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Home My WebLink About34312-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33812 Date: 07/01/09 T~IS CERTIFIES that the building SWIF~4ING POOL Location of Property: _ 500 MEADOW LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 115 Block 4 Lot 25 Su]~division Filed Map No. LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 2008 pursuant to which Building Permit No. 34312-Z dated NOVEMBER 21, 2008 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 SWIPING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to SEAN & CANDACE YORK (OWNER) of the aforesaid building. S~I~ C~)[~l~f DEPART~T OF }~L~-L~ APPRfY~-AL N/A RT.R~-I'MICAL Cq~RTIFIC~%~ NO. 1962 09/17/05 PLUMBEi~S CERTIFICATION DA'r~3 N/A Rev. 1/81 Form l~. 6 TOWN OF SOUTHOLD BUILDING. DEPARTMENT TOWN HALL 765-1502 APPLICATION-FOR CERTIFICATE OF OCCUPANCY . ~ais. application must b~ filled in by typew~r or ink and ~bmitted to tho Building D~m~me~t with the following:. ~t. FOr new building or'new use: 1. Finztsurveyofproperty~thnc~umteloc~ionofallbuildings, pmpew/~'~stree~, and unusual natural or 2. 'Fi..~. Approval from Heal$ Dept 0f?ate~.supply and sewerage-d/sp~tl (g-9 form). 3. Approval ofeleetriealin~tallati°n from Board of Fire undexwritera. 4. Sworn Sqatement from plumber ~.' that'the solder used in 'system euntnln~'less than 2/10 of l ?.4 lead. 5. Commeroial buildmg, industrial buil&m~**mutiipl~ i'e~ideocez and s~md~r bui]dm~ and installations, a ce~ fioat~ of Cod~ Compliunco ,%M ar~hit~t.or o~n~ee~ reapo~ible for tho building. IL For e~i~fi~g'buiiding~ (prio~ to Aped 9, 1957) n0n-eonfoonlag mu, m'bulldi~s ~d ~'pre~_~i~ag" hind. usu: 1. Accurate sv~ve~ ofpmper~ showing all property.lines, stree~,.bui!ding and.unusnal natural or topographic feator~. 2. A~-pr~peqy completed'appiicaiioa and ~onsant to inspe~ signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall, state tho reasons therefor in writing to the applicant. C. Fees L Certificate:°f Occupancy - New dwelling $25,00~ Additions to dwelrmg $25.00, Alterations to dwelling $25.00~ Swimming pool $25.00, Ae. me~sory building $25.00, Additiolx~ to accessory building $25.00, Busines~ $50.00. 2. Oalificate ofOccupaneyon Pre-o~d~ting Building - $100.00 3. Copy of Certificate ofOccupaney - $.25 4. UL¥1atedCertificate of Occupancy. $50.00 5~ T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No.. Street. Date. Oid or Pre-existin_g Building: · (cheek one) Hamlet Suffolk County Tax Map No 1.000, Section / / ~- Block Subdivision . . Fil~l Map. Permit'No. ~ L~ "~ t "~ DateofPcrmit. , AppliCant: Health Dept. Approve: Undcnvriters Approval: Planning Board Approval: Request for:' Temporary Certificate Fee Submitted: $ ~'~ 0 C) Finai Certificate: ~ (check one) Applicant SignaIlre SUFFOLK BUREAU of ELECTRICAL I N S P £ C T O R S, i n C. 40 Nottingham Drive, NY 11953 Telephone:l 631 495 8136 · Fax:1631 980 6455 · E-Mail: SBEIl@hotmail.com CERTIFICATE OF ELECTRICAL COMPUANCE Applicant: Raymond Electric Rough In Inspection Date: 9/17/2005 Application N°: 1962 Suffolk County Tax Map N°: 115 4 2.5 Final Inspection Date: 9/17/2005 Certificate N°: 1962 Building Permit N°: 31300 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below and installed by the Applicant named above, and located at the premise of: i Owner: York iAddress: 500 ~eadow Lane, Mattituck, NY 11952 iAddress of Inspection Site: 500 Meadow Lane, Mattituck, NY 11952 X Residential Indoors Basement Service Shed Commercial X Outdoors tst Floor X Pool Other: New Renovation 2nd Floor Hot tub Addition Survey Attic Garage Znventory Service 1~ Heat Duplex Recpt Ceiling Fix HTD Fix Service 3~ i Time Clock 3 Switches Wall Fix Smoke Der Main Panel Hot Water i GFC! Recpt Recessed Fix Co Der 8 Ckt Sub- Panel GFC! Breaker i Single Recpt Fluorescent Fix i Pump iiiiii Disconnects Dryer Recpt Range Recpt A/C Blower Emergency Fix i::~i::i Transformers Exhaust Fan Appliance A/C Cond Exit Fix Twist Lock TVSS Heat Pump Electric Heat Pool Luminaire Other Equipment: The electrical work and/or equipment described above were inspected and appear to be in compliance with ?~iiii local, state and natiOnal electrical code requirements and this office. ' i[iiiiAppliCant: Raymond Electdc . . License No: 5141-ME iiliii Inspected by: ~J~erR. Surdi Date Certifiate Date: 9/25/2005 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34312 Z Date NOVEMBER 21, 2008 Permission is hereby granted to: SEAN & CANDACE YORK 500 MEADOW LA MATTITUCK,NY 11952 for : CONSTRUCTION OF A/q IN GROUND SWIMMING POOL AS APPLIED FOR IN THE REQUIRED REAR AS APPLIED FOR. THIS PERMIT REPLACES BP 31300. at premises located at 500 MEADOW LA MATTITUCK County Tax Map No. 473889 Section 115 Block 0004 Lot No. 025 pursuant to application dated NOVEMBER 21, 2008 and approved by the Building Inspector to expire on MAY Fee $ 150.00 Au~orize~ ~JlT~re ORIGINAL Rev. 5/8/02 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. ~'1'34L0_. Z Date JULY 21, 2005 Permission is hereby granted to: PHILLIP ROBINSON 500 MEADOW LA MATTITUCK,NY 11952 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR IN THE REQUIRED REAR YARD at premises located at 500 MEADOW LA County Taxx Map No. 473889 Section 115 Block pursuant to application dated JULY 18, 2005 Building Inspector to expire on JAN~JARY Fee $ 150.00 MATTITUCK 0004 Lot NO. 025 and approved by the 21, 2007. Rev. 5/8/02 ORIGINAL 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: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~U~ATION [ ] FRAMING / STRAPPING [//~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRERESi~.STANT~N~STRUCTION [ ]FIRERESISTANTPENE~RATION REMARKS. ! DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ] FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION DATE ~ ~- O~ INSPECTOR__~' ~ FOUNDATION (1ST) ~ - FOUNDATION (2ND) - ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE //~// ~¢ /~ ~DITION~ COMMENTS town or soyr~o~,~ ~OWN HAiIL . ;OUTHOLD, ~ 119~1 ~EL: (631) 76~1802 *~: (631) 765-9502 PERMIT NO. ~,xamlned ,20 ~ · ~.pproved [ , 20 )isapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Bu. ilding Plaus pl~'aning Board approval Surw-y Check Septic Form N.Y.S.D.E.C. Trustees Contact: . Phone: -ll.~-g lO0 *.xpiration ,20 [ ........ l ~PLICATION FOR B~D~G PE~ ~S~UC~ONS ,20 05 a. This apphcation MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 ets 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 rea. s, and waterways. c. The work covered by this application may not be commenced before issuance 0f Building perrmt. d. Upon approval of tkis application, the BulJdlng In~ector will issue a Building Permit tO the applicant. Such a permit hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in Whole or hi part for any purpose what so ever until the Building Inspector :sues a Certificate of Occupancy. f. Every building permit shall expire if thc work authorized has not commenced wi*bin 12 months aider the date of suance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the :operW have bern emoted in thc iuterim, the Building Inspector may authorize, in writing, the extension of the permit for an tdition six months. 'Thereafter, a new permit shall be required. APPLICATION IS I-I~Y MADE to the Building Departmant for the issuance o£a Building Permit pursuant to the uild/ng Zone 0rail~ance of the Town of Southold, Suffolk County, New York, and.other applicable Laws, Ordinances or ~gulations, for the construction of building% gdclltions, or alterations or for removal or demolition as herein described. The ~plicant agrees to comply with all applicable laws, ordimmces, building code, housing code, and regulations, and to admit ,thorized inspectors on premise* mad in building for necessary inspections. , f (Sjp~oripp~o~n~ o~ n~e, ia ce.ora, on) (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, generaJ contractor, electrician, plumber or builder 't (As on the tax roll'or latest deed) applicant is a co~poration, Signature of duly authorized officer (Name and title of.corPorate officer) dlders License No. ~11 q I g. 14- nnbers License No. ~ctr/cians License No. c94eD~D ~' her Trade's License Nol Loca6on of land on which proposed work will.be do~,~.~., . . . zSoo 'cfl~o ~u ~_,x_ . ~ I to3ti ~cqa. House Number Street ': "~": ": "~' ""Hamlet co~tyT=mp~o. 1000 s~o~ I\% meek /)q ~ot 9-5 Subdivision ~..d~.'¥u_r_jt' _~---Bnt-&-{-e~_ Filed Map No. att 5% Lot 4. Estk'natedCost ~",,000-~ 5. If dwelling, number of dwelling units If garage, number of cars Na~e of work (check w~ch a~Hcable): New B~g A~fion Kep~ K~ov~ D~oHfion ~ Work ' ~pfion) ' F~ ~o be p~d on ~l~ug ~s application) Nmb~ of dwell~ng ~ on ~ floor 6. If business, commercial or mixed occupancy, specify natur~ and extent of each type ofu~e. 7. Dimensions of existing structures, if any: Front Height Number of Stodes Rear _Depth Dimensions of same structure with alterations or additions: Front ' ' Depth Height Number of Stofles Dimensious of entire new construction: Front Rear Depth Height Number of Stories Rear 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner I 1. 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 bo removed from premi.qes? YES __ NO ~ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phon~ NO. Address ,, Phone No Address phone No. 15 a. Is this property witMn 100 feet of a tidal wetland or a freshwater wotlaud? *YES__NO * ~ YES, SOUTHOLD TOWN TKUSTEES & D.E.C. PERMITS MAY BB REg. IJIRED. b. Is this proped:y within 300 feet of a tidal wetland7 * 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 bolo.w, must provide topograpkieal data on survey. STATE OF NEW YORK) SS: COUNTY OF ) ~ ~O. At~ ~ ~--0(i¢C~4'" being duly sworn, d~oses and says that (s)he is the applicant (Name of ind/vidua/s/~i~g contract) above named, 0.~O~- (Contractor, Agent, Corporate Officer, etc.) (S)He is the of said owner or owners, and is duly authorized to perform or have peafformed the said work and to rn~ke and file this applicatic that all statements contained in this application are hue to the best of his knowledge amiboliof~ and that the work will be performed in the mamaer set forth in the application filed therewith. KATHLEEN QUIGLEY / 8~:t,a/ttre of At~tieant NOTARY PUBLIC, State of New YO~ NO. 01QU6124124 Quallt~l in Suffolk County Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD July 29th, 2008 1st NOTICE 5ean & Candace York 500 Meadow Lane Mattituck, N.Y. 11952 RE: 500 Meadow Ln. (Tn-Ground Pool) SCTM # 115.-4-25 Dear Mr. & Mrs. York, Please be advised that your Building Permit # 31300 issued July 21st, 2005 has expired. According to the Code of the Town of $outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00; that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, 50UTHOLD TOWN BUILDING DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD 2ND NOTICE October 10th, 2008 Sean& Candace York 500 Meadow Lane Ma,tituck, N.Y. 1195;> RE: 500 Meadow La. (In-Ground Pool) ~-I'M # 115. -4-25 To Whom it May Concern: Please be advised that your Building Permit # 31300 issued ~Tuly ;>lst, 2005 has expired. According to the Code of the Town of $outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit please submit o fee of $150.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions please call us at 631-765-1802 Respectfully, 5outhold Town Building Dept. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD F_rN,4L NOT'~CE November 7th, 2008 Seen & Candace York 500 Meadow Lane Mattituck, N.Y. 11952 RE: 500 Meadow La. (]:n-firound Pool) 5CTM # 115.-4-25 Dear Mr. & Mrs. York, Please be advised that your Building Permit # 31300 issued ,Tuly 21st, 2005 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit please submit a fee of $150.00; at that time, we can schedule an inspection by one of our Building Inspector's. If you have any questions please call us at 631-765-1802 Respectfully, 5outhold Town Building Dept. LEGAl. DEPT: GUARANTEES INDIOATED HERE ON ~HALL RUN ONLY TO THE P~RSON FOR ~0~ THE SURVEY COPIES OF THIS SURVEY MAP NOT BEARINO THE LAND SUR~YORS EMBOSSED SEAL SHALL 2'10"£ Plo Lot 50 Creened Lo~ 48 Lot 50 Asphal~ 200.00' Ddvewoy ,rd, R=50,O0' A=78,54' /aao-//,,.-. ~' .ar-T~'/VN OF SOUTHOLD PROPERTY RECORD CARD ,~-/? OWNER , JSTRE~) j v,L~ ' I D'S*.l SUB. LOT ~ ~ % ' ~o~ OWN~ ~ = ~c~. ~ND IMP. J Z O~AL DATE R~RKS AGE NEW FARM Tillable Woodland Meadowland House Plot TotaJ'~, ~ NORMAL Acre BUILDING CONDITION BELOW ABOVE Value Per Vclue Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD /Vt. Bldg. Extension Extensio~ Extension Porch Porch Breezeway Garage Patio O.B. Total COLOR Foundation Basement Ext. Walls :ire Place Type Roof Recreation Room Both Floors Interior Fmmh Heat ,~ Rooms 1st Floor Rooms 2nd Floor Dormer / Driveway TRIM Dinette BR. FIN. B