HomeMy WebLinkAbout32682-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33035
Date: 05/16/08
THIS CERTIFIES that the building ACCESSORY
Location Of Property: 530 WOODCLIFF DR MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 8 Lot 13
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 25, 2007 pursuant to which
Building Permit No. 32682-Z dated JANUARY 29, 2007
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 RICHARD & PATRICIA WRIGHT
of the aforesaid building.
(OWNER)
SIIFFOLK CODNTY DHPARTM@TT OF BBALTH APPROVAI, N/A
SLSCTRICAL CERTIFICATE NO. 3045989 09/25/07
PLUFBSRS CHRTIFICATION DATED
N/A
Aut orized Signature
Rev. 1/81
Form No. 6 ~/~
TOWN OF SOUTHOLD " "t ~ l
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Tlus 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. Coirunercial 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 Apri19, 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
I . Certificate ofOccupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinuning 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 - $,2S
4. Updated Certificate of Occupancy - $50.00
S. '[•emporar}' Ceiti ficate oC Occupancy -Residential $ (5.00, Conunercial $15.00
Date. ~ '7 ~~
New Consuuction, ~ Old or Pre-existing Building: (check on^e)~
Location oCPrope:ty: ~n 1JOOlJCC. ~ ~F ~j( Iv1 /~ I I I --(`U C~
House No. Street
Hatnlet
Owner or Owners of Property
Suffolk County "fax Map No 1000, Section ~ p ~ Block O Op 8'
Lot l ~
Subdivision__ _ GiledMap. Lol
Permit No ~2~~Z ~_DateoCPenni[.~~~ D7 Applicant'. ~It~q/~~ s ~~4T/liCth ~21C~t>-
I{ealth Dept. Approval
Plaiming Board Approval:
Underwriters Approval: ~-
2equesl Cor. Temporary Certificate
Fee Subuaitted: $' ~S' t~
Q-e ~'Itk~D3
Final Certificate: (check one)
Applicant Signature
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,
Located at 530 WOODCLIFF DR. MATTITUCK, NY 11952
Application Number: 3045989
Section: Block: Lot:
Z a v~'s,~i
RICHARD WRIGHT
530 WOODCLIFF DR.
MATTITUCK, NY 11952
Certificate Number: 3045989
Building Permit: 32682 BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside, PooVSpa,
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 25th Day of September, 2007.
Name ~ Rate Ratine Circuit Tvoe
Miscellaneous
1-pool cover motor
Appliances and Accessories
PooV Spa Bonding 1 0
Time Clock/Switch 2 0
Pool Heater 1 0 50 Amps
Panels
1 60 6
Wiring and Devices
Fixture 2 0 PooV Spa
Receptacle 1 0 20a PooV Spa
Receptacle 2 0 GFCI
GFCI Crcuit Breaker 1 0 20a PooU Spa
Switch 2 0 General Purpose
(Swimming Pool): This certificate covers compliance a[ 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
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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. 32682 Z
Date JANUARY 29, 2007
Permission is hereby granted to:
STANLEY & WF ZAVESKI ~ ltd (i eil"-' /
530 WOODCLIFF DR S
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR.
at premises located at 530 WOODCLIFF DR
County Tax Map No. 473889 Section 107
pursuant to application dated JANUARY
Building Inspector to expire on
Fee $ 250.00
Block 0008
MATTITUCK
Lot No. 013
25, 2007 and approved by the
ORIGINAL
Rev. 5/8/02
3 ~ g ~~
TOWN OF SOUTFIOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [FINAL ~ce.
[ ]FIREPLACE 8~ CHIMNEY [ ] FlRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
~~ ~~ ~ ~~
REMARKS:
n i
~~ ~ r
DATE ~~~ ~ ~ ~ INSPECTOR ~~ '°~
3a-Gg~z
TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
1 NSPECTION
( ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING ~ FINAL
[ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUC110N [ ]FIRE RESISTANT PENETRATIOI
REMARKS: ~
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FIELD INSPECTION REPORT DATE COMMENTS ~ ~ 7
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL 1
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
20
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need [he following, before applying?
Board of Health
4 sets of Building Plans y
Planning Board approval
,c„ /
PERMIT NO.~~$C~~ ,Check /
Septic Form
N.Y.S.D.E.C. t
Trustees
Contact:
Mail to:
20~
Building
SAN 2 5
Date S , 20 ~ 7
-..; INSTRUCTIONS
a. This application MUS~T'B~e 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 of lot 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 afrer 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 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.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~~ Ci--~RtiO ~o ~~ i i` ~ C i~A W vQ-\ ~a 1--t'1-"
(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. 5 Z '> ~-,M,f=
Other Trade's License No.
1. Location of land on which proposed work will be done:
5 3p Woot~c}. tFF D(1. MAR tT v c-1G
House Number Street Hamlet
,.
County Tax Map No. 1000 Section ~ 0 ~ Block ~ ~ t of ~ 3 - • ,
Subdivision Filed Map No. Lot
(Name) ......_„ )
APPLICATION FOR BUILDING PERMIT
Sao Wcu~Cc t~ ~,; NlR~rl ~ Tv c ~
(Mailing address of applicant)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ C S 1 AE NTI A L
b. Intended use and occupancy
Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work f~W ,NGRc~nfd {~oo~
(Description)
4. Estimated Cost
Fee `' ~"~ - 1O
(To be paid on filing this application)
If dwelling, number of dwelling units N~q Number of dwelling units on each floor
If garage, number of cars N/q
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. n(~ A
7. Dimensions of existing structures, if any: Front 3 6 , ~ Rear o/~ ~ Depth Z y 3
Height Number of Stories i
Dimensions of same structure with alterations or additions: Front N~A Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase~`1TJ~,Name of Former Owner STitnILC4 +- Lf1RICfluVE ZAVC sl~l
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO_
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of ContractorSllSUlu_uJA~~2~~ Address~lFAO~'iyh(1(-r"l/hneNo.(v3i-~3~-700
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* 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 MAYBE 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 OFC\I~II VG\D~L_
~1 CUA/\1~ W ~~ ~/"t % 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 aze true to the best of his knowledge and belief; and that the work will be
performed in the mamier set forth in the application filed therewith.
Swom q before me thi
_ day of 0~
L ,
Notary blic
MELANIE DOROSKI
NOTARYNo.01D04634870~~
DualifiedinSuffolkCou 1b
Dommission Expires September 3DGLLl
/nnn in 7- ~' -~~
TOWN OF SOUTHOLD PROPERTY RECORD CARD --~~(~ ,, , p ~
OWNER STREET ~ l VILLAGE DIST. SUB. LOT
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LAND IMP. TOTAL DATE REMARKS ,
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FARM Acre Value Per
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AP RO ED ASNOT~EID/ 2
DAT : ~ 3v B.P.# 3b~6 o~Z
FE BY:
NOTI BUILDING DEPA ENT 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 REO~IIRED AND CONDITIONS OF
~~; ;OI D TO;~ "; PLC^iN'~~a BOARD
50~ ~'r.OLU`;;N'J ~nUSTEES
N.Y.S. DEC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
i,LL CC?i~ i PrJ% i IC.:~ SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE"WATER"
~~ ~/
FLOOD ZOVE=
COMPLY WITH CHAPTER "4C"
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE.
UNDERWRITERS CERTIFICATE
REt]UIRED
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SURVEY OF PROPERTY
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-107-08-13
SCALE 1"=20'
AUGUST 2, 2005
AREA = 17,121.42 sq. ft.
0.393 ac.
CERTIFIED T0:
STEWART TITLE INSURANCE COMPANY
INDY MAC BANK
RICHARD WRIGHT
PATRICIA WRIGHT
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UNAUTHORIZED ALTERATION OR ADDI710N
To THIS suR~Er Is A wounoN GF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVE'! MAP NOT BEARING
THE UND SURVEYORS INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO RE A VPLID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TOlE COMPMIY. GOVERNMENTAL AGENCY AND
LENDING IN5TTTUTION LISTED HEREON. AND
TO THE ASSt6NEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHEC
BY THE LI.AL.S. AND APPROVED AAAAAAyyyyyyDDDDDD ADOPTED
FOR SUCH USE fX THE NEW YORSTATE LANG
TITLE ASSOCIATION.
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Joseph A. I gegno
Land Su eyor
Title Surveys -Subdivisions - Site Plans - Construction
PHONE (631)727-2090 FGZ (631)727-
OFFlCES LOCATED A7 MAILING ADDRf
_ _..__ o n R..v 70: