HomeMy WebLinkAbout16300-zFORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22445 Date JULY 8, 199~'
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 250 EAGLE NEST COURT
House No. Street
County Tax Map No. 1000 Section 127 Block 9
Subdivision Filed Map No.
LAUREL~ N.Y.
Hamlet
Lot 3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 30~ 1987 pursuant to which
Building Permit No. 16300-Z dated JULY 31, 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 HOWARD & SHARON WALDMAN
(owners)
of the aforesaid building.
SUFFOLK COUNIaf DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-004008 - FEBRUARY 5~ 1988
N/A
Rev. 1/81
FORM' NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL
COMPLETION OF THE WORK AUTHORIZED)
No. 16300 Z
Permission is hereby granted to:
...-~...o..~.~_~.~ ...............................................
County Tox Map No, I000 Section ........................ Block ...................... Lot No .........................
ti
Building Inspector,
Building Inspector
Rev. 6/30/80
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
inspector with the following: for new building or new use:
1. 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.
Submit Planning Board Approval of completed site plan requirements.
'6.
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.
~. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.0__0, Accessory building $25.00,
Additions to accessory building ~ Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .. ~.~d. ~...~.e./../7. ?.+7 ................
few Construction ........... Old Or Pre-existing Building .................
.ocation of Property. O~r
House No. Street Ha~et
}n~er or Owners of Pro rty ...........................
;ounty T= Map No 1000, Seltion .... i.~.'~ ..... Block ..... O.g ........ Lot.. 0 2
Z ......... ...........
No..~.~.
'ermit ..Date Of ............ Applzeant ~ ~w~< .w.i ....... ~ ,u~wa"
iealth Dept. Approval.. [~ ................ Underwriters ~ .......................
'lanning Board Approval ........................ ~
'.equest for: Temporary Certificate .......... ; Final Certicate .... .~.] ....
'ce Submitted: $ .... .~...0~...°~../.-%. ........... ~ ~~o' '
ex, u:,~t o t/ox ' '~i~;N'~' ......................
FORM NO. 4
TOWN O.F SOUTHOLD
.'BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
rate
THIS CERTIFIES that the bu~td;mg One family dwelling
tm ty 3..o0 E.a.g.le~ N..s~ ~.6 z:~. Laurel
... e C u ..........
Locatioll O opel' House No~ ' . ' ; ~' " ' Street Ham/et
County Tax Map No. 1000 Section 127 k 0 9 [ 0 3.
............ Bloc ................ Lot ...............
a ' '3.
Subdivisien Golden View'Est res pN
............................... F/lcd Ma o ......... Lot No .............
confomns substantially t~ the Appl/cation for Building Permit heretofore fi/ed in this offic~ d,~ed
1986 pursuant to which Bu/lding ]Permit No 14923 Z
...A vr i~...~ .~., ...... ..........................
datedMay 30, 1986
...................... , ..... was issued, and conforms to all of the requ/rcmen~s
of the applicable p~ovisions of the law. The occupancy for whkh this certificate is issued is .........
0~.e f..a.m.i3.X .d,we.l.!.i.n.~ 2 caz garage.
The certificat~ is issued to ...G. OLDEN VIE~f ESTATES, INC.
of the afores.id building.
Suffolk County Department of Health Approval 86-SO-29 Jul~ ~0 1987
UNDERWRITERS CERTIFICATE NO . FSp3895 April
PLUMBERS CERTIFICATION DATED:
May 4, 1987
. /
.... 7 ~ilding Inspector
'G
:UL
:ICkTE
UNDATION
(Ist)
UNDATION (2nd)
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
TO Mr. & Mrs. Howard Waldman
(owner or authorized agent of owner)
So. Jamesport Ave.
........... .........................
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
CH I00
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that ....s.w..~...~3."I..n.g..p.p..~"~...m~".s..t...h.a..v..e...~f"e.n.q~..~gg~..~.~ ...... .I..t. ~s
(state character of violation)
unlawful to use pool without Certificate of Occupancy. Building Permit is
needed for deck.
in violation of ......i~..~.:..~..I....c.~.:...!.~"~Z..3..~..c.....2~...~....A~..~...~..I..v...~.-....~..~...~."~"4..~ ....................................
(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 IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
Eagle Nest Court, Laurel
................................................................................. County of Suffolk, New York.
Suffolk County Tax Map #1000-127-9-3
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
Vincent R. Wieczorek
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION ~ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] I~ULATION
FRAMING ['~ FINAL
REMARKS:
DATE
INSPECTOR
7G5.t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION AND [ ] I~,~ULATION
FRAMING ~/~INAL
REMAR,,KS:~
DATE
,INSPECTOR
' THE N'~ YORK[ *BOARD OF FIRE UNDERWRITERS
1001381
BUREAU OF ELECTRICITY
~ .B.A~Y os, 1~?°'" ST.,,T..,W ,O.K. "~75%}~'' N ~00~
~15 CE~IFIE~ THAT
HOWARD WALDH~N, 300 EAGLE~ NE~T COURT, LAUREL, N.Y.
examined on
.nd ~o~nd to be in compliance with the requlremen~s o~ this
RXTUIm RXTUII~ ~ FANS
O~Tt~S $MIC~
I 1 1
~ DISCONNECT S ! R V I C
M
· ($~IN#ING ?OOb) This certificate
co~er~ compliance at the dat~ of
i~spectio~ only. Because of nnnsual
~vironments it is advisable to
bare frequent test/and or repairs
made by a qualitied person.
JOD¥ PUMILLO
PAT LANE
MATTITUCK, NY, 11952
11~ m~kme mu~t am be elte~d ia
momtm'; return ~o the office of the Ikmrd if incorrect.
Ptr /
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
· ~OUTHOLD, N.Y. 11971
TEL.: 76§-1802
Disapproved a/c .....................................
·..~ .&~,%,v~....,,..,.,: ...........
(Building Inspector)
APPLiCATiON FOR BUILDING PERMIT
INSTRUCTIONS
Date 2 ...... ,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 ~ Certificate of Occupancy
shall have been granted by the Building Inspector. "
· APPLICATION IS HEREBY MA~DE 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessav~ inspe~fions.
·. t%...g..eT..~& .Y..'t.. ~.~.s.~...~:...c... ...........
(Signature of appJicartt, or name, if a corporation)
.. L'n.4m-. /.' . : . .
(mailing address of app~iic~ant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
· '~" c o~
If amYlica.nt is a corporation, signature of duiy authorized officer·
B ilder's License .... :.//. ..TLC.. .....
Plumber's License No .........................
Electrician's License No. ~/0f)/; .~/../~.~...~: .~(
Other Trade's License No
I. Location of land on which proposed work will be done...~/)~..~.~.-.. ~../C~ .~...~'0.~ .~. ('~.?.. ~..~. ~ .)~..b.~ .....
.~..~.o. ~.~-.-...~...~. ~. .... c~r: ......... ~. ~x~ .~.~... ,z.-~. :~ y.,.' .....
:· ., House Number , , .~ Street Hamlet
Couhty Tax M~p NO. 1000 Section . .7 ........ Block .. i...0. ~... ..... , Lot ...... .1~..~ .........
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 .............................................
'
.tnt'ended use occupancy ........... · .........
3.- Nature of work (check which ap:plicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Rem6val .............. Demolition .............. Other Work ................
i (Description)
· ' -, .(Zt-:)...
4. EstimatedCo~.......-~ . .... ........... . Fee ................................ .. . . . .
(to be paid on filing this application)
5. If dwelling, number of dwellingiunits .............. Number of dwelling units on each floor ...............
If garage number of cars ;
6 If business ' ' ' specify nature and extent of each type of use
. , commercml or m~xed occupancy, ....................
7 .... ' Front Rear Depth
· Dlmenmons of exmtmg structures, if any: ...........................................
Height ............... Number of Stories .......................................................
Dimensions of same structure w~ith alterations or additions: Front ................. Rear'· ................
Depth i Height Number of Stories
8 Dimensions of entire new constrUction: Front Rear Depth
Height Nu~nber of Stories
9 Size of lot: Front i Rear Depth
10. Date of Purchase .......... ~ .................. Name of Former Owner ............................
11. Zone or use district in which prbmises are situated ......... ~..~../~.~z~.. ~/. q'..% .........................
12. Does proposed constructmn violate any zoning law, ordinance or regulation ...... .~. ...................
13. Will lot be regraded ........ i. ~.~.,.. ,. ~ ........ Will excess fill be re~.moved from premises:
14. Name of Owner of premises .kO.~.~0..~..~.~.. ...... Address ..t~.~O/,~g-.tr ....... PhoneNo ........
Name of Architect .... ..... 2e JO}' ............ ~.; ....Address . .],~; .............. Phone No.
Name of Contraetor.~'}..r.~.~..~ .~.C. ~'~ .3Mf.~ ...... Address .... ~. ~.~./.(.... Phone No.' ' '~A~' 1~ ~r'~' ' ~..O..'l'.°..o~. ·.'
15. Is this property located[ within 1.00 feet of a tidal wetland? ~ Yes ..... No .....
· If yes, Southold Town Trustees Permit maybe required.
~ PLOT DIAGRAM
Locate clearly and distinctly al'l buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and blocl~ number or description accordh~g to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ......... ....... S.S
............................................... being duly sworn, deposes and says that he is the applicant
(Name of individual si,lning contract)
above named.
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or harp performed the said work and to make and file this
application;that all statements cofltained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manher set forth in the application filed therewith·
Sworn to before me this
·
............. .........
. .....
. No. 4707878, Su~ol~ County~o
lerm Expir~ M~rch 30,
HEALTH DEPARTMENT-DATA FOR APPftOMU,. TO CORSTRUC T
well
NOTE: I=MONUMENT /% :STAKE
SUBDIVISION MAP FILED iN THE OFFICE OF THE CLERK
OF SUFFOLK COUNTY ON AUG,;.'.'.'.'.'.'.'.'.~O,19B4 AS FILE NO, 71'70
ISURVEY FOR -:~ -
GOLDEN VIEW ESTATES
L.OT .'5, "GOLDEN VIEW ESTATES"
TOWN OF SOUTHOLD
SUFFOLK COUNTY~ NEW YORK
MAR. 18,1987
JUNE -1,1956
SCALE'= I"= 50'
NO. 85- 15ll
GUARANTEED TO=
PEGASUS ABSTRACTiINC.
THE MORTGAGE CENTER,INC.
HOWARD E WALOMAN
YOUNG 8 YOUNG :
ALDEN W. YOUNG, PROFESSIONAL ENGINEEH
AND LAND SURVEYOR N,Y.S. UCENSE NO. 12845
HOWARD W, YOUNG~ LAND SURVEYOR
N.Y.S. LICENSE N0.4589;~