HomeMy WebLinkAbout16466-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18616 Date DEC. 5~ 1989
THIS CERTIFIES that the building. POOL
Location of Property9985 PECONIC BAY BLVD LAUREL
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 02 Lot 15.2
Subdivision Filed Map No. Lot No.
conforms suJostantlally to the Application for Bullding Permit heretofore
filed in thls offlce dated SEPT. 14, 1987 pursuant to which
Building Permit No. 16466Z dated SEPT. 25r 1987
was lssued, and conforms to all of the requirements of the applicable
provlslons of the law. The occupancy for which this certificate ls
lssued is ACCESSORY INGROUND POOL & FENCE.
The certificate is issued to JOHN & SUSAN FALLON (owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N848367 DEC. 29~ 1987
N/A
Bul lng Inspector
Rev. 1/81
lvOR~d[ NO. t
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)
No. 16466
Perm,ss,on is hereby grants.ed tq: __, ~
.................. : ....... :'.:'~ ................. :TT ...............
..,~...~ ....... ~0..~...~.~...r~.., ....
._ ~~~....~ 4.: ..::../..-~..~...~__ 0
,o .~,~...~.....~.....~...~.~..~..~...~
~....~ .~....~:.~....~..~...~.! ................................................... ~ .............
et premises loco,~] ed o, ......C~..~/e'~ O.~....~..C..._~...~..'.~........~....~..~....~......;...~~.
County Tax Map No. 1000 Section ... ~... Block ..... ..~ ........ Lot No ..................
pursuont to opphccltlon doted .... .~~. ;...~. ....... , 19.'~"~., end opproved by the
Building Inspector.
Fee $....'~..T ...............
'4' ~lldlng Inspector
Rev 6/30/80
TOWN OF SOUTROLD
BHILDING DEPARTMENT
TOWN HALL
SOUTROLD, NEW YORR
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
....... OLD OR PRIg-EXISTING
NEW CONSTRUCTION EUILDING ...... VACANT LAND .......
...............
ROUSE NO. HAMLET
Count7 TaI ~ap ~o. I000 Section ..... g~oc ..... Lot . ~..--.
Subdivision ...................... ~iled ~ap ........ Lot ..........
Dept. Approval ................. Under~ri~ers Approval ............
]Permit
Health
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submitted: $ .............
rev. 10/14/88
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTtIOLD
OFI'ICE OF BUILDING INSPECTOR
P.O BOX 1179
TOWN [tALL
SOU'I IIOLD. N.Y. 11971
TEL 765-1502
John & Susan Fallen
12 Old Farm Lane
Harcsdale, N.Y. 11530
To Whom This May Concern,
We are unable re complete your Certiflcate
of Occup. ancy because .of the following reasons.
/_--/ An application for Certificate of Occupancy
is ~ot on file.
/--//No Underwr!ters Certificn~e on file.
/~_d~/ "~'[he check 1.'~; (out(late(l/.K.3~t~x~%~'-'~=~Returned herew£th.
/-/ No Health Dept. Approval on file.
/-~/ No final lnsi~,ect~on has been made.
Please contact, our office
Thank you for yotlr cooperation.
~u[ltl~ng Permit # I 6 4 6 6 Z
Bulld ~nc~ D~pt.
***/~/ ~Io Plnmber solder CertLficate on file.
( all permiLs involving plumbing being
issued after April 1,1984 )
P~SE S~IT ~W C~CK IN T~ ~ OF $25.00, and
CERTIFICA~ OF OCC~CY ~LL BE ISS~D.
on this matter.
TO~ OF SOUTHOLD
TOWN CLERK'S OFFICE
~:OUTHOLD, H. Y.
ORD£R TO REMEDY VIOLATIOH
Date ..... ~1 ~.T.Q ~.~.1~...3. fl ............................. 1989
TO JOHN FALLON & WF
(owner or authorized agent of owner)
{address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there ex~sts a wolohon of:
Zoning Ordnance
CEJ~F. 100
Other Apphcable Laws, Ordnances'or Regulohans ............................................
at premises hereinafter described ~n that A swimming pool is being used without a
(state character of v~olat~on)
Certificate of Occupancy and an expired building permit.
A~TICLE .~[Vlll-Chap. 100-281 & 284.
in wa]orlon of ...............................................................................................................................
(Stote section or paragraph of apphcobie [aw, ordinance or reguJohon)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are s,tuated at
.~.9..?..~..5.~.q~.~..z..c..~..~.~..g.~]~.y~.~y~..D.~..z:~.'~.~..L.~County of Suffolk, New York
S~FFOLK COUNTY TAX MAP # i000- 126- 2- 15.2
Fadura to remedy the cond~hons aforasmd and to comply wHh the opphcoble prows~ons of [aw
may constitute an offense pumshab[e by fine or Jmprrsonment or both
B.P. # 16466Z
(Cert. Mail)
ORDINANCE INSPF~TOR
VINCENT R. WIECZOREK
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD. N. Y.
ORDER TO REMEDY VIOLATION
Date .............. .0. ~ .T.Q. ~..]~.]R...~. ~ ................... 1989
PLEASE TAKE NOTICE there
.., ~ . /" ~. CHAP. lO0
z.on,ngL.'ra,nance / ~ _ ..~ ......................................
//
.
f ~TI~E .~vlI[~ap. 100-2gl & 2~.
in v,olot~on o ........... ~.--/ ..................................................................
(Stare seraph ~~ I~, ~d,n~nce or regular,on)
YOU ~RE THEREFOR~CTE~RD~RED~o comply w, th the I~w and to remedy the
conditions ~bove mentioned
The premises to which this ORDER TO REMEDY VIOLATION refers are mtuoted at
.9~9"8~5""~c~"~`~".c~`~[~C~'3~A.~"~D'~z"-~.A'~"R'~";""C~unty of Suffolk, New York,
SUFFOLK CO[INTY TAX MAE # i000- 126- 2- 15.2
Fadure to remedy the conditions aforesaid ond to comp{y w,lh the opphcable provts~ons of Iow
m~=y constitute an offense pumshable by fine or imprisonment or both
B.P. ~ t6466Z
(Cert. Hail)
VINCENT R. WIECZOREK
765-1802
BUILDING DEPT.
INSPECTIO
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND L ] INSULATION
[ ] FRAMING
r~'I~NAL
DATE
10
.p
BLDG DEPT
TOWN OF SOUTHOLD
BOARD OF HEALTH ......
3 SETS OF PLANS .......
.o SURVEY
TOWN OF SOUTHOLD CHECK : :/~]~-[::::
BUILDING DEPARTMENT SEPTIC ¥0RM ............. :
80UTHOLD. N Y. 11971 ~ ~
TEL. 765-1802 CAL~ ...............
Disapproved a/c .............
MAIL
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date q- [O ..,19
INSTRUCTIONS
a. Tlus apphcatlon must be completely filled m by typewriter or in mk and submitted to the Bmldmg Inspector,
sets of plans, accurate plot plan to scale. Fee according to schedule
b Plot plan showing locatmn of lot and of buddings on premises, relationship to adjoining premises or pubhc str
or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of thas a,
cation.
c The work covered by tlus apphcation may not be commenced before issuance of Budding Permit.
d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the applicant Such pe
shall be kept on the premises available for mspecUon throughout the work.
e. No bm!drag shall be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occup;
shall have been granted by the Budding Inspector
APPLICATION IS HEREBY MADE to the Bmldmg Department .for the ~ssuance of a Bml&ng Permit pursuant tc
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, OrdinancL
Regulations, for the constructmn of buddings, additions or alterat~ons,:or for removal or demohtaon, as hereto desert
The apphcant agrees to comply with all apphcable laws, ordinances, buflc~mg code, housing code, and regulations, an
admit authorized inspectors on premises and m braiding for necdis~ary inspe/[tlp[ts
f.op .
(SlgnM,.~{re of applicant, or name, if a corporation)
(Mailing address of apphcant) ! / ~ '7]
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bml
Name of owner of premmes ~h.t~/ A~-P ~'()..q,,h~.p.F~Ig&-6-~ ~
(as on the tax roi1 or latest deed)
If ap~hcant ~s a c~rporatmn, sxgnature of duly authorized officer
(Na~e ~nd t~tle of co,orate officer)
f?j? oa's usr sue,on[ cou r
BuddersL]censeNo J ~ , J l.~ ~ t .
Plumber's License No
Electrician's License No
Other Trade's License No
I Location of land on which proposed work will be done
House Number~ ~reet
County 'Fax Map No 1000 Section J :~ 2.
Subdivision
(Name)
Hamlet
Block .q~ ~ ~ .... Lot.
Filed Map No Lot
State existing use and occupancy of premises and intended use and occupancy of proposed constructmn
a Existing use and occupancy ~"~/~ .~" I. ~) .~:..g-/.(-- ~-~ ........
b. Intendeduseandoccupancy '~..O..,~ /-~O .~.Z9/ /ll~ll'~ l l..'(.~ l°O~)r.....- '*Jr'P'-'h'' ' ''~)~-'e'~ 171
3
4
5.
Nature of work (check which applicable) New Budding
Reptur . Removal . ..
Estimated Cost .[~/2 ~. D4.~- ......
If dwelling, number of dwelling umts .
If garage, number of cars ...
· Addition ....... Alteration
Demolition ...... Other Work ~'w'~U~'/
(to be prod on fihng th~s apphcahon)
.. Number of dwelhng umts on each floor ......
If business, commercial or mixed occupancy, specify nature and extent of each type of use ......
Dimensions of existing structures, if any Front -/.. ~. ..... Rear . .'7.. ~' ...... Depth.
Height ... Number of Stones .... .Q~ ....................................
D~rnenmons of same structure with alterations or additions Front . . . Rear ...
Depth ......... Height . Number of Stones ...........
8. Dlmensmns of entire new construction Front. i.~/.~.' .'" i... Rear...iCc?. ..... Depth .~.~. ......
Height .. Number of Stones
9. Slzeotlot bront .'Z¢~.~ 1.~'.0.~... Rear ] i~' ['" . ..... .... Depth ~'.Q.~'t't ......... ............
10. Date of Purchase .Pf,4.t(. .l.~.~.. .. Name of Former Owner .M~.R~'(.-tC-~. ~.. H..I~.~'.
11 Zone or use district in which premises are situated ...............
12 Does proposed construction violate any zoning law, ordinance or regulation ~/..0 .....................
13 Will lot be regraded //. O ....... Will excess fill be removed from premmes Yes N
14 Name of Owner of premises ........... Address ............ Phone No .......
Name of Architect .. ............ Address . .... . Phone No ...........
Name of Contractor ~p~.r.~ .~.U/'..~.! (Z-~ ... Address:l~ 4~.~,~r~ . Phone No 2,..~'~
15. Is this property located within 300 feet of a tida~w~.~es ..... No
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and dmtmctly all buddmgs, whether existing or proposed, and indicate MI set-back dtmensmns fro
property hnes. G~ve street and block number or description according to deed, and show street names and indicate whetb
interior or corner lot.
iNSULATIO~ ~
FINAL
CC~ NOT
STATE OF NEW.--VORK, o o
COIJb!TY OF ~M ~=~'0~o(. o o
-rr * . ..
(N~e of individual signing contract)
above named
·. being duly sworn, deposes and says that he m the apphca
He is the ~'~0 ~'Tt'0-z{ ~---'T. 0 ~'1,. .....
(Contractor, agent, co,orate officer, etc )
of smd owner or owners, ~d m duly authorized to perform or have perfo~ed the smd work and to m~e ~d file t
apphcahon, that all statements contained ~ thru apphcahon are tree to the best ofhm ~o~and~e~and~ t
work will be perfo~ed ~n the m~ner set forth m the apphcatmn filed' ~erew~th /~~
Sworn to before me this ~aF~ ~~
r ~ / ~ da~, ~ 19 ~ N*~~'[~~ -PUbhC, State o* Ne~
~ ' (S~ature ofapphca