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Home My WebLink About36239-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/30/2012 CERTIFICATE OF OCCUPANCY No: 35722 Date: 5/30/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: IN GROUND POOL 365 BAYER ROAD, MATTITUCK NY 11952, Sec/Block/Lot: 139.-3-11 Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/4/2011 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: accesso~ in ground swimmin~ pool with fence to code as applied for. Lot No. filed in this officed dated 36239 dated 3/16/2011 The certificate is issued to Mary Bertsch & Francis Katulak (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36239 6/8/11 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36239 Date: 3/1612011 Permission is hereby granted to: MARY BERTSCH & FRANCIS KATULAK 178 ATLANTIC STREET GLOUCHESTER, MA 01930 To: construction of an inground swimming pool in the rear yard as applied for, fenced to code At premises located at: 365 BAYER ROAD, MATTITUCK NY 11952 SCTM # 473889 Sec/Block/Lot # 139.-3-11 Pursuant to application dated To expire on 9/14/2012. Fees: 314/2011 and approved by the Building Inspector. SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE CO - SWIMMING POOL Total: $250.00 $50.0O $300.00 Building Inspector Form No. 6 TOWN 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. 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. 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 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. Updated Certificate of Occupancy - $50.00 5. Temporary Certiticate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ¢ Location of Property: _ 3 ~-q~ House No. Owner or Owners of Property: t~/2flJ,~ Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: Street Subdivision Permit No. 3~q Health Dept. Approval: Date of Permit. Block 3 Filed Map. Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date. .,~- q - // (check one) Hamlet Applicant: Underwriters Approval: Lot Lot: Final Certificate: i,~ (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971 0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 ro.qer, dchort~town.southold nv us BUILDING DEPARTMENT TOWN OF 8OUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Bertsch / Katulak Address: 365 Bayer Rd City: Mattituck St: NY Zip: 11952 Building Permit #: 36239 Section: 1 39 Block: 3 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Bec Tec Inc License No: 4814-me SITE DETAILS Office Use Only Residential ~ 'nd°°r R Basement ~ ServlceOnly~ Com medcal Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixturest~l[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtun~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS in ground swimming pool to include, bonding, 1-control panel Notes: Inspector Signature: Date: June 8 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY RRE RE~STANT CONSTRUCllON ~LELECTRICAL (ROUGH) REMARKS: INSPECTOR~ ?$~-'1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTAk'I'CONSTRUCTION [ ] RRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~] ELECTRICAL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [~AL ~ ~/~ [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: f~,-/~ ~ /~ ~ ~,/-~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]/INS~,~ [ ]FRAMING/STRAPPING [ ~j~.N/~ [ ]FIREPLACE & CHIMNEY [ ] FIRE~6AF_E:i:Y~INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION []ELECTRICAL (ROUGH) []ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR Fo~A~O~ 0ST) c~ ~G ~S~ON P~N. Y. ,' ~ STA~ E~ CODE ~ ~D~iON~ CO~TS % .. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ,.~3/~,& 20 // Approved ~//~,~, 20 l/ Disapproved a/c Expiration 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. Trustees Flood Permit Storm-Water Assessment Form ~ Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,20 // a. This application MUST be completely filled in by typewriter or in ink and subinitted 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 fbr 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 shah 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 Pemfit 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. If april.cant is a c,,c,c~yation, .siS~nature of duly (Name and title of corporate officer) CCU, ANb ' UR USE IS UNLAWFUL (Signature ofapplicantorname, ifa corporation) 'NITH()UT CERTIFICATE - (Mailing address of applicant) owner~'sOOCiJPANCY . ~,,::. :, ,. ~.~ whe,h ,app i an, is , ag =, a.c.,tec,, en ne r, gene.., bu,d . FEE: ~. BY {~ Name of owner of premises /~/T ~ ~~ NOTIFY BUILDING DEPARTMENT AT (As on the tax 7--- -02 8A~ TO~ P~ ..... roll or latest~NG INSPECTIONS: ffuN authohzed officer I. FOUNDATION - T~ REQUIRED Builders License No. /5://~? // Plumbers License No. Electricians License No. Other Trade's License No. ,'IMMEDIATELY'*._ ENCLOSE POOL TO OODI UPuN COMPLETION BF..FORE WATER Location of land on which proposed work will be done: House Number Stree~NSPECTION REQUIRED County Tax Map No, 1000 Section 4~ Block ~3 FOR POURED CONCRETE 2. ROUGH- FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3, INSULATION 4. FINAL- CONSTRUCTION & ELECTRICAL MUST SE COMPLETE FOR CO. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STA . NOT RES 0NS,SLE D~StGN O~.CTI~ r~,~.R U NOFF /4,.4:77., 7~I~SUANT TO CHAPTER 236 Hamlet Ol- IHl: IUWN CODE. Filed Map No. //~ ~/ Lot ,// Lot ~z. 3~ 2. State existing use and occupancy of premises and intended use ~ ocmapancy of proposed construction: a. Existing use and occupancy ./_~vZ~' .,~, ?~3i79a~c,~ b. Intended use and occupancy i.5~o~7~ ,r~. T~.~,~--.~c~- ~:,_~727 /x~,~D .~c/,~,.t0 ~c~. 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Ad, dilic~ , 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 oD, g Rear Height /~' Number of Stories / Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear_ Height Number of Stories 9. Size of lot: Front ,/~O / Rear /Oo ' Depth .Depth Rear 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? YES NO 13. Will lot be re-graded? YES ,X'/NO Will excess fill be removed from premises? YES,5( NO Address~5- Address Address 14. Names of Owner of premises Name of Architect Name of Contractor ~og 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland7 *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland7 * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Phone No..ff?o Phone No Phone No..7'ff f- NO P( 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO · IF YES, PROVIDE A COPY. STATE Q?_NE~w COUNTY O&~./~,~ s ~'-L~..~-~ t .ff'3.),./~,L,,~.od( . being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing Oontract) above named, (S)He is the (Cbntractor Age,nt, Comorate Officer, etc.) of said owner or owners, and is dulyanthorized t6 pe~o~ or h~age_:l~rfgrmed the said work and to make and file this application; that all statements contained in this.application are tr~e ;to th~ best of his knowledge and belief; and that the work will be performed in the manner set forth in the 'application filed therewith. Sworn t,0 laefore me thi~ ] .4' ~-'-S ig~aaturCg-6~App lic ant M~ ~ ~~ Town of. Southold Er?sion, ~limentati°n & S~orm-Water Run-off ASSESSMENT FORM PIK~E~Y LOG~'n~N: S.CT~ ~ ~E ~Ne ~ ~y ~U~ ~E SUB~N,OF A ' ~go~wo~ - t~o~ ~u~~ ~/~~ ~ ~ ~o ~~~n~b~Y~ ~ ~ ~~: , . ~H~(l~feet ofa~ ~~~~~n~(l)~ ~~n(15)~et~V~ I I- V ' ~~d~aS~S~b~~ ~eH~(l~ofH~l.~? ' ~ ~ ....~ ~m.~~...' . . · . .' . . 3~t ~d ~ ~, ~ ~, ................... ~z ............ ......~ .................................... , , ~:~'~~) .................................... ~t ~ ~A ~ ~ ~o~ ~ ~c ~ ~ [~ A Ac .~on ~ h~. S~ ~ ~f~ me ~ , , ............. ....... NOCaly pUb#C, 8lite O~ New Yol'k NO. 01GL48'/'BeO~ Qualll~l In BuiCk Oounty.~.~ / / / uommlsslon Expk~ Dec. 6, Town Hall Annex 54375 Main Road P.O. Box 117~ Southold, NY 11971-0959 Telephone (631) 765-1802 ro~er · ira. town. sou[nolo, nv. us BUILDING DEPARTMENT TO',~N OF 8OUTHO~.n APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) Lot: *Name: *Address: *Cross Street: *Phone No.: Permit No.: ~/'_~ 3q Tax Map District: .4~00 Section: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Block: (Please Circle All That Apply) *Is job ready for inspection: ,Do you need a Temp Certificate: Temp Information (If needed) *Service Size: 1 Phase *New Service: Re-connect Additional Information: 82-Request for Inspection Form 3Phase 100 Underground YES'~) Rough In Final Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 150 200 300 350 400 Other / .A T MA TTITUCK ,%/ TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. Scale: 1" = 30' ~ ~~'~~. ~~-~~ a~ = e~ ---x~ g30 ~AVELER STREET I ! ~~~r~~ m~ ~taw. ~ ~ ~ ~r[ , $~, N.Y, 11971 ~ - 99.q POOL DIMENSIONS TYPICAL WALL SECTION AT 'A' FRAME POOL PLAN TYP. PANEL STIFFNER M,..~T.,~.~,cu~ I ~ ' SECTIONS . 1-1 K L : ~ ~: ~ I R~. CORNER CONNECTION DETAIl ~ C~B~ ~ C~ MA~ N~ Y~ 11 ~2 A IS~,ALE N.T.S. DR~NING NUMBER OF