HomeMy WebLinkAboutZ-36506 _
_ _
~yIFFOt,~ Towu of Southold Annex 9/17/2013
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36506 Date: 9/17/2013
THIS CERTIFIES that the stracture(s) located at: 11280 Great Peconic Bay Blvd, Mattituck
SCTM 473889 Sec/Block/Lot: 126.-6-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements fora built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z^ 36506
dated 9/17/2013 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame buildine.*
NOTES: BP 29986 stee bldg w/office & meeting rm COZ32360 BP 34529 playeround & gazebo COZ-33633 BP
35760 change of use to public assembly BP 35845 alter uublic assembly bldn COZ 34734 BP 38281 electric for
baseball shed COZ 36468. BP 38282 electric service at baseball field COZ 36479
The certificate is issued to Mattituck Park Dist
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
'
Autho Si ture
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 11280 Great Peconic Bay Blvd, Mattituck
SUFF. CO. TAX MAP NO.: 126.-6 18 SUBDIVISION:
NAME OF OWNER(S): Mattituck Park Dist
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Mattituck Park Dist DATE: 9/17/2013
DWELLING:
# STORIES: 1 # EXITS: 2
FOUNDATION: cement block piers CELLAR: CRAWL SPACE:
- -
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: cov cement patio DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: only cold wat TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: none WARM AB2: HOT WATER:
# BEDROOMS: # KITCHENS: BASEMENT TYPE:
-
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST:
SWIMMING POOL: GUEST, TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 8/12/2013
-
Q ~ TIME START: END:
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/I 0 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:
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
I. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations [o dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions [o 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 Certificate of Occupancy -Residential $15.00, Commercial $15.00
Date. 8 ~-~3
New Construction: Old or Pre-existinDg Build~~i/ng: ? (check one)
Location of Property: ~/~$r7 ~f!°,L~G ~9d F1' )Jp ~>~T/TtCC',(~
House No. Street Hamlet
Owner or Owners of Property: _~2F1TT) T(,[L/< P~~~ .~l STS /Cr
Suffolk County Tax Map No 1000, Section /,Q(o Block ~ Lot
Subdivision ~/A Filed Map. Lot:
Permit No. Dat~e/of Permit. Applicant: /t'Jfj~jj7%/~ P/~,~
Health Dept. Approval: !y/,q Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ _
h~~~~-~-P ll~,l.~~ , -~>L .
Applicant Signature ,P.t'..l)/S7,PieT
MM~ss~A+~~
I
CONSENT TO INSPECTION
/~~JT/~LfC,t'~RK L/S"T~'iCT ,the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner~
s) of the premi,(s~es in the Town of
.Southold, located at //~,Pd %~ECD,?ie ~S9s~ .l~d~. / %~7Ti 7GCC'~f' ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
" Section /a~ ,Block Lot ~/dam 1 ~ i s y q C" qr~'
i
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for: the following: i°rP~ C'd
tea` X o2P' /QRT/-1 /~ou.~ ,ir z4EAP~f
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
complywith all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenring to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules br
regulations of the Town of Southold.
Dated: X7'/3 ~~1~ L.~~~e~~-y..~>-r ~~MDSSia,/~
(Signature), `
,eICSSFI[, /~l/~UAM_S~~/
(Print Name)
(Signature)
(Print Name)
OW~f OF Ht}LD PROPERTY RECORD CARD f,,z _ ~J
/or,~ ~
OWNER STREET ~ ~ s;
i1 V1LlAGE DIST. SUB. tAT ~ .S~d~. " a6/~P'•
1~ t} -
t~ ~1' ~a ~ ~CONit'? 'v!tiY JL'r~. R.
FORMER OWNER N ~ T f\, E ACR. I
S W ~~Q~f ~~tAY~ 1~l9'~' TYPE OF Bi.JlLDING l
RES. SEAS. YL. FARM COMM. CB. MiCS. Mkt. Value ~ .
LAND IMP. TOTAL DATE REMARKS
U / V J U ~f/i1~5 /aS4;2 Z c`c~,sf a.~~ !0 bar h ~ `b/.fo-'
~ > t:-yam,/G ~ o
7J~(i 1 DJ IO D
~YGo ~-/s~ ~a r~~ Edo ~torII ci of-'rsc.tA+~=~,rr~riM
04 , ~ ! ~ ~r$P~ 3r*7a1 i, . ~ .y~ .
25 P~ ~ 2 ou -rrr Gtces R?~ ?7yy3+-~1 e
' ~ Il i' 11.Se- ~ S~arn.~ lo{~Sr~71~ uyp
AGE BUILDING CONDITION
SEW NORMAL BELOW ABOVE -
'f~RM Acre Voiue Per Value
Acre
Ila6fe FROI~ITAGf ON WATER
~ailond FRONTAGE ON ROAD
~adowland DEPTH
use! Y BULKHEAD
ta! DOCK
LOR r ~ G t;f ecsk..- TRIM "(iv!
i i
~
' r
i
r
, i f
s
r , ~ I
l 2 ~ i ~ ~
, /01f r i ; '
_ ~ r e .
126.-6-18 2A3
A ~ ~ ~ ~ J 2d , 5 ~ t i ~ i
1 .1 ~ ' 1
~ r
M. BlaB..~ zo ~ i = Sib 1 I ~ 1
o ! ; ~ „/I ~
sb I---?-- ` , ~ i
e I i j
Ex io 3,g x',, ~ . i
~ G ~
/S ~C l ~ - v= yav / Foundation r Bath _ Dinette 1
Porch - 'Basement ' r Fkors K. ~
v y d C _
Porch i o xK > jI30 , 5 Q S6 Ext. Walls _ ~ Interior Finish i ~ LR.
•-r
Bree~:ewoy i 1 ;Fire Pfoce / Neat r 'DR.
Garage ~ ~ Type Roof , , Rooms ]st Floor i BR. )
Patio j Recreation Room Rooms 2nd Floor ~ I FIhI. B
O. Boo t3ormer ~Drivewoy .B
Tata2 ~ ~ I 1 ~
oS
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING I n
TYPE OF CONSTRUCTION: Wc~a=-1C_~?~~-rte # STORTES:1~_ # EXITS: ~
FOUNDATION: C~ ~ ~ BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: _ 3RD FLR: -
BATHROOM(S): p.Q~~,ITOILET ROOM(S): `~--UTILITY ROOM:
PORCH TYPE:I~'.~JI~ DE
K~, TYP~ PATIO, TYPE:
BREEZEWAY: FIR/E~PLACE: GARAGE:
DOMESTIC HOTWATER: ~ T
P~ ATE AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
ION DESCRIPTION ART. SEC.
~ ~
REMARKS:
INSPECTED BY: DATE OF INSPECTION: 3
TIME START: ~ < ND:
SANITARY SYSTEM CALCULA-16N's;
SITE DATA:
SUFFOLK COUNN TAX MAPM 1000-1286-07,16 . -
AST IRON COVERS TO GRADE SITE AREA 8.573 ACRES I
ALLOWABLE SANITARY FLOW DENS Y
P� FINISHED GRADE GROUNDWATER MANAGEMENT:ZONE IV j
ALLOWABLE FLOW:600 GPD,ACRE
1• MIN TOTAL ALLOWABLE FOR SITE(6.573 ACRES)(600 GPD/ACRE)=3,943 6 GPD
NO WELLS WITH TRAFFIC BEARING SLAU—_1
2' MAX. 4 SEWAGE DISPOSAL SYSTEM DESIGN CALCULATIONS:70'X42'BUILDING 29408OFT
0,
P° 150' 0• 0 1"' Mw. USE SANITARY KITCHEN . TOTAL
9 A INLET 1 • OFFICE 1107SOFTX.00GPD 67 GPO {
HIM. 4• DIA CLASS °• 6' OUTLET PUBLIC MEETING/CATERING HALL 63 SEATS 5 GPDISEAT 2.5 GAUSEAT 623 GPD D
2400 PIPE OR FLOW LINE MIN. 4• DIA. BEACHIPLAYGROUND 45 BAKING SPACES X15 GPD/SPACE 675 GPD
EONA
D Veterans m �IZ�N - _ ' _ PITCHED 1/4 /FT. PITCHED AL 1/8'/FL KITCHEN 206 GP TOTAL 364GPD
2400 PI ENT 1 CLASS 2400 PIPE
5 1 ' OR EQUIVALENT UTILITYIMECH EQUIP.RM. 65 SQFT%.0/GPD 4GPO
Beach AWL _ ,y _ .� , SHOWERS(EMPLOYEES ONLY) 3EMPLOVEESXSGPD 15 GPD
DIStaIGt N�o — ' �110��J_4J1 "'E, 4• nam DEPTH D, 1,
ppT \ n
\\\�
BAFFLE E G S O DESIGN CALCULATIONS: '
Peconic bay 1i r+^• WALL USE SANITARY TOTAL 1
1' � . ,...•' ( STORAGE 560 SOFT X.04 GPD/SOFT 23 GPO I I
"I 1
I wM '` TOTAL SITE SNI A0. FLOWGPD
I
,
° ___ 2 DUI SEWAGE g'Q s19n a ------
•X, pod oD°
OSAL SYSTEM
0 600 ft -__ 1 _ SE TANK sat _ 1
Ipn ' / SEPTIC By5 folk County DasINVBLt VSP 071Y !t)YLINDR@IL SEPTIC TANK I2'DIAx6'-SO DIRING'.._ 3,0007GP0
P \, I. NO'1'C T TED,A I D€mv0 `z:fi,4 cE U. !
oa '_
LOCATION MAP ;''j ' o ; J' W LL REQUIRED 205 GPO
i rho I WITH 150' PROVIDE I-1500 GALLON GREASE TRAP 6'DIAz6'DEEP WITH 5'LIQ.DEPTH.._=1500 GPD
LEAC
. G I .__ f
GPDISF............................................................ ' i
r
\;,, cesr"w FRAME MG cOwn rG sRME PROVIDE: 14-10'DIA.LEACHING POOLS WITH 3'DEPTH.................................-f,04B'S F.' s
----- $ 1�
1 I L A N19HE0 GRAM
`�• �t I TWO l.otln f"X
,1 S,Ij;09 o I IN ,•1 1' A a, 1' NIN r mF NN E _•
1' A I ° °°N-o it ' ' , ',50 MIN CIA B 0• NOTES:
PITCHED I/e'/rr. e
j ® ® 1. SANITARY AREA TO BE GRADED AS SHOWN
N q \ 2. EXISTING SANITARY SHOWN TO BE REMOVED AS PER SCDHS STANDARDS
_ _ _ - �, a oo s9 �• ®�� 3. INSTALLATION SHALL COMPLY WITH SCHDS STANDARDS
p I� 1' EROSSnVER
I-At W ® ®� PIPE . M 9�® 4. STORM DRAINS SHALL BE 20' MIN FROM SANITARY COMPONENTS :
o ; ° r w ERR B. �®� 5. KITCHEN WASTE TO BE SEPERATED FROM SANITARY WASTE
i , a� u; °py - AND PIPED TO GREASE TRAP
`1' 6. TRAFFIC COVERS TO BE USED ON ALL SEPTIC COMPONENTS
0• poNe \\ ',. �"w, I - -- 2 FT. MIN ABO GRGUNDVATER crow„°, 7. GREASE TRAP AND SEPTIC TANK SHALL BE INSTALLED PROVIu1NG
'11
A MINIMUM 5 FOOT CLEARANCE i0 BIULDING ON SLAB
C � 1
TH A
--------------•t, 3 TYPICAL DISTIBUTION AND LEACHING POOL 8 MAXIMUM OCCUPANCY OFCATERING HALL WILL S83 PEOPLE BASED ONO BE USED FOR INYS BUIDL NGC MEETINGS ICODE
° � 9. KITCHEN TO SERVE BEACH VISITORS AS TAKE OUT FOOD SERVICE
\ \ � ' oYK`a9 10. BATHROOMS ARE OPEN TO BEACH VISITORS DURING
o- \\ F� z I, \\ \p I �� r°t\ P SEASONAL BEACH HOURS
° \ O \P osP sD
11. SHOWERS SHALL BE CLOSED TO PUBLIC AND ARE ONLY FOR EMPL_ YEES
Z x v 12. PARKING AREAS SHOWN ARE FOR EXISTING AND FUTURE PARKING IN,
!w o yam\ y �1 ACCORDANCE WITH THE SOUTHOLD TOWN CODE
011
GSA 6^„ \, �S. .� ,•r
I:e.' - ' `\ `', - `PINING AREA
1Exls,llu swarenr m e Lp KIND KU 25 SPACES '✓ _
d 11 I INIT
. __ O JTHOLD TOWN PARKING REOU]REMENTS___,:_ ----
I rey` o�E. ern o 6 1 - - - - ' - - -1 E UM 1246 SI•' - -
oN STORAGE 434 SF 1 SPACE
\ t- A6AP�nRE."CC1 .� '3 S
ND WELLS WITH \\\ ,�F 0\*\9 SreNtlrNns - / %' OFFICE 1107 SF 12 SPACES e
150' , \ a, Bu E",n• \ _�- BEACH/PLAYGROUND 45 SPACES
\\ r LINKING AREA ss. 1 p19 _ TOTAL 83 SPACES '
s^f r , 1 5\me .I
ma Ln
NPAXING AREA \ `'• IN I
I '
-P uNlr,
NNI
Pd , e --- -- TEST HOLE
\ , ,dO � ' CAST IRON John Ehlers LS. i•rkt; I
FRAME AND 12COVER -11-2008
_ _ _ _5\'•-___ GRADE TO = B110 A.M. HIGH Tloo
1 . ' BROWN LOAMY
'aN wM1 q, FINISHED GRADE 7 6 SAND — SM 0 5 Suffolk County Health Department
! ------' GIon9 A'{ A 1
I ,�1
0 0
,
' „I '• ', _ _ - - - - - /,',' �.oo'I Vv TRAFFIC BEARING SLA •
_ _ - , ' . _ e• w 1 PALE BROWN
r S�G 2 _ . FINE TO MED CDuntg tofHeulth
V SAND - SP Suffolk Depion-Ot Belarsu
•/ ,' —� 1 • Approval]for Cons4ructi,B-0therThan BIdNIe P'nmilg
SITE n (r r/� - +�,� ' + FROM KITCHEN FLOW LINE RefereoceNo.C10- 09- 0003 �7 '
SITE PL' N KEY N �'.'i'- 4 — i Deel¢nFidw �4 a' 1
r - — yo ¢,'' MIN 4' DIA TO SEPTIC
G.T. — GREASE TRAP ' , - - " p0�p€'i ' 2.1 TB Use(s) Kee
, � W PITCHED MIN. TANK MIN. 6'
mYnn ��(83 SeQis
o _ 1/4'/FT. DIA. SDR 35 These hrva hoe viewed gw•
S.T. — SEPTIC TANK —, ;' r '- ='"' o° ' / Oy PITCHED P� dmeml
am with tkt�OD
L.P. - LEACHING POOL �- :T' S' �o9s '�� /e'/FT N��� �PeEtDleotof Health Sena standards, relauog to water
E.P. — EXPANSION POOL , ' text �e�'�6 " pt0�`'
/ , 5' LInUI DEPTH WATER IN PALE supply and sewr8e disposal. Regardless of guy omieeiouo,
ilamasisuncies or Iesk d detA amgmetim is
S - SANITARY PLUMBING LINE BROWN FINE required w h le
I{ — KITCHEN PLUMBING LINE `oo¢ 10 AEo\0 C TO MEDIUM standards, with the athcked pelma wfi&tlDepartm and Thisapproval
SD — STORM DRAIN O� / SAND SP peeifwllywdved bytGDepaetnMnt.TWsappwmd
r o o \ rtaddrddr,mlessr
I /r `\ �( c eG ❑NOLII'HI� ssWres 3 gears from the Approved dr extended or renewed.
r $ BASE SEC''fJ
— — PROPSED CONTOUR ' 61^J 4 M1N Approval Date
EXISTING CONTOUR r7 P ey
'� ' m le o
{e°� � 93 Seats 'Maxlrnucn AlloL,��d
'r G / GREASE TRAP
lV�
AUG 3 D
suFx 1099
n
BUILDING MAINTAIN 5% MAX SLOPE MAINTAIN 5% MAX SLOPE MAINTAIN 5R MAX of l=QO•I�A('gCrksf Michael Mapes.r .E•
FF EL=1 o.B / GREASE TRAP 20 FEET FROM PDO( �f1pAp RMO@S {1D
G ADE L=106 /
'IN` GRADE EL=10.0 GRADE EL=9.5 , .fkn,�t; 163 PENINSULA ATH A
A EXISTING SAN '
N� 2 wv�e.3 ' '. y;� RIVERHEAD, N.Y 11901
4 KIT KITCHEN INV=7.6
S IN —9.0 INV=88 EXISTING SANITARY BACKFILL MATERIAL � ' •1"' ° I: '6L PHONE fi31-369-2170
'r �•� I S GREASE TRAP INV=S 1 SEPTIC TANK INV=7;3 TO BE CLEAN Eu(,
4 / B' OIA x 6' DEEP 12' DIA x 5' SOLID RING 10x3 10x3 SAND AND GRAVEL L 't1 x'xSp A °I • \
r 5' LIQUID DEPTH 4' LIQUID DEPTH DIST, LEACHING POD` LEACHING POOL EL=4.6 r l li(t n�) TITLE: VETS BEACH PARK DIST.
" EL=3A EL=3.2 SITE PLAN / PROPOSEDSEPTI�iSYS.
GROUNDWATER EL=2.1 �,x0�1/ .O` w f ,
SIZEREV
1000-126-6-17.18 SEPTIC
SANITARY INVERTS OMWQIGNUMBEB
DATE:8-21-2009 SCALE: 1"-00' 8 EET 10F I
8 7 �