HomeMy WebLinkAbout31870-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31981
Date: 11/03/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1525 MILL RD
(HOUSE NO.)
County Tax Map No. 473889 Section 106
(STREET)
Block 9
MATTITUCK
(HAMLET)
Lot 8. 1
Subdivision
Filed Map No.
Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 23, 2006 pursuant to which
Building Permit No. 31870-Z
dated
MARCH 28, 2006
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 WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to FRED M & MARTHA S CARTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
109542C
06/22/06
PLUMBERS CERTIFICATION DATED
N/A
~~/~
Authorized Signature
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUll,DING 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 2/1 0 of I % lead.
5. Conunercial 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, 01' buildings and "pre-existing" land IIses:
I. 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 sii,'lled by the applicant. If a Certificate of Uccupancy 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 bnilding $25.00, Businesses $5000.
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. 1 - 'Q.' () \0
New Construction: __ ___ Old or Pre-existing Building: ..
Location of Property: --15:;) '5 We:.;,T \Y\ l 0 0
House No. Street
Owner or Owners of Property: ~_~sr-_~~~
( check one)
Qd ~ -R:x:J'[ , \ Cl,\);],
~~
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Hamlet
Suffolk County Ta;" Map No 1 000, Section__
10 lp
mock
Lot
'l5
Subdivision
__.___ Piled Map.
Lot:
Permit No. 3t ~_~~ Date of PerInit.
Health Dept. Approval:
Planning Board Approval:
__ Applicant:
Underwriters Approval:
Request for:
Temporary Certificate _____~_~~ Final Certificate: ___
(check one)
Fee Submitted: $
'd.-~, OD
0.J2_<:.-.II}~5
co.!C 319 8.
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Applicant Signature
)1170 :z:
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [X FINAL A ';
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE
(D-3o-or:.
INSPECTOR /~~~
Electrical Inspection Certificate
Issue Date
6/22/2006
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Application
109542C
Issued To:
Street:
Village:
Section:
Dr. Fred Carter II
1525 West Mill Road
Mattituck
106
Block: 9
Zip: 11952
Lot: 8
Town: Southold
Contractor: Ridge Electric Contracting, LLC
Lie. # 1895
Was examined and found to be in compliance with the National Electrical Code.
Commercial
NV Defects Ix: Pool 1st Floor Indoor Basement LJ Hot Tub
LJ Det. Garage Attic I 2nd Floor j Outdoor Addition Survey
--
Receptacles Fixtures GF/ Heaters AlC Fans
1 1 3
Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
I1(j Residential
r Switches
Dishwasher
Furnace
Oil
Gas
Circulators
Smoke Detector
Bell Transformer
Meter Amps Phase UG/OH Jacuzzi
/
,
Television /
CO Detector
Bldg. Permit:
Other Equipment
~andy panel,HpoolHeater
I
I
f{/<jf / J ~
Hugo S. Surdi
President
Rough Inspection:
Inspector:
Final Inspection: 06/21/2006
Inspector: Dennis Brandi
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
3 I g 7D Z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [,Xr FINAL ~;
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~ o-c-e
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DATE
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INSPECTOR ~: hJ!i?~
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TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING i;Xf FINAL A;
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE
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INSPECTOR " r .
31 ~7o 2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING '>"FINAL fJo-&-€
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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DATE /0-17-0& INSPECTOR ~n.-
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FIELD INSPECTION REPORT DATE
COMMENTS
~~UNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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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.
31870 Z
Date MARCH
28, 2006
Permission is hereby granted to:
FRED M & MARTHA S CARTER
1525 WEST MILL ROAD
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at
1525 MILL RD
MATTI TUCK
County Tax Map No. 473889 Section 106
Block 0009
Lot No. 008.001
pursuant to application dated MARCH
23, 2006 and approved by the
Building Inspector to expire on SEPTEMBER 28, 2007.
Fee $
150.00
~.
j_~ed Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO.
31i'l~
BUlLDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
con~.ac.t.
Mail to:
Examined
Approved
Disapproved alc
20 C.
.(;
,20_
Expiration
,20
Phone:
I,JAR l 3
APPLICATION FOR BUILDING PERMIT
Date]brch OX)
,20~
INSTRUCTIONS
a. This application MUSTbe completely filled in by typewriter or in ink and submitted to the Building Inspector witb 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot 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. Ifno 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
authorized inspectors on premises and in building for necessary inspections.
lilol.t (hm~. ~0d29&~\-\h::Jt'4)k
(MatlIng address of applIcant) U-i IICl ~
Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Ao~/
,
Name of owner of premises ~\('"A 01\0 \-Jo.r-0rd fur-\c:..tr
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
\-Q:'S\&ft
(N ame and title of corporate officer)
Builders License NOO<~ q '7<0 - H3
Plumbers License No. - do \ II
Electricians License No. ,'i!,o.~
Other Trade's License No.
1. Location of land on which proposed work1will be done: \ I .
\50..0 West m\\\'l(CYKl \'Y'()):tIJ--\, ~
House Number Street Hamlet
County Tax Map No. 1000 Section \ 0 lo
Subdivision
Block q
Filed Map No.
Lot c;?
Lot
(Name)
2. State existing use and occupancy of preillises and in nded use and occupanc of proposed construction:
a. Existing use and occupancy . (\ 1 \. '. .
b. Intended use and occupancy \)e.L() qG()ftL
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
}PI . \1- 00
4. Estimated Cost LD4)'-t\~-
'61.01 mmiv:-J ~
Addition Alteration
Other'NeFk 1=0.13' c.,'D'lfYlm"n}3
(Description
p:lOl
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, 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 Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated I< - 80
12. Docs proposed construction violate any zoning law, ordinance or regulation? YES_ NcX'
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES)4 NO_
R"ed" lY'af-\t'\lL eor\1tX \..Act lfrivd2...
14. Names of Owner of premises Addressl5)S"w.!v\iW 1(cj(..c1 Phone No.a-.qiS'- ~/'iSO
Name of Architect~ UyY\iOXDS Address VlIill SnM en ~iJ'hone No~3 -731.-?
Name of ContractoiJ:~\L\ :OWl \'Y',IY'\' f"<'JAddress I1foL( ~ Phone No. .3 - 7373
~c..lS 5o~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? 'YES _NO k
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ofa tidal wetland?' YES_ NO_
* IF YES, D.E.C. 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..':>uftO\lL)
JQ\'J.(\IClf-\t::(:pl r-J..... being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
~~
(Contractor, Agent, Corporate Officer, etc.)
(S)He is the
-
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.
~~beforemet~~ (
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Notary P lie
.~c
CHRISTINE L. DONATO
NOrARY PUBLlC.STATE OF NEW YORK
No. 01006113407
Qualified In Suffolk County
Commls.lon Expire. July 26, 2008
POOL WALLS. BOND BEAM. AND FLOOR SHALL BE
STEEL REINFORCED GUNITE CONCRETE. GUNITE
CONCRETE SHALL MEET OR EXCEED 4.000 P.S.I. @ .
28 DA YS. STEEL Ii?EINFORCING BARS SHALL
CONFORM TO ASTM A615. GRADE 60.
6" X 6" FROSTPROOF CERAMIC TILE
WA TER LEVEL @ CENTER OF CERAMIC TILE
IN POOL WALLS WITH A WA TER DEPTH OF 5'-0" OR
LESS, RE-BARS SHALL BE PLACED HORIZONTALLY
AND VERTlC/ALLY @ 12" O.C.
IN POOL WALLS WITH A WATER DEPTH GREATER
THAN 5'-0", ADDITIONAL VERTICAL BARS SHALL BE
INSERTED TO CREATE VERTICAL BAR SPACING@6"
o.C. THESE BARS SHALL START FROM THE TOP OF
THE WALL AND SHALL BE BENT AT THE BOTTOM TO
EXTEND 24" HORfZONT ALLY INTO THE FLOOR.
THE VERTICAL RE-BARS @ 12" O.C. SHALL BE BENT
AS SHOWN IN THE BOND BEAM.
UNLESS OTHERWISE SPECIFIED OR REQUIRED, #3
BARS SHALL BE TYPICAL
./'2'
10"
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NORMAL FLOOR REINFORCING SHALL CONSIST OF
RE-BARS PLACED AT RIGHT ANGLES (9d) TO EACH
OTHER @ 12" O.C.
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SCALE: 1" = l' .. 0"
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MINIMUM SIZE OF COPING STONE SHALL BE 1 Vo,"
. THICK BY 12" WIDE
4" SAND BASE, WHEN NECESSARY TO AI[)
DRAINAGE IN SLOW DRAINING SOIL
POOL WALLS AND FLOOR SHALL BE 7" THICK. AND
BOND BEAM SHALL BE 10" WIDE X 12" HIGH.
4 - #4 BARS SHALL BE SPLICED TO FORM
CONTINUOUS REINFORCING WITHIN BOND BEAM
INTERIOR FINISH ON GUNITE SHALL BE ~" THICK
TROWELED-ON "MARBLEDUST"
RADIUS AT INTERSECTION OF GUNITE WALL AND
FLOOR VARIES.
CRUSHED STONE, WHEN NECESSARY TO AID
DRAINAGE IF GROUND WA TER IS ENCOUNTERED IN
SLOW DRAINING SOIL
S.C. TM. NO. DISTRICT: 100
SECTION: 106
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MILL
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ROAD (COX NECK ROAD)
RE~SED SURVEY 6-19-2001
AREA: 114.640 S.F. OR 2.63 ARCES
ELEVA TION DA TUM: _________________________
UNAUTHORIZED ALTERATION OR AODITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICA TED HEREON SHALL RUN
ONL Y TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY ANO LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE ANO USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
ANO/OR SUBSURFACE STRUerui?ES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSlCALL Y EVIDENT ON THE PREMISES A T THE TIME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY
MAP OF:
FilED:
SITUATED AT: MATTITUCK
TOWN OF: SOUTHOLD
SUFFOLK COUNTY. NEW YORK
FllE#21-96
~ 11- tA
SCALE: I" =60' DATE: APRIL 26. 2001
N, Y. s. Lie NO. 50227
CERTIFIED TO: FRED M. CARTER 1/; MARTHA S.
CARTER; FIRST AMERICAN TITLE INSURANCE
F
W FAR MORTGAGE'
KENNETH M. WOYCHUK L.S.
Land Surveying and Design
P.O. Box 3, Mattituck, New York 11952
PHONE (831) 298-1588 FAX (831) 298-1588
melntalnln, the recorda of Robert J. Henne..y