HomeMy WebLinkAbout30992-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31525 Date: 04/12/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 920 WHITE EAGLE DR LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. .~}3889 Section 127 Block 9 Lot 16
Subdivision - Filed Map No. _ Lot No. _
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 7, 2005 pursuant to which
Building Permit No. 30992-Z dated MARCH 8, 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.
The certificate is issued to CARL & KAREN KRAUSE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFIC'ATE NO_ 2061972 07/12/05
PLUMBERS CERTIFICATION DATED N/A
~~~~
Authorized Signature
Rev. 1/81
.
.- -.--...""'"'\
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ii'
TOWN HALL APR I I e ~
j
765-1802
I
\ !
APPLICATION FOR CERTIFICATE OF OCCUPANCY M ---.J
---
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 OfO~y - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool 25.0 ,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 uf Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1 5.00
Date. r-- .r Ot,
~_..
New Constructiun: ~. . Old or Pre-existing Building: ,/ (check one)?'...........,"",....11l.1 .4.:>.J,,,<>-<..
Location of Property: _ ~----fL/~ ~/& ))R -
House No. Street Hamlet
Owner or Owners of Property: c'J-e/ .. ~~N ~vsc:
Suffolk County Tax Map No 1000, Section ~_.. I 21 Block Cf Lot ~_I fa
Subdivision Filed Map. Lot:
-~ "----. '-- _._~--
Pemlit No. 30992 - Z Dale ufPemlit. J . 8 . 0 J Applicant: S.4A
-------
Health Dept. Approval: ____. ____ Underwriters Approval: ?I../~.r- &~.c:! A/S ;L
Planning Board Approval: .~__ ""#/'ec~"...;'" 2<>6;;';12-
------- ~.... Zot>/?72-
R","," roo T '00"::' f'rt,"~" _ .. rm.1 C,",fi~" ~"'I
FreM,m".I'.2.=____ a _____
/ / f\pplicant Signature
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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. 30992 Z Date MARCH 8, 2005
Permission is hereby granted to:
CARL & KAREN KRAUSE
920 WHITE EAGLE DR
!:AUREL,NY 11948
for :
INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
-
at premises located at 920 WHITE EAGLE DR LAUREL
County Tax Map No. 473889 Section l27 Block 0009 Lot No. 016
pursuant to application dated MARCH 7, 2005 and approved by the
Building Inspector to expire on SEPTEMBER 8, 2006.
Fee $ 150.00
&~C~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
----...----
@]~.@]
~ ~
~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ I3UREAU OF ELECTRICITY ~
I 40 FULTON STREET - NEW YORK, NY 10038 ~
I CERTIFIES THAT ~
~
~
~ Upon the application of upon premises owned by ~
~ ~
~ JAMES MURRAY CARL & KAREN KRAUSE ~
~ P.O. BOX 305 920 WHITE EAGLE DR ~
~ LAUREL, NY 11948, LAUREL, NY 11948 ~
~ ~
~ Located at 920 WHITE EAGLE DR LAUREL, NY 11948 ~
I Application Number: 2061972 Certificate Number: 2061972 ~
~ Section: Block: Lot: Building Permit: BDC: ns11 ~
~ 30992 ~
~ Described as a occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
~
~ Outside, PoollSpa, ~
I 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 andlor standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 12th Day of July, 2005. ~
~ Name OTY Rate Rating Circuit ~ ~
~ Appliances and Accessories
~ Time Clock/Switch 2 0 ~
~ Furnace 1 0 Gas ~
~ Paoli Spa Bonding 1 0 ~
~ Panels
~ 1 40 3 ~
~ Wiring and Devices ~
~ Receptacle 1 0 GFC1 ~
~ GFCt Circuit Breaker 2 0 20 amp Paoli Spa
~ Receptacle 2 0 20 amp Paoli Spa ~
~ Switch 2 0 General Purpose ~
~ Fixture 2 0 Paoli Spa ~
~ (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. ~
~
~ ~ ~
~ ~
~ 1 of 1 ~
~ ~
~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~
~ ~
@]~~ ~@]
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. 30992 Z Date MARCH 8, 2005
permission is hereby granted to:
CARL & KAREN KRAUSE
920 WHITE EAGLE DR
LAUREL,NY 11948
for :
INSTALLATION OF AN INGRC~ND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at __ 920 WHITE EAGLE DR LAUREL
County Tax Map No. 473889 Section l27 Block 0009 Lot No. 016
pursuant to application dated MARCH 7, 2005 and approved by the
Building Inspector to expire on SEPTEMBER 8, 2006.
Fee $ l50.00
&~ CJ~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
~- -
3D'f~?-Z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [Xl. FINAL / nf.
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:, ~-f:L ~ ~. 4~~Ly)
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DATE. J-7--t5{; INSPECTOR ~~
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TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PlBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING y><tFINAl I~() L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE i-(-- 3 - OG INSPECTOR ~~
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30 11?-7-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION i)
[ ] FRAMING I STRAPPING pq FINAL (( ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ,M-.Ja.J- ~ ~ ~
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FIELD INSPECTION REPORT DATE COMMENTS . ,
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BUILDING PERMIT APPLICATION CHECKLIST
rOWN OF SOUTHOLD
I' ?
~UlLDING DEPARTMENT Do you have or need the following, before app ymg.
fOWN HALL Board of Health
;OUTHOLD, NY 11971 3 sets of Building Plans
fEI,: (631) 765-1802 Planning Board approval
lAX: (631) 765-9502 Survey
PERMIT NO. /~o ~ Cf J.- .c- Check
Septic Form
N.Y.S.D.E.C.
Trustees
ixamined 'j(r;, 20~ Contact:
\.pproved -sf{ 20~ ~;~t~~~~~\~~7~lD
)isapproved a/ c
Phone:..-:J!:l.Y -~ (0 ti
ixpiration 1( S' ,2~ (tJJ/-'"
--- Building Inspector
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I i~ . lhi APPLlCATIONFORBUlLDINGPERMIT
II .J t.1AR 7 200i~ I .
-l ! DateJ1)OJ'c.h t.j- ,20Q5..
: .' 'CU'_~ r' INSTRUCTIONS
,__~~l'll' ~'~/Ittlll,- I
'._ "_..,_J
a. This application MuSTbe completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
ets of plans, accurate plot plan to scale. Fee according to schedule. .
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
reas, and waterways.
c. The work covered by this application may not be co=enced 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
l1all be kept on the premises available for inspection throughout the work.
e_ No building shaH 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 co=enced within 12 months after the date of
suance 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
ldition six months. Thereafter, a new pennit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
lplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
lthorized inspectors on premises llJld in building for necessary inspections.
"IMMEDIA TEL Y" ,,' ,:~0/U11 ~ \ ;ffiad<fJ./
(Signature ohpplicant or oame. if a corporation)
ENCLOSE POOL TO CODE
UPON COMPLETION ALL CONSTRUCTION S~-tG 2..6A- ttll:,u P+ t-J'1 Ill1PJ
BEFORE "WATER.
MEe-, THE REQUIREMENTS OF THE (Mailing a dress of applicant)
t h th l' t' I ~Qf.~~mAKSTATE. . . -
a ewe er app lOan ts owner, essee, a, e eer, general contractor, electnclan, plumber or bUllder
UNDERWRITERS CERTIFICATE
REOlJIRBl A~~OV~D ~~ ~ED
rrneofownerofpremises ~drl 4-ilA- k/trUl J.((f111,"\~ .
nATF' ~ t. ~ 0' o19,)-~
.... (As on the tax roll or latest deed) , e ~
'pphcant IS a corporation, slgnature of duly authorized officer 0 FEE: 1'fO, _ BY: r.... f) t7:
QCCUEANCY OR NOTIFY BLJILDIW" DEDARTMENT A'
(Name and title of corporate officer) USE IS UNLAWFUL 765-1802 8 AM -'" 4 PM 'CR THl
FOlLC'^:~<G INS"C:"NS:
jlders License No. ~[I..H a H WtnlOUl.CERTIFICA TE 1. FOUNDA-IICN . TWC hE"'JIRm
FOR POURED CCNCRETE
'mbers License No. OF OCCUPANCY 2. ROUGH - FRAMING & P"i..IMBING
:ctricians License No. ~ 107'5 G 3. INSULATION
ler Trade's License No. 4. FINAL - CONSTRUCTION MUST
REIAtN lSlORM WATER RUNOFF BE COMPLETE FOR C.O.
Location of land on which proposed work will be fJJi!)UANT =ON 45-1 O~ . ALL CONnRUCTlON SHALL MEET TH.
~D Id h rte.- f?o.pe-.Jln \AE.THE TO /J l~mEMENTS OF THE CODES OF NEV
House N ber Str '- TATI' NnT Ri=!:PONSIBLE FO:
eet Hamlet DESIGN OR CONSTRUCTION ERRORS,
County Tax Map No, 1000 Section 1~7 Block ()q Lot /(.,
Subdivision G-~ t1en \J leu; ~ ~o.+e S. Filed Map No. Lot
-
a. Existing use and occupancy :% In J; (.);A7 I '! '1 (e.',; (ie-A") G',
, ~
b. Intended use and occupancy ~
~bLIL-.
3. Nature of work (check which applicable): New Beil:afftg .....---- Addition Alteration
Repair R=oval D=olition Other Work
~ ('{ , (Description)
4. Estimated Cost 1(\000 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 oflot: Front Rear Depth
~ ~
,
10. Date of purchase Name of Former Owner
II. 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 bere-graded? YES ~NO_Will excess fill beremovedfrompremises?1 YES_NO ---
LtU(l:
14. Names of Owner ofpremise&..--I 0a.U2.e. AddresfUw WA.lfe.fi1tjt 1),r Phone No. ,~1q5 - 7185 .
Name of Architect L~J~~.:("~fl Address lI<,,)lAhu4~e. PhoneNo :7,3\-,)..105
Name of Contractbr ,I Nit' c.lLe-I"" Address !:Ill I2K 25A J Phone No. .144 - ~ /0 0
. , (2o<.i<-o--tP-t
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wet1and? "'YES_NO ~
* IF YES, SOUTH OLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ofa tidal wetland? '" YES_NO~
* IF YES, D.E.C PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with ac=ate 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) .... ..."..il
SS: .3<; :~..i3
COUNTY OF ) ,.,.} ~.3_.'iMO::H10'U
~~ BF3--:P-.'N );;0'1:8
(. -\<ft;'-cl-L./.-r odeclLer- . being duly sworn, <ieposes llD<i says that (s)he is the applicant
(Name of individual signing contract) above riamed; .
(S)He is the : .
(Coo'l:ra4t{)'r, Agent, Corporate Officer, etc.)
of said owner or O'Nners, and is duly authorized to perfonn or have perfonned the said work and to make and file this applic,
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
perfonned in the manner set forth in the application filed therewith.
. .
Sworn to before me tID,\ II lf1 v /\ JJ .: , .. ,." '-, . '.. .
iZ HI ""YOfJ"JJ1I'!.;~_20C\.2...' ". ,. C.:" lf~
CU ~ y!QO ~f~:~'-'\"~' '.' , .' ~~
, Notary Public . . Signature of Applicant
:1- ',' : . . -. .' ~ " . t. \., . 4
KOLEEN P. RODECKER~~ ." '. .,..." '..
NOTARY PUBLIC, STATE OF NEW YORK ,/ .
No. 01 R06099540
QUALIFIED IN SUFFOLK COUNT(
MYCOMMISSION EXPIRFS SF.PI29 2~
.. tP~
~11'l" SURVEY OF
f$cP LOT 16
~.
~o' MAP OF
.~ GOLDEN VIEW ESTATES
'"
~. FILE No. 7770 fiLED AUGUST 30. 1984
't-. SITUATED AT
~@ ~ ~, LAUREL
\>0 TOWN OF SOUTHOLD
<" SUFFOLK COUNTY, NEW YORK
""0 S.C. TAX No. 1000-127-09-16
-"
@ SCALE 1"=40'
NOVEt.1BER 16, 1999
OCTOBER 11, 2000 REVISED PROPOSED HOUSE
MARCH 2~ 2001 FOUNDATION LOCATION
NOVOA ER 3, 2003 RNAl SURVEY
AREA = 40,715.87 sq. fl.
0.935 ac.
S.LO.H.S. No. = R 1 0-00-0214
.. CERTIFIED TO:
./
./ CARL KRAUSE
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\ I UNAUTHORlZfll .oJ.TERATKlN OR .o.oomml
\ mOilS 'lUR\IiY IS A vrou.T1ON Of"
$teTlON 7209 or THE NEW YORK STATE Jo eph A. Ingegno
I ffiUC,l.TION lAW.
, I COP1E:s Of THIS SURVEY ~ NOT i:lEAAING
\, \ lHEt.NIDSlJRolEYOft"SINllB>SEALOR Land Surveyor
0IB0S9ED SEAL SHALl. NOT BE ~fD
\ TO 8( A \lAUD TRUE COPi'.
CERTlf1O,OONS lNOICATUl HDlEOtl SHALL RON -
ONLY TO THE PERSON FOR. WHOM THE SUR\IEV -
\ IS PREPAArn. me ON HIS BOWF TO mE
\ \ IDLE COUP"""'!'. Q::NERNI,lENTAL N;OICY N4D Title Surveys ~ SutxJivil!iQms - Site Plans - Con.:rlrvdion LoyOlJ!
\ \ l..ENDIHG 1NS1l11ffiON LISTID HEREON. N<lD
\ TO mE ASSIGNErS Of THE lEHOIt4G 1NSTl-
\ TVTION_ CEJmf'lCATIONS ARf: /<.OT TIWISfU<A8U. PHONE (631)727-2090 Fo,,- (6J1)727~1727
,
\ \ THE EXISITMC[ Ot RIGHT Of" WAYS 0fTICES l~7ED AT MAJUNG ADDRESS
AND/OR EASOlENTS Of RECORD. IF
ANY. NOT SHOWN ARE: NOT CUUAHTEtD. 321 ROANOKE AVENUE PO.80,19" ~
RM::RHEAD, New Yorl<. 11901 Riverh60G, New York 11901 -0965
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