HomeMy WebLinkAbout32407-ZFORM NO. 4
TOWI~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34681 Date: 11/16/10
THIS t~u~TIFIES that the building SWI~4ING POOL
Location of Property: 135 MEADOW BEACH LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax~4ap NO. 473889 Section 115 Block 17 Lot 17.25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 5, 2006 pursuant to which
Building Permit No. 32407-Z dated OCTOBER 5, 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to SUSAN J & STEPHEN MCCA~E
(OWNER)
of the aforesaid building.
SoF~OI~ C~)I~Y DEP~/~T~T OF }~J~TH A~PRO~]kL N/A
EI~CTRICAL c~KTIFICATE NO. 83306C 12/10/03
PLOUghERS c~KTIFICATION DA'r~u N/A
Rev. 1/81
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. 32407 Z
Date OCTOBER 5, 2006
Permission is hereby granted to:
SUSAN J MCCABE
PO BOX 1254
CUTCHOGUE,NY 11935
for :
CONSRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD
AS APPLIED FOR. THIS PERMIT REPLACES BP 29797.
at premises located at
County Tax Map No. 473889 Section 115
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
135 MEADOW BEACH LA MATTITUCK
Block 0017 Lot No. 017.025
5, 2006 and approved by the
5, 2008.
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. 29797 Z Date OCTOBER 10, 2003
Permission is hereby granted to:
SUSAN J MCCABE
PO BOX 1254
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 135 MEADOW BEACH LA MATTITUCK
County Tax Map No. 473889 Section 115 Block 0017 Lot No. 017.025
pursuant to application dated O_CTOBER 10__, 2003 and ap~ the
Building Inspector to expire on APRIL 10, 2005J
Fees 15SOO
-- Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC
This application must be filled in by typewriter or ink and submitted to the Building Depai
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, stre,
topographic features.
itU
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 certifying that the solder used in system contains less than 2/10 of 1% lead.
5.
Conm~ercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
Submit Plmming 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. If a Certificate of Occupancy is
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 dwelliug $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, Conwnercial $15.00
Date. f///C /Ia
New Construction: ~' Old or Pre-existing Building: (check one)
LocationofProperty: [~1~ ~,t ~"~t~ff~._ ~ d~t~r'~,'~c.~. ~y
House No. Street Hmffiet
Owner or Owners of Prope~y: ~,~ ~ ~ ~ ~eC~
Suffolk County Tax Map No 1000, Section //~. OO Block /~. o O Lot / 7. ~
Subdivision
Permit No.
Health Dept. Approval:
Date of Permit.
Filed Map. Lot:
/o./{'/0~ Applicant: 6'Xb'~l~.d~ ~me.~5
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~.~'. oo
Final Certificate:
(check one)
~.~'~lic/~t Signature
Issue Date
12/10/03
Electrical Inspection Certificate
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, NewYork 11772
(631) 286.6642
Application
83306C
Issued To: Steve Jacobs
Street: 135 Meadow Beach Lane
Village: Mattituck Zip: 11952
Section: 115.00 Block: 17.00 Lot: ~7.25
'Contractor: Hank*s Electric Inc. (L)
Town: Southold
Lic. # 2675-E
Was examined and found to be in compliance with the National Electrical Code.
[] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement [~]HotTub
[] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
2 2 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
/
Bldg. Permit:
Other Equipment
11-30A Sub Panel
1-20A Spec Rec
1-20A Time Clock
Hugo S. Surdi
President
Rough Insped:ion: 12/09/2003
Inspector: Sean P. Hightower
Final Inspection: 12/09/2003
Inspector: Sean P. Hightower
This certificate must not be altered in any manner. Inspectom may be identified by their credentials.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ~N
[ ]FRAMING [/~I~AL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE !,~ //~/~
/
INSPECTOR
//
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [~ FINAL ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING~ FINAL ~.. ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
/~/~
Examined
Approved
Disapproved a/c
Expiration
PE ,T NO. 7 ?e ? e-
BUILDINkJ PElAMff APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey_
Check
Septic Form
N.Y.S.D.E.C.
>-> Trustees
,20_ _ Contact: ~u3~x }~t~ ~r ·
~~[j tspector
APPLIC~T~FOR BUILDING PE~IT
Date ID}lO ,20 03
INSTRUCTIONS
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 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
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 the Building Inspector
issues a Certificate of Occupancy.
f. Every building perm/t 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, 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 remalations, and to admit
authorized inspectors on pren'dses and in building for necessary inspections.
(Signature of ap/licant ~>r flame, ifa corporation)
[~ ~)fl& (~.[M~iling address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises~)-l-e~k/Cfx ~l_¢d ~aSar~ ~tCO~ (
(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 License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land~ on which proposed work
House Number Street
County Tax 1V~. ap No. 1000 Section
Subdivision
(Name)
will be done:
Hamlet
lock,
Lot
Lot
2. State existing use and occupancy of premises and intruded use and ~ccupancy °f pr°p°sed c°nstructi°n: a. Existing use and occupancy
b. Intended use and occupancy ~,~
3. Nature of work (check which applicable): New l~ildlng ~)o o L- / Addition Alteration
Repair. Removal Demolition Other Work
(Description)
4. Estimated Cost ~ 10t600.°° Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front
Height Number of Stories
Depth Height
Rear
Dimensions of same structure with alterations or additions: Front
Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
(~) Size of lot: Front 1'/O' Rear [(~L4'' ~' 1
Name of Former Owner
Depth
10. Date of Purchase
Rear
Rear. .Depth
Depth & O ~-bO
11. 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 v~NO__Will excess fill be removed from premises? YES__
14. Names of Owner of premises ~-~t4,StlXx ~c ~0J~ Address I
Name of Architect ~.Zo3 --~*hn ~ 0,'~ Address I I~o
Name of Contractor ff'.odet'lCear Address or'/}
15 a. Is this property within 100 feet ora 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.
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,.~j~. )
~ t,L~(~C~ ~r~0_ C&~l~) ~.-- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the D ~.~ fi~"-
(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 ali 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 before me this
q'~ day of C5 c~-~ 20 0_3
' Notary Public ' (x~)
NOREEN L HAGER '~
~oq,~*~ vua~c, ~A~ 0~' ~qgW ,mm[
QUALIFIED IN 8UI=FOLK COUNW
Signat ur e o~A~pp(licant
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
July 18th, 2006
Susan J. McCabe
P.O. Box 1254
Cutchogue, N.Y. 11935
RE: 135 Meadow Beach La.
SCTM# 115 0017 017.025
Dear Ms. McCabe,
Please be advised that your Building Permit #29797 issued Octoberl 0th, 2003 has
expired. According to the Code of the Town of Southold, 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,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall. 53095 Main Road
P.O. Box I 179
Southold. New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
October 19, 2006
Susan McCabe
PO Box 1254
Cutchogue, NY 11935
RE: 135 Meadow Beach Lane, Mattituck
TO WHOM IT MAY CONCERN:
We are unable to complete your Certificate of Occupancy because of the following reasons:
An application for Cedificate of Occupancy is not one file. (Enclosed)
No Electrical Underwriters Certificate on file.
/- The check is (not on file) $25.00
Final Health Department approval not on file.
No final inspection has been completed.
No Plumber Solder Certificate on file. (All permits involving plumbing issued after
4/1/84)
Certificate of Compliance from the Trustees.
Final Planning Board Approval
BUILDING PERMIT: 32407 -Z Swimming Pool
Thank you for your cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765~9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
2nd Notice
November 24, 2008
Occupancy or use is unlawful without a Certificate of Occupancy
Susan McCabe
P.O. Box 1254
Cutchogue N.Y. 11935
To Whom It May Concern:
It has come to the attention of the Southold Town Building Department that a Certificate
of Occupancy has never been issued for Building Permit # 32407 issued on October 5,
2006 for an lnground Swimming Pool. In order to rectify this situation please submit the
following to this office so that a C.O. may be issued.
~.,~n application for Certificate of Occupancy is not on file.(Enclosed)
!o Electrical Certificate on file.
The Check is not on file -$ 25.00
No Final Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file. (All permits involving plumbing being
issued after April 1, 1984)
Certificate of Compliance from Southold Town Trustees.
Approval of the Zoning Board of Appeals*
Final Planning Board Approval.
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SKIMMERS
~ BUILDING DEPAR~
.SLOPE ~ ~ m 4PM.~ mE
. . . ~ILTERond PUMP
} ~ ~ ' CONsTRucTDN ~ TO RETURNS F~M FILER
C~PLETE FOR C.G. '~E TO
" CON~UCTDN ~L
· ' YO~ >TATE &[ow~cbD~, ' '
d
[;P/CA L WALL
SECTION' ..'A-A ': '
' : OPTIONAL STEP :,
NOTES ....
WA LK S , - ' CONYRACTO~'. :
· AWAY?'-' ;;I~O~L' NON S'KID TYPE: 'S'OP"O "IMMEDIATELY"
ENCLOSE POOL TO CODE RANDY, T. ' I~ODECK£R; ' INC.
WATtrI~' Sz[t:' SHALL DE LIMITED TO OWN£R'~ UPON COMPLETION
PROPrI~'I ~SUIT LOCAL RE GULATi O N.$
-,' :., BEFORE"WATER" SUIH KING POOLS
RDUT~:' 2SA
Lo~ 39
CLERK OF7 ~' '
INBMRANBE
~' : 'MAR. i2 .200~-::;.
.'<~-;';'~ :-' MAY3, 2000
'~ FEB I 2000 ,:;~,
"'~ . '. SEPT; 15 1999 "~