HomeMy WebLinkAbout16172-zFORM NO. 4
TOWN OF MOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18237 Date AUGUST 2, 1989
THIS CERTIFIES that the building. ACCESSORY
Location of Property 2855 WESTVIEW DRIVE MATTITUCK~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 107 Block 8 Lot 6
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. 16172-Z dated JULY 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 AM APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
FELIX & IRENE BIALESKI
N-815969 - JUNE 23, 1987
Building ~bspector
Rev. 1/81
FORM NO. 0
TOWN OF Sou'rHOLD
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_ 16172 Z
Dote ......... ...'~..~...~ ....................
Permission is hereby granted to:
..........
,~C
· ..%%...~..~.~A.~ .................................................
A .....~. ~~....~..,.~..,~.u..~.%.~.. . ~
,o
,o~otedot ~.~ ..~.~~,. ~
at premises ................................................. ~ ...................
County Tox Mop No. 1000 Section ..... .~...O....-J ......... Block ....... ~1.~ ........ Lot No......~....~. .............
pursuant to application dated ...... ....~.~.....~,....'~2:~... ................ , 19..~...'L,
Building Inspector.
Fee $ ......................
and approved by the
Rev. 6/30/80
TO~N OF SOUTIIOLD
BUILDING DEPARTH~NT
TOUN HALL
$OUTROLD, NEW YORK
765 - 1802
! 197
APPLICATION FOR CERTIFICATE OF OCCUPANCY
.OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO~~ ~T HAMLET
O~ner or Owners of Property.. .~. ~
County Tax Hap No. 1000 Section ...... Block ....... Lot' . .......
Subdivi=io~ ....................... Filed Hap ........ Lo .......
[~oalth Dept. Approval .................. Underwriters Approval ..............
Plannlo~ Board Approval ......
Request for Temporary Certificate .......
Final Certificate ~""---'
er. 10/14/88
c0e I 7
FOI~ NO. 6
TOWN OF SODTIIOLD
~UILDING DEPARTmenT
TOWN tlAL~
765- 1802
· . APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
'This application must be filed in type~rriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use: ~ "
I. Final sUrVey of property with accurate location of all ' '
streets, and unusual natural or topographic features, buildings, property lines,
2. Final approval of Health Dept. of water supply and sewerage-dlsposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swor~ statement from plumber certifying that solder used in system contains less
than 2/10 of ]Z lead.
Co.n~_e[czal buildings, i~dustrzal bu~l~zngs, multiple r zdences and similar.
5. buildings and installations, a certificate of COde com;~iance from the Architect
or Engineer responsible for the building.
6. Submit Plannlug Board Approval of completed site plan requirements.
For existing buildings (Prior to April 9, ;957] nOs-conforming uses, er buildings
and "Pre-existing" laud uses:
1. Accurate surVey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A ~rOperly completed application, 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 OWnershl. of
If a Certificate of.n ...... ~ . L,~ entire lot pr~nrito April 9 ~7 '
reasons therefor in ~uuu~aocy is ~enled, the Bulld~ng Inspector shall'st~te'th~
writing to tile applicant.
3. Date of any housing code or safety inspection of buildlngSior premises, or other
pertinent information required to prepare a certificate.
For Uacant Laud'Certificate of Occupancy:
]- Au appllcation for vacant land Certificate of Occupancy sh~ll be submitted,
and a certified abstract of title issued by a title compan~ showing single and
separate oWnership of the entire lot prior to April 9, ]957 shall also accompany
the application. If a Certificate of Occupancy is dealed, ithe Building Inspector
shall state the reasons therefor in attiring to the applicant.
FEES:
]- CERTIFICATE OF OCCUPANCY - New D~elling $25.00, Additio'ns to Dwelling $25.00,
' Alteration to Dwelling $~$.00, Swimming Pool, $~5.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on Pre-existing dwelling - $10b. O0.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupaocy - $20.00
5. Updated Certiflcate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $~5.00 Residential
$50.0~ Commercial:
'~v. I0/14/88
THE NEW YORK BOARD OF FIRE UNDERWRITERS
in thefollowlng location; ~ Basen,ent ~ Ist FI. ~ 2nd FI, Outside Sec,ion Bilk Lot
~s examined on ~H~X¢~ ~ ~ ~ ~ at,d found to be in compliance with the require.tents o/ this Board.
DRYERS
RANGES OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO, OF FEET
SERVICE DISCONNECT E R V I
3THER APPARATUS:
1-O. ~.C o I
Magtituck~ i4Y 11952 Lic~2300E / G~NE~L MANAGER
COPY FO~ BUILD NO DEPARTMENT THIS COPY' OF CERT F CATE MUST NOT BE ALTERED N ANY ~NNER.
TOWN OF $OUTtlOLB
OFFICE OF BUILDING INSPECTOR
P.O. BOX 1!79
TOWN HALL
SOUTIIOLD, N.Y. 11971
July 25, 1989
TEL. 765-1802
Felix & Irene Bialeskl
2855 Westview Dr.
Hattituck, N.Y. 11952
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because.of the following reasons.
/_~// An application for Certificate of Occupancy
is not on file. (ENCLOSED)
I_--_~ No Underwriters Certificate on file.
The check it;X~x~/not on file.) $25.00
/~/ No }leal. th Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Ilu[lding Permit t! 1 6 I 7 2 Z
Building Dept.
*~/--/ Ho Plumber solder Certificate on file.
( all perm'~ts involving plumbing being
issued after April 1,1984 )
FOR~I
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date July 11 89
TO Felix & Irene Bialeski
(owner or authorized agent of owner)
2855 Westview Drive. Mattituck,
(address of owner or authorized agent of owner)
NY
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance C~. 100
Other Applicable Laws, Ordinances.'or Regulations ............................................
of 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.
in violotion of ARTICLE XXVIII-Chap. 100-281 & 284.
(State section or paragraph of applicable Iow, 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
........ .2..8.,5_5...~..g.¢.~..y.S.e..~...~..~.....,...~..q...t:..t_.~.~.u..¢.~. ...... County of Suffolk, New York.
SbFSOLK COU~T~ 'tAX ~ /1 ]L000-107-08-06
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 #16172Z
,
(Cert. Mail)
.................... ~.~.~.....~.~,.. ~..~...,.~/. ~: .c.w....~ .......
ORDINANCE INSPECTO~R
VINCENT R. WIECZOREK
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ]INSULATION
] FRAMING [ ~/~INAL ~ 0~
REMARKS-'~*~( r/~
DATE
' NSPECTOR/?~.~/~~~)
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~I~INAL
UNDATION (1st)
UNDATION ( 2nd )
UGH FRAME &
PLUMBING
SULATION PER N.
STATE ENERGY
CODE
FINAL
. ADDITIONAL COMMENTS:
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. I SURVEY ..........
TOWN OF SOUTHOLD CHECK -, .........
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved , 1~,3, Permit No. ~..(f. !..'~..~..
Disapproved a/c .....................................
(Building Inst
NOTIFY
CALL ................
MAIL TO:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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 % ¢i¢~ ~ m~qt be commenced before issuance of Building Permit.
d. Upon ~t~i~ [ tl~tt'~ng Inspector will issued a Building Permit to the applicant. Such permit
~.~ f~c[ion throughout the work.
shalle.be Nokeptbuild°n ~1~'~ ~s~d in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have . ~,, [~[ ~.~ector.
~ ~(~'~he Build~ng Department for the ~ssuance of a Bml&ng Permit pursuant to the
~ ¢'Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~f~b~tlildings, additions or alterations, or for removal or demolition, as herein described.
The
admit
~h all applicable laws, ordinances, building code, housing code, and regulations, and to
~mises and in building for necessary inspections.
· .B.,...rz...~./~. y...~..s.~.~, s. ..................
(Signature of applicant, or name, if a corporation)
./j..~....¢.7.%... ,~./~z:i ~,,...~?...,,q. ~
(Mailing address of applicant)
State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......... , .¢.4.-~....z~..~ .c. ..... .q~..~., .714....~..'.to., .~ ...............................................
Name of owner of premises ...... - .f.~.d..-.'-,~../.~(~....¢.....~.. ~..2td.~.-- .... ./J../.~../1. ~/.~..I .....................
(as on the tax roll or latest deed)
I~corporation, ~sign~uc[e of duly authorized officer.
'~' .... }/'q'a'~n~ ~t 'titie/~~~)',
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ...... '2,?'2. v,./~...~. .....
Plumber's License No .........................
Electrician's License No. ]2_//V~.rdkW.~... ~..~..z~..7_~ec_
Other Trade's License No ......................
Location of land on which proposed work will be done~ .~..Z-.~..P/..&y..k}...0.~../'.O.&.'7..]../~./¢Z. ¢7..2~././7X..C~ ......
......................... b.T?7~. ,c-.~. .... ....... /~.~77..77./'.~..c. K .... , .............
House Number Street Hamlet
County Tax Map No. 1000 Section ...... 10..~. ....... Block ........ ~' ........ Lot... A .............
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 ................................... '{.u,,;z,, .,,~:., :,,.. .....................
b. Intended use and occupancy I '
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration 1'/2 .......
Repair .............. Removal .............. Demolition ........ Other Work ..... ~. ........
' (Description)
4. Estimated Cost ........ ~..(~.,.O. :.~ .................. Fee ......................................
~ " (to be paid on filing this application)
5. If dwelling, number o f dwellinglunits ............... Number of dwelling units on each floor ................
If garage, number of cars ........................................................................
6. [f business, commercigl or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structurds, if any: Front ............... Rear .............. Dbpth ~ i .............
H6i~ht . .............. Number of Stories ........................ ; ............... ~. ...............
Dimensions'of same structure With alterations or additions: Front ................. Rear ..................
Depth ............... r;: ~ ' i '~ ~g~[ght ...................... Number of Stories ......................
Dimensions ofantire new~bfis~a~i~J~ Front .......... · ..... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9. Size of lot: Front .......... ; ........... Rear ................ ........ Depth ......................
10. Date of Purchase .......... ~ .................. Name of Former Owner .............................
1 1. Zone or use district in which pr~mises are situated ......... ~. ~.~/'~/TY. l ?~..Y~.~ ........................
12. Does proposed aonstruction violate any zoning law, ordinance or regulation: .... / .t~.~. ........................
13. Will lot be r~graded ..... . ./.1'~. ................. Will excess fill be removed_from premises: (~ No
14. Name of Owner ofpremises .~ './~./.~.. &..~./.~. ( ..... Address../~./~../..z~..~.... Phone No ............... ..~..
Name of Architect. . Phone No. ~ .~. ~.~ 2fi~ ~'~i 5'
Name of Contractor ~.'i i ~. ~;~.'~'~. ~ i ~..~, ~ ii Address
.... Address i i)~)~i~i~2~.i Phone No .........
15. Is this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... No .~.
· If yes, Southold Town Trustees Permit maybe required.
PLO~r DIAGRA~
Locate clearly and distinctly ~1~ buildLngs, whether existing or proposed, and. indicate ~l! set-back dknensions from
property Hnes. Give street and bloc~ number or description according to deed, and show street names and indicate whether
interior or corner lot.
Sworn to before me this
........... .¢~..~..} .... day0f~, .... . .~..~
Notary Public, ~~
NoteW Publlo, 8tats of New'to
aue~lfled in SufMk .Cou~,., ~
Commission Expires Dec,most u, ~u--
cou Y s.s
...~0~ ~.~ ~.:.. ~4'.~ .... ~..:...~. being duly sworn, depo'ses and says that he is the applicant
(Name of individual sig,ing contract)
above named.
.............. ............................
Heisthe .:
of said owner or owners; ~d is d~ly autho~zed to'perform or have perfomed the said work and to m~e and file this
application; that all statements conlained ~ this application are true to the best of his knowledge and belief; and that the
work w~l be perfo~ed in the m~ner set forth ~ the application filed therewith.