HomeMy WebLinkAbout29504-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30535 Date: 11/05/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1795 LAUREL TRAIL LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 125 Block 4 Lot 24.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 18, 2003 pursuant to which
Building Permit No. 29504-Z dated JUNE 19, 2003
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 ROBERT & KATHLEEN REYER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 3764 08/14/03
PLUMBERS CERTIFICATION DATED N/A
or' zed S' 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. 29504 Z Date JUNE 19, 2003
Permission is hereby granted to:
ROBERT & KATHLEEN REYER
2095 RUTH ROAD
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE
REQUIRED REAR YARD, FENCED TO CODE
at premises located at 1795 LAUREL TRAIL LAUREL
County Tax Map No. 473889 Section 125 Block 0004 Lot No. 024 . 004
pursuant to application dated JUNE 18, 2003 and approved by the
Building Inspector to expire on DECEMBER 19, 2004 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
JUL 19 '04 01-58PM SOUTHOLD BUILDING 631 765 9502 P.1
Form NQ.6
TOWN OF SOUTQOLD
BUII,DINfi DEPARIrkENT 2 2
TOWN BALL
765-2802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
'leis application must be tilled in by typewriter or ink and submitted to the Building pepartmem with the follow'
A. For new building or new use. Ing°
1. Final survey of property'wlth accurate lo.ation of all buildings, ro
topographic features. P potty lines,streets,and unusual natural or
?. Final Approval from Health Dept.of watr supply
and sewerage-disposal(S-9 form).
3. Approval f,f electrical installation from Board of Fire Underwriters,
4. Sworn statement Bari Plumb"certifying that the solder used in system contains loss than 2/10 of I%lead.
5- Coulsnercial building, industrial building,Irtulti to residences
of Code Compliance frorzl nrchitcct or en�r, p s" lam buildings and installations,a certificate
. Submit Planning&Gard Approval of completed lite plan requirementsresponsible for the .
B" For existiiag buildings(prior to April 195'7)nuu_eonfornling uses,or buildings and'' e-elti ,
1. Accurate survey of property showing all property lines. streets,building aid unusual natural ort pow bad uses:
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy denied,the Building Irispect�nar shall state file reasons therefor in writing to the applicant. Caney is
C. Fees
1, Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00
Swii mining pool $25.00,Accessory building$25.00,Additions to accesso building I Cer iflcate of Occupancy on Pro-existing Building ry ng$25A0,Businesses$50.00.
3. Copy of Certificate of Occupancy-$.2s - $100.00
4. Updated Cortiiflieate of Occupancy- $50.00
S, Temporary Certificate of Occupancy-Residential$15,00,Commercial$15.00
Date. 0 p
Ncv� Construction: LZ
told ar Pre-existing Badding; (check one)
Location of Property:---f-�-f-� ���� L
House No. Street ' �--
Owner or Owners of property: o Hamlet
Suffolk County Tax Map No 1000, Section —/,Z
Block � loot �eo
Subdivision - .
.....�„Filed Map, Lot:
Permit No,Amt Date of Permit.
Health -- Applicant'
Dept.Approval:
Underwriters Approval;
Planning Board Approval:
Request for: Teniporary Certificate
Final Certificate., `� (check one)
Fee Stibmitt�d. � � `--�
� 3rS
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street • Center Moriches,New York 11934 • Tel: 631-878-3500 a Fax: 631-878-3764
Application: 3764 Date: 8/14/03
Issued to: Reyer
Address:. 1795 Laurel trail
Village: Mattituck Introduced By: Avey Electric East Lic#:5120-E
was examined and approved up to the above date and was in compliance with the NEC
Attic 1st Floor Residential 21 Pod D Det Garage
Basement 2rtd1oor Comrlerdal HDtTtb Addtion
Switches Receptacles Fixtures G.F.I. Timeclock Whirlpool
1 2 1 2 1
Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon
Range/Amps Monoxide
Furnace Oil Gas Heat Zones Smoke Bell
Detectors Transformers
Meter Amps Phase Motors
1-3/4 11/2 H
Other Equipment:
Inground Pool
ut,Res
This certificate must not be altered
in any manner
Permit#: 29504-Z
4
Dr
Applicant/ Date.
Owners Naive: �F�� Reviewed: !v 3
Architect/ Date
'Engineer: Submitted: Ig/4 —
SCTM #: _
District: 1,000 Section: Block: _ Lot:
Project n Subdivision '
Location: � 5 ,r.«X ,fie Name:
{ Sin&Ie & separate Required
cernfication: (Yes/No)
Ru{. Rcq.
Zoning Districchfl ILot size: Actual: I (I,ot coverage Proposed
Req. Req. / Req.
[►'ront Yard - Propos, J ide Yar _ _ Proposed: (Rear Yard 0-5 Proposed
p
Project Description:
J
AGENCUERMIISS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Plam-Ling Board approval:
Flood Plane Elevation???
Flood Zone: ,)C
Notes.:
765-1 802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 7ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING [ FINAL —
[ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: �-I i 5a:il 5,
Zo 77
Ir
ell
DATE � INSPECTOR ''�'`�
ass-iaos
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE AO � INSPECTOR
FE ,D:INSPECTION REPORT DATE CONIlVIENTS
►d
M
FOUNDATION(1ST)
C
FOUNDATION(2ND)
0
Go
y
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y. C
STATE ENERGY CODE -1
N
J`• ,r/4
FINAL
ADDITIONAL COMMENTS
O
Z.
m
O
M
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN FALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans f
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. -9 S bV Z� Check
Septic Form
N.Y.S.D.E.C.
Examined 64120 a-? Contact:Trustees
Approved1b 20 0 3 Mail to:
Disapproved a/c
hone• ��y�l��
Expiration - J 20 p
A�V_
------ Building Inspector
_�! If-F -7)
+ APPLICATION FOR BUILDING PERMIT
8 20113
Date �, , 20 493
r 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 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, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
OCCUPANCY OR 'IMMEDIATELY"
ENCLOSE POOL TO COQ N+`mv
USE IS UNLAWFUL UPON COMPLETION (Signature of applicant or name,if a corporation)
BEFORE 'Nh" R"
WITHOUT CERTIFICATE �DERWRITERS CERTIF (Mailing
OF OCCUPANCY "is
TE address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises T ; �C,4T,yG ,v 270 HATE: •P•# 9,y V�
(As on the tax roll or lates BY:
If applicant is a co oratio , signature of duly authorized officer NOTIFY BOLDING DEPARTMENT AT
765-ISM SAM TO 4 PM FOR THE
(Name and title of corporate officer) FOLLOWING.INSPECTIONS:
I. FOUNDATION' - TWO REQUIRED
Builders License No. /�� 7- �/� FOR POURED CONCRETE
Plumbers License No. 2. ROUGH_- �M�i f PLUMBING
Electricians License No. 3• INSULATION.
4. FNAL • CONSTRUCTION MUST
Other Trade's License No. BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
1. Locat��of land on which proposed work will be done: REQUIREMENTS OF THE CODES OF NEW
,4�'F,E4 -;;-Z4/ ST REMNSIBLE FOR
House Number Street Ham e
County Tax Map No. 1000 Section Block—.0 y Lot'
Subdivision 7 , 44 X Filed Map No. lo 7/Z Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy y 6-;Pv3zy P=-Ri,/5
b. Intended use and occupan
3. Nature of work(check which applicable): New Building Additin Alteration
Repair Removal Demolition �r W ic�,2 .y��,�w.�+•�-r..�.rC�
(Description)
4. Estimated Cost �'j� 'sm,as Fee -j,SU•ad
(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__& � Rear 7i, 5�� Depth
Height dS1 Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front -V,-Z:3 ' Rear //b ( Depth ffrU
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated �'G-`5i%��ic LTi
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO Y
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO V
14.Names of Owner of premisesT&Be-&7 P2 Address/791�uwa- rzw- Phone No.
Name of Architect Address Z-4"¢C2 "'"r3 Phone No
Name of Contractor Coi7L G 'Pog,5 i-r1> Address—,-v-&.x 9 r Phone No.
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 wetl2fd„ ' A$Cj3M 'D<'
. w
* IF YES, D.E.C. PERMITS MAY BE REQUIUD �' ' ni
16. Provide survey, to scale,with accurate foundation plan and distances to prope 0 a , i
17. If elevation at any point on property is at 10 feet o�r,below'r�uA�provie topographical dat�/ "tj V�1()
ua.lUia
STATE OF NEW YORK)
S:
COUNTY
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contraot)above named,
(S)He is tye,s
c.1 (ContractSf,Agent, Corporate Officer, etc.)
::ISS. .--;. -
of said owner or owAMS, a�ndss;ti y ait rized to perform or have performed the said work and to make and file this application;
that all statg ants,ooStaii4M-iA7thi§* ea4on are true to the best of his knowledge and belief; and that the work will be
performed in the manner set fo lift"i'l *e Iication filed therewith.
Sworno beforem
e thir <`>y A
x;�. 3 ' fir''` •)
i Signature of Applicant
re L. Glow Claire L. Glow
c State of New York Notary public, State of New Yolk
IGL4879505 No.OIGL4879505
Suffolk County Qualified in Suffolk COIM
,Aires Dec.8,
commission Expires Dec.8,�,,,0
i
r
SCDHS RIO-02-0023
o
'p, SURVEY OF PROPERTY
AT MATTITUCK
y� TOWN OF SO UTHOLD
�(b� SUFFOLK COUNTY, NEW YORK
' 1000-125-04-24.4
t'Y v SCALE: 1"=30'
Jod JAN 29 2002
•r7�' 3' u.W. 23.20C:E4£:7S"
f 6.9 4p (VCOT f Aloy 23, 2002 (Slk. Hse. 6 CerNHcaflons)
AUG. 26, 2002(cone. lowWol/oel
MAR. 5, 2003 ( final 1
23
a 7-
ss./' Cz 1
y rAr` r �7f UCN O
Y STY. 1 Vl
vAL.F t.P p F)t AM V
+E � L♦ L V J CL -jZ
M' 6A01AE
'ER TFIED TOSi i j i W Gc
ROBERT REYER _ r C.P. a ��, ?tEr►>L p a �
CO ONWEA LTHL AND TITLE INSURANCE "R a a ur M =t /r '�Ad
COMPANY I$ ` c ?�' Cu
BANK OF SMITHTOWN
N it a
' ♦ Oc
Z
1 (Y `P� c ,
pf NEW),
��
N`_ = J3�URtH �« :uE ,4.p2,p5' Oq 3 1`r���I.mare, "'f
GE°;tEN�E $ L S for ' c�
St`
.Q`_ �i _ ➢ Ce55GGJ 5 ✓,O.vr rer ,eo u• c - cC' r` %2 4v�ra
pr, re' :G or (,SSUreo, ictu! Ea •!c•, a .cni tav lc r :< c_a CJ
PE IXCTION 7279 Cr rnE NE. rpPr STA-1 "L
E.�EE°' .S PER SEGUE. 7209-susol+ ch e - °: J ::•.S - k J` K .. ~Y
•A=29,94 9 S.F. ,EaE9 D r� R T 4.o. E7' _ ,4 s-� O 2—
SA'I'D HnS ,c nP:Es ec.a I C :waEssE a S.- r _' i 14
...CS, 5',.•W�Wt aP°C.ai ..CaEDr. �)•.`
Isax film il it F.11 10 1 1 A --iniiiiij
D
BILL OF MATERIALS
1 C
11-8'Plain Panels(08.009) L
2-5'Plain Panels(08-015) I ff
24'Plan Path(08-0)6) E F -�-�—G
1.2'Plan Panel(08-018)
4' 8' 8' 8' 8. 1-90°Comer Set(08-020) SIZE A Is C D E F G H K L
12-Economy Braces(08-210) Is,x 36' Is, 36' a' 3'4' 12' 14' 5'6' <•6• 1'6'
1-Steel Hadsrwe Kit(08.204) f
1-18x36 Stroight Coping Set 6'Radius(10-002) 1°i=so•.owo
Poastoaorrlarl la' 36' s'6' 3'4' it 14' S'ia 4'6' 1'b' y 2'2'
8' 1-90`Coping Corner Set(10-004) TYPICAL CORNER ASSEMBLY ADJUSTABLE BRACE
1-fq liner(see optasns belw)
* -®- - -tomCLP
8' a0 6'Step•Remove 2-(08-009)8'panels and WT
8' 1-(08-018)2'panel. Insert 1-(01-006)6'step
and 2•(08414)6'poneh.
rJ' E'Step•Remove 2408-009)8'panels and
2' 1-(08-018)2'pane( Insert 1-(01-002)8'step
4' 8' 8' 8 8 and 2-(08-015)5'panels. F .-•..
CORNERSSTEEL PANEL �. ® ••'•i
OPTIONS •..
'� � r v[sae.aluix •Y
Replace 4-8'plain panels(08.009)with: a .wa 6 jSTU[
1-8'skittwter panel(06-011) PANELS puma
2-8'inlet panels(08-010) r @-
1-8'
-
1-8'light ponel(08-012)
8'Steel Step(end)Remove
H-6:(03• I)JI4S►,(03-WtSl.(03.604-RS) 1-106.009)6'pmels and
1•(06-018)?'panel. heart
1-8:(03-204-CS),(03.204-LS),(03.204-RS►
8 8 )-(oa•3ous'step,z-(os-161)
S-14:(03.304-CS),(03-304-LS),(03-304-RS) 45°x1'finer panels and
2-(08-016)4'WAL
5 5 6 NSPI TYPE 11 1.00-03)steel sap aping set
VINYL LINER .• end 1•(10-085)coping corner
* set retplired. See pope 1.
N
rw� . P66'
i 8'SIW Step(side)Remove
8' q4 86 2408-oW)301)8; step,fAd
1-(08-013)T panel,1-(08.161)
45`x1'f01er panel and '
1408-168)4'panel.
S 1-00-083)sa�� g set
4 8 8 8 00 ST3-604) OER )G STON )TE set required.See page 1.
NON DIVING UNERS ANwAises Do•lw- his lou r.spor«ibil«y b w shoe rn•.ary p°dop•p-o.id•d by Fw►o d•b...d to
H-6(03.642) 1.8(03-242) S•14(03-342) pOa'°"""'and mot Ike NO M0,11,�m'g wools a'•v�°°"4•.d.d
ADDITIONAL NOTES Ms DOCIW*W a FOR RtusiRONE KAPWS OW Pant WAY*PaO o,wc,us flwlPw Iwwllt.
FWP mak..o*+a..r.or...r**n ofrid,o"w"d.ft..«. R awntt,w 46M KA 019)43t4731
'�pp��p h given to 90° int of cornets. nraw dp d.r.n.ans comply N��Na.w.d spa and Pod way My«h-^o'•"^b"•^s�tius.rnww••'�Of«"'•d•
fs"��''� FP20NTl=f7
•- "- Mous KwWW minawm mndards for msrd•n.ol pooh M dr d.of..lca+rocbr b d.cuva mpmd+q an made P O O L S •u�wo swrru.
R dr.irrp bawds or skd•s are b be uud.;rh Ifni pods pleasd ved ad by a.a.bo- b a�/oon.•cb� CRu'AA.
NOTESGENtRAL EXCAVATION NOTES cars++*dr•momAw tar's msaveloa and 16 hsrs.oral Soo 6 Pool doer°' "I'°"A"i"'�s f If W
N..•rnco o�m.nsan.an iron Imr o.vwm on of pooh 1 Soil b hew m'mmum b•anaa c000c«r d I000 PS f 3 E.coweon sial':ts.1'k wW Ilan ood di around Insmrs.r s mmm.en awdords Iaror b inoollirrg cibe ords a O-0-d Of end«no an apwM a•np n of FWP o,<a„s«ycwon
SNS m.•ads iYu..a.rd hw.ae rgp.w.am•rd b word •.n 18'X.�L
' Z leer.by d pod en i.ai d'ohow rnrowidinp F;i!.gds urrdw Eos.d Pam+and bop well slyd•s an ria•pods for mkarmaan eoneeam NSM m�mmum « Th.e b.addMad°fir°� � �y/.�� JVs�♦�F
4 had.l•iww a bockfili wIh«on w ponuw mos.ral a�VA 22J 1 a Pool
t-00231 l E��'i, d avnrrucwo '«spa s My«i. �/e peS �T/YeVfLL 6"R/W1US
1 77 COPTINSM rws.Peen WAVW•ooe we
R
M-GROLTID SWIMMING POOL WILL BE CONSTRUCTED
OF STEEL WALLS SUPPORTING A VINYL LINER THAT
WILL HOLD APPROXI.)AA-FLY 27,500 GALLONS OF WATER-
FENCE WILL BE AT LEAST 4'HUGH WITH SELF CLOSING
GATES THAT WILL MEET TOWN CODES.