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Home My WebLink About30070-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30620 Date: 12/09/04 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 1575 LAURELWOOD DR LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 5 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4, 2004 pursuant to which Building Permit No. 30070-Z dated FEBRUARY 4, 2004 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 IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to MICHAEL A & PATRICIA IRELAND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 86878C 04/20/04 PLUMBERS CERTIFICATION DATED N/A ,la4-4 tho ized ignature 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. 30070 Z Date FEBRUARY 4 , 2004 Permission is hereby granted to: MICHAEL A IRELAND 1575 LAURELWOOD DRIVE LAUREL,NY 11948 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 1575 LAURELWOOD DR LAUREL County Tax Map No. 473889 Section 127 Block 0005 Lot No. 010 pursuant to application dated FEBRUARY 4, 2004 and approved by the Building Inspector to expire on AUGUST 4 , 2005 . Fee $ 150 . 00 A thori ed Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL DEC 1 2004 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 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certifica of Code Compliance 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 and sting"land 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographicuses features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy i denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Ce• ' of O anc -New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25 Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2. erti cate 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&t,5.00 Date. / 6 New Construction • Old or Pre-existing Building: (check one) Location of Property: VIN— -1/1-4,4( 1 ,Q House No Owner or Owners of Properly: Street gamlet Suffolk County Tax Map No 1000,Section_1 � Block (�0"� Lot Subdivision ZD Filed Map. Lot: Permit No. 0� Date of Permit. Applicant: ] 4 ,(�,��( Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �� cbc Applicant Signature Com h �1 AIVNI,Ash, ,`.••hhhl k Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 4/21/2004 375 Dunton Avenue 86878C . �> East Patchogue, New York 11772 f4 iF'• • (631)286-6642 Issued To: Michael Ireland Street: 1575 Laurelwood Drive Village: Laurel Zip: 11948 Town: Southold •�•� Section: 127 Block: 05 Lot: 10 Contractor: HanII Electric Inc. (L) Lic. # 2675-E �+ Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects [91 Pool ❑ 1st Floor El Indoor El Basement El Hot Tub • X❑ Residential ❑ Det. Garage ❑ Attic ❑ 2nd Floor X❑ Outdoor ❑ Addition ❑ Survey z,< Switches Receptacles Fixtures GFI Heaters A/C Fans 2 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves %f Furnace Oil Gas Circulators Smoke Detector Bell Transformer �tyy 4r I' Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: 30070 •�� :;. Other Equipment �"� ?► 0 A Subpanei Raintight ,. 0 A Time Clock 0 A Spec Outlet Hugo S. Surdi President t:�;• vii Rough Inspection: v, ,y Inspector: .ff; .� N Final Inspection: 04/20/2004 'y ,�hlA Inspector: John McMahon III r This certificate must not be altered in any manner. Inspectors may be identified by their credentials. •,� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET :, / VILLAGE DIST. 1 SUB. LOT � x _— U�" ' WG v C( ma' r l d�'. vL (—t Gc. Y e` �.- / 6� q cc ye,-L (ti 0 ,,FORMER OWNER N E ACR. -+ �.c��cf :�ZC� ►1 y,/ S W TYPE OF BUILDING 2ES. SEAS. VL. Qr FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS y a_ � --j , , 4 7 �l 9 - _ w S - S�z�s n vy` ` "o C �n �c ,��F� ,p�y 7!e'7 -� a . , c,� - zo g - Ll a "illable FRONTAGE ON WATER Voodland FRONTAGE ON ROAD Aeodowkr4 DEPTH louse Plat ir.r „-> 17 BULKHEAD otal MUM■■■■■■■■■■■■■■■■■■■■■■■■■.. '. ■■■■■■■■■■■■■■.■■■■■■■■■■■■■■ - � ■■ ..■.■IMEWEE■■■■■MEN■■■■■■■■ ` " .. !■■■f■■■■■K■■■■■■■■■■■■■■ ■■■ .■..1!!�!�.:�.■■.■IW..■■■..■■■ ONE t■■®r� ��■_�■ ..■..■■■..■ ■■■ .■■.■■■■ ...■■.■.■■■■.■■. • .a.....................�■■■■■■ Foundation ■ ' • ��-��s�•— ,_ ' *iii►\ .i+ Basement .. ®Mtype Roof Rooms Ist Floor � Recreation Room ' Rooms 2nd Floor �� firmer s 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [t,,rFINAL .�,-� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 1,1 INSPECTOR ~� y FIELD INSPECTION REPORT DATE COMMENTS 7 FOUNDATION(1ST) C� y -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) _ z ROUGH FRAMING& PLUMBING _ H INSULATION PER N.Y. -- y STATE ENERGY CODE 1 FINAL ADDITIONAL COMMENTS V z m - X � r _.0 b - - z x r y r b a v 'OWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST ►UILDING DEPARTMENT Do you have or need the following,before applying? 'OWN HALL Board of Health OUTSOLD,NY 11971 3 sets of Building Plans 'EL: (631) 765-1802 Planning Board approval 'AX: (631) 765-9502 Survey - PERMIT NO. Check Septic Form N.Y.S.D.E.C. J Trustees xamined 20 / Contact: (o CM � q.pproved bps -L Mail to: (!A e )isapproved a/c Phone: `��U xpiration 20—=' Building Inspector 4 2n04 APPLICATION FOR BUILDING PERMIT Date Yc,��"I 20 0 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 ;ts of plans, accurate plot plan to scale.Fee according to schedule. b. Plot plan showing location of lot and of buildings onpremises, relationship to adjoining premises or public streets or -eas, 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 call 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 sues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of nuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the operty have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an tdition 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 zilding Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or ;gulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The plicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit thorized inspectors on premises and in building for nece�.,?ry inspections. (Signature of applicant or name,if a corporation) 15'15 Law- Iuvoodz-I)Y Laufe,L (Mailing address of applicant) ite whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 WWII- me ilmsme of owner of premises MO\aok D -Aa t\( (As on the tax roll-or latest deed) applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) ilders License No. unbers License No. ;ctricians License No. 1p�5 ler Trade's License No. Location of land on which proposed work will be done: 15 &kY't-1 VJ0,0d--1Y House Number Street Hamlet County Tax Map No. 1000 Section Block 06 Lot � b Subdivision S Fi1P11 Man Nn c'c 11 T „+ a. txisting use and occupancy <=--rI1 Ca— b. Intended use and occupancy c:9,b'/_L - �7 f2 l�' '��._' 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 10,01)o ® (Description) 4. Estimated COS Fee (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, sped y 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: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear 0 1 Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES LfNO 4 14. Names of Owner of premises M i Ch4d 0104 Address 16-15La� v� Phone No. Name of Architect p Address 115 liber Phone No l-A10 5 Name of Contractor r r Address r{ o R Phone No. -7qq--g 1g) �t 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 D. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED, 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF- � �fldi being duly sworn, deposes and says that(s)he is the applicant N e oam idual signing contract) above named, (S)He is the Q()(�Y"Y� (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicat: 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 to before me this R J day of V 20Q� Notary Public Signature of Applicant KOLEEN P. RODECKER NOTARY PUBLIC,STATE OF NEWYORK No.01806099540 QUALIFIED IN SUFFOLK COUNTY MY COMMISSION EXPIRES SEPT,29,206 a "IMMEDIATELY" PRE CAST ENCLOSE ?OO'_ T-� CODE COPING b �T gg `fER" APPROVED AS NOTED - L' off-' � DATE' I�{ B.P. 3 ti TEE' BY' (`�J f TO FILTER l +I ( � SLOPE SLOPE NOT BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE 3FROM SKIMMERS -I E F S FEMW NGSINSPECTIONS: FILTERand PUMP t 1 o 1. FOUNDATION - TWO REQUIRED ' FOR POURED CONCRETE FROM F I LTE R =02. ROUGH - FRAMING & PLUMBING T O RETURNS LS- IDE —Lt 3. INSULATION TO WASTE 4. FINAL - CONSTRUCTION MUSTROLLED FOAMoBE COMPLETE FOR C.O.BETWEEN LINER I , � ��NG ARRANGEMENT CONCRETE ALL CONSTRUCTION SNA[VINYL LINER REQUIREMENTS OF THE CODES OF NEW O R END 3 S'�RIp STATE. NOT RESPONSIBLE 8• STEPS OPTIONAL p L A N [�RR PO'CJ'A@ AO'N� e'. 16 co►+c. N TRUCTION ERRO S /eLocR PIERS D c z l VINYL LINER .s�-• ' '"- '� ; ` e r •- '- •� •-•�� COMPLY WITH ALLow DEO ::::i-i:,� '.•'•! '•:' . . FIBERGLASS SEE TYPICAL , , �, �, NEW YORK STATE & N ODES MOULDED WALL SECTION T' j. 4• SAND- 1O" AS RE UIRED AND COR1DITiQNS 01' I PIECE m q Q SECTION S0�?�LOLD TO N ZBA Sf,JT�i0LD 2�- 4' SAND ' BOTTOM' s� - FORM T E gO�TNOLDTOWNTi .13" 8'- o'—� 13' !— z a M A x N.Y.S.DEC SECTIO e Aa OPTIONAL STEP N 8_ B � �s _- - - - — — TYPE i. GRADE _ FLOODLONE E `'� r_, `O.�` F8SiP GR, � " COMPLY WITH CHAPTER "46" 3 STEPS P LAN FLOOD DAN4 -�?FVEaVTIDN ' O SOUTHOLD PfUWN TY PICA L WA LL �--T— _-- 4-� 12 1. 1410" - 12 ALL CONSTRUCTION SHALL S E C T i 0 N A— A MEET THE REQUIREMENTS OF THE OPTIONAL ST E P CODES OF NEW YORK STATE. TYPE , , p , SIZE A S C D E I I G AREA CAP } i 3 i FEET <T €r. I FT. rr. FT. rx rt sa. - m•�. _ O T E S. .. s i ,ONTRACTOR 1c3X }r^ �' �7 14:rti WALKS TO y_ y'AOOT - r� Xii� i7?= _J _� I i a '1• J I I ' A Y!1a Y 'ft N a 0 L �it�' $ 115 1 3 1 1 11B,500 -= Lit. irj p,>> a ,. _ - 16'= 12 , 12 ; �� _�— �; ,T _ -—vu — -i USE IS UNLAWFUL SRANDY s ;n ?OCT� � 1 15' 1 36' 116 1 36 I 12 1 3 t 12 1 4 1 4 ? 5TS 1 20 WITHOUT E- U _ = U�; G ;��'R►TERSCERTtFICATE CERTIFICATE J LD: a -4-0,0' ; 20 4C 0 1 'I 2 I + S , 300 1 1 _ ; `' �` REQUIRED OF OCCUPANCY D LAN SURVEY OF 0 s1� N so° LOT 2 F �w o, LAURELWOOD ESTATES FILE No. 5595 FILED MAY 17, 1971 SITUATED AT LAUREL TOWN OF SOUTHOLD g SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 127-05- 10 SCALE 1 "=20' �a J DECEMBER 28, 2002 2a, gag* 4�uM JULY 12, 2004 FINAL SURVEY FOR POOL -q Lo T3` AREA = 40,272.80 sq. ff. o; 0.925 ac. 4F mL 7 \ Y LOT 13 \ \ CERTIFIED TO: MICHAEL A. IRELAND PATRICIA IRELAND m STONE STEPS O P iA CHIMNEY 1 / UA \ ai] a COpO '00, 9�r a. O LOT �e / 4 cF10 ul��aS . � • A ys Pa� Wa e e ryC O 0 / OHYE \ . Yoh o ANN a,L Z � m 9 1M6 / '`c� i / �yA r / "Plop PREPARED IN ACCORDANCE WITH THE MINIMUM 1� STANDARDS FOR TI=E AS EST HED OT THE L I USE AND MPRGVED ANG D MR`,a afTN`' TTIESUCH ASSGCNTONm TME NEW YORN SI W!O N, TC F`6A � !. _ y q P� f� m.� Pll��P��„i. ORWWAY Lpp`1 / / jai o "OT o / N { .;F7t/i1.5. Lic. No. 49668 / / TO THIS PjZECY IS ARON TI PDOI110N SE THIS 720VEY is A N NEW YO DG Joseph A. Ingegno EDUCAT ]209 OF THE NEW YORK STATE ON LAW COPES OF THIS BURY MMP NOT BEARING •O ' .J THE tAND SURVEYOR'S WKED SExl OR Land Su veyor + 101 EMBOSSED SEAL SWdl NOT BE CONSIDERED ( TO RE A VALID TRUE CO”. d1NO 1,,r�ii 50 CERTIFICATIONS INOK:ATED HEREON SIA11- RUN FGWM' 66 ONLY TO THE PERSON NR WHOM THE SURYTY 5 IS PREPARED, AND ON HIS BEHALF TO THE Me Surveys — SUbdmamas — Site Plans — Cons[ucNon Layout TTUE COMPANY, GOODRNMCTLL AGENCY AND UENING INSTITUTIONLISTED HEREON, AND TO THE ASSIGNEES OF THE TENDING WSn- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTU'CATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT NAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 21 -3568