HomeMy WebLinkAbout31922-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 11/15/06
No: Z-31998
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 305
(HOUSE NO.)
County Tax Map No. 473889 Section 106
CAPT KIDD DR
(STREET)
Block 5
MATTITUCK
(HAMLET)
Lot 4
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 7, 2006 pursuant to which
Building Permit No. 31922-Z
dated
APRIL 19, 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 EUGENIA LAMBIRIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2093304
10/06/06
PLUMBERS CERTIFICATION DATED
N/A
4z:izee-
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
Jf
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 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. /~,4C:
New Construction: Old or Pre.existing Building:
Location of Property: ~ ~ , (l J<t:Z>'T /-<' J / .:d..___
House No. Street
Owner or Owners of Property: .b. L 1"1-7"1 d".. ,'f " J
(check one)
~ 7"-7-/7VC/
/
~mlet
Suffolk County T~ Map No 1000, Section
Subdivision C~~ /<.J /
Permit No. ~ t 7 :l:)"Z- Date of Permit.
Block
Lot
'1/rrlIJ6
.
Filed Map.
Applicant:
Lot:
Health Dept. Approval:
Planning Board Approval:
AI / /J-
Underwriters Approval: <--
Request for:
Temporary Certificate
Final Certificate:
--
(check one)
Fee Submitted: $
/L~/ );~~.
Applicant s(gnature
~. ,'333
eo 2::3 J H{
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 WOR~AUTHORIZED)
PERMIT NO.
31922 Z
Date APRIL
19, 2006
Permission is hereby granted to:
EUGENIA LAMBIRIS
235 CAPTAIN KIDD DR
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL AS APPLIED
FOR
at premises located at
305 CAPT KIDD DR
MATTI TUCK
County Tax Map No. 473889 Section 106
Block 0005
Lot No. 004
pursuant to application dated APRIL 7, 2006 and approved by the
Building Inspector to expire on OCTOBER 19, 2007.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
PECONIC ELECTRIC CORP
P.O. BOX 1258
QUOGUE, NY 11952,
EUGENIA LAMBRIS
235 CAPTAIN KIDD DR.
MATTITUCK, NY 11952
235 CAPTAIN KIDD DR. MATTITUCK, NY 11952
2093304
Certificate Number:
2093304
106
05
04
Block:
Building Permit: 31512Z
Lot:
BDC:
ns11
Described as a Residential 3000-4000 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, cated in the premises at:
Basement, First Floor, Second Floor, Outsi
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 6th Day of October, 2006.
Name OTY Rate Rating Circuit ~
Miscellaneous
house & pool
Alarm and Emergency Equipment
Sensor
Sensor
Appliances and Accessories
Exhaust Fan
Dish Washer
Furnace
Time Clock/Switch
Air Conditioner
Air Conditioner
Time Clock/Switch
Panels
3 0
10 0
Carbon Monoxide
Smoke
2 0
I 0
I 0
2 0
I 0
2 0
I 0
1.2
F.H.P.
KW
Oil
36.000
24.000
BTU
BTU
50
8
Wiring and Devices
Outlet
Fixture
24 0
24 0
Fixture
Incandescent
seal
Continued on Next Page
1 of 3
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
Upon the application of
PECONIC ELECTRIC CORP
P.O. BOX 1258
QUOGUE, NY 11952,
CERTIFIES THAT
upon premises owned by
EUGENIA LAMBRIS
235 CAPTAIN KIDD DR.
MATTITUCK, NY 11952
235 CAPTAIN KIDD DR. MATTITUCK, NY 11952
Application Number:
2093304
106
Block:
05
Section:
Certificate Number:
2093304
Lot:
04
BDC:
n511
Building Permit: 31512Z
Described as a Residential 3000-4000 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Outside, PoollSpa,
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
Name
authority having jurisdiction, and found to be in compliance therewith on the 6th Day of
Circuit
Outlet
Receptacle
Switch
Dimmers
Receptacle
Receptacle
Paddle Fan
Multi Outlet System
Disconnect
Receptacle
Receptacle
Receptacle
Fixture
Receptacle
Service
1 Phase 3W Service Rating 300 Amperes
Service Disconnect:
Meters: 2
October, 2006.
OTY
129 0
78 0
64 0
15 0
3 0
I 0
5 0
2 0
3 0
12 0
I 0
I 0
1 0
I 0
Rate
Ratin.
:Im;
General Purpose
General Purpose
General Purpose
30 amp
20 amp
Dryer
Laundry
ft
60 amp
Appliance
GFCI
Pool/ Spa
Paoli Spa
Paoli Spa
GFCI
20 amp
2
seal
150
cb
Continued on Next Page
2 nf 3
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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I Section: 106 Block:
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
PECONIC ELECTRIC CORP
P.O. BOX 1258
QUOGUE, NY 11952,
EUGENIA LAMBRIS
235 CAPTAIN KIDD DR.
MATTITUCK, NY 11952
235 CAPTAIN KIDD DR. MATTITUCK. NY 11952
2093304
Certificate Number:
2093304
04
Building Permit: 31512Z
BDC:
ns11
05
Lot:
Described as a Residential 3000-4000 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, 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 6th Day of October, 2006.
Name OTY Rate Ratin. Circuit ~
seal
3 of 3
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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-_.~. ..- ---~.--~ --- - --_..~- .-..- -------- .
3} 1 'd-J-.- Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING 0 FINAL ;fJu-re
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~ ---f:h;t- ~
~- -co- -ck ~ ~
~, '
F~V:-~~
~(~~
t~ ~ ~.~>)
I tJ --/6 ~~ {,
DATE
INSPECTOR ~~
31;i-+Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING rP<f FINAL A:
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
f' cn-e
p~ r
. :r;;r-
, o~ ;'-0 - 0'
DATE
INSPECTOR ~ ~
II
FIELD INSPECTION REPORT DATE
COMMENTS
FOUNDATION (1ST)
I
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. y,
STATE ENERGY CODE
FINAL
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planuing Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: . eA..:... ~'l "<<..l.......
Mail to:
JR 7
Examined
Approved
Disapproved alc
,20 b
b
,20_
Expiration
Phone: ..!SI" '.3~'f' '12. '-.:S
APPLICATION FOR BUILDING PERMIT
Date
lJ.-'f
,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 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
shj1ll 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.
\
elf"
e, if a corporation)
Clf ~II f
.
Name of owner of premises ~tJ'_,... .I19"6~'" ,'.C'
, (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.
I. Location of land on which proposed work will be done:
~J.$ t'",pr jttd.l ";?,J.
House Number Street
/'11 ,f-rr, 7V c I: IVy
. Hamlet
IIfrz...
to,,","'"
Lot 'o.gt
Lot
" ......;.;:)
County Tax M~ No. 1000
Subdivision e~ #,".1/
(Name)
Section
&,,(,/c.>
/(!)h
Block g()O S ,/v"
Filed Map No.
..
_.,.'....J,..,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy /'1 ("~n,l .ru.......:,,a,..<
4 (
b. Intended use and occupancy
.s .::>.-.-
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
OtherWork 1:)001
, .
Alteration
(Description)
4. Estimated Cost
.J {. b4d
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 1(, Y Jf ~ear oS ...,. ....:.,. 1 ,.#~~.
Height Number of Stories
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
..lid
,
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ~
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
Phone No.
Phone No
Phone No.
Address
Address
Address
14. Names of Owner of premises
Name of Architect
Name of Contractor
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ..---
* IF YES, SOUTIIOLD 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 BEIWQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
";,. _I,;
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 O~~\)(....-)
C j,. ,'s. A.ve b~~p,uly sworn, depose~ and says tbat (s)he is the applicant
(Name of individual signin contract) above named, .
(S)He is the C /:I;e I S /,-j ""'t ~ <J..e,{.... d70n /-
(Contractor, A'gent, Corporate Officer, etc~)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and me 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.
20~
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Signat11fe of Applicant
No
blic
" . MELANIE OOROSKI
'NOTARY PUBLIC, Slale of NewM
No. 01004634870
Qualified in Suffolk County ~
CommISsion Expires SBpternb8l30.__
: ~ .
EXISTINt9 RESIDENCE
PUBLIC. WATER
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C,APT A/N K/DD DRIVE
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ED6E OF PAVEMENT
~(I) e' DIA.xlt>' N 86'00~~
DEEP L.P.
10' MIN. 0 e' :-'\. TEST HO
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T. . ~ ,..,~_ c) PROPOSED 5 BEDROOM
74' 0 i: ~ N SEPTIC. SYSTEM,
3 ,,33.6' Q Q - 35ob" :\ USE 1500 t9AL. SEPTIC. TANK
50 F~T YARD ~Ac.'k AND (I) e' DIA.xlt>' DEEP
EXISTINe 2 STORY ~ ~ -,~ LEAc.HINe RINeS
FRAME RESIDENC.E... I
(S BEDROOMS) ;( RmJRE 50Sll
\~4~26.Y, -~\ I~ EXPANSION VAC.ANT
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35'0" REAR Y ARDSeTB\..CK ~
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PRoPOSED 54'xlt>' '~"___."/
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SITE PLAN BASED ON
ORIt9INAL SURVEY BY. .
JOSEPH A. INeOONO ~ r-
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LAND SURVEYOR ~ N
P.O. BOX 1"'31 r-:
RIVERHEAD, NY ""'01 '" N
TEL, (631) 121-20G10 ~ ~d:l
FAX, (631) 121-1121 rt-
DATED. OC.TOBER 21, 2004 ~ C)~
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LOT c.oVERAeE C.ALC... \'f)3:X
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LOT AREA X 1L
= 12.000 SGl.FT. ~ 2i'C)
0 . <( l!)
ALLOWABLE LOT c.oYERAeE ~ C):td:l
= 20S1S = 2.400 SGl.FT. . ~ d:l
~ 0... ....:.
EXISTlNe HOUSEIDEC.KS C)N
= 1e.42 SGl.FT. ~ :td:l
~ \$)"":'
PROPOSED POOL AREA \'f)
= 544 SGl.FT. ~
PROPOSED LOT~eE -J
= 231>6 SGl.FT/= 1"'."'% . ~ ~
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TEST HOLE DATA
(TEST HOLE DUe BY M(;DONALD eEOSClENCE ON DECEMBER IB, 2004)
PALE BROHt FltE 5H
TO GOt.R5E SAN:>
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SITE PLAN
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20 10 0 20
6RAPHIC SCALE
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eROH-I GLA'rEY 5NV 5G
HlH IO-~ eRAVEl..
11'
~ GlAY'EY SNt? 5G
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PAl..!!' BR.CJHII ...1Hl: sa..!
TO GGIlJR:5e 5NC:)
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SIn: PLAN BASED ON
ORI61NAL SURVEY BY.
JOSEPH A INOCoIoIO
lAND SURVEYOR
PO. BOX 1"31
R.IVERfEAD, NY IICIOI
TEL. (tJ3l) 721-:2OC!O
FAX. (tJ31) 721-1721
DATED. OCTOBER. 21,:2004
t
CAPTAIN ""DD DRIVE
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