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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 · ' s ~ :.,, ":;-~'v ' ; ..... ~ FINAL C(~U,CT O~ UUST' ""~: :~ ;' ' """ "' ALL ~:ONf~:~TIQN SHALL ME~ ~ : L,~ ..' ' '* '':''~-co~T-~ FOR C,O. . "' ': ' ;' ~ '""'. 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