HomeMy WebLinkAbout22995-z FORM NO. 4
TOWN OF SOUTHOLD
.BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24930 Date MARCH 17, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Property 1300 LAUREL AVENUE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 56 Block 1 Lot 2.27
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 25, 1995 pursuant to which
Building Permit No. 22995-Z dated SEPTEMBER 7, 1995
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 & FENCE TO CODE AS APPLIED FOR
The certificate is issued to MARTIN & SUSAN FLATLEY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE DATED AUGUST 28, 1995 - #9244
PLUMBERS CERTIFICATION DATED N/A
t.,
Building Iris ctor
Rev. 1/81
a
/j.
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)
Date .......... ..................... 19.� ..
......... ........... .
NR 22995 Z
Permission Is hereby gr ed to:
........ ............Vt4
. .............................
to .. . ... ........ .... .. ..... ..... //.J. , �.,
......i.....
/ S
.. ..✓�r.F�..�.�.n.�...... .. ..... .... ..... .. .......... .. ......... ...............
........... .."""'..... . .. .. .. . `... . . . .. 4 .......7Y.�/i�L..l:.........
.......... ...-...................... ...............................................................
at premises located at........................../.... 00......... .............. .
.........-.............. .......� .....................................
County Tax Map No. 1000 Section .......... ........ Block.............l........... Lot No. ... .'.. .. .....
pursuant to application dated .......................0 19. ., and approved by the
Building Inspector.
Fee$... � .....�
........ ....................................... .......... .. .....
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTI�NT
TOWN HALL
765-1802
APPLICATION FOR-CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
I. Final survey of .-property with accurate location of all buildings, property lines,
streets, and unusual 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. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% 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
unusual natural or topographic features.
2. A properly completed application and a 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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. ;Temporary Certificate of Occupancy - Residential $15. 0, Commercial $15.00
Date . . . . . . . . . . . . . . . . . . . . . . . . .._. .. . . . . .
New Construction. . .. . . . . Old Or Pre- isting Building. . . . . . . . . . . . . .
Location of Property. . . . . . . .. . % . . . . . . . . . �` 6...
House No. Stre Hamlet
Onner or Owners of Property. . .
.�. . . . ... . . . �'. `. . . . . . . . . . . . . . .�. .�. . . . . .\.. . .
County Tax Map No 1000, Section. . .n` . . . . .Block. . . . / . . ... . . . . . .Lot. . .n:. �. . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FGil`e-d Map. . . . . . . . . . . .Lot... . . . . . . . .. . . . . . . . . . . .
Permit No. Q . . . . . .Date Of Permit.".I �. . ./. .v. . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . .. . . . . . . .Underwriters Approval. . . Y . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
tequest for: Temporary Certificate. . . . . . . . . . . Final i erticate. . . . . . . . . . .
Pee Submitted: $. .2- . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . .
APPLIC
eo�,a�g3�
O��g�FFO(�coG
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Town Hall, 53095 Main Road p • Fax (516)765-1823
P. O. Box 1179 Telephone (516) 765-1802
Southold, New York 11971 �Oj �►a
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April .3, 1996
Mr. Martin Flatley
1300 Laurel Drive
Southold, NY 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is .not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.-
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 22995-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
e o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o c o 0
v"o
c o (516)286-6642 ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON AVENUE
c EAST PATCHOGUE,NEW YORK 11772 0
9244
c APPLICATION NO. ON FILE ' P
c a DATE: 8-28-95
c a ADDRESS: 1300 Laurel Avenue VILLAGE: Southold TOWN. Southold
a ISSUED TO: Mr. & Mrs. Flatley
INTRODUCED BY: Underground Specialties Inc. LIC. NO. 2740—E
c o )
c AREAS LISTED WERE INSPECTED ON: 8=28-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE
NATIONAL ELECTRICAL CODE.
LOCATION: xx BASE 1ST 2ND 3RD ATTIC xx POOL
c � �
c o TIME CLOCK SMOKE DETECTOR DETACHED GARAGE
SWITCH
c a GFIy �a` `
�,...,
`k
RECEPT. Tl ''r
c a PUMP & a � =:i
POOL LIGHT
( � SERVICE DISCONNECT 47 AT-1 �� f
METERS AMPS PHASE
o �
c a THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
SURDI
INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. PRESIDENT
S.SIDEENTNT
�VYo V V V V V V V V V V V V V V V V V V V V V V V V V
o��g�FFO(�cOO
Cz
y 2
Town Hall,53095 Main Road p • -Fax (516)765-1823
P. 0. Box 1179 y� �� Telephone(516)765-1802
Southold, New York 11971 �j �►a
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 3, 1996
Mr. Martin Flatley
1300 Laurel Drive
Southold, NY 11971
To Whom This ,May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
/xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits ;involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 22995-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
,65-1802
BUILDING DEFT.
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
� V
DATE INSPECTOR
FIELD----I --T--- :ION_RiiPOR'f-=�=DATE ==11=====�_______________________COMMENTS=====_____________
-II-------------------------------------------------
H
INA
-----------------
FOUNDATION ( IST) p II—_�.�— ---------------__-.--
FOUNDATION (2ND) II II ry
___________________
II
- ----A - O
RouctT FRAME s II
PLUMBING
II
II II �
TNSUT.ATTON PER N_ Y. II C�1
STATE ENERGY �I
CODE
u
u
-- ---------------------------—
II II
rINAT. a
__-- ADDITIONAL COMMEND
H
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--- - H
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• ro
BOARD OF HEALTH . . . . . . . .
�4I ;•: s. ;<,. , �z FORM NO. 1 3 SETS OF PLANS VY' a. i'C.L"':i1'' Y"'�C'1Y ��.9.@ . . . . . ... .
r-S1,-X TOWN OFSOUTHOLD . SURVEY . . . . . _ . . . . . . . . .
IpiiI Wx¢, l �::+.:z.•,;1.``lu BUILDING DEPARTMENT CHECK . . . . . . _ _ . . . . . . . . . .
TOWN HALL SEPTIC FORT! _ . . . . . . . . . .
SOUTHOLD, N.Y. 11971
1/ TEL.: 765-1802 tiQT1r-Y �q`f. 71�S�. . . . . .
cn
Examined . . . 19,9,/ 4:2 DiLTO :
Approved . . . ., 14. Permit No. � .� . . . . . . . . . . . . . . . . . .
Disapproved a/c . . . . . . _ . . . . . . . . . . .
. . . . . . . . . . .
(Building Inspector)
A ICATION FOR BUILDING PERMIT
Date . �? s . .��� . . . ., 19 . .
INSTRUCTIONS
' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl;
cation.
c. The work covered by this application may not be commenced before issuance of Building Permft.
d. Upon approval of this application, the.Building.Inspector will issued a Building.Permit to'tlie applicant. Such permi
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 whatever until a Certificate of Occupanc:
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th'
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
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 inspection
.r,"' f-.a' -:?` =3`�.,s :'•;_.' /�r'�LF+' ��fl/\ , �. . . . . . . . . . . . .
(Signature of applicant, or name if a corporation)
p )
elln
(Mailing address of applicant)l/
State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor pelectrician, plumber or builder.
. .#:Y :4..,..;.ro' {.°� . . . . . . . .
Name of owner of premises r.TI .5 v �t ��. . � � . L L . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
{as on the tax roll or latest deed)
If-applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. 3 �. . J'. . . . . . ... . . . .
Plumber's License No. . . . . . ... . . . . . . . . . . . . ... . . .
Electrician's License No.
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . .
�?4. . . . . . . . . . . . . . . �v�� .r, (h�v-�- . S�!Ui � vLd . . . . /! 7.1. . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section . . . :. � . Block . . . . . . ..( . . . . . . . . . . .
Subdivision . . .. . . . . ... . . . . . . . Filed Map No. . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name)
2: State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy :. . 2 S ! / !' ;.. . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . .
•3. Nature of work (check which applicable): New Building . Addition .
Repair . . . . . . . Removal Alteration
/� �7iC1�jN rl S iL�iyN�i►'�!7< ,;,. . . . . . Demolition7-0 . : Other Work.. . . . . . . . . . . . . . .
4. Estimated Cost : . ,��� • , •
(Description)
. . . . . . . . . . . . . . . . . . . . . Fee.. . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
S. 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 and extent of•each type of use
7. Dimensions of existing structures, if any: Front . Rear. . • . • ' ' •
Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . Depth . . . . . . .
Dimensions of same structure with alterations or additions: Front '
Depth . . . . . . . Rear . . . . . . . . . . . . . . . .
Height . . . . . . . . : Number of Stories .
8. Dimensions of entire new construction: Front . . Rear • ' ' ' '
.Height . . . . . . . . . . . . . . . Number of Stories . . . . Depth . . . . . . . . . . . . . . .
9. Size of lot: Front . . . . . . . . . . . . . .. . . . . . . . . • . . . . . . . . . . . . . . . . . . . : . . . . . . . . . .
Rear. . . . . . . . . . . . . . :.. . . . . . . . Depth . . . . . . . . . . . . . . . . . .
10. Date of Purchase
11. Zone or use district in which premises are situated Name of Former Owner • ,
.12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: .14. Name of Owner of premises . . . . . . . . . . . . . . . . . . Address
Name of Architect ' • • • Yes No
• • • • • • • • • • • Phone No. . . . . . . . . . . . . . ...
• • • • • . . . . . Address . Phone No.
Name of Contractor . Address
15. Is this property within 300 feet of a tidal wetland? * -' . ' • ' • • • Phone No. . . . . . . . . . . . . . . .
*If yes, Southold Town Trustees Permit ma be re uired. • ' � " No. . . . . . . . .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or
corner lot.
UNDERWRITERS CERTIFICATE
X a REQUIRED
�MMED! P� ® DES NOTED 9
ENCLOSE ATELY" ®A P.#
ON c olw�a°E,
FEE: `— BY:
ORE"VI(gTEq» FY BUILDINUIEP EN
7�1802 9 AM TO 4 FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH o FRAMING & PLUMBING
•
•"�' �@ q r
t,a . r? . @i? 1c6� crj 3. t4SULATION
:�� u 4.•FINAL - CONSTRUCTION MUST
1 � g BE COMPLETE FOR C.O.
�� rty� , r ,;' i '� �'° ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
a g g j f �� u�at��4 STATE CONSTRUCTION & ENERGY
�p €ice°r �i'�' T V CODES. NOT RESPONSIBLE FOR
t E � DESIGN OR CONSTRUCTION ERRORS
1
'STATE OF NEW YORK,
COUNTY OF . . . . . . S.S
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
lbove named.
He is the . . ... . . . . . . . .A.?�� . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
)f 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 true to the best of his knowledge and belief;and that the
,vork will be performed in the manner set forth in the application filed therewith.
;worn to before me this
25 `` y of. . .
Jotary Public,
County
ROBERT I.SCOTT.JR.
NOTARY PUBLIC.Stateo Y. • • • • • • • • • • • • • • • • . . . . . . . . .
No.4725089.Suffolk C unyll„ (Signature of applicant)
Term Expires May 31, 19
9" 6"a 16-CONC.BLOCK PILISTER ,
A
B
PRE CAST CONCRETE
/CCPI`:G
Z•,a"'r:OL:'a14IZEDW000 SKIMMERS RETURNS
PLArE;`.&CREDTOBLOCK
t- C D E F II TICK TRC':.=_Leo
II F,BERGLASS CE-'ENT
G " TROWELED ON EACH FACE
TO FILTER
Or ROLLED II CIF CONCRETE BLOCK WALL 'ROM
SKIMMERS
WALL FOAM FILTER AND
PUMP FROM FILTER
A i `
- PLAN -
-.TORETI:RN
! WASTE
- � - TO yAS
i
VINYLLINER--1 '�•'-• PIPING ARRANGEMENT
WALL SECTION `I
--F U
+ a 2"SAND
POURED CONCRETE - --
-
2"SAND BOTTOM -f--�2" FOOTING
i.
SECTION B-B TYPICAL WALL SECTION AUG 2 5 1995
GRADE
G ' H G
SECTION A-A
7::F=Er-rFT.
B C O E F G H AREA
CAP. -dimming Pools I PURCHASER
FT. FT. FT. FT. FT. FT: FT. SO.FT. GAL b y Arthur Wwardsg00RESS
,6■]Z t6' 72 76" IV 6' a6" a'6" 7 512 17.2ij0 N.T. 11764__ PITY----STATE
t6'<76 t6' 7fi „6' IV T s'e' a'6" T 576 19.4sO
929 Route 25A• Miller Place, UP CCCE
19•.,� ,� 7a „6- •6" a6' 9r 5aa z,.390 (516) 744-7185 • TELEFAX (516) 744-017 PHONE
Suffolk License No. 10-074-HI
2a'..o z0' a0- t70" t56" 55' S" 5- to 300 27�A Nassau License No. H1744550000
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1 ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE"WATER"
I III�Y w�
UNDERWRITERS CERTIFICATE
REQUIRED
Cy}
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SURVEY FOR
MARTIN FLATLEY a SUSAN FLATLEY
LOT NO. 33, "LONG FOND ESTATES, SECTION Two
AT ARSHAMOMAQUE DATE SEPT. 24, 1991
TOWN Of SOUTHOLD SCALE; 1 "= 50'
SUFFOLK COUNTY, NEW YORK NO. 91 - 0431
MUNAUTHORIZLD ALTERATION OR ADDITION TO THIS CERTIFIE LI
SURVEY R A VIOLATION Of SECTION 7200 OF THE MARTIN
NEW YORK STATE EDUCATION LAM SUS
A FL w. a4i•.
M COSIES OF THIS SURVEY NOT NEARING THE LAND BRI EH 4�'�T0N NA O�NAi A N K
SURVEYOR'S INKED ILAL OR EMBOSSED ZEAL SHALL �T
NOT Ill CONSIDERED TO SE A VALID TRUE COPY SOU A CT �'QRF
MGUARANTEES INDICATED HEREON SMALL RUN ONLY TO p 11Y
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON foil WHOM THE SURVEY IS PREPARED
AND ON HIS 6ENALF TO THE TITLE COMPANY,GOVERN- ti+`
r MLARLST WATER BIAIN—MI ` MSOURCE Of WATER, PRIOTL^PUSfLIC, MLNTAL AGENCY AND LENDING INSTITUTION LISTED
M BUFF CO. TAX MAP DNIT LQQ.Q 3 SECTION L-IL.00K_I LOT-ELL2.1 N[REOH,AND TO THE ASSIGN[[S OF THE LENDING
■THERE ARE MO DWILLIIMS WITHIN IGO FELT Of THIS ►ROP90TY INSTITUTION. GUARANTIES ARE NOT TRANBf[RAILL
OTHER THAN THOSE SHOWN N[R[ON TO ADDITIONAL INSTITUTIONS ON IUBB[OUENT 4(�. '1ST /
OWNERS
M THE WATER SUPPLY AND SIWA" DISPOSAL SYSTEM FOR THIS AU109MCE r CISTANCIS SHOWN MERLON FROM PROPERTY UNIB l�00�
WILL CON►ORM TO THl STANOAROS OF THE SUFTOLK COUNTY 09PARTMI14T TO EXISTING STRUCTURES ARE FOR A SPECIFIC
Of NLALTN SMICES ►UR►OSE AMC AR[ NOT TO BL USED TO LSTAMLIBM
APPLICANT` PROPERTY LINES OR FOR THE LRLCTION OF FENCES
ADOR l AP
"L YOUNG a YOUNG RIVERHEAo,NEW TOR ANU�
NOTE: L = STAKE ALDEN W.YOUNG,PROFESS IONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICEOF THE CLERK AND LAND SURVEYOR N.Y.S.LICENSE NO.12$45
OF SUFFOLK COUNTY ON NOV. 29, 1990 AS FILE N0. 9031.
HOWARD W.YOUNG, LAND SURVEYOR
M T LOCATION OF WSLLIWI,K"IC TANK(Srb CESSPOOLSICP)W*WN NEA[OM N.Y.$.LICENSE ND.4SO1i3
H[
AM FROM IIlLO ONERMATIOIIS AM OR DATA OBTA1099/ROM OTN[RI
BRANDIB 4 BONS INC.