HomeMy WebLinkAbout32179-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 11/17/06
No: Z-32007
THIS CERTIFIES that the building ABOVE GROUND POOL
(STREET)
Block 4
MATTI TUCK
(HAMLET)
Location of Property: 4635 MILL LA
(HOUSE NO.)
County Tax Map No. 473889 Section 107
Lot 2.3
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 28, 2006 pursuant to which
Building Permit No. 32179-Z
dated
JULY 3, 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 ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD
WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to CONSTANCE ROSNACK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3007012
09/18/06
PLUMBERS CERTIFICATION DATED
N/A
~ ~'t1/J,,_
/~
uthorized Signature
Rev. 1/81
Form No.6
TOWN OF 80UTHOLD
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:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
).. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form).
(j) 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. Conunercial building, industrial building, multiple residences and similar buildings and installations, a certi ficate
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" laud 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
I. Certificate ofO~- New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming p~ ~J2...ftccessory b~ilding $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of ccnpancy on Pre-exlstll1g BUlldll1g - $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 \ - 'Z' - 00
New Construction:
Old or Pre-existing Building:
~
(check one)
ma thf",,~)(
Hamlet
Location of Property:
Lt (p ')-)"
House No.
Suffolk County Tax Map No 1000, Section
C~t1")i1rv.A-
107
f'2/lNj tan/'-
Street
&/lrJ,/:./('
Owner or Owners of Property:
Block
y
Lot 2/ :3
Subdivision
Filed Map.
Lot:
Permit No. 3;;2 f7Cf 2- Date of Penn it. 7-:3 -eV-; Applicant: //J/7~i:JP7c..c- ;t;~.-?a~K
Health Dept. Approval: Underwriters Approval: "30() 76' I;;)
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $
;}I),N}
Gdi- ~~,e.
Applicant 1 ature
L
~-1',5\
C o.:c 3J65!
I~ I, - 'I - 2 , ~
l!I.l!I
I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ TUCKER ELECTRIC, INC BOB ROSNACK ~
~ 1800 HARBOR LN, BOX 1065 4635 MILL LANE ~
~ CUTCHOGUE, NY 11935, MATTITUCK, NY 11952 ~
~ Located at 4635 MILL LANE MATTITUCK, NY 11952 ~
~ ~
~ Application Number: 3007012 Certificate Number: 3007012 ~
~ Section: Block: Lot: Building Permit: BDC: ns11 ~
~ . 3,;( nq . . ~
~ Described as a 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 18th Day of September, 2006. ~
~ Name OTY Rate Rating Circuit DIll< ~
~ Appliances and Accessories ~
~ Pool/ Spa Bonding I 0 ~
~ Time Clock/Switch I 0 ~
~~~~ ~
~ Receptacle I 0 20 amp PooV Spa ~
~ Switch I 0 General Purpose ~
~ Receptacle I 0 GFCI ~
~ (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 ~
~ ~
~ I of I ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
l!I.l!I
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.
32179 Z
Date JULY
3, 2006
Permission is hereby granted to:
CONSTANCE ROSNACK
PO BOX 1236
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL AS APPLIED FOR
at premises located at
4635 MILL LA
MATTI TUCK
County Tax Map No. 473889 Section 107
Block 0004
Lot No. 002.003
pursuant to application dated JUNE
28, 2006 and approved by the
Building Inspector to expire on JANUARY
Fee $
150.00
ORIGINAL
Rev. 5/8/02
;; f).-/ 7 ( :2-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: /vdt,,'.4.b,~ 'Y'1f{ ,/ ~~
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DATE I/~ y- o~
INSPECTOR ~< ~
3~179 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [~FINAL I!.e..;
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: / ~ ~ rJ- ~ ~ 01( r
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C~~) ~.~'<1..cL, /?I~
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DATE
~~
INSPECTOR r
.
)~11rz
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING r)(FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS~-n_ ~~ ~ ~
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DATE
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FIELD INSPECTION REPORT DATE
COMMENTS
FOUNDATION (1ST)
~------------------------------------
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FOUNDATION (2ND)
, ,
ROUGH FRAMING &
PLUMBING
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INSULATION PER N. Y.
STATE ENERGY CODE .-J
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Patio 3.00 leO Woodstove BR.
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Young &- Young, Land Surveyors
400 OsfrOI1.({f:i" AVenH(. Hi,l'e,-hr::ac(, New YOl'k 11901
6.11-727-2303
Alden W. }'Of/H./J. P./;, &: LS rf!IOB-1994)
Howun{ W. )"ouny. Lan.d ,('l)'rveyor
Thomas C. Ifolp,'r(, PrOfl'.'18ion,,1 Enginn'T
,/ohn SChH~jt-r. Lana :""l"l.eyor
NOTES:
1. AREA = 5.0138 ACRES
2. LOT NUMBERS REFER TO SUBDIVISION - MAP OF "WOLF PIT POND.
ESTATES" FILED IN THE OFFICE OF THE ClERK OF SUFFOLK COUNTY
ON JUNE 21, 1990 AS FILE NO. 8963.
3. . = MONUMENT FOUND
4. ... =: STAKE FOUND
5. 8 = ?T.A.l5E~SET
-AUG.- f3.:-2001 ~~GENERAL AMENDMENTS
~~~. li. ~%~io~_.-l--- ~~C~D;~~~EIoCATION
~3T19j"ltj- ~ REVISED AS PER H.D'- COMMENTS RlO 99 0107
_.. JUL,(~9991:.' 5TAKED PROPOSED ~iOUSE
DATE: _ REVISIONS:
SURVEY FOR.
CONSTANCE M. ROSNACK
LOT 4 "WOLF PIT POND EST/,TES"
At: MA nlTUCK Town of: SOUTHOLD
Suffolk County, New York
Suff. Co. Tax Map:
1000
4
107
(l,sl,;<:(
Soe'_(;0n
Blocf
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CERTIFIED TO.
CONSTANCE M. ROSNACK
WEBSTER BANK
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
~MA-b1~'-ff
DATE
SCALE
JOB NO.
SHEET NO.
: JULY 15.1998
: 1" = 100'
: 98 - 0386
: 1 OF 1
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board ofRealth
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAL~
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoIdI
PERMIT NO. 3;;) l-:r~.:c.,
Examined
Approved
Disapproved ale
1
,20~
,20--'-
Mail to:
Expiration
QJ
Phone:
"'I
. I
~rrLICATION FOR BUILDING PERMIT
i
\
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\ 11'"'' .\....-.-
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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 oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. Tlw 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 South old, 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.
/
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Building Inspector
JI.lt-\?8? '1
Date
~JUy'l'lt--
o?(",
,20 0 fo
INSTRUCTIONS
PO. 13,;/ I.:)?(, 116111-1",,,1 py
(Mailing adfuess of applicant) (( '1.J .;l.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Ql-A)/?e,--
Name of owner of premises r:;.,,,,,,:; laM" e.- ,;z! 9; ~ na... ;(
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. c>( t) !,- 7.;;J - hi
I. Location of land on which proposed work will be done~
'18 3 S jtl// !-q/1 e- ;t1 00. 1,L,)oG'f'
House Number Street
;1/f/
Hamlet
'I .,). ,;,; r,."
County Tax Map No. 1000 Aection / -: 7
SubdivisionLJ,JI' If ()/1 d Eg/
(Name)
Block 'I
Filed Map No.
~ '; , .'. .
[6t;"i~}~: , ."ii
'. "Lot .".,~ ,'" ',:'c.
,':." .
2. State existing use and occupancy of premises and intended use and occupancy of proposed con~truction:
a. Existing use and occupancy
.
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
OtherWorkseh1/-If1:J,O{Jnd ,000 /
(Description)
4. Estimated Cost It, 11 a 0 .
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. 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
Depth
Rear
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
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L
13. Will lot be re-graded? YES_NO..,.&.. Will excess fill be removed from premises? YES_NO Y
I' j) M~ If (, s r jI,-f, II L_e
14. Names of Owner ofpremisesvo..<,L"",~ AI "vS" Address /!.."".hlv<-k Phone No. r::29r-/o 90
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a 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 op4yfi (~
(S)He is the
(J}W/L/c~
(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.
Sworn to before me this
'~~~~~
Notary Public
acL-S~e-..__~
Signat'f f Applicant
UNDERWRITERS CERTIFICATE
REQUIRED
A~~~VED AS NOTED
DATE: . ~ (.,. B.P.#~
~OO
FEE: . ) v - BY'
NOTI BUILDING DE'P~ AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTH' .0 TOWN ZBA
SOL,H:)lO TOWN PLAN~ING BOARD
SOUTHOlD ,OWN TRUSTEES
N.Y.S. DEe
oJ f
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:J~MEDIA TEL V"
u:~~Ed;~~U~/gZDE
ORE "WATER"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
FLOODZONE~
COMPLY WITH CHAPTER" 46.
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE.
~
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The TITAN sets the standard in beauty, quality and pure summer indulgence. '
Handsomely crafted, the TITAN's oval design and compact Stealth Support System'"
provide an abundance of :i",mming area, using less overall space. Tough, durable
extruded aluminum construction offers years of long-lasting enjoyment from your pool.
Your purchase of a TITAN pool includes a limited lifetime warranty.
~
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GOLD MEDAL FEAT! ! : 'HE: .
· 52" Wall Height - First introduced by Johnny Weissllmller Pools
· Extruded Aluminum Interlocking Wall - The ultimate ill strength and durability
· Extruded Aluminum Top & Bottom Clips - Add stability to the frame of the pool
· 7" Extruded Aluminum Coping with Slip-Resistant Finish - For added safety
· Stainless Steel Fasteners ~ For maximum corrosion resistance
· Aluminum Liner Receiver - \Vil! not crack
· Wall Coated on Both Sides - For optillW! protection inside and out
· Stealth Support System'" - Allows for a larger pool in less space
· Extruded Aluminum Tie Bars and Water Plate - Substructure offers
unprecedented strength
.
T
A
N
DID YOU KNOW JOHNNY WEISSMULLER WAS VOTED THE GREATEST SWIMMER OF THE FIRST HALF CENTURY
~AREA:
~ 30'xI5'
24' x 15'
WALL COLORS AVAILABLE:
Champagne with
Sienna Frame
OPTIONS:
Side Sun Deck"
End Sun Deck"
Pool Fence
Promenade \Valk with Fence""
Grand Entrance Staircase'"
Portholes
Underwater Lights
DONot available for all size pools.
phato of pool at left shown with optional Ultimate A (in-pool)
Ladder; Promenade Walk with Fence, Sun Deck and
Grand Entrance StaircaseTMO.
~--" ~ '" ,~;";~-\: ~~. t
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'NSTALL~lISL
I
I'
Stealth Support System'" with
optional porthole
D Additional parts needed for Grand Entrance Staircaseā¢ configuration
shown. Standard in-pool ladder is stainless steel.
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~CALE, 1" ~ ~
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Young &- Young, Land Surveyors
400 OsfrcUldf:i' Avenllf. RI:I,'{'I"hpocl, Nell' York 11901
6:11- 727-2.'103
Alden W. }"(W'I,fl. P.I:: &- LS. 01108-1994)
Howurrl 11". r(Juny. Lund .<"'uTveyor
Thomas C. Ifu/}wr/, Prof(:~"i(l"ql EnginFf'T
.loll" Schullr,., Lana .....ur'veyoT
SUFFOLK COUNTY
3.
4.
AUG. '-3=~Q9l ~GENERAl -Ai...{ENDMENfS---~.'
AUG. 7, 2Q-9:1. - t FINAL SURVEY
MAY 12, 2QQ.Q. --- FOUNDATION LOCATION
JULY 31, 1999 _ -_~.. REVISED AS PER H.D.---COMMENTS Rl0 99 0107
_.. JULY~999 ~_____.~TAKED PROPOSED HOUSE
DATE: ~EVlSIONS:
SURVEY FOR:
CONSTANCE M. ROSNACK
LOT 4 "WOLF PIT POND EST!, TES"
At: MA TTITUCK Town of: SOUTHOLD
Suffolk County, New York
Suff. Co. Tax Mop:
1000 107 4
,
[1,,!ron S~o.l;.)n 8100f
Co'
CERTIFJED TO:
CONSTANCE M. ROSNACK
WEBSTER BANK
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
~<f<--'1jt:::_:ff
DATE
SCALE
JOB NO.
SHEET NO.
:JULY 15,1998
; 1" = 100'
: 98 - 0386
.1 OF 1
"980386 _final. dwg"
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