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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