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HomeMy WebLinkAbout39062-Z ®��SUFFO(�coG Town of Southold 7/18/2018 P.O.Box 1179 a - c 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39778 Date: 7/18/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 145 Old Field Ct,Mattituck SCTM#: 473889 Sec/Block/Lot: 120.-3-8.19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/18/2009 pursuant to which Building Permit No. 39062 dated 7/28/2014 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 in ground swimming pool with fence to code as applied for. The certificate is issued to Deridder,Brian&Deridder, Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39062 7/13/2018 PLUMBERS CERTIFICATION DATED Af AuthorWd Signatur OL TOWN OF SOUTHOLD BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE o . 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#: 39062 Date: 7/28/2014 Permission is hereby granted to: Deridder, Brian & Deridder, Susan 145 Old Field Ct Mattituck, NY 11952 To: REPLACES EXPIRED B.P. # 34816 CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE. At premises located at: 145 Old Field Ct,Mattituck SCTM #473889 Sec/Block/Lot# 120.-3-8.19 Pursuant to application dated 7/28/2014 and approved by the Building Inspector. To expire on 1/27/2016. Fees: PERMIT RENEWAL $125.00 Total: $125.00 C Building Irk �S�fFnc� TOWN OF SOUTHOLD BUILDING DEPARTMENT D z TOWN CLERK'S OFFICE o • SOUTHOLD, NY y�ol � 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#: 36830 Date: 11/21/2011 Permission is hereby granted to: BRIAN & SUSAN DERIDDER 145 OLD FIELD COURT MATTITUCK, NY 11952 To: CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE. REPLACES EXPIRED B.P. # 34816 At premises located at: 145 OLD FIELD COURT MATTITUCK SCTM #473889 Sec/Block/Lot# 120.-3-8.19 Pursuant to application dated 6/18/2009 and approved by the Building Inspector. To expire on 5/21/2013. Fees: PERMIT RENEWAL $125.00 Total: $125.00 , u i Building Inspector 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_ 34816 Z Date JUNE 26, 2009 Permission is hereby granted to: BRIAN & SUSAN DERIDDER 145 OLD FIELD COURT MATTITUCK,NY 11952 for , CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE at premises located at 145 OLD FIELD CT MATTITUCK County Tax Map No. 473889 Section 120 Block .0003 Lot No. 008 . 019 pursuant to application dated JUNE 18, 2009 and approved by the Building Inspector to expire on DECEMBER 26,. 2010 _ Fee $ 250 . 00 Authorized Signature COPY Rev. 5/8/02 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. B. 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.If a 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 Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: Old//or Pre-existing ,/Building: � (check one) /a Location of Property: ydj� l f� Odd l'� rn House No. Street Hamlet Owner or Owners of Property: id dA4 Suffolk County Tax Map No 1000, Section 1 Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature OF SO!/rh®l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 ® a� roger.richerKb-town.southoId.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Deridder Address: 145 Old Field Court city,Mattituck st: New York zip: 11952 Building Permit#: 39062 Section: 120 Block: 3 Lot: 8.19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Overtime Electric License No: 39259-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks 1 Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, Control Panel, 1- Pool Pump, Salt Generator, 1- Pool Light, 1- GFCI Circuit Breaker. Notes: Inspector Signature: Date: July 13, 2018 0-Cert Electrical Compliance Form As SO!/jyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION KFOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: 04- /S- DATE - y� DATE /` / INSPECTOR U7,00e rzjf SOUryo� ���'YOOUhiT10c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Aedes DATE INSPECTOR O� r pE SOUT�olo coulm,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN ULATION1 [ ] FRAMING / STRAPPING [ FINAL Cge [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �l`� f'�'`C• o syr � `�. DATE �� Z INSPECTOR pF SOUIyo # TOWN OF SOUTHOLD BUILDING DEPT. °ycourm��' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) JJ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE ? INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS j yJ G FOUNDATION(IST) go FOUNDATION(2ND) z ROUGH FRAMING& PLUMBING �y I INSULATION PER N.Y. y STATE ENERGY CODE I I i r r i FINAL ADDITIONAL COMMENTS - _ � z rn i r d 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 4 sets of Building Plans TEL: (631) 765-1802 � Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. ��A� Check Septic Form N.Y.S.D.E.C. Trustees / Flood Permit Examined 120--? Storm-Water Assessment Form Contact: Approved 120 Mail to: Disapproved a/c Phone: Expiration v ® Building Inspector PP CATION FOR BUILDING PERMIT BLDG.DEPT. � � , 20 TOWN OF 50UTHOLD INSTRUCTIONS Date a. This application MUST be completely filled in by typewriter or in ink and submitted 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 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, d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ALL CONSTRUCTION SHALL '�C A Y OR MEET THE REQUIREMENTS OF THE lu� 6 UNLAWFUL (S MEET t or name,if a corporation) CODES OF NEW YORKSTATE. `IQ 99 I, STUT CERT9��CAT M 25-4 ENCLOSE O`ODLTOCODE OF OCCUPANCY (Mailing address of applicant) UPON CbMPLETION _ State whet§91F i& t1S-,'6Wner, lessee, agent, architect, engineer, general contractPA ���4�i ri r31� r r builder DATE: FEE: BY: Name of owner of premises ff�nl ��I nue— NOTIFY BUILDiN Thi'`'` '•T (As on the tax roll or lateslRdeI t v If applicant is a corporation, signature of duly authorized officer FOLLO ING IN',-'PF-- i. NSPE 1. FOUNDATION ' ' (Name and title of corporate officer) FOR POURED 2. ROUGH - FRAtC`,X. & !-CF;��-' G ALL CONSTRUE��I," I J� 3� ;MEET THE REQU1 ":' ' ' ' 3. INSULATION r f Builders License No. 4. FINAL - CONN Plumbers License No. 00DES OF `-'` BE COMPLETE P= 0•1") Electricians License No. X740 ALL CONSTRUCTION SIlAIL MEET THE REQUIREMENTS OF THE CLUES OF NEW Other Trade's License No. ;'�w� �R�lRI��R�CFRTIFI -kTi e YORK STATE. NOT RESPONSOLE FOR ¢" REQUIRES DESIG 0 CONSTRUCTION ERRORS. 1. Location of land on which pro osed work will be done: EAIN STORM WATER RUNOFF J14is- uuI 11"Ouo Ct 0-11ITUC(-PURSUANT TO CHAPTER 236 House Number Street Hamlet OF THE TOWN CODE. yR;,JC]l31 .A T3RA@P1AM County Tax Map No. 1000 Section 120 Lot Subdivision Filed'MaprNo:tf fr{' Lot 1-7 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction? a. Existing use and occupancy ow- �*- mIt q ktwoeja b. Intended use and occupancy AbloeNi k 6hIA011UPOOL 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work `Z'�J��c 1(iMl� 6Ni WMIl✓g r (Description) 4. Estimated Cost 14 000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 40 Rear 0 ` } Height Number of Stories + Dimensions of same structure with•alterations or additions: Front ,..'t =i-.1 f-PJ%ear/ ,r't/; 4.F Depth Height Number ofrStories 8. Dimensions of entire new construction: Front 20Rear Zc7'•--.,.__r�"f'- ri Depth Height Number of Stories 9. Size of lot: Front j25' Rear Depth '32-0 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 NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises &A'A VlOkk Address W'ao RCLO Phone No.�31-79 5-1-Aw Name of Architect'f�onv& D Rellill PC Address fze�Lnl Phone No (0 31- 72-4-7,R81- Name of Contractonwhfn� aus Address q2N 6-2� Phone No. 631-7W-7/Ps M I(e,_ age bY I i Al q 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 * IF 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 ori;surys 18. Are there any covenants and restrictions with respect to this property? * YES NO ' * IF YES, PROVIDE A COPY. !/ STATE OF NEW YORK) SS: COUNTY OF ) EMU,- being duly sworn, deposes and says that(s)he is the applicant (Name ofAindividual signing contract) above named, (S)He is the (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 ofhis''kpW.1dge land belief, and that-the work will be performed in the manner set forth in the application filed therewith. = Sworn t before me this- day of; 20Oq i 3 1 . MARGARET A. KIDNEY Notarotary Public Public—State of,Nlew Si re of Applicant No. 01 K160211 1 I Qualified in Suffolk County My Commission Expires March 8,20LL doss Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM y01 PROPERTY LOCATION: S,C.T.M.M THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A �'faL) 11®_ q STORM-WATER,GRADING, DRAINAGE AND-EROSION CONTROL PLAN District —Seo on Block of CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. ———————————————————————————————————————————————————— Item Number: (NOTE: A Check Mark(./)for each Question is Required for a Complete Application) Yes - No ---------------------------------------------------- Will this Project Retain All Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? F(This item will Include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces) 2, Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl 3, Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4," Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ❑ Five Thousand(5,000)Square Feet of Ground Surface? — 5; Is there a Natural Water Course Running through the Site? ✓' i Is this Project within the Trustees jurisdiction or within One Hundred(100')feet of a Wetland or Beach? — 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to One Hundred(100')of Horizontal Distance? 7 Will Driveways,Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ❑ into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of ❑ any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodplain of any Watercourse? ❑ i NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark in the Box, a Storm-Water,Grading, Drainage&Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl ---------------------------------------------------- EXEMPTION: --------------------------------------------------- EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question,a Storm-Water,Grading,Drainage&Erosion Control Plan is NOT Required! ---------------------------------------------------- STATE— ------------------------------------------------- STATE OF NEW YORK, FF COUNTY OF.....JUS...............SS That•I. .............641 ........1-��'.. ��Q.�r .. ... . being duly sworn,deposes and says that he/she is the applicant for PenTut, l` (Name of individual signing Document) OtrVn��,, And that he/she is the , (Owner,Contractor,Agent,Corporate Officer,etc) Owner and/or representative of the Owner of Owner's,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 die work will be performed in the manner set forth in die application filed herewith. Sworn to before nie this; ...........10..................... day of.�.��............................. ,20Qq Notary Public: .........qulfta Q:..... ..,...,.. . . .MA (�`rp�RE"1'A. KIDNEY`Notary Pudic—State of,New York (3ign ure of Appiicanij FORM - 06107 Qualified in Suffolk County, W CommissionExpires March 8,20,L D q SO�ly JUL 1 1 2018 - Town Hall Annex Telephone(631)765-1302 i 54375 Main Road BUILDING DEPT. ax(631)765-g950 f P.O.Box 117 n `nG�, Q rOger.richerttown.SOUtnO .ny.us Southold,NY 119749® i WADING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION • i REQUESTED BY: Date: Company Name: E-2\X lnn E L C C-T/2-1 C. Name: I 16 N 1 S Vl E.(2, j. License No.: 3 2- 5 17) rA t Address: Phone No.. <;3 Y 3'7 9 - 3 7 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: H-� c)kA *Cross Street: *Phone No.: -5'1(o-�5 g'_ Permit No.: 3 C� 0 G�-- Tax Map District: 1000 Section:T�Cb'- Block: '-2, Lot:-S - F *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) - i *Is job ready for inspection: YES=/ NO Rough In Final *Do you need a Temp Certificate: YES NO Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION AV 82-Request for inspection Form ARTHUR EDWARDS POOL & SPA CENTRE 929 ROUTE 25A MILLER PLACE, NY 11764 516-744-7185 FAX-744-0174 APPLICATION FOR A SWIMMING POOL PERMIT: SOUTHOLD TOWN OF SOUTHOLD MAIN ROAD (P.O. BOX 1179) SOUTHOLD, NY 11971 (631) 765-1802 PAPERS ENCLOSED: [' APPLICATION FOR OUTDOOR POOL PERMIT [� EROSION SEDIMENTATION & WATER RUN ASSESSMENT FORM CERTIFICATE OF WORKER'S COMPENSATION CERTIFICATE OF LIABILITY INSURANCE SUFFOLK COUNTY LICENSE .�.]- SUFFOLK COUNTY PLUMBER LICENSE SUFFOLK COUNTY ELECTRICIAN LICENSE 4 SETS OF PLANS - (3 STAMPED) 3 SURVEYS C.O. TAX BILL $250.00 CHECK FOR PERMIT FEE PLEASE CALL OUR OFFICE IF THERE ARE ANY QUESTIONS REGARDING THIS APPLICATION. 1 COMPLETESECTION' SECTION. DELIVERY ■ Complete Items 1,2,and 3.Also complete A. SIgnat item 4 If Restricted Delivery Is desired. E3Agent X ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery l ■ Attach this card to the back of the mailpiece, l i or on the front if space permits. t 1. Article Addressed to: D. Is delivery address different from item ? E3Yes 3qgl( If YES,enter delivery address below: ❑No a5� t � 3. SeN � f r ❑Ce i all ❑ Mail ❑Regi _ -j m Receipt for Merchandise f ❑Insured at O.D. 4. Restricted Delivery?(Eydra Fee) ❑Yes I ! I ' 2. Article Number.• (Transferr from service/abei) % i /D(� 6' PP.Form 3811,February 2004 Domestic Return Receipt �o2 s5 02-nn-1540'. r �~FO Southold Town Building Department �q�StlF ��°may 54375 Main Road Permit#: 34816 Southold,New York 11971 Permit Date: 6/26/2009 o ® (631)765-1802 ]Expiration Date: 12/26/2010 Parcel W: 120.-3-8.19 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 10/25/2011 Applicant: BRIAN & SUSAN DERIDDER Location: 145 OLD'FIELD COURT MATTITUCK Work Description: IN GROUND POOL CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: BRIAN & SUSAN DERIDDER Address: 145 OLD FIELD COURT MATTITUCK, NY 11952 a The permit listed above has expired. Please contact our office as soon as possible to begun the renewal process. All work on the project must stop on the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department ���OSUFF�t�Cp� P.O.Box 1179 Permit#: 36830 54375 Main Road co rf". Southold,New York 11971 Permit Date: 11/21/2011 (631) 765-1802 Expiration Date: 5/21/2013 Parcel ID: 120.-3-8.19 BUILDING PERMIT RENEWAL LETTER Dated: 7/10/2014 Applicant: BRIAN& SUSAN DERIDDER Location: 145 OLD FIELD COURT MATTITUCK Work Description: IN GROUND POOL CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD,FENCED TO CODE. REPLACES EXPIRED B.P. #34816 A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: BRIAN& SUSAN DERIDDER Address: 145 OLD FIELD COURT MATTITUCK,NY 11952 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. ®��OF SO!/j�,®! � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 September 8, 2016 BUILDING DEPARTMENT TOWN OF SOUTHOLD Brian & Susan Deridder 145 Old Field Ct Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy. plication for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. —Application enclosed A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Punning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 39062 —Swimming Pool [ ''i„ _'� .�- ,"I' �•, `` l.�\''awl `' �I G�q 0 ® O I 40 POOL. J Wn G 4 /7 4 Ns%® LA1yp rot oo� 1,4760r9 ®max/ _ @ 3696 IV Y 0, our¢yEyFc .+�'/ � � �i .f�d��.� /uTH �y✓ L,c��,v� .�i" gry to this survey alteration of addition [0 d�IS aUfVe IS a Vi018ti0n 01 Section 7208 of the New York State EdurAdortLow G .urE60 r: i s�y !`' ©F,°�•oo�� �G=�,�ccg�vsC' t I�.�d�. +W W.�Or'`� embo"W sw dW not be cwwWOrGd tobea%*Utrwoto- Guaranms kw d el run jw�Y any m rite pelsert_1W%ftM OW is p,*WW,,radon,Ns bO W�to dw tide=rnpanY,p4ve?NJ��gwlcy lwwkv hstihAoMst64hueor►WW to the asslow of,the brom-I sfluIon. Guarantaea re not trrufertbte to&ddidonel Insdtudons or sub"9A M owners. 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Suffolk County' ,Executive s -Office ®f Co0sumer Affairs- ,yy y5Y �� « . =z VETERANS MEMORIAL HIGI-3WAY * HAUPPAUGE NEW YORK 11788 DATE ISSUED: 7/1/78 No. 4436-H ' SUFFOLK COUNTY mon 2e _T.mp,Tone-inent Contractor L.r"cense This is to certify that ARTHUR J EDWARDS .f- `= do' business as ARTHUR EDWARDS MASON CONTRACTING INC g - - -------- -- ------- --- - — --- -- - - -- - -- ---- -- ,° ,rte g ftrl i?isbe:F ftoa rer'•piiem(P-nt-; se{ fOrflh it accordance with and subject to the provisions of applicable laws _ �•� i�;,cs and r �.).alxc;is a� mac County of Suffolk, State of New York is hereby licensed to conduct business as a lf DOME-IMPROVEMENT CONTRACTOR in the County of Suffolk. • SUFFOLK COUNTY EXECUTIVE'S Additional Businesses v . OFFICE OF CONSUMER AFFAIRS r .- HOME IMPROVEMENT CONTRACTOR LICENSE NAME ART �yaP.e:%moi ,,,,- `,w� ;•: HUR J EDWARDS •f 'i ~"h3 BUSWESS NAME I ',;? ` R; This certifies;that the bearer is dui licensed ARTHUR+EDWARDS MASON y • CONTRACTING INC DBA �- by the County of,Suffolk Vis•s�, Lken�eN�ar ���' T'i7/ 1/1978 4'436-H Director E"RATIDN DATE 07101/2010 �¢ >,r.. �4 �,dK.,�ti.'' i M'�.r 'i�a�d'\/` '4�i<\.,�sbr•2 �/ '1`�, •y/'� r. 9'�9"z�S �'� ��d(. /l,£�a i' 1��1Y y,a' :'�*1'�-\ v! al� ;b��i}• r J s �,v .� '-sfi•r � 1 e r + r„ r� rad e 1j�!�� /,,,��, �{ \ � r� 3'' f t. �� q J,r.r ��• "' �.. •{. .n .. !,. �, t }� vb �dt .mlvh., R'{I�D♦ 4�a.'�.'�'•.Y.�,}.t '�Y:�+ul:a,.9 cY M'u 'y �'.O.r 41' �1'!ai'6�.ory. "+'✓thc'G:)(P.;'✓rroi -�1'+v�lrl .r�PC 1��1 r;�:.(i .' �.t�} ���,.D�,(l''rU �.gq� i s•.�'r•o r,�11y�.��.n c,�.a�`.`^c`�`.�: _ 2�. ♦:n ?, 1:"1vNb��+��19.��/.r.�♦°�.��;�pr1'4t�u ,�ha�1���'�•16�ry,�aih ^�,a{i4 �iro- � .�""e r: •ur�'vva �,a1'�.�o4d `.$NaRJ,yAo-h ..f�vyP"�/,!(.'�/a�$Ne'�'•Y,tlil)� 'b�"�'v+1p.:1�.��H�.rvvr�ltlr�tl�F�P.v°(�t}{'#z;u,'iu�,ovJ'y "�S'`,�'�'yv�'N ' '.`:r�y,�ti�h+/ 'T'i+YdGK''-'�� ' 9`��� � 9. 'v �i+f. G . .rK ,w a a� / !�x N ♦ r� i Z ♦. $.�t.l'r4 �y+1 y� f K4 r),'7, . 4 r {� ♦a'R ) S. ,�. ♦ti+�,�y ._.\^.'++��o A')�l�i.• ���. _ •+� �^'hl� 'l,��]27 tr� /f�r�{\1, r��41 +(/,f,�,�� � Y�e9o'o'Yl YL"J/j � p � l ej�ll +•'0 7:r�if �•o`o�R,1�y �4fF,s''af t♦�r n f(,}.vOdlll'�'at{yW iJ.r.N I<•Y`♦ Y_0 4r aS� hi{a y� .o.!h+'� .p p�y,� .h.�lp', r$ '4 fa '1i � l\ ';'" / ISYI) ?,\ ,rf 1'ld�y;\ /i r v1 Y '+n ;SX, ,. d{+l\ !fn•R++! }�, 'fAV;4S'' y rs'ti ax �49� �Y��ir.� r. a` r'8 r�tiAt � �s;y::s. 'eM `�. � yy,,.a �t�{}. +•?t�'`'' tf4;}�•i �{:1 v � 5E, '� "Xii���` 1 '"C��' drr�.�, '+rFij,� ry+� 'rk�i'4 fx.:<`+''+ .£3 f�. '`�,`��. f}�r X X Rg, W, IZ—u.3-r R A-& IRS, "Ek 1 Mll��.19.11-, �.11 N -"XII K,A. .l �R -TS-A. W, :V 'N, 0 Suffolk County Executive 's Office of Consumer Affairs 0-� VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NEWYORK 11788 0- DATE ISSUED: 5/1/80 No. 2740-NM SUFFOLK COUNTY Master Electrician License This is to certify that EDWARD S REIFF . ..... doing business as UNDERGROUND SPECIALTIES INC having given satisfactory evidence of competency, is hereby licensed as MASTER ELECTRICIAN in accordance with and subject to the provisions of applicable laws, rules and regulations of the County of Suffolk, State of New York. SUFFOLK COUNTY EXECUTIVE'S OFFICE OF CONSUMER AFFAIRS Additional Businesses 17 MASTER ELECTRICIAN NAJA: -A RCA EDWARD S REIFF This certifies that the UNDERGROUND SPECIALTIES INC Z. bearer is duly licensed 2740-ME 05/01/1980 Director Dat.I—d z_ by the County of Suffolk &Zvda 4. omdvm wuunonDare 05/01/2010 M4 W 0101 Aw NEW I • Wh NARK711% 11,1111,11�1111 ,�g I",WIN"a ww" A B Skimmers Rotuma B Aluminum B E F / To Mir �Fromlte) FlRer& Pump To WReturns (Dry Well Optinal) Plan A Ra Wal Foo piping Arrang-ernent Wan Section Virryl Un /4 Rebar Sect lon B—B 5 'a��c 3500 P.S.I. Concrete 2-San o �435� Section A—A Typical Wall Section �OFEsS1o�P`' SIZE A B C D E F G H AREA CAP. FEET FT. FT. FT. FT. FT. FT. FT. FT. SQ.FT. GAL. PurchwQ 16%32' 16' 32' 8' 14' 6' 4' 4' 8' 512 19,000Address 16'%36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600 POOL&SPA CENTRE 18'$36' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300PERMACRETE WALL SYSTEM City- ate 929 Route 25A Miller Place NY 11764 20'x40' V­10" -16""14""'C', 6,.'f -V- '8''"_800 30;000'-''--'- (631)..`744'=71B5w`' - —FAX-:-(631) .744=0174 ,_--' - Phme A. 24'x44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000 Suffolk License #4436—HI 24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30,000 Nassau License #H174450000