HomeMy WebLinkAbout25608-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Sonthold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-27392 Date: 11/02/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 865 WHITE EAGLE DR LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 9 Lot 23
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 26, 1999 pursuant to which
Building Permit No. 25608-Z dated MARCH 17, 1999
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 FENCE TO CODE AS APPLIED FOR.
THe certificate is issued to DONN-PAUL & PATRICIA DELANE
(OWNER)
of the aforesaid building.
SUFFOLK COUNT~ DEPARTMENT OF ~IEALTH Ai~PROVAL N/A
ELECTRICAL CERTIFICATE NO. 40134 01/10/00
PLUMBERS CERTIFICATION DATED N/A
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. 25608 Z Date MARCH 17t 1999
Permission is hereby granted to:
DONN-PAUL DELANE
865 WHITE EAGLE DR
..... LAUREL~NY 11948
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL WITH REQUIRED FENCE
ENCLOSURE IN THE REAR YARD OF AN EXISTING ONE FASiILY DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 127
pursuant to application dated FEBRUARY
Building Inspector.
865 WHITE EAGLE DR LAUREL
Block 0009 Lot No. 023
26 1999 and approved by the
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 2/19/98
BUILDING DEPARTMENT
· ~ TOWN HALL
765-1802
This application must be filled in by typewriter OR ink and[¢u'bmitted to the b~ild~n~
inspector with the following: for new building or new use:~
1. Final survey of property with accurate location of all ~uild~ings, proper%'~%in~s
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. Co~ercial building, industrial building, multiple residences and similar buildi~
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a~
"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 a consent to inspect signed by the applican~
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-existin~ Buildin~ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/ Date .................................... '
New Construction .... M ...... Old Or Pre-ex~sti~g Building.~ ............. ~-~
Location of Property ....... .~.~.~..i.....~.-~.~...~.~./~.-~'. ......... '~' ...............
House No. ~SCreet ~ ,, Hamlet
Onwer or Owners of Property.~.lQ.~.?..~.~..~.~....~-(-'-~-''-'~~ ........ ~''''
Count Tax Ma No 1000 Section ..... ~.?. .... Block ...... f .... Lot ...'..c~.~. ........
Subdi~ision.~.~l~..~.~O.~.~t.~..~ ...... Filed Map i.7.~i~.'.Lotl .... ~..~..i..i ....
Health Dept,rAp~ro;~l ............... ~ ..... ]Underwriters Approval .... t ................
Planning Boa d pp val ....................... /
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
.. . ~..',~p~z ~.. .....
APPLICANT
BUILDING DEfARTMENT
ToWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
('THIS PERMIT MUST BE KEPT ON 'TI~REMISES UNTIL FULL /
COMPLETION OF. THE WORK AUTHORIZ'Lq~,.
County Tox Mop No. 1000 Section ./~...~... .......... Block....~...~... .... Lot No ....~.~.. .............
pursuon, ,o opplicotion doted...,~..~..~./...":-.. ~..~.......E~....., I~...~.., end approved by the
Building Inspector.
Fee ~ ......... ~ .............
Rev.
Electrical InSpection serVice' Inc.
~ '37~Dunt~nA~enue
East Pat~ci~ogue N~w
· .(63t)'286:6~42 '
< : ' : Application No,: 40~34
Date; 01/lO/2000 ;~
Issued to: Donn DeLane ~
Street: 865 White Eagle Drive
Village: Laurel
Installed by: DeLane Electric Inc.
~ Attic ~lst FIoo~ ~ O/S Residential
~ Jasement ~ 2nd Floor ~ ~ O/S C~mm ercia!
Switches Receptacles Fixtures G~I Heaters ~C
1 2 ~ ~0 0 0 0 0
Dishwasher Washer ~D~er oven Range Garbage Disposal
0 0 O. 0 - 0 0
Furnace Oil Gas Circulator Smoke Detector Bell Transformer
0 0 0 ~; 0
Meter Amps Pt~ase Motors Telephone Televisio
0 0 0 0 0-~ ~ 0 ~0
Other Equipment:
. President
This ~e~ifi~te must no~ be altered in any manner
Building Permit No. 25~0~
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 12, 2000
Donald Delane
865 White Eagle Dr.
Laurel, NY 11948
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
b ae~ause of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
~x~ XX No Underwriters Certificate on file.
~ XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 25608-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
N? 24383 z
ADDRESS~ ~
This notice must be displayed during construction
and returned to Building Dept. to get a certificate
of occupancy upon completion of work.
BUILDING INSPECTOR'S OFFICE, TOWN OF SOUTHOLD
SOUTHOLD, N.Y.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~iSULATION
[ ] FRAMING [~/] FINAL
[ ] FIREPLACE & CHIMNEY
DATE /////~ INSPECT~
~OUNDATION
STATE ENERGY
.FORM NO. !
TO~{ OF SOUTHOLD
BUILDING DRPARTNBNT
TO~t HALL
SOUTHOLD, N.Y. l{971
TEL: 765-1802
%ICATION FOR BUILDING PERHIT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLAI/S ...............
SURVEY . ·
CBECK ......
SEPTIC FORH ............
NOTIFY:
CALL ................ ..
~L&IL TO: ....................
a. This application must be eaupletely filled in by tyl~riter or in ink aud suhnitted to the Building Inspector wi
3 sets of plmas, a~curate plot plan to scale. Fee according £o sohedule.
b. Plot .phm sho~ng locatio~ of lot ~nd of buildings mm premises, relationship to adjoining premises or public
streets or areas, ~ giving a d~ta½Ied deser½~io~ of l~ff0ut of p~operty ullst bu dr~a~l o~1 the diagram ~hich is ImrC of
:this applicatlou.
c. 3t~ ~ork cove~d by ~his applic~tico ruay not be con~enced before issuance of Building Peudt.
d.' Upon approval of this applicatico, the Building Iusuector will issue a Building Vemlt to the applicaut. Such
pemi~ tlkall be kept o~ the premises available for inspection throughout the ~ork.
e. lto building shall be occupied or used in ~hole or in pat-~ for any purpose s/natever until a Certificate of
Occupancy aha11 have been granted by the Building Inspector.
APPLICATIOff IS l~gutf PAIIR to the Buildlng llepartnent for the issu~ce of a lhilding Pemit pursuant to the
Building Zone Ordinm~ of the To~n of 9outhold, Buffolk CounOy, ~ York, and other applicable Laus, Ordinances or
P, ngulatioas, for the cons~mctiau of buildings, additions or alterations, or for removal or demolition, as herein
described. The applic~t agrees to comply vfith all applicable l~vs, ordimaaces, building code, hausing code, and
regulations, and to ~it authorized inspectors o~ premises and in.bgt$1ding~~]~ ~/~ /. fif°r necessa)~y inspections.
............... : ....
/ (Siguatu~re of ap~. ic~at, or name, if a corporation)
(Mmling ~,-ess of applie~mO/ t
of of .............................................................
{a~ on the tax roi1 or latest deed)
If applimt i. a corporation, ~ignature of duly authorized officer.
(R~e and title of corporate officer)
Electriciaus Liceuse . ·.
Other Trade's License l~b .....................
I. Loeatico of land on vhich proposed s~u~k will be done ..............................................................
· .~ .... ~.~.-~. .... P_Lc~l~...b..~.L.v.~ ...... ~.~.! ........................................
' HOUSe ~'~.~ kRl:/reet N,:'mg. et
~.~~. ,~ ~t,co...l~ ...... BI~ ..... .9. ...... ,..~t ~.~ .........
Subdivision...: .................................. Filed ltap ~JO ....... Lot . .~-~ ......
2. State existing tm ~1 ~of_ ,v~ises~d inten~l~ use ~a~t~-u~~ ccost,ructico:
Repair ............ P~tal .... ~ ........ llemalition ............ Orl~v I¢ork ....... ~)'~ !r .... & ...................
6. EstimetM ~st .......... '. ~ ............ f~ ..................................... ~ .........
(to ~ ~d ~ ~lt~ this a~li~t~
5. If ¢~11i~. ~r of ~lli~ mits ............ ~r of ~lling mits ~ e~ tier ....
If ~r~e, ~r of ~ra ...... , ................................
6. If ~i~ss~ ~reial or ~, ~, ~i~ ~ ~ ~tent of es& ~ of ~ ......................
7. Dimnai~s of ~sti~ at~S, if ~: ~t ................ ~ ............... ~pth .................
Ihi~t ......................... ~r of Stories ......................
Di~i~ of ~ st~e ~tb all.ratios or ~iti~: ~e ............... ~ar ...............
~pth .................... ~i~t .................... ~r of Stories ...............
8. Di~nsi~ of entire ~ ~st~tim: ~t ................ ~ar ............... ~p~ ..............
}~i~t ......................... ~r of Stories .....................
9. fii~ of lot: ~t . t ...... ~e .................... ~pfl .I ........
I0. ~t~ of ~d~a~ ............... ...... ~ of Po~r ~r ........................................
I I. ~ or ~ distrlet in ~i~ p~i~$ a~ ai~t~ ...............................................................
r~l~ti~:
12. ~$ ~o~ ~t~ti~ violate q ~i~ 1,, ofli~ ~ ........................
13. ~ill lot ~ ~ ...... ~.... ......... ~ill e~ fill ~ ~~:
/
PLOT DIAO~
I~ate cl~rly ~ dlsti~tly all ~ildi~, ~r ~isti~ or ~, ~ iMi~te all ~t-~ d~nsi~s
~ ~r~ li~s. gi~ st~t ~bl~ ~r ~ ~scrlpti~ ~co~ing to ~, ~ ~ strut ms ~ iMi~te
~r interior or ~r lot.
.... ....................
(~ of iMibi~ fli~h~ c~tract)'
I~ is the ........................... ~ .......................................................................
(~traetor, ~nt, co.rate officer, etc.)
of ~id ~r or ~ra, ~ ia ~ly ~thoriM to ~rfom or h~ ~rfo~ tim ~id ~ ~ to ~ ~ file this
a~licati~q ~at all star--ts c~ta{~ in ~in a~licati~ a~ t~ to ~ ~$t of his ~1~ a~ ~liefi a~
that ~e ~ will ~ ~r~o~ in tt~ m~r ~t forth in ~e a~li~ti~ fil~ ~.
OCCUPANCY
USE IS UNLA~
WITHOUT CER1
OF OCCUPANCI
Ai'I'AOYED AS I IOIlO _ ,, P L A N
THE REQUIREMENTS lOS
r,i
SECTION
UNDEI~ Ill~ll
.PLAN
~TY PICA L WALL
PIPING ARRANGEMENT
· OPTIONAL STEP
TYPE I.
°°%, ' ; -.~. c~:
· C-f' , ; 7:';
: ~'PTIONAL STEP ',
TYPE 2.
40,112 50. . FT.
CE $SPOOL ~.$EPTIC TANK ,WELI-
,.OCATION$ BY OTHERS
V ac all t .
EAGLE
97 -517
DRIVE
J,,.84.00'
cesspool
septic tank
GUARANTEED ONEY
fence
.CO. 5~ S~
NJ32' 33' 42"W.
NOW OR FORMERLY
'vaca n~
)arch
cellar
wood fence I ~
'"
!
'- O
184.00'
RAS'WEILER
HAR(~LD 'N.Y.
F. 'TRA~,?~IO~' ~11~;~, . PE'NN,,
~e ~xlste~n-ce ~)T r~g~t t)T ways an~ or easements
'of~,record, if any, not Shown are not guaranteed.
SITUATED AT LAUREL
TOWNOF S~)UT,HOLO, SUFFOLK COUNTY
SCALE I" = 40' DATE 7 < 2~t - 19~7
NO: 777 0 DATE 8 *- - ~1~4
( MAP NO. I000-127 - 9 ~ 23 (REF. ONLY)
HAROL0 F. TRANCHON JR. P.C.
LAND SURVEYOR
SUCCESSOR TO WILLIA.M G. MEIER
866,:,WADING RI,V£R-MANOR RD. WADING RIVE
'NEW YORK, 11792
516-929-4695
~LI)EN VIEW EST .'
SURVEYED FOR
L:OT NUM I~ER 23
MAF~ OF' GOLDEN VIEW ESTATES