HomeMy WebLinkAbout15167-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18986 Date APRIL 25~ 1990
THIS CERTIFIES that the building INGROUND POOL
Location of Property 1000 OLD SHIPYARD LANE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Sectlon 64 Block 04 Lot 23
Subdivision FOUNDERS ESTATES Filed Map No. 834 Lot No. 92
conforms substantially to the Application for Building Permit heretofore
filed in thls off~ce dated AUGUST It 1986 pursuant to which
Building Permit No. 15167Z dated AUGUST 2t 1986
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certlflcate ~s
issued is INGROUND POOL & FENCE--AMENDED TO INCLUDE DECK.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ALVAH & ELIZABETH GOLDSMITH JR.
N775017 OCT. 17~ 1986
N/A
Building ~spec~or
Rev. 1/81
TOV~'N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALt.
SOUTHOLD, N.
(THIS PEPJ',AIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COAAPLETION OF THE WORK AUTHORIZED)
N? 15167
Z
Permms~on ~s hereby granted to'
,o .~......~.. ~ ~ g... F~..~..~....~...~.~-
....... ~/."~.,'...........~.~ ~.....~,~ ............................................
pursuent to epphc~flon dot~ .~~, / ...... , ]9~.~., end opprov~ by the
Budding Inspector
Building Inspector
Rev 6/30,/80
TOWN of SOUTHOLD
OFFICE OF BUILDING INSPECTOR
Town Hall
Rece,pt NO. 3 90 C '~ Southold, New York 11971
,//
Date ...... z,//~../~,~ ..................
,~,ved of ........ ~...~f.~,...--~ ............................~'....d&~-¥Z- ~; .............................................................
.........................~ d ~- ~'"'~//~'"'--~. ~c(~ ...................... ~.//.~,d~.---~:: ................................................................. ~°5-,Od /100 Dollam
,or ..~T~.../~.?.7oz:;.5.~ ..~_~ ......... ~' ;~ ..................................................................... ,. ,or ~ee ,or
Fee for Fee for
, --v' r--l,-'-'t~flcate
[] Yard Sale [] [] [] H I C I ~lBulldlng Permit I~1 of Occupancy [] Ml$c
[] Cash
[~C~eck
Budding Department
"pre-existing" land uses:
i. Accurate survey of property showing all property lines, streets, bu~ldzng and
unusual natural or topographic features. ~
2. A properly completed application and a consent to inspect signed by the applmcant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor mn writing to the applzcant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additzons to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory bullding $25.00,
Additions to accessory bu~ldzng $25.00. Businesses $50.00.
2. Cergmflcate of Occupancy on Pre-exlstmng Buildmng - $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 $I5.00
Date. . . . .~.6~-~.~- .~. ~ ............. . . . .
New Construction...........~'~ 01d Or Pre-existing Buildzng .............. .. .
Location of Property./.~.....~.(..~). ................ : ..............
House No. Street /Hamlet
Onwer or Owners of ~roperty..~./~..z~:.> ................... % ..............
County Tax Map No 1000, Sectmom...~..~.. ...... Block...~.~.~ ..... Lot ....~...c~.. .........
Sub~ivision.~_~.~...~,..~.~ ....................... ~ ..............
Filed Map . . Lot
Permit No .Z~. ~.Z..Z-~.. ........................................
. . Date Of Permit Applzcant ........
Health Dept. Approval......... ........... .. .
Planning Board Approval .................. .. .
Underwriters Approval . . .
Request for: Temporary Certificate .........
Fee Submitted: $ ....................
Final Certicaie ..
.. ~.~. .. ..... ~ .......
./ APPLICANT ~
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FI~,IAL
ADDITIONAL COMMENTS:
VICTOR LESSARD
EXECUTIVE ADMINISTRATOR
(51fi) 765-1802
Town Hall, 53095 Mare Road
P O Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SEPTEMBER 19, 1989
ALVAH GOLDSMITH, Jr.
970 OLD SRIPYARD ROAD
SOUTHOLD, NY 11971
SUFFOLK CO. TAX # 1000- 64- 03- 08
Re: NOTIC~ OF VIOLATION
Dear Mr. Goldsmith:
You recently received a Notzce of Violatzon. To
date you have not responded to that notice. If you do
not remedy this situatzon zmmediately, you will have to
appear in Court to answer crimznal charges for vzolat-
lng the Southold Town Code.
Please contact the Buzlding Department of the Town
of $outhold at 765-1802 upon recezpt of this letter.
Very truly yours,
Vincent R. Wieczorek
Ordinance Inspector
B.P. # 15167 z
TOWN O1: SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFIC£
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
IDczte July I 1 1989
(owner or authorized agent of owner)
....... ~.7. D...O l~i..Sl~ ;~p.y. ax &..~,g,,., ..$.~u.t.k o. Ld.,
(address of owner or author,zed agent of owner)
NY
PLEASE TAKE NOTICE there ex,sts a vlalahan of
Zonmg Ordinance
CHAP. I00
Other Apphcable Laws. Ordnances'or Regulahons .......................................
at prem,ses hermnafter descnbed m that A swi~ain§ pool £s bein§ used without a
(state character of woiat~on)
Certificate of Occupancy and an expired building permit.
ARTICLE ~III-Chap. 100-281 & 284.
tn violation of ..............................................................................................
(State section or paragraph of applicable Iow, ordnance or reguJahan)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply wtth the Iow and to remedy the
cond~hons above mentioned IMMEDIATELY
The prem,ses to which this ORDER TO RE&AEDY VIOLATION refers ore s,tuated at
...... of suffolk, New York
SUFFOLK COUNTY TAX MAP ~ 1000-64-03-08
Podu~e to remedy the condttlons aforesaid and to comply with the apphcable provisions of Iow
may constitute on offense pumshable by fine or imprisonment or both
(Cert. Mail)
ORDINANCE INSPECTOR
VINCENT R. WIECZOREK
TITLE NO,
0
~.o\
NOTE= · gMONUMENT
SUBDIVISION MAP FILED IN THE
OFFICE OF THE CLERK OF SUFFOLK COUNTY
ON MAY 10,1927 AS MAP NO. 8S4,
SURVEY FOR
ALVAH B. GOLDSMITH,
ELIZABETH A. GOLDSMITH
LOT NO. 92
"FOUNDERS ESTATES
SOUT HO LO GUARANTEEO TO:
TOWN OF SOUTHOLD MATHEW T. PALMER
HOME TITLE DIVISION OF
SUFF. CO., N.Y. CHICAO0 TITLE INSURANCEC~
SCALE' 1"=40'
AUG. 26, 1965
LAND SURVEYOR N,Y,S. LIC, NO, I~S45
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
£ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING [//{/FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( | ROUGH PLBG.
[ J FOUNDATION ZND [ ] INSULATION
[ ] FRAMING ~ ,r~f]~INAL
Co.
REMARKS: ~*~.~) ~-~ ~v~ ~ ~.
DATE
IIItllltllllllllllllllUl~lllUIIIllllil lltli~ltllitllftllil~tl~iiilflltllm I~m~tl~lLltlillllllllllilllllll~llil
~ O~
'llllllllllllllllltllllllilllllliltll fl[[ll~tlllll[lllll~l qllllUIIIIl~lllllilll'
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y 11971
TEL,: 765-1802
Examme~,..~t~'~' a.~ , 19~(~
Approve~~.~(' "~ ' ;~-, 1~ Perrn,t No I ~ ).~.~ .'~.
D~sapproved a/c ..................
(Budding Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Rece~_ved ........... ,19.
Date . . .~/[ ... ,
a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w~tl
sets of plans, accurate plot plan to scale Fee according to schedule.
b. Plot plan showmg location of lot and of buddings on premises, relationship to adjoining premises or pubhc sire
or areas, and g.tving a detailed descnptlon of layout of property must be drawn on the diagram which is part of tins ap,
catlon.
c. The work covered by this application may not be commenced before issuance of Budding Permit.
d. Upon approval of this apphcanon, the Building Inspector will msued a Budding Permit to the apphcant Such pen
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 unt~l a Certificate of Occupar
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Budding Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of bufldmgs, additions or alteratmns, or for removal or demolition, as hereto descnb,
The applicant agrees to comply with all apphcable laws, or&nances, budding code, housing code, and regulations, and
admit authorized inspectors on premises and m bmldmg for necessary m,~0ectlons.
·. ,. , l . . . . .c. ........
(Signature.o£ applicant, or name, if a corporation)
~, ~.~, ~ ~'(~aflmg address of applfcant) '~";
State whether apphcant is_owner, lessee, agent, architect, engme~r,~ .e~._-contractor, electrician, plumber or bmldc
....... ,, .......................
(as on the tax roll or latest deed)
If al~'r~ ~s a corporation, s~gI3ature of d~uly authorized officer
Budder's License No . ..
Plumber's License No .......
Electrician's License No ~0~ ~;'~"~t'C
Other Trade's License No
1. Location of land on which proposed work will be done
House Number Street
County Tax Map No 1000Sectmn .~..¢
Subdivision /~ttOt('O,A~.~ ~."~'~'~. Filed Map No Lot
(Name)
State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction
a. Existing use and occupancy , .
b. Intended use and occupancy
Hamlet
Block .... .'~ ..... Lot .....
3. Nature of work (check which apphcable) New Bufldxng Additmn ....... AlteraUon
Repair Removal .......... Demolition ..... Other Work
4
5.
Estmaated Cost
If dwelling, number of dwelhng units
(Description)
(to be paid on filing thru application)
Number of dwelling units on each floor ..........
If garage, number of cars ................................................
If business, commercml or mixed occupancy, specify nature and extent of each type of use ...........
D~menmons of existing structures, if any. Front .. . Rear ......... Depth ........
Height ...... Number of Stones ...........................
Dmaenmons of same structure with alterations or additions Front ........... Rear .............
Depth ............. Height ........... Number of Stones ........
8. Dm~enmons of entire new constrnct~on Front .... Rear ........... Depth ............
Height ......... Number of Stones
9. Size of lot FrOnt .......... Rear ................ Depth ......
10. Date of Purchase .................. Name of Former Owner .......................
1 1 Zone or use district ~n which premises are situated ..........
12. Does proposed constructmn woI~e, hany zomng law, ordinance or regulation' . ...............
13. Will lot be regraded . ../.¥ c?. ......... Will excess fill be removed from premises' e~) N,
14 Name of Owner ofpremmes ~t:.O./~.~/ . .~' .¢~$~., ~./~. Address . de/~/,~ J'-~.. 0Z/'fi...,'?.~. Phone No .............
Name of Architect ..../~/." ,.~./~.'~. (-'.~.' .......... Address .............. Phone No ....
Name of Contractor ...~.. ~-~r~v.~. Address ,~/~f~£.)..Z'P~.. F'..,'~hone No 2~.~.' .~."--~..~/~'~'e':':
this property located wzthln 300 feet of a tidal wetland? *YesZ ..... No ~...
15.
Is
*If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM
Locate clearly and dmtmctly all buddings, whether existing or proposed, and.~nd~cate all set-back dm~enslons fron
property hnes Give street and block number or descnphon according to deed, and show street names and indicate whethe
interior or corner lot.
OCCUPANCY OR
USE IS UNLqWRIL
"THOUT CERTIFICATE
?CCUPANCY
&PPROVED AS NOTED
- B.e *
~ DEPARTM~ ~
~ ~ ,,,~, ~O~STRuc~ON MUST
~ .0~$1 qUCT~N ~ M~
TH~ R~QUIR~{ENTS ~ ~ N.Y
cOOES NOT ~NS~E ~R
~tGN OR C~S~ON ~R~S.
STATE OF NEW YORK, S S
COUNTY OF ....
(Name of Individual signing contract)
above named
...... being duly sworn, deposes and says that he is the apphca~
He is the ............
(Contractor, agent, corporate officer, etc )
of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file th
application, that ali statements contained m this apphcation are true to the best of his knowledge and behef, and that ti
work wdl be performed ~n the manner set forth m the application filed therewith
Sworn to before me this
Notary Public,