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HomeMy WebLinkAbout33277-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~dlTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33472 I~te: 01/02/09 T~IS ~RTIFIES that the building ISP I~cation of Property: 12500 CR 48 ~L~TTITUCK (HOUSE NO.) (STREET) (HAMLET) CoLulty Tax ~p No. 473889 Section 108 Block 2 ~t 7.1 S%~odivision Filed ~ap No. __ I~Dt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 2007 pursuant to which B~ilding Permit No. 33277-Z dated JULY 23, 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 IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to DAVID L & SHERRY STEELE ( OWNER ) of the aforesaid building. S~3FI~)I~K C~D~I~i~f DBPAR~T OF ~R]{ ~FRO~kL N/A Er.~C'~RICJkL C~RTIFICATE NO. 119260C 09/28/07 PLQ~4BERS u~TIFICATION DA'r~ N/A Rev. 1/81 Form No. 6 TOWN OF $OUTItOI.,D BULLDI~G DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TNs 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 naturalor 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, industr/al building, multiple residences and similar buildings and installations, a ced/ftc, ate of Code Compliance from architect or engineer responsible £or the building. 6. Submit Planning Board Approval of Completed site plan requirements. B.' For existing buildings (prior to April 9, 1957) uou-conforming uses, or buildlugs and "pre-existing,, laod uses: 1. Accurate sUrvey of property showing all property lioes, streets, building and unusual natural or topographic , features. 2. A properly completed application and coosent to iuspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor io writing to the applicant. C. Fees 1. Certificate o£Occupancy. New dweliing $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swimming pool $25.00, Accessory buildiog $25.00, Additimm to accesso~-y buildiog $25.00, Buaioesses $50.00. 2. Certificate of Occupancy ou Pre-existing Build ng- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy. $50.00 5. Temporary Certificate ofOccupaucy - Resideotial $15.00, Coom~ercial $15.00 Date. New Construction: __ --__ Old or Pre-existing Building: Location of Property: _~_.2~_~) ~. ~ ~ House No. Street Owner or Owners of Property: ~ a_~ifA/ ~ S~¢ff¢./~ Suffolk C6unty Tax Map No 1000, Section _~ 7 } ~'~'~ Block Subdivision Piled Map. ~Iealth Dept. Approval: --____(check one) Hamlet Lot Lot: Date of Permit. _ Applicant:__~ Underwriters Approval: 'lanning Board Approval: request for: Temporary Certificate ~ Final Certificate: Submitted: $ ~ (check one) /7,4'~/C ~ /00"5/4/ Applicant Signature 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) PEP34IT NO. 33277 Z Date JULY 23, 2007 Permission is hereby granted to: DAVID L & SHERRY STEELE 107 ELIJAHS LANE MATTITUCK,NY 11952 for : CONSTRUCTION OF kN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 12500 CR 48 County Tax Map No. 473889 Section 108 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 250.00 Block 0002 MATTITUCK Lot No. 007.001 23, 2007 and approved by the 23, 2009. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~ www. northfork.net/Southold/ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans J Planning Board approval Survey f Check t/x Septic Form ./ LY2. ..c. Examined /WI r~ q ,20.~-~ Contact: -- -1 ~ a~ 1, , a~- [1 ~ H APPLICATION FOR BUILDING PE~IT ~$..~:~:~ 05 I · o' e~, o: -~',mn~ ~ ] 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, arc,ate 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it 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 pad for any p~ose what so ever until the Building inspector issues a Cenificate of Occupancy. f. Eve~ building pe~it sh~l expire if the work authorized has not commenced within 12 months acer the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the propeay have been enacted in the interim, the Building Nspector may authorize, in writing, the extension of the pe~it for an addition six months. Thereafter, a new pe~it shall be required. ~PLICATION IS HE,BY M~E to the Building Depaament for the issuance of a Building Pe~it pursuant to the Buil&ng 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 applic~t 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 necessa~ inspections. ~p~U ] ~ ~' ¥ ~ '~ - (Signa~e of applicant or name, if a co¢oration) ~=~~ ._.-a~7~ENT R (Mailingaddresiofapplicant) ~0~ ~u,~,,' ~0 4 ?~t run State whd~h~li~ gh~'lesse~agent, architect engineer general contractor, dect~dan, lumber or Name ofo~n~ses ~5~ ~ ~. ,].o~L . COtq:q~k,' ',~ &' _.,, (As on the tax roll or latest deed) If applicant ~ ~~~ ~J~thofized officer _ ~ PlumbersBUflders' L, ce~.License' No. /a/a P-/4 ~" ,,~Unl lTi t n~- -C~lPib~ ~ Electfici~s License No. 000~? Other Trade's License No. 0~ 1. Location of land on which pioposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision ~O~/D ~WT.~ Hame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,/:~',,.-t ;F2"~o-)~;~.t~- c~ /? ,,~,ze~ ,,,~'-/ 5. If dwelling, number of dwelling units If garage, number of cars b. Intended use and occupancy~,cza¢ Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~-~O~o. Addition Alteration (Description) Fee ,,~. ob (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 ~,9~9 / Rear ,_,~9/ Depth Height ~/ Number of Stories ¢,g .~_ ~ ,~,~ 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 9. Size of lot: Front ~ Rear ~ ~ Rear .Depth Depth ~/~ ' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO/,Y 13. Will lot be re-graded? YES ~< NO__Will excess fill be removed from premises? YES NO ~ 14. Names of Owner of premises'D4om Name of Architect Name of Contractor Address /7'J~ Address Phone No Address %'~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO~' 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 OF ~--~g-/~-,,C,~~ /~/-//,~'r,_-ff' being duly sworn, deposes and says that (s)he is the applicant (Na/ne 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 tree 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 to before rae this I,'~sa' day of ~ s_ ~ 20 0 ti ' ' ) Notary Pu~l~c I NO. 0tMA8t~871 MY COMMISSION EXPIRES NOV. 27, 2~10 Signature of App~nt ~WN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~ FINAL /~ ,~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:__ DATE 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: ,P~ ~.' ~ . DATE FIELD IIN'sPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FO~ATION (2ND) ROUGH F~G & PL~G - ~S~ATION PER N. Y. STATE ENERGY CODE . ~DITION~ COUNTS Issue Date 9/28107 Issued To: Street: Village: Section: Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 286-6642 Mr. David Steele 12500 CR 48 Cutchogue Zip: 11952 Application 119260C Town: Southold' '~' Block: Lot: Contractor: Elec-Tec Electrical Contracting Lic. # 4814-E Was examined and found to be in compliance with the National Electrical Cede. Commemial ]~] NVDefects [] Pool [] lstFIoor [] Indoor I~ Basement [] HotTub Residential [ ~ Det. Garage [] Attic [] 2nd Floor ~ Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps A/C Fans Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector /' Bldg. Permit: Other Equipment ~Pooi Light/1-Time Clock/1-20 amp spec. utlet Hugo S. Surdi President Rough InspeCtion: Inspector: Final Inspection: 09/26/2007 Insbecb3r: John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. TOWN OF SOUTHOLD PROPERTY RECORD CARD WNER [STREET / ~:)~F: ~ ·r%. ?'-. VILLAGE DIST. SUB. S W ~PE OF BUILDING :S. 11 ~ 6 S~S. VL. ~A-~. . CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE /~RKS ;~00 ~OO lOlO0~ ~//'7o~ ~, " ~"- '~oo ~oo //o~o~ ~/,/o~ ~1~ -.~H?~,',~ ~ ec 14 ............... ~ ~,/e/~-~,/~ ~ (~,~), _ ~z~e-,~ o ~I//~V ouse Plot ~Z ~ ~ BULKH~D )ta~ COLOR TRIM M. Bldg. Exter~sion Extension Extension Porch Porch Breezeway Garage Patio O.B. Total Foundation Basement Ext. Walls Fire Place Type Roof Both Floors Interior Finish Heat Rcoms ]st Floor Recreation Room Rooms 2nd Floor Dormer Driveway Dinette K. LR. DR. BR. FIN. B 108.-2-7.1 4/07 108.-2-7.1 4/07 COLO TRIM I st 2n ~Z~_ST?' JS.XT..O.= 300-) PC ~ Bath ~._ Dinette M. Bldg. t ~)~)...'~'=/~ ~.0~; C~J ~)(~ ~. O~ ~ ~0 Foundation OTHER P~ Floors ~ Kit Extension ~asement s~ , '~k . ~ ~ ~ ~0~( 7~ Finished B. Interior Finish ~(a~*~ L.R. ~;~ F~//- ~/ Extension Fire Place ~ Heal D.R. ~ 7./~ = I OY/ I~Ext. Walls 4s. 53 BR. orch~ ~ Dormer Baths D~Patio ~ ~ ( ~ Faro. Rm. 3 7 ~q Foyer ~ ~ + ~/0~ ~und~ t Library/ O.B, Study SCTM # '. oWNER LAND IMP. TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET ACR. REMARKS TYPE OF BLD. PROP. CLASS TOTAL DATE FRONTAGE ON WATER BULKHEAD SUB. LOT HOUSE/LOT TOTAL 108.-2-7.1 4/07 ~0 IMP. TOWN OF $OUTHOLD PROPE tEET ACR. TYPE OF BLD. PROP. CLASS TOTAL DATE COLOR TRI,M £xtenson J /,' / / , ,~ -; · J Foundation 3osement :l'ow__ n o_[f Southold Erosion, Sed,mentat,on & Storm-Water Run-off ASSESSMENT FORM PROPERTY lOCATION: S.C,T.M. #: ~ MAy REQUIRE THE SUBMISSION OF A Disbict Section Block Lot STORM-WATER~ GRADING; DRAINAGE AND EROSION CONTROL PLAN . CEK¥1fI~U BY A DESIGN PROFESSIONAL IN THE 8TATE OF NEW YORK. Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run. Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site cleadng and/or construction activities as well as all Site Improvements and the permenent creation of impervicus suffacas.) Does the Site Plan and/or Survey Show All Proposed Dm nage SPuctums Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Suriaca WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Matedal within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Suriaca? s there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will them be Site pRparation on Existing Grade Slopes whif:h Exceed F~ffeen (15)feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item WRhin the Town Right-of-Way or Road Shoulder Area? (This Item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preperation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Ston~-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Pemliif EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? J Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required! -- STATE OF NEW YORK, COUNTY OF ~k.~ ,~...~-~3.~. , .~... ........... SS That I, ...,,~..,..~ ....................... being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual s~ning Document) And that he/she is the ............................... ,~,)~.~d~...'..~. ...................................................................................... (Owner, ConlraC~o~, Agent, Coq:orate Officer, etc.) Owner and/or representative of the Owner of Owner's, and is duly aulhorized 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 herewith. Sworn to before me this; ............... J. ........................ day of ........~L(~ ............... 20..0 "] FORM - 06/07 no. 01MA~I~6?t (tUALIFIED IN SUFFOLK COUNIY MY COMMISSION EXPIRES NOV. 27, 20/~ FORM NO. 3 NOTICE OF DISAPPROVAL DATE: July 18, 2007 TO: Chituk Pools, Ltd. (Steele) PO Box 9 Cutchogue, NY 11935 Please take notice that your application dated July 13, 2007 For permit to construct an accessory in-ground swimming pool at Location of property 12500 CR 48, Mattituck, NY County Tax Map No. 1000 - Section 108 Block2 Lot 7.1 Is returned herewith and disapproved on the following grounds: The proposed construction, on this conforming lot in the AC District, is not permitted pursuant to Article III, Section 280-15, which states that accessory buildings and structures shall be located in the required rear yard. The proposed accessory in-ground swimming pool is noted as being in the side yard. This Notice of Disapproval is based on a plot plan submitted with the application on July 13~ 2007. Note to Applicant: Any change or deviation to the above referenced application may require additional review from the Southold Town Building Department. ~T 7'7 ,' A