HomeMy WebLinkAbout16171-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18281
Date AUGUST 14, 1989
THIS CERTIFIES that the building. ACCESSORY
Location of Property 495 BENNETTS POND LANE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 113 Block 13 Lot i3
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 22, 1987 pursuant to which
Building Permit No. I617I-Z dated_ JLVLY 2, 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 ~ APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
JAMES & LEILA McKAY
N-004739 - FEBRUARY 11, 1988
Building In~ector
Rev. 1/81
TO~N O~ $OUT~OL~
BIJtLDING DEPARTMEN'r
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 16171 Z
Permission is hereby granted to:/,~ ~-~ /~
...f~ ........ .~L,~:......~....~.~ ...........
..~--~....o...~..~,,¥~.'. ........................ .~..... ...............
......... ' ~..,, /g. , I ..C-~..-.
,, ~_ ~.~~ ........... ~......L.,.~ .............. ~
,o~~.~.......~.....~ .~..~...5..~.~......~ ..........
at premises located at ..............................
pursuant to application dated .....~.. ~ .?:'....~.. 19.~....~.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUT~OLD
BUILDINC DEPARTMENT
TOWN HALL
SOUTDOLD, NEW YORK
765 - 1802
11971
BLDG. DEPT.
TOW,N, OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING. CANT LAND
Location of Property. ~' '15 ~ ~ ~f ~C ~
HOUSE NO. STREET HAMLET
O~ner or O~ner~ o£ P~operE7 ....... I
County Tax Rap No. 1000 Section .~. Block .~... Lot ./.~ .....
Subdivision ....................... Filed Map ........ Lot ..........
Permit No. /.~ / ..... Date of Permit ....... Applicamt ...........
. . .. . .......
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .~ ..... Final Certificate ................
Fee Submitted: $ .....
APPLICANT. . ................
rev. 10/14/88
c 0 ~
U~D~?ION ( 1 s t )
UNDATION (2nd)
UGH FRAME &
FLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
· ADDITIONAL COMMENTS:
THE NEW YORK'BOARD OF FIRE UNDERWRITERS~ PAGM 1
1001381 ~, BUREAu OF ELECTRICITY ~ * ~
[-- !i· 05 .JOHN STREET, NEW YORK. NEW YORK 10038 .*l
oor,~ FEBR~UtRY 11,1988 ~pii~,t~o, ~o.o,~t~ 52685188/88 ~ 004739
~t~S exarnined on J~U~RY 28,19SS and found to be in c~mpliance with tho reqttire~nents of this Board. '
~lXlU~ RANGES =~glN~O~CKS OWNS D~SH WASHERS EXHAUST ~ANS
I 2
DRYERS
OTHER APPARATUS:
G.F.C.I:-I
*(SWIMMING POOL), This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
have frequent test/and or repairs
m~de by a qualified person.
V
JODY PUMILLO
PAT LANE !
MATTITUCK, NY, 11952 OENFJ~AL MANAOI~
11
-' e,, "__I,.'t.
~ Thi~ certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION IST [ ] ROUGH PLBG.
] INSULATION
[/~INAL ~)~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date ~u.];.,~.. 1 1 89
TO James & Leila McKa~
(owner or authorized agent of owner)
495 Bennetts Pond, Mattituck, NY
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance CHAP. 100
Other Applicable Laws, Ordinances-'or Regulations ............................................
at premises hereinafter described in that A swinging pool is being used without a
(state character of viaiatmn)
Certificate of Occupancy and an expired building permit.
in violation of ARTICLE XXVIII-Chap. lOO-281 & 284.
(State section or paragraph of applicable law, ordinance or regulahon)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law end to remedy the
conditions above mentioned IHHEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
495 Be.n..n..e.t..t.s Pond, Mattituck
............................................................................. n.y of Suffolk, ~qew York.
SUFFOLK COUNTY TAX MAP // 1000- 113 - 13 - 13
Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
BP f/16171Z
(Cert. Mail)
N
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
Disapproved a/c .....................................
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. 1 SURVEY ..........
/OWN OF sOU/HOLD CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL ................
MAlL TO:
{Building Inspector)
APPLICATION FOR BUILDING PERMIT
IN ST RUCTION S
Date ............... .~/~. , 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 m&y not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to tlie 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.
· .... ~./...g ~(*.: ?...n...~ .~.~. ...............
(Signature of applicant, or name, if a corporation)
~.~..44~.,...:..tn..,~...,~z:~,..
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................. C..B~...~...~.. ....... .C.~.0.~..~w. ¢..c~...~ ..........................................
Name of owner o f premises ...... ~.. · ./~..'~. · · · ./~. · · · · .~. .... ?../~. ¢ ~ .... ~ ..... .~. ~../.~.~.~ ............. (as on the tax roll or latest deed)
If aplst~,l~tlis a corporation, sig%aturej~I[duly authorized officer.
title of -
ALL CONTRACTOR'S MUST BE S~3FFOLK COUNTY LICENSED
Builder's
License
No
..... ~7~ ~" '~'~ ........
Plumber's License No .........................
Electrician's License No..~...~.~. · .ff~. · . · · . .~.~..~.-~7_?~_
Other Trade's License No ......................
Location of land on which proposed work will be done]. A~.2'fd .~M.d~'i'.~/~.... ~..6'~/~.~.....~.~P~.2~.:..~.{ .~../-././..'~
.... F. ?.~ ............. &-~ .~, .r-~-... r.~ ..... .~: ......... ~¢/:c...27. ~c .........
House Number Street Hamlet
County Tax Map No. 1000 Section .... /J..~. ......... Block ..... /..~ .......... Lot .... )3 ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occnpancy of proposed construction:
a. Existing use and occupancy ....................... ;....'..:; ? .- .................
b. Intended use and occupancy / .~....,Z_:_:_f~g..~'f..~.. ....L~.
of work (check which applicable)! New Building ..... · ..... Addition .......... Alteration ,
3,
Nature
Repair .............. Removal .............. Demolition .............. Other Work ...............
.~. 2..~..' ~ (Description)
4. Bstimated Cost ....... : .................. Fee ......................................
(to be paid on filing this application)
5. 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 strt/¢iur~s, if any: Front .... , ........... Rear .............. Depth ...............
· Number of Stories ~ '~ ' ..~,.
Height ..... , ..............................................................
Dimensions'of same structure with aiterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
Dimensions of entire new con, st~,c~ion: Front .......... ' ..... Rear ............... Depth ...........
9 Sizeoflot: Front ~ Rear ' Depth
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated .......... ~.~..T././?..l~. ~/,4~.c. .... ~I?~/ ...................
12. Does proposed construction rio!ate any zoning law, ordinance or regulation: ...............................
13. Will lo~ be regraded ........... .~.0 .............. Will excess fill be removed from premises: ~ No
14, Name of Owner of premises .. ,~.~"~(q~ ......... Address , ./~/'~7~/.Z~. ~.~.. Phone No ................
Name of Architect ......... ;. ................. Address ............ ; ...... Phone No ........
Name of Contractor. l~J:./~; ].z.~ .~'../.. d'~..... Address .. ~.'.'.'.~.~".TJ./T~ £.I~... Phone No. , ~.~. ~.~.
15. Is this property t'gcated iwithin 300 feet of a tidal wetland? *Yes ..... No .~..
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRA~
Locate .clearly and disthnctly ~Ji buildings, whether existing or proposed, and. indicate Id1 set-back dhnensions from
property lines. Give street and block:number or description according to deed, and show street names and indicate whether
interior or corner lot.
cou]srry OF../.~....~ ~'
· ./I/.
(Name of individuaI sigging contract)
above named· :
.... being duly sworn, deposes and says that he is the applicant
Sworn to before'/I '/?me this ~r~~
............
Notary Public, .~.
CLAIRE I. GLEW
NIRaly Pliblle, Stetei'of New York
No. 4879505
k~ EXpires uecember 8, 10.,.M.-~
...... 19 .?
(Contractor, agent, corporate officer, etc.)
of said owner or owners, m~d is d~ly authorized to perform or have performed the said work and to make,and file this
application; that all statements con~ained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.