HomeMy WebLinkAbout31907-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32481
Date: 07/25/07
THIS CERTIFIES that the building ACCESSORY
Location of Property: 775 FARMVEU
(HOUSE NO.)
County Tax Map No. 473889 Section 121
RD
(STREET)
Block 7
MATTITUCK
(HAMLET)
Lot 5
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 10, 2006 pursuant to which
Building Permit No. 31907-Z
dated
APRIL 12, 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 WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to MARTIN & PATRICIA FINNEGAN
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
06/10/06
ELECTRICAL CERTIFICATE NO.
2987
N/A
PLUMBERS CERTIFICATION DATED
~,,1:!:::-
Rev. 1/81
7.0>0\
Form No.6
TOWN OF SOUTHOLD
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.
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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a 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 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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. ~- [- O:.f
New Construction:
Old or Pre-existing Building: -
5.v iv-<J4... {LJ
Street
PV--fv\C:L
(check one)
.J.Av---th 1v~'-
Hamlet
---
Location of Property: (( \
House No.
Owner or Owners of Property: ~.f,.....
Suffolk County Tax Map No 1000, Section
tv--.()
\ 7... \
~^~
I
Lot
Co
Block
Subdivision
Filed Map.
Lot:
Permit No. '~(qo -,
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Applicant: ~J.r-<ri ~~
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
.../'
(check one)
ngnature
Fee Submitted: $ d1
<-0 b'?'d-'-/'61
~v1d~~
SUFFOLK
BUREAUOf
ELECTRICAL
INSPECTORS,lnc
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 6314958136. Fax: 6319806455. E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPUANCE
Applicant: Raymond Electric
Rough In Inspection Date: 6/10/2006
Application NO: 2987
Suffolk County Tax Map NO: 121 7
6
Final Inspection Date: 6/10/2006
Certificate NO: 2987
Building Permit NO: 31907
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment
and/or work described below, installed by the applicant named above, located at the premise of and not
after the final inspection date above:
Owner: Finnegan
Address: 775 Farmveu, Mattituck, NY Road
Address of Inspection Site: 11952, Mattituck, NY Road
X Residential
Commercial
New
Addition
Service 10
Service 30
Main Panel
8 Ckt Sub- Panel
Disconnects
Transformers
Twist Lock
Indoors
X Outdoors
Renovation
Survey
Heat
1 Time Clock
Hot Water
GFCI Breaker
Dryer Recpt
Exhaust Fan
TVSS
Other Equipment: 1- Chlorine Generator
Basement
1st Floor
2nd Floor
Attic
Inventory
Duplex Recpt
2 Switches
1 GFCI Recpt
1 Single Recpt
Range Recpt
Appliance
1 Heat Pump
Service
X Pool
Hot tub
Garage
Shed
Other:
Ceiling Fix
Wall Fix
Recessed Fix
Fluorescent Fix
A/C Blower
A/C Cond
Electric Heat
HID Fix
Smoke Det
Co Det
1 Pump
Emergency Fix
Exit Fix
2 Pool Luminaire
The electrical work and/or equipment described above were inspected and appear to be in compliance with
local, state and national electrical code requirements and this office.
Applicant: Raymond Electric
Inspected by: _ ye7R. Surdi
Signature: ~r .
License No: 5141-ME
Date of Certificate: 6/12/2006
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.
31907 Z
Date APRIL
12, 2006
Permission is hereby granted to:
MARTIN FINNEGAN
775 FARMVEU RD
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REAR
YARD, FENCED TO CODE
at premises located at
775 FARMVEU RD
MATTI TUCK
Block 0007
Lot No. 005
County Tax Map No. 473889 Section 121
pursuant to application dated APRIL 10, 2006 and approved by the
Building Inspector to expire on OCTOBER 12, 2007.
Fee $
150.00
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Authorized Signature
ORIGINAL
Rev. 5/8/02
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TANKS AND CESSPOOlS SHOWN
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [(4 FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENmAnON
REMARKS. f'~ ~
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DATE 7--?c -0 7
INSPECTOR A ~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
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[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
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[ ] ROUGH PLBG.
[ ] INSULATION
M FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
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FIELD INSPECTION REPORT DATE COMMENTS
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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/Southold/
PERMIT NO.
3)'107 c;
BUILDING 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
[) I 0
Examined
~'z-. ,20~
I 2--, 200&
Expiration Iii"
, 20 () 1
fCJt~
I Building Inspector
Contact: ) n
Mail to:S\.Olm I<.\(\-~ rOO ls
471 R.te z.'5A-
Phone:_Roc.tLt (J t-
~ W116
,Ljl.J -6100
Approved
Disapproved alc
APPLICATION FOR BUILDING PERMIT
Date
10
, 20 Ofp
INSTRUCTIONS
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. 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. 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
ar~cant 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.
ALL CONSTRUCTION SHALL
Me6f THE REQUIREMr:'j;S OF THE
CODES OF NEW YOR/\ ST ATE.
(Si nature of applicant or name, if a corporation)
"IMMEDIATi:LY" 2-\"1\ Q+e.'2'SA eoclcyp+- ~_
ENCLOSE POOL TO CODE (Mailing address of apphcant)
UPON COMPLETION
S~aTf~~~th~nM~LLs..s>~_ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
WMflWRITERS CERTA'ATE
6 LOT\. ..e.,.( "m/J/m .
oxnn
Name of owner of premises
tL + () Yl ~ OJ") -UJ..., f2A
(As on the tax ro or latest dee i c..
If applicant is a corporation, signature of duly authorized officer DATE: . # ~ jq 0" p
. FEE: I 41) . BY' jJ4~_
(Name and title of corporate officebcCUPANCY OR NOTIFY' BUilDING DEPAFiTMENT AT
, I 765-1802 8 AM TO 4 PM FOR THE
Builders License No. d)..1 f ~ tt '" FUL FOLLOWING INSPECTIONS:
Plumbers License No. _ ' 1. FOUNDATION - TWO REQUiRED
Electricians License No. );),lP751:: WfTROt1I::LERTIFICAT6 FOR POURED CONCRETE
Other Trade's License No. . ROUGH. FRAMING & PLUMBING
Y 3. INSULATION
4. FINAL - CONSTQI' 'TON MUST
..~ COMP ,,~~ C.1i.';.O.
HRWlAAEMcN'i S CP r :':lES -OF ',JEW
YORK STATE. N~ i Fi:,)fl9-'.S'oLE FOR
I ~ I Bloc!>. .. 'l DESIGN OR ~STRUC~N ERR()R~
PFTAIN STORM~,~~~F Lot
PURSUANT TO SECTlb'N ~5-1 J\.-
OF THE TOWN CODE.
1.
proposed workxrilJ be done:
\JaL ~ .
Street
County Tax Map No. 1000 Section
Subdivision
(Name)
2. State existing use and occupancy of premises and' tended use and occupancy of proposed construction:
a. Existing use and occupancy , e 1 \ ~2>\ct
b. Intended use and occupancy 5i \ Y\ 3 \... ~; I L.j {.e p, \d.e~ro
3. Nature of work (check which applicable): New BUlldiIl~()O I Addition
Repair Removal Demolition Other Work
4. Estimated cosfl5J ODO" Fee
Alteration
(Description)
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
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO V"
13. Will lot be re-graded? YES ~NO _Will excess fill be removed from premises? YES_NO ~
14. Names ofOwnerofpremisesrl\o..V\1n ~1'\\1~I1AddressI15 ~O.,Yl'f\.\Jt.U.-ed Phone No. ~q'?~J.jI'g"1
Name of Architect ~~ ,\~~~ Address 1\6 l..-lbUpY.nve Phone No 33\'~\05
Name of Contractor til d.(clce..r Address 4il e.t-L (Z; Phone No. 144-1(100
z...'5 ft- (J.1.1 ()f
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ~
* 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.
,
It(
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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 op. survey.
ST ATE OF NEW YORK)
SS:
COUNTY OF ) .
~a V\~y --r \(Ddedc.f" r being duly sworn, deposes and says that (:;he is the applicant
(Name of Illdividual signing contract) above named,
~,. 'iJ'/ ;.1
(S)He is the
~(\-haDt])y
(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 be~t orhis know~e~e;and belief; and that the work will be
performed III the manner set forth III the applicatIOn filed therewIth. " .
""j ..-~ , ~, ."" ~"I''', \1\,
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Sworn to before me t .
/0 dayo
KATHLEEN Ql"~' "'Y
NOTARY PUBLIC, State 01 H~-\J Yol1t
No.01QU6124124
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