The URL can be used to link to this page

Home My WebLink About31040-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31396 Date: 01/13/06 THIS CERTIFIES that the building ACCESSORY Location of Property: 665 BAILIE BEACH RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 3 Lot 21.1 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 2005 pursuant to which Building Permit No. 31040-Z dated APRIL 6, 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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JAMES WILSBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 100182C 07/11/05 PLUMBERS CERTIFICATION DATED N/A Au horized Signature Rev. 1/81 � 7 � Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT Poo I _ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 9 , o 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 I%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 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. _ 11410(o New Construction: POOOld or Pre-existing Building: /� (check one) Location of Property: (0 G.5 p 06,11- BCd.C� 9 . 1 • ock+►-�vt- House No. Street Han-Jet Owner or Owners of Property: -Za w C-S W 0-S l0 Gt•T_ Suffolk County Tax Map No 1000, Section 0 jcBlock00 3 Lot 0 P � , 00 Subdivision 0 V'e v0.-+ Gi ai S Filed Map. Lot: 11 I Permit No.--3-1�13 Z - _Date of Permit. (0 0 _ - Applicant: Ae 1�v e E c!Wadi{.S PC0! S Health Dept. Approval. '{N1 { Underwriters Approval: 0 rJ P,kW, Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) I Fee Submitted: $ !DLS.oft GK 31 I licant Signature ro ;L qr, 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. 31040 Z Date APRIL 6, 2005 Permission is hereby granted to: JAMES WILSBERG PO BOX 1429 MATTITUCK,NY 11952 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN TEH REQUIRED REAR YARD AS APPLIED FOR at premises located at 665 BAILIE BEACH RD MATTITUCK County Tax Map No. 473889 Section 099 Block 0003 Lot No. 021 . 001 pursuant to application dated APRIL 6, 2005 and approved by the Building Inspector to expire on OCTOBER 6, 2006 . Fee $ 150 . 00 ori ed l ORIGINAL Rev. 5/8/02 a a r r ;�� Electrical h ►�peetio,� C'e t tate b f t?J b lssue Date decttical Inspectiorl SefvIce,Inc. Application ` 7%11/2005 375 Bunton Avenue 10oi6 '}w East I?atchogue'.flew York 11772 _ i. �r (631)286-6642 l : Issued To: Mrs WilsbeIrg i Stre0t 665 Bailie Beach woad. " m6flitkV Zip: 11952 •Town Southold 3. S�ctiohMock` Lot: ' Contractor,:.081 EectHe (Lj r' LIC: # . 27 0= 4 ;. , Vag examlhed end found to 6 in compliance with the Naibhal electrical Code: ; ;�-' d, Cbnihietcial "❑ N1lbei`ects' [ bol , ] 1stIdo� �x indotir ❑ IBaserrient ,Hot T11 XJ Res�IdeH#lal Cl Det Gar a C:I'bttic �[:� 2nd Floor Lxl outdoor I Addllibn ,�44 ' � � SVVltches r kece�t�tac�e§ �lxttiies GFI %eaters �Y��. dl$�iWasheFf 'l�tis5irel�/A►rl � d� er/Amps 1 ®t/e I $ t, ,' v16(4 F ,' 1 �19acroWaves FOrhace 5 Oii Ga§' t;ircflletors Smoke betector �e11 TransfoYmer .t. 4. w ,a a ) i t 'tis ,F � •'- .1".` r.y� etek 11Hibsf "�hasfe ' 1�G/dpi JeeUtzj TOWISloh' - C01 f�etecto� t • - F t q i i b -t S 11' t f } other 1=gUiIirlNt } 1"Palin tib^'t sub OM61 f 20122bV s�eicalty f titi�fs/ tiML'EldC t Z � tri` � 7 i //MI�t�I V6VM■ I', 1 1 jt {+1••,4f y t � _t '• 5 yt: � a i r 1 u tsr + x >�• s j t I r r AY ` 1 n',�1 tat 6 �� cf �..•.+.i !—rLa5�(��L Rough Inspection Inspector, -' •+i 1� ; Final Inspection 07/07/2005 " Inspector John fNo Mahon III 7hfs certificate Must not be alttsred Ih anyi niariner.'lnspdctdts may be id"entified by their credentlals.:- '4 OF SOUTy�6 o yo Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [�\ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: r DATE f( �� INSPECTOR pp �a ten\ S Co(aS 150,'► lie I�e,.��. RJ, r P,c) ,Box ly aq Y'�lc\ i 1 off( - Q?,o�e ; ag8�8393 w I Icls-D +2�€ \--I SIS— 6FO-T Cel ► °ti 6 o 1 � xx x r; paopxn F Wm L k c F K X XX K • • •c nciWl�•►• • CA- Concrete `nom Fowdotlon A W i se pi;c�s i r i ti l t a r r To, 000 -99-o3-a1 , I � •�, NI 1022'50'V 213.82' edge of pp�•m•— nl lEast Side Avenue FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION(1ST) - - — - -r- ------------------------------------- FOUNDATION ------------------------------------FOUNDATION(2ND) e r z 0 v� ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. -- H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS m � o x Z � x d y 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 Buil ' g Plans TEL: 765-1802 Survey PERMIT NO. �� Check-; 1I9� Septic Form N.Y.S.D.E.C. Trustees Examined 11 ,20 r Contact: Approved 12 �— Mail to: Disapproved a/c D Phone: 7 LlCS ��?} Buildi gWr ' ?R 6 200 : 5 le, A 1 APPLICATION FOR BUILDING PERMIT �1I1 7 at_of:SDEPT.D,..� — Date , 20�_ L__"2`2'-4 " — j 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 shalt 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 a Certificate of Occupancy is issued by the Building Inspector. 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. e (Signature of applicant or name,if a corporation) 42q 9f J5 t4 Adel, PIA&L 017W (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �pN1�q�rpt2 Name of owner of premises �JQYVtQS �1 �SfS2� (as on the tax ro or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. o Plumbers License No. 7 Electricians License No. '!40-Rt✓ Other Trade's License No. 1. Location of land on whichp ro osed wor will be done: nn_ (x(05 `-RMLle I' M 6 IrK��ITII�'lG House Number Street Hamlet., County Tax Map No. 1000 SectionBlock Lot oC Subdivision 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 � R-� fSlpeAlU- f� b. Intended use and occupancy (QSltdf/IThI_ �Wlr't 1huIIQ JOWL 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Swlaim rn/a LTA/lJYf7dN0� (Description) 4. Estimated Cost ��t OOD _ 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, specifynatureand extent of each type of use. 7. Dimensions of existing structures, if any: Front Q 5 Rear 7 U I Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front RWar r Depth Height Number of Stories 8. Dimensions of entire new construction: Front o20' Rear 140 Depth 3 1z41 Height Number of Stories 9. Size of lot: Front 35a' Rear 430, Depth o2r71 1 10. Date of Purchase 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: NO 13. Will lot be re-gradedPoo, AUA_ 001V Will excess fill be removed from premises: 0 NO 14. Names of Owner of premises ILS Address S IIiG H Ro Phone No. 446-6Q7S Name of Architect D IW AddressA/-S"mrm-Phone No 8Y Name of Contractor Acptx des PLOLi Address CIA 9t-.D5+ All& Phone No. -7�S 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation 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 ) ihiL d• being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, / �� (S)He is the Aili Luigi. (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 manner set forth in the application filed therewith. Swont toef bore me this day of C k 20 D,3 411( jJ ,f Notary Public Signature of Applicant MARGARET A. BANNWARTH Notary Public, State of New York No. 01BA6021111 Qualified in Suffolk County Commission Expires March 8,ft= C� COMPLY WITH ALL CODES OF UNDERWRITERS CERTIFICATE NEW YORK STATE & TOWN CODES REQUIRED AS REQUIRED AND CONDITIONS OF SOUTHOLD TOWN ZBA A O pis N0 D SOU`,OLD TOWN PLANNING BOARD DATE: �/B.P. — 3�-� --- SOUTHOLD TOWN TRUSTEES FEE: _� __ BY:_ N.Y.S.DEC hlOTf. Y BUIL''_iP, DF riTMENT AT "IMMEDIATELY" 765-1802 8 AM I ) , FOR THE ENCLOSE POOL TO CODE FOLLOWING !NSP' -- `IS: UPON COMPLETION 1. FOUNDATION J RFQ1ARED ^ BEFORE"WATER" vUPANCY FOR POURE NCRc.L 0' 2. ROUGH - FG,`vi NG & PLUMBING UNLAWFUL FUL 3. INSULATIO�d 4. FINAL - CG "'Pi)CTION MUST ROUT CERTIFICATE BE COMPLETE =�;s �.0. _ ALL CONSTRUCTION SHALL MEET THE Or— P NCY REQUIREMENTS OF THE CODES OF NEEW V /'1 1✓' YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION -ERRORS. FLOOD ZONE Iv A, COMPLY WITH CHA TEAR "46" ALL CONSTRUCTION SHALL FLOOD DAMAGE P EVENTION SOUTHOLD TOWN CODE. MEET THE REQUIREMENTS OF THE CODES OF NEW YORK•.STATE. A Skimmer RMums J L > JJ /Aluminum B E F jB .. To FIRer FfOn' Filler h Pump To Wastes -To Re.. (Dry Well Optinco Rolkfd Woll F. '] Plan APiping.. Arrangement Wall Section Wry! U /4 Rebar 42" Section B—B 2.Ska /,.,-3500 PSA. Concrte H 10" Section A—A Typical Wall Section SIZE A B C D E F G H AREA CAP. FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. purchn" 16x32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000 �� ' ,�� t�A 16'x36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 POOL&SPA CENTRE Ad ' 18'x36' 18' 36' 12' 14' 6' 4' 5' 6' 648 24,300 929 RPERMACRETE WALL . SYSTEM staoute 25A Miller Place NY 11764 ctte 20'x40' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000 (631) 744-7185 FAX (631) 744-0174 Phone Zip code 24'%44' 24' 44' 18' 14' 8' 4' 6' 10' 798 309000 Suffolk License #4436—HI 24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 Nassau License #HI74450000 Iuawa..od 10 a6pa �� it f 00 M1,05OZZ°Tiis , 000 i 0 te n � � wo�aUAO p Al'fly a �J NSC x x 10� k x `rt ar�sodoy� k J� � XX� Xx .-o AAO A09 r .. 0tAqroumll1 — � C\ y 14-,��.I ' o` . , cam► �b�8�8b� � a °��1 C x �"i l3� ,��• � � l� 1 �� 7� � XQ ' Q� �3 r� � S4 I . all �b� _S�� 0s s