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HomeMy WebLinkAbout35761-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34798 Date: 01/14/11 T~IS CERTIFIES that the building SWIMMING POOL Location of Property: 2605 DEEP HOLE DR (HOUSE NO.) (STREET) Co%znty Tax Map NO. 473889 Section 115 Block 14 Subdivision Filed Map No. __ Lot NO. __ MATTITUCK (HAMLET) Lot 11.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 2010 purstu~nt to which Building Pezm/t NO. 35761-Z dated AUGUST 10, 2010 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 MICHAEL E & ANGELA R REESE ( OWNER ) of the aforesaid building. SIIF~LK CO~ DEPART~r OF ~AL~{ APPRO~I~L E~t-i'~IC3kL c~TIFICA~ NO. PLIERS CERTIFICATION DA'r~o Rev. 1/81 ~/~ 35761 09/17/10 N/A 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. 35761 Z Date AUGUST 10, 2010 Permission is hereby granted to: MICHAEL E REESE 2605 DEEP HOLE DR MATTITUCK,NY 11952 for : CONSTRUCTION OF INGROUlqD SWIMMING POOL FENCED TO CODE AS APPLIED FOR at premises located at 2605 DEEP HOLE DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0014 Lot No. 011.001 pursuant to application dated JULY 30, 2010 and approved by the Building Inspector to expire on FEBRUARY 10, 2012. Fee $ 250.00 /~ho~ignature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP This application must be filled in by typewriter or ink and submitted to the Building I A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines topographic features. JAN 1t 70il BEDG. DEPT. TOWN OF SOUTHOLO Streets, and unusual mt~al or 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. 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 cot/sent 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. U~pdated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Constmction: Location of Property: o~ O~'"- House No. Owner or Owners of Property: ~,.~, ~tatX ~ [ Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: Subdivision Permit No. 3~\ Date of Permit. Block (check one) Hamlet ~ot 11, I Filed Map. Lot: Applicant: Health Dept. Approval: Underwritem Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~'~ -- Final Certificate: (check one) Town Hall Annex ,5437,5 Main llllad P.O. 1½ox 117!¢ Somhold, NY 11971-0959 Tck, phoi~c (631) 76,3-L802 Fax (631) 765-9392 ro.qor, dchert~town.southold ny. us BI!II,DING I)EPARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Michael E. Reese ~,ddress: 2605 Deep Hole Rd City: Mattituck St: NY Zip: 11952 ]uilding Permit Cf: 35761 Section: 115 Block: 14 Lot: 11.001 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Elec Tec Inc License No: 4814-me SITE DETAILS Office Use Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~ Smoke Detectors Recessed Fixtures [.~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixturesl.~.~ Time Clocks Exit Fixtures ~ TVSS pool bonding, 1 pool light, control panel, I GFCI circuit breaker 1 20a recpticle for pool pump, 1 dead front GFCI. Notes: Inspector Signature: Date: Sept 17 2010 81-Cert Electrical Compliance Form 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 [ ] ELECTRICAL (ROUGH) ~(~ ELEC'rRICAL (FINAL) REMARKS: DATE ~,//?///~ INSPECTOR~~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I~ULATION / [ ]FRAMING / STRAPPING [ ~ FINAL FIREPLACE&CHIMNEY [ ] FIRE SA,-.' ~ I~ INSPECTION ] mERJSmStAm'COm'muc'no. [ ]~RJRaS~T,ml'prcaLrm~'n~ REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I~IALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined c~'/? ,20 /O Approved ~//o , 20 /O Disapproved a/c Expiration ~.//O, 20 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 Survey ~ Check ~ Septic Form N.Y.S.D.E.C. Tmstees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS letely 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 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 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, 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. IML t ELY" ENCLOSE; UPON COMPLETION BEFOR ~- 'W.,\TE FI" (Signature of applicant or name, if a corporation) I.,.:,,: t', ;JNLAWFUL i . '(Iviailing address of apl~licant) State whether applicant is owner, ressee, ~rgenr, hrcmre~,'engtneer, general contractor, electrician, plumber or builder Name of owner of premises /.-4//,(~" If applicant is a corpojatj, on,~sign~ure o£ duly authorized officer ( al~'~e anit title of corporate officer) Builders License No. /~.J/__. ~/~/ Plumbers License No. Electricians License No. Other Trade's License No. A. 'ROVED AS NOTED (As on the tax roll or latest deed)FEE: ..... _ BY ~ "~'- ~ NOTIFY BUILDING DEPARTMENT 1. Location of land on which proposed work will be d~JlERWRITEI:[S C[RTIFICATJ: House Number Street 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I FOUNDATION - 'riND REQUIRED FOR POURED CONCRETE 2 ~OUe..~I-FRAMING. PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3 ~NSULATION 4 FINAL - CONSTRUCTION & ELECTRICAL MUST BE C0MPLET-= ¢©~ C 0 ALL CONSTRUCTION SHA~ M[ET THE REQUIREMENTS C: THr t7 ~;E~ OF NEW YORKSTATE NOTa%P'), 5'[! FOR County Tax Map No. 1000 Section //~"' Subdivision b41Ku- a .]"~,~¢ ~,D~I~'CON~TR O,.,; i 0 t, cRmORS Hamlet RETAIN STORM WATER RUNOFF PUqSUANT TO CHAPTER 236 Block /?/ OF Filed Map No..~/;257_. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:' a. Existing use and occupancy ~ .'57~,:g'7' /~-..,~,-4~7 9~-~>~a~.~-7 b. Intended use and occupancy..~ 5.~7_~ ~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~4'~,~. ~ ~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration (Description) Fee (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 ~/, Z Height ~OD ~ Number of Stories __2 Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front /57~ / Rear //,fi3> ~ Depth Depth i 0. 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? YES NO X 13. Will lot be re-graded? YES )(' NO__Will excess fill be removed from premises? YES X NO 14. NamesofOwnerofpremisespot~' ~ Address z~ ~ PhoneNo. Name of Architect Address ~ z/~z Phone No Name of Contractortn~o'oz ~,.~-, ~.,n-~. Address ~hone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO .A * 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 a~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan an~ distances to property lines., ~ 17. If elevation at any point on property is at 10 feet or below, must provide topographical data'bn survey. · 18. Are there any covenants and restrictions with respect to this property? * YES NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) · SS: ' COUNTY OF 4, ~ ~:~?z"~tj~ /n~4~/~~ being duly sworn, deposes and says that (s)he is the applicant (Narr~ofind/vidual~aigtting contract) above named, ~ s~; (Contractor, Agent, Co,orate Officer, etc.) of said owner or ownehs~nd is duly authorized to pe~o~ or have perfo~ed the said work and to make and file this application; that all statements co~i=~ i~ this application are tree to the best of his ~owledge and belief; and that the work will be perfo~ed in the ma~er ~:~o~h in the application filed therewith. // .~°t~ub!m "°X~lifi~ in $ugolk CounW ~gnature of Applicant ~ ~ -- No 01SC47250~. ~ Term Ex"ires May 31, 54375 M~a Rozd P.O. Box 1179 · Somhold, NY 11971-0959 Telephone (63t) 765-1802 rooer, rlohertCd~o (~.l~gu~o~ .ny. us BI~'.r~G DEPARTMENT TOWN Ol~ SOUTHOL~ APPLICATION FOR ELECTRICAL INSPECTION · IREQuESTED BY: Company Name: Date: Phone No.: JOBSITE INFORMATION: *Name: *Address: · *Cross Street: *Phone No.: Permit No.: . Tax Map District: (*Indicates. required information) 1000 Section: ·//~'~ Block: ~,0//4' Lot: &//. ~/. *BRIEF DESCRIPTION OF WORK (Please Print. clearly) (Please Circle All That Apply) *Is.job lady for inspection: *Do you nccd a Temp Certificate: Temp Information (If needed}· *Service size: 1 Phase *New Service: *Re-connect Additional InfOrmation: ~! NO Rough In ~ YESES) 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION ., 82-Request for Inspection Fom~ I ~ , ~ Town of Southold Erosion, Sedan & S----to~ ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A I ~ ~- I '~ ~ I I STORM-WATER~ GRA~i~G! DRAINAGE AND EROSION CONTROL PLAN ~ I~ctio, Bilk Lot CERTIFIED BY A ~,-~i~r4 ~RG~:~IONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No (This item will inctude all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent a'eation of impervious surfaces.) 2 D°es the Site Plan and/or Survey Show All Proposed Drainage Structures indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl -- 3 WIll this Project Require any Land FJlfing, Grading or Excavation where there is 8 change to the Natural Existing Grade InvoNing mom than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ~'~ Five Thousand (5 000) Square Feet of Ground Surface9 5 Is there a Natural Water Course Rurm ng through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetiand or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking 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? L~ -- 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of r'~ any Item Within the Town Right*of-Way or Road Shoulder Area? (This Item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Fleedplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Ma~k In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be submitted for Review Prthr to Issuance of Any Building Permltl EXEMPTION: Ye~s N_._9o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drelnage & Erosion Control Plan Is NOT Requiredl __ _~ STATE OF NEW YORK, COUNTY OF ........................................... SS That I, ...~.~...~..~../_7~.........~./Z(.../...~....L:(..!..~. ............. being duly sworn, deposes and says that he/she is the applicant for Pern~it, (Name of Individual signing Document) And that he/she is the ......................... d.~.~.//~....~../~.....~.~....~...~.../...~.... ............................................. (Owner, Contractor, Agent, Coq~orate Officer, etc.) 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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fired herewith. Sworn to before me this; / /day of ,~'~O~r -^ [ 0 ................................... ~,_.~..?~ ...~ ..........:'""'T'~i'~O~'ERT'I.'~O~ JR, /~/ ~// [ ] .~// _. / ~/l~otawPublic, StateofNewYork.~.- Notm-v P.h ;~. .,~'ct~~ Qualified in Suffolk County .......... ....... .... ....... : ........ ........ (/ :~ Term Expires May 31, ~ ~ . ~ (Signature of Applicant) FORM - 06107 ~)~WNER STREET 2. ~0~'- ACFI..~ TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL TOWN OF SOUTHOLD PROPERTY RECORD CARD [j~)-..~.., 1 IVjLLAGEjj~j.'j''~i ~ C~, [ ~T.J. SUB LOT REMARKS DATE FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD - TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL t~.. Bldg~ ,,~'7 x' .,/o Ext~-~slon Extension · Exeension Porct~ Breezeway Garoge - Patio Total- Rooms 1st ~:loor ............. Roor~'2~d Floor Driveway FIN. TOWN OF SQIJ,T,I:iOLD PROPERTY ~RD 'CARD. VL. FARM CO~ TOTAL VILLAGE /)1 n 7 ~', D,S.'q TYPE OF BUILDING CB. MIC$. Mkt. Vatu~ LOT DATE REMARKS ND~V ~A~ NORMAL Acre BUILDING CONDITION BELOW ABOVE Volu. Per Acre Value FRONTAGE ON ROAD DEPTH BULKHF. AD ~/~i/SI'/j ~t7,~/ff~. ~' ~";~le ~ Town ttall Anncx 31.373 Main Rilad 1'.O. Box 1179 Somhold, NY 11971-09,59 Tclcphonc (631) 765-1802 (631) 765-9502 1½UIIJ)ING DEPARTMENT TOWN OF $OUTHOLD October 20, 2010 Michael Reese 2605 Deep Hole Dr Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: "'x~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. x"Xq A fee of $50.00. __ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35761-Z swimming pool '¸7 POOL DIMENSIONS TYP. PANEL STIFFNER TYPICAL WALL SECTION AT 'A' FRAME I I I I I N.T.S. A1 MIN. 2' THICK VERMICULITE AGGREGATE TAMPERED 31 B2 C2 D2 NER CONNE'~;TION DETAIL~ PO~L COMPuE8 WITH AH~ $14, APWNDD( G I DESIGN I~ ACCEPTABLE FOR ALL COMMON 8OII. CONDIT1ON~ POOL'rYPE: RECTAGLE I REV. JAMES DEERKOSKI, P.E. 260 DEER PATH MAITITUCK, NEW YORK 11952 DRAWING~NUMBER