HomeMy WebLinkAbout31139-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31922
Date: 10/17/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 555 EAGLE
(HOUSE NO.)
County Tax Map No. 473889 Section 127
NEST CT
(STREET)
Block 9
LAUREL
(HAMLET)
Lot 8
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 11, 2005 pursuant to which
Building Permit No. 31139-Z
dated
MAY 16, 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 IN THE REQUIRED
REAR YARD AS APPLIED FOR.
The certificate is issued to THOMAS & DIANE K. GATZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
100354C
07/18/05
PLUMBERS CERTIFICATION DATED
N/A
~O"!:!!:::-
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY :' i (.71
This application must be filled in by typewriter or ink and submitted to the Building Department with th!:fOI\OWi~ -.
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A. For new building or new use: 1- '-. ~ . ::";':' j
I. Final survey of property with accurate location of all buildings, property lines, streets, and unuSU~u1'aror- -.
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 2/1 0 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 bnildings 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
1. Certificate ofOccu anc - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
'8W1nlliiin 001 $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
Location of Property:
Old or Pre-existing Building:
EFj~LE fh:c:~ T
Street
L QAT7-
Suffolk County Tax Map No 1000, Section Lj '7 :3 ::; 8'1
I d,'l
Date. d- D 8'- ()(p
:/-- (check one) (
CT. l. /f-U iCE:'
Hamlet
New Construction:
55"5
House No.
Owner or Owners of Property: --r t4 " l'l'\ r9 S
Block
000'1
Lot
oof?
Subdivision
Filed Map.
Date of Permit. S. / tv - 05 Applicant:
Lot:
Permit No. 3 I I -3 '1
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ i 0( S. 0 D
Underwriters Approval:
Final Certificate:
x ( check one)
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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.
31139 Z
Date MAY
16, 2005
Permission is hereby granted to:
T & D GATZ
555 EAGLE NEST CT
LAUREL,NY 11948
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at
555 EAGLE NEST CT
LAUREL
County Tax Map No. 473889 Section 127
Block 0009
Lot No. 008
pursuant to application dated MAY 11, 2005 and approved by the
Building Inspector to expire on NOVEMBER 16, 2006.
Fee $
150.00
~ClL.
( Authorized Signature
ORIGINAL
Rev. 5/8/02
3 \l39
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TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL ,tee,' f'~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE
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INSPECTOR ~~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I~ATI~N I
[ ] FRAMING I STRAPPING [v1'FINAL {J!d-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS, f~f(~ COy(
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DATE 1({J r(J Q
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INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS ,
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FORMER OWNER
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
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VILlAGE
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TYPE OF BUILDING
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Woodland
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Total
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IMP.
TOTAL
DATE
REMARKS
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FRONTAGE ON ROAD
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127-9-8 2102
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-~~" "1..\C2=<ib > 152.. a.~ 5"32- Foundation ~.C, Bath 3y'2.-
~: ldg. ~ ")(. 7 ~ 5',,-
I ~ xtension ?O K ?;g .. t 14-0 ~ 5'700 Basement .c:.l\ Floors
~'tnsion ~'lZ:"" " -4(01'\ '\ J.[A( 3iS \ &0 't-. F.xt. Walls C~...<:~ Interior Finish
Extension ~'k7: 2.. { Fire Place Heat
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Porch "''''ae''' l>i..g ,5C IILI- - Pool Attic
Deck - Patio Rooms 1 st Floor - \ 12'" r",,",*-
\l-b,'J.o - 32-2..- ,<~ !>r ff.0e. W. u. ,,~w:':" - ~ \1'
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Breezeway Driveway Rooms 2nd Floor ~. 6W, '2..~
Garage 2>l(,ltz,o " ~ 1~ 75''''
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~ 1,J?- ~., --' -_J::1 ; BUILDING PERMIT APPLICATION CHECKLIST
, I Do you have or need the following, before applying?
. ,~ I ' It? :... ' Board ofHealth
d-L_
_ J 3 sets of Building Plans
Survey
Check
Septic F onn
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined
Approved
Disapproved ale .
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Mail 10:
Phone:
~u'-
. BUlldmg Inspector
APPLICATION FOR BUILDING PERMIT
Date-.1{o.y 51
,20~
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 connnenced 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 a Certificate of Occupancy
is issued by the Building Inspector.
APPLlCA 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)
Na~e~S~Y~TATE.
(Mailing address of applicant)
State whether applicant is owner, lessee, agen
It T z..
(as on the tax roll or latesrl.1l'.e ~ ~ B.P.'
FEE: I <;0 BY: ~Cr. J, 1_
If applicant is a corporation, signature of duly authorized officer N7'~Y BUILDING DEPAR ENT AT
....o~C~Cy OR 765.1&.)2 SAM TO 4PM FOR THE
(Name and title of corporate off\C'f. E IS UNLAWFUL FOLLOWII,G INSPECTIONS:
u: 1. FOU!.DATION . TWO REOUIRED
B 'Id L' N -:< IFICATE FOn POURED CONCRETE
UI ers tcense o. IJ 2. ROUGH. FRAMING & PLUMBING
Plumbers License No. 3. INSULATION
4. FINAL . CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DtS'''~' ('0 CONSTRUCTION ERRORS.
l.t1JUC
Hamlet
MIA.S
APPROVED AS NOTED
Electricians License No.
~'740- mE
Other Trade's License No.
lIDEIIWllrJiRS CERllFtATE
REQUIRED
I. Location of land on which proposed work will be done:
555 FAcjlf IJIsr ~,t
House Number Street
County Tax GP No. 1000 Section 1;)'1
Subdivision o.oeN Vol.} l~~T'-S
(Name)
Block' q
Filed Map No. r")C']?O
Lot B
Lot PJ
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy K.e6100/eL
, ,
b. Intended use and occupancy '--R.e.s.\llel'lrM. S'~/YImll"q PoOL
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work ~fA'}'h.~
Alteration
t'lw'llIJfllIN't {bOL
(Description)
4. Estimated Cost
JZ.oJO -
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 'I q I
Height Number of Stories il/z...
Rear
'7'>: I
Depth 0' u
Dimensions of same structure with alterations or additions: Front
Rear
Depth
Height
Number of Stories
8. Dimensions of entire new construction: Front is \
Height Number of Stories
Rear
~31o'
Depth
~ '12. -" 6 I
9. Size oflot: Front
JQ 1(,;0
Rear
1(;0
Depth 2.<00
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:
No
I'
13. Will lot be re-graded POOL (l)I\ILi
14. Names of Owner ofpremises--ThoiYIll'> ~~Q
Name of Architect'-ihoMll..> M.edl,{ I{.
,
Name of Contractor
Will excess fill be removed from premises: @ NO
Address 555 Et'<ak JV4,"C:t Phone No. 2<10-6'1111
Address II &z.eCtJ :Vn/7>m.1!hone No 9-f<f-0f00
Address Phone No.
15. Is this property within 100 feet ofa tidal wetland? *YES NO ./
. IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at J.O/:~: Q1' RYl<l~dNlliI\provide topographical data on survey.
.:.' ~~_' ..._'/3
STATE OF NEW YORK) .' "',, ':.:) jJ;:'
SS: -:''; 3-F 'r3:1M
) , " , , ~:/'O 23':CO
,~ J EOhlao~s being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
~QtJTtamt.. '
(Contractor, Agent, Corpqrate, 9flicer, ~tc,) -, -~ r ' '
...J'".., 'V'tf i""~ ~: -,,;~~~! ~jdl;
of said owner or owners, and is duly authorized to' '*'(t;q'iWJlt i1ay,e:~f~!tI~~~fVork and to make and file this application;
that all statements contained'in this application are iruet~tli,e best"5Ntis'Jd\o't\lleIiM Md belief; and that the work will be
performed in the manner set f<::rth in the application filed thel'f@iJlA9U:)80 4[:
COUNTY OF
(S)He is the
Sworn t~ore me thiS~
day of y 20 0'5
~wA~
Notary Public MARGARET A. BANNWARTH
Notary Public, State of New York
No. 01 BA6021111
Qualified in Suffolk County
Commission Expires March 8, 2oa2..
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Plan
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Piping. Arrangement
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Section
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B-B
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3ISOO P.5J. Concrete
~H-7
10'
Section A-A
Typical Wall Section
SIZE ABC D E F G H AREA CAP.
FEET rr. FT. rr. rr. rr. rr. FT. FT. SQ.FT. GAL.
16132' 16' 32' 6' 14' 6' 4' 4' 8' 512 19,000
16'I36' 16' 36' 12' 14' 6' 4' 4' 8' 576 21,600
18'136' 18' 36' 12' 14' 6' 4' 5' 8' 648 24,300
2O'x4O' 20' 40' 16' 14' 6' 4' 6' 8' 800 30,000
24'x44' 24' 44' 18' 14' 8' 4' 6' 10' 798 30,000
24'x48' 24' 48' 20' 16' 8' 4' 6' 10' 900 30 000
~(}/Jf.It1,uA...
PooL &. SPA CENTRE
PERMACRETE WALL SYSTEM
929 Route 25A Miller Place NY 11 764
(631) 744-7185 FAX (631) 744-0174 U
Suffolk License #4436-ffi
Nassau License #ffi74450000
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