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HomeMy WebLinkAbout31006-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-30990 Date: 06/16/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 2370 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HA24LET) County Tax Map NO. 473889 Section 108 Block 4 Lot 7.49 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 2005 pursuant to which Building Permit No. 31006-Z dated MARCH 18, 2005 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 WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to KEVIN G & BARBARA MURDOCK (OWNER) of the aforesaid building. SI/FFOLK CO~lF~YDEPART%%~NT OFH]~AL~IAPPRO~FAL N/A ELEC~fRICAL CERTIFICATE NO. 2048425 04/07/05 PLUMBERS CERTIFICATION DA'r~u N/A Authorized Signature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~- --:-- ~ "~-~1 765-1802 [: [,/~ .... APPLICATION FOR CERTIFICATE OF OCCUP,¢C~J~" "~ , a~ ~ T~s application must be filled in by t~?ewriter or i~ and submitted to the Building Depa~ment~w~th,I~e f~ A. For new building or new use: 1. Final smwey of prope~y with accurate locatiou of all buildings, pmpe~y lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 tbnn). 3. Approval of electrical installation from Board of Fire Undem'hters. 4. Sworn statement t?om plumber ce~it}'ing that the solder used in system contains less than 2/10 of [% lead. 5. Com~emial 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 Pla~ing 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 therelbr in writing to the applicant. Co 1. Certificate of Occupancy - New dwelling $25.00, Additions to dxvelling $25.00. Alterations to dwelling $25.00, Swinuning pool $25.00, AccessoD' building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Cop3' of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. TemporaD' Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: P oo L. Old or Pre-existin,~g Building: '/ (check one) House No. Street Owner or Owners ofPropeny: ~ t~l I "~. ~ 7- [, ltl'ti ~q p~,,. ~ I .[ O(~C~ Suffolk County Tax Map No 1000, Section Block Lot Lot: Subdivision Filed Map. Permit No. '~ I'I~ Date of' Permit. Applicant: Health Dept. Approval: Underwriters Approval: Plamfing Board Approval: Request for: TemporaD' Certificate Final Certificate: (check one) Fee Submitted: $ £ · 'Applicant Signature ' 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 EASTMANOR ELEC.,INC. P.O. BOX 192 MANORVILLE, NY 11949, KEVIN MURDOCK 2370 GABRIELLA COURT MATTITUCK, NY 11952 Located at 2370 GABRIELLA COURT MATTITUCK, NY 11952 Application Number: 2048425 Certificate Number: 2048425 Section: 108 Block: 0004 Lot: 007.049 Building Permit: 31006 BDC: ns11 Described as a Residcofia! 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 jurisdiction, and found to be in compliance therewith on the 7th Day of April, 2005. Name QTY Rate Ratin~ Circuit Type Miscellaneous above ground pool Appliances and Accessories Pool~ Spa Bonding I 0 Time Clock, Switch I 0 Wiring and Devices Receptacle I 0 GFCI Receptacle I 0 20 amp PooU 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 1 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. 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. 31006 Z Date MARCH 18, 2005 Permission is hereby granted to: KEVIN G MURDOCK 2370 GABRIELLA CT MATTITUCK,NY 11952 for : INSTALLATION OF AN "AS BUILT" ABOVE GROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE at premises located at 2370 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.049 pursuant to application dated MARCH 11, 2005 and approved by the Building Inspector to expire on SEPTEMBER 18, 2006. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~J~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ I~J.IL~ATION [ ] FRAMING [,,"]'FINAL [ ] FIREPLACe& CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULA/TION ~ FRAMING ~ FINAL(,~ ~' /~o o [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION z © © ~-. Things to Avoid Do not locate your pool near or on any of the following: · Overhanging tree branches. · Overhead wires, clotheslines. · Buried pipes and wires-~con- tact your gas, electric and ephone utilities to find buried pipes and wires before you dtg. · Hilly and uneven terrain. · Areas with poor drainage. · Grass, stones and roots. Grass will rot underneath the pool liner, and stones and roots will damage the pool ~iner. No Areas recently treated with oil-based weed killers, chemicals or fertilizers. 3. Plan Ahead · Will you be adding an adiacent deck later? Be sure to leave room. · Will you be using pool accessories or other appliances that need elec- tricity or gas? Locate your pool near these services, or plan to have [hem installed later by a licensed contractor. Co Prepare the Foundation of your Pool 15 x 30 Oval Pool Dimensions R 90"(229¢m) S 96"(244 cm) L 90"(229cm) M 30d/2"(77 cm) N 59-1/2"(15[ cm) P 180"(457 cra) W 114" (290 cm) X 90"(229 cra) Y 127-1/4"(323 cml 1. Choose the Correct Ground Preparation Drawing a. Choose the drawing that matches your pool size from the five plan drawings below. This drawing will have all of the necessa~¢ dimensions for the ground preparation instructions that follow. ~-,Clearance Area urtng Stakes -SupportTreaches 1-2 No Diving or Jumping. Observe all Safety Rules. ;IELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (IST) FOUNDATION (2ND) ROUGH F~I~G & PLL~IB~G INSULATION PER N. Y. STATE ENERGY CODE .~DITION.~ COMMENTS TOWNOF SOUTHOLD BUILDING DEPARTMENT TOWN HA, LL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~v. northfor k. net/Southold/ Examined fi/~ ,20 O Approved ~/I ~ ,20c Disapproved ac Expiration PERMIT NO. Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. £ 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 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 perrmt for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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 ~0dpm~p~c~[~/°6PF~emisesandinbuildingf°rnecessaryinspecti°ns. USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ALL r ~NS-;~i~c~iON 3,~4LL MEET TJ~E r,?g dt e~r5 c;F THE (Signa~e of applicant CO~S ~ ~Ew ~3h STATE. or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, ~~/~l~'~ral contractor, electrician, plumber or builder 0 ~a~ ~ ~ REQUIRED APPROVED AS NOTED Nameofownerofpremises ~{~U!~ '4- (As on the t~roll 6~--t~?~:¢~,~ BY:~ If applicant Js a co~oration, si~amre of duly authorized of~ce~,~NOTIFY BUILD~r&- PEF,:.RTMENT AT ~ ' 7~5-1802 8AM 75 z~t.~ FOR THE (Name a~d title ofcomo~ae o~ce~) "IMMEDIATELY" ~';-:CWINO ~:~"~ :V'..S: ENCLOSE POOL TO CODE ~ ' JNDATION - ~' 3 REOUIRED BuiJders License No. uPON COMPLEEON -r ~OURED C. %~ETF Plumbers License No. Electricians License No. Other Trade's License No. ~EFORE"WAT~R" 2. Y.i "~H - FRAMiN.-. & PLdMBING 3. i..1%2LATICN 4. FINAL - SCN,,-,r~UO-',"N MUST BE CO''~A'- % ( O. ALL COl~ , ': S~.:,LL MEET THE REQUIREiVE' r.~ ( THECOL)ES OFNEW Location of land on which proposed work will be done: ir(oaK FOR House Number Street ~t Section County Tax Map No. 1000 Subdivision (Name) Block q Lot Filed Map No. ~-. It~ '~ ,'' State existing use and occupancy of premises and intended use and occupancy of proposed constructiov~: a. Existing use and occupancy b. Intendeduseand occupancy 3. Nature of work (check which applicable): New Building. Addition Alteration Repair, Removal Demolition Other Work _r')C o [ (Description) Estimated Cost Fee If dwelling, number of dxvelling units If garage, number of cars (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 type 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 Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front 10. Date of Purchase Rear .Depth 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 l 4. Names of Owner of premises Name of Architect Name of Contractor NO Will excess fill be removed from premises? YES__ [~LLV~cL~( Address ,,~,3'1~ ~(t~gl~[(t~ ~) PhoneNo. Address Phone No Address Phone No. 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 R~QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUI~RED. ' -. 16. Provide survey, to scale, xvith accurate foundatio/~ plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ss: COUNTY OF~LI£ ?0(_) & .~_~q ~'/~(.t £'# kt /Yl t/t' r.3C being duly swom, deposes says (s)he applicant and that is the (Name of individual signing contract) above named, (S)Heis the , , . , (Contractor, Agent, Corpbrate Officer, otc.)t. · of said owner or owners, and is duly authorized to perform or have, pet;formed 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 "-~_ Notary Public 200 % Signature of Applicant LI~I~. TAG6~I Qualified q~lleldssion EKoblsillrcl~