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HomeMy WebLinkAbout28179-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28968 Date: 10/08/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 330 MAPLE AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 2002 pursuant to which Building Permit No. 28179-Z dated MARCH 15, 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to BRUCE & BARBARA PETRUCCI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1050199 09/10/02 PLUMBERS CERTIFICATION DATED N/A 7 Zt-e-1t Aut orized ignature 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. 28179 Z Date MARCH 15 , 2002 Permission is hereby granted to: BRUCE & BARBARA PETRUCCI 330 MAPLE LANE MATTITUCK,NY 11952 for CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL AS APPLIED FOR at premises located at 330 MAPLE AVE MATTITUCK County Tax Map No. 473889 Section 107 Block 0003 Lot No. 005 pursuant to application dated MARCH 14 , 2002 and approved by the Building Inspector. Fee $ 150 . 00 ut ori ed Sfignature COPY Rev. 2/19/98 NV&j T a&r1:t( Form No, 6 TOWN OF SOUTHOLD �JL )� 2WZ � BUILDING DEPARTMENT TOWN HALL, 765-1802 T, APPLICATION FOR CERTIFICATE OF OCCUPANCY �----� This application must be filled in by typewriter or hilt 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 1% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certif 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 u 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 Occupa is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of O New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25: Swimming po $25.00 Accessory building$25.00,Additions to accessory building$25.00,Businesses$50. 2. Certificate of Occupancy on Pre-existitig Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. jrnS�u���d c+�br,Ve ��r.d• ot New Consttuction: Old or p"xisting Building: (check one) Location of Propeaty: 3 2jo �� TAQAlh A­o aL House No. S hamlet Owner or Owners of Property: (2)Y'U c e- and e)o_v b0&0' cc Suffolk County Tax Map No 1000, Section p"i Block O O 6 3 Lot OCL Subdivision Filed Map. 4 7 3 `6 $9 Lot: Permit No. a c6 Date of Permit. 3 — 15 -02, Applicant: Qr"ce 6W-0-eWnV .e Health Dept. Approval: Underwriters Approval: �`Form was chi very -lo +t,e inspedcr Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted:: $ A a5 .6.-0 n C_ Applicant Signature o ���N�n0�����t nt nrrnrr��n��n����nrr��r:nn���I: :ntrrr�Ln�n�LpL�� Eum]mm�rn���nn���r r��nrr�sr:n� o 55 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY C5 fj 40 FULTON STREET -- NEW YORK, NY 10038 5 5 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 5 5 5 C-CAT CO. BRUCE PETTRUCI r 9280 SOUND AVE. 330 MAPLE LANE MATTITUCK, NY 11952, MATTITUCK, NY 11952 f7 Located at 330 MAPLE LANE MATTITUCK, NY 11952 5 Application Number: 1050199 Certificate Number: 1050199 5 C5 Section: Block: Lot: Building Permit: BDC: NS11 S Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Outside,Pool/Spa, 5 5 5 555 CC was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 found to be in compliance therewith on the 10th Day of September,2002. 5 5 Name OTY Rate Rating Circuit T 5 5 Additional Charges 5 above ground pool 5 5 Appliances and Accessories 5 Cj Pool/Spa Bonding 1 0 5 5 Wiring and Devices 5 Receptacle 1 0 20 amp Pool/Spa 5 5 GFCI Circuit Breaker 1 0 20 amp Pool/Spa C5 LS (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have 5 Sfrequent test and/or repairs made by a qualified person. 5 5 5 5 5 5 5 5 seal C 5 5 5 1 of I 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 17 rJcnrJ�r�rJrJ�rJ�rJcnrJ�r�rJr nrJ�rJ�rJrJ�rJrJr ncPr�rJ orJ�rJ�rJrJ�rJ�rJrJrJ�rJ�rJrJ�rJ�r�r nrJ�cPrJ o�nrJ�r IrJ�nrJ�rJrJrJrJ�cPrJ�rJi nrJ�r�rJr nrJ�rJ�rJ�nrJ O BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: /_/02 DAT. REVIEWED: APPLICANT: DATtSUBMITTED: / /02 SCTM#DISTRICT: 1,000, SECTION: 1Da, BLOCK: 5 , LOT: STREET ADDRESS: LA. CITY: q� SUBDIVISION: NM PROJECT DESCRIPTION: -I— . ESTIMATED PROJECT COST:j2jq0c3 ARCHITECT/ENGINEER: AJIA FAST TRACK? do SINGLE & SEPARATE CERTIFICATION-REQUIRED? Xa 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: R - q 0 CONFORMING? yL S REQ. LOT SIZE:g6,OoACT. LOT SIZE:88,51f REQ. LOT COV. -ACT. LOT COV. REQ. FRONT 20 PROP. FRONT ✓ REQ SIDE zo ACT. SIDE REQ. REAR o PROP. REAR ✓ WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE:__, ,4_D� 61 A L �( APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES ol0 (BED#): DTE:_/_/_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y oto NEW YORK STATE DEC: /PRE-DEc 9/1/75 YES or O 001004gr ed-Q.v' 45'/ SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY: YES ORQ) EGRESS (18 H min.?4 sq total) X VENT(SQ. FT. x 4% LIGHT(SQ. FT. x 8%) N s9 BUILDING PERMITS OPEN/E D: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST,FLOOR: SF SECOND FLOOR: SF OTHER: SF WIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- ( SF)= SFX$ =$ +$ +$ =$ Q 2. ( SF)- ( SF)= SFX$ =$ +$ +$ =$ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACES CHIMNEY REMARKS: �4a- L �77C DATE del D 7/ INSPECTOR 1 2 / M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLB [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DAT l INSPECTOR f FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------ -- FOUNDATION(2ND) - - -- -- z O ROUGH FRAMING& - —---- -- PLUMBING - y r, INSULATION PER N.Y. -- - — y STATE ENERGY CODE - -_ -_ -_ --- -- - FINAL ADDITIONAL COMMENTS \V O - --- - - ---- -- - 2 U ro O y d ro y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey j PERMIT NO.< T T Check Septic Form N.Y.S.D.E.C. Trustees Examined /5 ,20 cP Contact: .-approved 3 200 Mail to: Disapproved a,c Phone: Expiration 20 a2/ Building Inspector APPLICATION FOR BUILDING PERMIT Date 3-ft-Ool 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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. (Signature of applicant or name,if a corporation) po . f�xlall 330 M" t& 4_k. , YY1a u , YlU (Mailing address of applicant) l�a 5:1. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (`) (.Q I)e Ar nn Name of owner of premises ?e�YllCGi L�YUCe °1' 0.Y "o" (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. � taat CIr�2� 1�,;rt> Other Trade's License No. 1. Location of land on whichroposed work will be done: 3 3o MCu e Lune �la 1iytk House Number Street Hamlet County Tax Map No. 1000 Section l rl -Block-3 Lot 5 Subdivision Filed Map No. y 13 .`31 Lot (Name) l - 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Yes i e-occ, b. Intended use and occupancy Si rNa e_ iuvni l� Vesi dek1Ce. Plus D00k 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work in5�a k Veol -0-yI4 oval (Description)°43m � 4. Estimated Cost oZ-1 OO ���s inska Ui'ov\ Fee 150 NR (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars N)k 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear --Depth �5, Height Number of Stories cavo, - 9. Size of lot: Front 5, b�1 Rear "1 Depth 10. Date of P ( 'r v fe e C 1 D u�hase ,D 1 qq I Name of Former Owner -Jo-meS s • Crc vN A 11. Zone or use district in which premises are situated J• ' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 13. Will lot be re-graded? YES NO ✓Will excess fill be removed from premises? YES NO Bruce i eor6ck-v0.. Nlalhtocl�, �rY M152, 14. Names of Owner of premises Pew c-c.i Address 33o YYlaniti Lang Phone No. b 31-of(3 ' l 9(o(o Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is 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 �!' gCCAt dP� _ py` p 4-1* IF YES, D.E.C. PERMITS MAYBE REQUIRED. c)gKiv%v, cx t. 't-h\/ VX hoxt_ a C�04 0o w l .► ,al' 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. STATE OF NEW YORK) SS: COUNTY OF ) BaY bOAV0. pe.�CCi' being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (DU-Y\e✓� (Contractor, Agent, Corporate Officer, etc.) 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 performed in the manner set forth in the application filed therewith. Sworn to before me this / S day of 2 Notary Public Signature of Applicant LINDA J.COOPER Notary Public,State of New York No.4822563,Suffolk County Terra Expims December S1,7iiiCL60 a q c. SUFFOLK CO_ HEALTH DEPT. APPROVAL e S. NO. f2- SG - 18 3 L L I f � I i STATEMENT OF INTENT — I THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL R 3 Q CO NQRM .TO THE..STANDAR[SS. OF THE ' �+ g � 1 , SUF OEK CO, DEPT. OF HEALTH•SERVICES. T . __ N i p`� \ _ �.: 1ST ` Z82� b br O, APPLICANT 1 Tx gypPF �OUNTY DEPT. - OHEALTH - f F,V ICES;--- FOR APPROVAL OF ry ��"y6. } \ \ — 5 CONSTRUCTION ONLY —'_-` j I s \ p — st�j ,�e DATE: z ` A 11� � H. S. REF. NO.: APPROVED: J� FG Cho'J'Gl SUFFOLK CO. TAX MAP DESIGNATION: O f(1 7, DIST. SECT. BLOCK PCL. ' `_ l000 I0-7 3 � T e OWNERS ADDRESS: '- (1) �p N P. 0. ocx. 953 Scale : Q ( \ QP ; � m I Ar>sra= 2.03 acrss Cu-f�ho9ue, IV.Y. ft�j3� > m I c� = morEutnerTf S V 2 z DEED: L. -f935 P. 519 SUG"✓`YEU ;-0� 1I TEST HOLE STAMP `- �� -;jNAurNORRED ALTERANON OR ADDITIOw SO THIS SURVEY LSANEW Yof (j [ECTH)N 7709 THE NEW YORK STAT[ Wl1LATlONIAW. t \ _ FOPIES OF THIS SURVEY MAP NOT REARURC I � 7W LAND SURVEYOR'S INKED SEAL OR • ,. Lam! l ✓= U—FHOLD, N.Y \� EMBOSSED SEAL.SHALL NOT RE CONSIDE D J / [O BE A VALID TRUE COPY. ppb r j tilt' SUFFOLK COMTY DBPARTII M? 1 �? I \\ / GUARANTEES INDICATED.HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURvf Llim.... �• `� �p� / N PREP.4AED, AND OHIS BEHALF TO THE I QC d DATEA. D. RBF• # ~ s �) \ TITLE COMPANY, GOVERNMENTAL AGENCY \ LENDING INSTITUTION LISTLD HEREON, ANr a0 _ 0f f f0 THE ASSIGNE:S Of THE LENDING INST' f NTION GUARA1iiEES ARE NOT [BANS.. L \� The sewage -,3�.;.G'is IInd Wz�� ,*O ADDITIONAL.•. ` ties -• _, lo: c2 2.r.�e be OWNEn< � --Ins a c_t e d t _ U '^ 3G• F y this da�artmen found to be satisfaoto Co __(`.��. C!/ �Jarrrr f o�� fJ �ulfc SEAL Bartz and 40 44-te owner --e7d-ro Chief of GenerarEagine6rinQ �_ CJ Lr e Ti Fle Insu,rirti=e ;orrF(zvrF Services y , It J V ROr�DERIN�K VAT YL, PC. r l COrt;�Urt. �tlJHT �1J f-� r 1 _ _r a.. JJ • �-o. �. F=. �Y. seal-rai: aaturr,: mean 5� (evci. - - _ �- LICENSED.LAND SURVEYORS GRAPHIC SCALE 1 "= 50 ' SURVEY OF PROPERTY SITUATE, MATTITUCK 0 50 100 150 TOWN OF SOUTHOLD SUFFOLK COUNTY, NY hto��1ay CERTIFIED TO: BRUCE PETRUGGI BARBARA PETRUGGI 11 _ NORTH FORK BANK u SU 39BAY ABSTRACT „M SURVEYED II/ IS / 91 SUFFOLK COUNTY TAX MAP IS 1000 10-T 5 5 NOTES: zp Q REFERENCE DEED: LIBER 11842 PA6E504 's M MONUMENT FOUND m Z0 PIPE FOUND WOOD FENCE m r� 0p(3 � AREA = 88,519 S.F. OR 2.03 ACRES MO yA 3 Ng yt° --� �- 54CAN gtK F�•riB°EGK ��� "� Fw Neq� W op c �y r oo= CSG° VyT b O .. i l 9 9 Z A �f,s * 0k . �1 C� VO �0 / 'ell -IklauthoPlied alteration Or addition to a survey R / map Dearing a licensed land surveyor's seal 1s a 'fin'7,t� / violation of Section 7209. SUD-division 2, of the Mew York State Education Law.' O G� A "Only Caples from the original of this survey - Jj(� `p 1 / w.Y/ marked with an original of the ]and surveyor's �"I r r atamoa0 seal shall De considered to Oe valid true p,�� cop lea' �A[ N / -Certiti Cations Indicated hereon Signify that this furveY was pres- pared In accordance with the e ' Isting Coda Of Practice for Lend Surveys adopted by the New York State Association of Professional 'S. Lend Surveyors. Said Certifications shall run only �i' / ^6 to the person for whom the survey fa y. gored. and on OCy aenelf to g I stile con lis d era tai agency and lending Institution titutO hereon.. Caand to the asalonaf nlafarmVjf Olno litional tan. tutionlce- / tions arJ'n04-trErtis,, . ;lY t additional Institutions Ions VG.F /rjC)�c a 1 _�•7 1 1. HCl ' •' N.Y.S. LIC. NO. 50202 J ).._EHL R3'LAN U YOR 6 EA 4a:bINSTAEET��k'� R HEAP•N4tf!17901 369-8286 ex-369-8287 REFERENCE # 97-0084 0Fr�C OCCUPANCY 0;41 USE IS y WITHOUT CF. TIFIC"TE OF OCCUPANCY AP R D AS NOTED °A • ,.IMMEDIATELY BY. NOT BUILDING DEPARTMENT AT ` ENCLOSE FOOL TO CODE 765-1802 9 AM TO 4 PM FOR THE UBP0 C WA EIR FOLLOWING INSPECTIONS; 1. FOUNDATION - TWO REQUIREp FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING a INSULATION 4 FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS • � � ^., ^e rnr�f�nPTP ' t -'Urs ivaa 12'x 24'Oval............1599..............898 18'Round 1199 .. 21 RRoun 3199 15'x 24'Oval.........i_1199........_....998 • • 21'Round........ ....1299..... ound 3499........ 1499 .... 48 24'Round..............3799....... 15'x30'Oval............2}49 1098 21'ZEE. ` 898_ 21'Round ....4099 18'x 33'Oval............2599.........1448 ► 36'Round........ .2099:...:... .._.498 30'Roand� .....4399.....:. .4 119A A TOO PACKAGE . PRICE 12' ROUND PACKAGE PRIG •DD/BL • • MASSIVE NO _ • ,• • . TOPvLEDOE POOL SIZE PKG_M PRG:SALE 3u8'Round................$1299 $678 t t8B POOL SIZE. PKG. PKO.SALE POOL SIZE PKG.OSI PK6.SAIF •Massive 8"Topledge 12'Round..................1499 828 12'i}8'Oval........$2099,......$1098 2'x 18'Oval........$1999........$1078 •All Winterized Pool 15'Round..................1699. . .......928 12'x 24'Oval..........2299.. 1428 18'Round..................1799 1028 and liner 21'Round..................1899 1128 'x 24 Oval......... 9 ......1 15'x 24'Oval..........2399. 1548 } 5'x 30Ova[ �7 798 15'x 30'Oval..........2499..........1648 'Choose from up r walls, 24'Round..................2299 1228 ' z different designer walls, 27'Round..................2299......... 1328 fx 33'Oval..........2999 ....w...1898. 18'x 33'Oval..........2799..:......1848 not all patterns in all 30'Round.......:..........2499..............1448