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HomeMy WebLinkAbout29568-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31037 Date: 07/15/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 2210 GABRIELLA CT MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7 .48 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 2003 pursuant to which Building Permit No. 29568-Z dated JULY 14, 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 DANIEL L & CHRISTINE MALONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 3784 08/20/03 PLUMBERS CERTIFICATION DATED N/A r Authorized Signature Rev. 1/81 l'' lilt 202005 � TONYN Form No.6 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 l°'o 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: A 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 oil 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 New Construction: Old or Pre-existing Building: (check o1n/e) Location of Property: Z2 I �\ C�1( [J�/ (� /�-f l U l �V - I /7,t /l House No. Street / n'/J Hamlet Owner or Owners of Property: Jet r�l�/ L f. C /I l �S�J itP / [ 40� Suffolk County Tax Map No 1000, Section //o g Block Lry) L/ Lot UU —] . 0 Ll k Subdivision // Filed Map. Lot: _ Permit No. ZC_� Wg Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: `' (check one) Fee Submitted: S , Q V Gn � /o J 'I ��� M , L ('0g is l S � a Applicant Signature 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. 29568 Z Date JULY 14 , 2003 Permission is hereby granted to : DANIEL L MALONE 2210 GABRIELLA CT MATTITUCK,NY 11952 for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD FENCED TO CODE at premises located at 2210 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 048 pursuant to application dated JULY 11 , 2003 and approved by the Building Inspector to expire on JANUARY 14 , 2005 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street • Center Moriches, New York 11934 • Tel 631-878-3500 • Fax: 631-878-3764 Application: 3784 Date: 8/20/03 Issuedto: Malone Address:. 2210 Gabriella Ct 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 Attic 1st Floor Fbsidertid© Pool El Det Garage t3aserrlerrt 2nd floor ComTerdal Hot Ttb Pddlion Switches Receptacles Fixtures G.F.I. Timeclock Whirlpool 1 2 1 1 1 Fans Dishwasher Waaher/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide Furnace Oil Gas Heet Zones Smoke Ball Detectors Transformers Rough Insp. 8/19/03 Meter Amps Phase Motors Final Insp: 8/20/03 1 1-11/2H ther Equipment: Inground Pool ut,Res 2 This certificate must not be altered in any manner Permit#: 29568-z TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 1 Q VILLAGE DISTJ SUB _LOT Z 1 , Mot:-x,r�f liC �r., , � � �:�, r_,E; I Ei , , r. ; Li;t ACR. REMARKS1 �P �C113 TYPE OF BLD. CIOPCIS; � �� �'7- L I 1 g (� 8�► - '+ . r�-� �-a �_!_E. I Cv r �` zD PROP. CLAS —1 << 1. I z1 > a 1 7 �7 C On�f .Dw ii 5 ✓ 96 Dec1L LAND IMP. TOTAL DATE g g G17_L l i (I . C.L.Q. /-QvL Oe7 47J FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL }i. cm 8 r i o g y z4 G 131 f P 17/98 M. Bldg. �� Foundation Ca Bath Dinette 4 = rC r /z Extension Basement CRAWL L U Floors '' '/ Kit S L/A-). Extension Ext Walls # I Interior Finish — L.R. — Extension Fire Place Heat D R Patio Woodstove BR 0 _,n Porch 7'i" , 157 6Z S� B Dormer Fin. B. Deck Attic Breezeway Rooms 1st Floor T Garage ti _L Driveway Rooms 2nd Floor 0.B. Pool LF ov 6�Q A ai oo 42?5ZU 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS* NS �T�ION [ ] FRAMING [ FIN AtL ICS , J [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: k9z� DATE If INSPECTOR 765.1802 BUILDING DEPT. INSPECTION 1 0■ 0. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 75T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINM ICs , J [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: Ae� DATE 0� INSPECTOR a-7z 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION N., io D NSULAT OND [ ] FRAMING ./[� FINAL / [ ] FIREPLACE A CHIMNEY [_x FINAL FIRE SA SPECTION REMARKS: w DATE s 3 �`� INSPECTOR o-9S68 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ,[ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE _ as INSPECTOR XT,r) 6F 7, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION /� ° � REMARKS: Q A:2'�l@' DATE INSPECTOR 765-1802 BUILDING DEPT. NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: c.� IX N � s3o DATE 4710 INSPECTOR MID INSPECTION REPORT DATE CONBHN TS FOLNDaTION(1ST) j x 1 FOUNDATION(2ND) • � z 0 ROUGH FRAMING PLUMBING i "3 r ' 9 INSULATION PER N.Y. STATE ENERGY CODE. Q t FINAL, otrv� , ADDITIONAL COMMENTS T7 756-7 i d 7 m o T °z m f � l � m d M TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying' TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans ✓ TEL: (631) 765-1802 Planning Board approval FAX: (631)'765-9502 Survey www. northfork.net/Southold/ PERMIT NO. l ° 9 2:7— Check vl� __ Septic Form__ N.Y.S.D.E.C. Trusters Examined_ 7 / 20 015 Contact: Approved_ / , 20 o3 Mail to: Disapproved a c hone: �3y Expiration_ I , 20 0r Building Inspector 9nq APPLICATION FOR BUILDING PERMIT i _ Date 7Z9 , 20�_ 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 authorj?A"nsgectr rs.o,PELttpysts and in building for necessary inspections. IMUEUIA ENCLOSE FOOL TO CODE OCCUPANCY OR UPON COMPLETIONli7ii/t irX_5 LTA BEFORE "WATER" USE IS UNLAWFUL (Signature of applicant or name,if acorporation) UNDERWRITERS CERTIFICATE WITHOUT CERTIFICATE-?e� —a,X 9 e41C 1-4- REQUIRED OF OCCUPANCY (Mailing address of applicant) State whether applicant is owner, lessee. agent, architect, engineer, general contracAffiA�gl�glw or builder ? c» DATE: 71141.6 B�RP�.# BY: Name of owner of premises v l 5 ri vG n/� FEE: I CZ d AT (As on the tax roll or lat ) g AM TO 4 PM FOR THE If ap I' ant is a corporatio , signature of duly authorized officer FOLLOWING NSPECTKM* / f 5� t. FOUNDATION • TWO REQUIRED (Name and title of corporate officer) FOR POURED CONCRETE 2. ROUGH " FRAMING i PLUMBW Builders License No. 9. INSULATION Plumbers License No. 4. FINAL " CONSTRUCTION MUST BE COMPLETE FOR C.O. Electricians License No. ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. REOMEMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 1. Location of land on which proposed work will be done: DESIGN OR CONSTRUCTION ERRORS. e2v2/6 4.ABZ/ 4z✓a House Number Street Hamlet County Tax Map No. 1000 Section_ AQ k Block �y Lot —/-/v 71 7, c/9 Subdivisiorl _f � Filed Map No. 9922 Lot �-7 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -�2 52Y rte, b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal _Demolition er Wor (Description) 4. Estimated Cost -01a. W6 UG Fee (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 .,gyp ' Rear 4-p ' Depth ,g 3 Height &' 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 iS3. 57 Rear /:f Depth .VG/ 10. Date of Purchase Name of Fortner Owner 11. Zone or use district in which premises are situated 2E5,�wig 12. Does proposed construction violate any zoning law, ordinance or regulation? YES _NO 3r 13. Will lot be re-graded? YES k( NO Will excess fill be removed from premises? YES A'NO 14. Names of Owner of premiseSpa vi e rrA . = Address-,zwo No. SFr /$07 Name of Architect Address 1"47' Phone No Name of Contractor1aJ.>Vx vr� Address—'+j -pk, g el zrz4a ,,-Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS.MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES, t` N0_�_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. j 16. Provide survey, to scale, with accurate foundation plah and+distagc6Up)*bPerty lines. , 17. If elevation at any point on property is at 10 feet or below, mii9t'pi6vide.topogiaphical data on-slit'wy. STATE OFWV��tit'`5 S: COUN+�Q4;d& ._ .__ -do being duly sworn, deposes and says that(s)he is the applicant (Namq;gf iglipidua(signiny„c9ntract) above named, (S)He is the r• i 3 . '4Pentractgr, Agent, Corporate Officer, etc.) of said owner or owners, and is fglgaiithpri$ad to perform or have performed the said work and to make and file this application; that all statenT&MdWitained inlba; applii tipn are true to the best of his knowledge and belief; and that the work will be performed in the man8er set forthlotim$pplication filed therewith. iFT Sworn tfie thio, e,-:. tar' h �J Notary Public Signature of Applicant Claire L. Glow Notary Public. State of New York No.01GL4879505 Qualified in Suffolk County Commission Expires Dec. 8, dQ �.1LI — t \ - SCDHS Ref. #R10- 97-0014 Is � n x 4 0�0 a°• 26 i^ �'Se••'s Jbao,r m SURVEY OF N� LOT 2 < 'o "ELUMS LANE ESTATES SECT. 3 / QjL o- N FLED OCT.d X99 ESTATE" NO. 9912 Zo E /x.\/ AT MATTITUCK TOWN OF SOUTHOLD \ SUFFOLK COUNTY, NY 1000- 108-04-P/O 7.1 Scale: 1' 40' Dec. 4, 1996 Mor. 14, 1997(foundolion) y 0 a . q u May 14 1997(Fatal a C6 , a ^ �4• RJEYoH S.A' ����� 3..,,rH„y� �:L 2 a� 5 5 Q1 P la CERTIFIED TO- 6% DANIEL L. MALONE N� 10 � NRTHF FORK �i a� fif NORTH FORK BANK q�F OF 1c MALONE O SUPERIOR ABSTRACT hi 1; AREA = 40,264 sq.ft. P + I ANr ALTERATDN oR A/Dnpw To nes sTr Is A VpLATDN I am famlNw with the STANDARDS F APPROVAL The local/ons a/ wells and cesspools _ , _ aF secnav 7209 aF rAE raWr su TE eaucA ryrycpWv uR AND CONSTRUCT/O!y OF S(/BSl/RFA SEWAGE shown hereon are from field Observations E DEPT AS PER SECTRAV BLedVISgV 2.ALL C ?&Fl ONs DISPOSAL SYSTEMS FOR SWGLE FA Y RESVENCES J S. LIC. NO. 996/8 IEREOW ARE VALD FCR EMAP Aro COW rIEREOF 0m.Y F mS O abide b the candll S rel /Nth MY R aM oa the and or from data obtained from others. SAO MAP OR[APES BEAR ve AHiESsm SEAL OF TAE"vEYLN T WHOSE SItlrATUTE APPEARS AEAEOM penn/l to construct AO&Tn"LY To coMPLY NTN SAO LA TIE TLTdII-AL rERm or P. O. BOX 909 e r BE USER eY ANY AID ALL SIAPVEYORS vyjll.mKE1 Cp+Y ECEVA TKRS ARE REfEROKm 1230 TRAVELER STREET OF ANOTHER SURVEYORS NAP. MSW A 'NAPE TFD'AID TO AN ASSUEO OA TWL SOUTHOLD, N.Y. 1197/ 'd9aLEiNT-Ta-PATE'ARE Atli N C01/LIAMCE mrN THE LA W. , 96- 317 16' XK 4 ' t -- e � A I I-8 Plain Panels(08 WillI L c 2.4 Pkws Fiords 108-0161 190*(orner Set(06-020) r 9-Economy Broces(08210) te—E F -A-r — G ---, n .� r — F H H H H 1 Stcel hardware Ko(081f)4) SIZE A 6 C D E rF G H L ) N 1 1602 Straight(oping 6'Radius(10-001) t6'a 32' 16' 3T e• r4• I' 14' si• 4'Y 4'e' r 4'e• 4 1 90`(opmg Corner Se!(10 004) can msc MIA r 1 Ymyl Liner(see options below) ren sena wru 16' 32' S'6• 114' t' 14' Si' 4'6• 4'6' T r2- 8' H' pDFj' 6'Step-Remove 2-(08009)8panels —� In;erl L(01 006)6'step 2(OB-01 S!5 panelsL1Y11ER ""'c and 1408 210)economy brace H MT �l 4 8'Step-Remove 2-108 00918'panelsInsert 6(01-002)8 step,2108 016)4'panelsand 1 (08 210)economy braceR p Replore 4-8'plrun panels(08-009)welt 18'skimmer panel(08 011)2-0 inletpanels(08-010)I-B'light pone)(08 O1T) ;rt r wrn n. H 6 103 603-61.(03-603-1.S),(03 603 RS) 6 $14 SM;lsde)Remove 1 l0/ 1-8103-203-ISL(032034SI,(03-203 RS) 009)Iput Law 1409302) 514:(03 303-G),(03 303 LSM0•a 303-RSI 6 aeel aep 1408 167)45`x1' 8' 8 8' 8' 08 6e)4"40B_ 1 panel 9 and p..l. 1406 210)econsmy hate 4 4 NSPI TYPE II 141 Mt steel step cap"so 5 and 14)(1 MS)IM"r.aw uA reatred See page 1. Nv eI Steel Step lend)Rmote e 8 5 210M)I steel ponels Imes 1401 30118 step. 1408 210) esonaml wase 7 l08 01 3 pontis ani 2 108 1671 45',l- 5� Idle!pane6 1 (10 083)stee'ssep 4 4 caping u:and 7;10 085,(ung TOPAZ STERLING STONEDTE ocnec se,cegmred See page H H H M 603) (03 703! 103 303) NON DIVING LINERS H 6 103 6401 l 8(03 740) S 14 103 3401 Pau MM taaeS3,ML SIB SUMM OR D ogoltah given l0 90°pdM of carriers. "„ ]�� L S° u ° FRN-002 . _�.,... �.,, 16' X 32' RECTANGLE 6" RADIUS I -GkOL %D S11P4'`UNG POOL W ILL BE CON STRLAC T-LD OF STEEL 41A1 LS SL PPORTING A VINYL LNF R MAT WILL Hi1LDAPPRO.XIM,ATLY 21500 GALLONS OF WATL R. FENCE WII L BE AT LEAST 4' HIGH WITH SEI F CLOSING GATES THAT WILL MEET TOW-N CODES. POOL PATIO WILL BE CONSTRLCTEDOF BRICK PAVERS SL RROL'ND(NG SWIMMENG POOL WHICH W ILL BE LE VEL WITH SLRROL)'NDNG GRADE •.+a�,-,-e 3+,F,r^c �s-a+e->r-? . .. s� :ir•-- r .- .no:sa, .,. . : ..P.._ _. _ _.. - --. ....