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Home My WebLink About30213-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32117 Date: 01/08/07 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 2000 ALDRICH (HOUSE NO.) County Tax Map No. 473889 Section 112 EXT (STREET) Block 1-- MATTITUCK (HAMLET) Lot 8. 11 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 2005 pursuant to which Building Permit No. 30213-Z dated APRIL 5, 2004 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 WILLIAM T WALLACE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2015110 07/29/04 PLUMBERS CERTIFICATION DATED N/A a. '/1 #A ~ ./~- Au orlzed Slgnature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1~ 'S.D, 6' I>"f I) 'f"6 ~~i 'l1.t{)- 111105 APPLICATION FOR CERTIFICA n; 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: 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 certitying 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 bnildings (prior to April 9, 1957) non-conforming nses, 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 signcd 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 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 40 ! (37 New Construction: Location of Property: 1-.. (10 1J House No. Owner or Owners of Property: W/I/"tIf """7 Suffolk County Tal' Map No 1000, Section II 1- Subdivision ( check one) LdrlCh ef' . Hamlet Block _L Lot g,l/ Filed Map. Lot: Permit No. '~!'JJ) 3 <- Health Dept. Approval: Planning Board Approval: Date of Permit. Applicant: Underwriters Approval: Request for: Temporary Certificate Final Certificate: /:heck one) Fee Submitted: $ JS.n. ~~ Applil5ant Signature iI ~ 1i.J~ ~/- -.. .., 8,-M:. 7 , ~ I Y Oa--l. 3 1117 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. 30213 Z Date APRIL 5, 2004 permission is hereby granted to: WILLIAM T WALLACE 75-40 AUSTIN ST #6BL FOREST HILLS,NY 11375 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 2000 ALDRICH EXT MATTI TUCK County Tax Map No. 473889 Section 112 Block 0001 Lot No. 008. Oll pursuant to application dated APRIL 2, 2005 and approved by the Building Inspector to expire on OCTOBER 5, 2006. Fee $ 150.00 .--.-- re ORIGINAL Rev. 5/8/02 l!I ~~~ = = = = = = = = = = = = I Located at = Application Number: = = = = = = = = = = = = = = = Wiring and Devices = Fixture = = = = = = = = = I l!I il!/ii!ffi!Iii! il!ffi!il!/ii!ffi!Iii!~~~ l!I = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = ~ ~~~l!I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ALAN HUBBARD ELEC. P.O. BOX 2241 126 CLOVER PLACE AQUEBOGUE, NY 11931, HALLOCK LANE MATTITUCK. NY 11952 WILLIAM WALLACE HALLOCK LANE MA TTITUCK, NY 11952 2015110 Certificate Number: 2015110 Section: 1000_11~lock: 01 Lot: -..8:6:. II Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, PoollSpa, 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 and/or 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 29th Day of July, 2004. Name OTY Rate Rating Circuit Im Appliances and Accessories Time Clock/Switch Furnace Pooll Spa Bonding Panels I 0 I 0 I 0 Oil I 60 6 Switch Receptacle Receptacle 4 0 5 0 2 0 5 0 Pooll Spa General Purpose GFCI Pooll Spa 20 amp (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. seal of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 30;2-13 :2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING bK! FINAL ~ : [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: . tJ-.A....JL ;>r>-o{ o c DATE /1-1-0' INSPECTOR ~.~ ;,O;}-/3 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING rt><J FINAL 8l: fc-&t [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION . -l.~ J"~ Fr- I L FIELD INSPECTION REPORT DATE COMMENTS . . U3.... Ol"l IV?; FOUNDATION (1ST) -.... \.JJ:::l "" ------------------------------------- -", ~ FOUNDATION (2ND) f\,l"l \ '-.~ 'Z 9v9 0 () (:) '" ..., .~ ROUGH FRAMING & :rJ PLUMBING ..., :tJ - ~ - ~ m~ "4~ INSULATION PERN. Y. ..., STATE ENERGY CODE . 10-1/"-01 t::-o.. .n .~ t[f- =c;;Ir E 1..>I.t-/} ,o",L ('I} M.. .~ 1"/ JUPq Liv"1 ~ v lI-j>tJb . -1M. k .....;. L q .."'t71;", cvJ<. ok )..- ~- /rtrL CI'L evo, ~.tJ,n J ~.Aj- S:P FINAL v A ~A 'd I&$., '/--." ... u ~. ADDmONAL COMMENTS ~ \ . ~ . , ~o , -:liE " z 'E;~ S ~. l"l o :>< . , .... - '1/\ ~ , ..., C - ()~ Q: -", l"l -- .. > \ t"" -", ..., ~., Q: t::l l"l . .... ~ BUILDING PERMIT APPUCATtON CHECKLISl Do you have or need 1he following, before applying Board of Health 3 sets of Building Plans . Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOVTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL; 765-1802 PERMIT NO. .so J.-IS' Approved . Disapproved ale .fIr: ,20_) 1/) ,20I /1 "-/6 . ( '. ~ / " '0 / '/ //' Examined Mail to; . Phone; If.;/ ft~ " -" . (~:; I" . " " ) Building APPLICATION FOR BUILDING PERMIT Date .3/.31 . ,20~ " ..- v INSTRUCTIONS a. This a~:m MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. . b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining prc::mi$(;s or public streets or areas, aud waterways. c. The work covered by this application may not be corrrrnencedbefore issuiuJce of Building Pennit. d. Upon approval of this application, the BUilding Inspector will issue a Building Pennit to the applicant. Such a permit shall be kept on the prc:mis~ available for inspection throughout the work. . e~ No building &hall be occupied or used in whole or in part for any purpose what-so-ever 1lJltil a Certificate of Oceupauc: is issued by the Building Inspector. . . APPUCATION IS HEREBY MADE to the Building DepartOlent for the issuance of a Building Pennit pursuaut to the Building Zone Ordinance of the T owii of Southold, Suffolk CoUnty, New Yon, and other applicable Laws, Ordinances or . Regulations, for the construction of buildings, additions, or alterations or for r=oVal 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 necessaryin.spections. . -- _Sl~ (Sigwitme of applicaDt or D81DC, if a corporation) '? \ ('<:n... P. <.< c.; "'- ~ ~ CY'> \, An ~ ,,-, ~ \ \:0'1 (Mailing address of applicant) . State whether applicant is owner, lessee, agent, arChitect, engineer, general contractor, electriciaJJ, Plumb,e Name of owner of premises \..,:)'\\I~ ~\\o..u...... (as on the ta:1> roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of cotpOrate officer) Builders License No. \ d. S ti ~ - ~ \ Plumbers License No. Electriciaus License No. Other Trade's License No. 1. Location of land o~ fhich proposed wotk will be done: \~OO "CL~ \Dc...\L. L(J..V\~ H=eN=ber' ~~ . Uc.. ~ \ -hAc.Jc Hamlet )~"--\ 1\9Sd-. \ Lot ~.~ '6.[1 Lot. "il (- County Tax Map No. 1000 Section \ \ 9- Subdivision{',Nv\a<.; r. SItl\I\D"<;' -:t;,\d (Name) . .' Block . a\ Filed Map No. . \ \ ~ 2~ State existing use arid occupancy of P~);~ and intended use.~d occupancy of ProPosed constrnction: a. Existinguseandoectipimcy "1'-0 "-\rt.,,;'\'" Q rnYlU'-' b. Intended use and occupancy 3. Nature of work ( check which appli~le): New Building Repair . Removal Demolition Addition . Other Work: "3 \ x.s 0 Alteration I """",,,..I <6o';-;iL;>CO ( (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars . 6. Ifbusiness, co=ercial or mixed occupancy, specify nature and extent of each type of use. (to be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front . Height Number of Sto~ Dimensions of same structure with alterations or additions: Front .~Depth J't . "ear Rear Depth Height Number of stories 8. Dimensions of entire new constrnction: Front Height Number of Stories Rear Depth 9. Size oflot: 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: \..:l"Cl . Will excess:fi11 be removed from premises: CYE~ NO I., l ..,s,\o a.sh.., ::., - t.6L. wa.\ "u Address"".... "'''<.'''1 \l,~< Phone No.i.<8' -.$20- 082-/'a Address. Phone No . Address 'ill C_....<C.~L /IV. Phone No, .6",1- ,:)1/</-00,:::- CbluIou, >>ct ,,"', . 15. Is this propertywitbi.U 100 feet ofa tidal wetland? *YES . NO X . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS :MAY BE REQUIRED 13. Will lot be recgraded NO 14. Names ofOwnerofpremises~;\I.""" Name .of Architect . Name ofContractorr,-,~Q ~,,~b.. ~. - 16. Provide survey, to scale, with accuriue 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 a~w YORK) SS: COUNTY 0 ~) U<>-,bo........ ~\'-...r being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (' FY\~ a c\-or- (Contractor, Agent, Corporate Officei-, etc.). Jf said owner or owners, and is duly authorized to perfonn or have performed the said work and to make and file this application; .hat all statem=ts contained in this application are true to the best ofbis knowledge and belief; and that the work will be ,monned in the er set forth in the applicatlon filed the.rewi.tJi. ".~t~oreme . ~....~.)\\ . day .~ No ----- ~,.~. Signature of Applicairt >- JOHN C. SWEDBORG Notary PutIiia. Stete of N_ YorIc No. 62-4603968. Suffolk Cou!IIY Term ExpI.... MarCh 30, -~i"iL "Jz." "IMMEDIATELY" ENCLOSE POO UPON CaMP ETION BEFORE" II" -" ~ '" ,..uT ,~\ rRPJtl'V 7-,\ Ell. \.l.t "I 'I Z. 1lAU- W.,.E. 'S'J(\rr. .. I" /'1. I' " PWM81"'e:, f"LA N '. 7()f'O~pooL _ _ ,vJ~r;f e- S't::,rnJll~ i'lL" ~YS. DE\; PJ.!(11 ':sING sCH.cmfllic.. Gf:>v.~r<.AL NOTE.;5 1. The .wi..i"'1 pool .\lst be protectod I.t fence1 vall, '.ncl05ure,or ,building ot ...ter .1. The .in1.... he1qht llhall be't teet and all qete.l doors. windOWSl e~. .hall be .elt-clos nq with a poeit ve ..1f-letchi"'1 device. 2. There .hall be no .urcharqe within'l' of the .hellow end and within 5' of . de.p end. .... 3. Walks are to be dOped away fro. . pool at 1/.. par foot and are to be " aaooth iaparvlo\lS non-sUp type. .. There shall be 110 qround vater within the liAite of the excavation.Spac::ial de -vat.rinq facUiti.. will be nquired whul 'JroWld water exista within 5' below qrade. Water cHapo..l is H.lted to .; owner. pror.rty. 5; Dee1qn s ba.ed on a cSrainage soil with les. than 10' silt. 6. The installation .hall be in accord with all local, .tate, and federal c~ and MSPI s\lqqeated standards. 7. Guni te ..y not be uaed if 9roWld fill exceed. :I'. .. The Gunite (concrete). pn......ticallt applied. shall be a 1:4 .ix havinq a _xia... 3 1/2 qallona of water to . baq of ceaent. 9. Divin9 board to coaply with lateat MSPI .tandard.. 10. FUter p...p capacity to be adeq\latt to eapty pool in 24 houra. Pool to be kept f\lll d\lri"'1 freezinq weather. 11. Interaediete qrede billet steel vith a .iniw.uJt lap of. 30 ba.r diaaeten to be used a.s reinforceDent. ~"IO~"~ f'ILL SPoJr ,,",,12" A"~(,/'\P ~ ~WA"'a:. LIGHT ( OPT'OJVAl) o ~ :"\. ,Hl.E.T FLOOD ~ ',.. ",/A COMPL y 1,\ i c...., -+6" flOOD DAfI";,,,l ',XIION SOUTHOlD TOWN CODE. 50' " I _-----~------ ~ r------ I I ;/ I I ~: 0 : I ~ I . I I ~ ~ '" i 0 I I I "" I I I i )____L___ : ~I " -- - - - .1- - - - - - - - - - / ~ " FIL.,J)CCUPANCY OR ~., IS UNLAWFUL V'JITHOUT CERTIFICATE OF OCCUPANCY .21i:lli- o 'FFIC..EO LI\l>l:€R ,) 1 ~T ~'Ii . . ,!) ~ ~K.'''''C.~ e \\ . . If'o'' 3,. . -j( SECTIoN 10'0" . APP OVEO f>.S N01EO '!' BP. # ~~;:L\ ~~ D"'1E: . Uf J7) o,Y _ k FEE: ILOINC' "F';F\1MENl "'I NOll . BU ~O - ~ pM FOR lHE 765-1802 8 "'M 'PONS' FOllOWING INSPE~WO REQUIRED 1 FOUNO","0N - RE1E . FOR POURFE~",~~~C & PLUMBING 2 ROUGH - 3 INSUL/l.l\ON . F\N"'L _ CONS1RUCl CM 4. BE COMPLE1E ;OR "'ll CONS1RUC1\ON REQUIREMEN1S On YORK S1"'1E. NOl R DESIGN OR CONS1R , wAys OR tI1e:$i-l EQVl'l/. g-B t 12" t , ~n..f n; 1W'lifR. UN GXb TILZ FflC.J>/e:, ~. '..:.:.:;~ } ': ."..' ," .;{ ." ", '31*'+ SA-''''' "'.':> ,..,;> (()'J'.o:lrD as.'1I", r- ~("',A'<:Lt:: 0<./5-;- FI/.II')f/ # 3 8;\2.5 1<.." 0. ~. UNDERWRITERS CERTIFICATE REQUIRED TyP,Ull'vVA!..L SECT,oN A-fL ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. John Teufel. P.E. 50 Gladston~ Ave, West Islip, NY. . ~UNITE SWIMMING POOL DETAIL FOR: Wm. & Karen Wallace Hallock Lane, Laurel, New York - . . l , . ~ .. , ",.,. ~'!"".. '~ ~ -"" , SURVEY OF PROPERTY SITUATED AT, '. MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-112-01-8.6 SCALE IN=5O' SEPTElABER 22. 1999 " , .:.'" ," tl/Or~~ ~f"- AREA . II. UO. TO oq. ft. 2.253 oc. 1IlIIEl nus ~ IS PAIlI' 01 LOr 4 .. PAIlf 01 25' _ OF WAY IHOWII 011 IW' 01 SUIllMSlON FOIl CIWUS P. ~ fIIID IN 1HE OffICE " OF tHE CUIIIt '01 SUFfOU( COUNTY ON IlAY 2S. '18' AS FlU NUII8ER 1105. ' ." . ........'L..~-..._ ~~~........-- Z..........n.":n.....r: ;/1f;~:?:~:..;;;\ I(~' t' I..~,: \, \', \t'i ~~:~. ,:r.J};l . ..t~:'. :,~.: . .~='.) CRRrrrTltD fO" nLllEUTY NA1IOIlAL Tln.E 1NSURANCt: COIll'ANY ,or NEW YORK II .. T IIClRl'llAIIE COIIl'ANY ~WIUWI T. WAlLACE ' ICAIlEN r. WAlLACE '. 'f. '" ' =-- ~-..!I!P .. =:r....:.:~... -.... -"':fir!' ~!I!'!- ftCwe :1'..- ;...~. - .;eM _..~~ :u":l:lw............". ... l. ....==-J\'r=~ --. -... , -' , ....,.... 4H.II" Joseph A. Ingegno Land Surveyor ...........-~,- .._--- ON[ '.,1)727-.... .... "'I)722-llClIJ WIlZI .uJCUD AT ...... AaDIIEII' 0.. ~ ...... r.a. .. INI ...... .... YIlt. nUl ....... ... .,.. 11101 ~"...".y -..-. . ., -- ... - .......... SOUND AVENUE,