HomeMy WebLinkAbout28617-Z FORM 110. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29832 Date: 11/13/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 310 BAILIE BEACH RD MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 99 Block 3 Lot 4.15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 31, 2002 pursuant to which
Building Permit No. 28617-Z dated JULY 31, 2002
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 PHILIP E & SHELLY A. KARLIN, III
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 117017 09/30/03
PLUMBERS CERTIFICATION DATED N/A
'4 �-
//or' ed S`gnature
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. 28617 Z Date JULY 31, 2002
Permission is hereby granted to :
PHILIP E III KARLIN
PO BOX 1005
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD WITH FENCE TO CODE AS APPLIED FOR
at premises located at 310 BAILIE BEACH RD MATTITUCK
County Tax Map No. 473889 Section 099 Block 0003 Lot No. 004 . 015
pursuant to application dated JULY 31, 2002 and approved by the
Building Inspector to expire on JANUARY 31, 2004 .
Fee $ 150 . 00
th ri Signature '
ORIGINAL
Rev. 5/8/02
Form No.6t(.-�-\
TONVN OF SOUTHOLD ^^ ) 1
BUILDING DEPARTMENT �J ox 1 D O J
T0WHALL
765-5-1802 V/ l� ��CL
�
APPLICATION FOR CERTIFICATE OF OCCUPANCY A I I jq5—,--
This application must be filled in by typewriter or ink and submitted to the Building Department with tl 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 I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect k.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, st,-eets, 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. _10 D
New Construction: _ t/ Old or Pre-exist'n Building: - " r (check one�)
Location of Property: lo I __ E2
House No. 1 Street`_ Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section \ Block Lot^_
Subdivision Q 7 1 Filed Map. ` Lot:
Permit No. � U /' L-Date of Pen �Ll l nit ��Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
t
t igttature
��' 6�O g Applica
CO � q
LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC.
670 MIDDLE COUNTRY ROAD Application No.: 117017
Permit Number:
ST.JAMES, NEW YORK 11780 Block: Lot:
(631)265-3075
Fax(631)265-6057 Section
Owner: Phil Karlin Agent: Top Gun Electric
Address: 310 Bailie Beach Rd. Address: P.O. Box 1002
Municipality :Mattituck NY Cutchoque NY 11935-063
License#: 5150E top Gun
OwnerPhone
Agent:
No. ITEM SIZE No. ITEM SIZE No. ITEM SIZE
2 Switches: 0 SubFeeds: 0 PoolsAbvBlo:
1 Receptacles: 0 Timers: 1 PoolslnGround:
2 GFCI Devices: 0 Transformers: 1 Pools Filter: 1 HP
0 Dimmers: 0 ACEqulpmentCentral: 1 Pools Lights:
1 MedlumBaseFixtures: 0 ACEqulpmentWindow 0 CO Detectors:
0 FluroescentFixtures: 0 MotorsbyHP: 0 Disposal:
0 HID: 0 Generators: 0 Metal Halide Lamps:
0 RangeOvenCookTop: 0 WhlrlpoolHotTub: 0 RefrlgUnits:
0 DryerElectric: 0 Microwave: 0 WaiklnBox:
0 ExhaustFans: 0 WaterHeaterEiectric: 0 ExhaustUnit:
0 CellingFans: 0 SmokeDetectors: 0 SteamShower:
0 DW: 0 TrackLlghtingStrip: 0 BreadWarmers:
0 Laundry: 0 ElectrlcHeat: 0 GarbageDisp:
0 HeatingEquipMotors: 0 PumpMotor: 0 CentralVac:
0 ExltSlgns: 0 Disconnects: 0 ChandellerLifts:
0 EmergencySlgns: 0 FutureOutlets: 0 Elevatorl-ifts:
LOCATION OF WORK: ❑Baseman U FirstFloor ❑ SecondFloo V Outside ❑ Addition ❑ Survey IJI New Const.
Comments Inground Pool Wiring Final 8/19/03
/Additions
TemporaryOH LL UG LL Amp: Phase: 1 Volts: WireType: CU Conductor # Meters:
Member LA.E.I.
Electrical Certificate Certificate No. 117017
LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC.
THIS CERTIFIES THAT OUR LOCAL DISTRICT
Certificate Issued on: 9/30/2003 INSPECTOR CONDUCTED INSPECTION OF THE
Issued to Phil Karlin VISIBLE PORTION OF TH EL C L
INSTALLATION DE I DH IN NO IS
Address: 310 Bailie Beach Rd. COMPLIANT WI THE UR T N IONAL
Mattituck NY ELECTRICAL DE.
Top Gun Electric
P.O. Box 1002 IAEI Certified Inspector
Cutchoque NY 11935-0633
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680\$36 N O�
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�;;�LKCCIJNTY HEALTH DEPARTMENT
S*GLE FAMILY DWELLING) ONLY
�;.D. REF. N0.
DATE
THE SENIAGE DISPOSAL AND WATER SUPPLY FACILITIES FOR THIS
LOCATION HA,JF DEEN INSPECTED 6Y THIS i�E:PARI MLNT AND
rnirin Tr1 RG
RATisFACTORY-.
0 'PrIl
-1802
B WING D
INS CCTION
[ ] FOUNDATION IST [ ] ROUGH PLOG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
MARKS
D
,v
DATE / INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE f D3 INSPECTOR
FIELD INSPECTION REPORT DATE COM mum
T
1-7
ti
FOUNDATION (1ST. 1
51
FOUNDATION k2NDi
Z
J
a
I
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ROUGH FRAMING
PLUMBING
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FINAL
ADDMONAL COMIyIENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING iDE PARTDI ENT Do you have or need the fcllm«inc. b._rore .pph-im_
TOWN HALL Board of Health__
SOUTHOLD, NY 11971 a sets of Building Plan,— i _
-1 EL: 765-1802 � Suney ✓ _ _
PERMIT NO. � Check ✓ _-- _i-
Septic Form
N.Y.S.D.E.C.
L_
!� 2 Trustees--
I �.arained T j.� __ . 10 Contact: - -
- pproced=415 '= Mail to:_
r
I i,approved arc i_ — --- - ---- -- - -
--
uitdinn )Spector
APPLICATION FOR BUILDING PERMIT -- -
f Date 713/ . -10 dZ
--- _ INSTRUCTIONS
a. This application MUST be completely til led in by n pewriter or in ink and submitted to the Building Inspector with ;
,ois 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
,ireas, and waterways.
c. The work co,Bred by ibis applic,u ton nta•. ncx be CUmnlCnced before issuance of Building Permit.
d. Upon approval of this ipplicauon. the Bwhlin ' I11spcC101 kill iSsuC a Building Permit to the applicant. Such It pernin
,: .ill be kept on the premises available 1•,r inspccti,,n thmW-11101.11 the %`ork.
e. No building shall be occupied or used in \.chole of iu part lot an} purpose what-so-ever until a Cernti ai
i issued by the Building htspcctor
APPLICA CION IS l IERI-BY NI \UL to the Building Departurrcnt for the issuance of a Building Penna I ILI i,u, n) I,1 tL
huilding Zone Ordinance of the Town Of Southold, Suffolk County. Ne« fork, and other applicable Laws, Ordin,i ,".s or
kegulations, for the consiruc)ion of buildings. additions, or alterations or tot removal or demolition as herein dc,cribcd. 111L
ai)plicant agrees to comply ,�lilt all apph,ahle laws. ordinance,, building code, housing code, and regulations, and t„ admit
zi ahorized inspectors oil premises and ii buildine tI.r uxessar} inspections.
6&7L,< -RM z s
(Signature of applicant or name. it a corporation)
—f3c)x 91Cu7C. c viii' lyr- 1/935
(Mailing address of applicant i
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
:ane of owner of premises PNit_g Ai [aa_) — —
(as on the tax roll or latest deed)
I t applicant is a corporatioji, signature o I duly authorized officer
(Name and title of corporate officer)
I,,uilders License No.
I Iambers License No.
I Iectricians License No.
dyer Trade's License No.
I Location of Land on%which proposed uork will be done:
House Number Street Hamlet
County Tax Nlap No. IUUII Sects at— '�� % Block Lot /s '
Subdivision--P1411ilii CLo ! _Filed Map No. Lot
(Name)
2. State existing use,and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 5>vzy r/ce �s
b. Intended use and occupancy 2 37c ZS' lfrx5� wP
3. Nature of work (check which applicable): New Building_ Addition _Alteration
Repair Removal Demolition_�ther ��'ork sL,- ?c v� - Y u� til 7trr
(Description)
4. Estimated Cost '�P'a5z)o.00 Fee J/SO.uo
(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.
Dimensions of existing structures, if any: Front Mfr' Rear 78 ' Depth
Height Number of Stories .9
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 Rear Depth v7nc, '
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated 'SES/Devu>i oG
12. Does proposed construction violate any zoning law. ordinance or regulation: AX)
13. Will lot be re-graded t/eS Will excess till be removed from premises: YC !� NO
14. Names of Owner of premisesrw//- ,i;4ML'.0 Address :s/o sa e PbPhone No. -,19S -9s'yP
Name of Architect Address x�n Phone No
Name of ContractoreW7uK ;trYs c>D. address 20-&u s feu U Phone No. 7331-
15.
351-15. Is this property within 100 feet of a tidal wetland? *YES NO )<-
0
l• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIRED
16. Provide survey. to scale, with accurate foundation plan and distances to property lines.
I?. If elevation at any point on property is at 10 feet or below, must provide topographical data on sun ey.
STATE OF YORK)
/ S:
COUNTY Z( /
e,&/aeeing dul s«orn, deposes and saes that (s)he is the applicant
(Name of mdivrdual signing contract) above named,
(S)He is the elyl '77 lje;;-u'k7
(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 maturer set forth in the application filed therewith.
Sw m W before me this
day oT -Z
— otary Public Signature of Applicant
CLAIRE L GLEW
NoterYN.01GLA87 505 York
Qualified in Suffolk Cou��yy
commission Expires Dec.8,=432ma�yy'-
lilt-,TIM IFTE D
I1 8'Main Panels(08-009) L
—Tc
2 4 plain Panels( 8 016) D
8 a
1900(« «Set 1008PROVED AS NOTE
0201 f �Q(
9-Ronomy BraAAL
(082101 E F 'T` G '� H ! F--- N --�-I J h-- Dp T' B.R �p--�—
t1j,
8 I Sleel Hardware KH(08204) SIZE A ! C D R F G H J N L /�G
116,32 Shmght(taping 6"Radius 1100011 FEE BY•
4 190°Coping Corner Set 00004) t6',3z' u' 3r r r1 1' a s•e• 4.6• 4'e /• e'1 NOTIFY BUILDING DEPARTMENT AT
I Ymyl lxxr(see options bebrEl ± le• 3r 89• r1• r u• sr 1•e• 1•e• r rr
8 765.7802 9 AM TO 4 PM FOR THE
L88'
FOLLOWING INSPECTIONS:
2. FOUNDATION - TWO REOUi ED
6' rt 1 ( Remove 2108009)8.015)5 �. r .� o. FOR POURED CONCRETE
Insert l 8 210)616'aep,240801SI S'panelslndl{082101«oramyM«e. �� 2 ROUGH - FRAMING & PLUM£;9JG
& INSULATION
48'Step-Remove 2408 D09)8'panels 4 FINAL - CONSTRUCTION MUST
Insert 1 (01-00218'step,2(08016)4'panels � BE COMPLETE FOR C.0.Gnd 1 (08 210)«onomyb«e. ALL CONSTRUCTION SHALL MEET
8 8 i
• Fn T THE REQUIREMENTS OF THE N.Y.
Replo(e 4-8'plainponels(08 D09)with: conHEns Cf D STATE CONSTRUCTION A ENERGY
I.8'skimme(pone 1108011) a;• '� ° CODES. NOT RESPONSIBLE FOR
2 8'inlet panels(08-010)
-8'Ipht 015)1108-0121 PAHElS ,'S1` „ �4, DESIGN OR CONSTRUCTION ERRORS
..R,
STEEL STEP OPTIONS COPING LAYOUT
H 6:103 603-CS),(03 603 LSHOl•i 6-Seel Step bide)Remo,1.(Co.
1-8:(03203dS1,(0320315),1032 009)8'panel Insert 1 (08302) OCCUPANCY OR
514:(0}303-(SI.(03303-1SL(03 t 6'0881 step,l(08 167)45•,1'
8" 8" 8" 8" li8nponel.l408-019)1'"W' USE IS UNLAWFUL
1(08210)KM1nJ,and WITHOUT CERTIFICATE
I toe 2101«orgmy 6r«e
4 5 NSPI TYPE I I00-083)aedaepcWgm OF OCCUPANCY
• e -
and 1.(Ims)ropng Corner w
'71 requsld. see paq I.
,./ a 9 . , " 1,steel Step(w)tanow UNDER'r",`BITERS CERTIFICATE
6 'pJy� 8 6 2(08-00918'swelpanels Insert REQUIRED
IM 301)8'asp, 1(08210)
««onIaaqq Rc(e,2406-017)
Ypanels and 2(08167)45°,i' 1
a 5' (mag tw1241-0831st(oping ..IMMEDIATELY••
4 copuq set ord 2{IO-085)tapaq
TOPAZ STERLING
(umselipured Smpop 1. ENCLOSE POOL TO CODE
1 UPON CORAP�ETION,
1036031 DIVING
p ••
MON DIVING LINER' BEFORE "WATER
H-6(03-640) 1.8(03240) SH(03340)
. • • MS MXI.NEM to qe,IJS'R•IM NAY[ri(S 6av 11er e11Tla 1'00150,«�711 W W1Fl OeM
' Eva„„s•,o•+r.,°,. y...ew.,....n ve w.a..m R ry
Diagonak given to 90°pont 1((orners. MTI(F 44M M Dl 4324731m.e aro a ..a .v a e.Hevp sp. ,,, M)a. °. F a o r e a
' • . - _ �e^"•.qp.,�d°,.,,,,,A,,vdvd.b »d.,.d Y.a. M e,°�d...-+Qe
) p
FRN-002
iM1.,�,Irvw
7d ped o io.e'°G°..wwd.e r,Y w,✓o m,.d w.•�,o-,°aro.dl Jb°°!w wd, iv nbmr�cmc.n rtSn... "`°'-"'e",•^we n..u. •me avA s+.a w.v ..n mu
Z 6 vcd nu.,n 1 E, V°^d�'�^°- M1...^°r b.,aAwd v��.�.ad/o
' -+ .,°a d n. MAY 16' X 32'
•.y •.daq • v ..1m 83e ace? "°'"pe "•-`"" 1995 RECTANGLE 6w RADIUS
fN-GROUND SWIMMING POOL WILL BE CONSTRUCTED
OF STEEL WALLS SUPPORTING A VINYL LINER THAT
WILL HOLD APPROKIMATLY 22,000 GALLONS OF WATER-
FENCE WILL BE AT LEAST 4' HIGH WITH SELF CLOSING
GATES THAT WILL MEET TOWN CODES.
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED:
APPLICANT ,���pEu.� DATE SUBMITTED: (3/ /2
SCTM# DISTRICT : 1,000, SECTION: 9Q BLOCK: 3 , LOT.
440A slucue
STREET ADDRESS: 310 �i� E��?►cE-1 ?b, 0TH CIL- M_43DIVISION: `it
PROJECT DESCRIPTION:
ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK?_
SINGLE & SEPARATE CERTIFICATION-REQUIltED? _No —NOTES:
COTS 40,000SF-100-24. Lot recognition.(CRFATFD before June 30, 1983),UNDFRSIZFD LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after
ZONING DISTRICT: Q-40 CONFORMING? No
REQ. LOT SIZE:j0M ACT. LOT SIZE: pp REQ. LOT COV. ACT. LOT COV. _
REQ. FRONT �' _PROP. FRONT REQ SIDE _ACT. SIDE 0
REQ. REAR PROP. REAR REQ. HEIGHT —PROP. HEIGHT
WATER FRONT? N6 DESCRIPTION:
PANEL #: —AL— FLOOD ZONE:_,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE:_ -
TOWN SEPTIC RECEIPT:
NEW YORK STATE DEC: PRE-DEC 911»5 YESo O
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES o
NYS ENERGY: YES OR NO :
EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/o Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR:
OTHER: SF INIT OTH LR TOTAL
TOTAL: SF FEE FEE FEE
I. ( SF)- (_ SF)=
2. ( SF)- ( __SF)= SFX $ =$