HomeMy WebLinkAbout34532-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP;LRTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34141
Ikmte: 12/16/09
THIS CERTIFIES that the building IN-GROUND SWIMMING POOL
Location of property: 1745 ALDRICH LA LAUREL
(HOUSE NO.) (STREET)
County Tax ~ap No. 473889 Section 125 Block 2
subdivision
Filed Map No. __ Lot No. __
(HAdMLET)
Lot 1.19
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 25, 2009 pursuant to which
Building Pe~t No. 34532-Z date~ 9L~RCH 25, 2009
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 WILLIAM T & SUSAN C BAIRD
(OWNER)
of the aforesaid building.
SUFFOLK COU~FTYDEPART~ENT OF HEALTH APPRO~-AL N/A
ELRCTRICAL c~KTIFICATE NO. 1174183 10/31/03
~L~ERS ~KTIFICATION DA'r~o N/A
rind Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
I
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted te the Building Department with the i ~ i dng:_~c
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusu~t~a~ ual
topographic features. [ ·
2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 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% icao.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible fur the building.
6. Submit Planning Board Approval of Completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
i. 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
xmte. /,9/i JoI
New Construction:
-'/Location of Property:
Old or Pre-existing Building: (check one)
House No. Street Hamlet
~-~Owner orOwnem of Property: L--~(C(~, ~; II; t~Iv-x ~ d--~_~ S~.~ ~
~{uffolk County'Tax Map No 1000, Section } ~-~ Block ~)- Lot I j c~
Subdivision
P/ennit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Filed Map.
Date of Permit. ~ -~0~ Applicant:
Underwriters Approval:
Fee Submitted: $ ~'~' 0 [)
Final Certificate: ~ (check one)
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. 34532 Z Date MARCH 25, 2009
Permission is hereby granted to:
WILLIAM T & SUSAI~ C BAIRD
1745 ALDRICH LANE
LAUREL,NY 11948
for :
CONSTRUCTION OF AN IN-GROI/ND SWIMMING POOL IN THE REQUIRED REAR
YARD W/ FENCE TO CODE. REPLACES EXPIRED BP # 29372
at premises located at 1745 ALDRICH LA LAUREL
County Tax Map No. 473889 Section 125 Block 0002 Lot No. 001.019
pursuant to application dated MARCH 25, 2009 and approved by the
Building Inspector to expire on SEPTEMBER 25, 2010.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 29372 Z Date MAY 12, 2003
Permission is hereby granted to:
WILLIAM T & SUSAN C BAIRD
1745 ALDRICH LANE
LAUREL,NY 11948
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD WITH FENCE TO CODE AS APPLIED FOR
at premises located at 1745 ALDRICH LA LAUREL
County Tax Map No. 473889 Section 125 Block 0002 Lot No. 001.019
pursuant to application dated MAY 12, 2003 and approved by the
Building Inspector to expire on ~~~~Fee $ 150.00 NOVEMBER 1~00~
Rev. 5/8/02
ORIGINAL
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
SWEET HOLLOW ENT.
100 SWEET HOLLOW RD.
HUNTINGTON, NY 11743,
SUE BAIRE
1745 ALDRICH LN
LAUREL, NY 11948
Located at
1745 ALDRICH LN LAUREL, NY 11948
Application Number: 1174183
Certificate Number: 1174183
Section: Block: Lot: Building Permit: BDC: NS11
Described as a Rasidential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, Pool/Spa,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 31st Day of Octobex, 2003.
Name OTY Rate Ratino Circuit Type
Appliances and Accessories
Time Clock/Switch 1 0
Furnace I 0 Gas
Pool/Spa Bonding 1 0
Panels
80 6
Wiring and Devices
Switch 5 0 General Purpose
Fixturc 3 0 Pool/Spa
Raccptacle 5 0 20 amp Pool/Spa
Receptacle 2 0 GFCI
(Swimming Pool): This certificate covers compliance at the date of inspection only. Because o f unusual environments it is advisable to have
frequent test and/or repairs made by a qualified person.
Seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
] FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
~~ ~/r-<~.h ~
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 RESISTAN.T PEN, ETP~TIO/'~I/
REMARKS: ~T/~/~)//~7~-~'-~/_.////
DATE INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] IN~IJLATION
[ ~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESIST ,,~T~ C~NSTRUCTION [ ] FIRE RESISTAN~'~ PENETRATION
REMARKS:'~ ~
DATE
INSPECTOR--~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH~L~.
[ ] FOUNDATION 2ND [ ]~JL-A'TION
[ ] FRAMING / STRAPPING [~1'~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAr,. ~ ~' INSPECTION
[ ] FIRE RESISTANT CONSlllUCTION [ ] FIRE RESISTANT ~:NETRAT]0N
REMARKS: /~~ ~
DATE
INSPECTOR
~ ~SPECTION DATE
FOUNDATION (1S~
~O~A~ON (~)
ROUGH ~G &
~S~A~ON P~ N. Y.
STA~ ~ CODE
'
TOWN OF SOUTHOLD '
BUILDING DEPARTMENT
TOWN HALL :
SOU.THOLD, NY 13971.
TEL. (631) 765-1805 -.
FAX: (631) 765-950~ ....
www. northfork.net/Southold/
Examined
Approved
Disapproved
,20_
Expiration ,20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans
planning Board approval
SurveZ
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
Date _, 20__
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building 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 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. .!l
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~(~{ I//'_,qr'r? -']-- ~( *~/,~Ot7 ~, /~{[~-t~.(7
(As on the tax roll or la(est deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
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 Map No. 1000 Section
Subdivision
(Name)
Hamlet
Block 0 g'
Filed Map -N~0!
Lot
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ? ~ ] 4 ~. 4 ~ ~ C ~ ! c[ .~ tO ~
b. Intended use and occupancy (DVi/0~1~ /Qc_-~; c~ vq ¢ A
3. Nature of work (check which applicable): New Building. Addition
Repair Removal Demolition Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Alteration
- t 1:~o ) 'Descfi '~ n' ~ -
(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
Rear _Depth
Height Number of Stories
9. Size oflot: Front 1'~]5 ' Rear 1~(-'~ ' _Depth
10. DateofUurchase [ q (~ ,"~ 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__
13. Will lot be re-graded? YES V/' NO__Will excess fill be removed from premises? YES
14. NamesofOwnerofpremise~ Lc, aa ~{1~[/] l~dress ~/~ff/e .4~'~-/f0~ffPhoneNo.
Name of Architect ~ ,] ~ Address Phone No
Name of Contractor /U [/'~- Address Phone No.
NO ,
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 J
16. 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 data on survey.
STATE OF NEW YORK)
COUNTY OFSU I ks)s:
~I~FIF] (~. 0./~'/ [~(' beingdulyswom, deposesandsaysthat(s)heistheapplicant
- (gl~m~ of ind~viduaf 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 all 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.
Sworn to before me this
[ "2- day of /~'q 20
[ 7 ~o~ ~blic
k ~ ~ Lorraine LaRosa
~ NOTARY PUBLIC, State of New
No. 01 LA6059257
Qualified In Suffolk Coun~
Commission Expires May ~, ~
/
~, ' Si~at~¢ of Applicant
t~),'" ~:~' i!~,~ TOWN OF SOUTHOLD PROPE~RT~y RECORD CARD
OWNER STREET /7~,~ VILLAGE DIST. SUB. LOT
FORMER OWNER N E ACR. I
RES. ~ j O S~S. ' V~. FARM CO~. CB. MlCS. Mbt. Volue
~ND IMP. TOTAL DATE R~RKS
W~land FRONTAGE ON ROAD
~d DEPTH
MeB~ ~' 2'? V' ,: - 12. ?T~: ~i:'P .!' 'x Foundation (2 Bath
:' ~' ~ , ~ F~oors
Exteds~on ~ .: ,,, ~ , . .,
[~ts~n ~,O ~ ~ ~ ~ Ext. Walls y/ ]?/(~ ~, Interior Finish
Porch ~ L' 2 ~ r ~ .~ ~ Pool Attic
Deck Patio Rooms 1st Floor
Br~zeway Driveway Rooms 2nd Floor
~ ~DING DEP~ AT ~ ~+ ~3~THOL~ TuWN
TRUSTEES
~A~.NOT
TICOR TITLE GUARANTEE COMP~J~IY
SUFFOLK COUNt' NATIONAL BANK
W[U,.IAM T. 'BAIRD
SUSAN C. BAIRD
ALL CONSTRUCTION SHALL
' MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
F.CHAPTER "46"
iNTION
CODE.
¢.
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
USE IS UNLAWFUL
WITHOUT CERTIFICATE
?: =,..,~,CUPANCY
SURVEY OF
LOT 6
MAP OF
LAND 07 RICHARD J. CRON
rILE No. 7975 FILED SEPTEMBER $O, 1985
SITUATED AT
LAUREL
IOWN O[ SOUIHOhD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-125-02-1.19
SCALE
OCTOBER 19, 1993
NOVEMBER 10, 1994 (UPOA'I~ SU~
AREA = 102,590.90 sq. ff.
2.355 ac,
Joseph A. Ingegno
Land Surveyor
g3
PL~}4 ~
A
GUI~IITE SWIMMING POOL DETAILS FOR:
})iffiaza ~ ~usa~ ~aird'
s~CTION