HomeMy WebLinkAbout16204-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18896
Date MARCH 15~ 1990
THIS CERTIFIES that the building. ACCESSORY
Location of Property 420 LITTLE NECK ROAD
House No. Street
County Tax Map No. 1000 Section 097 Block 07
Subdivision Filed Map No.
CUTCHOGUE, N.Y.
Hamlet
Lot 26.3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated July 2~ 1987 pursuant to which
Building Permit No. 16204-Z dated July 12~ 1987
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 INGROUND SWIMMING POOL & FENCE AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
CARL & LORRAINE BLASKO
N-000008 - AUGUST 21~ 1987
// Building nspector
Rev. 1/81
~OR~ NO. ~
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)
N_o 16204 z
Permission is hereby granted to: ~, k"-)
..~. '.~, ,~-
................ ':'FIT: .................. ~" ................
.....-:~.~..x.....~..~. .............................................
..
r ............................... i/~ ......... m:.:.: ................ ~ ........................... ~......-.= ..........................
at premises located at .~ ........... ~....~......~...J~...../~....., ..........
..7..'i ii'"iiiiiii"iii
County Tax Mop No. 1000 Section ....... ..~...-~....~..... Block ..... ..~..."~. ........ Lot No....~..~...,..."~....
pursuant to application doted ..... ~.......~. .................... , 19.~.~., and approved by the
Building Inspector.
Rev. 6/30/80
APPLICATION
TOWN OF SOUTROLD
BUILDING DEPART}lENT
TOWN HALL
$OUTHOLD, NEW YORK
765 - 1802
1197~
FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION · ..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
~ubdivislou .....
............. Piled Map ........ Lot ..........
......... ~PPlicant .
Health Dept. Approval ... ' .......... Umderw~iters Approvai....~..Y. .......
Plamming Hoard Approval ..../~. .........
Request for Temporary Certificate . - Fimal Certificace
'er. 10/14/88
Cc)
FOI~ NO. 6
TO~5/ OF SOUTIIOLD
BUILDING DEPARTMENT
?65 ~ 1802
A~L~cAT FOR CEETIFICATB OF OCCUPANCY INSTRUCTIONS
A. This appllcatlon must bel, filed in typewriter OR ink and submitted to the Build/~g
Inspector with the following; for new buildings or ne~ use:
I. Final survey of propelrty with accurate location of all buildings, ~roperty lines,
streets, and unusual hatural or topographic feaCurns.
2. Final approval of Health Dept. of water supply and sewerage-dlsposal(~-9 form).
3. Approval o£ eleatricdl iustallatlon from Board of Fire Underwriters.
4. Sworn statement from iplmnber certifying that solder used iu system aoutalns less'
than 2/I0 of IZ lead.I
5. Co~erclal buildlags,i~ industrial buildings, ~ultlple residences and similar.'
buildings and instal~atlons, a certificate of code compliance from the Architect.
or Engineer responslble for the building.
6. Submit Planning Boar~ Approval of completed site plan requirements.
B- For existing buildlngs (Prior to Aprll 9, 1957] non-conforming uses, or build/nBs
and "pre-ex/sting" laud !uses:
I. Accurate survey of p~operty showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completedlappllcatiou, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
~ show single and separate ownership of the entire lot prior to April 9, i957.
· If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing Code or safety inspection of buildings or premises, or other
pertinent informatiofi required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of tltle issued by a title company showing sin§lc and
separate ownership o~ the entire 1bt prior to April 9, 1957 shall also accompany
the application. If[a Certificate of Occupancy is denied, the Building In~pector
$hall state the reasons therefor iu writing to the applicant.
I. CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwelling
Alteration to Dwelling $25.00, Swimming pool, $25.00. Accessory buildi~§ $25.00
Addition tn AcceSsory buildings, $25.00 - Businesses $50.00.
2. Certificate of O~cupancy on pre-existing dwelllng -
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Uacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certif,icate of Occupancy -$15.00 Residential
Commercial
UI~DATIO.~ ( 1 s t)
UNDATION (2nd~
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
· ADDITIONAL COMMENT-S'.
FORh! NO. S
TOWN OF SOUTHOLD
BUILDING DI[DARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date SEPTEMBER 21 89
(owner or authorized agent of owner)
420 LITTLE NECK ROAD, CUTCHOGUE, NY 11935
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance ~ CHAP. 100
Other Applicable Laws, Ordinances-'ar Regulations ............................................
at premises hereinafter described in that A swimming pool is being used without a
(state character of violation)
Certificate of Occupancy and an expired building permit.
ARTICLE XXVIII-Chap. 100-281 & 284
in violation of ......................... '
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned IMMEDIA'rEL¥
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
420 LITTLE NECK ROAD, CUTCHOGUE
................................................................................. County of SufFolk, New York.
SUFFOLK COUNTY TAX MA~ # I000- 97- 07- 26.3
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine ar imprisonment or both.
(Cert. Mail)
ORDI'~ANCE II~PECTOR
¥INCENT R. WIECZOREK
USE
OF
OERTiF~OATE
e_~<
0:30
oro~
STORY FRAME HOUSE
F,E EL 105,??. I" ' GAR.EL, IOZ,56"
~NYT
NECK ':R Au
EARTH PAVING '
356 74
FOR~I NO. 5
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date SEPTEMBER 26 19.8..9. ....
TO LORRAINE BLASKO & ANO
(owner or outhorized agent of owner)
655 LESLIE ROAD, PECONIC, NY 11958
(¢Cdress of owner or authorized agent of owner)
PLF. ASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
CHAP.
Other Applicable Lows, Ordinances-'or Regulations ............................................
~remises hereinafter described in that A swimm£ng pooI is be£ng used w£thouC a
(state character of violation)
Certificate of Occupancy and an expired building permit.
v,olation Of ARTICLE XXVIII-Chap. 100-281 & 284.
(State section or paragraph of applicable law, ordinance or regulation) ' '
YOU ARE THEREFORE DIRECTED AND ORDERED ta comply with the Iow and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
420 L%[~L~. ~.~CK ROAD CUTCHOGUE, nt
...................... r ............................. Cou y of Suffolk, New York.
SUFFOLK COUNTY TAX MAP /! 1000- 97- 07- 26.3
Fo,lure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute on offense punishable by fine or imprisonment or both.
(Cert. Mail)
ORDINANCE INFrPECTOR "
VINCENT R. WIECZOREK
,SEPTIC ,TANK;
GUARANTEED TO ,'
SUFFOLK COUNTY..~FEDERAL SAVINGS & LOAN
U S LIFE'TITLE NSURANCE ,CO.
''~ "MAP OI~ -LAND ':, LOCATED AT'
,, EAST',;::CUTcHoGUE
TOWN OF SOUTHOLD ::~ ~-'., - .,, ' COUNTY OF SUFFOLK
, SURVEYED FOR
· , : ,. ,,
,^'rz~ 8- 6 -79
FINAL',, LOCATION
NSTR. LOC.
LAN
ROUTE 25A"
.^. ,o. 149 37
ZONED '*, RESIDENCE
AREA OF PLOT .,dO, O/-/
PROP I't FLOOR ~ :'~'S~FT.
PROP 2~ FLOOR SQ. FT
PfK~', BASEMENT ....... SQ.
PRO~'. GARAGE SQ. FT
DATUM
THERE IS NO SURFACE WATER WITHIN
200 FEET ;OF THE PLOT,
N 75° 36' 03*"'.E' '" '
3
(D
0
0
z
FO.O.Z'W.- 0.1 ' N.
$ 75° 53' 23"' W
4
'~ I00,00
8.,50'
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ::)ND [ ] INSULATION
FRAMING
DATE
BOARD OF HEALTH ......
3 SETS OF PLANS .......
FORMNO. 1 SURVEY ........
TOWN OF SOUTHOLD CHECr~-A~IbP. ':. f~q
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved . ~4Y~ · 1 ;~.., 19~ .~ Permit No.. l~.i~..~..~ .~.
Disapproved a/c .....................................
................................ .......
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
NOT~Y ;?f ¥o fs ....
CALL ...........
MAIL TO:
r., 2 1987 ,'
TO~ ',
Date .... 7/~. ......... , 19~?.
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
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 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.
...A. :. £ ~l .c.~..Y...r. ~..~A..~,. ...........
(Signature of applicant, or name, if a corporation)
· .....
(Mailing address of applicant) / f¢~j~ ~..
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..................... .... .................................................
Name of owner of premises .... ]~/.~.. q- ..... .t~../2.5.' ..... ~. ~..~..L. .... B (-.~)-,5../.~.O .............................
(as on the tax roll or latest deed)
If applig~nt is a corporation, signature of duly authorized officer.
AEL CONTRACTOR S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ...... ~. 7.~ .... /.~..~. ......
Plumber's License No .........................
Electrician's License No.. ~tlP~.d~-~4).. ~..Z~t~-'fT~{C~
Other Trade's License No ......................
Location of land on which proposed work will be donel ....~. ( ~.~.'...~..~-7..~.~....~..~.Pff.. =...~../4..T~. f./.O.&.q,~'.~
..... .q.04).. .............. g.( rT. .z. ~. . . /y~. ./.~ ..... . .rg?~. . .~. . : ....... C~ ~<r.~. . .¢ q, .aS. . . /.g,. h. ..
House Number Street Hamlet
County Tax Map No. 1000 Section ..... .?.7. ......... Block ..... 7 ........... Lot .... (~.c Z ......
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............ .~.~.~'. (~.&?q..~g..4~..~ ........................................
b. Intended use and occupancy ............ .~..~'~. (. ~,~ .~./.-I/fl../~ .... ~ I ~.,// ..... .~.'ff.t) 0.~ .................
3. Nature of work (check which applicable): New Building ' Addition .......... Alteration .... ~ ....
Repair .............. Rereoval .............. Dereolition .............. Other Work ...............
I (Descrip~tion)
4. Estimated Cost ....... 2..O'Q..0.: .c)70 .................. Fee ......................................
( ~ (to be paid on filing this application)
5. If dwelling, number of dwelling dnits ............... Number of dwelling units on each floor ................
If garage number of cars i .......
6. If business, commercial or mixed occupancy specify nature and extent of each type of use ' . ..' .................
7 Dimensions f e i ting ture§ if a Font R ' Depth
· o x s struc ., ny: r .... , .......... ear ...... .......................
Number of Stories ' ~ ·
Height ' ' '"
Dimensions of same structure wiih alterations or additions: Front ................. Rekr .... ." ............
Depth .. ....... ~ .......... I. · Height ...................... Number of Stories .....................
Direensmns.offe~lt.~f new construction: Front .......... ..... Rear ............... Depth .............
Height ............... Number of Stories ................. ,.. ....................................
9 Size of lot: Front ' Rear Depth
10 Date of P chase ' N off Own
. ur ........... , .................. aree ormer er ..... , ......................
11. Zone or use district in which pr~mises are situated ....................................................
12. Does proposed construction viol~t~ny zoning law, ordinance or regulation: ...............................
13. Will lo/be regraded ......... i:z .~.':' ............... Will excess fill be removed from premises: ~ No
14. Name of Owner of prereises .. 'i' f"~'/'~'~' '~' ....... Address ...~.Ct..tjX. J~...~:4~.'-.... Phone No ......... "-~. ......
Name of Architect .../~ ..... j.,~ ............... Addre s . Phone No. .. ~.~.~,.~...
Name of Contractor·/.'. .g~/'g.~. ~'.-tr.. ~.~.. Address i i ~]~ ~¢i i. Phone No. ~-~'~.'
15. Is this property located w±t:h±n 300 feet: of a tidal wetland? *Yes ..... No .....
· If yes, Southold Town Tru!stees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly ~11~I buildings, whether existing or proposed, and, indicate all set-back dimensions from
property hnes, Give street and block inumber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
:S.S
COUNTY OF .................
............................ r ..................... being duly sworn, deposes and says that he is the applicant
(Name of individual sig ting contract)
above named.
He is the ..........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dt ly authorized to perform or have p~rformed the said work and to reake 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 manr~er set forth in the application flied therewith.
Sworn to before me this
.............. O'~ ........ day;f ..... ~ .......... , 19f/~
Notary Public, .~.. ~ '.~...0</..~...~...( ..... County ~~ .~;
No. 470"/8'1~t, S~01k