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Home My WebLink About34596-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/qCY No: Z-34066 Rte: 11/06/09 THIS c~KTIFIES that the building INGROUND SWIMMING POOL Location of Property: 400 TABOR RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 LOt 7.32 Subdivision Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 2009 pursuant to which Building Pe~qnit No. 34596-Z dated APRIL 9, 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. The certificate is issued to THOMAS J & LEAN SULLIVAN (OWNER) of the aforesaid building. S~FOLKC~D~DEPAR~T~TOF~TH~PRO~L~L N/A R~-I~I~ C~KTIFICATE NO. 128617C 06/12/09 PLUMBERS CERTIFICATION DA'£~U N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( This application must be filled in by typewriter or ink and submitted to the Building Depa A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, st~ topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fo 3. Approval of electrical installation from Board of Fire Underwriters. 4. 5. ets, with the follgwing: TOWN OF SOOTMOLD Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy ~s denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $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 Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: Date. ~ (~c~' (check one) House No. Owner or Owners of Propetty:--~-6 oxo.~ ~ Suffolk County Tax Map No 1000, Section Subdivision ff /~-~-¢,'.S Permit No. ~c.]~-0/6 Date of Permit. Street Health Dept. Approval: Block 0(90 Filed Map. C~ h l'7- ./q/cC App.cant: Underwriters Approval: Hamlet Lot OO'7, 0 ~2--- Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~, (.30 Final Certificate: }( (check one) Issue Date 6/12/2009 Electrical Inspection Certificate Electricallnspection Service, inc. Application Number 375 Dunton Avenue 128617C East Patchogue, New York 11772 (63t) 286.6642 Issued To: Thomas Sullivan Street: 1870 Gabriella Court Village: Mattituck Zip: 11952 Section: 108 Block: 004 Lot: 007.032 Contractor: Elec Tec Inc. Town: Southold Lic.# 4814-E Was examined and found to be in compliance with the National Electrical Code. [] Commercial ~ NVDefects [] Pool [] lstFIoor [] Indoor ~ Basement [~ HotTub [] Residential [~ Der. Garage [] Attic ~ 2nd Floor [] Outdoor [] Addition ~ Survey Switches Receptacles 1 Dishwasher Washer/Amps Furnace Oil Gas Meter Amps Phase UG/OH / Bldg. Permit: 34596 Other Equipment Fixtures GFI Heaters AJC Fans 1 Dryer/Amps Oven Range/Amps Microwaves Circulators Smoke Detector Bell Transformer Jacuzzi Television CO Detector ~-Pool Light/2-20 amp spec. outlets/2-Time ~clock/1-Raintight Subpanel Hugo S. Surdi President This certificate must not be altered in any manner. Inspectors may be identified by their credentials. 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. 34596 Z Date APRIL 9, 2009 Permission is hereby granted to: THOMAS J SULLIVAN 1870 GABRIELLA CT MATTITUCK,NY 11952 for : CONSTRUCTION OF IN GROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. at premises located at 400 TABOR RD County Tax Map No. 473889 Section 108 pursuant to application dated APRIL Building Inspector to expire on OCTOBER MATTITUCK Block 0004 Lot No. 007.032 3, 2009 and approved by the 9, 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION ROUGH PLBG. INSULATION [~/FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE I/~ ~o ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION [ ] ROU~I~B_ G. [ ]~ LATION [ ,"] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE ~//~C~ INSPECTOR /~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] ~JL-A?ION [ ,::~FI NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR~/~/~/~ FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION {~ST~ FOUNDATION (2ND) ROUG~ ~G ~ pL~G ~SULATION PER N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMEb TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/South; BLDG DEPf. Exaruined L/ / ;I , 20 C. ZT[ Approved {~/ (C( ,20¢,~( Disapproved a/c Expiration /¢7/;' , 20 /c) BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans t/ Planning B~/approval Survey Check v/ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date ~-z~j/.,~(_.) , 20 O? 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 premises, 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 sRall be kept on the premises 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 Certiftcate 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, in 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, Suftblk 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 inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~",t/~/¢,,_-5 · Z~74~¢ ,'$~..~,iV,-9,aJ (As on the tax roll or latest deed) If applicant is a corporatioa, simaatu~ of duly authorized officer - - - ~a~e-anctiltle of corporate officer) Builders License No. /~/~, ? ~ j-J Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which~roposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision -.~'-&/_3'/¢/4~ Z,,4A,le' W-a~-,9.v'~- (Name) ~¥t>,--t,-~ ~ Block t0? Filed Map No..~ff'/?r Lot ? ~Z Lot .~? State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy =2 b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Estimated Cost If dwelling, number of dwelling units If garage, number of cars Demolition Fee Addi~_ .Alter,ation (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ,~t$:, B Rear ,~ff, B Height ,.¢.~ Number of Stories ~ Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front /~' Rear /_/.t~, yZ t Depth ,~O.5-~,, 6: ~ ' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated '27~5~2>~:ao :r//4~g. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __NO ,~' 13. Will lot be re-graded? YES)(' NO Will excess fill be removed from premises? YES X NO__ 14. Names of Owner of premises Name of Architect Name o f Contractor ~,W-'~K 9t.~ c~ Address~g-~ gt~*t~ e ~. Phone No...qY$~- a/~ ~'~ Address pt~*~'-~wA Phone No Addres ~ ~ · hone No. ~f?]'~'- ~ Z, 5' 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 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~'u~ ) ~/'//~'l.~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S~s the (~ ~ .4.~5~/JF.~,~' (Contractor, Agent, Co¢orate 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 befo, r~'~)is ~ ~' RO T I sCOTT, JR. r '~iZl-u~i(f~ed (n Suffolk CounW No. 01SC472508a. L~_ _ Term Expires May 31, ~ Signature of Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. IR. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER; GRADING? DRAINAGE AND EROSION CONTROL PLAN . C~KT,F~ED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number:. (NOTE: A Check Ma.~ (,~) for each Question is Required for a Complete Application) 1 Will this Project Retain All Storm-Water Run*Off Generated by a Two (2') Inch Rainfall on Site? 2 3 4 5 6 7 8 9 (This item will include all mn*off cmatad by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Droinage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface 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 Surface? Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Ye~s N._.~.o -12] !-21 _/ Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? L~J -- Will Driveways, Park/rig 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 Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT Include the Installation of Driveway Aprons.) Will this Project Requira Site Preparation within the One Hundred (100) Year Floodplain of any Watemoume? r~ NOTE: If Any Answer to Questions One through Nine is Answered wRh a Check Mad[ In the Box, a Ston"n.Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Pemffil EXEMPTION: Yes No Does this lxoject meet the minimum standards for classification as an AgricuEuml Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion ConSol Plan is NOT Required! -- ~ STATE OF NEW YORK, COUNTY OF ........................................... SS That I, ..~:~ .~....~.ff.q_A~..~......~.g'..~../.~/..~.. ..................... being duly sworn, de'poses and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the ~.Og~.....~..~ ........................................... (Owner. Contractor, Agent. Corporate Olfice~, ctc.) Owner and/or representative of the Owner of Owner's, 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 txue 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 this3.~---..~ FORM - 1~/O7 // No. 01SC4725089 Term Expires May 31 OWNER STREET ~,)(~) '7----; DIST. ' ......... ...__ * AGR. . $ ~ REMARKS ~1 ~< FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAO WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL M. Bldg. c. ~ ' ~ Bath Dinette ~xtension Basement CRAWL S~*. ~ ~ Floors Kit. Extension Ext. Walls ~ ~ In(erior Finish L.R Patio Wo~stove BR. o ~ Porch ~o~r ~ ~ ~ = I~0 ,CO ~0 Dormer OA~ Fin. B. Deck ~ ~ ~/~ ~ ~/~ *~5 ~ Attic -- - Breezeway Rooms 1st Floor Garage I~ ~ ~ ~8 ~¢ ~o Driveway Rooms 2nd Floor ~LOT AREA = 41,631 + s.r. 3.92'~ MAP LINE CM SET 157.00' )~.FND 162.92' '""WOOD FENCE o R = 25.00'.~ L = 39.27' UN[ 0.~' S.. '~.4' £. S38'14'50"E 160.92 ~ ' ~ I ,, ~ ~oo ~ ~S~M~tI ~J ~ m~.: R=1~57.49' L=139.94' GABRIELLA COURT COUNTY~ TAX MAP DIS:T. IO00 SECT.lO8 BLK.04 NO: 9912 DATE: OCTOBER 8, 199& LOT 27 EYED: MARCH .21, 1987 CERTIFIED TO: THOMAS SULUVAN AND LEAH SULLIVAN SUFFOLK COUNTY NATIONAL BANK FIDELITY TITLE INSURANCE CO. SCALE: 1" ----- 50.00' FILE NO: 87--1 62--27 BURTON BEHRENDT SMITH PC PREPARED: NOVEMBER, 1996 BLDG LOCATION.: 3/11/99 FINAL: 6/26/00 REV. 11/6/O0 ENGINEERS ARCHITECTS SURVEYORS 244 EAST MAIN ST. PATCHOGU~, N;Y. 11772 (651) 475--0549 FAX 475--0561 POOL DIMENSIONS UNDERWRITERS CERTIFICAT[ RE~URED · _ ~,[N STORM WATER RUNOFf- - PURSUANT TO CHAPTER 236 ~ :-_- :-_-_- -_-_--_-: ~': h- :-_-_--_- - -_-_- _-_- OF THE TOWN CODE. ' ' ' I "IMMEDIATELY" ENCLOSE POOL TO CODE UP/DN CC)blPLETION I ........... B FORE "WATER, ! , ...................... , :~:-::~:~ 765-i;02 2 TYP. PANEL STIFFNER ~._~L~.,,,: ,,: ~ ~' ~'LON~WF.U) ~E L;O~,P'LL~c "O,i CO. CO~TR,-,u,Iu.~ ,~nALL ~,,,~,r E \ ~ '/ TYPICAL WALL SECTION AT 'A' FRAME B1 I I A1 POOL PLAN MiN. 2" THICK VERMICULITE AGGREGATE TAMPERED C2 D2 REQUIREMENTS OF THE CODES OF h:E ¥ YORK STA~:. NOT RESPONSIBLE FO~t DESIGN OR CONSTRUCTION P~L COMPLI~ ~H ANSI 514, DESIGN IS ACCEPTABLE,FOR ALL COMMON SOIL CONDmONS SECTION %/' L_I IRNER CONNECTION DETAIL POOL TYPE: RECTAGLE I REV. JAMES DEERKOSKI, P.E. 260 DEER PATH MATTITUCK, NEW YORK 11952 SHALE ' N.T.S. DATE DRAW NGoNFUMBER