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Home My WebLink About31542-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33155 Date: 07/18/09 THIS CERTIFIES that the building ACCESSORY Location of Property: 1000 ALBO DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473899 Section 126 Block 3 Lot 20 Subdivision Eiled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 2005 pursuant to vrhich Building Permit No. 31542-Z dated OCTOBER 21, 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to DANIEL KOWALSKI & WF (OWNER) of the aforesaid building. SDFFOLK COUNTSI DEPARTMENT OP HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 107049C 11/13/06 PLDNIDSRS CERTIFICATION DATED N/A C.~-~ A horized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r ~R c i _ ~n JUL 17 ` _ ? ' ~ ' 7 ~~ - `__ APPLICATION FOR CERTIFICATE OP' OCCUPANCI' This application must be filled in by typewriter or ink acid 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 wmsual 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. Swom 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 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 wmsual 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 Lispector 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 - $.2S 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy -Residential $15.00, Corrunercial $15.00 ~/ r ' / Date. ~~-~7 -r~~ New Construction: V Old or Pre-existing Building: (check one) Location of Property: /r,00 f/G/~ ~C~ 1.~4!/i2.E ~ y ~ {~ ~~~~f House No. Street ,...io. Owner or Owners of Property: ..S//SAs-~ FINU ~fj/U/.~~ iC div4%S~ Suffolk County Tax Map No 1000, Section %yZly Block /~ ~ Lot ~~ 0 Subdivision __ Filed Map. Lot: Permit No. ~ __ ~ Date of Permit. Applicant !/ll/'-'//~L 6 /~ ~) / ,~tc.~t4t.5~ -- Health Dept. Approval: OoJ ~C~___ Undetvrriters Approval: b/U F~L' Planning Board Approval Request for Temporary Certificate Fee Submitted: $ ~0, DO ~~33i5~ f Q~ c.,'1 `1 ~`-l'~ Finat Certificatf i~t 9 ', EZectricallnspection Certificate Issue Date Electrical Inspection Service, Inc. Application Number 11/13/06 375 Dunton Avenue 107049C East Patchogue, New York 11772 (631) 286-6642 Issued To: Mr. Don Kowalski Street: 1000 Albo Drive Village: Laurel Zip: 11952 Town: Southold Section: Block: Lot: Contractor: Cali Electric Lighting (L) Lic. # 1022-E Was examined antl fountl to be in compliance with the IJaiional Electrical Code. ^ Commercial ^ NV Defects [1 Pool ~ ~ 1st Floor [i Indoor ^ Basement ^ Hot Tub ~ Residential ^ Det. Garage ^ Attic ^ 2nd Floor ~ Outdoor ^ Addition ^ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 20 7 17 4 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves 1 gas Furnace Oil Gas Circulators Smoke Detector Bell Transformer 1 x 2 Meter Amps Phase UG/OH Jacuzzi Television CO Detector 1 200 1 / ^x Bldg. Permit: Other Eauinr p main breaker panel% garbage disposa sect / 2 pool lights / 50amp air pump sect / 3-20amp specialty outlets / 3 time / 125amp sub panel Hugo S. urdi President Rough Inspection: 05/17/2006 Inspector: Dennis Brandi Final Inspection: 11 /10/2006 Inspector: John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. 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. 31542 Z Date OCTOBER 21, 2005 Permission is hereby granted to: for DANIEL KOWALSKI & WF 1000 ALBO DRIVE LAUREL,NY 11948 CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD FENCED TO CODE at premises located at 1000 ALBO DR LAUREL County Tax Map No. 473889 Section 126 Block 0003 Lot No. 020 pursuant to application dated OCTOBER 19, 2005 and approved by the Building Inspector to expire on APRIL 21, 2007. Fee $ 150.00 ~.Lcia~ ~lnc-B~~ Authorized Signature ORIGINAL Rev. 5/8/02 3/sit ~- z TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CHIMNEY [ ]ROUGH PLBG. [ ]INSULATION ~~FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE ~ ~ ~ a-S_~ o ~ INSPECTOR ~ ~~~~~ 31s~-a-z TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ] FlRE RESISTANT CONSTRUCT REMARKS: _ L/L: 5 1 [ ]ROUGH PLBG. [ ]INSULATION FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RES/ISTANT PENaELTRATION =~wc~ i q~ 7 DATE U -I7~ a / INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS V' ro - ~ U`~ ~ FOUNDATION (1ST) - H a FOUNDATION 2ND) '~ '' ~ ~1 ( O i . G C G ROUGH FRAMING & PLUMBING ~ y 0 . m N INSULATION PER N. Y. STATE ENERGY CODE y ' ~~ s ~ ~ ~, FINAL ®~ ,~2 ADDTTIONAL COMMENTS ~ C [~ 2 m t / FS ~ ~ , ~~ 'v ., .. , °~ - z . L __- x e ~\ TOWN OF SOUT'HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY II971 ' TEL: 765-1802 ~ BUILDING PERMIT APPLiCAT10N CHECKLLS7 Do you have or need the following; before applying Board of Health 3 sets of Bulding Plans Survey PERNIIT NO. 3/ ~a ~ ~~ - ~ Septic Form N.Y.S.DB.C. Examined " d 20 D 5 Approved ~(1~oZ120J1,~ Disapproved a/c ~I~~;~ l; ,~5 ~~_J ._ p' ' ,. Commack Mail Buildtng Inspector FOR BUILDING PERMTF Date j0~1 ~b ~ , 20 QS- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Builduig 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 adjoin? ~ premises or public streets or azeas, and waterways. c. The work covered by this application may not be conlmenCedbcforeissuance of B»il ino Pest. 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 Occupant, is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, 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. "1MMEDIATEL i " ALL CONSTRUCTION SHALL ~--~ ~k , 1CLOSEPOOLT000DE lul~E!~THEREQUIREMENTSOFTHE (Siguanueofapphcantorname,ffacorporstwn) UPON COMPLETION CODES OF NEW YORK STATE. BEFORE "WATER" S~ r`n+-.+~e _~ fVe coe~~AreCo ~.~P ~I~j (Mailing add[ess of apphcant~ INrDERWRITERS CERTIFICATE State whether applicant is owner, lessee; agent, ~~, engineer, Senegal contractor, electrician, plumber of builder Name of owner of premises }~ ~ i d Ju ` (as on the tax roll or 1 If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~`~`S~a - ~i I ~t"7U /'~) numbers LicensaNo. ANCY'IIOCR' II Electricians License No. r Y r v L Other Trade's License No. T~ F~CATE 1. Location of land on which proposed work will be done:r ~ ~ House Number Street County Tax Map No: 1000 Section ~ 2- st uccu/ . -FEE: /5~ BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION -TWO REQUIRED FnR POURED C~VCRETE 1. ROUGii - FR/w;pVC, B.P.LUaioii~ 3: INSULATION 4. FINAL -CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE RE4UIREMENTS, OF THE CODESOf NEtA/. YORK STAT1t:'NO7 RESPONSIBLE FOq ' DESIGN OR CONSTRUCTION ERRDQS-. RETAIN STORM WATER RUNOFF PURSUANT, TO SECTION 45.10C OF THE TOWN CODE. 2. State existing Use and.occniiancy of a. Existing use and occupancy and intended use and occupancy of proposed construction: b. Intended t7se and OCCnpffiCy A d ~ ~ X '~~ 1 Y~(cft]~ew~_~j i ~ vw`tD ~ c7 •~ t tl! ,r~~ ':r y~tu O\ 3. Nature of work. (check which applicable): New Building Addition Alteration Repair Removal Demolition OtherWark IFsK3r ~n ~~.,nd G~~..~ ~m1 (Description) 4. Estimated Cost ~b cxa c~ FAO -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 acid extent of each type of use. 7. Dimensions of existing structures, if arty: 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 Reaz Depth Height Number of Stories 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 1 i. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded 4 ¢ S Will excess fill be removed.from premises: YES 14. Names of Owner of premises ~O° ru.a°' ro~a~SIC; Address c~„~i, ,.~y PhaneNo.~.~l-aSf~36S Name of Architect Address Phone No Name of Contractor =~+e4:~a 6 •.;,ta Address , •, Phone No: 63 ~-~-c`~-~q7 3 ~nYA-aAt ~N~ Icy' -.; ,:a+ -'aJ ~~~~t~'. 15. Is this property within 100 feet of a tidal wetland? *YES NO = `` • . - • IF YES, SOUTHOLD TOPJN TRUSTEES PERMITS MAYBE REQUIRED .. ~ ,'it. 16. Provide survey, to scale, with accurate foundation plan and distances tp.pwgprty lines. 17. If elevation of any poitrt on property is at 10 feet or below; must provide topographical data on survey. STATE OF NEVJ YORK) SS: COUNTY OF ) ~~~-~'~ L • ~-~ ~ being duly sworn, deposes attd says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, et. 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 aze true to the best of his knowledge and belief; and that the work will be ormed in the manner set forth in the ' pert application filed therewith.. ~' . _ -. ~. Signature of Applicant ;. e' •1 Young & Young 400 Oatr¢nder.Avenue, Riverhe¢d, New York f 1901 631-727-2303 9ovuard )I. Young, Land Surveyor ThoTnas C. llolpert, Profesaion¢i Engineer Robert C. Tast, Arch%tect Ron¢1d E. PJ4ihG L¢ndsc¢yoe Architect Douglas E. Ad¢ma, Professional Eng%neer ...AREA = IS,al2 SQ. FT. SURVEYOR'S GERTI~IGATION c~ • WE HEREBY CERTIFY TO DANIEL J. KOWALSKI Sc SUSAN M. K~WALSKI THAT THIS SURVEY WAS PREPRRED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOGIATiON OFPROFESSIONAL LAND SURVEYORS. ,; ~ ~~~ \ a ~~ ~ ~ a "s 0 ~,, ~- HOWARD W: YOUN6, N.Y.S. L.S. NO. 45893 SURVEY FOR D~1~~~1. J. IGOYV~LSKI ~ SLISA~I M. KOYV~LSKI At Laurel, Town of Southold - Suffolk County, New York County Tax Map District IOOO Secti« 126 ei«k 03 got 20 BIOUNDARY SURVEY s m t / ,, /~~ I] . MQLF@IT SET ~ . MON.!'E3fr POIIKD Q `STAKE JET . • 9TAKE PQIfD Q• I~PR t GAP 9ET G . G111ME1' RO . PLVF OVHt 9 . STOOP GE . LBlAR BAPM~C2 qk OCT. 7, 2005 MAP PRr~ARED AU6. 19, 2005 SCALE: I"=40~ .IOB NO. ~ DW6. ~aas::r+e ~~ ~~IZ" ~DIV;~G $04j~ L(1D ~~ F•-~?• W A ii,, 1. P~~ra r=, R, ~iti: y-~-(- i ~ i- c<-:~+Ge ,. ~Ilz ~~i -~- ; o NLE T .. ~ „ 'L I ~'~z ,~^ GENRAL NOTES -,. (1)THIS DESIGN IS BASED ON A DRAINAGE SOIL WITH LESS THAN 10 % SILT. GROUNDWATER SHALL NOT EXIST WITHIN THE LIMITS OF THE EXCAVATION. IF GROUNDWATER DOES EXIST WITHIN SIX FEET BELOW GRADE, SPECIAL DEWATERING FACILITIES WILL BE ',REQUIRED. WATER DISPOSAL IS LIMITED TO THE ',OWNER'S PROPERTY. 'I (2) NO SURCHARGE WILL BE ALLOWED WITHIN 4 FEET F SHALLOW END AND 6 FEET FROM DEEP END. (3)THE PNEUMATICY APPLIED CONCRETE,(GUNITE), SHALL BE A MINIMUM MIX OF 1:5 WITH A MAXIMUM OF 3.5 GALLONS OF POTABLE WATER PER 98 LBS OF CEMENT. (4) REINFORCEMENT STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP OF 30 BAR DIAMETERS. (5) POOL WATER SUPPLY BY OWNERS GARDEN HOSE, FILL SPOUT OR AUTOMATIC FEEDER. (6) PUMP CAPACITY IS TO BE SUFFICIENT TO EMPTY POOL IN 24 HOURS. POOL IS TO BE KEPT FULL DURING FREEZING WEATHER. (7) OUTDOOR POOLS SHOULD BE PROTECTED BY A FENCE, WALL OR BUILDING IN ACCORDANCE TO THE N.Y.S. BUILDING CODE. (8) INSTALLATION IS TO BE DONE IN ACCORDANCE WITH ALL FEDERAL, STATE AND LOCAL BUILDING CODES AS WELL AS NSPI SUGGESTED STANDARDS() LOCATION OF OVERHEAD WIRES TO MEET REQUIREMENTS OF N.Y.S. BOARD OF FIRE UNDERWRITERS y ~~~~~. #Z 5 ~ ~Nn_'C~. ~~Q. r'u.C. 2"O ~ r~ -_ John Teufel P.E. 50 Gladstone Ave West 151ip, NY. .y -7 F{ri Sr ,, llLn ~ I ~ - -. A~2 G9P W - /`3 iN!ET ~ ~S K~'nrnG2 ` UND:~c.itlTC~ LIGHT ~ (6P7~oNti:~ I , ^ ~' i ~~ L ~ '~ T ~~F 5;=.c. i ~ ~~R ~ l2~ . ,,, ~~ _; &~'~ ~.: I C f ~-Y 'i SASS + ~ ~, i .'.; gar.; I , . ~;~.~.-' 1~• ~~I~ ~ ~ ~Y~ TyP~CA~ ~~.~;~,~_~_ SE~iior~ R~_ .R;_'; ~). f' ~. .L• 1_ ::~ - l, ;,-: ,• \..` ~~,: `~. "= ~= v:: ~•. O INL£ (O i 3" X ~ i 4- Vii`;:.. I N (~ i ~,. _ ~,;_ F~r~l s~J GUNITE SWIMMING POOL DETAIL FOR: ~iJr ~e16v ~i4t<z~ K ulal,~j~1 100 ~ ~'z/e, ~wz'e~~~ 'oPOHP~L ViaTEf~ - - - `~. s;rlmm~ h1AIrp1 ^I 4~ i1v PLvm~l~;~ ?~At`1 ~ ~,,,. r i