The URL can be used to link to this page

Home My WebLink About32962-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33392 ~te: 11/14/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 980 GRETON CT (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 107 Block 2 Lot 3.5 Subdivision Filed Map No. Lot No. NL~TTITUCK conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 2007 pursuant to which Building Permit No. 32962-Z dated APRIL 27, 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to EARL & DIANE BEDRICK ( OWNER ) of the aforesaid building. SUFFOLK CO[~l~f DEPAR~T OF }~ALTH ~_PPRO~-AL N/A ELEt-£RICAL CERTIFICATE NO. 3039530 10/24/07 PLIERS CERTIFICATION DATED N/A Rev. 1/81 Form No. 6 , TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN ItALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANL(25/,: j This application must be filled in by typewriter or i~k and subnfitted to die Building Deparmiem with die fo]lowi,g: A. For new building or new use: Final sm~ey of property with accurate location of all buildings, pmpeay lines, stree s. and mmsuat natural o~ topographic features. Final Approval fi'om Health Dept. of water supply and sewerage-disposal (S-9 fbrm). 3. Approval of electrical installatiou from Board of Fire Unde~vdters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead 5. Cotm~ercial building, industrial building, multiple residences and similar bnidiugs and iustallations, a ce~lificate fCode Comphance from architect ot engineer responsible for the building 6. Stbmi P[anmng Board Approval of completed site plan requirements B. For existing buildings (prior lo AI. il 9, 1957) nou-conforming uses, or b ildings a nd" n'c-exislin ," tnd tls('s' 1 Accurate stayer ol ~mp¢ 1' sho.~ing ail property lines, sheets, building and unusual n:m,~d denied, lhc Bt ildiHr lny;pc,q¢, sh:dl matte dm ~easons the~cfo~ in wrifin~ to the C. Fees likd M;q~ I ,T Iteahh l)clq Plannmx N,,;ll d ,kpl~r o,. ;d Re(lne;1 Ihl: 'Icmpol~U} (cl{ilit'(dt Fee Submitted: $ ~ New Constix~gho t Old ol Pi e-exisliilg Building: ~ (check one) · . l lamlct BY THIS CERTIFICATE OF COMPLIANCE THE /(?'7~ ,_ 2. -$(3 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 PUMILLO ELEC. EARL BEDRICK PO BOX 323 980 GRETON CT LAUREL, NY 11948, MATTITUCK, NY 11952 Located at 980 GRETON CT MATTITUCK, NY 11952 Application Number: 3039530 Certificate Number: 3039530 Lot: Building Permit: BDC: ns11 Section: Block: 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 24th Day of October, 2007. Name QTY Rathe Rating Circuit Type Appliances and Accessories Pool/Spa Bonding I 0 Time Clock/Switch 1 0 Pool Heater 1 0 Gas Wiring and Devices Fixture 1 0 Pool/Spa Switch 4 0 General Purpose Receptacle 3 0 20a Pool/Spa Receptacle 2 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 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. 32962 Z Date APRIL 27, 2007 Permission is hereby granted to: EARL & DIANE BEDRICK 980 GRETON CT MATTITUCK,NY 11952 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR, FENCED TO CODE at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 980 GRETON CT MATTITUCK Block 0002 Lot No. 003.005 25, 2007 and approved by the 27, 2008. Fee $ 250.00 ~ho~ize~dSignature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. ] INSULATION ~FINAL /~ : ] FIRE SAFETY INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE II--'-~--- o ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ~FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE i iNSPECTOR ~C~ ~ FIELD 12NSPECTION REPORT ] DATE [ COMMENTS FOUNDATION (1ST) -- FOUNDATION (2ND) -- ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE ~ - ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved q/~fi~, 20 01 Disapproved Expiration · ! o/37,204 PERMIT NO. 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 ' ICheck Septic Form - N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Phone:c~ q~/- L~ ~(~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20zzT 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. W 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 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 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. "IMMEDIATELY" r2 ENCLOSE"OO .TOCO E OCCUPANCY OR UPON COMPLE'HOI~ ' ~ (Signatur~ o-'Y~appli~t Or n~e, ~xf'g"corporation) USE IS UNLAWFUL qgo ( ro¢on BEFORE WITHOUT CERTIFICATE - '( amgadaes;/f p¢i t DFC) On (As on the tax roll or l~tcs~d~3Lr~) m_%~LL ' ~ ::~: ',4:NT ~'1' If applicant is a corporation, signature of duly aut~l~Sq~RTIFIO^T[ 765-I,3¢~ r, ' , (Name and title of corporate officer) ALL CONSTRUCTION SHALL F¢¢ : O' MEETTHE ~EQU[REMENTS OF THE a~u ~ Builders License No. ,-rm=o ,.~ ......... N 3J Plumbers License No. ,,v~_,o ,~r ,~cvv ~uRK STATE. 4. FINAL - C~. ,. ~'~ * .~.....,Iq MUST Electricians License No. BE CO,',;PLE':E ;- -: C.O. Other Trade's License No. RETAIN 8¥ORM WATER r~LL CO~47T-~?CT'or~ S;-L~!.L .~,qEET THE FURSUAN l TO SECTION Rr:~t ¢,~-:, T,~ , ,- .............. vr ,,E~,O,_ , ,?NEW 1. Location of land on which proposed wo~)J~bT~D(~e~' ODE. YO~K ST^I E. i'lO7 L.SPON,~,~,.E FOR House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block 10'7,-- 2'-~ o~ Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy q-)C'x'3/ 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars / b. Intended use and occupancy ~t3c~ / Nature of work (check which applicable): New Building Repair Removal Demolition Fee Addition Other Work Alteration ! n.>?j // (Description) (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 ~_ Rear _Depth Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height. Number of Stories 9. Size oflot: Front 9-~O~ Rear ,22-6~ [ 10. Date of Purchase ]qg[D Name of Former Owner Rear _Depth Depth 11. Zone or use district in which premises are situated 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 ~ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 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. -- -- 16. Provide survey, to scale, with accurate foundation plan and distances to prop~. ~ 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) S~;: COUNTY O . ['~( F3fHIL C[C-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)H~e is the ('~(,J,,) ~r~O~h/'/ (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. Notary Public", ~Signature o f A~plic~n~ -- BARBAI~k MI,~I ~IJODER Flot~ry Fubii~, ~tate of New Yo~ N0.4~55805 Commission ~xpife= April 14, ~ TOWN OF SOUTHOLD PROPERTY"" I~CORD CARD FORMER OWNER N E /,~I'TACR' c~ S W TYPE OF BUILDING J _~ RES. ~. l G I SEAS. VL , I FARM CO '/v~M. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 'illabl~ FRONTAGE ON WATER V~la~ FRONTAGE ON ROAD ~ DEPTH I~ P~ BULKH~D E~er~ion Po~ch Rorch Breezeway 0o a. T~'al COLOR Foundation Basement Ext, Walls :ire Place type Roof Recreation Room C)orlT~r TRIM Both nterior Finish He~t Rooms 1st Floor Rooms 2nd Floor Driveway Dinette DR. BR. FIN. B T St~RV~.¥ FOR LziR'L E~ DIANE BEDRICK Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. Nots: If you answerod Yes to any of the above, a Storm-watsr, 0radin§, Drainage & Erosion Control Plan is not rsquirsd. ACTIONS REQUIRING THE SUBMISSION OF A STORMzWATER~ GRADING, DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORE'. Item Number: (A Check Mark (,/) for each question is required for complete application) Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? Is there a Natural Water course mnning through the site or is this project within One hundred (100) feet of wetlands or a beach? Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the installation of driveway aprons.) Note: Yes No Will there be site preparation within the one hundred (100) year floodplain of any watercourse? [ I If any answer to questions ~ne through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. STATE OF NEW YORK, ~ ~ ~) , CpUNn' or ............... That I, .'~.}O/Q.~_....L...S.~_~d.[i.I.~_~,_.. ........ being duly swo~, ~eposes and says ~t he/she is the applicant for Pe~t, ~e of individual si~ing Document) ~d ~at He/She is the ...... O.~-~./..~.O.~.~O.~ ~ .................................................................................... / (Owner, Con.actor, Agent, Co.orate Officer, crc,) O~er ~or repres~tafive of~e O~er or O~er's, and is duly author~ed to peffo~ or ~ve perfo~ed ~e said work and to ~e and file ~is application; ~at all statemems comaMed M t~s application are ~e to ~e best of Ms ~owledge and belier; and ~at ~e work sill be perfo~ed M ~e ~er set fo~ M ~e application filed here~. Sworn to befglre,4ne this; ~ r~,z-- af ....................... ...... Notary Pubhc ..... ~A~..r. N ~..~ ........... BARBARA ANN RUDDER Nota~ Pub~io, State of New York No, 4~55B05 Gu~lifit~ I~ S~tolk Cou~W~IO