HomeMy WebLinkAbout15800-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20563
Date MARCH 4, 1992
THIS CERTIFIES that the building.
Location of Propert~ 175 BIRCH LANE
House No.
County Tax Map No. 1000 Section 83
Subdivision
INGROUND SWIMMING POOL
CUTCHOGUE, N.Y.
Street Hamlet
Block 1 Lot 30
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 20, 1987 pursuant to which
Building Permit No. 15800-Z dated MARCH 28~ 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 ENCLOSURE AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
FLUMBERS CERTIFICATION DATED
ROBERT & CAROLYN CONWAY
N-805760 - APRIL 27~ 1987
N/A
Buil~'n~ Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLE'rlON OF THE WORK AUTHORIZED)
N° "15800 Z
Permission is hereby granted to: ~ _
I '
~...~, ....~..~.,...~.:~..,...u..:._..~...~ ,
~ .............................. : ....... .~....~ .... :....~ ........ ~ .................. ~..~...: .........................
~t ~i~es ~ted .t ...L~.~. ........ ~.~.....~.~ .................. ~.~.~ ........
...~...~~ ................ ~ ..............................................................................................
~ .... ~..~ ...........
Coun~ Tox Mop No, 1000 Section ..... ~.~.~ ..... Bilk ...... ~ ............ Lot No.
pursuont to application doted ..... ~....'._L_?~..Ok~..f~....~..~. .......... , 19.~...L.,-~O"I
Building Inspector.
and approved by the
Building Inspector
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
].0~50~3 BUREAU OF ELECTRICITY
~ SE* JOHN STREET, NEW YORK, NEW YORK 10038
,ere ~ 27, 1987 J,,,i~.,,o.~o...f,~ 470479/87 N805760
THIS CERTIFIES THAT
only the e~ectricel equlpmen~ ~ ~scribed b~ and i~troduced by t~ applicant ~med on the a~ve application number in ~he premises of
~way, s/s ~ ~e, w/o ~ P~ C~e, N.Y.
in the following location; ~ Basement ~ Ist Ft. ~ 2nd FL outside .s~ctlo. m~
~s exatnined on ~ri~ 16 ~ 19~ 7 and found to be in compliance u' th the require.~ents ~f this Board.
FIXTURES RANGES COOKING DECKS OVENS
Lot
EXHAUST FANS
FIXTURE
OUTLETS SWITCHES Ft UORESCEN/'
1 1 2 i
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
A, WG
OF NEUTRAL
Setauket, N.Y. 11733 Li~;2675E
Pe
This certificate must not be attered in any manner; return to the office of the Board if incorrect. Inspectors may be /dent, fried Wy their credentic~ls.
COPY FOR BUiLDiNG DEPARTMENT. THIS COPY OF CJ~RTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
OUNDATION
1st)
OUNDATION 2nd)
OUGH FRAME &
PLUMBING
iNSULATION PER N. Y.
STATE ENERGY
CODE
FI~IAL
,,.~1~1~ ~~ ~ .~.~. ~ · -
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
DATE .'?/} ~ / ~/~. , NSPECTOR d~.4c~ f~_/
VICTOR LESSARD
EXECLITIVE ADMINISTRATOR
(516) 765-1802
Town Hall, 53095 Main Road
P.O. Box 1179 ¢
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SEPTEMBER 19, 1989
ROBERT CONWAY
175 BIRCH LANE
CUTCHOGUE~ NY 11935
SUFFOLK CO. TAX # 1000- 83- 01- 30
Re: NOTICE OF VIOLATION
Dear Mr. Conway:
You recently received a Notice of Violation. To
date you have not responded to that notice. If you do
not remedy this situation immediately, you will have to
appear in Court to answer criminal charges for violat-
ing the Southold Town Code.
Please contact the Building Department of the Town
of Southold at 765-1802 upon receipt of this letter.
Very truly yours,
Vincent R. Wieczorek
Ordinance Ins-pet tor
B.P. # 15800Z
VICTOR LESSARD
EXECUTIVE ADMINISTRATOR
(516) 765-1802
Town Hall, 53095 Main Road
P.O. Box 1179 ~
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SEPTEMBER 19, 1989
ROBERT CONWAY
175 BIRCH LANE
CUTGHOGUE,. NY 11935
SUFFOLK CO. TAX # 1000- 83- 01- 30
Re: NOTICE OF VIOLATION
Dear Mr. Conway:
You recently received a Notice of Violation. To
date you have not responded to that notice. If you do
not remedy this situation immediately, you will have to
appear in Court to answer criminal charges for violat-
ing the Southold Town Code.
Please contact the Building Department of the Town
of Southold at 765-1802 upon receipt of this letter.
Very truly yours,
Vincent R. Wieczorek
Ordinance Ins-pector
B.P. # 15800Z
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Robert Conway
(owner or authorized agent of owner)
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance C1L~P. I00
Other Applicable Laws, Ordinances.'or Regulations ............................................
at premises hereinafter described in that A switmning pool is being used without a
(state character of violation)
Certificate of Occupancy and an expired buildiug permit.
in violation of ~LRTICLE -~KVIII-Chap. 100-281 & 284.
(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
......... 1.2,%_BJ.~J~..iqan.e,o....C.u£.c.h.o.g~.e. ............. County of Suffolk, New York.
SUFFOLK COUNTY TAX MAP 1t 1000-83-01-30
Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of Jaw
may constitute an offense punishable by fine or imprisonment or both.
BP #15800Z
(Cert. Mail)
OItDI A CE
VINCENT R. WIECZOREK
'CESSPOOL, sEP'fIC TANK AND WELL
OR WAIER 5ER'VICE LoCATIoNS
AS ~pER. BUILDER AND APE NO~
. G U A~..ANTEI~-D
tHE EXISTENCE OF RIGHT
,AN, D %OR/EASEMENTS OF
.IF ANYj~'NOT SHOWN
¢:..~.,~' J :,. ,, ,,( . SUFFOLK COUNTy OI~AR.T,~EHT'i
,..'~ J /,~, "~.,'. ,, ~ ,: , ,"
~: ~=~ ' ' , ~~ ~ , FOR ~AP~OVAL
k~'~ ~% ~. u~.¢~// J WILL CONFORM TO THE ~ANDARDS OF THE sU~ ~OUN,TY D~A~tM~ ....
' ~" ' ' ' ...... % ........ ,, ,,. ', ", L,' ',, '",:~,' '.
I
I
,/~ ~~/~ ~ ~ ~'~ ~, ~ ~¢.'N9.~ .' - ' I
SURVEYED:/~'~'7~ ' ' ~ ~ ,'~'~ ~ I
BCALE J .~ .... FILE NO -~/~
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL,: 765-1802
Approved ...~...C~...,~. ?.., 19~..~. Permit No.]. .~".'~...O'~.. ?~.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date ................... 19...
INSTRUCTIONS
a. Tkis application must .be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according t~9 schedule.
b.
Plot
plan
showing location of~ot) and ~f buildiff~ on premises, relationship to adjoining pre~nises or public streets
descr[p~ ~oL~t ~?6~perty must be drawn on the dtagram ~v~ch ts part of th~s appli-
or areas, and giving a detailed ' ~ ' ) ' ' '
cation. ,: . . ~ ....
c. The work covered by thi~'~hc e commenced before issuance of Bull t.
d. Upon approval of this~-al~/il~glie~l.'~l~Ing Inspector will issugd a Building Pe,r~0v~.x~.~p~licant. Such pennia
shall be kept on the pr~mis~l-a.[~Y'_nl~i~o~l~throughout the work. ~. ~.~'~oOO~
e. No building shfil[~c~u~%_r ~[l~fh~x~l~ or in part for any purpose wll~i~l~]l,'~Certificate of Occupancy
shall have been grante¢i -~e~__"~ A~, --~'~~iliting~sp~t~ ¢~g~;*~
~PLICATION~~.~~UIld~g~~_.__ Dep~tment for the issuan~o[~B~laing Pemit pu~u~t to the
Building Zone Ordinan~e~ ~old, Suffolk County, New York, md other app~cable Laws, Ord~ces or
Regulations, for the co~%~-~s, additions or alterations, or for removal or demolition, as hereh described.
The applicant agrees to co~h~pp~cable laws, ordinances, bufld~g code, hous~g code, and regulations, and to
admit authorized ~specto~ o~r~d ~ bulldog for necessaw inspections.
. .D~.t~...~. 5¢~X% .............
(Signature of applicant, or name, if a corporation)
(Mailing address of applic~t)
State Whether applicant is owner, lessee, agent, ~chitect, en~neer, general contractor, electrician, plumber or builder.
...G.~ ~ ~.~"c~ ff.'. '
Nme of owner of premises,[~¢~ ........ .... .....
If applicant is a co.oration, signature of duly authorized officer. ~TE; ~1}]--
-
x (Name and title of co.orate officer) NOT~ ~'~ ,~ t. ~,~ O;."AdTf,~ AT
'766,1~'~~°' ,~rW*. 'f'O ,* ,.~..~ t~)~ THE
Builder's'License No .................. FO[LOWthIG
Plumber's License No. . ~ ~ ~ FO~ Pi)U~;:'O
m¢ctricm', tic,nsc ~o...9E'3.3 ...........
1. Location of land on which proposed work will be d . ~ ~' ~ .~-~p')r:~:t?~ % :'~:t75 ::5 ~;~?.?~...
House Number Street Hamlet
County Tax Map No. 1000 Section . ~ ............. Block ....... ~ .......... Lot.. ~ ..............
S~ivi~ion%~..~%~)..~. ~W?iC~:~*~V:~. Vi~ ~ ~o. ~ ~: M ~ .... tot...k% .........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Existing
o~c~pancy..:. ~---..t.~ ..... ~ ~x~ ~[.. ..... ""~;: :~ .... r: .......
3. Nature of work (check which app!i~able): New Building ' Addition .......... Alteration ..........
Repair"1~' .. RemoVal .............. Demolition .............. Other Work ...............
ooi
(Description)
4. Estimated Cos · · .~. ~ ............................. Fee ......................................
! ' (to be paid on filing this application)
5. If dwelhng, number of dwelhng umts ............... Number of dwelling units on each floor ................
If garage, number of cars ...... i ..................................................................
6. If business, commercial or m~xed Occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures,lif any: Front ............... Rear .............. Depth ..... ..........
Height ............... Number of Stories ........................................................
Dhnensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ....................... Height ...................... Number of Stories ......................
-,8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9. Size of lot: Front ...................... Rear ............. i .... ;... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated .......
12. D .....
ocs proposed construction wolate any zomng law, ordinance or regulation: . .~.C~. ..........................
13. Will lot be regraded . .'~.~.~.~... .... :" ¼' ..... k"" Will excess fill be removed from premises: C ~ No
14. Name of Owner of premises .~:,(3.~'¢'£.~....~.Qt.\.~ [. Address ~\c. q4~...l~. :~.~ .... Phone No...'~. ~.~.~..
~> Nmwl'~of Arclffi"e~t ~-~ ~m. ~,~.~O.~...'.~...c>.q\.~ ..... AddressQ-t .Po,6-:~..f.~O¢~..~927. Phone No. ~..~.-..~.
Nmne of Contractor .......... ; ............... re · ~.~4.
Add ss ................... Phone No ...............
·
15. Is this property located within 300 feet of a tidal wetland? *Yes .... ~ No . .~..
· If yes, Southold Town TrusCees Permit may be required.
PLOT DIAOR~-~
Locate clearly and distinctly all buildings, whether existing or '~ro~0s~dJ ?and. indicate all set-back dimensions from
property lines. Give street and block nl tmber or description according tlS~dee~d, ~h~ show street names and indicate whether
interior or corner lot. % '
iTATE OF NEW YOP~I~ ~
OUNT¥ OF.. ....
....~--,r ~X~, :..~.~.~. ,..~....~x .C.~.C~..~.'~ .C-. .................. being duly sworn, deposes and says that he is the applicant
(Name of individual signin[ contract)
tbove named.
teis the ...(~G'x~..C'~.~- :
(Contractor, agent, corporate officer, etc.)
)f said owner or owners, and Js duly ~uthorized to perform or have performed the said work and to make and file this
pplication; thgt all statements contained in this application are true to the best of his knowledge and belief; and that the
york will be performed in the manner s{t forth in the application filed therewith·
;worn to before me this :
........... [.~.~t~,.........dayof..i,.~..
Iotary Public ............. ~O:~'~'.Q [ 1 ./~n-. ........ County
Notary Public, State of New York
No. 52-4526433 .............
Qualified in Suffolk Cq. unty~ ~ (Signature of applicant)
C0mmlssion Expires 4/..1o~_~'/