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HomeMy WebLinkAbout28367-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32960 Date: 04/07/08 THIS CERTIFIES that the building ACCESSORY Location Of Property: 1200 ALDRICH LA LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 1 Lot 2.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2002 pursuant to which Building Permit No. 28367-Z dated MAY 8, 2002 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 EDGAR SALVADORE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. 1084871 10/15/02 PLUPHUM CERTIFICATION DATED N/A v thq ized ignature Rev. 1/81 r - Form No.6 1 43S TOWN OF SOUTHOLD 01- 371- Y?a 3 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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: 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 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street / // -- Hamlet Owner or Owners of Property:��, 00 Q (� 1 L P\ La ncc /4 4 re Suffolk County Tax Map No 1000, Section ( 2 5 Block ) Lot °z. Subdivision Filed Map. Lot: Permit No. d _�Q/J�j Date of Permit. Applicant: Ed ocy S ci I V U d d y- Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature 6.X4 .7�f0G$ eo� 3�9foo O LrLrLrLr� Lr�r�LJ LrLr�rrrJrJr�rJrJr�rJrJ�r�rJr�r�r�r�tJr�rJrJ�cP(rJ�rJ�rJrr� rJcn eo 5 BY THIS CERTIFICTi OF CO PLIANCE THE ^ / �� ' 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY c5 55 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 e5 JACOBS'GLEN BILL GOGGINSP.O. BOX 1304 ALDRICH c5 MESPORT NY 11947, �O LLAAUREL, NY 11948 LANE Located at 1100 ALDRICH LANE LAUREL, NY 11948 C� 5 Application Number. 1084871 Certificate Number. 1084871 5 Section: Block: Lot: Building Permit: BDC: NS11 rSJ Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: 5 5 5 Outside,Pool/Spa, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 5 found to be in compliance therewith on the 15th Day of October,2002. 5 5 5 Name OTY Rate &ting Circuit Type 5 Additional Charges 5 electrical survey of swimming pool 5(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. 5 No visual defects: an elctrical survey has been made of the exposed electrical equipment in the premises indicated. No obvious unsatisfactory condition was found. 5 I5 5 5 sea/ of 5 S 1 , 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. O I rL31 PLLrL3PLl@.lL3 OEM 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. 28367 Z Date MAY 8, 2002 Permission is hereby granted to: WILLIAM C GOGGINS PO BOX 65 MATTITUCK,NY 11952 for CONSTRUCT AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP#25798 . at premises located at 1200 ALDRICH LA LAUREL County Tax Map No. 473889 Section 125 Block 0001 Lot No. 002 . 010 pursuant to application dated MAY 8, 2002 and approved by the Building Inspector. Fee $ 150 . 00 AuthorizeAr Signa re ORIGINAL Rev. 2/19/98 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] '"ULA) [ ] FRAMING [V FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: Pb C1 DATE D1/ INSPECTOR mac. ' M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ j FRAMING FINAL [ ] FIREPLACE & CHIMNEY R ARKS: garii ., �.Z�, a T 0i INSIDE rOR �� M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] 1LATION [ ] FRAMING [ FINAL �07 [ ] FIREPLACE & CHIMNEY i4 REMARKS: ll f-- &lwxf .moi-�✓��vr `��,� cam` �l 70 DATE o ✓ INSPECTOR ff9LD ION REPORT DATE COMMENTS - CA FWNDATION ( IST) c3z�y rmr i FRAME PLUMBING WSULATION PER N. Y. s STATE ENERGY OD' mom FINAL ADDViIOKAL COWENTS: Li 02 e4e, Ile ;Zz� / � � • U � .j= . BOARD OF HEALTH . . . . . . . . . . . . . . . FORM N0. 1 3 SETS OF PLANS . .. . . . . . . . . .. . . TOWN OF SOUTHOLD SURVEY . . .. . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . .. .. .. ... . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . 19.1. MAIL TO: . . . . . . . . . . . .. . . . . . . . s�Rp � .� ., 19. Permit No. .GK? � Dia/c .................................. .................................... (Building tor) APPLICATION FOR BUILDING PERMIT Date. May, 27, , , , , , , ,,, 19M. - INSTRUCTIONS a. ibis application mat be completely filled in by typewriter or in ink and submitted to the Building Inspector vii 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 promises or public streets or areas, and giving a detailed description of layout of property must be dram on the diagram which is part of this application. ` c. The work covered by this application may not be`mhmenoed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ,APPLICATION IS HEREU WVE to the Building Department for the issuance of a Building Permit pursuant to the Building Tone Ordinance of the Tam of Southold, Suffolk Canty, New York, and other applicable leis, 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 , hosing code, and regulations, and to admit authorized inspectors on promises and in buildingf necessary ' tions. ...... . ......... ..... . ....................... UNDERWRITERS CERTIFICATE "IMMEDIATELY" (Signature of applicant, if a corporation) REQUIRED UNCIABE POOLTO CM P.O.Box 65, Mattituckr,New,York,1195; UPON COMPLET10N ............. BEFORE "WATER" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OWNER Name of owner of premises William C. Go_ggins.and,Donna, Ms,Goggjq-5,,,,,,,,-,,, ..!:P:, (as on the tax roll or latest deed) ' If applicant is a corporation, signature of duly authorized officer. a ......................................................... �E UILe (Name and title of corporate officer on OR WM BBio BI/ AT ,,,-.--,_,USE IS UNLAWFUL '�-10a ' ' PM TME Builders License No. POLLbDMMI* Plumbers License No. .....--....WITROW CERTIFICATE T BEOINRED Electrician License No. ......WR OCCUPANCY S. Other Trade's License No. .................... 4. FINAL • CONSTRUCTION MUST BE COMPLETE POR C.O. 1. location of land on which proposed work will be done........................ LL'CONST tt"ON•*M*LL-MEET ... THE REQUIREMENTS OF THE N.Y. 1.200 Aldrich..Lane Laurgl,,,,,,,,,,,,,,,,,,,,,,,,STATE,EON&T-RUCTION-Eu•8NERGY.... ....... ..... House Number Street CODOWNOT RESPONSIBLE FOR County Tax Map No. 1000 Section .125 DE�It,�I�t CONSTRUCTION ERRORS .......... Block .....1.......... Lot .:::G: hU.'*"** Subdivision .Laurel ,1tst�r€5.................... Filed Map No. .7870......... Lot ............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed cennstruction: a. Posting use and occupancy ...Single ,FalnilY..$@Sa$0AC0.............. ..,:::R,tr,.?),4 wp•RonN-••. .....•••. b. Intended use and Single,Fag}�Y..$edenCe....... . -a��;dz�hyx3mr4t„-,,,-,,,,-- ........ 1-Line ui wink %umecx. whuum appticauiel: New Building .......... Addition ..A...... Alterquoa.......... Repair ............ Rewal ............. Demolition ............ Other Work ...... .:.. 4. Estimated Cost ....$8.,.000...00.......... fee 1 (to be paid on filing this application) 5. if dwelling, number of dwells •rag units ..1......... Haber of dwelling units on each floor If garage, amber of cars ,.P"'�„�.�.----•- 6. If business, ccmrercial or mimed occupancy, specify nature and extent of each type of use... N/A .............. 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Number of Stories ..T.?4.W ........... 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 ......................... timber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth ..............:..... 10. Date of Ptrcarx ..................... Nave of Former Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation 13. Will lot be regraded ......?! ......... Will excess fill be removed from premises: YES 14. Names of Owner of premises ........................... Address ......... Phone No. ..................... .............. Nameof Architect .................................... Address .............................. Phone No. .............. Nameof Contractor ................................... Address ...............................Phone No. ............... 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ...X..... *IF Y63, SUlMD =N TR EMS PSIaII'f MAY HE RE(yMM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bark dimensions from property lines. Give street and block ember or description according to deed, and show street names and indicate whether interior or carrier lot. Installation of pool and fence. - Survey attached hereto , "YJ3TAIa3MM1%% ]aeon or-0m 380.r " N0rr3_tgM0.-) N04U 'fi3lrlW' �SJ339 SrAIS Or N13A &a� OUINIY OF�Siwt>:f 07.x.'�� iA �a and s that he is theapplicant (Noma �� .............. oindivi s ,1 a� rt pIf"I1TA30 TUB; : �a.Mao,IIO� Ile is}41� �. (Contrac pNc.*porste officer, etc.) of 'o&rbir,,TOU AT 14 Ahorizedrized to perform or have performed the said work and to mmke and file this applica6n;ia 5kmed in this application are true to the best of his knowledge and belief; and that tha wggl► q, tiMrhanner set forth in the application filed therewith. Sworn Yo"bp444't@ . F7`0ii'.` ) YA13 I'PA- 7"' Notary ..... ....... ......... RO VI (Signature of Applicant) 71, Notary Public.State of New WILLIAM C. GOCGINS Cku@lff*j9d in Suffolk Cou No.01 SC4725WO my Tents Expirat MAY 31, 'Ian r TOWN OF SOUTHOLD PROPERTY RECORD CARD I QOO -fZS- 1-2 . 10 OWNER STREET VILLAGE DIST. SUB. LOT r — I ; � C• oY1nA X11 A Icl yrc � Liu (- .--�f,c1. I 1 ( Louuv-- ( ks4cl4es kQ!�-I . . SFO ER OWN N E ACR. r O.9 PWnxroYS • -P0,lme5-2Y,# S W TYPE OF BUILDING 5 F.I l-1 IYE RES. -,7 / 0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS VZ rr U 1 2 u o -b./LL - i _ LOZ94 '� ov r�S U0 8 U V` i 1 4442 p 6 i # 70 v 3 3r qa - 1145 L4 p 53-P'aInerfors -to tJn,¢r -* Wt - 2 � c �X50 R Sm 11 aq 9 4- hs!&-s s --7156 Q�- 2 --7- P61010-r4 QO 40 P01MPrIVJC - (aGaigin -* Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD ( QU A�eadowkxid DEPTH a House Plot BULKHEAD ;t 1 ■■■■■■' ■■iii■■■F3�■■■■■ ■■■■■■ ■■MEMS■■■■■■■ ® InteriorFinish� N 2 q. APPROVED ASNVrED 8 d DAMl 6.P.M � Iry a o UA `� FMS_-W. i V 7 1!E SM O4 PM FOR TIRR�FDE y I-- t� N ` i REQUIRED FOR POURM CONCRETE Z 1 ROUGH . FRAMING & PLUMBING = v o (M (4 a. INSULA" i U 4. FINAL • CONSTRUCTION MUST I I I I ( ALL COMPLETE M RUC CONSTRUCTION ON SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS N - A\k gy=m "IMME IATELY" ENCLOSE OL TO CODE UPON COMPLETION BEFORE "WATER" N UNDERWRITERS ERTIFICATE v REQUIF ED 3 �O OCCUPANCY OR 1 USE IS UNLAWFUL N WITHOUT CERTIFICATE OF OCCUPANCY m \ q P7 Off, 1p VO,2 p00 ♦VIJ"�/" �O / Poo 6�p h5 � I AbP' n. A� 1P cPP • � O)y\ WrrG .�sA3C) 'v° t' yt• 3_., v> h�p0 `JLµ o�• 9,4, X55 \1�dL� 00" i i SURVEY FOR ROSCOE PALMER 81 DONNA PALMER OCT. 13,1907 LOT NO.I "LAUREL ESTATES EAST, SECT.I­ JULY 22,1986 NOV 26,1965 AT LAUREL DATE: FEB.22,1985 TOWN OF SOUTHOLD SCALE: I"m501 SUFFOLK COUNTY, NEW YORK N0. 85.178 N IWUr CTWIZCD AvtxnIOM DN ADDITION TO THIS GUARANTEED TPI 'U6vCv ,A v MAY," OF SECTION 7209 OA THC R/j9C0E P'D�NNAT A&I R tM TO.N!TATE tWCAT10M LAN 0,6P NN OF TNIf lMVE♦MOT SEARNO INC LAND EOUIT 6A T-IND. /- l.1 ITT '! pR[0 !ERL Ox EYOOff EO SEAL!HALL pU N•. \p NOT 6F CONSIOtIICO 10 6E A vAUO TRUE COPY .t1P MGUARANTC[! NOI FAT[0 MEREDM wµL RUN ONLY A 0 AG r HEALTH DEPARTMENT-DATA FOR APPROLDL TO CONSTRUCT TND ON I$ IDR LF TO THE TITLE CIS PREPARED * ; .t• AND PE NH RON*"t0 THE SURVEY Y IS PRE PARED - x MUROi VIf(11 YAIM YL S *SOURCE OR`NATER-MINITE PUILIC_ MENIAL AD NET AND Lt NOIRS INSTITUTION LISTED SURF CO, TA6M PNss7�o9,$ttnOMJ2i PIDCK�L LOT'�,19_ NUCOM.IMO TO THE AlIIOMCO OF THE LENDING M THEM AM NO OYELLIM6 'WITHIN 100 RCE, 01 TMS PROPERTY MS ADDITION. L HISTITLTI ARE MIT RANIFERAOLL \\\ OTHER TNAM THOSE !MOWN HIRED". 10 ADDITIONAL HISTIT OR IUPSE°Uf Ni M THE YATtA)UPELY ANO StW6C DISPOSAL SYSTEM r011 THIS RESIDENCE .01 SHOWN M[[) SHOWN HEREON FRO. PROPERTY LIMO!efts ! mO WILL CONFORM TO 1M STANDARDS OF INC SUrrMN COUNTY DEPARTMENT TOCxISTNAMID"STRUCTURES AIDR L SPECI DIC OF HEALTH INUP PKU. PURPOSE AND ARE NOT TO OR UIED TO ESTA61-19H I IAN n1'R 1111 APPLICANT. PROPERTY LINES ON FOR THE ERECTION OF F[NCE$ (/ ADDRESS 400 OSTRANDER TIL. YOUNG aYOUNG RRHEAD,NEW YORKE NOTE: III=MONUMENT 02STAKE ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE nF THE CLERK OFAND LAND SURVEYOR N.YS.UCENSE NO.12845 SUFFOLK COUNTY ON APR,4,19A5 AS FILE [10.7870 HOWARD W YOUNG, LAND SURVEYOR *R*LIKATd DF YnuWl,Strnt uxNUrl6cESlPODU(vlwwN MM[aN N.YS.LICENSE NO.45893 AM MON YIELD ORIERMTIMS AMO OA DATA OOTAMO FROM OTHERS 6RANDIS S $OMS INC. 1046 Page 1 of 2 Project Location: Aldrich Lane. Laurel i Permit Choice of liner Reinforced concrete walls (8 1/2" top beam - 12 1/2" at base) Wall foam 3 - Hayward widemouth skimmers 3 -returns 1 - 12' step in play area 1 - 3 tread ladder, installed in deep end 1 -Hayward 36 sq 11 vertical DP filter 1 - Hayward 1.5 horsepower superpump I -filter slab 2 - quick disconnect unions on pump 1 - main drain with ball valve 1 -pool sweep line 2-Hayward pool light Backfill pool(not a final grade) Pre-cast poly drywc11 All plumbing done using 1.5" flexible and rigid PVC Customer is responsible for surveyor fees in towns which require it Any de-walerization, tree removal, grade cuts or dumping fees will be an extra charge Homeowner must provide water and 2 sources of electricity on job site Chenucals not included r Application Name: Architect/Engineer: SCTM #: District: x,000 Section: Block: Lot: �• �D Subdivision Name: Req. Zoning District: [Lo(size: 40O�Proposed: DSC 1 [Lot coverage �Proposed: 1 PO Req. Req Req. [Front Yard Proposed: J [Side Yard Proposed: 1 [Rear Yard Proposed: J Project Description: G��� OF AGENCY PERMITS Permit MUIRFD FOR REVIEW : lY4 Y-M Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval. Town Planning Board approval: Flood Plain Elevation??? Flood Zone: a