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HomeMy WebLinkAbout31380-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31362 Date: 12/29/05 THIE CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 205 ALDRICH LA LAUREL (ROUSE NO.) (STREET) (F-AMLET) County Tax Map No. 473889 Eectlon 125 Block 2 Lot 1.23 Subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 2005 pursuant to which Building Pezmit No. 31380-Z dated AUGUST 19, 2005 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 IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. T~e certificate is issued to NEIL & M/LRY TIGHE (OWNER) of the aforesaid building. SUFFOLK COUNT~DEPART~ENT OF HEALTHAPPROVAL N/A ELECtrICAL CERTIFICATE NO. 61820 PLUMBERS CERTIFICATION DATED N/A o5/08/o2 ~//e~S i gnat ute Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 lo6ation 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 ofelectrlcal 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 nnusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicm~t. 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, Access~ory building $25.00, Additions to accessory' buildihg $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, Cotmnercial $ l 5.00 Date. New Construction: Location of Property: Owner or Owners of Property: /~}~t' / Suffolk County Tax Map No 1000, Section Subdivision _ Old or Pre-existing Building: (check one) House No. Street O O0 -Z __ H~ealth Dept. App royal'.=._, Filed Map, Lot Lot: Applicant: _~ Undeixvriters Approval: Hamlet Plamfing Board Approval: Request for: Ten:tporary Certificate Final Certificate: (check one) Fee Submitted: co -E /'Applicant Signature Electrical ZnspecYion CerYif /caYe Date Electrical Inspection Service, Inc. Applica~on # 5/8/2002 375 Dunton Avenue 61820 East Patchogue, New York 11772 (631)286~642 Issued to: Nell Tighe Street: 205 Aldrich La Village: Laurel Zip: Town: Southold Section: Block: Lot: Introduced by: Raymond Electrical Contracting (L) Lic.# 5141-E wa~ ex~tnin~d ~nd found fo b~ in complianc~ wifh fh~ /Va~ional El~cfric~l Cod~ ~] Commercial []NV Defects [] Pool ~ lst Floor ~llndoor []]Basement [] Hot Tub ~ Residential [] Det. Garage [;;Attic ~2ndFIoor ~Outdoor ~ Addition ~Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 3 2 2 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Other Equipment: 2-t/merslpool panel/gas heater Television Carbon Monoxide Building Permit # r Hugo S. Surdi President Rough Inspection: inspector: Ed Scavelli Final Inspection: 5/7/2002 Inspector: Ed Scavelli Inspectors may be identified by their credentials 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. 31380 Z Date AUGUST 19, 2005 Permission is hereby granted to: for : CONSTRUCTION OF AN YARD, FENCED TO CODE NEIL & MARY TIGHE 70 GROVELAND PARK BLVD SOUND BEACH,NY 11789 INGROUND SWIMMING POOL IN THE REQUIRED REAR at premises located at 205 ALDRICH LA LAUREL County T~x Map NO. 473889 Section 125 Block 0002 Lot No. 001.023 pursuant to application dated AUGUST 15, 2005 and approved by the Building Inspector to expire on FEBRUARY 19, 2007. Fee $ 150.00 / Aum orlzea lgna ute ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ]FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION ] FRAMING/STRAPPING [~f,1~NAL ~~ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR/~- ~~ 929 ROUTE 25A MILLER PLACE, NY 11764 (516) 744-7185 - FAX 744-0174 ESTABLISHED 1974 Suffolk License No. 4436-HI 1700 JERICHO TURNPIKE Nassau License No. HI7445§50000 HUNTINGTON, NY 11743 Member Better Business Bureau (516) 499-1264 GRAND LAKE GRAND LAGOON MOUNTAIN LAKE CLOVER LAGOON ROLLING LAKE POND SMALL LAGOON PermaCrete" Pool Systems Tighe. Nail RollYear: ]~(l(l~ Next Yr I Famil~ Res Land AV: 2.400 : Owner Total: 2 ~ Taxable Value Miscellaneous Name: Nail Tighe ~ County: 11.500 Book: 12083 AddlAddr: ,~, Muni: 11.500 Page: 572 S~r~e[: School. 11.500 Mar[g: PO Bo~: 48~ Bank: ~00001 City: Laurel. NY Zip: 11948- :~_ Sc~ a~er ~ar. 10.~30 Acer N o: 14 Sale Total: I ~i~,'1 ol 1 Land 0 o[ 0 Book Page Sale Da[e Sale Price Owner Pr~ls: I Famil~ 12083 572 10113100 125.000 Tiohe. N oil Nbhd Cd: 0 Sever: ~ater: Exemption Total: 1 Telm Own Building Total: 0 Code Amount Year Pat 41854 STAR-BASIC 870 0 0 -SpecialDistfict Total: 4 Value/ ~ Improvement Total: 0 -- Code Uni/t Pct Type Move Tax ~ T.,upe Name Dim1 Dim2 SQFT Yr Buiit FO030 Mattituck FD .00 .00 .00 PKO?I Matliituck Pall .OO .00 .go :~ FIELD E~PECTION REPORT I DATE FOUNDATION <~ST~ FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE COMMENTS FINAL ADD/TIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMEi.I,/T TOWN HALL SOUTHOLD, NY 119~1 T ;L: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Exammed Approved Disapproved a/% Expiration~ Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval ...- Survey ~ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS /Date ~ , 20~5 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 issaes 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 fi.om 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 promises and in building for necessary' inspections. ~ ~re~~n~me, if a corporation) "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION S owner, ~~~ general contractor, electrician, plumber or builder lessee, tate wlaether apphcant ts REout~ ALL CONSTRUCTION SHALL,, ~ THE R£QUIREMENTS'O~THE CODES OF NEW YORK STCS, E. (Marling address ofapphcant) /'/'~t~) . PPROVED AS NOTED Nameofownerofpremises flOE3,'J 7~l'_O'~e. ,/~/c/&/ I ,X/~' .~' }''~O~ " (As on the tax roll o? ~:~ ~ P ~.- a/~ If applic~t isa co~oration, si~amre of duly authorized officer pee:_ /, ~--"/",~? , p~ - NOTI~ BUILDING ~ "~TMkNT AT (Name =d title °fc°*°rate °~[ IDfiM~V~--m,n~l OR 7~s-,80~ 8AM TO 4;:'~ FOR THE FOLLOWING INSPECTIONS: Build~s License No. USg ISUN WFUL ~. FOUNDATION' ~0 REquIRED Plumbers License No. FOR POURED CONCRETE so. WITHOUT CEH I IPICATE z ROU . - . U mG So. OF OCCUPANCY 4. FINAL -CON:, ~,, ~ , MUST BE COMPLE~ g 3 ~. Location ofl~d on wNc~ proposed work will be done:__ _ ~LL CONSTRUC"~.J~. SHALL M~ ~E ~o~ ~/~e,c~ /~ ~W~mtmEU~ms o~TH~CO~SOFN~ House Numb~ S~eet ~cSTATE. NOT RESPONSIBLE FOR County Tax Map No. 1000 Section Subdivision (Name) /,~5 -tg~ -/. O.3Block Filed Map No. DESIGN OR CONSTRUCTION ERRORS. Lot Lot State existing use and occupancy of premises arid :,me,~ded use and occupancy of proposed construction: a. Existing use and occupancy ~---'-~t'~"'~"~' 3 ~ b. Intended use and occupancy ~; Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work ~90 J-~ - ~escription) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear 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 Name of Architect Address c,-'~/~ ~-c [-... Phone No me of Contractor Address Phone No. · ~ l~h~ sp~jTi~o~i~(} ~e~Tuf~ ~et;~r ;Efr;~i~t ~l~x~l~nEd9 * ~jSiRED NO ~!lls 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. //~lf elevation at any point on property is at 10 feet or below, must provide topographical, d~ta on survey. STATE OF NEW YORK) SS: COUNTY OF being duly swom~ deposes and says that (s)he is the applicant (Nmne of individual s~gning contract) above name& (S)He is the (Contractor, AgenL Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed thb'~a)d work and to make and file this application; that all statements contmned ~n th~s apphcat~on are tree to the best;o[h~s~l~owleidg~ anO~behef; and that the work will be performed ~n the manner set forth in the application fried therewith. -. Public KIEI~N M. CORCORAN Notary Public, State of New York No. 02C06119838 Qualified in Suffolk Courlb/ Commission Expires December 6, 20__ ~ Sigr~ure of Applicant s ~ s'~