HomeMy WebLinkAbout32085-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32575 Date: 09/04/07
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 140 BAILIE
(HOUSE NO.)
County Tax Map No. 473889 Section 99
BEACH RD
(STREET)
Block 3
MATTITUCK
(HAMLET)
Lot 4.16
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 6, 2006 pursuant to which
Building Permit No. 32085-Z
dated
JUNE 7, 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 RICARDO & CARRIE COMELLAS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3040612
08/16/07
PLUMBERS CERTIFICATION DATED
N/A
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A horized Signature
Rev. 1/81
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APPLICATION FOR CERTIFICATE OF OCCUPANL~,_Jr:yr: (y ""',;.10"
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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 Tire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 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. }'ees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swirmning 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
New Construction:
/
;'1/0
House No.
Date.
9-/~o7-
Owner or Owners of Property:
Old or Pre-existjng Building:
tJ/f11/t? ~.# ~L
Street .
~e..K ?- ~/2/~
7'9
Suffolk County Tax Map No 1000, Section
Block
( check one)
/I/'/1777/Z/c-K / ~7
Hamlet
&~6C:{4-S'
D S Lot 4.0/ "
Location of Property:
Subdivision Filed Map.
Permit No. :52085 LDate of Permit. b / T /0 (" Applicant: /?/ c. /(
I I
Health Dept. Approval: _"" , Underwriters Approval:
Lot:
&"-7~C(~
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Planning Board Approval: __
Request for:
Temporary Certificate
Applicant Signature
Fee Submitted: $
2S'. JlO
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I BY THIS CERTIFICATE OF COMPLIANCE THE I
i NEW YORK BOARD OF FIRE UNDERWRITERS i
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ C-CAT CO. RICK COMElLAS ~
~ P.O. BOX 27 140 BAilEY BEACH RD ~
~ MATTITUCK, NY 11952, MATTITUCK, NY 11952 i
~ Located at 140 BAI LEY BEACH RD MA TTITUCK, NY 11952 ~
~ ~
~ Application Number: 3040612 Certificate Number: 3040612 ~
I Section: Block: Lot: Building perm30?D 8'~C: ns11 I
~ Described as a occupancy, wherein the premises electrical system consisting of ~
i electrical devices and wiring, described below, located inion the premises at: i
~ Outside, PooVSpa, ~
il A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed il
~ herein, was conducted in accordance with the requirements of the applicable code andlor standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ ~:~rity having jurisdiction, and found to b~~: c::~lianc:a:::rew~:c:: th;voe16th Day of August, 2007. ~
~ Appliances and Accessories ~
~ Time Clock/Switch 1 0 ~
~ Pool Heater 1 0 Gas ~
~ PooV Spa Bonding 1 0 ~
~~~~ ~
~ Fixture 2 0 Paoli Spa ~
~ Switch 2 0 General Purpose ~
~ Receptacle 2 0 20a PooV Spa ~
~ Receptacle 1 0 General Purpose ~
~ Receptacle 1 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
~ ~
~ 1 of 1 ~
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
lID.lID
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)
7, 2006
PERMIT NO.
32085 Z
Date JUNE
permission is hereby granted to:
RICARDO & CARRIE COMELLAS
140 BAILIE BEACH RD
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at
140 BAILIE BEACH RD
MATTI TUCK
County Tax Map No. 473889 Section 099
Block 0003
Lot No. 004.016
pursuant to application dated JUNE 6, 2006 and approved by the
Building Inspector to expire on DECEMBER 7, 2007.
Fee $
150.00
"""
ORIGINAL
Rev. 5/8/02
3:J.-O 1 S- ~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [)(FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
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REMARKS:
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DATE b-J1-o 7
INSPECTOR ~ ~
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
,
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FIN AL
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COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
~-
3 sets of Building Plans
Survey ,/
Check -::II 17 '5 9-
Septic Fonn
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO.l 'S9C'fif5=6-
Examined
Approved
Disapproved ale
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20 i.
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Mail to:
Phone: '7LfL/. 7/ ff 5
~
spector
6
APPLICATION FOR BUILDING PERMIT
Date
]Ul'U 3
,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
sh,all 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 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 cod , and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
1
{{24 /(t e:2\A- MllleL Ph~ W Jl7W
(Mailing address of applicant)
Name of owner of premises
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~D/'JI((kelOe..
k\c,ILc C(aCt2\t ComtlJas;
(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.
)N~~ - r\I
Plumbers License No.
Electricians License No.
~1lfO- me
Other Trade's License No.
1. Location of land on which proposed work will be done:
\40 'lSa1 LIe. ~c.h 1(0
House Number Street
mQ\.TIIWVC16
Ham~t
,f:. ..
County Tax Map No. 1000 Section
Subdivision
qi1
Block 03-
Filed Map No. I'/Olq
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Lot 4./10
Lot_l\r1
(Name)
2. State existing use and occupancy of premises and intended 'PIe and occupancy of proposed construction:
a. Existing use and occupancy ,;) 61'()i.~ K{~ \oe~e.e
b. Intended use and occupancy '-Res iCleNW\\.. ~WI'71r111I\1q POOL
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
~\il1mIN~ P<.XJl
. (Description)
4. Estimated Cost_l2, 000 - 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 101
Height Number of Stories .;2
Rear
t,o
Depth
10
Dimensions of same structure with alterations or additions: Front
Rear
Depth
Height
Number of Stories
8. Dimensions of entire new construction: Front 24 .
Height Number of Stories
Rear 44 I
Depth 3~., 8 I
9. Size oflol: Front
/66'
Rear
l%'
Depth I~'
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: No
13. Will lot be re-graded ~L AteA (\JU\- Will excess fill be removed from premises:
Co Do" L, enmflmT1le(.
14. Names of Owner of premises . meU_14-S Address 140 lXI/Lie lIDCJ\ Phone No.
Name of Architec: '\> 1It,11. fe: Address Jf I&ezed.N ~f1'1to,\}",J Phone No
Name of Contractor h'rlQ~) ~L<" Address 6l19t it~ Ilhllnf1PhoneNo.
15. Is this property within 100 feet of a tidal wetland? *YES NO ~
. IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
@NO
29& 5'?7U
9.Jr..i- GIro
74'0.1-, If\"
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.
COUNTY OF
STATE OF NEW YORK)
SS:
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~J. bWQars being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
~.
(S)He is the
(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" "'f.., m"bj. ~
W day of . I e.. 20~
, . w04/-
Notary Public
MARGARET A. BANNWARTH
Notary Public, State of New York
No. 01 BA6021111
Qualified In Suffolk County
Commission Expires March 8, 2oa:L
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DATE OF CONSTRUCTION
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TOTAL
DATE
REMARKS
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peck Patio Rooms 1st Floor
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42"
~H-7
10"
Section A -A
Typical Wall Section
SIZE ABC D E F G H AREA CAP.
FEET Fro FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAl.
16][32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000
16'I36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600
lB'I36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300
20'][40' 20' 40' 16' 14' 6' 4' 6' 8' BOO 30,000
24'][44' 24' 44' 18' 14' 6' 4' 6' 10' 798 30,000
24'][48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30 000
~l1I'lI4~(/A
PooL &. SpA CENTRE
PERMACRETE WALL SYSTEM
929 Route 25A Miller Place NY 11 764
(631) 744-7165 FAX (631) 744-0174 ~
Suffolk License #4436-m
Nassau License #m74450000
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