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HomeMy WebLinkAbout26665-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28048 Date: 11/02/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 2200 ALDRICH LA LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 1 Lot 2 .21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 18, 2000 pursuant to which Building Permit No. 26665-Z dated JULY 24, 2000 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to THOMAS & DONNA LYNN WESTERMANN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 10/26/01 PLUMBERS CERTIFICATION DATED N/A A hor' ed Si nature 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. 26665 Z Date JULY 24, 2000 Permission is hereby granted to: THOMAS WESTERMANN PO BOX 411 LAUREL,NY 11948 for CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. at premises located at 2200 ALDRICH LA LAUREL County Tax Map No. 473889 Section 125 Block 0001 Lot No. 002 . 021 pursuant to application dated JULY 18, 2000 and approved by the Building Inspector. Fee $ 50. 00 Authoriz 'gnature COPY Rev. 2/19/98 Form No. 6G f TOWN OF SOUTHOLD j BUILDING DEPARTMENT TOWN HALL D ` 765--1.802 APPLICATION FOR:CERTIFICATE OF OC UP Cy A. This application must be filled in by typewriter OR in o t e uilding 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. 2.4 Final Approval ftom 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 buildin: and installations, a certificate of Code Complianoe 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 .an( -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.conseut 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 $25.00, Additions to dwellipg $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 onPre-•existing Buildine - $100.00 3. Copy of Certificate of Occupancy - 4: Updated Certificate of Occupancy - $50.00 5: Temporary Certificate of Occupancy - Residential $15 00, C erci 1 $15.00 :Date .. . ..�. . �.. .Q.Q. .. . New Construction: . ' Old Or Pre-existing Building: .... ..... . . . . .. Location of Property....:L 2.a..�..I;t..��iC:h. .L.4.hf f . ... .. .. ... .. .. .. .. `-u lc Y'•.•4 .,. • • . • 1 . .. . ' House No. Street Hamlet • Onwer or. Owners of Property,. . .:::.5?�:`a:S...a.'?:�...Y. �..�'1!^.a. .. 5./. .1/70. AlRn.11. . . . . .. . County Talc Map No 1000, Section. .. /.. .Block. 6 a ,. Lot.*. Subdivi.sion.. .. . ..4.: . . . 4 . . . . . . . . .. . . . . iled Map. . . . . . . . . . . .Lot. . .. . . : . . .. . . . . . . . . . Permit No. . . . .. .� .�, . .Date Of Permit... . . ,� Q.Q.Applicant. . . . . .. . .... . . .. ... . . . . . . . .. Health Dept. Approval. .. . . . . . .. . . ... .. .. .. .... .Underwriters Approval. .... B. . .. ... . . . . . . . . . Planning Board Approval. Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . . . . . . . . . . • tee Submitted. $. .. .',.. . ., . . . .. . . . . . .. 0qCY C . . . . . . .. . . . . . .:. .. . . . :. . .. . . . . ... . . . . . . . ... . . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8085845 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date NOVEMBER 05,2001 Application No. on file 13329701/01 H 073342 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of THOMAS WESTERMANN, 2200 ALDRICH LANE, LAUREL, NY in the following location; ® Basement ❑ 1st Fl. ❑ 2nd FL OUT Section Block Lot was examined on OCTOBER 26,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCU4 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. I N.P. 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.I TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. I N.P. NO.OF FEET AMT. WATTS 1 20 SERVICE DISCONNECT NO.OF S E R V I C E METER AMT• AMP. TYPE EQUIP. 1 0 2W11 0 JW S 0 JW J 0 4W NO.OF CC CORD. A.W.G. A.W.G. A.W.-6. FER 0 OF CC.CORD. NO.OF HIAJIG Of HIARG NO.Of NEUTRALS OF NEUTRAL J_ T_ OTHER APPARATUS: SWIMMING POOL-1 G.F.C.Ir-1 *(SWIMMING POOL) This certificate .P covers compliance at the date of ISS' inspection only. Because of unusual environments it is advisable to Have frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be offered In any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 8085845 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date NOVEMBER 05,2001 Application No. on file 13329701/01 H 073342 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises,of THOMAS WESTERMANN, 2200 AWRICH LANE, LAUREL, NY in the following location; ® Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on OCT0 3ER 26,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ounmRECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I N.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.6. A.W.G. A.W.O. AMT• AMP. TYPE ECUIP. 1 TW 1 JW J 0 JW J 0�W PER a OF CC.GOND. NO.OF NI-LEG OF NI-LEO NO.OF NEUTRALS OF NEUTRAL ' Y OTHER APPARATUS: THOMAS WESTERMANN L P. 0. BOX 411 LAUREL, NY, 11948 GENERAL MANAGER 11 Per TINS cermeate must not be altered In any manner;return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 suauiNc DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 1613 � � INSPECTO __ R u - - j II II I ` - ro it FOUNDATION ( IST) ii n -- --- -- --- - --- - - --- ) V� II II I---- II FOUNDATION---- -ND) ---------------- ==____ ________ _______________________________________________________ 1 �b u ° II II II II ROUGH FRAME & u ---------------- PLUMBING Tr-- INSULATION r —INSULATION PER N. Y. u H u-- ii STATE ENERGY i� it H lul---- il CODE a ii u it �V �y �u u • H It it r ij If FINAL ------------ ADDITIONAL COMME �Hd H 1 H G o � z _ r � r� b BOARD ON HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . , TORN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . . . . . • TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 DEC . . TEL: 765-1802 TRUSTEES . . . .... . .. . ..•• • • - • • NOTIFY: -Examined ... CALL . . . . . . • - . ..........., �0.... I _ MAIL T0: � •� ��Z Permit No. �`� ..�Z . . . . . . . . . . . . . . . . . . . . Disapproved a/c .........................it1k.... .................................. .................................. ...................................... .... .......... nn-►.r,__ • • • ........ (Buildingtor) APPLICATION FOR BUILDING PERMIT irll � 7 �$ d6 82000 1' F INSTRUCTIONS �..." �� ti mrst be armpletel filled in b > Y y typewriter or in ink and submitted to the Building Inspector w ate plot plan to scale. Fee according to schedule. b. Plot plan .,location of lot and of buildings on premises, relationshipto adjoining streets or areas, and giving a detailed description of layout of property d ia premises of public perry this application. P must be drawn on the diagram which is part of c. !tie work covered by this application may not becorm�enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 whatever until a Certificate of. Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MALE to the Building Department for the issuance of a Building Permit purmiant the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Orditnances 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, housicode, and regulations, and to admit authorized inspectors on premises and in bu°ing 'lding for necessary bans (Signature of applicant, or name, if a corporation) po Aax 9W L4urle / t1no ...-"Nailing.address.of•applicant) 'I. .. State whether applicant is owner, lessee agent architect, engineer, ' > a8 � cla ................................. ........ �.,....,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 andtitleofcorporateofficer)•••••-•- Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Z ? o G La(tt� I.ncati of land on which proposed work will be done., lo!r c L 4 n Housei.... .Z 0......8treet.... .......... �� C �• Hamlet •�Q I,(1^ / County Tax Map No. 1000 tion .I Z S- 7.-2 Block P • ................ Lot ................ Subdivision .. :0., t r�' ... �'. ,*.ft Filed Map No. ..7.F,�Q k 2 (Name) .............. 2. State existing use and Occupancy � ' . of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................. b. Intended use and occupancy .... ................( 0 0 �- /.............................. .. 3. Nature of work (check which applicable): New Wilding .......... Addition ...... iter ti / RR�epair. ............ moval ............. Demolition ............ Other Wo .. ,aVF :j/`attlgp/ ription) /a6 4. Estimated Cost �.a.�:�o.......... fee .............................................. (to be paid on filing this application) 5. If &selling, member of dwelling units ............ Number ofA&A.ling units on each floor ................ Ifgarage, cumber 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 ................. lleight ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Heiglht .................... Itimber of Storie? ............... 8. Dimensions of entire new construction: Front ...7 7+3.q0 ?�•7............. Depth ,,,,,,,,,,,,, Height .....................j... Numberxxof Stories ..................... 9. Size of lot: Front ..6 Q . 40 Rear ................ Depth ................. 10. Date of Purchase .... / �. /.�./!.P.... Name of Former Owner ...... \....................... Il. Zone or use district in which premises are situated ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 14. Names of Owner of premises ........................... Address .............................. Phone No. ............ Name of Architect .................................... Address .............................. Phone No. ............ IJ.ame of Contractor ................................... Address .................... ........Phone No. ............ 15. Is tlhis property within 300 feet of a tidal wetland? * YES .......... NO .. .... *IF YES, SOUIIlOiD Tad1 TIAL-11 S PMffT MAY BE W4HRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and,indicate whether interior or corner lot. APPROVED AS NOTED a "'"WED •!A�A,�E DATE: a oo BAART�E El vv/LOSL, �p!'Z%EI,.V.• FEE: SbON COMP 0 CODE NOTIFY BUILDINGNT AT BEFORE •. LION 765-1802 9 AM TO 4 PM FOR THE WATER•• FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE OCCUPANCY OR 3. INSULATION FRAMING & PLUMBING USE IS UNIL °1 '• K 4. FINAL - CONSTRUCTION BE COMPLETE FOR C O. MUST` ALL CONSTRUCTION SHALL MEE WITHOUT C �F ICATE THE REQUIREMENTS OF THE N.Y..' -ty STATE CONSTRUCTION & ENERGY ✓ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS srnlE OF ram YORK, ,r „ / .. �L, �'S UNDERWRITERS CERTIFICATE Wwry Or ... Ck REQUIRED '••e..�-e �... � ..........being duly sworn, deposes and says that he is the applicant (Nave of individual signing contract) above named, Ile i s tine .... ..........C'.... ....................../ � 1 'l ('l ............................................... (Contractor, agent, corporate officer., etc.) of said owner or owners, and is drily 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 the work will be performed in the manner set forth in the application filed therewith. Sworn tobeforeere this ... �.d..........d of .....:.2000.. Notary Rmblic ... ./`:. ..... OYCE M.WILKINS .... ............................. ary public,State of New York (Signature of Applicant) No.4952246,..1.1 anaU� Term Exp S"34!Q 3 �: } r« . e� V • ,` `.* fI f 1 1 Z Z . 0 Z ccasrRz� ---x FC. m � 0.5,N.W Q: m 11 V AN c 1d l]C.! c.' Z J y}V� z /A•.. r N V 3 Z � Z � 14' •c I.- 3,3 % ¢ g 4,43 i sty fr 3 OC 20 tt dw. FC W vE � ,� CESSPOOL SEPTIC TANK ++• �,r I�14u21S' J WELL LOCATIONS BY I x J OTHERS . I 5 w I Z_ ! O � I _.j 89.5 ` Y Y .. .. �.1G11•�� S. ,� u�l` �t1 U- : a .� o Z. 1 I LL wIv ., T ( 5 ' P --�• , _ �v N 32 56 30"W. N. 34 o 03' 00' W � ti j 8' 69,0E' ( �� } • L AL_CR IC H LANE vaccnt FINAL SURVEY 7-JULY-97 cOUNDATION LOCATION 19-JUNE-97 JOB NO 97-50 FILE NO. LAUREL ESTATES IH! OF/6ET5 (CSE DIMENSIONS) GUARANTEES INDICiTtO HiQOh SURVEYED FOR ;HOWN HEREON FROM THE &HALL RUN OMY TO THE �V ;TRUCTURfS TO THE PROPERTY FOaTCHHAND ON $4vMBEH�LF TO• LOT NUMBER 12 NES ARE FOR A SPEC: V+. .1 .,. ._CMP4N','. �OVERNY.N'�• ;SSE AND USF AND HCY rA. Ar_ENC-e AND .ENDING INSTI' 'F NOT NOT INTRJCEo Ta cwlcc THE AND TO trt A P OF LAUREL ESTATES E A S T� S EC. 1 eCTION FENCES. ° iUnCr: USTc[• OF riG�. G.'♦'�iIT/C'j ,ME .;SSIGD.EES OF TME it LADING ALlS. ►OOlS. PATIQS. '"1 NT•..•.�.. T :.Gt RE.-IS. ADaTION 5UItDINGS INS ?U',ON •GJARAN EE; SITUATED AT LAU R EL R ANY OTFfR ccrATRucXoN NOT i Ai`ASFERA'-:E TG T!ON^: '.NS Till'TION: G2 4U65EGUEN' NAUTHORIZED ALTERATION oR 0, Nfg-; TOWN OF SO U T H O L D, SUFFOLK COU N TRY; N.Y. �DInGN TO THIS S,*VEY .S A coh{. .F THIS SLAVEY MAP NOT = 50 DATE 2- 2S-1997 JtATeON OF SECTIO^+ 7?04 ` BEARItiG THE LAND 3UR•:EYOR'S SCALE 1" IE New Yrwr "".< :-vKArKyv iNKEC SEA: OR EMBOSS DATE 4-4-19195 . ,w ,, ,� ;_,,.•,. . -�01&E N FILED MAP NO. 787 C � GUARANTEED ONLY TO gi. TRA/yC, O X MAP NO.10 0 0-12 5-1- 2.21 (REF•ONLY)DISK a.� yay HAROLD F. TRANCH4N JR. P.C. _ LAND SURVEYOR Y SUCCESSOR TO WILLIAM G. METER �9ID•. 866 WADING RIVER—MANOR RD. WADING RIVER, NEW YORK, 11792 It Y. LIC. N �r F C" SFO J41 516-929-4695 .