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HomeMy WebLinkAboutZ-36506 F-FPO4 Town of Southold Annex 9/17/2013 ��4 Gym 54375 Main Road co Southold,New York 11971 W-�o PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36506 Date: 9/17/2013 THIS CERTIFIES that the structure(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 for a 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 building.* NOTES:BP 29986 stge bldg w/office&meeting rm COZ32360, BP 34529 playground& gazebo COZ-33633, BP 35760 change of use to public assembly, BP 35845 alter public assembly bldg. 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 AIR: 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 TIME START: END: Form No.6 �� � q- 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 ofelectrical installation from Board of Fire Underwriters. 4. 'Sworn statement f6om 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 from:architect or engineer responsible for the building. 6. SubmifPlanning 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. 9— 13 New Construction: Old or Pre-existing Building: (check one) Location of Property: `/,7g� �Fca,✓�i. ��/. 162,L) House No. Street Hamlet Owner or Owners of Property: 1�1�TT)T��x dock 2?15Tl kr Suffolk County Tax Map No I000,'Section %�(p Block Lot Subdivision 111/Q Filed Map. Lot: Permit No. Date/of Permit. Applicant: MAr7" 7z fe /�/ ',(� _&z&T Health Dept.Approval: `V Underwriters Approval: Planning Board-Approval: Request for: Temporary Certificate- Final Certificate: (check one) Fee Submitted: $ LL\fe.Y�[�eG�s�LLdP�' Applicant Signature 1%P,C_-P/S7lefar G1 rl//Missi�aJ� CONSENT TO INSPECTION the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned (is) (are) the owners) of the premises in the Town of Southold, located at ZZgYp. j /je y QUA 77--2kO which is shown and designated on the Suffolk County Tax Map as District 1000, Section /a6 Block Lot 4EjIF 1 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for.:the following: 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 comply-with all of the laws,ordinances, rules and regulations of the Town of Southold. . The undersigned, in consenting to such inspections, does) 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,1.rules or regulations of the Town of Southold: Dated: (Signature) / llSS 1411LL�A �54 (Print.Name) (Signature) (Print Name) _4JOWN OF HOLD PROPERTY RECORD CARDOWNER m STREET VILLAGE tr SUB. LOT o- c 0/v i L'i FORMER OWNER rN E ACR. 4 1 S -3 S TYPE OF BUI LDING WT *++ r:�(y k ztf4- RES. SEAS. VL. FARM COMM, CB. MILS. Mkt- Value Mp LAND IMP.. T TOTAL DATE REMARKS ci Z 70 0-U- 17z) I - 4-4- -A)r V6 -4 ->00c) 2 0 1A'kGtceS gfw 273 4q n SF -$iov,42 ft, U AGE BUILDING CONDITION r 4EW NORMAL BELOW ABOVE ARM Acre Value Per Value Acre Ifcb le FRONTAGE ON WATER oodlond FRONTAGE ON ROAD ,adowland DEPTH juse I t BULKHEAD al ( DOCK LOR ? /' _ G sr TRIM r I s � _ P I F r l 24 M' Blda. ZO 2, I , ensia F��errsion � - I I I i C1 41 Extensl r V a V V d ,f yaU f E Founds#ion ,, Bath {, Porch /� ' Dinette I Porch i �X`� �Q �rI Basement fl l Floors rtl �. 1 xS,a` „� 3O . 5�5 Ext. Walls Interior Finish ; i LR, Breezeway i � I � ;Fire Place l .f Meat DR. e Garage f IType ROof , booms ]st Floor i I gR Recreation Room Rooms 2nd Floor O. B� �� •.. li=ll`I. B Total I Dormer �Driveway S JAI �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 TYPE OF CONSTRUCTION: V�c�-� -ram # STORIES: _�#EXITS: FOUNDATION: �.,h`-� BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: - 3RD FLR: BATHROOM(S): _ ` TOILET ROOM(S): UTILITY ROOM: PORCH TYPE:- 4"dDECK, TYPE: `� PATIO;TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: / TYPE HEATER: AIRCONDITIONING: TYPE HEAT: rz4WARM 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. 1 4 REMARKS: INSPECTED BY: DATE OF INSPECTION:]?M TIME START: ®� D: - 5 4 2 SANITARY SYSTEM CALCULA';`fQNS; _. .%-,: " , SITE DATA: SUFFOLK COUNTY TAX MAP# 1000-126-6-17,18 -CAST IRON COVERS TO GRADE SITE AREA 6.573 ACRES I ALLOWABLE SANITARY FLOW DENSITY FINISHED GRADE i eke GROUNDWATER MANAGEMENT:ZONE IV I � hoc`(` �� ALLOWABLE FLOW:600 GPD/ACRE , 1' MIN TOTAL ALLOWABLE FOR SITE(6.573 ACRES)(600 GPDIACRE)=3,943.8 GPD SEWAGE DISPOSAL SYSTEM DESIGN CALCULATIONS:70 X 42 BUILDING 2 940 SQFT I ^j �, NO WELLS WITH TRAFFIC BEARING SLA 4' 2' MAX. 4' ��� ° 150, 0, - 20 10• MIN. USE SANITARY KITCHEN TOTAL 9L O O INLET I OFFICE 1107 SOFT X.06 GPD 67 GPD t_ °°- - - - -1 O MIN. 4' DIA CLASS 6' 6' - OUTLET PUBLIC MEETING/CATERING HALL 83 SEATS X 5 GPD/SEAT 2.5 GAUSEAT 623 GPD { 2400 PIPE OR FLOW LINE MIN. 4' DIA. D Veterans \��(`T . - BEACH/PLAYGROUND 45 PAKING SPACES X 15 GPD/SPACE 675 GPD D co ' ' - ------------- EQUIVALENT I CLASS 2400 PIPE Beach S --z°"`` PITCHED 1/4'/FT. I OR EQUIVALENT UTILITY/MECH EQUIP.RM. 85 SOFT X.04 GPD 4 GPD PITCHED 1/8'/FT. SHOWERS(EMPLOYEES ONLY) 3 EMPLOYEES X 5 GPD 15 GPD District NQO� -�0' KITCHEN 208 GPD,TOTAL 1,384 GPD par � � ��� ��_� , 4' IIQUI DEPTH 1 J 00 SEWAGE DISPOSAL SYSTEM DESIGN CALCULATIONS: 8' 0' UIL ING 560 SOFT) ... . ' . . BAFFLE Peconic bray - ' ! ' tiii ark^° ` °, WALL USE SANITARY TOTAL 1 ° °^`e STORAGE 560 SOFT X.04 GPD/SQFT 23 GPD i 4' MIN, TOTAL 23 GPD J._ TOTAL SITE SANITARY FLOW 1407 GPD 1 1'110 a 5\9n �'� o --- 2' Dl SEWAGE DISPOSAL SYSTEM DESIGN: I 0 600 ft - - ► ° W�nte(� SEPTIC TANK N�.1+� S PTI 1A I PUIDIt u� 07 �lYLINbRI .. .................................... .LI tD• f} =2;6t4 GP Q By Suffolk CllUilty llG t t � � L SEPTIC TANK 12'DIA X��'SOL©RING"...=3,000 GPD ' LOCATION MAP " " G _ ' ``9 �� INE. W LL GRAESETRAP"-"" "` - REQUIRED 205 GPD I A/JTH 150' PROVIDE 1A500 GALLON GREASE TRAP 8'DIA x 6'DEEP WITH 5'LIQ.DEPTH....=1500 GPD i LEACHING POOLS: I t�\G \ '' \\ --- ^ REQUIRED: 1,407 GPD/1.5 GPDfSF.......................................................... : ..=938 S.F: } 0 e PROVIDE: DIA.LEACHING POOLS WITH 3'DEPTH................................. \ ,` r _-•' ' r CAST IRON FRAME AND COVER TO GRADE ` • i ' i ' \ ` FINISHED GRADE NOV' Q- -' ` + Traffic Bearing slab 1 \ ♦ I' "MAX,I1' IN. 9 'O 1' O ' ' ` 4' 2' X '-�4' 2' MAX. 8'min thk r INLETMIN � ' • V O t ,', ,+� 1' �Ok i `i 1'O 1 PITCHED41/8'/FT. o, D• o NOTES: - � w\6GJ� I Qa=ebo -\ �_ -10 % �� Cj 1. SANITARY AREA TO BE GRADED AS SHOWN \v (� ® �' ® ®' 2. EXISTING SANITARY SHOWN TO BE REMOVED AS PER SCDHS STANDARDS �. o ® • ® � 3. INSTALLATION SHALL COMPLY WITH SCHDS STANDARDS ♦- , ti o , , ` +p , _ - . 7 4' CROSSOVER ' a ` ®�� + PIPE �- ® 4. STORM DRAINS SHALL BE 20' MIN FROM SANITARY COMPONENTS '- ®�® 5. KITCHEN WASTE TO BE SEPERATED FROM SANITARY WASTE • I act` I °� I • � -- '-i� • • �® ' i "'r o' DIAOr DI AND PIPED TO GREASE TRAP red \ 6. TRAFFIC COVERS TO BE USED ON ALL SEPTIC COMPONENTS v,♦ \ '• I ', 2 FT. MIN ABOVEGROUNDWATER � po \\ °""°'"A'� 7. GREASE TRAP AND SEPTIC TANK SHALL BE INSTALLED PROVIDING }'�• \ , A MINIMUM 5 FOOT CLEARANCE TO BIULDING ON SLAB `\ ' - _" - TYPICAL DISTIBUTION AND LEACHING POOL s. CATERING HALL WILL ALSO BE USED FOR PUBLIC MEETINGS WITH A C �a� EP \o '`, L MAXIMUM OCCUPANCY OF 83 PEOPLE BASED ON NYS BUIDLING CODE io- ° \ \ Ed EP \�g CD 9. KITCHEN TO SERVE BEACH VISITORS AS TAKE OUT FOOD SERVICE . O(�C , \\ �o `, `♦ ', ♦`` W `° \ � ' � i'------ � p � � 10SEASONAL BEACH HOURSATHROOMS ARE OPEN BEACH VISITORS DURING o \ Ol osPho so 11. SHOWERS SHALL BE CLOSED TO PUBLhC AND ARE ONLY FOR EMPL.:PEES 12. PARKING AREAS SHOWN ARE FOR EXISTING AND FUTURE PARKING IN, = I ACCORDANCE WITH THE SOUTHOLD TOWN CODE el ..5; ♦ ll , ` ' S \ ' ` ' LIMIT G AREA ♦ ' `�� � PARKINV EXISTING SANITARY TO .°, - -� -. _ - - - - --- _ . ,..- _ _- - - - - _ - ` • , \ ` ! BE k MOVED AND , + a _SOjJ7'lFin1.D TOWN PATtKTI�?IG I3EQUINCt ME1�1TS�� -_. ABAN ONED ` sh°° - >> CA 1 ERINU KUUM 1246 SF 25 SPACES 1 `♦`, , \ +, , + ', AS Pt SCDHS `` o ,'' ''° - I S�oC e STAND(,RDS q.a+ STORAGE 434 SF 1 SPACE \ , C O� O , , NO WELLS WITH t \ F \r� / OFFICE 1107 SF 12 SPACES 150' to 4 \ �. 8 '\\a e N u - - _ BEACH/PLAYGROUND 45 SPACES 07 ♦` `` \ : `` ', ♦ PARKING AREA ', F t E \ �B \' - --- _ , ,' TOTAL 83 SPACES „ \ ?. ♦ , ` LIMIT �1 \ ><O( 7 NtIt Of It 0, \% ..[ ♦ PARKING AREA \ ` ` `, ♦ ' ` --------- 'a, - ♦ t l yi0 `, LIMIT♦ \ t ` `. ♦` ' -- ' , , - '' -- ----- TEST HOLE ---- �o _ � ' CAST IR❑N `John Ehlers L.S. r \ - -- FRAME AND 12-11-2008 �/ _ _ - -5� ---- _ , - 10 A.M. HIGH TIDE 0 1 ,- - _ C❑VER T❑ - B GRADE L 8.1 0.0 / _ _ - N w M) FINISHED GRADE BROWN LOAMY Suffolk County Health Department --- - - '-p\On9 P �1 7.6 SAND - SM 0.5 i! , •` I `, / , ' -/tie I^ie 1 • 4' 2' AX. 4• I -- ,A 1" IN. - - - - r OQ �I,I $ TRAFFIC BEARING SLA ------------------ -'' 6.25 - 0' o• :, 6• 1N PALE BROWN / ---------------- -' ', /�� CJ1 V FINE TO MED Suffolk Count SAND - SP CoaatruCtionment of 1T;f�n 8 811!ices �anlll Approval for -Other ing 'y SITE PL.�N KEY -' ' ___________ �/ �,�,;;�°;;•• FROM KITCHEN FLOW LINE G.T. - GREASE TRAP MIN 4'. DIA, T❑ SEPTIC rfenceNaC� 0� Oq- DOD3Desi�,F1oR, 1437 a� ' S.T. - SEPTIC TANK -- E PITCHED MIN, .` '' -i- oo� t DIA. 35 2 1 ( ) ►�1e _ 4h;vie - � . , , :, , 'v� ____ (� , 1/4'/F T, 7.8 Theee plans have �r�/ wPITCHEDi' realaoce iv1th Suffolk L.P. LEACHING POOL De >�ent of Health Se �" /' ''' /' /' ,' " '- •d GJ >��BS 0 1/8'/F T County P .%rW9,standards, relatln, to water E.P. EXPANSION POOL • pP Y and sewage disposal. Regardless of eu umieaic►ntj: S - SANITARY PLUMING LINE ° ' "� ' � /° '"' `� ���$l '1'`�lpc � s' LIQUID DEPTH � WATER IN PALE "° l s .v ,,' ,'� ,, `,, ,, ' ' A'�O, P�. •'• ilmonsisteDCies or lack Of de �, , , i pp °d n� teil, QOntltt>tlCtion l.Q regtllted to ti EU K - KITCHEN PLUMBING LINE - ,- o e _ _ _ \G BROWN OOMEIDIUME pe ' - i i' ', / '' '' �f p\o _ talldH!l�.B,UIlIedS e�e�6call Waived rintt a ndltiltAtc�JGtI(1 4pp1ica17lo SD STORM DRAINe� ` h PP ' SAND SP Y by Deprirtment.Tlnaa novel Yens from the renewed. expires 9 7 approval da extended or , - - PROPSED CONTOUR ' / / • 4' MIN BASE❑LSEC TN (; Q EXISTING CONTOUR 6 Approval Date Review-Er•" ' 7 DI 14.0 "d`3 'Seeks V\okxkM"0) AIL0c ec� GREASE TRAP 11 Y ���Y 1 n AVG BUILDING MAINTAIN 5% MAX SLOPE MAINTAIN 5% MAX SLOPE MAINTAIN 5% MAX OF�ICFn0I�� Iry,S • • - A TRAP 20 FEET FROM POOI �$•. Michaelja esP EFF EL-1(1.8 NRV80rGRADF EL=10.6 GRADE EL=10.0 GRADE EL=9.5 �' *{�(' 163 PENINS ATH A A _ EXISTING SAN ,.=•..•. NV T INV�8. - 't j� RIVERHEAD N Y 11901 KIT KITCHEN INV=7.6 .'-'�.a�.., •"-'J: - `• � • BACKFII_L MATERIAL ?; ',t +I). �.S IN =�0 INV=8.8 GREASE TRAP EXISTfING SANITARY SEPTIC TANK - 1 cn �.r '•� PHONE 631-369-2170 � S INV=7.3 TO BE CLEAN t�,.'..," � Q 8' DIA x 6' DEEP 12' DIA x 5' SOLID RING lOx3 tOx3 SANG AND GRAVEL + 'r tf► * -.--- '� 5' LIQUID DEPTH 4' LIQUID DEPTH DIST. LEACHING POOL LEACHING POOL - \ 1e EL=3.2 EL-4.6 - ; II; n, TITLE: VETS BEACH PARK DIST. EL=3.� . i?,f.:,).�,% SITE PLAN / PROPOSED SEPTIC SYS. GROUNDWATER EL=2.1 �,1; �. ��, ` sin 1000-126-6-17.18 SEPTIC D � SANITARY INVERTS DttAWII1GNUMBER FATE:8-21-ZOU9 SCALE: 1„=40` SHEET 1 OF 1 8 6