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Home My WebLink About28582-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29010 Date: 10/24/02 T~IS CERTIFIES that the building ACCESSORY Location of Property: 7155 WICBiHAM AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 5 Lot 5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 2002 pursuant to which Building Permit No. 28582-Z dated JULY 19, 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 INGROUlVD SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to CLAY A & ELIZ~BETH BURT (OWNER) of the aforesaid building. SUFFOLK CO--DEPARTMENT OF ~{EALT~IAPPROVAL N/A ELECTRICAL CERTIFICATE NO. 66611 PLUMBERS CERTIFICATION D~r~3 Rev. 1/81 08/29/02 N/A ~//S '~nat ute FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII,DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28582 Z Date JULY 19, 2002 Permission is hereby granted to: CLAY A & ELIZABETH BURT MATTITUCK,NY 11952 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 150.00 7155 WICKHAM AVE MATTITUCK Block 0005 Lot No. 005 19, 2002 and approved by the 19, 2004. ~~~~'~tur~ Rev. 5/8/02 COPY 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: 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 similar buildings and installations, a certificate of Code Compliance fi.om architect or engineer responsible for the building. 6. Submit Platming Bored Approval of completed sit~ plan requirements. For existing buildings (prior to April 9, 1957) hon-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. New Construction: Location of Property: '~1 ~ House No. C. 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 $50.00. 2. Certificate of Occupancy on Pre-existing Building-- $100.00 3. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 / Old or Pre-existing Building: Itt (check one), Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Hamlet Block f'~,f3Py--~ Lot 00.~' Subdivision Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Date of Permit. Filed Map, '~/ I~~ } ~2-Applicant.Q Underwriters Approval: Final Certificate: Lot: (check one) Fee Subrmtted: * - ~ ~ , Elec /`Hcal Znspec /'/'on C rH£/.ca Date o8/29/2oo2 Electrical Inspection Service, Inc. Ap_olication fl 375 Dunton Avenue 66611 East Patchogue, New York 11772 (631) 286-6642 Issued to: Clay Burt Street: 7155 Wickham Ave N/S Village: Mattituck Section: 107 Block: 05 Introduced by: Hank's Electric Inc. (L) Zip: 11952 Town: Southold Lot.' 05 ' Lic.# 2675-E w~s exomlned ond found fo be/n complionce w/fh ?he IVo?/onol Elec?/"icol ¢'ode IVFPA 70 Commercial ~NV Defects ~ Pool ~ lst FIoor F~lndoor ~Basement ~ Hot Tub Residential ~ Det, Garage ~Attic ~2nd FIoor ~Outdoor ~ Addition ~,Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 2 1 1 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Meter Amps Phase UG/OH Other Equipmenb 1-30A Sub Pane/ 1-20A Time Switch Telephone Smoke Detector Bell Transformer Television Carbon Monoxide Building Permit # Hugo S. Surdi President Rough Inspection: 08/28/2002 Inspector: Ed Scavelli Final Inspection: 08/28/2002 Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials CARD TOWN OF SOUTHOLD PROPERTY RECORD OWNER FORMER OWNER STREET N VILLAGE D:T'I SUB. !ACR. LOT SEAS. VL. W TYPE OF BUILDING LAND IMP. TOTAL to o .,<'. FARM COMM. CB. MICS~ Mkt. Value . DATE I REMARKS Meodowland ~ DEPTH House Plot BULKHEAD Total i DOCK AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD /$C' "": 0 0 O Extension Porch Porch Breezeway Garage Foundation Basement !Ext. Walls COLOR 4_~ ~ ~L :~ , TRIM Fire Place iType Roof Patio Total iRecreatlon Room Dormer S ?, *..' c (;: Bath I '1 Dinette [ / Floors ~ , ~.-, !K. Interior Finish t ~ ,<:! ,~ ;, _,,~ !~4LR. Heat / ~ ~ i D~. Rooms 1st Floor !BR. Rooms 2nd Floor FIN Drive:ay i [ BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: C) /to//0 DATE SUBMITTED: ~/lc~/0 APPLICANT: 0_.[fttl, { ~/~ SCTM# DISTRICT: 1,000, SECTION: 10'2) , BLOCK: 'D' , LOT:_~ PROJECTDESC~TION:~ ~o~.. ~ (~, EST~ATED PROJECT COST~ ~ ~CHITECT/ENG~ER: 0~ FAST T~CK?~ S~GLE & SEP~TE CERT~ICATION-~Q~D? ~ NOTES: ~TS 40,000SF -100-24. ~t reco~ition.(CREATED before June 30, 1983), ~DE~IZED LOTS FROM J~.1997 100-25. Merger.(A nonconfomfing at any time after 7/ ZONING DISTRICT: ~_ CONFORMING? A/o REQ. LOT SIZE: ~2ri~:L~ACT. LOT SIZE: ~ REQ. LOT COV. ~ ACT. LOT COV. REQ. FRONT /'t~2' PROP. FRONT_ 7RE, Q SIDE /O~'/~---ACT. SIDE_ ~ REQ. REAR /l:9" PROP. REAR / REQ. I~EIGHT PROP. HEIGHT 4(/'t5f ,,- DESCRIPTION: FLOOD ZONE)//~ , APPROVALS REQUIRED WATER FRONT? PANEL #: DTE: / / PERMIT #:RI0- SUFFOLK COUNTY HEALTH D~T: YES or l~, (BED #): TOWN SEPTIC RECEIPT: Y o~_,j ~ NEW YORK STATE DEC: PRETDEC 9/1/75 YES oKNgS~ SOUTHOLD TOWN TRUSTEES: YES or~) TOWN ZONING BOARD APPROVAL: YES or(~ TOWN PLAN. BOARD APPROVAL: YES orR TOWN HISTORICAL PRE (SPLIA): YES or~__.~) NYS ENERC{Y: YES O~ NO: EGRESS (18 ltqxfin3M.. ~ soriotal)____ VENT (SQ. Fr. x 4%) BUILDING PERMITS OPEN/EXPIRE~ / C/0 HAVE PRE CO'S: Y OR N BP NOTES: LIGHT (SQ. FT. x 8%). FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. ( SF)- ( SF)= SF X $ 2. ( SF)- ( SF)= SF X $ SF SF SF SF SF =$ =$ INIT OTHER TOTAL FEE FEE FEE +$ = 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]~,~UI. ATION [ ,/]' FINAL [ ] FIREPLACE & CHIMNEY DATE :':>~ INSPE~OR_~ 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~U~,TION [ ] FRAMING [ -~"-FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE /~~~- INSPECTOR FIELD IN~I~ECTI0i~ REPORT FO~XT~O:~ F OUNI)_4TIO~q (.?,ND) ROIJGft lrlL4.M2NG & PLUIVIBING INSUI.~TION PER N. Y. STAI"E ENERGY CODE ~DI)mON~ CO~ ~Z[ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALE SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Sx -m ed ,2o c9 Approved 'fl~lqt , 20 Disapproved a/¢ Expkafion BUILDING PERMIT APPLICATION CHECKLI ST Do you have or need the followmg,'befare .applung? Board of Health ~'3 sets of Building Plans Planning Board approval "~3urvey ',/Check Septic Form N.Y.S.D.E.C. Trustees Contact: Phone: (~,;S}-?l-/q- 81OO Building Inspector BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or m ink and submitted to the Buildmg Inspector with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bulldlngs on premises, relationship to adjoining prerrfises or public streets areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building perrmr. d. Upon approval of th/s application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the prom/sos 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 amendmcmts or other regulations affecting thc property have been enacted in the inte~'im, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new po-mit shall be required. APPLICATION IS I-IiERI~Y MADE to the Builalng Depmtment for the issuance of a Building perrmt 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 author/zed inspectors on premises and in building for necessary inspections. (Maiflng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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 LicenseNo. ElectficiansLicenseNo. Other Trade's License No. Location of land on which proposed work will be done: House Number Street wq- Ttz cK Hamlet County Tax Map No. 1000 Section Subdivision Block ,'~-- Filed Map No. Lot .5'- Lot State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: · ~. ' Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost~e ~, O~O, o o If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ~OFo~IJ ~ col m~l~3(~ (Descdption)~_ (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. Dimensions of existing structures, if any: Front Rear Height. Number of Stories Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stodes Rear 8. Dnmensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front ~'g~' ,St~lLJ~-'/ Rear Depth Depth 10. Date of Purchase Name of Former Owner 1 [ 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 NO ~ Will excess fill be removed fi:om p~mises? YES__ ~-I z-~rH ~r 14. Names of Owner of premises t~_t.t'q%- tSt4g-T Address '7 }5~ bOlC;d4~/~tJ~honeNo. ~'- Name of Architect ~gZ>,g.~_~ /)QId_~4o.~ Address loI /~O6~g~o,O d_,4 PhoneNo 9,,~ F- Name of Contractor/?~gk)t~V' 7'; xPOl')/Zl/~E,/' Address 07/,,~r~f;',~ ¢ °c;~Phone No. ? 15 a. Is this properb'within 100 feetofafidalwetlandorafi:eshwaterwcfland? *YES NO ~ * IF '~F_,S, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BF_, REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ¢ hr YES, D.E.C. PERMITS MAY BE REQUIRED. 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 '~ A ~bV ~ ~OOEL~ berg duly sworn d~oses ~d says ~at (s)he is the applic~t ~me of individual si~ing con~) above nmed, (S)He is the n~~~° (Co rate Office, ~c.) of said owner or owners, ~d is duly auto,ed to perfo~ or have p~omed ~e s~d work ~d to m~e ~d file t~s application; t!nat all statements contained ~ ~s application are ~e to the best of~s ~owledge ~d be~ef; ~d that the work will be pcrfo~2ed m the m~er set fo~ ~ ~e application filed therewi~. S~xom to before me this I~'WI-'~aY°f ,q',,l~/ 20 f)42,. Notary Publi~-' - Q~ VINYL LINER ~z~ 3 - 3/8" BARS ,.\ .FORM TIES -- SKtMMERS ~. ....... .~ 10' R ~END STEPS OPTIONAL P LA'N SEE' TYPICAL W4LL $ECTION 2'- 4*SAND BOTTOM SECTION B-B 18' FOAM CONCRETE ,35001b POURED CONCRETE ro FILTER SKtMMERS FILTERo~d PUMP TO RETURNS /. ~"[:~::".?.::i;I I "IMMEDIATELy~IPING ARRANGEMENT ,. . ~ /.~/?~,~ t ~ Z~ ~ ~A~ I 10~ ; - 0ccuPa cY 0, .... ~oR~ T,E USE IS ~N[AWFU~ , ~,~ , ~/~,,~ OCCUPANCY ~ I./~o~ ,' . 'REQUIRED FROM FI LT~R PLAN ~PRO, VEDASNOTED "' O PTI O NA L STEP 765-1802 9 AM TO 4 PM FOR THE ' FOLLOWING INSPECTIONS: . ~_ FORPOURE~CO,C,~ _ S E C TI O N A- A , NOTES: I SLOPED A~Ay FROM POOL. ~ECOMP~RC.O. ~ ~ONSTRUC~ON SHALL ~E~ RANDY T. RODECKER, 4NC. ~? ROUTE 25A, .......... · ,~,? ROCKY POINT, NY 11778