !~f,_ ~
Owners N,'une:
Architect/
Engineer: ~'-' ~
SCTM ~?;
Reviewed:
Date
Submitted:
J)l'OJeCl
Subdivismn
Name .......
] [Rear Yard -- ['~,all.~,~cd ~g)~' J
AGENC~.t?ERMtTS
RE~IRED FOR REVIEW
NO
_P. ermit
YES =Number
Suffolk Count), Health Dept.
New York State D. [i. C.
Tovm Trustees
Tox~m Zoning Board approval:
Tovm Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
Notes:
765-1802
BUILDING DEPT.
~INSPECTION
NN DDAA;', OO: ON;uG LA Lo NG'
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROU~-B~
[ ] IN/~TION
[~FINAL
[ ] FIR~CE &CHIMNEY
REMARKS: ~ ~~
DATE
INSPECTOR
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] ~J~
[ ] FRAMING [ ~,,}/FIN~
[ ] FIREPL~/& CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ '~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE
INSPEG'q'OR
TOXVN OF SOUTHOLD
BUILDING DEPAkTMENT
TOWN HALL
S'OUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
ww~v. northfork.net/Southold/
Examined ' ~/~ , 20 1~3
Approxed '~,3 · 20' O3
Disapproved a c
Expiration ///.-) 3 .20 O5L
2220o3
a. Thi~of~%IUST~"' be c6mp---~et e ly
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the follc~sng, b~fore applying?
Board of Health
3 sets of Building Plans
planning Board approval
Survey:
Check
Septic Form
N.Y.S.D.£.C.
Trustees
Contact:
Mail to:
Phone:
uilding Inspector
APPLICATION FOR BUILDING PERMIT
Date ,_5 ] {~"~ ,20~
INSTRUCTIONS I
filled in by t3~pewriter 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.
t~ EyeD' 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 fi.om such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector ma), authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new perrmt shall be required.
.~PPLICATION IS HEREBY MADE to the Building Department for the issuance cfa Building Pernfit 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 b ~u~k~il~elc~k'~t~n~ctions.
OCCUPANCY OR ENCLOSE POOLTO CODE
uPON COMPLETION
USE IS UNLAWFUL BEFORE "WATER'
WITHOUT CERTIFICATE UNDERWRrrER$CERTIFiCATE
OF OCCUPANCY REQUIRED
State whether applicant is owner, lessee, agent, architect, engineere'~e'r~l' c°ntracto~ electrician, plumber or builder
(Signature of applicant or name, if a corporation)
~M~ilthg address of ap0~i6ant)
Name of owner of premises__ ~-,dkO~\\ ~'~ I.o,¢. ~.~P~p~D ~S "0~
~ (Asonthet=ro~r~d~g.P.$ ~l t't ~
If applicant i~a co~oration. ~i~tu~e of duly authorized omce~ Fee:/~- . 3V' ~ ~
NOT'~ BUILDING OEPAR~E~ AT
(Name and title of corporate officer)
Builders License No. i~P"I I - ~
Plvmbers License No.
Electricians License No. {_t[12 ~ - t~.
Other Trade's Lfcense No.
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
I. FOUNOATION - TWO REQt~ED
FOR POURED CONCRETE
2. ROU~ - I:RAaliNG & PLU~
3. g, iSUI,,A?ION
4. FINAL - CONSTRUCTION MUST
Location of land. on which, proposed work will be done:
House Number Street
County Tax Map No. 1000
S ubdivision__~.Q~\¥G~¢O~,
(Name)
Section I O0
BE GOMPLEIE FOR.
_U El,,rrs OI:THE CODES Ol: NE~
YORI~-]~z~ NOT RESRON~E FOR
DESIGN OR CONSTRUCTION ERRORS.
~loc[ ~ Lot
Filed Map No. Lot
o
State existing use and occupancy of p~remises and int ~e~ded use and occupancy of proposed constixtctigfi:
a. Existing use and occupancy ~'fi40,~
b. Intended use and occupancy ~)(, 4,~x~-__
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 Alteration
Other Work I~thqhLWt~ 3ct'~t~3 ~'5\
-) (Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each t3q~e of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size of lot: Front ]L'3(3 ,.x-"/~' Rear I00,o0' Depth
Depth
Rear
10. Date of Purchase
Name of Former Owner
1l. 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
14. Names of O~mer of premises ~o,\\
Name of Architect
Name o f ContractolOfea"q[-~ g-e
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 B.E,,REQU1RED.
b. Is this property within 300 feet of a tidal wetland? * YES NO_~,
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
lq NO Will excess fill be removed from premises? YES ~, NO__
Address~:~m,L~13fl~hone No. 7°~'UI~,~
Addres ~'~l~~l~la~l$one No~z~~
Addres~t~Phone No. q r/4 -B:g~,
__NO K
16. Provide sur~'ev, to scale, with a~curate foundation plan~and distances.t0 .property line~,
l 7. If elevation at any point on property is at 10 feet or below, must pfm,ide topographical datyt~[~4~zj 330 ~ 0
sr^1u ov ¥o x)
SS:
COUNTY OF~., %&., *" "' ? ': I~ i"I~ '~''; ::" ': :~
being duly sworn, deposes and says that (s)he is the applicant
(Name of i.di~;d,..l o;~,,izl[g c'~ntract~ alaove named.
(S .e isthe "- .....
.~T rq~. , , (qTontrac~ori' Agcat, Corporate Officer, etc.)
of said owner or owncgr]R~.is tinier'au ,~..o?i~.,to ~erfOrm or have performed the said work and to make and file this application;
that all statements contained/~ ~-apl~_'_cg~i{~ a~e-t_me to the best of his Imowledge and belief: and that the work will be
performed in the matll~e]: ~L;fo~h~l;~, ,~.~pl~¢g~fi!ed therewith.
Sig~at[tre o/~Applicant
· yhi":
TIMBERLAND "ASSOCI/~TES :
MATiTITUCK ~rl'~' ' ....
TOWN OF SOUTHOLD ~',' .. :
SUF.F., CO.,"N .Y, GUARANTEED TO,
GUARANTEED TITLE DIVISION OF
SCALE' I" -- 50' AMERICAN TITLE I_NSURANCE CO.
'.~." NOTE, ':"' JAN.i22, 1966' ' .r- ... ~
~,,': LOT NOS. REFER TO SUDDIVISlON t"" .? ,PROFESSIO~'~(. EN~NEER AND
MAP OF "$ALTAIRE" ESTATES" FILED ' ";;:[ ' . LAND SU~tVEYOR, N.Y.S.LIC.NO. 12G4§
: .[N THE OFFICE OF THE CLERK OF gUFF. ,~ ~.:': ,' ' RIVERHEAD N.Y. '
'"~ ' ' ' ~' ,, · ,,. · ' '", ';; ' ::',:~.,"~::,.i}'!. ' "',4 ';."./. ,: " '.::'"'. ','::~. , "L '.,.~,' ,'
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