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Home My WebLink About32170-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31935 Date: 10/20/06 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 6170 ALDRICH (HOUSE NO.) County Tax Map No. 473889 Section 120 LA (STREET) Block 1--. MATTITUCK (HAMLET) Lot 8.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 2006 pursuant to which Building Permit No. 32170-Z dated JUNE 30, 2006 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 JEANNE P. HAMILTON & MICHAEL KELLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3247 08/19/06 PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 _____....0: ;~:'.\ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ' APPLICATION FOR CERTIFICATE OF OCCUPJey'-i(/ 'U)S;C:/ " OCT I 8 2006 This application must be filled in by typewriter or ink and submitted to the Building Depattment with the following: A. For new building or new use: I. 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 Plarnring Board Approval of completed site plan requirements. B. For existing buildiugs (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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 I. 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. I 0 / (lR I 0 (p 1\ , , New Construction: ~DO J Old or Pre-existing Building: (check one) Locationofproperty: unO A-!dYl(h L(lI)L ~/(/1-H/-flCJL ny II?~~ House No. Street Hamlet Owner or Owners of Property: ,J;f1I1J'UP. !f-rtm;/-kn o.{~ J)!ch(J~1 [. K~//.ey Suffolk County Tal' Map No.1 000, Section I dO Block 03 Lot:6 . & Subdivision 1=d Ym lij li, lisSDLI 0. }.e-S Filed Map. Lot: ~ Permit No. 3:1 /7 D Date ofpermit. O(j /30 (O~ APplicant:J PM Il, If ChfJr~-kPJiJty Health Dept. Approval: Underwriters Approval: H -t rm UJ I ( f J1-r r ( ( ,gtL -('nO~ Plarnring Board Approval: ,; Request for: Temporary Certificate Fee Submitted: $ ;)t5. OD Final Certificate: ~.)/lH, c.O~?1 ~ J~ .3~' 70 L TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATI~u [ ] FRAMING I STRAPPING ~ FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: p~~<~ f~ w Ok.. AJhA~ '( ~~~-' ~ DATE 10 -11- 0 Co INSPECTOR ~~ SUFFOLK BUREAUOf ELECTRICAL INSPECTORS,lnc. 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 6314958136. Fax: 631 9806455. E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Raymond Electric Rough In Inspection Date: 7/29/2006 Application NO: 3247 Suffolk County Tax Map NO: Final Inspection Date: 7/29/2006 Certificate NO: 3247 Building Permit NO: 32170 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Kelley Address: 6170 Aldrich Lane, Mattituck, NY 11952 Address of Inspection Site: 6170 Aldrich Lane, Mattituck, NY 11952 X Residential Commercial New Addition Service 10 Service 30 Main Panel 8 Ckt Sub- Panel Disconnects Transformers Twist Lock Other Equipment: Indoors X Outdoors Renovation Survey Heat 1 Time Clock Hot Water GFCI Breaker Dryer Recpt Exhaust Fan TVSS Basement 1st Floor 2nd Floor Attic Inventory Duplex Recpt 2 Switches 1 GFCI Recpt 1 Single Recpt Range Recpt Appliance Heat Pump Service. X Pool Hot tub Garage Shed Other: Ceiling Fix Wall Fix Recessed Fix Fluorescent Fix A/C Blower AlC Cond Electric Heat HID Fix Smoke Det Co Det 1 Pump Emergency Fix Exit Fix 1 Pool Luminaire The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Raymond Electric Inspected b~e R. Surdi Slgnatu#~ License No: 5141-ME Date of Certificate: 8/19/2006 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. 32170 Z Date JUNE 30, 2006 permission is hereby granted to: HAMILTON & KELLEY 6170 ALDRICH LA MATTITUCK,NY 11952 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR at premises located at 6170 ALDRICH LA MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008.006 pursuant to application dated JUNE 26, 2006 and approved by the Building Inspector to expire on DECEMBER 30, 2007. Fee $ 150.00 /) Wt ,/ -. , .;ft~/J-4 ' ~ I Authorized Signature ORIGINAL Rev. 5/8/02 FOUNDATION (2ND) . ," . .. IU .'C }/t"'J ----~ ~- o >-l rfJ .. . 6~ ~ut"'J Z r;--? ~ ..J 0 '" >-l g;j y~ ~ P- , C J 79~ ~ 1;; >-l ""' FIELD INSnCTION REPORT DATE COMMENTS FOUNDATION (1ST) . ------------------------------------ . . ROUGH FRAMING & PLUMBING 1 . INSULATION PER N. Y. STATE ENERGY CODE . I fj)~/-l l# 1::, ~ Af) 1 - f...." 19/\ /l/J/II,.:}...D \ ~(}Ih /_ . ('fAY. . ~ ~l, . ~ ,. . .1 .. ..u v -; -;5 ~ jj.-' >-' I ;0- R- FINAL . -r- ADDmONAL COMMENTS . ~ T , ~ 0 :)~ _ - Z I' m. -" .< ./ (0 " t"'J V :>< . 'C - v' ~ 0 , >-l I 0 - 0 -l z . == t"'J . (' E:; . ~ .,-- e! CD~ ~ . I. ~ JOB No. FRMV-4 TAX 1.0. No. 1000-1,,0-03-8.6 THE LOCATION OF WELLS, WATER SERVICE LINES, SEPTIC TAN/\S ,1\ND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAlNELl. FROM OTHERS. LOT 22 LOT 21 S 25'36'30"E 47.27' S 19'40'30"E 77.74' I I I I I -- r-=- ---- D~NAGE I EASEMENT 1'1' 10- , b " i0 U1 (Y) N (Y) ~ o (Y) m ~ , o ,... Z ". WELL . ------, i0 ro o N (Y) ..\:;'~ ~ o (Y) m ~ , o ,... VJ ~ t- ,-' .) '('0']\ , + I J..---.C;;- '-<. '__-1<1 ' 8 2 5T FRAME DWELLING 4"1.3 GONG ENT OOWN LOT 3 WOOD PORCH PiO LOTS w z ::s f- (fJ W > 0::: <( I / ~ 24.9' ~ ~ ti 33.5 o l()21.3 13.5 ~ N 45' - SEeT'c;~i~;( I ~ . ~/0 I g 66.5' 0 LP ~~ 00 n TIE475.11' R=25.00' L=36.67' N 23'09'16"W 125.00' ALDRICH LANE [49.5'] FARMlAND FILE MAP No. 8808 9/1/89 CERT OF CORRECTION L1BER 11854 PAGE 27 L1BER 11866 PAGE 247 UnauUlOtized aHereUon or addition to lhis document is a vlCii8ii'OiiOf Section 7209 of the N~ YOlk Slate Education Law. Certifications Indicated hereon ,hall run only to tho person for whom n Is prepared and 011 his behalf 10 Ilia TUle Company, Govemmenlul Agency Bnd lending InsllluUon listed heteon, Ilnd to the a9slgnees of the lending Instilutlonsor subsequenlowners. Copias 01 this document not bearing the professional's ink.ed seal or embossed saal shell no! ba considerltd a ...elld true copy. The offsets [ or dimensions I shown hareon from slructuras to the property IInas aro lor B specific purpose end use and therefor9 ora nol Intended to guide lhaerecllonof fences, relalnlng walls, pools, ~llanUng eraas, addition to buildings or any other construction. The existence of rlghl of ways andfor euements of record, if any, not shown are notguersntaed, " SURVEY OF: LOT 4 MAP OF FARMVEU ASSOCIATES MATTITUCK. TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 5/03/02 SCALE: 1"=50' CERTIFIED ONLY TO: By DESTIN G. GRAF N.Y.S. lie No. 50067 DESTIN G.GRAF LAND SURVEYOR M1CHAa E. KELLeY f>.ND JEANNE P. HAMILTON ULSTER SAVINGS BANK FIDELITY NATIONAL TITLE INSURANCE COMPAN OF NEW YO 3 Woodlawn Road ocky Point, N.Y. 11778 31-821-3442 I /OOD- /20- 3 -' g,b I TOWN OF SOUTHOLD PROPERTY RECORD CARD - OWNER ..J,ea()() .y-,\.~ STREET \ t"'j 0 ' . VILLAGE A- / d rr'r2h L4 Y1 e.. !VIa if d-u ck ACR. . 94:-. c;> 3 REMARKS DIST. . SUB. LOT 4- q Fa rfi1V~L1 .; I TYPE OF BLD. fl(. .. '6- - fin lJeu 4S~D( . -Iv &on - II c... (l ._ ~ /I.. '. ~ pto-a I, -LYon to vrOVJ N C- 0' - L 100. 8'gg - CrDn f1 bn~ mmtd "'( . .$qS-;/YY) al/6.o/ ,U:#~~ ~~ -G~ ";l.~' . ~ a-Lid~ql &;~reen ria ~N.tQth.m,-f-/z)y}fXX6.~OD 7 10 .. ~~ ~~~~ ac'/~ft~A~ (t:4\ ew-e ( f . I! LAND Cr "R-e I?-';-O P,y 300" I'L 6:1. ,0 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD o DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL ~/B ..." / 7' , )~ ~ 7 a'~ \1 , \1\ ~ It! ~ 333 ,- - Q,. kc>. 1 !o f-\ iD ~ .-- I I I I I <s.~Bldg. 30 '( '3IL := \020 r&P ~Co 10 Foundation ~;) Bath .ofl- Dinette. V '::>- c , &!~nsiOn -, v l4--= ,,~ ""'~ 347, Basement I~~WL Floors . Kit. ./ SLAB Ext~nsion - Ext. Walls . Interior Finish t;.l e.. L.A. / , 1O.~~sion 2-"C1 ;: 1 pi.> ~ '2--7 2..~ &t Fi re Place '1~ Heat YiS . D.A. ./ pati~ I )(~ - q ( Woodstove BA. Yt~~, . Porch ~~~';~~C"l: Ifd)2llo ,SO 109 Dormer Fin. B. - Deck . Attic Breezeway ~~ cp~ L\co Rooms 1st Floor Garage -1'1-1 '-'" <?5 , Driveway Rooms 2nd Floor 41\e 2,..t 2J.j ~2-( := t~ O.B. ~ l'Oo ' , Pool 7reo ;:.,~ ,\ f J , 7'or",L A~" "''- A"-'Yjv N go '2 ~F-r- ~ 6z'( \ 372... /" 101-6' ,..: ~;!..- V^il. Ltt ( ,,/. z..r-;;;; ;;?75t/ ~ vi' p"....t.1I t~ (, .: 'lZ) "Of, :; 10 Zz.; Ir."f.. t9 . J;';"~ 51"" , q '. Lf~ am ~ COLOR >qJ:>, P (&I..$l- cetl/ f'tt,t VI lto1P; @, ~ 3{A~d fJrc;y,). ~~ (JO -'3- &'/p Cv -e """'^ TRIM \ 'Sla-\<. i wv..,1"Q -,.,.. - l'1:>r~.1 AliA.. ~.",,::!.{ "~/irtl/V .... '1..30 ~ z\'c; Jj;, BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board ofRealth 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,.... SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. 3;;1/70 e:.. Examined r;J~o ~f3t , Approved Disapproved ale ,2r:o~ ,2~ Mail to: 4.1 SLOif'f'l K'r1~ roo ls {2.-\-~ 2.5~ Qoc:ll.Lt P+ tv1 llll C(, 144.fQ1DO Phone: Expiration !1?>o ,20a- P CJJ- , Building Inspector , APPLICATION FOR BUILDING PERMIT 26 Date_lo~~-o(P ,20_ ~ '-,c.,.... ,-:.~)l~ INSTRUCTIONS a. This application MUST lie 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. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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. ~~~ (Signature of applicant or name, if a corporation) "IUMeoIA TEL V" ENCLOSE POOL, rOCODE OCCUPANCY OR UPON COMPLETION 6itJ.t> frt.J{U?'t, ~<:: /1~Ih.fv4C.. Ai BE~~~~'OCTIONSHALL USE IS UNLAWFU (Mailing address of applicant) /IfS2- St~_~~~=@~~ee, WJdtHQUlt~~IJf1C!'L~ontractor, electrician, plumber or builder OWf\,u OF OCCUPANCY AEEBO'iED AS NOTED r: l.l I DATE: 1.,/30/1, 8.F.# :j)f70C- <:::-. j(.e\le,y ~ I " ~ (As on tile tax roll or lMeSt deed)/70. BY: l &..ACL--- If applicant is a corporation, signature of duly authorized officer. NOTIFY BUllDlliG DcPNlTMENT AT ~AStERTlF1CAfE 765-1802 8 AM TO 4 PM FOR THE (N d t'tl f t ffi ) ~ " RED FOllOWING INSPECTIONS: ame an I eo corpora e 0 Icer 'REOUI 1. FOUNDATION _ TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHAll MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. r-;OT RESPONSIBLE FOR D:ESt6tl on cor,STF\UCTION IiRRORS. H'ahilet Name of owner of premises f1\ \ ~c I Builders License No. ~ 1'/-18.- H NOFf Plumbers License No. RETAIN STORM WAfER RU10C' . Electricians License No. ~ID'S ~t IRSUANT TO SEe; IIUN 45- Other Trade's License No. OF THE TOWN COOl:. I. Location ofland on which proposed work will be done: to \ loA l d. r I (', h LO-.. n'l.a.iliJu elL House Number Street County Tax M.(, No. 1000 Section ICJ,.O Subdivision Mil') -J-t'IJ.. A~srv\I1+~ s.. (Name) . ,: \), ^.' ',_. .-:1 .. ~.' .~" . ;,~ 1310~k (. 3- " . FiltXl Map No. ;. .;, I Lot 6 \0 Lot ----t 2. State existing use and occupancy of premises and i a. Existing use and occupancy 61 r, \ e. .. b. Intended use and occupancy ,nstzlJ/'()fJrol.U1dfool ,;,Q;44 , Qect-. 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration 4. Estimated Cost--ff 15,6D() - (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, 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 Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 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 be re-graded? YES~NO_ Will excess fill be removed from premises? YES_NO / 14. Names ofOwnerofpremises~Address{.,110Alcl.nchLA Name of Architect ~~~ Address 116 Lllxfht ~ Name of Contractor II C\d,/('/C.er Address Llll ~r 205"1 oclc..."O?.j- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater 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 ./' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Phone No. ~q~- I e,e I PhoneNo -331-2./05 Phone No. 14lt-~160 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. .,,, J3T'Ala3M~.!lld . 1~1":::". . ,";;1 . . 17. If elevation at any point on property is at 10 feet or below, must provide ~opographicaL.data on survey; ,.' , .,\. , , .:<_~ j:V1 STATE OF NEW YORK) SS: COUNTY OF ) r(\~e...l \G..J \~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing co tract) above named, .' ~ ::,:\' (S)He is the ()u)l'\~ (Contractor, Agent, COrPotate Offi~et,~f2~~':U of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are!f!!e tQ 1/11' l;>~st of his knowledge and belief; and iliat the work will be performed in the manner set forth in the application filedth,&.!'~ith~\ /; ".', ";)'" .1. ,. . '\ ~, . '''..... Sworn to before me this :ll" day of ~~ KATHLEEN Q!,IIGLEY HOTAAv i'tl8l1C, Slate of New Yot1l , Hcl.o1Q\J812-'124 aUlllllllld 1/15UtlO1k Co\in!y commIsSion EJq)iIeI Ali/1l25, 20J2!l 1011 fi? ~ '" N N CONillfE WI'llS .. COPING; ANt? WtLK flY OMRS GRADE :;' 1'5'-2" r '" ~ '" 4:;'-8" 44' i'- Q 7' i'- 10' N SECTION A ..~J :;' '? I'- SECTION B 10! RB' 22'-211 , i "'I i, 2" to 4" 5ANt:7 I?Of-rOM NOTES I. SffiJC11ff IS t?fSIGNW fOR US!' BELOW acmE Wl-fRl" Iff CRCUNt? WAfER fAfJl.r IS A Mlt-IMJM ANt? Oft v IN ARrAS lHr PROPOSW flfJSfft?CPJ'n' Of 4'-8" fXWW 2. flKKfILL I'v1lH mAN riWlH f[j'r Of ROOfS ANt? M ftlGHf Of flKKfILL fO rxaw 1H[ ftlmf I7fBR". t?0 tV]' tLLOW flY MOll' 1WN 8" - Of fI-E W\n;R I~J Iff poa 7. WALK" fO f)[ SMOOlH, NON SKIt? fYPr SLOPW^ 4, WAfER t?ISP07AL SHlU f)[ UMlfEt? fO iNvN; p.,w,~y rROM poa, WCAL CO~PlfiONS, RS PROPrf:Y fO SlIf :; NO I:1VI~~ BOMV. flL n;R AW PUMP fROM "'IMER 10 WAsn; " PLUMBING SCHEMATIC WAlfR 1I1\f n awt Ral.W fOAM DEfWrEN 1I1\fR ANt? camlf " 21 " '"' VI -10 o Z '0 Oci g: a.. ;:z ~ CJ 8 ~ Z 0 f-' ,/cL.<{Z -'<.. 1-= lJ) 0 ",>-010.. <aW>- ~z ~o VI~~~ at.!:1 1:0 il .J.~ ...~ tJ "'S ". ut !l- s 'Z-s-. ~~ \llUl~ ""'-z..... ~~* ><:::2."- "0- ,:2 "" <--' ,u