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HomeMy WebLinkAbout34399-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~NCY No: Z-34465 I~te: 07/13/10 T~{IS CERTIFIES that the building SWIMMING POOL Location of Property: 655 HARVEST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Cowry Tax ~4ap NO. 473889 Section 120 Block 3 I~t 8.32 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2009 pursuant to which Building PeITait No. 34399-Z dated J~2~3ARY 22, 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. Ge certificate is issued to EUGENE F & KRISTEN L PETERS ( OWNER ) of the aforesaid building. S~OI~ C~5~¢1"f DEPARI~T OF ~I~{ ;%?~RO%r~J~ N/A Er.Ct-r~ICAL ¢~RTIFIC3~TE NO. 2837 05/13/06 PLUMBERS CKa~TIFICATION DA'r~a3 N/A ~~Orize~ Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ Tins application mUSt be filled in by typewriter or ink and submitted to the Building Depar: BLDG, DEPT. ....... :,~ A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograpinc 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 ceffifying that the solder used in system contains 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 arcinteet or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~'pre-existing' land uses: I. Accurat~survey~fpr~pertysh~winga~~pr~p~rty~ines~stroc~s~bui~dingandunusua~natura~~rt~pographic features. 2. A properly completed application and cousent to inspect signed by the applicant. If a Certificate of Occupancy is dcnie~, the Building Inspector shall state thc reasons therefor in writing to the applicant. I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Altemtious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Ocenpancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporsxy Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: Date. (check one) House No. Street Owner or Owners of Property: ~oc; ~,~- Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~c/359 Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,,,7~-, ~9 ~ Hamlet Block ~ Lot Filed Map. , Lot: ~ ,/~¢ Applicant: C.C~"~,~-~5 Underwriters Approval: Final Certificate: (check one) Applicant Signature Applicant: Rough In Inspection Date: Application N°: 2837 SUFFOLK BUREAU of ELECTRICAL IN $ P F CTO R S, ~ q C 40 Nottingham Drive, NY 11953 Telephone:l 631 495 8136 · Fax:1631 980 6455 · E-Maih SBEIGS(~gmail.com CERTIFICATE OF El FCTRICAL COMPUANCE LEOS Electric 5/13/2006 Final Inspection Date: 5/13/2006 Certificate N°: 2837 Suffolk County Tax Map N°: 120 3 8.032 Building Permit N°: 31416 iiiiiThis Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: ~?~}Address: 655 Harvest Lane, Mattituck, NY 11952 :~i?~iAddress of Inspection Site: 655 Harvest Lane, Mattituck, NY 11952 X Residential Indoors Basement Service Shed Commercial X Outdoors Ist Floor X Pool Other: New Renovation 2nd Floor Hot tub Addition Survey Attic Garage Inventory Service 10 Heat i Duplex Recpt Ceiling Fix HID Fix Service 30 I Time Clock 2 Switches Wall Fix Smoke Det Main Panel Hot Water GFCI Recpt Recessed Fix Co Det 4Ckt Sub-Panel i GFCI Breaker 2 Single Recpt Fluorescent Fix 2Pump Disconnects Dryer Recpt Range Recpt A/C Blower Emergency Fix Transformers Exhaust Fan Appliance AJC Cond Exit Fix Twist Lock TVSS Heat Pump Electric Heat 2 Pool Luminaire ?i :iThe electrical work and/or equipment described above were inspected and appear to be in compliance with local state and national electrical code requirements and this office. ;:i!Applicant: LEOS Electdc License No: 2199-ME Inspected b~r.. ~.~ene/R. Surdi Date of Certificate: 5/14/2006 ~ ~ ~ Signature: ~ ~" ¢./~ ~( 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) PEI~MIT NO. 34399 Z Date JANUARY 22, 2009 Permission is hereby granted to: EUGENE & KRISTEN PETERS 655 HARVEST LA MATTITUCK,NY 11952 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD,FENCED TO CODE.REPLACES (BP# 31416) at premises located at County Tax Map No. 473889 Section 120 pursuant to application dated JANU~RY Building Inspector to expire on JULY 655 HARVEST LA MATTITUCK Block 0003 Lot No. 008.032 22, 2009 and approved by the 22, 2010. Fee $ 150.00 Authorized 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. 31416 Z Date SEPTEMBER 1, 2005 Permission is hereby granted to:, ~ii~~' EUGENE F PETERS 655 HARVEST LA MATTITUCK,NY 11952 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE at premises located at County Tax Map No. 473889 Section 120 pursuant to application dated AUGUST Building Inspector to expire on MARCH 655 HARVEST LA MATTITUCK Block 0003 Lot No. 008.032 31, 2005 and approved by the 1, 2007. Fee $ 150.00 Authorized Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] IN~SU~ATION [ ] FRAMING / STRAPPING [~"] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]~"rl~r~ml~'m~ [ ]F~RERESlSTANI'PEHETRATI0fl REMARKS: DATE-~ _INSPE~--~~ 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 7'-7-1 COMMENTS ~IF, I~D INSPECTION REPORT I DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N.Y. -- STATE ENERGY CODE _ ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NJ 11971 TEL: 765-1802 Examined '~]~ , 20 O~J Approved a~)) ,20 05' Disapproved a/c PERMIT NO. BUILD1NG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector ~PPLICATION FOR BUILDING PE~IT Date I~STRUCTION8 ,200g a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 adjoix~ing 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 shall 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 a Certificate of Occupancy is issued by the Building Inspector. ALL CONSTRUCTION SHALL MEEff THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. 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 inspectors on premises and in building for necessary inspections. £NCLOSE POOL TO CODE UPON COMPLETION (Signature corporation) BEFORE "WATER' IEDF~RS CERTIFIOAT& (Mailing address of applicant) State whether applicant is owner, lessee, agen~,~?tect, engineer, general contractor, electrician, plumber or builder Name of ownerof premises 'O eht¢Er, re ere 6 ..... (as on the t~ roll or latest deC,AlE: B.P.~ If applic~t is a co~oration, si~ature of duly authorized officer FEE: _ gy: .. (Name and title of corporate officer) '. "C U PA ~4 C ¥ O R Builders License No. Plumbers License No. Electricians License No. IS UNLAWFUL -HOUT CERTIFICATE 'OCUPANCY Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block Filed Map No. NOTIFY BUILDI~ '~ ;~:PARTMENT AT 765.1802 8~,M -O 4 -J FOR THE FOLLO',', rNG 1. FOUNDATION . ;V;'O REQUIFED FOR POURED C?qCRETE 2. ROUGH. FRAMrNG & PLUMBING 3. INSU~TION 4. FINAL - CONST~t.rCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ ~E REQUIREMENTS OF THE CODES OF N~ YORK STATE. NOT RESPONSIBLE FOR ~'~TUC~,~mG. oR co.smucTm E~RORS. Hamer State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy c'~SiC~fO..~ b. Intended use and occupancy c~e,~ ~r4v/~ ~)NI~/14/~ t~ ~'~/.. 3, Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Ill 000 - 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (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 35' Height Number of Stories Rear .Depth ,-q5 ' Dimensions of same structure with alterations or additions: Front Rear Depth. Height. 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front t26" Rear /2S' Number of Stories Rear Depth 320' 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: 13. Will lot be re-graded ~¢)L ~?~ [q~qC~]l Will excess fill be removed from premises: (~ 14. Names of Owner of premises ~0/,,~ ~ge~re,,l ~ts Address 6~ff Haav~r L~ Phone No. Name ofArchitect~as ~ {~ed[~ AddressC---~zxc L0 Gnmx~a Phone No NameofContractor ~-~ ~t~x ~ Address 6}2.C~ If~ c~i'/l PhoneNo. 15. Is this property within 100 feet of a tidal wetland? *YES . . NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS hJIAy'BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances tq properly lines~ ' ,v 17. If elevation at any point on property is at 10 feet or below, must pro~i~t~ topographical data on survey. NO 7¢q-7 STATE OF NEW YORK) SS: COUNTY OF ) ~'x~'~[/-~ '~' ~ONO_.tgl~ being duly sworn, deposes and says that (s)he is the applicant (Name 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 p~[form or have performed the said work and to make and file this application; that all statements contained in this application,are t~ to the best of bis knowledge and belief; and that the work will be performed in the manner set forth ~n the apphck~ioa f~ed therewith. ~. S w ¢ ~-q~e f° ~ea~n~; hi s n I,/67 2005- / Notary Public MARGARET A. BANNWARTH Notary.P. ublic, State of New York mo. 01BA6021111 Qualified in Suffo k County Commission Expires March 8, 20 0~/ Signature ~J Applicant I/OOO -' V~-O-~- ~. :~ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~S,~ VILLAGE -0~ST~' SUB. LOT A~H. HE~AHK~ ,q~ TYPE OF BLD. LAND IMP. TOTAL DATE /ola~/~:- ~nSb¢o~/o -~r; ~ P¢~ +~, FRONTAGE ON WATER ~ .... TILLABLE FRONTAGE ON ROAD ~OOD~ND -- ~E~DOCLAND DEPTH BULKHEAD HOUSE/LOT TOTAL M. Foundation c"C~ ~ Bath Z. ~ Dinette Extension t~= ~o~ Basement CRAWL;LU~ ~J/ Floors ~ Kit. Extension Ext. Walls ~ ~p~/ Interior Finish L.R. Extedsion ~1~ -- ~ ~ ~ ~.ZC / ~ ~e Place ~ Heat D.R. Patio Woodstove BR. ~r / ~ ~ ~ ~ ~ z 5~ , ~o / / ~ Dormer ~n. Deck I ~ ~[/ Attic Breezeway . Rooms 1st Floor Garage ~ ~ ~ O ~ ~ /.~ ~OO Driveway Room~ 2nd Floor OB.. Pool ACORD. CERTIFICATE OF LIABILITY INSURANCE DP,0 ARTHU-1 ~ 12/20/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bagatta Associates, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2067 Jericho Turnpike ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Core. ack NY 11725 Phone: 631-864-1111 Fax: 631-864-8274 INSURERS AFFORDING COVERAGE NAIC# Arthur J Edwards ~a INSURERB: Arthur J. Edwards Pool & Spa Center Contracting Inc. INSURER C: 929 Route 25A INSURERO: Miller Place NY 11764-2700 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AF FORDED BY THE PGL C ES: DESCR BE0 HEREIN ~ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA~D CLAIMS INSR ~.oo'[ POLICY EFFECTIVE POLICY EXPIRATION LTR NBR[ TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYI DATE {MMIDD/YYI LIMITS G__ENERAL LIABILITY EACH OCCURRENCE $ i, 000,000 A X COMMERCIALGENERALLIABILITY MPASG0912 01/01/05 01/01/06 u^M^~e,u~=,,eu $50,000 PREMISES (La occurence) I CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 , 0 0 0 A X__ Contractual Liab PERSONAL &AOV ~NJURY $ i v 000 ~ 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 , POLICY ~PRO- AUTOMOBILE LIABILITY -- COMBINED SINGLE LIMIT ANY AUTO (La acddent) $ ALL OWNED AUTOS -- BODILY INJURY ~ OCCUR [] CLAIMS MADE AGGREGATE $ A Property MPASG0912 01/01/05 01/01/06 Building 919,000 A Inland Marine MPASG0912 01/01/05 01/01/06 , Ded I t 000 DESCRIPTION OF OPERATIONB I LOCATIONB I VEHICLEB I EXCLUSION8 ADDED BY ENDORSEMENT I SPEC/AL PROVISIONS CERTIFICATE HOLDER CANCELLATION 0000000 Town of Southold Town Hall P.O. Box 728 Southold NY 19971 BHOULD ANY OF THE ABOVE DEBCRIBED POLICIEB BE CANCELLED BEFORE THE SXPIRAT1ON DATE THEREOF, THE IBBUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAtLURB TO DO BO BHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITB AGENTS OR REPRESENTATIVES. ACORD 28 (200tl08) © ACORD CORPORATION 1988 This certificate is an original. STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF PARTICIPATION IN WORKERS' COMPENSATION GROUP SELF-INSURANCE la. Legal Name and Address of Business Participating In Group Self-Insurance (Use Street Address Only) Arthur J. Edwards Mason Contractor, inc. 929 Route 25 A Miller Place, NY 11764 I b. Effertive Date of Membership in the Group ~ Issue Date 3/21/2005 Expiration Date 3/20/200~ lc. The Proprietor, Partners or Executive Officers are [~ included. (Outy check box if all partners/officers included) [] all excluded or certain partners/officers excluded. 2. Name and Addrt~J of the Entity Requesting Proof of Coverage (Entity Btln~ Listed as Certifcate Holder) Town of Southold Town Hall PO box 728 Southold, New Yod( 11971 Id. Business Telephone Number of Business rderneed in box "la" 1-631-744-7185 lc. NYS Unemploytment Insurance Employer Rekdstration Number of Bustnes refernced in Box "la". 24108715 1£ Federal Employer Identification Number of Buslnes~ refernced in Box 111277925 3. Name and Address of Group Self-insurer Special Trades, Contracting And Construction Trust 6250 South Bay Road PO Sox 3580 Syracuse, NY 13220 Policy: W521504 This certifies that the business referenced above in box "1 a" is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law as a participating member of the Group Self-Insurer listed above in box "3" and Participation in such group self-insurance is still in force. The Group Self-lnsurer's Administrator will send this Certificate of Participation to the entity listed above as the certificate holder in box "2". The Group Self-insurer's Administrator will notify the above certificate holder within 10 days IF the membemhip of the Participant listed in box" la" is terminated. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for a maximum of one year from the date certified by the group self-insurer. If this certificate is no longer valid according to the above guidelines and the business referenced in box "Ia "continues to be named on a permit, license or contract issued by the certificate holder, the business must provide the certificate holder either with a new certificate or other authorlzed proof the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Certified by: David~2~.~.-Francey ~q~nt name of autho6zed ~tlv, of the Group Scl r-/namer) Certified by: .a'/'a~ .~/t~''~a~'~ /"' 3/21/2005 Title: m Telephone Number: (315) 699-8475 GS-105.2 (2-02) WORKERS' COMPENSATION LAW WORKERS' COMPENSATION LAW Section 57 Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Please Note: This Certificate is valid only through the policy dates indicated above, OR a maximum of one year after this form is approved by the authorized representatives of the Group Self-insurer. At the expiration of those dates, if the business continues to be named on a permit or contract issued by the above government entity, the business must provide that government entity with a new Certificate. The business must also provide a new Certificate upon notice of cancellation or change in status of the policy. GS- 105.2 (2-02) Reverse Suffolk County £xecudve 's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY DATE ISSUED: 7/1/78 HAUPPAUGE, NEW YORK 11788 No. 4436-H SUFFOLK COUNTY _[-Ion~ e .Dnjpro v-ezn en t Con ira ctor License This is to certify that A_RTHLrR J'EDWARDS doing business as ga'~THUR EDWARDS MASON CONTtL~.CTING [NC !:~ying ' - ' _,t ~__.;~s ._t,~ ~,, ._ reqnh'cmentsq sci £o;'th in accordancs w:'.th and subject to the provisions of applicable laws, n;,cs anx r--~a,a~on~ c,f ~_c Com~D' of SuffoLk, State of New York is hereby licensed to conduct business as a HO1VEE BMPROVEMENT CONTRACTOR, in the County of Suffolk. SUFFOLK COUNTY EXECtJTIVE'S OFF~CE OF CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR LICENSE ARTHUR EDWARDS Additional Businesses Director Suffolk Cour~ty Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 5/1/80 SUFFOLK COUNTY Master Electrician License No. 2740-ME This is to certify that EDWARD S REIFF doing business as having given satisfacto~ evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, State of New York. This ceF~ifies that the bearer is duly licensed by the County of Suffolk Charles A Gardner D,rector SUFFOLK COUNTY EXECUTIVE'S OFFICE OF CONSUMER AFFAIRS EDWARD REIFF Additional Businesses ARTHUR EDWARDS POOL & SPA CENTRE 929 ROUTE 25A MILLER PLACE, NY 11764 516-744-7185 FAX-744-0174 APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD TOWN OF SOUTHOLD MAIN ROAD (P.O. BOX 1179) SOUTHOLD, NY 11971 (516) 765-1802 PAPERS ENCLOSED: [~ APPLICATION FOR OUTDOOR POOL PERMIT CERTIFICATE OF WORKER'S COMPENSATION CERTIFICATE OF LIABILITY INSURANCE SUFFOLK COUNTY LICENSE ~ SUFFOLK COUNTY PLUMBER LICENSE SUFFOLK COUNTY ELECTRICIAN LICENSE 3 SETS OF PLANS 3 SURVEYS C.O. TAX BILL $150.00 CHECK FOR PERMIT FEE PLEASE CALL OUR OFFICE IF THERE ARE ANY QUESTIONS REGARDING THIS APPLICATION. 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 1 st NOTICE September 29*h, 2008 Eugene & Kristen Peters 655 Harvest Lane Mottituck, N.Y. 11952 RE: 655 Harvest Lane (In/Ground Swimming Pool) 5CTM # 1201 -3-8.32 bear Mr. & Mrs. Peters, Please be advised that your Building Permit # 31416 issued September 1st, 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 Tnspector's. If you have any questions please call us at 631-765-1802 Respectfully, 5outhold Town Building bept. 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 November 24th, 2008 Eugene & Kristen Peters 655 blarvest Lane /dattituck, N. K 119§2 2nd NOTICE /~E: 655 Harvest La, (£n-Ground PooO 5CT/d: # 120.-3-8. 32 Dear d~r. & A~rs. Peters, P/ease be advised that your Buildin9 Permit # 31416 issued September Jst 2005 has expired. Accord/n9 to the Code of the Town of Southo/d, a Certificate of Occupancy must be issued before the use of the structure. To renew your Buildin9 Permit, p/ease submit a fee of ~150.00; at time we can schedu/e an inspection by one of our Bu//d/n~ Inspector's. If you have any questions, p/ease ca//us at 765-1802. Qespectfu//y, $OUTHOLD TOI4/N 8U£LD£N~ DEPT Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD Januar)/ ~t~, 2009 Eugene ~ Kristen Peters 655 Harvest Lane 114attituck, ~ Y. 11952 FINAL NOTICE RE: 655 Harvest La. (_Tn-Ground Poo/) 5CTA4: # 120. -3-8. 32 Dear A~r. & Hrs. Peters, P/ease be advised that )/our Buildin9 Permit # 31416 issued September 1st 2005 has expired. ~ccord/n~7 to the Code o£ the Town of $outho/d, a Cert/£/cate of Occupanc)/ must be issued before the use of the structure. To renew )/our Building Perm/t, p/ease submit a fee of ~150.00; at time we can schedule on inspection b)/ one of our Building.7 £nspector's. you have any questions, p/ease ca//us at 765-1802. Respectful/y, $OUTHOLD TOWN BU_TLDZ'NG DEPT % '70-Ia~-oo~ 12+,s5 ~ Oo~-- - - THE LOCATION OF WELLS, SEPTIc TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVATIONS AND OR DATA OB];AINED FROM OTHEN$. ~,~ ~ e~v~d ~r~,, ~ ~..,.,d~l ~,~l',, .,~. ~ DESrlN G. fiI~ ~y __ ~ DESTIN G. GRAF N.Y.S. UC No. 50067 SCALE: $ G N Bench R $ B Ko... A-C 9'-5" B-C 19'-8" A-D 19'-6" B-D 9'-2" A-E 24' B-E 54'-5" A-F 50' B-F 24'-1 ~" A-O 26'-11" 13-O 36'-3" A-H 29'-7" B-H 29'-4" A-J 59' B-J 28' A-K 5g' B-K .39'-11" A-M 52'-5" B-M 50' A-N 50' B-N 62'-11" B-P 52'-8" A-R 52'-8" N-P 26'-8" G-N 26'-8" I POOL & SPA CENTRE o.~ .,, e,q ~ A,d. Plan A '"" '" "-" ~ Piping Arrangement Section B-B ,.~ Section A-A Typical Wall Section ~8~' 18' 8~' 8' ~' ~' ~' ~' 8' ~1~ 1~,~ PER'CRETE W~ I~'t~' ~' s~' t~' I~' ~' ~' ~' ~ ~.~ 9~ R~u[~ ESA Miller Pl~ce NY 11764 ~ 24'I~' ~4' 4( Iff 14' 8' 4' 8' lO' 7~8 ~,~ S~folk ~eense ~4486-1tl U'148' ~' 48' 20' 16' 8' 4' 6' JO' ~ 90,~ Nassau ~eense ~lHT445UOOO