HomeMy WebLinkAbout34591-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP/LRTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33794
Date: 06/25/09
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 50 PAT
(HOUSE NO.)
County TaxMap No. 473889 Section 114
subdivision
MATTITUCK
(STREET) (HAMLET)
Block 10 Lot 9
Filed Map No. Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 8, 2009 purs,,~nt to which
Building Permit No. 34591-Z dated APRIL 8, 2009
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.
· ~ne certificate is issued to MARK P SABAT
of the aforesaid building.
( OWNER )
SUFP~)LKCOI]~FI~fDEPART~T OF ~THAPPRO~I~L N/A
EL~t-i~ICAL u~KTIFICATE NO. 3021934 03/08/07
PLUMBERS c~KTIFICATION DA'r~u N/A
thor i ~~
Rev. 1/81
~l'~s applic~tio~ m~t l~ fille~ in by typewriter or ink ~d sot~uitted to ~e Buildin~ D~rt~ent
For new building or new use:
1. Final survey ofprnperty with accurate location of all buildings, property lines, streets, and unusual natural or
topographic featurcs.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system containn less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer respousible for the building.
6. Submii Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957} non-conforming use~, or buildings and "pre-existing" land uses:
[. Accurate sm'vey of property showing all property lines, stmet~, buil~ling and .unusual natural or topographic
features.
2. A properly completed application and cousent to inzpect signed by the applieant. If a Certificate of Oceupancy is
denied, the Building Inspector shal] state the reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelllng $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Prc-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commemial $15.00
Date.
New Construction: Old or Pre-existing Building:
LocationofProperty: ~'0 ~} '"ff L.4 r~/~'
House No. Street
Owner or Owners of Property: /~t~/~ I< S,qt~ tq~J--
Suffolk County Tax Map No 1000, Section t./73 ~8
Subdivision ~l
Permit No. ~
Health Dept. Approval:
Planning Board Approval:
Block
Filed Map.
Date ofPermit.¢-~ ~- ~ Applicant:
Underwriters Approval:
(check one)
Hamlet
'Lot:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
(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 1OO38
CERTIFIES THAT
Upon the application of upon premises owned by
SABAT ELECTRIC MARK SABAT
50 PAT LANE 50 PAT LANE
MATTITUCK, NY 11952, MATTITUCK, NY 11952
Located at 50 PAT LANE MATTITUCK, NY 11952
Application Number: 3021934 Certificate Number: 3021934
Section: Block: Lot: Building Permit: BDC: ns11
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 8th Day of March, 2007.
Name QTY Rate Rating Circuit Type
Appliances and Accessories
Time Clock/Switch 1 0
Pool/Spa Bonding I 0
Pool/Spa Circulator Pump Motor 2 0 20 Amps
Wiring and Devices
Fixture 1 0 Pool/Spa
Switch 2 0 General Purpose
(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 cer[ificate 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. 34591 Z Date APRIL 8, 2009
Permission is hereby granted to:
MARK P SDdBAT
50 PAT LANE
MATTITUCK, NY 11952
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL, FENCED TO CODE THIS AS
APPLIED FOR, THIS REPLACES BP# 32267.
at premises located at 50 PAT LA
County Tax Map No. 473889 Section 114
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
MATTITUCK
Block 0010 Lot No. 009
8, 2009 and approved by the
8, 2010.
Fee $ 250.00
AuthBrized Signature
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. 32267 Z Date AUGUST 3, 2006
Permission is hereby granted to:
MARK P SABAT
50 PAT LANE
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL AS APPLIED FOR, FENCED
TO CODE
at premises located at 50 PAT LA
County Tax Map No. 473889 Section 114 Block
pursuant to application dated JULY 28, 2006
Building Inspector to expire on FEBRUARY 3,
MATTITUCK
0010 Lot No. 009
and approved by the
2008.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING C~FINAL /~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE ~*--- ~-~-- o 7
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
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
INSPECTOR
ly.U~I.,D INSP~c~rIONI;UI~mORT{ DATE I CO~S
FO~A~ON (1S~ ~ ~ ~
FOU~ATION (2~) ~ ~
ROUGH ~G & ~
PL~G ~
STA~ ~R~ CODE
~D~ON~ COUNTS ~
OWN OF SOUTHOLD
· BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ~ , 20 Crfi
Approved ~/~.~, 20 ~'fi
Disapproved a/c
Expiration ~9'/~'3 ,20 0 ~/
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
~"'"-~urvey
Check
Septic Fom~
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
~BB~uilding Inspector
APPLICATION FOR BUILDING PERMIT
Date
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, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on promises, 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
Mall be kept on the promises 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, kn 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 inspector, l. or~ memises and in building for necessary inspections.2d:~%~,EI/q~'l ~'UIA'I~5,~ COMPLETIoNPOOI' Tol-/'YGks~ E ~%
$ [FORE "WATER' cant or name, if a corporation)
ALL CONSTRUCTION SHALLOCCUPANCY ORz o ffhrrrr v,.
I~1~ THE REQUIREMENTS OF THE USE ISUNLAWFUL (Mailing add~es~ of applicant)
S t a~wD~eSt~)eFr Na E~icY0an~ ~?JwAnl eE;, e s s e e at
PP , , ~tT~.~, ~[~e/~r~ntractoj[~,~[~ builder
OF OCCUPANCY DATE: ,7/-;/~,' B.P.# -'
Nameofownerofpremises i/~/~.V,_ ~r' ~,rv3'~ev m,,nt~2.c,' r, gPaRTM[~qT AT
(As on the tax roll or lates[~3~4~2 -~'~ ';O 4 PM FOR THE
If applicant is a corporation, signature of du~j[l~g~r~[t~ ~ql~Al[ FOLLOWING INSPECTIONS:
REQUIRED
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
bh n- rroc ..
Hamlet
County Tax Map No. 1000 Section
Subdivision l/XqaP O_f=
(Name)
Block }0 , Lot I~,
Filed Map No. ~7_o q Lot ~
2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi°n:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ [01 000
5. If dwelling, number of dwelling units ~
If garage, number of cars t:~
Addition Alteration
Other Work lO~
(Description)
Fee
(To be paid on filing this application)
Number of dwelling units on each floor (29
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 5"<D __Depth
Dimensions of same structure with alterations or additions: Front
Depth ~' ] Height. '2°-0 Number of Stories
8. Dimensions of entire new construction: Front IeO Rear ~ % Depth
Height ~ Numberof Stories rD
9. Size oflot: Front Rear 1q~.92~ Depth
10. DateofPurchas¢ Name ofFo er Owner
11. Zone or use dis~ct in which praises me situated ~
12. Does proposed construction violate ~y zoning law, ordinance or repletion? YES
13. Will lot be re-~aded? YES NO ~Will excess fill be removed ~om premises? YES ~ NO
14. N~esofOwnerofpr~ises~%~~ Address ~o ~ ~ PhoneNo.
N~e of Architect ~
N~e of Con,actor
Roar ~'O
__NO~ ~
Address2.~,O O~ ~t~. PhoneNo '¢?hf ?$b'~
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 property lines l
17. If elevation at any point on property is at 10 feet or l~eJpw, must-nrovid~ topographical data
STATE OF NEW YORK) - ', '
COUNTY OFQ'~'~43 L~ ~S:
~<~kr[~r~tv~ ~:~, .~.Ol[t(~._~_ being duly swom, deposes and says that (s)he is the applicant
' (Name of individual signing contract) above named,
.J~-,q ~.. YXT ' .... :':'2
(S)He is the
J (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.
Sv~orl) ~:9 before me this
~03'-~q'[ dayof
Not~ublic
20
MELANIE DOROSK1
NOTARY PUBLIC, State of New Yo~
No. 01004634870
flualified in Suffolk County
Commission Expires Septembei*
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
February llth, 2009
FIRST NOTICE
Mark P. Sabot
50 Pot Lone
Mattituck, N.Y. 11952
RE: 50 Pat Lane (In-Ground Pool)
SCTM: # 114.-10-9
APR 7 2009
BLDG. DEPI.
TOWN OF SOUTHOLD
bear Mr. Sabot,
Please be advised that your Building Permit # 32267 issued August 3rd. 2006 has
expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit, please submit o fee of $250.00; at that time we con
schedule an inspection by one of our Building Inspector's.
If you have any questions, please coil us at 765-1802.
Respectfully,
50UTHOLb TOWN BUILblNG bEPT
:B. 0~H../'#~'67 $0.67 - ·
. ..,,I 1'~ LOT ,0
J'"'~'' ~" 1"-'
-- -
/ ~ ~/ ,". I1~
- / r ._.. / ',~ ',. lOT
-t. z / ', ~~' ~ . flJ ,-.~,..,
/ ¢ / ,,. ~.
I ~ ~ I Js.o~ I ~, ~ I = .
~ .i ~ .I ~ ~ ·
· ! I ' :;:" ' '
"b~ '~'" ~ '
J The ~wa~e dis~l and wa~r sup~ ~ ~ ~ J
[ location have b~fl ins~ted by thb ~~ J
~uM~~ .RV EY OF
CERTIFIED TO:
SOgTHOLD .SAVINGS BANK
SECURITY TITLE& GUARANTY CO.
MARK P. SABAT
YVONNE M. SABAT
LOT, 9
" MAP OF DEER PARK "
FILED JULY 25,1960 FILE NO. 3204
AT MATTI TUC'K
TOWN OF SOUTHOLD
SUFFOLK COUNTY,
I000 - 114 ' I0 - 09
SCALE I'=
FEB. 27, 1987
JULY I0, 1987
Feb. 5, 198~(finol)
N.Y,$
EyORS
5020
909
MAIN ~
SOUTHO-LD, N;y. Itg?
LIC. NO. 49618
ENGINEERS , P.C.
THE LOCATION OF WELLS AND
CE~POOC$ SHOWN HEREON ARE FROM
FLIED OBSERVATIONS AND OR ti'ROM
DATA OJI'~AINED FROM OTI4ER~I,
..87 -.I 5B£...
" ,s~' . .45°05'20"E' ~ 156.00' .~ ~ '
.~L~.~' ~= ' ~ · ~ '
,, ,
'x L~u, 9 p~,o ~a ~
LOT
8
t4.a4 I I I I '
-,
.-- ~ ~R K ROAD ' ~ ' --'.~'
U c~
The ~waKe dispo~l and wa~r su~Y~'~ ~
location hove ~en ifls~c~d by thb
~,,~'(~. ~.'~.
,' ~-~ Bu~.. ~ ~ ~, .,~' ~.R V E Y OF
CERTi~ED TO.:..' ' " '," LOT9.
S~THOLD .SAVINGS BANK ,,
~RITY TITLE.B GUARANTY CO. MAP OF DEER PARK
MARK P. SABAT FILED JULY 25~1960 FILE NO. 3~04
YVO~E ~. SABA~ AT MATTITUCK
TOWN OF SOUTHOLD
SCALE I"= 30"
FEB. ~7,
' JULY I0, 1987
S.C- D~T. OF ;. Feb. 5,
~' ~J ,' THE L~4TION
-P~ 9~9 . DATA OB3AINE.D FROM OTHERS.
I ~ R~D :
POOL DIMENSIONS
TYP. PANEL STIFFNER
TYPICAL WALL SECTION AT 'A' FRAME
E.'
I~ 5'00.C.
(9'00.C. MAX.)
BOARD
B2
1
A1
MIN. 2' THICK VERMICULITE
SECTION
CORNER C~ONNECTION DETAIL
DIVING
N.T.S.
POOL TYPE: KIDNEY ] REV.
JAMES DEERKOSKI, P.E.
260 DEER PATH
MA-iTITUCK. NEW YORK 11952
[ S~;ALE N.T.S.
DATE
DRAWING NUMBER
OF