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
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