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34954-Z
Town of Southold Annex 54375 Main Road Southold, New York 11971 2/22/2011 CERTIFICATE OF OCCUPANCY No: 34845 Date: 2/22/2011 THIS CERTIFIES that the building 1N GROUND POOL Location of Property: 905 HARVEST LA MATTITUCK, SCTM #: 473889 Sec/Block/Lot: 120.-3-8.34 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 8/19/2009 pursuant to which Building Permit No. 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 ~round swimming pool with fence to code as applied for. Lot No. filed hi this officed dated 34954 dated 8/26/2009 The certificate is issued to Mavellia, Joseph & Mavellia, Linda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 34954 8/20/10 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. 34954 Z Date AUGUST 26, 2009 Permission is hereby granted to: JOSEPH W & LINDA MAVELLIA PO BOX 313 MATTITUCK,NY 11952 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR at premises located at 905 HARVEST LA County Tax Map No. 473889 Section 120 Block pursuant to application dated AUGUST 19, 2009 Building Inspector to expire on FEBRUARY MATTITUCK 0003 Lot No. 008.034 and approved by the 26, 2011. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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 topographic features. 2. FinaI 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. 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: I. 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, 3. 4. 5. Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate o f Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ] ~/ New Constraction: Old or Pre-existing Building: Location of Property: ~O ~_'~ J-/~;Pt/' ~. ,'~ J~}5 House No. Street Owner or Owners ofProperty: ,J~5£P,qVJ, c .L/&/D,4 /vlAv't.CZ. Li:A Suffolk County Tax Map No 1000, Section Icao Block ~OO i.3 Subdivision Filed Map. Date ofPermit.~9{~t~.j~. 2o~cl Applicant: Underwriters Approval: Permit No. ~°1~O],~-~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ -~O rY~ (check one) Hamlet Lot O© ~", 03+ Lot: Final Certificate: (check one) - Applicant Signa~re - 'l'(m u ltall Annex 1375 Main Road P.O. Box 1179 Nottdlolll, Nh' 11971-0959 Tclcphone (631) 763-1802 1%, (631) 763-9302 ro.qer, richert~town.southold.n¥.us BIIILDIN(; I)EISM/TMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Joseph Mavellia Address: 905 Harvest La City: Laurel St: NY Zip: 11948 Building Permit #: 34954 Section: 120 Block: 3 Lot: 8.034 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Elec Tec Inc License No: 4814-me SITE DETAILS Office Use Only Residential ~ Ind°°r ~ Basement ~ Service OnlyR Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C 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 I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures [~ TVSS pool bonding, 2 pool lights, 4 pool pumps, 3 GFCI circuit breakers, control panel Notes: Inspector Signature: Date: Aug 20 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) ~ ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [~]~ FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FI~ERESiSTANTCOW'?mJCTI(X~ REMARKS: I"- 1-11 DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INS~JLATION [,~FINAL ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] FIREPLACE&CHIMNEY [ ] FIRESA~.,-,flNSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTA#T FF. NETRATION / INSPECTOR~ DATE TOW~ OF SOUTHOLD B~ILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined t [ o}~, 200c~ Approved ~/~q, 20 0q Disapproved a/c Expiration )(r)-¢ , 20 [[ .AUG 1 9 2009 BLDG. I)EPL IOWN qMqcqtqtO ns application ~w~o PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Plamfing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Pemfit Storm-Water Assessment Form Contact: Mail to: Phone: :ATION FOR BUILDING PERMIT Date / ~ ~-J.f-4' ,20 OOl INSTRUCTIONS filled in by typewriter or in ink and submitted to the Building Inspector with 4 Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 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 fbr 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 proper~y 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./~"]/fl~5'~ /r?-- "'~, ' (Signature oitapplica-nt-O¥'~ar~e, ifa corporation) "IMMEDIA'[ELY" ENCLOSE POOL TO CODID. (D..~(._ UFN::)N COMPLETION (Mailing address of applicant) State whether applicant is owg,~.~ner, lessee, agent, architect, etigilke~..geaeral contractor, electrician, plumber or builder UNDERtNR~R$ CB~t ~ ·,REQUIRED q J, , APPI:IOVED .AS NOTED · - '(A-s on the tax roll Jr lat~}"~ .... If applicant is a corporation, signature of duly authorized officer =~? .:)-'q."/] .... S' '-~ _~------ 0m ..... OR ': (Name and title ofcorpor ce ~,J 1 -" .~: UNLAWFUL -' ', '- ..ji' UbL,,Ur~l~U ~ 4. FINAL - CONS" ' '~! MUST 1. Location of land on which proposed work will be done: .<F~r, ~;~T[~.~.T'~ SHALL ~k!EET THE House Number Stree~EET THE REQUIR%';EN~S OF THE ~R CONSTRUCTION ERRORS. CODES OF NEW YO~:;K STATE. County Tax Map No. 1000 Section loon Block__~~ Subdivision Filed Map No. ~[I!~T T~~ OF THE TOWN CODE, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy F-Z.'~ ~ c' t5K~2(::- b. intended use and occupancy_ Repair Removal 4. Estimated Cost 5. If dwelling, number of dwelling units If 9arage, number of cars Nature of work (check which applicable): New Building Demolition Addition Alteration Other Work Pc~o [ Fee (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 Height. Number of Stories Rear Depth 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 r ! 9. Size oflot: Front Io~.~ Rear 1~4,4-4- Depth,,,~ .DePth. 10. Date of Purchase 21213 Name of Former Owner 1 l. Zone or use district in which premises are situated l 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO__ / 13. Will lot be re-graded? YES: NOV/W!!10e/~cess ,fill be removed from premises? YES NO 14. Names of Owner of premises lq]~A, ,JkJ.,~klV¢//~dress ~DO~-31"~ Phone No. Name of Architect "--- Address Phone No Name of Contractor ~E~--T a-- O-~'Pg:)'{ ICl ~ '(- Address !c20 ~'-1:32~' Phone No. 15 a. ls 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 distanp,e~ to property lines. 17. If elevation at any point on property is at 10 feet or,~elow,,, ,must prb,J(de topographical data on s.~vey. 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~q~C~ L/,Vc>,,l- MAv¢&u ~ (Name of individual signing contra/ct~bove named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) being duly sworn, deposes and says that (s)he is the applicant CONNIE O. BUNCH Note~y Public, State of New York Qualified in Suffolk County Commission Expires April 14, 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 true to the best of his knowledge and belief; and that the work will be perfbnned in the manner set forth in the application filed therewith. Sworn to before me this a }q'~ day of r~.~ 20 ~Pq Notary Public Signat'ur~/6~Appl[c~n~ - Town lhll Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ri--rt'''F~cne ¢631} 76,~-,~,~. ro~er . (~.~la .nv.u~ BUILDING DEPARTMENT TOWN OF SOUTHOLn APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: ---j_ [c_~ t(~) JOBSITE INFORMATION: (*Indicates required information) 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: _~NO YE.S~ Temp Information (If needed} · · Service Size: 1 Phase 3Phase 100 · l~ew Service: Re-connect Underground Al~clitional Information: RoUgh In Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form lO Town of Sou'thold Run-off Erosion, Sedan & Sto~ ASSESSMENT FORM THE Fm; nt!~lNG: ACTIONS MAY REQUIRE THE SUBMI$$1OH OF A Item Numbec 1 2 3 4 5 6 ? 9 (NOTE: A Check Ma~ (~) for each Que~on is Re~uk~nd for a Comptete APPlication) Will this Proje~ Retain All Steml-Water Run-Off Oebefllted by a Two (2') Inch Rainfall On Silo? (This item will Incinde afl mn-off created by sltb deering eed/or constructlce activities as well as all Site tmproveFteofs and the pem-~nent ~'eatloe .of ~ surfaces.) / Does the site Pt'an and/or Survey Show All Proposed Drainage Stmck~es I~diceting Size & Leeaaon? This Item shalllnclude all prolx)sed Grade Changes and Slopes Controlling Surface WatenCtewi -- Will this project Require any Land Filling, Grading or Excavallon wfiere there is a change to the Natural Existing Grade Involving mom than 200 C, ubte Yards of Maisdal within any Parcel? Will this Apfdisafien Require Land Distud0ing A~lvittes Enoompassing an Ama in Excess of Five Thousand (5,000) SclUa; Feet of Gl~0und Sudaoe? Is there a Natural Water Course Running through the Site? is this Project within the Trustees judsdidion Or within One Hundred (100') feet of a Wetland or Beach? I--"--1 Will there be Site preparation on Existing Grade Slopes which E~ceed Fifteen (15) feet of Vedical Rise to One Hundred (100') of Hedzcetal Distance? r--.T=1 ~ill Driveways, Paddng Areas or other ImDen~lous Sur[aces be Sloped to Direct Stern~Water Run-Off into and/or in the directiee of a Town dgh!-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 Ddveway Aprons.) Will this Project Require Site Preparatio;1 within the One Hundred (100) Year Flood~)lain of any Watercourse? NOTE: If Any Answer to Questions One th~ongh Nine is Answered with a Check Mark in the Eex, a Storm-Water, Grading, Drainage & Erosion Control Plan Is. Requ red and Must be Submiffed for Review Prior to Issuance of Any Building permltl -- Yes No EXEMPTION: Doe~ this project meet the minimum standards for olasslficefloe a~ an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT RequIrecll __ __ CouNTY OF .~~ ................. SS Notary Public, St at e~ ~ot~__New York That l ................................................................................. being duly sworn, deposes and says e~e/~t~t~y . -- (Name 6f individual signing Document) Commission Expires April 14, 20~ And that he/she is the .............................................................................................................................................................. thc sa[d work and to Owner and/or representative of thc Owner of Owner's, and is cluly authorized to pcd'orm or have performed make an(] file tiffs application; that all statements contaJnccl in this applicauon a~c true to thc best of his lmowlcdgc and beliefi and that the work will be peri'ormcd in thc manner set forth in thc application filed herewith, Sworn to before ne thi~; FORM - 06/07 /°co-/~,~ -%-"~, "54. TOW. OF SOUT.O,D OWN~ER ~T-R~ ET .~0,~~ -- VILLAGE --D~ST~' SUB. LOT ~ TYPE OF BLD. ~ .~z~o /~%l,t~f ............ ~/~ /= ~o ~o~' ~ / oo ~/~,/a¢ FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD ~¢%D~N2~ ~ ~O DEPTH M~ADO~LAND BULKHEAD HOUSE/LOT .~ ~O //~ TOTAL ~ ~ 120-3-8.34 4/01 I I[lllll~l-I[I I] '1 I1~1 I LI I I I I t~1 I'~ ~e It l I I I I I.IPI~ 11 / II, III1 I IF' 1~4,,3; I,,t I~T'-T-I~I II [ I II ~.L ~JCFT'7-~, ~,~-I !1 III COLOR TRIM M. Bldg. ~,x-,~: Io~, ~ Foundation Bath ~ ~_ Dinette Extension ~,'(~- ~ ~ ~ ~ ~07~ Basement ~L Floors Kit. ~*~; ~ Int~iorFinish ~ L'R' Extension q x ~: ~l~ ~ Ext. Walls ~,~,~( ~,~ Extension Fire Place y~ Heat ~ ~% ~ D.R. Patio3l°q /~x~O = ~OO ~, ~. Woodstove BR. Porch ~'~ ~ ~O ~ Dormer Fin. B. B~ ~1~ ~, ~ Rooms 1st Floor Garage ~ ~ = ~2~ ~ t~ /~/~ Driveway Rooms2ndFIoor ~ ~ JOB No FRMV-45 TAX I.D. No. 1000-120-03-8.34 LOT 7 LOT 8 HARVEST LANE [ 50'] A N 70°19'30"E 125.05' ~_ WOOD o PORCH LOT 46 ~ 9o o m 2 ST F~^M[ CONC ENT CONC PLT DWELLING DOWN LOT 47 Z THE LOCATION OF WELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. FILE MAP No. 8808 911/89 C~-H [ Of CORRAL; ~ON' E 1185-4 Fr27"g/'26/gT' L 11866 P 247 12/5~7 'SC~FOLK.~ S 70°18'00"W 124.44' N/F KUJAWSKI LOT 44 OF F,,~AL TH SERVIC'"r~ CERTIFIED ONLY TO: JOSEPH W. MAVELLIA AND LINDA MAVELLIA NORTH FORK B/~IK OLD REPUBLIC NATIONAL TITLE INSURANCE COMPA¢,~/ CLASS ABSTRACT SERVICES INC. By DESTIN G. GRAF N.Y.S. LIC No. 50067 SURVEY- OF: LOT 45 MAP OF FARMVEUASSOCIATES MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 12/28/00 SCALE: 1"=50' ESTtN G:GRAF ND SURVEYOR Point, N.Y. 11778