HomeMy WebLinkAbout15235-zFORM NO 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin§ Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupancy
No Z-16653 Date February 18, 1988
THlSCERTlFIESthatthebmldmg Construct Above Ground Pool & fence
725 Lauds End Road Orient, New York
Locatzon of Property Hou~ No ...........
County Tax Map No 1000 Secnon 0 15 .Block 0 9 .Lot I . 16
Subd]v]mon. M/o La. ntis End Filed Map No 5909 .Lot No. 16
conforms substantially to the Apphcat~on for Bmld~ng Permit heretofore filed ~n tins office dated
Aug. us.t 19, 1986 .. pursuant to winch Buddmg Pennit No 15235 Z
dated September.q: 198.6. .. was msued, and conforms to all of the reqmrements
of the applicable provm~ons of the law The occupancy for winch ttus cernficate is issued is .,
ABOVE GROUND SWIMMING POOL & PENCE AS APPLIED FOR
KURT & I,',~.RY ELLEN WERBER
The cemficate m ~ssued to ........ [ownek, I~~ ......
of the aforesmd bmldtng.
Suffolk County Department of Health Approval N/A. ....................
UNDERWRITERS CERTIFICATE NO. N853151
PLUMBERS CERTIFICATION DATED:
N/A
Building Inspector
Rev 1/81
FO]BM NO. ·
TOW'N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PEP. J~IT
fi'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
15235 Z
C. ou.ty To× Mop No lO00 Sect, ~;~1.~ Block ..9..C[ ........ Lot No .... ~.:..! ~*.
pursuant to apphcahon dated . ~ .4~~/'~ ~. ~ ..... 19.~...(~., and approved by the
Budding Inspector
Building Inspector
Rev 6/30/80
FORM NO 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A
Th~s application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor w~th the following; for new buildings or new use.
1. Final survey of property w~th accurate location of alt buddings, property lines, streets, and unusual
natural or topographm features,
2. Final approval of Health Dept. of water supply and sewerage d~sposal-(S-9 form or equal).
3 Approval of electrical installat~on from Board of Fire Underwriters.
4. Commermal buddings, industrial buildings, Multiple Residences and simdar buildings and installa-
tions, a certdicate of Code compliance from the Architect or Engineer responmble for the building.
5 Submit Planmng Board approval of completed s'te plan requirements where apphcab~e,
For existing buildings (pr*or to April 1957}, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property hnes, streets, buddings and unusual natural or
topographic features.
2 Sworn statement of owner or prewous owner as to use, occupancy and condmon of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
t~on required to prepare a certificate.
Fees'
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1,00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
$15.00
NewConstructmon ...... Old or Pre-existing Braiding ........ Vacant Land ............
Location of Property . ...~ t.~....~.. 11¥,~ .~ I~lt.~'~J~ll ..... 0~[ ~'~1~.. .......
House No. A Street ,~ Hamlet
Owner or Owners of Property . .~
County Tax Map No. 1000 Section ........... Block ........... Lot ...............
Subdwlmon .................. Filed Map No ........ Lot No ..........
Permit ,o. l 5 .~.~. Date of Permit ........ Applicant ................................
Health Dept Approval ................ Labor Dept Approval ......................
Underwriters Approval .................. Planning Board Approval ...................
Request for Temporary Certdlcate ................... Final Certlfmate .......................
Fee Submitted $ ..............
Construction on above described budding and perm.)~t ~ts all ~phcabl~ codes and rJ~lat~ons,
Rev 10-I0-78
FIELD I N~I~EC~I ON COMMENTS
FOUNDATION {1st)
FOUNDATION
(2nd)
ROUGH FRAME &
PLUMBING
t~SULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
Subdiv~s~on-"Orient By The Sea-Sect One"
Suffolk County F~le No 2777
Lot :50
N.O0* 20'40"E
Lot 29
169.80'
N
AND'S
END ROAD
555 ti'
AONVaflO30 ~0
ao AONVanOoo
. ~v '~, ~- L.
C~MPL~T~ FOR C.O
CO~St ~MCTION SHA~ ~EET
~QUIP~MENT5 ~ THE N.Y
CONETRUC~ION & ENER~
NOT ~ES~NSI~E ~R
OR CC.~ST~C~ON ~ROR:
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. [lOX 728
TOWN HALL
SOUTIIOLD, N.Y. 11971
December 2,
Mr. Kurt Werber
725 Lands End Road
Orient, New York ]]957
TEL 765-1802
1987
2nd NOTIFICATION
To Whom This May Concern,
Pie are unable to complete your Certifzcate
of Occupancy because of the following reasons.
/_-/ An application for Certificate of Occupancy
is riot on file.
/~"_--/ No Underwrzters Certificate on file.
~ Th,;; check is(o~ d_~L~L]_tg~X~.~ RETURNED HEREWITH, PLEA
-- SUBMIT NEW CHECK IN AMT OF $25.00 WITH
/~/ No Health Dept. Approval on file. UNDERWRITERS CERTIFICATE
/~/ NO final inspection has been made.
Plea%o. contact ()tlr office on this matter.
Thank you for your cooperation.
Bui]ding Permit t~ i $ ~_~ A 5, Z
Bui ] (1 ~n~ D(3pt.
~**/~/ Nn Plumber bolder Certzficate on file.
( all p,~tm~ts Jnvolving plumbing being
issued after April 1,1984
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 725
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
PooL.
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because,of the following reasons.
/--~_ An application/ c ; )~r Certifi~te of
Occupancy
is not on flle.~~~/
__/~ No Underwriters Certificate on file.
The check is(eutdated/not on file.~.O O
/~/. No Health Dept. Approval on file,
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~ I ~3 3 Z
Building Dept.
***/Z/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
I
Subdivision- Orient By The Sea-Sect, One
Suffolk County File No. 2777
Lot 30
Lot 29
N
LAND'S
.~ S,QN'g'-I
...... ~URCO I
- ',,~ ~ ~CTION SHALL MEE~
', ~ ~6~UIREMENTS OF THE N,Y ~
C;~ES, NOT RE~SI~E ~I
j ;I~IGN OR CO,~S~ON ~.
December 28th 1987
Tc~n of Southold
Office of Building Inspector
P.O. Box 728
Town Hall
Southold, N.Y. 11971
Enclosed please f~nd check ~n the amount of Twenty five dollars ($25.00),
and Underwriters CertifIcate for pool permit # 15235z.
Respect fu~17 ¢
P.O. Box 2014
725 Lands End Road
Orient, N.Y. 11957
Iqltllltltlltllllllllllllllllllllllll tlllllllllllltlltlllltlllllllllllltllll Iltltltl|llllllllltlllllltlltlllllllllh IIII11111111111,
,lllllllllllllllllllllllllllllllllllll qlltlllllllllllltlllllllllllltlltllll qltlllllllllllllllllltll|lll[llllltll
FORM NO 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y 11971
TEL.. 765-1802
,
· 19 Permit
Disapproved a/c ...............
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ............ , 19. .
INSTRUCTIONS
a Tlus application must be completely filled m 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 buddings on prenuses, relatmnship to adjoining premises or pubhe street~,
or areas, arid giving a detailed description of layout o£ prol~erty mu~t be drawn on the diagram wfimh ~s part of
cation.
c. The work covered by flus application may not bc commenced before issuance of Bm/drag Permit.
d. Upon approval of this appheation, the Building Inspector will issued a Budding Permit to the apphcant Such penni!
shall be kept on the premises available for inspection throughout the work·
e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Oceupanc~
shall have been granted by the Budding Inspector
APPLICATION IS HEREBY MADE to the Bmldmg Department fo~ the issuance of a Bmldlng Permit pursuant to th.
Bmldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as hereto descnbed
The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and
admit authorized inspectors on premises and m bmldmg for necessary inspections
(Signature of apphcant, o'f name, if a corporation)
(Marling address of applicant)
apphcant"~lessee, agent, architect, engineer, general contractor, electnman, plumber or
State
whether
bmlder
Name of owner of premises ~J gL'~ . ~.. ~J[~ ~.. ~C(, ~'~,~ .~. ~ [~, a
(as on the tax roil or latest deed)
If applicant is a corporation, s~gnature of duly authorized officer.
(Name and title of corporate officer)
.dldcr's L~cenae No ~ ~'~ ........
Plumber's License No ........
Other Trade's L~cense No .........
1. Location of land on which proposed work will be done
House Number Street
County Tax Map No lO00 Section 1~.
(Name)
2
Hamlet
Block . . Q~ ..... Lot !' l.~
State extstmg use and occupancy of premises and intended use and occupancy of proposed construction
· .1.- 7
a Existing use and occupancy ....
3. Nature of work (check which applicable) New Building . ~;j ~ ..
Repmr ...... Removal ..... Dem.ol:t/, ..... ~-~ -'"'~ ' (D'e~ ~tF ~ther Wor~.~~ ''
4 Esnmated Cost $ .................... Fee ..................
* (to be prod on fihng thru apphcat~on)
5. If dwelhng, number of dwelhng umts ........ Number of dwelhng umts on each floor ..........
If garage, number of c~s .......................................
6. If business, commercml or mixed occupancy, specify nature and extent of each type of use .........
7. D~mens~ons of exmnng structures, ffany Front ........... Re~ .......... Depth ..........
Height .......... Num her of Stones .................................
D~enstons of same structure w~th alterations or ad&tmns Front .......... Rear .........
Depth ............. Hm~t ............ Number of Stones ..............
8. D~mensmns of entire new construction Front Re~ ........... Depth ..
Height ......... Number of Stones .............................
9. Size of lot Front ............... Rear .............. Depth ................
I0. Date of Purchase ................... Name of Fo~er Owner ..........................
11 Zone or use d~stnct in which premises are mtuated ..................................
12 Does proposed construcnon wolate any zoning law, ordinance or regulation ............. , ..........
13. ~I lot be regraded ......... ~11 excess filkbe removed from premises : Yes
Nme of Architect ............. Address ............ Phone No .........
N~e of Contractor ............ Address ....... Phon~ .......
15. Is rhts property locaged wtthtn 300 feet of a ttdak wetland? *Yes ..... ~
*If yes, Southold To~ Trustees Permit maT be required.
PLO7 DIAG~
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dtmensmns rrm
property hnes. Give street and block number or description according to deed, and show street names and indicate whethe
interior or comer lot
STATE OF NEWXOR, K,, , S.S
COUNTY OF .2q~c./,,~..
.... ~.I .~. ~. )/ .~//f-' P~/... id~ j- .l~, .¢. t .~... being duly sworn, deposes and says that he is the apphcanl
(Name of individual signing contract)
above named·
He ~s the ......... ~ ......... .~...d~..A?..&-A~ ......................................
(Contractor, agent, corporate officer, etc )
o£ said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
application, that all statements contained m this application are true to the best of his knowledge and belief, and that the
work will be performed in the manner set forth m the application filed therewith.
Sworn to before me this
...... / q~T-~ ..... day of.
Notary Public ...... ~ ......
No 4822563, Suffolk County~
Term Expires December 31, 19JJ-~
.......
(S~gnature of applicant
Ill
, ~ ~ t~~/':.~,~ .~ t ~~
~ Z
SU~Y FOR
=U~OCK COUN~ ~*Rm~ OF H~Lm S~WC~ KURT WERBER ~ MARY ELLEN WERBER
LOT 16 "MAP OF LAND'S END"
J~Y 2~, 1985
~OR APPROVAL OF CONSTRUCTION ONL~ AT ORIENT POINT D~TE ,JULY II, 1985
,~N ~ SOUTHOLD SCALE
DATE HS REF. NO. SUFFOLK COUNTY. N~ ~RK NO 85-559
NOT II CON~m[~[~ TO ~[ · V~L~O ~U[ CO~
HE~ DEPARTM[NT-OATA F~ APPR~ TO C~STRUCT ~E ~ ~o~ wNo~ ~NE SU~ Is
NOTES' I=MONUMENT AREA-'55,439 S F
SUBDIVI~ON M~ FILED IN THE OFF~E ~ THE CLERK OF ALDEN W ~UNG,PROFE~IONAL ENGINEER
AND ~NO SURVEYOR N Y.S UCENSE NO 12845
SUF~LK COUNTY ON MAY ~197~ AS FILE N0.5909
HOWARD W YOUNG~ LAND SURVEYOR
~ ~ ~L{~),~C T~(I~IC[~I~) ~N ~ N Y S LICENSE NO 45893