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Home My WebLink About33805-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34037 Date: 10/27/09 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 110 EAGLE NEST CT (HOUSE NO.) (STREET) County Tax [4ap No. 473889 Section 127 Block 9 subdivision Filed [~ap No. __ Lot No. __ LAUREL Lot 2 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 1, 2008 pursuant to which Building Permit No. 33805-Z dated APRIL 8, 2008 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 JAMES & SUSNA GELMAN (OWNER) of the aforesaid building. SI~FFOI~K C~)[~T"fDEPAR~gNTOF ~R~J~TH~PRO~-~J~ N/A ELRC-1]tIC~J~ C~TIFIC~%TE NO. 125107C 10/14/09 PL~EItS C~I~TIFICATION DA'r~o N/A Rev. 1/81 e re Form No. 6 TOWN OF SOUTHOLD 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 De A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system conta 5. Commercial building, industrial building, multiple residences and similar bull of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 3artment with the following: s, and unusual natural ings and iI'~lil~60~__~0certificate 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 t. 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 New Construction: Location of Property: [ 10 C~.__¢i~t.- HOuse No. 1 Owner or Owners of Property: .~J~/~ if Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: ~ (check one) Street t i,H~mlet Subdivision Health Dept. Approval: Filed Map. Lot: Date of Permit. ~-{~--0(~ Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ o~xS' . OCT> Final Certificate: (check one) licant Signature 10/23/2089 13:13 6317278419 ISL~'~DI~POOLS PAGE 01/01 1~14~009 Electrical Inspection Certificate Electrical I~lopeotlen Servl;e, Inc. Application Number 376 Dunton Avenue t~IOT~ East Pe~hogue, ~wYo~ 1t77~ I~ued To." James Gelmsn Street; 110 Eagle Nest Court Village: Laurel -~ection; Block; Contractor: North Eastern Electric (L) Zip: 11948 Town: $outhold Lot: Lie. # 4658-E WaR examine~ ;nd ~ou~ld to 135 in ~plian~ w~h t~ Ne~I ~oal C~e. C~memial ~ NV~o~ ~ Pool ~ IstPIom ~ Indoor ~ B~ent [~ HMTub. R~id~ttal I.~..I D~ GaUge ~ Affi~ ~ 2nd Flor ~ ~or ~ Add~on [~ ~;ahwasher Washer/Amps D~r/Amps Oven Remje/Amp.~ Microwaves Furnace 0~1 Gas Clmulete~ Smoke De,eater Belt TranSformer Meter Amps Pha.~e UG/OH Jacuzzi Bldg, Permit: 33805 Other Equipment . ~,ubpanel Dlsc. I 2-Pool Lts Television CO Detector Hugo S. Su~di President must not aa all, red in a~ly manner. I~10~.~ rflay be Ider~tif~e{t by their cmcle~lals. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUISDI~G PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PE~4IT NO. 33805 Z Date APRIL 8, 2008 Permission is hereby granted to: JAMES GELSt~N 110 EAGLE NEST COURT LAUREL,NY 11948 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD FENCED TO CODE AS APPLIED FOR at pr-m~ses located at County Tax Nap No. 473889 Section 127 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 110 EAGLE NEST CT LAUREL Block 0009 Lot No. 002 1, 2008 and approved by the 8, 2009. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ IIN~~ [ ~IqNAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PEI~,- ,,,ATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN/>~ULATION [~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ C~) DATE ~-~ INSPECTOR 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 FtEI,D E~SPECTIO~N REI~ORT DATE COMlVI3ENTS FOLIN~)ATION (1ST) FOUNDATION (2ND) R( )UGhr FR~MI."4G & LxJ$~YLATION PER N. 5;~I A FE E?'/ERGY CODE ADDITIONAL COM2qI2ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 76.5-1502 FAX: (631)'765-9502 www. northfork.net/Southold/ Examined ,20 Approved ,20__ Disapproved a/c Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~ ~ Phone: ~23'-2 -~/~ ~/'~ Building Inspector APPLICATION FOR BUILDING PERMIT , f/ Date ¢/5/ ,20~J~ INSTRUCTIONS ~"14ig 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 work covered by this application may not be commenced before issuance of Building Permit. 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 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 permit for an addition six months. Thereafter, a new permit shall be required. 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./~ / ;' (SiFaIi~e ofap~cant ohame, ifa corporation) uPON COMPtETION State l~tll~lfia'l~l~i[~ is owner, lessee, agent, architect, engineer. ~eneral contractor, electrician, ~lamber or builder UNDERWR RffCERTIFICAIE ,ppROVEO ASNOI I:.U L/ ,rU REQUIRED Name of owner of premises ~/tq 'C'5 ~ /ff-M.~:l: (As on the tax roll or If applicant is a corporation, signature of duly authorized officer 765-1802 8 AM TO 4 PM FOR THE (Name and title of corporate officer) · ()t,'2,CUPANC Y' OR Builders License No. /& ~,C/~/_~,_ ,~ , ,,,, ,,,,r- Plumbers License No. LJOI- O U NL/AVVFUL FOLLOWING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CoNcRETE 2. ROUGH ' FRAMING & PLUMBING 3. INSULATION 4. FINAL - coNSTRUCTION MUST Electricians License No. Other Trade's License No. OF OCCUPANCY 1. Location of land on which proposed work will be done: House Number / Street County Tax Map No. 1000 Section Subdivision (Name) WITl4rhl..,,, ,. UT CERTIFICATE coMPLETE FOR C.O. ALL cONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT REsPONSiBLE FOR 0 R/C~ ~:l~CTlON ERRORS. ~gL,4E ed_ O~ ~.~.,.¢~t~ ~a~ RIIN0~ Block ~ OF [~ tow [ Filed Map No. ~t 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost t(~J~ O / 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition _Alterati33t,Q~ Other Work (e~ription) (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. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 1 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO :K. 1 3. Will lot be re-graded? YES ~-- NO Will excess fill be removed from premises? YES ~ NO 14. Names of Owner of premises Name of Architect Name of Contractor Address,//~j~4~e/t/arf~L'7- Phone No. (/& -ff~-7 -/[ .~/ Address / ~ Phone No Address /ag /7~._,~ e ,~ d Phone No.'2,gLT- d ~ / ~ 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 X~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ,/X/ 1 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical dat~ survey. STATE OF NEW YORK) SS: COUNTY OF ) (Name of individmtl signing contr&t) above named, (S)Heis the duly sworn, deposes and says that (s)he is the applicant (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true 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. Sworll.to before me thi~ . . · r~ t~ d. ay of n~ ~) ~ Public ~ate ~ N~ ~ No. 01 LI6051621 Qualified in Suffolk ~un~ I ~ ~mmi~ion ~pir~ D~ 4, 2~ 2002 Erosion, Sedimentation and Storm-water Run.off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for cla§sification as an Agricultural Project. ~ .Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage g Erosion Control Plan Is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER~ GRADING~ DRAINAGE & EROSION. CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Yes 1. Will this project retain ail Storm-Water Run-off generated on Site? "' (This will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? Will there be site preparation on slopes which exceed fifteen (15) feet of vertical r/se to One hundred (100) feet of horizontal distance? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? 7. Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? [ [ ,~ [lhis item does not include the installation of driveway aprons.} 8. · Will there be site preparation within the one hundred (100) year floodplain of any watercourse? ~ ,~ Note: If any answer to questions ~ne through eight is answered with a check mark in the Sox, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. SVATE or Yet. r, O0 · COUNTY OF ss That I, :,.Joff~.~' .., ~p:(,~(¢:~,~'.' .............................. being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individdal signing Document) And that Ho/She is the ¥'°'/c~//Z'~-'tz~'/Z- ~ (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, and is duly authorized to perfom~ or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belier; and that the work sill be performed in the manner set forth hi the application filed herewith. Sworn to before nrc this; ........ ~.....o~ ...... ~t...~......~dayof.^.~~.k/a~,Z ~...~,'~ ................... 200~. VALERtE UN~ ~ Public ~e ~ N~ No. 01LI6~1~1 ~lfi~ In S~lk ~u~ [0, ~mmi~ion ~pir~ D~ 4, 2~ TOWN OF SOUTHOLD 'PROPERTY RECORD CARD OWNER STREET j! (~) VILLAGE DIST. SUB. LOT '~ ~ER OWNER N E ACR. J RES. -2 fL.' SFAS. VL FARM COMM. CB. MICS. Mkt. Value I_AND IMP. TOTAL DATE REMARKS -$.'.;lq.~ ~'.. ': [0' i ~ ', .,.',..,_-___5 ~(~t/ .~-:~,, L ~ ~:L~-,~C' / --/ .. -- '/ /'~ i Tillable .. , ~r ~ r FRONTAGE ON WATER W~land FRONTAGE ON ROAD ~~ DEPTH H~Plat (~ ' ;~]~;~ BULKH~D Total / ~1~ ':~-~, ,. ,, '. , ~ ' /, '~' l~ '.,':':~:,, 'j~o ~. M. Bldg. Extension Extension Exte._n~on ~,~-~ ~--0 '= -5,.3o Porch Deck B reezewa Garage Foundation Ext. Walls Fire Place Pool Patio Driveway Bath Floors Interior Finish Heat Attic Rooms 1st Floor Rooms 2nd Floor -7 SECTION .SCH:=..MATIC PIPING~ARRANGEMENT . ,, ~.~,,~. n~,,o~c~ POOL SPECIFICATION CONTP, ACl'OB: ~- ,~ "r~ ....... ~. ' vial'. ~2.. oc - ~- o~_.~-- ".- - OWNER: SURVEY FOR JANET BRUNO LOT';? "GOLDEN VIEW ESTATES" AT LAUREL DATE: JAN. 12, 1994 ~WN ~ SOUTHOLD SUFFOLK COUNTY, NEW ~RK NO. 93'0995 HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT 4.0 ~ HIS ~LF ~ THE ~TL[ C~Y, ~OV~N- .,, ~mm - NG a y YOU NOTE~ ~ = STAK~ FOUNO ' ALDEN W,~UNG, PROFE~IONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUG,30,1984 AS FILE NO. 7770 ~ AND ~ND SURVEYOR N.Y.S, UCENSE N0.12845 ~ ~ HOWARD W. YOUNG, ,LAND SURVEYOR