HomeMy WebLinkAbout29581-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30710 Date: 01/21/05
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 3335 LAUREL TRAIL LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 126 Block 12 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 3, 2003 pursuant to which
Building Permit No. 29581-Z dated JULY 16, 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 IN THE REQUIRED
REAR YARD AS APPLIED FOR.
The certificate is issued to EDWARD & JANICE MCINTYRE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1203391 04/14/04
PLUMBERS CERTIFICATION DATED N/A
uthor' ed Signature
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. 29581 Z Date JULY 16, 2003
Permission is hereby granted to:
ED MCINTYRE
3335 LAUREL TRAIL
LAUREL,NY 11758
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE AS APPLIED FOR
at premises located at 3335 LAUREL TRAIL LAUREL
County Tax Map No. 473889 Section 126 Block 0012 Lot No. 003
pursuant to application dated JULY 3 , 2003 and approved by the
Building Inspector to expire on JANUARY 16, 2005 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
i N 1 9 765-1802
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 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.
B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and "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 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.
C. 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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. / - /S - U S
New Construction: Old or Pre-existing Building: (check one)
3 /
Location of Property: 3 3 5 &a-J ce
House No. Street Hamlet
Owner or Owners of Property: ��t,.0 A. d-- c-
Suffolk County Tax Map No 1000, Section 02 Block C a Lot U 3
Subdivision �i Filed Map. Lot:
Q
Permit No. 7 -5 a Z Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ S O 0
Applicant Si44e
CUA3G� 10
a
5 BY THIS CERTIFICATE OF COMPLIANCE THE
S NEW YORK BOARD OF FIRE UNDERWRITERS
5 N RITERS
5 BUREAU OF ELECTRICITY
40 FULTON STREET — NEW YORK, NY 10038
SCERTIFIES THAT
5
SUpon the application of upon premises owned by
S
SDOUBLE R. CONTR./R. RAGEN ED McINTYRE
165 5 DS ST. 3335 LAUREL YLON, NY 11704, LAUREL, NY 119481
W. BABYLON, E
5
5
S
SLocated at 3335 LAUREL TRAIL LAUREL, NY 11948
�j Application Number: 1203391 Certificate Number: 1203391
5
SSection: Block: Lot: Building Permit: 29581-Z BDC: ns11
5 Residential
Described as a occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at:
5 Outside,Pool/Spa,
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the . applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
5 authority having jurisdiction, and found to be in compliance therewith on the 15th Day of April,2004.
Name OTY Rae Rarine Circuit Type
5 Appliances and Accessories
Time Clock/Switch 1 0
Pool/Spa Bonding 1 0
Furnace 1 0 Gas
5 Wiring and Devices
SFixture 1 0 Pool/Spa
5 Switch 1 0 General Purpose
Receptacle 2 0 20 amp Pool/Spa
5 Receptacle 1 0 GFCI
(Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
frequent test and/or repairs made by a qualified person.
5
5
5 sea/
S 1 of 1
5
SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5
0
6 Nadworny Lane
Stony Brook,NY 11790
631-751-6600
fax:631-751-5080
Pegasus Engineering
- 10 June 2004
X14
-Town`off Southold Building Department
P.O. Box 1179
Southold, New York 11791
RE: Certification of Pool Installation
Property of McIntyre
3335 Laurel Trail
Laurel, New York 11948
Dear Building Inspector:
Please be advised that Pegasus Engineering has completed a review of the construction
associated with an in-ground pool installed at 3335 Laurel Trail in Laurel,New York. Upon
personal examination of the construction and familiarization with record documents, including
inquiry of those individuals immediately providing and responsible for obtaining the
information, I certify that the pool has been constructed in accordance with approved plans and
specifications to the best of my knowledge and belief.
As always, I am at your service: do not hesitate to contact me should you have any
questions or comments.
Very Truly�� of w
PEGAS
N
r � W
John J.
Principal
JJT jjt
CAWork Documents\Pegesus Engineering\JJs Poolsl3355 Laurel Trail-40X20 rectangle for Mclntyre\Pool Certification for Mclntyre.doc
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Applicant/ Date.
Owners Name: c Reviewed: /4( 3
Architect/ Date
'Gigineer: Submitted: ' 3
SCTM !#: i /
District: Section: 113Iock: �a Lot: 3
Project Subdivision
location: �J!we��A1�. Y Nance:
Single g separate Required
cer(ification: (Yes/No) 64
Req. Req. 6/
7_oning l)ivri 11,01 size: Actual: I (Loi coverage _42C" oseJ
Rcq. r ( I '
Req. i
II-row Yard posed: J i e r Proposed:_ [/ I (Rear Yard �N Proposcd �
Project Description: 15
A GENCU ERMITS 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: l
Town Planning Board approval:
Flood Plane Elevation??? p
Flood Zone:
Notes.:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[
FRAMING FINAL Ce"L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE I °� — 3 � �� INSPECTOR � �oo�
4
FIELDINS'.I' MON REPORT DATE CUhzmgTS
b
FOUNDATION(1ST)
a .
-------------______________
C
FOUNDATION(2ND)
O
ROUGH FRAMING&
PLUMBING "3
INSULATION PER N.Y. y
STATE ENERGY CODE
r
FINAL
ADDITIONAL COmIIMM TS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www.northfork.net/Southold/ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Examined //6 ,20 013 Contact:Trustees
Approved (,,—,20 Q3 Mail to: ��f f oi<1olv)Ze
Disapproved a/c
Phone.
Expiration /�a 200
uilding Inspector
APPLICATION FOR BUILDING PERMIT
Date (J 206 �
INSTRUCTIONS
a. This application lVWST 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.
UNDERWRITERS CERTIFICATE OCCUPANCY QR f .f ,� c
REQUIRED P r171
USEIS UN (Signature of applicant or name,if a corpor i n)
"IMMEDIATELYFU
ENCLOSE POOL TO CODE WITHOUT CERTIFI�. �e-' ,efyUPS C��OMyP/LETION aF O�CUPAN�Y ( ailing addres of applicant)
State whetheBrEa plic t is oR" er, lessee, agent, architect, engineer, general contractor, electrician lumber
p or builder
Name of owner of premises APPROVED AS NOTED
If applic i co ation, signatur of du a thori ed officer roll or latest dee
FEE: BY:
fl "en NOTIFY BUILDING DEPARTMENT AT
ame and title of corporate officer) 765-1802 SAM TO 4 PM FOR THE
Builders License No. y�— � FOLLOWING INSPECTIONS:
Plumbers License No.
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
Electricians License No. 2. ROUGH = ZING 6 PLUMBING
Other Trade's License No. 3. INSULATION
4. FINAL - CONSTRUCTION MUST
1. Location of land on which p otos d work will be done: BE COMPLETE FOR C.O.
333 C d�e� � �ALL ION 94ALL MEETNMEEVW
House Number OF THE CODES OF
Street Hamlet YORK STATE. NOT RESPONSIBLE FOR
� //'' Id-
County Tax Map No. 1000 SectionDESIGN OR CONSTRUMM ERROR,�l0 Block Lot 03
Subdivision Filed Map No. Lot
(Name)
w �
- w
2. State existing ust and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy _
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Sj9 Sfid/
�� � (Description)
4. Estimated Cost , �yy 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, 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: Front Rear Depth
Height Number of Stories
9. Size of lot: Front (Y.2-• 78 Rear .20f)-� Depth �fer C�
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 NOXWill excess fill be removed from premises? YES NO
14.Names of Owner of premisesQ Address 333� �;�,y Phone No. !�'�.��
&*
Name of Architect Address Phone No
Name of Contractor IJP/'wIZP Cg/4, AddressAti n? ��ne No. 02 —%7
Kixgf Pa"
15 a. Is this property within 100 feet of a tidal wetland or a freshwat 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 wetland? *„YES,. NO>;r ,
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. .,`
16. Provide survey, to scale, with accurate foundation ahemist`nces tor `ertline
�! ITU i
17. If elevation at any point on property is at`M feet or e ?.w� it ®graphical.data
STATE OF NEW YORK)
SS:
COUNTY OF )
M �;uems.'":,�°§
being duly sworn,deposes and says that(s)he is the applicant
e Af ihdvci ignng.= ct)above named,
4(C,.?#tf'#ctor,Agent, Corporate Officer, etc.)
t ' v
of said,o� d
rs,
q ok o*vpp,e ; iuJyaauthorized to perform or have performed the said work and to make and file this application;
� .,.
that all state, taiiieO.Wl i ,application are true to the best of his knowledge and belief; and that the work will be
perfo in e ¢rrset fc „ti h_,application filed therewith.
TA 1i �
Sworn
LL77 33
((j; ' ' �.. ... � .: I 2003
//j 1141�
W-16 3Q,120
SC!,, 3,16�Z4,��t4 tjPttbR0>� Signa e ofApplicant
TERESAE.COSTER
NOTARY K OW
STATE OF NEW YORK
NO.OiCOW"M
'76007
TERM mmAE$MN.10, K
BUILDER'S JOB NO.
TITLE NO.
TOTAL PLOT AREA! 30,863* S.F. FIRST FLOOR AREA: 1 .942* S.F.
SECOND FLOOR AREA: 1,515* S.F.
GARAGE AREA: 900* S.F.
FULL BASEMENT
e.
!
LOT 10
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LAUREL TRAIL Ic 31.33 SETSIK S89.44'10"E
so.00'
(50.00'WOE RIGHT-OF-WAY) (ASPMAIT PAVE11pNT) 31.
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aEVAW6 SNOW:HEREON REFER TO HAVD.
ME DISTENCE OF RIMT OF WAYS AND/OR EASEAEMTS OF RECORD,IF ANY,NOT WIN ARE NOT GUARANTEED.
IHIS SURVEY WAS PREPARED VI ACCORDANCE WIN K DOSINIG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED SY W NEW YORK STATE
ASSOCIATION OF PROPIMMAL LAND SURVEYORS
ANY ALTERATION OR ADDITION TO MS SURVEY IS A VENATION OF SECTION 1709 OF AE NEW YON(STATE EDUCATION LAM:COPIES OF TINS SURVEY
MM NOT KARNC W LAND SURYEVOR S WED SEK OR EMBOSSED SEAL 91 LL NOT BE 0ISiR1F1611 TO BE A VALID TRITE COPY,NO OFTIOK W
:IMS STATE,OR OF My QTY,MINTY, TOWN OR%ACE MO.OIARQ D WIN DE OfCRISJBNT OF TAWS;ONNNMMS OR REGULATIONS SNALL
ACCEPT OR APPROVE ANY PUNS OR-VECFlCATIONS THAT ARE NOT STAMPIA CERTFlCADOBS NVAIM NFAM MALL RUN ONLY TO INE FERSON
FOR WRQ: ITIE SURVEY 15 PREPARED.AND ON HIS KW PD THE DU COMPANY WKIINOTK AGENCY AND LEW=INSTITUTION USO NEREON
AND TO THE ASSIOIEES OF THE LENOW INSTIMAK CTRI1011016 ARE NOT 1RANSFERW TO AODITNINK RNSTITUTIOIS OR SUBSEOUENT OWNERS
SUFFOLK COUNTY TAX MAP DIST:I000 SECT:126 BLK:12 LOT:03
MAP NO: 10712 DATE. NOVEMBER 23. 2001 BURTON
LOT(S)11 BEHRENDT
MAP OF LAUREL LINKS SMITH -" of NEW y
LOCATION: MATTITUCK BH' e
ENGINEERS
TOWN OF SOUTHOLD. SUFFOLK COUNTY, NEW YORK
SURVEYORS
SURVEYED: OCTOBER 9, 2002 U.C. 11/11/02
.fi G
CERTIFIED To: EDWARD T.MoINTYRE-& JANICE.McINTYRE FINAL SURVEY 4/29/03 244 EAST MAIN ST.
GUARANTY RESIDENTIAL LENOING,INC. PATCHOGUE, N.Y. 11772 11 c c, 0493�Ja`y
COMMONWEALTH LAND TITLE INSURANCE COMPANY (631 475-0349 1�5� •--w '" V
SCALE: 1 " = 40.00' FILE NO: 02-399- 11 FAX 475-0361 Lr�Ivf�'