HomeMy WebLinkAbout32905-ZFORM NO. 4
TOWlq OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33286
Date: 09/24/08
T~IS CERTIFIES that the building ACCESSORY
Location of Property: 4270 ALDRICH LA
(HOUSE NO.} (STREET}
Co%k~t¥ Tax ~ap NO. 473889 Section 120 Block 3
Subdivision
Filed Map No. __ Lot No. --
MATTITUCK
(HAMLET)
Lot 8.36
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 17, 2007 pursua/~t to which
Building Permit No. 32905-Z dated APRIL 17, 2007
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 AS APPLIED FOR.
The certificate is issued to ROBERT J & DENISE KULL
(OWNER)
of the aforesaid building.
S~F~DLKCO~DEP~E~ OF ~J~"~PPRO~-~J~ N/A
EI~C"FRIC~%L CERTIFIC3~ NO. 4008284 08/05/08
PLUMBERS CERTIFICATION DA'r~ N/A
Authorz~
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC~
This application must be filled in by typewriter or ink and submitted to the Building Departn
A. For new building or new use: 1. Final survey of property with accurate location of all bmldmgs, property lines, streets, and unusual naturalar
topographic features.
2. Final ApprovaI from Health Dept. of water supply and sewerage-disposal (S-9 far,n).
3. Approval ofelectlScal installation from Board of Fire Underwriters.
4. Swam statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5 Cmranercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer respousible for the building
6 Submit PlaFaaing Boa~d Approva[ of completed site plan requiremeuts.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" landutses:
I Accurate sur-,,ey of prope]Xy showing all property lines, sheets, building and uuusual natural or topographic
features
2. A properly completed application and consent [o respect si~mcd b3 the applicant. If a Ce~xificale of Occupaacy is
cleaied, the Building lnspecto~ shall state the reasons the~el'or in w~ting to the applicant.
I Certificate oft)ccupancv Next, dwelliug $25.00, .a, dditioi~s to dwelling ,525.00, Alterations to dwelling $25 00,
Swinumng pool $25 00, Accessory building 525 00. Additions to accesso~ y btdldmg $25.00, Businesses $50 00
2 Certificate of C)ccnpanc)on P~e-cxisting Buildmg $100 00
3 Copy of Cellificale of Occupancy - $.25
4 UpdatedCe~til]cateofC)ccupancy $50.00
5 Tenqpo]aly Ce~lificate of OCCUlOalqcy - Residential $1500, ( ommcicia[ S1500
New C. ons ruction:
Old or Pre-existing Buildiug:
(check one)
I louse Ne ~ St~ eet
Owne,-orO,,,ne,-,o,'P,o,,o,,,: *,41cn,'c4
Suffolk C6unty Tax Nlap No 1000, Section _J~¢ Block
Subdivision Fired Mai9
llaml¢l
Lot
Lot:
Health Dept. Approval:
Plarming Board Approval:
Request for: Temporal5, Ceriificate
FeeSubnfitted: $ ~ V. O 0
Undelw,,riters Approval:
Fmal Cellificate: _ ~ (check cue)
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
T.H. CHESHIRE & SON ROBERT KULL
PO BOX 243 4270 ALDRICH LANE
CALVERTON, NY 11933, LAUREL, NY 11948
Located at 4270 ALDRICH LANE LAUREL, NY 11948
Application Number: 4008284 Certificate Number: 4008284
Section: 120 Block: 03 Lot: 008.036 Building Permit:. BDC: ns11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
cabana,
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 co.de and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Admiri'istration, or other
authority having jurisdiction, and found to be in compliance therewith on the 5th Day of August, 2008.
Name OTY Rate Ratine Circuits ~
Additi°nalCharges
pool cabana
Wiring And Devices
Fixture 2 0 Incandescent
Receptacle I 0 GFCI
Receptacle 3 0 Gen, Purpose
Switch 2 0 Gen, Purpose
seal
1 of l
This cer/ificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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. 32905 Z Date APRIL 17, 2007
Permission is hereby granted to:
ROBERT J KULL
4270 ALDRICH LANE
LAUREL,NY 11948
for :
CONSTRUCTION OF IN-GROUND SWIMMING PIN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 120
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
Fee $ 250.00
4270 ALDRICH LA MATTITUCK
Block 0003 Lot No. 008.036
17, 2007 and approved by the
17, 2008 .
~,~ut ho r_~ Si~nat~
ORIGINAL
Rev. 5/8/02
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD~ NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. nor thfork.net/Southold/
Examined ///d
Approved
Disapproved a/c
,20 ~
Expiration
_, 20
PERMIT NO. q
Do you have or need the following, befbre applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey_
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. This application MUST be 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 wm'k covered by this application may not be commenced before issnance of Bnilding Permit.
d. Upon approval of this application, the Building Inspector will issne a Building Permit to the applicant. Such a permit
sh ll~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 pem'~it for an
addition six months. Thereafter, a new permit shall be require&
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 inspecti°ns.~.~..~._ ~d ~JLLA~ n
~ (Signature of applicant or name, if a corporatio )
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~/)bew'{ 'v-['~0('~tOg'-
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized ofricer
(Name and title of corporate officer)
Builders License No. oQ-- 031
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
County Tax M~I~ No. 1000
Subdivision
(Name)
Hamlet
Section ; °9',O
gssoc cd' s
Block '~ Lot
Filed Map~ N~). ~:', ' ~ ,' Lot
State existing use and occupancy of premises and~i-ctended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cost~[~ ~6D0"
If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Fee
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Dimensions of entire new cor~struction: Front
Height Number of Stories
Depth
Rear Depth
9. Size of lot: Front Rear .Depth
l 0. 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? YES NO
13. Will lot be re-graded? YES __
14. Names of Owner of premises ~0b
Name of Architect
Name of Contractor
~/NO Will excess filI be removed from premises? YES __
Address
Address tl~ ub~1-~
Address
NO J
Phone No. ~q § - ~q~ %
Phone No 3'2o~-o~-~05
Phone No. '-zqq -g'~o
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* 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.
NO ,.,/
16. Provide survey, to scale, with accurate foundation plan and distances to property line. s.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YOP, JQ
SS:
COUNTY OF )
~"~O~t4. t4"~ ~[~ being duly sworn, deposes and says that (s)he
is
the
applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
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 ail statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Signature of Applicant
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~]/FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
INSULATION
FINAL
] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
R EM~ARKS: f~'~ ~ ~ ~
DATE 7~ //~ '~ O~ INSPECTOR ~ '~r ,~ -- -
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~/~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: //~ ~~ ~ ~
INSPECTOR
FOUNDATION (1ST)
FO~ATION (2~)
PL~G
~S~ATION PER N. Y.
STATE E~RGY CODE
~ION~ COM~RNTS
-d
YHE LOCATION OF WELLS, SEPTIC
TANKS AND CESdPOOLS SHOWN
HEREON AR, E FIELD OBSERVATIO?JS
AND OR DATA OBTAINED FROM OTHEP,'3,
CERTIFIED O/~LY TO:
OEST;N G. GRAF N.Y.S. LIC No. 50067
ReceiVed
Sl~qr4"' r'.,-., ,flty
NOV ~, 5 1997
SCALE: I"=~a=, '
VltlYL L IH~I~
ROLtfl~O FOAM J,J 0
BETWEEN LINERxH
~ CoNcRETE --~
PLAN
SEE TYPICAL
WALt_ SECTION ~
:,i CII)
SECTION B-B
GRADE
SECTION A-A
_ 2140 }
3 - 3/8" BARS
FORM TIES
SKIMMER
FROM FILTER
VINYL LIN E R '"~ ~, - ,' ~ :',~ -'.', ·
,... ,.-~.. 'PIPING ARRANGEMENT
/
~.:. ;..;: ... -...:..::~., .,. ....,.,~ ,. ~,., [
Z: ~' SAND--~ I i0~
SECTION I ~' , [ ,
/~ FORM TIE .J /FISERG~
, F ~ ~ . I ' .I MOULDED
~ L,.,,.,~ _L~,, '~h /'''~c~
· * FOR POU'~,,,~NG & pLU~B~NG . .~ _
3. ~N : ,~OL,TlO ~U~ ~u ,
NOTES: ORK sT*'EI ~'¢~O~EE~ FOR: CONTRACTOR:
~ _~ ~ON~mu~ ,~
WALKS TO BE SMOOTH, NON-SKID ~PE g~S~GN u~ -'
SLOPED AWAY FROM POOL. RANDY T. RODECKER, INC.
WATER DISPOSAL SHALL BE LIMITED TO SWIM KING POOLS
OWNERS PROPER~ TO SUIT LOCAL REGULATIONS.
ROUTE 25A,
ROCKY POINT, NY 11778
RETURN
TO FILTER
SKIM MERS
LTE R anti PuMP
TO RETURNS