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HomeMy WebLinkAbout31090-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30894 Date: 05/04/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 405 HARVEST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8 .30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 2005 pursuant to which Building Permit No. 31090-Z dated APRIL 27, 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 WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to GREGORY C. & RUTH E. MCKEE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 63301 05/29/02 PLUMBERS CERTIFICATION DATED N/A Autriorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tlus 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 1% 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.New Construction:Construction: Old or Pre-existing Building: (check one) Location of Property: �US {Akl/EST L��L /9e4-r7l77Z& House No. /1-.. Street J Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section_ �-7 Block_ GGA 6,3 Lot 6Y, o 3e Subdivision ___ ___ __ Filed Map. Lot: Permit No._ Date of Permit. Applicant- Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ S RK d9 `5 pli ant Signature 0 t 3O $ q 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMINGFINAL ; [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 5- 0-5� INSPECTOR J � icoz 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. �� [ ] FOUNDATION 2ND [ ] INSULATION �r [ ] FRAMING [ FINAL (?00Z [ ] FIREPLACE A CHIMNEY [ ] FIRE SAF 1ETY INSPECTION REMARKS: 7 DATE INSPECTOR \ t S 4 Electrical Inspection Certificate Date Electrical Inspection Service, Inc. Application# V. 5/29/02 375 Dunton Avenue 63301 East Patchogue, New York 11772 (631)286.6642 i Issued to: McKee Street: 405 Harvest La Village: Mattituck Zip:11952 Town:Southold Section: Block: Lot: Introduced by: USI Electric (L) Lic.# 2740-E v a was examined and fouI to he in compliance with the A/ationw/E/ectnica/Code ❑ Commercial ❑NV Defects WPool ❑1st Floor ❑Indoor [-]Basement ❑ Hot Tub r [ Residential ❑ Det. Garage ❑Attic ❑12nd Floor ❑Outdoor ❑ Addition ❑Survey ,a Switches Receptacles Fixtures GFI Heaters A/C Fans 1 1 1 1 1 r3; Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal '% Furnace Oil Gas Circulator Smoke Detector Bell Transformer l Meter Amps Phase UG/OH Telephone Television Carbon Monoxide Other Equipment: B!uildin/g�Permit# �3 poo/pane/timer e Hugo S. Surdi President > Rough Inspection: Inspector: Ed Scavelli J Final Inspection: 5/28/02 Inspector: Ed Scavelli This certificate must not be altered in any manner.Inspectors may be identified by their credentials 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. 31090 Z Date APRIL 27, 2005 Permission is hereby granted to: RUTH E & GREGORY C MCKEE 405 HARVEST LA MATTITUCK,NY 11952 for CONSTRUCTION OF AN INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 28214 . at premises located at 405 HARVEST LA MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008 . 030 pursuant to application dated APRIL 27, 2005 and approved by the Building Inspector to expire on OCTOBER 27, 2006 . Fee $ 150 . 00 n✓ 7 Authorized Signature ORIGINAL Rev. 5/8/02 A sa:.mre Re B E F B /Ak � kTO Fmm ���/y)�FR a Pump To Mopes �—To ROu (Ory N 00Y ) Plan A R� Ra F R� s� Piping Arrangement MriP liiw /4 RW 42» Section B—B t' 1500 PSL Cm e ;EE� 10" Section A-A Typical Wall Section SIZE A B C D E F C H AREA FEET Fr. Fr. Fr. Fr. Fr. Fr. Fr. Fr. sR.Fr. GAL cAL. POOL � SPA CENTRE(,Q/L 16x32' 16' 32' 8' 14' 8' 4' 4' 8' 512 19,000 ,a,,® I6'x36' 16' 36' 12' 14' 8' 4' 4' 8' 576 21,600 PERMACRETE WALL SYSTEM 929 Route 25A Miller Place NY 11764 aL 18'x36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300 (631) 744-7185 FAX (631) 744-0174 �4 20'x40' 20' 40' 14' 14' 8' 4' 6' 8' 800 30,000 Suffolk License #4436—HI (Phan. Nassau License #HI74450000 TOWN OF SOUTHOLD PROPERTY RECORD CARD —'� ----F OWNER STREET (�b JC VILLAGE DIST. SUB. _ LOT 9 c� 1 I �, ! lc,t est Lane G n i ACR. 92- REMARKS TYPE OF BLD. PROP. CLASS T LAND IMP. TOTAL DATE 1c0 Z0c) d 72SA S- LII`73(oD�D3— q,rm\ky64 C �} 1 c 1 7 Cv t3 , n t, t. F 3 ) yrs / 5 a 9Jo 7/�0 3/, Iire oo �SSO z<D 5300 655o 3 97 V� FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT 9 2 ' TOTAL �� S I 1 l r� l .9 I ' ° d Bath M. Bldg. z�{ = HL Sy STJ �f/y Foundation FULL Pc, Dinette © 13, 102 13- Basement CRAWL F Floors Kit. Extension sue I I U 3TA 5-r 1 Interior Finish L R. T Extension 3.s o 9 9/ Ext. Walls U un = los Heat 0.R. p An Fire Place /Vo d� Exten on },ep $-Y 7 �� Woodstove BR. Patio Fin. B. Porch �� s I 1 > 1 Y% .5-0 [/ Dormer ----- Attic Deck , 2f 2 = j6 � Zf S Rooms 1st Floor zo = 2 5to 3,7S' /a 570 2,0 a 2S �Sro Driveway Rooms 2nd Floor ZOJ FIELD INSPECTION REPORT DATE COMMENTS ^o � 3 9 FOUNDA•fION (1ST) ^y U x -------------------------------------- FOUNDATION --------------------------------FOUNDATION (2ND) d y- z � o `r\ ROUGH FRAMING& y PLUMBING rn r m INSULATION PER N.Y. "3 STATE ENERGY CODE FINAL417 , 3 S-3-a 1 ADDITIONAL COMMENTS r Z r m y 1 -... _ x c 1 O S z x - I a y x 0 ro 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 J 01 3 sets of Building Plans TEL: 765-1802 Survey. PERMIT NO. JE d d Z Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 01 Contact; Approved_ _j ,20 o y Mail to: Disapproved a/c Phone: Building,- _ PM r r APPLICATION FOR BUILDING PERMIT Date 3119 , 20� INSTRUCTIONS Lr-l�is 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 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. 1MMEDIATELYof OCCUPANCY OR (Sinature of#licant or name,if a corporation) ENCLOSE POOL TO CODE USE IS UNLAWFUL 24 0 �� �l llec 01a& M'117(oy UPON BEFORE COMPLETION WITHOUT CERTIFICATE Gj OF OCCUPANCY UNDENRI ERS CE IFICAMailing address of applicant) REQUIRED State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder _ nn (AAUOLCZMY1. Name of owner of premises 03&e� :L- i'iyTH w �e, T (as on the tax roll or latest deDAed_ �I LU 8 a/ B.P.t/ If applicant is a corporation, signature of duly authorized officerC- _ NOTIFY BUILDING DEPARTMENT AT (Name and title of corporate officer) 765.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: //// 1. FOUNDATION - TWO REQUIRED Builders License No. '7`t�o k� FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING Plumbers License No. 3 INSULATION 4 FINAL - CONSTRUCTION MUST Electricians License No. 01-1q0 BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Other Trade's License No. THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 1. Location of land on whi1�h proposed work will be done: CODES. NOT RESPONSIBLE FOR 4C I�Aleyes1 �tn2 �Qttblam OR CONSTRUCTION ERRORS House Number Street Hamlet County Tax Map No. 1000 Section 120 Block 3 Lot 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 �VeSiUnec b. Intended use and occupancy `-1 ?&oemac Shw,mmrrvQ Pw- , 3. Nature of work (check which applicable): New Building Addition - Alteration Repair Removal Demolition Other Work:�Aowour,)D �w Vh1hM[� i. (Description) 4. Estimated Cost 12, ADO- 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_1A5- Rear (j)c Depth Height Number of Stories ,D Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front lnli D-M = I R' Rear ZeQ�T-A = 144 Depth J'f�2- 8 � Height Number of Stories 9. Size of lot: Front Rear IDepth 31,S- 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-graded aeDo1) 46. b/iLt_ Will excess fill be removed from premises: YES NO f-10.trt1vcu . 14. Names of Owner f premiseXit(ga ZTvi µcue— Address� kaeyesr kane Phone No, ani 574 I Name of Architect o las Q, etht W Address 4&z"t"' Sv rnja j Phone No 72(4--W Name of Contractor Address`a'era111 0,dew PL phone No. 7/q-713`!�-. 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 ) Li4a GDS being duly sworn, deposes and says that (s)he is the applicant " 'rMMbf lndivtdria s ggnmg contract)above named, y , ',7 (Sfl -is-the corinp (C,6ntra tor, 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 thegpplication filed therewith. Sworn}.o before me thi " Y { erf 77 e a s.i se �. o5:ws a �0 Si ture of Applicant MARGARET A. BANNWARTH Notary Public, State of New York No. 01 BA6021111 Qualified in Suffolk County Commission Expires March 8, 20d, Nor far.) Ama MA - {3F:- P1W 9 EgTY ST#-�FJMENT OF N4TENT 2A2A { �j t 1 {� tf�Y THE WATER SURLY JMtO SEWAGE O15 Al C�1 Lt 4:.4 V I L` P�SSD AR + SYSTEMS FOR TMS IA cMQETE= WALL i CONFORM TO THE srAmcAstGS OF -NEI XtVa wimL wr_ I SLWVOLK CO. OEM OF MEALTM SERVICES J - 199TMUCK ;Si AF ttCAMT SUFF�OL x CotmTY CE••'_ OF "EAL-rl•t 7t f SERVICES — FOP APPROVAL FOR `- FJiMtY O CONSTRuCTLOm C*dL f • _ MT8_ `,� � - _-.- _ � �� _ sL_s. tt�t•. moo_: Ut?-�5-vr75 j VAL 170 lftp"� _' -:• _ a 7l8K��L�lS'JOCii ibr ; hr SUFFOLK CO.TAX DAAPMEStGXATMft �� F IMS::. SWC7_ GLOCK I'CL .�D W@il coma Lead L 100E %M 3 S t Miumid €i.wc.) = x :X 9ry X �Ff? Fri.ED. .l.if i X jrrj `� cad DE£33_ L X11 IF 1 �T! TEST "CLE STAMP ' X - _ IB' a ..�..+.r+r.ar.a.•..� _ X -to foo( JJ - .$F ►1 �-ML20 Iq 11 ISMslim � r 6 uSEAL �1 ILL LP/ 16T#c RJQt' + 5 » t FlLr77�+11Ji1 ti1RP IOU I IMF !lilE AW� t0.L�45 �¢ - 'k� Mm Aug-tat �ROOM C7C 1fJtN tiiYL. C t t - r i/i T �3 LicLs+Ls�a: tMa= CIRS Now YflkK - `= ` ' B CJI L- D I Applicant/ Owners Name: It'd-c� F Reviewed: CS �- Architect/ Date Gngmeer: Submitted: 3 2�- SCTM 9: 3� District: 1 ,000 Sec�on: Block: _ (,ot: Project L Subdivision Location: IL,4y 4d .--- '-- Name: Single & separate Required eertiric-ation: . (Yes/No) Req. / Req. zoning Divricc Ci _ (I of size: �,dV'O /�c(ual:` `(� U 7� (I,ot coverage Propcuclp Req. Req. J/l/ /Req. (Fron(Yard Proposed: I' (Side Yar// Proposed: J [Rear Yard !b/ Proposed- Project Description: I5� AGENCYJERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health.Dept. New York State D. E. C, Town Trustees Town Zoning Board.approval: . f Town Planning Board approval: ` ` Flood Plane Elevation??? Flood Zone: - -- - Notes:.