HomeMy WebLinkAbout15009-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18424
Date SEPTEMBER 26~ 1989
THIS CERTIFIES that the building.
Location of Property 1560 PIKE STREET
House No.
County Tax Map No. 1000 Section 140
subdivision
ACCESSORY
MATTITUCK~ N.Y.
Street Hamlet
Block 3 Lot 7
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 13,.1986 .pursuant to which
Building Permit No. 15009-Z dated JUNE 23~ 1986
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 & DECK AS APPLIED FOR.
The certificate is issued to
GEOFFREY HALLENBECKr JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-758366-JULY 14, 1986
Building I~pector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDiHG PERJ~41T
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
15009
Z
Dote
Permission is hereby granted to:
~...~.~.....~~....~.~.~..'"'" ...............
~ ,~,~..~...;~,......,....:~.: ........ ~.~..~.~...~ ..........
,o
at premises located at ..LS.~.~.....~.~......~.....~.~ ...................
County Tax Map No. 1000 Section .... l..~.....~. ......... Block ..... .(~...,~ ..... Lot No ..... !,.-7. ..............
pursuant to application doted ..,...~....,4(~..,l...~. .................. , ig.~..g., and approved by the
Building Inspector.
Fee $.~..~..~...
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN BALL
SOUTHOLD, NEW YORK
765 - ~802
1197!
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTF. UCTIoN
....... OLD OR PRE-EXISTING BUILDING
...... VACANT LAND
I/OUSE NO. STREET BAHLET
O.ner or O..er~ o ~ Pr°per~. . .J. ~- ~ ~¢~.~ Z~z~ ZZ~ d~. 1~. ./~
Subdivi= ion ........................
Filed Hap ........ Lot
Dep~. Approval .........
......... Underwriters Approval..
Hoard Approval ................
Permit
Health
Planning
Request for Temporary Certificate ....... Final Certificate .... ~ ......
Fee Submitted: $...~.~. ..............
14_/88
FOR~iNO. 6
TOWN OF SOUTI/OLD
BUILDING DEPARTMENT
TOWN tlALL
765 - ]802
APPLICATION FOR CEKTIFICATg OF OCCUPANCY INSTRUCTIONS
'This application must be filed in typewciter OR ink and submftted to the Building
Inspector with the following; for new buildings or new use:
·
! Final sur~ey of property with accurate location of all buildings, property lines,
~treets, and unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerag~-dlsposal(S-9 form).
3. Approval of electrical installation from Board of Fire Under~rriters.
4. Sworn statement from plUmber certifying that solder used xn system contains less
than 2/]0 of IZ lead·
5. Commercial buildings, industrial buildings, multiple residences and similar
buildings and installations, a eertificate of code complxa~ce from the Archltec~
or' Mugineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (Prior to April 9, ]9570 non-conformin~ uses, or buildings
and pre-exlstxng" laud uses:
1. Accurate survey of property showing all property lines, streets, buildings and
unUSual natural or topographic features.
2. A properly completed application, a COnsent to inspect sig~ed by the applicant
and a certified abstract of title issued by a title eompan~ which shall
show er lp of the entzre lot prior !to April 9, 1957. '
If a i P Y denied, the Building Inspe~ctor shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of b~ildings !or premises, or other
pertinent information required to prepare a certificate.
Pot Vacant Laud'Certificate of Occupancy:
]. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title companylshowing single andI
separate OWnership of the entire lot prior to April 9, ]957[shall also accompany
the application. If a Certificate of Occupancy is denied, ~he Building Inspector
shall state the reasons therefor in writing to the applicant.
FEES:
.]- CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additlo~s to Dwelling $25.0'0,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. A~cessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $~0.00.
2. Certificate of Occupancy om pre-existing dwelling - $10~.00. ,
3. Copy of Certificate of Occupancy - $5.00 - over 5 years[- $I0.00 '
4. Vacant Land Certificate of Occupancy - $20.00 '
5. Updated Certificate of Occupancy - $50.00
6. Temporary Cqrtlflcatc of Occupancy - $~5.00 Res/dent/al!
$50.00 Commercial
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~LU.~SU~.3 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 1OO38
THIS CERTIFIES THAT
in ~hefollowlag Ioc.~ion~ ~ B~,,~.~ ~ t~t FL /~ 2,~d FL Outside Section B;~ Lot
~,~s examined o~ J~X~ O~ ~ ~9~ and~ound to be in co.~pllance with the req~iremen~s (~f this Boord.
FIXTURE
OUTLETS
RECEPTACLES SWITCHES
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R
OTHER APPARATUS:
i-G.~~ .C.i.
NO oF ¢¢ CONDr
PER ~'
AW.G+
O~ CC, COND,
C
NO OF Ht [EG
E
Henry ~ohn
£21 Sheep Pasture Road
Se:auket~ NY 11733
Lie#2675[
GENERAL
TMs certificate must not be altered in any manner; return to the office of the Board ii incorrect, inspectors may be identified by
COPY FOR BUILDING DEPARTMENT. TI'tiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY fAANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ~/I~NAL
DATE_ .~//~/~<~ INSPECTOR ~/~~~
l ~O O q .~
765-~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[//~INAL /
DATE
FIELD INSFECTION
FOUNDATION
(1st)
COM~4ENTS
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
VICTOR LESSARD
EXECUTIVE ADMINISTRATOR
(S16) 765-1802
Town Hall, 53095 Main Road
P.O. Box 1179 '~
$outhold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SEPTEMBER 19, 1989
GEOFFREY HALLENBECK
1560 PIKE STREET
MATTITUCK, NY 11952
SUFFOLK CO. TAX # 1000- 140- 03- 17
Re: IqOTICE OF VIOLATION
Dear Mr. Hallenbeck:
You recently received a Notice of Violation. To
date you have not responded to that notice. If you do
not remedy this situation immediately, you will have to
appear in Court to answer criminal charges for violat-
ing the Southold Town Code.
Please contact the Building Department of the Town
of Southold at 765-~802 upon receipt of this letter.
Very truly yours,
Vincent R. Wieczorek
Ordinance Inspector
B.P. # 15009Z
FORh! NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date July 11 1989
TO Geoffrey Hallenbeck
(owner or authorized agent of owner)
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
CHAP. I O0
Other Applicable Laws, Ordinances.'or Regulations ............................................
at premises hereinafter described in that A swiping pool is being used without a
(state character of violation)
Certificate of Occupancy and an expired building permit.
_~ ARTICLg XXVIII-Chap. 100-281 & 284.
in
(State section or para§roph of ~pplicable Iow~ ordinance ar re§ulotion) .............
YOU ARE THEREFORE DIRECTED AMD ORDERED to camply with the ~ow and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
....... ),,5.~.0...E~k~...S,.l;.r. fl.e.t~.~..~Ma.t~t,i~t.m~k .......... County of Suffolk, New York.
SUFFOLK COUNTY TAX MAP 1t 1000-140-3-17
Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of
may constitute an offense punishable by fine or imprisonment or both.
BP #15009Z
(Cert. Mail)
"FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
,., $OUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved . .~.$..., 19 ~k Permit No..]..~.~.O.O..~...~.
Disapproved a/c .....................................
Received ........... ,1 9 · .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .................. ,19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 street:
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation.
e. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pern~.i~
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 Oceupane~
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 ox
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 co__de, and regulations, and te
admit authorized inspectors on premises and in building for necessary inspecti~as,~.~ /] ~'x ~
~/,'/c-~ ~ ' ~' (Signature of applicant, or na~o~pora~:ion) d~
.... 9. :. .:.
2(ffOC/C'W :~Mailin~ address of applicant) .
,~-o/x:7~ .%~ ,.%: //7 7~
.. ........................
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No ......................
Other Trade's License No. r~ ~ L. , 1-~6 0 ' ·
1. Location of land on which proposed work will be done. ~ p/9/K.E~..~..~
...... ..............................................................................
House Number Street Hamlet
County Tax Map No. I000 Section ..... ].~ ........ Block ...~ .............. Lot.. ~ ~ ..............
Subdivision ..................................... Filed Map No ............... Lot ....
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exis[ing use a~d occupancy .............. z ....................................
b. Intended use ~d occupancy ..................... ~..
;3,: Nat~e/ef ~ork ('check ~h~ch apphcable): New Building .......... 'Addition ..; ....... Alteration,~. .......
': i ;,Repair'. ....... ~....~., ~ Removal .............. Demolition .............. Other Work., ./~. f.~...~-~r....
~" (Description)
'4~. Estim'"~['~d-Cost ~59.,~ ~,..~. r~. - ~. .. ' Foe ·
~ '~'. (t paid filing thi ppli )
.... , , : · ; o bo on s a cation
' . If dwelling, number o e units ............... Number of dwelling units on each floor ..............
If garage, number 0f cars .... .................... ~. .............................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...................
7 Dimensions of existing structures, if any: Front Rear Depth
Number of Stories
Height ............... . ......................................................
Dimensions of same structure With alterations or additions Front Rear
Depth ...................... Hei.g~ct ....... .? ~ ~/.~.?~ ........... Number of Stories ....................
,. .... .... .......
Height ............... Number of Stories'"'"''"' ...........................................
9 Size of lot: Front .'~.'-~ i Rear .~-.~ Depth . .~.~.. ~.~ -
10. Date of Purchase ............................. Name of Former Owner .........................
11, Zone or use district in which premises are situated ..............................................
12. Does pruposed construction vi01ate any zoning law, ordinance or regulation: ....~TC~..~ .......................
13. Will lot be regraded ....... ~. .................... Will excess fill be removed from premises: _ Yes
Name of Architect ........ ~ .................. Address . .~.' ": :.'~...-~ .~'~.. '... Phone No ..............
Name of Contractor .~. ~.c~/.,Z2../~..,~.~...x~..~,~ ...... Address . .zf-/(...,~..?.~.'~. ...... Phone No.
PLOT DIAGRAM
Locate clearly and i distinctly all buildings, whether existing or proposed, and, indicate, all set-back dimensions fro
property lines. Give street and bloc~ number or description according to deed~, and show street names and indicate wheth
interior or comer lot..
.f
OF
COUNTY OF..~-~/-/~).... S.S
..............~.~. .0~..~.. ........... ~..-~,'O~'~Z~ ~ ..... being duly sworn, depgses ~d says that he is the applica
(Name of individual si~g con~act)
above named.
..... ...................................... ..........................
(Contractor, agent, corporate officer, etc.)
of said owner or owne~, ~d is d~uly authored to perfo~ or have peffo~ed the Said work and to m~e ~d file t~
application; that all statements centred ~ this application are true to the best of his ~owledge and belief; ~d that t~
work will be perfo~ed in the m~her set for~ ~ the application filed ~erewith.
Sworn to before me th~
~?~~" ~'~ '~. :~'~- County .~ ~
Nota~ Public, ..... ....... ~ ~.~y: ~,4~ .......... .,.~ ~~~~fi ~.
No, 52-4526433 -*- ~ ....... ~ * * · ~ ......... , ............ ~ *
~ Oualifi~, in Suf'olk Goun~ , ~~'~
J ~ Commission E,xpir~s ~/~ ~ f appllCm
U
· .- ., .................,:,;':,:,' ,- ,,., .~O¥~Y '~i'~.bI.~I~."OEPARTMI~NT :AT
'~'~:~:~'~":"~' : '~':'~ .' ..'~BS;-~802"'9:A' ~ 4 ~ ~R THE
' "2 ROUG~ ~AMING & ~UMBING--
~ ....... 3' INSULArlON":
0
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""~: :~ ;' ' """ "' ALL ~:ONf~:~TIQN SHALL ME~
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"' ': ' ;' ~ '""'. "'~ ' ~IGN OR'~ST~ION'
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