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Home My WebLink About28071-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28719 Date: 08/21/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 125 WILLIS CREEK DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 17 Lot 17.17 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 25, 2002 pursuant to which Building Permit No. 28071-Z dated FEBRUARY 5, 2002 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 INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to THOMAS & SUSAN POHMER (OWNER) of the aforesaid building. SUFFOLK COUNTS{ DEPARTMENT OF H]~AL'r~APPROVAL EL~C~rKICALc~TIFICATHNO. PL~q~BERS CERTIFICATION Dki'w~3 N/A 62060 04/23/02 N/A d Signature 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. 28071 Z Date FEBRUARY 5, 2002 Permission is hereby granted to: TOM POHIMER 125 WILLIS CREEK ROAD MATTITUCK,NY 11952 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN TEH REQUIRED REAR YARD AS APPLIED FOR at premises located at 125 County Tax Map No. 473889 Section 115 pursuant to application dated JANUARY Building Inspector. WILLIS CREEK DR MATTITUCK Block 0017 Lot No. 017.017 25, 2002 and approved by the Fee $ 150.00 ~ized Signatur~ Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDINGTOWN DEPARTMENT HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Buildiug Department with the following: Ao 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 1% lead. 5. Commercial building, industrial building, multiple residences and si~nilar 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. Bo 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 a 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. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $$0.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy- $$0.00 $. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: fi, Location of Property: ] gkS' House No. Owner or Owners of Property: -~ o lwvq8 8uffotkGounts~T~ax-Map No4000; Section Subdivision Permit No. ~_<g F~"I [ - 7. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Old or Pre-existing Building: /,d,'/h?, Cr ¢k be. Street Filed Map. Applicant: Underwrilers Approval: Date. (check one) Block ~ Lot: Final Certificate: _ ~ (check one) Hamlet Fee Submitted: $ t, aat/7 oO Applicant Signature Elec /'ical Znspec Hon Ce/.H 'ca Date Electrical Inspection Service, Inc. Anolication # 4/24/02 375 Dunton Avenue 62060 East Patchogue, NewYork 11772 (631) 286-6642 Issued to: Tom Pohmer Street: 125 Willis Creek Dr. Village: Mattituck Section: 115 Block: 17 Introduced by: Hank's Electric Inc. (L) Zip: l ~957 Lot: 17.17 Town: Southold Lic.# 2675-E w~ ex~mi~d ~ £ounct ~o b~ in compliance w/fh fhe A~fio~l ElecW-ic~l Code [] Commercial F~NV Defects [] Pool [1st Floor I~lndoor [Basement [] Hot Tub [] Residential [] Det. Garage []Attic [2nd FIoor []Outdoor [] Addition []Survey Switches Receptacles Fixtures 2 1 2 Dishwasher Washer/Amp Dryer/Amp Furnace Oil Gas Circulator Meter Amps Phase UG/OH Other Equipment: ~/merl~as hea~er~oo/ /~ane/ Telephone GFI Heaters AJC Fans 1 Oven Range/Amp Garbage Disposal Smoke Detector Bell Transformer Television Carbon Monoxide Building Permit # Hugo S. Surdi President Rough Inspection: Inspector: Ed Scavelli Final Inspection: 4/23/02 Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials _ ~ . % 1 BUILDING PERMIT EXAMINER CHECK LiST APPLICANT NAME.'~.~m~ SCTM# DISTRICT: 1,000 SECTION: STREET: I~- ¢,o'~LR_.~ PROJECT DESCRIPTION: DATE REVIEWED: _/ /..r- /02 DATE SUBMITTED: t 22/02 BLOCK: Is LOT: t¢.l-~ CITY: ~ e.~ SUBDIV. NAME: ESTIMATED PROJECT COST: ARCHITECT / ENGINEER: "q/"~ FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ,~', NOTES: -- LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN. 1997 100-25. Merger.(A nonconforming at any time after 7/1/83~ ZONING DISTRICT: fi' ° ~ CONFORMING? REQ. LOT SIZE: ACT. LOT SIZE:__ REQ. LOT COV. ~--P~.~s ACT. LOT COV. REQ. FRONT ,'~ ' PROP. FRONT -- REQ SIDE la -,,,/~,~, ACT. SIDE .REQ. REAR /~ ' PROP. REAR WATER FRONT? ,,Va DESCRIPTION: -- PANEL #: ,~ J. FLOOD ZONE:_71(~, APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or ~)(BED #): DTE: / / PERMIT #:R10- TOWN SEPTIC RECEIPT: Y or N -- NEW YORK STATE DEC: .~I~-DEC ~/~/?.~ YES SOUTHOLD TOWN AL~ TRUSTEES: or TOWN ZONING BOARD APPROV TOWN PLAN. BOARD APPROVAL: YES o~___~ TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY: YES OR(1~: EGRESS (18 H min.? 4 sq total) ,¥]-'"' VENT (SQ. FT. k 4%)_ '"]'~ LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP Y_ q~P---Z / C/0 Z- ~/~ ¥' , HAVE PRE CO'S: Y OR N BP -Z / C/O Z- NOTE S: '- FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : SF 1NIT OTHER TOTAL TOTAL: SF FEE FEE FEE rOT(. SF)- ( SF)= SF X $ __ =$ +$ +$ = $ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~I, ATION [ ] FRAMING [ ~I=INAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [] ROUGH PLBG. ] FOUNDATION 2ND [] INSU~,ATION /*- *~ FRA--O LACE & CHIMNEY ~*- *' FIREP '' /. DATE INSPECTOR FI~ZI,D INSPECTION REPORT I DATE ] COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 Disapproved a/c .................................. BOARD OF BEALTB ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC ........................... TRUSTEES ...................... NOTIFY: CALL ................... ~/..~.. :.~o../ ............. a. 'rhis application -,,at be oa~letely filled in by typeariter or in ink and sttnitted to the l~lilding Inspector 3 sets of pIans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ing leeation of lot and of buildings tm premises, relationship to adjoining pr~nlses or public streets or areas, and giving a detailed description of layoat of property mast be drgan on the diagran ~ahich is part of this application. c. Tse work covered by r_his application may hOC be cctm~nced before issuance of Building Permit. d. Upon approval of this application, the l~ilding Inspector will issue a B~ilding Permit to the applicant. S~ch permit shall be kept on the pr~nises available for inspection throughout the ~ork. e. No building shall be occopied or used in ~ole or in part for any purpose ~hatever until a Certificate of Occupancy shall have been granted by the l~ilding Inspector. ArYLICATI(~I IS 1~'~-~¥' ~ to the Building Deparaent for the issuance of a B~ilding Pernfit purstmnt to the Building Zone Ordinance of the To~m of So~thold, Suffolk County, Nga York, and other applicable La~s, Ordinm~es or l~gulatitms, for the construction of buildings, additions or alterations, or for renoval or dom~lition, as herein described. 1he applicant agrees to o,,,.,ly ~rith all a~licahle la~s, ordinances, lmilding code, hoasing code, and in buildi r eeces i tions. '~LTJ" (l~lailing tess ~;~'~licant¥ 11'77~ State ~hether dl.lAicant is ar, lessee, agent, architect, engineer, general contractor, electrician, plunber or builg ~ of ~ of ~se~ .Tam...~..m. cc. ................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signatm-e of duly authorized officer. (l~te and title of corporate officer) Pl,,~_rs License No. ~ ................... Other Trudo's License No.. ~ ............ .................... .... .... ...... ......... ~ a~r Strut ~et ~,,=~~,~...~. ...... ~ .... ..... ~t ~ivisi~ ~.~..[.{~...,~.~.., ..... , Fil~ ~ ~ ................ lot ............... 2. State o~sti~ ~ ~ ~ of ~at ~ int~ ~ ~ ~ of ~o~ e~st~ti~: ,. ~ ~ ~ ~ ..~%~..~ ..... ~.i~ ....... E~ ........... = ..... ~..~...~..~e Repair ..... .- .... ':. P~m~al ............. Demolition ..}~ ......... Other ~ ...................... x ........ t.. 4. ~stfimt~ ~st . (to ~ ~id m fili~ this a~li~tim) 5. If &rellim, ~r of ~lli~ ~mits ............ ~r of dmlling mits m e~ flmr ................ If ~r%e~ ~Nr of ~ra ...................................... 6. If ~imss, mrcial or ~ ~, ~i~ m~re ~ ~tent of ead~ ~ of ~ ...................... 7. Dimnsi~s of ~sti~ st=ms, if ~: ~mt ................ ~ ............... ~pth ................. l~i~t ......................... ~r of Stories ...................... Di~i~ of ~ st~e ~th alteratims or ~itions: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r o[ Stories ............... 8. Di~nsi~ of entire ~ ~t~tim: ~t ................ ~ar ............... ~p~ .............. t~i~t ......................... ~r of Stories ..................... 9. Si~ o[ lot: I0. ~te of ~d}a~ ..................... ~ of Pomr ~r ........................................ II. ~ or m district in ~,i~ p~i~s am si=tM .................................... ,':~.~].~'.,;{, ............. 12. ~s ~o~ mt~im violate ~ =i~ 1~, o~i~e or re~latim: .............. .......... -.' ..Z.;.'.r:.. ...... 15. s fils pro~thin ~ f~t of a till mtl~? ~ ~ .......... ~ ....~.. / PLOT DIAGRA~ l~cate clearly and distinctly all Naildings, ~ahetl~r existing or proposed, and indicate all set-back dimensions frun property lines. Give street and block ntmber or description according to dccd, and shrxe street nares and indicate uhether interior or corner lot. ~I~ -ff-J'-~ ~ gFA'IE OF 1~.;14 YOlk, ss C011NI'( OF ....................... (Name of individual s~niag contract) above na~l, (Contractor, agent, corporate officer, etc.) offs: ~: .~aid o~er or otmers, and is duly authori, v~l to perfom or have perfo~,,~d tim said turk md to make and file this av~.,.ca~,~, that all stat~ents crmtalned in this application are tn~e to the best of his knowledge and l~lief~ and that the *a~rk will be perfonmd in tl,~ mariner set forth in the application filed there~th. 3~rn to before~this .......... 30-: .... Uay or NOP, EEN ~ HAGE~ _o E APPROVED AS NOTF. D DATE~/~/4'~ .~ ':-~' I ROUGH . FRAMING · & INSULATION · FINAL. ALL CONSTRUCTION THE REQUIREMENTS 8TATE CONSTRUCTlt CODES. NOT DESIGN OR UNDERWRITERS CERTIFICATE LOSE PCOL TO CODE UPON COMPLETION BEFORE "WATER" ODUNTy DEPA RT~ , / / Lot Area = OCCUPANCY \W,tHOUr B8° W. I Lol 19 I I ~ aP HEALTh[ ~VZC~ I I I 15 O.0 O' ~:.~,~OCr 0 7 I~98 ,.s. r~,.,o. SURV~-y FOR r,,. ROBERT B. KENNEY 8 LI '-~s~Redt~d~?~rs'mrly~ilfli~ct~'lo~l~.~w LOT 20,' HARBo ND V. KENNEY ~FOR ~e ~- AT MATTIT ~JHU~ ~ ~ __ _g dc~lou.a~. MATTITU K UCK WN ~ S I O~~~ ,UF~ ~'TY. NEW ~rw~ ~N mi * ........ mC~STRuCT M ~l WIT ~iN ~M YKl~ INOW ---~ I00 FEET ~ T~I ~O - ~, ~0 TO ~E AfN~6 mSTITUTIOff LIS~O ~- ~E AMO AN N ~m r~ 4 ~P~CiFIC NOTE: I ' MC)NUMENT FOUND &: STAKE D ~ SUSOIVISION MAp F/LED IN THE OFFICE OF THE CLERK OF. SUFFOLK COUNTY ON AUG.21,1987 AS FILE NO. 837'7, YOUNG YOUNG At. DEN W. YOUNG, PI~OFESSIOHAL ENGINEER AND LJ~ID SURVEYOR N.y.$.UCENSE NO. 12845 S[PT 17, 1998 dAN. 5, 1998 OCT. 7, f997 DATE: AUG. 9, rgse SCALE,, 1' · 40' NO. 88- 1062 TRANDER AVENUE RIVERHEAD, NEW YORK