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Home My WebLink About31290-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31419 THIS CERTIFIES that the building ACCESSORY Date: 01/31/06 Location of Property: 665 LAURELWOOD DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 7 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2005 pursuant to which Building Permit No. 31290-Z dated JULY 18, 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 WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to HUGH C & LAURA J GUNDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 05-7020 09/09/05 PLUMBERS CERTIFICATION DATED N/A A�ized SigSature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY n,M 2 7 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 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. fic of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25. , ccessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certi icate 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. I I? New Construction: Old or Pre-existing Building: / (check one) Location of Property: l,00-1)19 ✓ E L/i✓e L House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision aFiled Map. Lot: _ Permit No. 3/ a / z— Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: OS 1AVse Planning Board Approval: 70 .1-O i Request for: Temporary Certificate Fee Submitted: $ ci c o 3 ) L-) l q P-aC- qS Final Certificate: Electrical Inspectors, Inc. 308 Last Meadow Avenue East Meadow, NY 11554 Office: (516) 794-0400 (631)396-7474 Fax: (516) 794-5854 Website: www.electricalinspectors.com Email: into�u;electrmalinspectors.com Mad to ACR Electric 635 Commack Road Commack, NY 11725 License#. 171 Certif cafe Number: 05-7020 Municipality: Southold, Town Of Inspector: 124 Issue Date 9/9/2005 Property Address: Hugh & Laura Gunder 665 Laurelwood Drive Laurel, NY 11942 ELECTRICAL APPROVAL CERTIFICATE Permit#: ApplicahonN: Section: Block: Lot: AREAS LISTED BELOW ARE APPROVED BY INSPECTION AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE No visual defects were found for the electrical inspection provided. No obvious unsatisfactory conditions were found in the areas herein below only. Residential Inspection In Ground Pool - I- Duplex Receptacle, I- GFI Receptacle, I- Single Receptacle, I- Switch, I- Time Clock, I- Gas HW Heater, I- Incandescent Fixture, l- Moro,, I- 60,Imp .Single Phase Sub Panel18Cked4 ('sed.' This Pool meets Article 680 of the National Electric Code 1999 Edition. Each year prior to the use of this poollspa an inspection should be made by a qualified person or company to verify for safe use and operations of associated equipment. GFI protection should be tested regularly as directed by the manufacturer, and integrity of all bonded metal parts. Not v unless signed by an uth rued Ell Agent Richard M. Bivone Philip F. Goehring President ChiefElectrical Inspector 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. 31290 Z Date JULY 18, 2005 Permission is hereby granted to: H & L GUNDER 665 LAURELWOOD DRIVE LAUREL,NY 11948 fo:r : INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD FENCED TO CODE at premises located at 665 LAURELWOOD DR LAUREL County Tax Map No. 473889 Section 127 Block 0007 Lot No. 004 pursuant to application dated JULY 13, 2005 and approved by the Building Inspector to expire on JANUARY 18, 2007. Fee $ 150.00 re .EZ Authorized Signature ORIGINAL Rev. 5/8/02 ,�/01- �o Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ) FRAMING/ STRAPPING [FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION DATE (� INSPECTOR / G� • qqo s .e.. / o o o - "'.2 7 - 7 TOWN OF SOUTHOLD PROPERTY RECORD CARD ® �-z OWNER EET .', �_, VILLAGE DIST. SUB. LOTL 6 FORM& OWNER ,�}n F g=ee. 111v� f ! C IN E u �-e E/:: W Q re L F �g ACR. r TYPE OF BUILDING RES. SEAS. VL. I FARM COMM. CB. MICS. Mkt. Value LAND c IMP. 00oc TOTAL a S6o DATE 3 REMARK � J di Po 3-L/1ao 93 �Pa/t{b' Can bw n w Porch+ �c�C -_ � dlable FRONTAGE ON WATER Noodland FRONTAGE ON ROAD Aeadowlond DEPTH louse PIo1 BULKHEAD 'otal FIELD INSPECTION REPORT DATE COMMENTS U1 FOUNDATION (1ST) -------------------------------------- ----- ---------------------------- FOUNDATION FOUNDATION (2ND) - ----- -- ROUGH ROUGH FRAMING & y PLUMBING -- --- - n 0 - - v G> r INSULATION PER N. Y. STATE ENERGY CODE (� FINAL ADDITIONAL COMMENTS Z - D - - _ O z - - -- - z - t r _ -- TOWN OF SOUTHO BUILDING DEPARTMENT TOWN HALL_ SOUTHOLD, NY 11971" `^ TEL: (631) 765-1802 ' FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 1 1� ,200� i Approved 7 ( , 20 0� Disapproved 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 PERMIT NO. I aId Expiration, 200-7 uilding Inspector Septic NN.S Contact: Mail Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 20 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 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-ott-premises and in building for necessary inspections. f MMEDIATELY" ! (Signature of applicant or name, if a corporation) * L OSE POOL TO CODE IAVDERW CAS CERTiFICPrr UPON COMPLETION REGM ll5L mer cho�pKL oEFORE'WATER"C6 maGK 1. U�ZS / AL', CONSTRUCTION SHALL (Mailing address of applicant) W F -T TH REQUIREMENTg State whether applicant is owner, lessee, ageyAnmi ntractor, electrician, plumber or builder Name of owner of premises 4uct h G k L—a" (As on the tax roll or If applicant is a corporation, signature of duly authorized officer d). 1 , .. ,A .i _I ,i Mnnt InALI^V nD (Name and title of corporate ofagr� s UNLAWFUL Builders License No. 2—sc 1TFa'r CERTIFICATE Plumbers License No. Electricians License No. —7 ► ' Other Trade's License No. 1. Location of land on which proposed work will, be ;V,�- House Number Street RETAIN STORM County Tax Map No. 1000 Section 1 Z PURSUADIT TO c n__L Jc___[__ 1 _ 1 1 ('n11_ Ar TIIL•:1Cla, L;iAG (Name) NOTIFY BL:LuIN(- DFPtn-M,`NT AT 765.1802 8 At, a = In FC' THE FOLL:)vVING INSPECTlX,,, 1. FO!!NDATIn"! - TWQ REQUnED FOR POUP,L ^'Xr---E 2. ROUGH • FR fJd",6 & PLJMBING 3. INSULATION 4. FINAL - CONSThL.. T' -,N MUST BE COMPLETE FOR C.Q. ALL CONSTRUCTION SHALL MEET THE REQUIREMEN ' P THF CODES OF NEW YAK, ST4TE. NOT REPr lire r7 cnc TER RUNOFF ION 46-10C,`- Lot 21 2. State existing use and occupancy of premises and intended tIy�e and a. Existing use and occupancy i rlg � e- Te'yv, ; \ b. Intended use and occupancy 3. Nature of work (check which applicable): New Buildi Repair Removal Demolition 4. Estimated Cost -"-�b 1000 Fee of proposed construction: Other Work (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units___o h 4,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 55 Rear 55' Depth Height Number of Stories 2— Dimensions Dimensions of same structure with alterations or additions: Front WN Rear Depth Height Number of Stories Levg1� 'a+ln 8. Dimensions of entire new construction: Front 3(, ear 18 Depth 3'/' - S Height Number of Stories 9. Size of lot: Front )50,00 Rear ISO. t\ Depth 2-S2--2-1 10. Date of Purchase q � 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 NO 14. Names of Owner of premisesG,vnJe'r Address6teS Lavrelwcjb(1_PhoneNo. agR -1314 Name ofArchitecRhi\ie�ard,0-; Address m(mb.ik( neNo 5`k3-1300 Name of Contractor Nc-Amo Scfplw 9 Po. Oct n Address 115 2 Ser ic1 o TpCc Phone No. S43 - &' S 2. p I GOrnYr`laLlL. �`� �t-72S 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO t/ * 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 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ,;��jj' 16. Provide survey, to scale, with accurate foundation plan and distances id.,property lines. -�y 3r 17. If elevation at any point on property is at 10 feet or below, must provide topographical data s#ey. STATE OF NEW YORK) SS: COUNTY OF ) Pig Y i c, i A �s r c 11.e S t being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the pqur (Contractor, Agent, Corporate Of of said owner or owners, and is duly authorized to perform or haiiA erfQrmdd the said work and to make and file this application; that all statements contained in this application are true to the best pfhis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith'. Sworn to before me th s ( 2 --rt'- day of 20 0 _ - Notary Public Signature of Applicant DIANE DOHERTI' NOTARY PUBLIC, STATE OF NEW YORK NM 010050""- SUFFOLK COUNTY 7" E% MAUQ Nk X.SUL t pnt.Ifi L-aLs• ,.+d+��Trra U4N1 (insMLy) ' , .. Sr Ii r. -V Mot e.^e .y♦L) - MAIN Id ejgw •R t SECT ION A -A —w vw"A D ' _ P • - �� -1 .' -wnTLa t..at i f I� OeNe 6lAM TN K -mss• °- all i O 4'M1 q4-► cr-r ft w WO �:•`t•� •A-� -TYPICAL WALL SECTION 5-5 160 GcpL. 4) w E 'lab 's�tP6fliCt N{ Y -�: A'8nw tirR�TwE W M NP ab ... NL IYIs:t•�s.c �- itis �ElfsiP'�W a Srtvs — —r, I�. Q E K R I A L N a T R S 1. CONTRACTOR SKALL CNCCX A VRXIrT ALL CONDITIONS AT SITE PRIOR TO STARTING TKR WOKE. Z. CONTRACTOR OR ONNQ fKJ" OBTAIN A BUILDING PCRNIT TKR LOCAL TOM OR VILLAGE PRIOR To STARTING ANE ► 1. CONTRACTOR SNA" OBTAIN ALL RSOOIRRD APPROVALS, PLS CRRTIFICATB Or COMPLeTIam/oCLVPA1N:r, INSPECTION APPROVALS, ETC. FOR NOR[ PEDPORRMED, PROW AGRNCILa RAVING JURISDICTION TRERior. i. ALL MATERIAL To Be USED an TWIS PRojW? Smar-r. sE INSTALLED IN STRICT CONPORmajecs NITS MENU►ALTURYL RSCOMBUMD SPECIFICATIONS POR INSTALLATION Or TN PRODUCT. S. THE DESIGN IS EASED ON A DRAINAGE SOIL WISE LESS T 100 SILT. CONTRACTOR BRA" CON[IRr ISIS. S. GROUND WATER SPALL NOT EXIST WITrIN TRE LIMITS or SECILVATION. IF GROOM WATRR DOER RUSTS WITHIN $'- 981,010 GRAM. SPECIAL,DLKATRLING FACILITINS WILL k RROOIRRD. - 7. WATER DISPOSAL IR LINITCp TO ONNER•S PROPSRTT. S. NO WNCKARGE ALLOWED WITSIN 4•-0. Or SNALLOI SND . E1-0' or DEET ENO. P. TRE PtROmAT2CRLLP APPLZSD CONCRETE (GUNITS) SHALL A I.-* am at= A MAXLMOm Or 1 1/2 "LLONS or NATE:. SALE or CSIr<N!. 1@. SLIWIOECIDG STESI,. SRI" NR INTCOMMIATS GRAM BIL. STEEL NITS s r1NIRNRI IAP OF 30 YR DIAMETERS. LY. Pam SStTVm SvFPLT Carats. BE raw OWNER'S GARDOI W, POO,. To NS man A" OGLING Zw 41IL. w —XmzR. M4: CAPACM TO DE SWFICIENT TO 9WM POOL Ar 21 10.4. L2. ALL RLEGPEiCAL. rzoRR TO BE B@aim or nRE OMDRRNa2:. APPROVED.. _ - Ll. rVFQSJWrION S]NWIF MUM MAS FURNISHED DT ALCAHO I%- L4. t1f. AA£NITSCT WARE NOP RETAINED FOR Ott SITE OBSEw _ �'�r TCK 4ii f't tNG SGuF_MATIC- � 1 OtUHITE SWIMMINC1 r(- STANOAPCL'> r•V ALC -AMO FOOLS k3i 1Efat<Jlo TrrcC. cOEr a:.. SATE SCARE CLIA �~gyp 4r S&L AT r. 1 e 117tI IESIEET ■! 'o-�,•yy.�' Ciel -( P11111 C. 1l 11[111 r�1 IEEa A S B K I T E S T n( All 114kis. memorial 11111Wol E381/11E1. Roar TSrE 11118 is to) 111 • 1 I 1 E Of -- . L- — _.•.. 61 SING r'L�EQF+A�N�I�Y DIVLE j NLY 11 bdowes ,e i? CIZEs►aENCE) LL -jag 4=0 1 strreVts "Vq10 `tea I w� so ( so' S SUN FMTtos o C, �� r • -� ' 1631!.Ramal E ci CATU3 6M04 i L t- - - - - + ow 35't 4�r' S.66, 50 1O. W. (VACANT) D 2$2.27 .MN. yF�1 MAP OF `PROPEWY SuIZVEYE-0 FOU �\ ^r€� G AJ LA+ ItL ic]V,/tJ OF BOUT*+ LQ, N.Y. MWE a.(,p.•L L—WELL jb tt+y /J > �. W 2 f'- r 4AP L� j AREA- 42-176 S.F.' (0.982 AC.) ' 0M0NVf EIVT too uLu 1 sdcs'9PaOL To TLS IN -r`Y q.Et k'WTIONS 12 R -M *46AN ffALEVC-L AMEW060t OAR.12,1993 —�- ---SEPT f, 19,7 •_ PAY 3, !994 0 SUFFOLK CO. HEALTH 01 H.S. MIO. STATEMENT OF IN THE WATER SUPPLY AND SEWAGE DM43SAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (S) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL POA CONSTRUCTION ONLY OATS: H. S. REF. NO.: ' 'T APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. taco vrt 7 4 In WN^ ST ,N-X I i- MAOTAW DEED. L. P. E s arerveY 4 n ; - �="�goa co'Nft Of �- kOd. �a'!,q ..,, bs a G ,,a� � ;wnmwnp3r,,SWon�6eAeyb Q. b+�ngir.,,r °p mens!agerty yhle ac nano lo„ rCirSlnstl- owu�,� - •"�:�ersbre 0 "'�Sr+e6g }w ?� (} t � 1, FI a.i., M Applicant/ Owners Naai�e:... �- ' Date. -- -— Reviewed: 7 " rs`%� ArchitecU Qie .. Submitted:' #: SCTMLL 17ivric(: JQUV Secant: 1 - Block: 7 Project Subdivision l.ocalion: loo j ��u�-ulsUc�� _U-- Name: Si%k 8-, separate Required cmIrlication: (Yes I No) Req itcy. c/ Zoning llislricC (tot slzc: Acetal: (I of covcrasc rupcised Rrq. Req. Rte' (('root ford proposed: (Side Yar rProposed:f (Rear Yard' ��_ proposed• _ Project Description: c i f REQUIRED FOR REVIEW N.A. NO XES I�tumber Suf'olk County Health -Dept. N6w York State. D. B. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood .Plane Elevation ??? Flood Zona: