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Home My WebLink About32415-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF' OCCUPANCY No: Z-33781 Date: 06/17/09 THIS u~KTIFIES that the building ABOVE GROUND POOL Location of Property: 160 BUNGALOW LA (HOUSE NO.) (STREET) County TaxMap NO. 473889 Section 123 Block 2 Subdivision Filed Map No. __ Lot No. MATTITUCK Lot 2 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 2006 pursuant to which Building Permit No. 32415-Z dated OCTOBER 10, 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 ABOVE GROUND SWIMMING POOL WITH DECK FENCED TO CODE AS APPLIED FOR. The certificate is issued to DENISE A WHELAN (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMI~IT OF HEALTH APPROVAL N/A RI.Rt-I'KICAL CERTIFICATE NO. 4007584 08/01/08 PLDI~ERS CERTIFICATION DA'iufu N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUll. DING. DEPARTMENT TOWN HALL 765-1802 APPLICATION'FOR CER'fI~'iCATE OF O .. This. application must be fillod in by ~ter or ink and submitted to the:.B-' FOr new building or 'new use: 1. Final survey of property with acoumt¢.l°cafion of all buildings, pr0pe~iy lines~;.streets, and un .u~at natural or Z Final Approval from Health Dept~ of?atersupplym~d se~emgo<Usposal.(S-9 form).. ' 3. Approval of eleCtricsliastaihtion from Board ofFir~ .Undenvdters. 4. Sworn Statement from plumber ce~fifyELag that'the solder used ia system oontsh~'!ess than 2/10 of t~ lead. 5. Commemi~' building, industrial buildinffi, mUllipl~ ix~kl~. ~nd sim~ lar trsfil~in~ andinstall~0~,.a ~ff~ of Cod~ Complia~c~ fr0fii amhite~t o~ e~in~'responsible'for the building. 6. Submit Plmming Board Approval of ~mpleted site pla~ mquirem~ms; For e~i~flng'bui!ldln~s (prlof to Ap~9, 19~7) nomeonformlUff m~, o?.buildi~gs and ,pre'exis~lg" hind. uses: 1. ' Aceumt~ sm'wy of pt'op~3, ~0wiag all propea~.line% stme~,.buildis~ and.unusual nat~u'al or topographic feature. 2. A.pr~pefly e~atpl~ted application and ~Onsent to insl~Ct signed by the applicant. If a Certificate of Occupancy.is denied, the Building Inspector shall'.state tlie reasom thoref0r in writing to the applicant. New .Construction: ' Location of Property: Hons~ No. Fe6s L Certificate:°f Occupanoy - New fiwelling $25,00, Additions to dwclfiag $25.00, Alterations to dwelling $25.00~ 'Swimming pool $25.00, Ac~,ssory building $25.00, Additions to accessory building $25.00, BusinesSes $50.00. 2, Certificate of Occupancy°n Pre-~.isting Building - $100.00 3. Copy of Certificate of Ocaupancy - $.25 4.' Ugdat~l Certificate o f Occupancy - $50:00 5, T~mporary Certificate of Occupancy, Residontial $15.00, CommcrciaI$15.00 - - Dato. / Oid or Pre-existing Building: (check one) Strut Hamlet Suffolk Coun~ Tax MapNo 1.000, Section Subdivision Permit'No. 3o~.t-/[~'-=:~ DateofPcrmit, Health Dept. Approval: · Planning Board Approval: Block. 0 a . Lot Filod Map. 'Lot: Applicant: Undcm, rit~S Approval: Request for: Temporary Certificate Fee Submitted: $ ~'~.~) 0 Final Certificate: v' (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 C-CAT CO. DENISE WHELAN P.O. BOX 27 160 BUNGALOW LANE MATTITUCK, NY 11952, MATTITUCK, NY 11952 Located at 160 BUNGALOW LANE MATTITUCK, NY 11952 Application Number: 4007584 Certificate Number: 4007584 Section: Block: Lot: Building Permit:. BDC: ns11 Described as a Swimming Pool 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 ].st Day of August, Name QTY Rate Rating Circuits Twe Appliances and Accessories Pool / Spa Bonding 1 0 Wiring And Devices Receptacle I 0 Gen, Purpose Receptacle 1 0 GFCl Receptacle 1 0 20a-pool Special / twist lock (Swiraming Pool): This ~nfificate covers compliance at the date of insp~tion only, Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualifi~ parson. 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. 32415 Z Date OCTOBER 10, 2006 Permission is hereby granted to: DENISE A WHELAN PO BOX 991 MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY SWIMMING POOL WITH DECK AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 123 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 160 BUNGALOW LA MATTITUCK Block 0002 Lot No. 002 4, 2006 and approved by the 10, 2008. Fee $ 243.60 Signature ,~~Authorized ORIGINAL Rev. 5/8/02 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 REMARK~ DATE FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, I~Y 11971 TEL: (631} 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Ioi/0,2o of. /;/]0,200t~ Expiration , f{o , 20 PERMITNO. /d~ector 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_ / Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT ~i ~g~ ' i ~ Date /0~ ,20Og i.-~--~-- :;i' - v INSTRUCTIONS ~mpletely filled in by typewriter or in i~ and submitted to the Building ~spector 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 wate~ays. c. The work covered by this application may not be commenced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building Nspector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the premises available for inspection throughout the work. e. No bulling shall be occupied or used in whole or ~ p~ for ~y p~ose what so ever until the Buil~ng Inspector issues a Ce~ificate of Occupancy. L Eveu buil~ng pe~it shall expire if the work authorized has not commenced within 12 months ager the date of iss~nce or Ms not been completed within 18 months ~om such date. If no zoning amen~ents or other re~lations affecting the prope~y have been enacted in the interim, the Building Nspector may authorize, in writing, the extension of the pe~it for an addition six months. ThereaRer, a new pe~it shall be requ~ed. ~PLICATION IS HE,BY M~E to the Building Depaffment for the issuance of a BuildNg Pe~it pursuit to the Buil~ng Zone Ordnance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applic~t a~ees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to a~it authofized inspectors on premises ~d in building for necessa~ inspections. ~~ ~ /~ (Signature of applicant o~ name, if a co~oration) '~'~,.~, 991 . t4A-mT0cac ~J? ' (Mailifig ac~dr~s-s'o f applicant5 ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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 LicenseNo..1 2 ~,,q, ~ Plumbers License No. ' Electricians License No. ~,~'~ Other Trade s License No. I. Location of land on,.~.which proposed work will be done: lC,. House Number Street let County Tax Map No. 1000 Section Subdivision (Name) /,23 Block I~ /~. Filed Map No. 2. State existing use and occupancy ofpremifi~s and intended use and a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition occupancy of proposed construction: Addition ~ Alteration Other Work 4. Estimated Cost "[0 I 5. If dwelling, number of dwelling units If garage, number of cars Fee (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 ~'"~ Rear ~-~ Depth Height. Number of Stories o~ Dimensions of same structure with alterations or additions: Front ~ Depth ~_ ('__ Height Number of Stories 8. Dimensions of entire new construction: Front ~c/, Rear ~ ~t] Height ~ t Number of Stories ! 9. Size oflot: Front v/~'[ Rear /.;.~ Depth /'~? Rear 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 ~, re-graded? YES NO ~(.Will excess fill be removed from premises? YES ~ 1 3. Will lot be 14. Names of Owner ofpremises~l~Address [~,e, ~o~.~t~O l~hone No. Name of Architect ~k~ 0-4 ~ ~t Address Phone No Name of Contractor ~- C~'r' F-4~. NO Address ,q~tl~rlfflglD~hone No. e~*_P ~e'q,t/3 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 ora 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 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 ) r~t-,~x.~£ ~,~ L~\ kT'l d~,lx] being duly sworn, deposes and says that (s)he is the applicant --~NaTme of' individual Sigrfing-$ontract) above named, (S)He is the ~t~{ ~ 1,,~ ~ (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. Swo~ to before me this t'/27/ day of ~ ~2'~/5~&.~-- 20 ~ Signature of Applicant OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD ~oRMEI~ (~Wl,41 ER STRE~ / 60 S d VILLAGE W ' DIST. ACR. TYPE OF BUILDING SUB. LOT ~ES'c~/O LAND SEAS. IMP. vL ~ TOTAL ~66 m00 ~/oo ~oo NEW BELOW FARM DATE ICOMM. CB. REMARKS NORMAL FARM Acre Value Per Value Acre Tillable 1 Fillable 2 tillable 3 Noodland ~wampland MISC. ' Mkt. Value ABOVE ]rushland -louse Plot DEPTH total FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD Ex~ensio/n--~- Porch Breezeway Garage Patio ,¢ ,,, a-y_. ~ ¢Z~7~ g //a COLOR I P~1¢111 I I~l,~J II 1,01+,4' ltl I/I I I I IIIII M-14I I d~-L;lJ I ~ I'1 'I IH I I Ill Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Driveway Bath Floors Interior Finish Heat Rooms ! st Floor Rooms 2nd Floor FIN. B. Q <[ 0 <[ ,y,, 0 0 O6, ~ 2 s~Y. ....... 't~5, O0 ' S 79'4.1 'O0"W W~LL 0 MON, SCALE: ~.""40 ' MAP OF PROPERTY SZTUATED AT MATTZTUCK,TONN OF SO~!THOLD SUFFOLK COUNTY, NEW YORK CER1 IF'lED TO DENZSE A.WHELAN TAX MAI:',-' DESIGNATI'ON 4'000-'123-02-002 BERNHARD H.HENN L.S. '121 EDDY DRZVE DTX HTLLS, N.Y. N,Y.S, LTC.NO. 49175 DATE 5/20/88 ~ v, (C) COPYRZGHT B.H,REF.N~ '1.678 Rpt~;~0ANT TO SECT'ON 45'10C OF THE TOWN CODE. "IMMEDIATELY., ENCLOSE POOL TO CODE UPON COMPLETiON ~FORE 'WATER' CERTIFICAT'( NAILING & CONh; .... REQUIRED. ' REQUIRED AU. COnStrUCTION SHALL OCCUPANCY OR MEETTHEREQUFIEMENTSOFTHE USE IS UNLAWFUL CODES OF, NEW YORK STATE. WITHOUT CERTIFICATE ~?~:~;~D~S ~,~r~.:~ OF OCCUPANCY : BUILDING E ' / .I t . A-¢ 0% WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS DECK POST ~G. CONNECTION D~ R~ILING ~' ~NUMB~ o~ ~N 6TAIR , s ~ O ~i~D~ ~~~ ~ H~E~GIRDER-T~POST CONNECTION ~~e~ GI~~ TO PO~T/~ ~N~TION ~IN~ TO D~K~ ~ECTiON ' M~D~ ~ ~ ~i~iN I~Y~R~C~E~ ~ 81~t~ : H,~ ~ ~Y~MN OEC~RCH LEDGER ~NNECTION / ~P~ ~,~[~,~,~,,~ ~USH JOIS~ W~ H~E~GIRDER ~pUCED JOISTS O~R H~E~GI~ER ~~m~'~ SPLICED JOISTS O~R H~E~IRDER DECK & PORCH NO~S: NAILING SCHEDULE ~.,,-~.~-~- ~ CLI~TIC & GEOG~PHIC DESIGN CRITERIA