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'~