HomeMy WebLinkAbout15328-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19072 Date MAY 22, 1990
THIS CERTIFIES that the building. ACCESBORY
Location of Property 660 LAURELWOOD DRIVE LAUREL~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 127 Block 07 Lot 06
Subdivision LAUREL PARK Filed Map No. 212 Lot No. 24
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTF~4BER 23, 1986 pursuant to which
Building Permit No. 15328-Z dated SEPTEMBER 25~ 1986
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 WITH DECK & FF/qCE
The certificate is issued to DONALD KAUFFMAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-777846 - NOVEMBER 6, 1986
Rev. 1/81
~OR~r NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOI-D, N. Y.
BUILDING PE~J~ IT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 15328
Z
Dote . .,.-,r~.lj. ...................................... ,
CounW Tax Map No. JO00 Section ...... ]....~...,.~. ...... S ack .... ..~...~.. ...... Lot No.....~...~.
pursuant to application dat~::l ..... .~.~......~...~ ........ , 19..~...~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
kPPLICATION FOR CERTIFICATE OF OCCUPANCY
This application~must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 from'architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Bo
For existing buildings (prio~ to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
i. 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.
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 - $5.00 over 5 years - $10.00
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.~.~ ?.~ .~.%~2~.3?o~Building ................ ~..~ ~.~
Location of Property ................ ~ ........ ~ ....
House No. Street Hamlet
Onwer or Owners of Property~O~ ....... ~..~. ~ ~....~ {~.~ ~.~0 ........................... .........
County Tax Map No 1000, Section ............ Block ............ Lot ..................
Subdivision . FSled ~ap Lot ............
P rmit No ~
Health Dept. Approval .......................... Underwriters Approval ......................
Planning Board Approval .....
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: ....
......... .......
F1ELD~ IN StgEC T!~0N
FOUNDATION
(lst)
COMMENTS
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION FER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
88 JOHN STREET, NEW YORK, NEW YORK 10038
THIS ~RTIFIE~ ~HAT
o~ly the electrical ffuipment ~ ~scribed below and introduced by the applicant ~med on the a~ve application number in the prem~es of
~an, E/S 6~ L~rel~ D~ N/O De~nic t~y ~ulev~d, La~el, ~uthold, N.Y.
was examined on O~to~ ] ~86 and found to be i. cotnpllance u'ith the reqttlre.tents of this Board.
1 ] 2
DRYERS J ~RNACE MOTORS FUTURE APPLIANCE ~EDERS ;PECIALREC'PT TIMECLOCKS [ BELL ~ MULTI-OUTLET DIMMERS
..v,..,.o...c. , . ,o.
1-G.F.C.I.
.(~MZ~A~i). ~is ct~ifi~te ~ ~plian~ at the date of ip~p~tion only.
~a~e of ~1 en~_ro~,ents it is ~s~le to have f~nt t~t/~d or ~pai~
m~e by a q~lific~ P~n.
EXHAUST FANS
1]1 Sheep Pastu3re Road
GENERAL MANAGER
11
~This certificate must not be altered in any m~nner; return to the office o~ the Board ff incorrect, inspectors may be identified by their credentials.
~: ~?°PY~ FOR_ B~. LDNG DEPARTMENT. THIS COPY OF C~RT F CATE MUST NOT BE ALTERED IN ANY ~NNER.
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southotd, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 1, 1990
Donald Kauffman
660 Laurelwood Drive
Laurel, N.Y. 11948
Re: B.P.9 15328Z Inground pool and fence.
Dear Mr. Kauffman:
I am writing to you regarding the above Building
Permit. This permit has expired and you have not called
for a final inspection and have not filed for a Certifi-
cate of Occupancy.
You are now in violation of the Code of the Town of
Southold.
Please contact our office immediately to resolve this
situation. Thank you.
Yours truly,
Secretary
BUILDING DEPT.
INSPECTION
[ '1 FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ~ / , [ I~~NAL
~REMARKS: '
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 1, 1990
Donald Kauffman
660 Laurelwood Drive
Laurel, N.Y. 11948
Re: B.P.% 15328Z Inground pool and fence.
Dear Mr. Kauffman:
I am writing to you regarding the above Building
Permit. This permit has expired and you have not called
for a final inspection and have not filed for a Certifi-
cate of Occupancy.
You are now in violation of the Code of the Town of
Southold.
Please contact our office immediately to resolve this
situation. Thank you.
Yours truly,
Secretary
FIBERGLA~
MOULDEO
PIECE
BLOCK
GRADE
t ', ;',~':. OPTIONAL STEP , , .- TH,CK'OWE.S COR"'NO'
~ FIBERGLAS'BLOC BOND'
~ "~ ~J~ TROWELED ON EACH
;:i ~ TYPE 2 ~'-
· ~ OF ~NCRETE BLOCK WAL~
PT I 0 NA L STEP WALKS TO BE SMOOTH- NON SKID ~PE. SLOPED ~ ~
TYPE I. w~,[, OIS~SAL SHALL BE LIMITED TO OWNER'S ROL~O FOAM ~.~-~.~.'
~- PROPERTY TO. SUIT LOCAL REGULATION~ B~EEN lINER
~ SEE TyPI~L e,d'BLOC ~ND~
"' .*.. * .: .:*.* ~* -.*.:~ 2~ 4' S ~" .... "
S ECT_I_O N B-B
16'~ 32' 16 32 8 8 12 4. 4 512 I~00
SECTION~- A-A:
PRE CAST
ORADE COP'< !-~ t T'
' SLOPE G
I
~_. ,___.~
12"
PICA L WA LL
.~ SKIMMERS
POURED CONCRETE
FOOTING
SECTIOI~
RETURNS~
~TO FILTER
SKIMMERS
LTERonO PUMP
TO RETURNS
FROM FI/~ER
Examined .~.4'~/,9~. ~g., 19~.~.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y, 11971
TEL.: 765-1802
Approved~...~O...~%....~.~'., 19 .~.~. Permit No.j. .~. ~..;~.~.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date ................... 19...
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation. ' '
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 issued a Building Permit to the applicant. Such permit
shall be kept on the pre?ises available for inspection throughout the work.
e. No building shhll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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, an~n~d regulations, and to
admit authorized inspectors on premises and in building for necessaryj~spections. ,/~ /~ ~ )f--~. ~
.... ....
coFlpor~ion)
" (Mailing address of applicant) A~ ~/
State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
o~/d~ ........ ' ........ ' ......................................................................
Name of owner of premises....D~..A(. ~?.~./67 .... .~..~. ,~?./.~.~..~. ~ ...............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
" (Name and title of corporate officer) .
Builder's'License No .... .~../ ...................
Plumber's License No .........................
Electrician's License No .... .~...&..~.~..-. ...........
Other Trade's License No ......................
Location of land on which proposed work will be done~ . ./ ..... ~ ........ 7 ............ t ........... / ........
....... ........... .... . ............. ...........................
House Number Street Hamlet
County Tax Map No. 1000 Section ..... /..'Y.'7 ......... Block .... 2 ............ Lot....G ...............
. .. ~t,9c~c ,~__ .............. Lot
Subd~wmon ..................................... Filed Map No. ~/;z ...?..~. ........
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ./..../~./.~./.q~ ',~.~/~.4{.D.~.'.~.~?. ~ .......................
b.
Intended
/
3. Nature of work (check which app!i~able): New Building .... ' Addition .......... Alteration
Repair .............. Removal .............. Demolition .............. Other Work .('.~./,q;,~/./-d~':..~.o.~_
4 Estimated Cost ~aaa'. ~
............... i ........................ Fee ............
(to be paid on filing this application)
5. If dwelling number of dwelling uflits ......... 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 ............... 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: Fearn-t--. 020 x~ ~o. Rear Depth
Height ............... Number of Stories ........................................................
9. Sizeoflot: Front ....... /~.~ ....... '- Rear .... /..~.Q .............. Depth ....~*.q.Q.~. .............
10 Date of Purchase ' Name of Former Owner
11. Zone or use district in which pren~ises are situated .....................................................
12. Does proposed construction violaie any zoning law, ordinance or regulation: ..¥/..o. ...........................
14. Name of Owner of premises . ~.~/..~f~../~.4~-..~./¢7~ddress .4~..4W~.,Sg74-..r~.dAQ Phone No ................
Name of Architect ........... ~ ............... Address ................... Phone No ................
15. Is this property located within 300 feet of a tidal wetla~.~'*~.d/~.~./fwa ) .... ' ....
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all bgildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block ndmber or description according to deed, and show street names and indicate whether
interior or corner lot.
3TATE OF NEW YORK,
:ou rv or;.. .....
.......... .~q..~.&...,?~.../~..~?..~r~.q9 .... ~...7~. .... being duly sworn, deposes and says that he is the applicant
(Name of individual signin~ contract)
~bove named.
(Contractor, agent, corporate officer, etc.)
ff said owner or ownem, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file t~s
~pplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
york w~l be perfo~ed in the m~ner s~t forth ~ the application filed therewith.
;worn to before me this
iota. Public ................ ~O.)~ ~ ~C°unty --
' ~ Q~llfi~ in $u~lk Countg ~]~ature o~ applicam)
DEC~
20 x 40
POOL
D, KAOFFivIAN
$~1 LAk'R~'LWOoD DR,
LAURFE_L~,IV.Y, 1J~48
ST~' P$
DECK
!
20,~8
A.2g'
SY$1'J~M~
SE~VICE~ -- FOR ' Af~O~eAL
QF