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HomeMy WebLinkAbout15080-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20586 Date MARCH 12, 1992 THIS CERTIFIES that the building Location of Property 375 MAPLE AVENUE House No. County Tax Map No. 1000 Section 75 ACCESSORY Street Block 2 SOUR=HOLD, N.Y. Hamlet Lot 17.1 Subdivision Filed Map No. I~t No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7~ 1986 pursuant to which Building Permit No. i5080-Z dated . JI3LY 10, 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 SWIM/4ING POOL ~ FENCE ~ITH DECK AROUND POOL. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JAMES G. & MARY K. BREWER N/A N-764285 - AUGUST 15, 1986 N/A / ~ldinZg Inspector Rev. 1/81 FO~ NO. ~ TOWN OF $oU'rltOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER),~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15080 Z Permission is hereby granted to: ...~.~...o~..~....Et~.x.~.L~.~_~...Co, 10,c_. .... .'5....-/..~-...... ~.. ~L~ ...... ,,g~.V...~.....'... to ...~g.~.~':CC~.u.~......Lc~CA~O..~. ~.(~.......~..~..t.La...~....L~..~..~O..~ ...... .......... ...~'..~. ,..~ ................. ~F~....~... ~_..~......~.~. :.~ F ~...~ .................................... ~ --- -- ~_v..~..,... at premises located at ........ ..--Z....~ ........ ~....~..~...~,~. ............................................ ...................................................................... ~t~L.r-.~...~.:.....~.: ............................. County Tox Map No. 1000 Section ,,.~....~.:.~. ...... Block .... .(~..~-~. ...... Lot No..(~).J....~.-...l ...... pursuant ,o applicotion doted ......'~..C.~.f~.~...~.. .......... ..~J- ................... , 19-~...~., ond approved by the Building Inspector. Fee $..~...~...~. Rev, 6/30/60 TOWN OF SOUTIIOLD .., BUILDING DEPARTMENT TOWN ItALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY · \- This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accorate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). ~ Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying tha~ the solder used in less than 2/10 of 1% lead. ~-~ ~-~ ~/~7~J~ system contains 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer ~ responsible for the building. 1 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of property showing'all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiraming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $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 $15.00 Date ............. Xew Construction .......... ~Old Or Pre-existing Building .... [[[[[ [~...~..~. f.~. ' Location of Property..~.~ .......... 7/~.~.~.~..~..~.~. ...... House No. Street Hamlet O~wer or Owners of Property...~.--~--~. ~.~.~..~.~'.~ ,..~..~....~.~ ..................... gounty Tax Map No 1000, Section...[7.5'.....Block....--~... ....... Lot. Subdivision .................................... Filed Map ......... ............................ ?erm£t No.. ...Date Of Permit ..... Applicant · _ -~ ..................... Health Dept. Approval .................... ...... Underwriters Approval ......................... 2Iann£ng Board Approval .................... Temporary 2eq,es~ for: CertifScate ........... Final Certicate ..... ?ce Submitted: $-..P~1 .~. ................ 6ceco '. ...... THE NEW YORK BOARD OF FIRE UNDERWRITERS .LO~SU~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..,~ a,,a~,~ l~, ~ ~..~..~.~..~.s.~ a~l~ N 764285 THIS CERTIFIES THAT o~ly the electrical equipment ~ ~scrib~ beIo~ a~ introduced by t~ oppllcant ~m~ on the a~ve application number in the premises of Jam~ ~rewer~ 375 MapLe Avenue, PeconXc, ~4Y ~sexa,ninedon A~USt 07, lg~6 andfoundtobelncomplia.cewiththereq~renentsqft~isHoard. 2 I TIME CLOCKS MULTI-OUTLEI' SYSTEMS NO, OF PRRT E R V I C NO. OF CC COND A,W.G. NO OF HI-[EG A W O. NO. OF NEUTRALS A,W.G PER ~' OF LC. LaND, o~ HI-LEG OF NEUTRAL OTHER APPARATUS: Brite Star E£ec[ric 13 Wilier[ Aveuu~ Sayvllle, NY 11782 Lic~339~E GENEI~AL MANAGER This certificate must not be attered i~ any manner; return to the otfice of the Board if incorrect. Inspectors may be identified by their credentials. COP? FOR BUILDING DEPARTMENT. THiS cOPY OF CERTIFI(~A~E MUST.HOT BE ALTERED iN_ANY MANNER. . FIELD INSPECTION Co~ii~l~i'i~ FOUNDATION ~ (~st) FOUNDATION 2. (2nd) BOUGH FRAME & PLUMBING 3. INSULATION FER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: b - .. L:F.t 1 7GS-X802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [.] INSULATION [ ]FRAMING [/..]-l~iL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~iNAL DATE VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 Town Hall, 53095 Main Road P.O. Box 1179 ~ Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SEPTEMBER 19, 1989 J3~MES BREWER 375 MAPLE AVENUE PECONIC, NY 11958 SUFFOLK CO. TAX # 1000- 75- 02- 17.1 Re: NOTICE OF VIOLATION Dear Mr. Brewer: 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 765-1802 upon receipt of this letter. Very truly yours, Vincent R. Wieczorek Ordinance Inspector B.P. # 15080Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote ~.¥.~L~;..1 ], ........ , 89 (owner or authorized agent of owner) 375 Maple Avenue, Peconic, NY (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance C~kP. I00 Other Applicable Laws, Ordinonces-'or Regulations ............................................ at premises hereinafter described in that A swim~ing pool is being used without a (state character of v,oJotion) Certificate of Occupancy and an expired building permit. in violation of ARTICLE XXVIII-Chap. I00-281 & 284. (State section or paragraph of applicable row, 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 ......... ].?..~...~,.p.~.~..,A~.¢ ...... P..e. co.~,/,,¢ .................. County of Suffolk, New York. SUFFOLK COUNTY TAX MAP # 1000-75-02-17.1 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 #15080Z (Cert. Mail) ........ D~.k~.:b>... L ,.~/... '~- ~ VINCENT R. WIECZOREK F E D AC G POOL PLAN ~ u~ ~..,.,,..........,:,~,~...~..~.,,...:.~.~. DF..TAtL OPTIO~AL STE~> 'WALL ~po~NGU~N OLS 288-3325 122 MONTAUK HIGHWAY WESTHAMPTON N.Y. 11977 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ~ TEL,: 765-1B0:~ Examined..~.C.,4.{~ .~...~ .C~.., 19 Approved. g~.,,~{-~ .~....[.0., 19gPermit No.t..~..O..~..(~ g Disapproved a/c ....... .- ......"..-~ ........ .,...,. (Building Inspector) APPLICATION FOR BUILDING PERMIT 101986 Received ........... ,19... Date...'t (..~ ............ 19~. INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink hnd 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 st.r.j~ets 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 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 permit 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 Occupant y/ 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 or Regulations, for the construction of buildings, addiQons or alterations, or for removal or demoliQon, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary 3nspections. ...,~,~ ~.,J...&7~....-/-.~.. ~ ~:~......~......~,...c.... (Signature of applicant, or name, if a corporation) · .~??. .... ~.,te..~....~..~. .... ~.~..~,.'~ ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, ~, electrician, plumber or builder· (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... . .~..~.~.~ .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .. ................... ............. .................... House Number Street Hamlet County Tax Map No. 1000 Section ...~.. ......... Block ..... ~ ......... t. ot...l .~,../ .......... 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 .... : ........ t ................ ! ............. ~ ........ ~ ..... ~ ....... b. Intended use and occupancy ../.~.. ?...~......._.~..(a..~0..ct..fl..~....~..g~.... ~ .-T/. ~.~. ~..~....'~J.....~... i.~. ..... 3. Nature of work (check which applicable): New Building ' Addition ......... Alteration .. ....... Repair Removal Demolition ' Other Work ~r~. ~..,.7 (Description) 4. Estimated Cost ~'0"O Fee * x (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling units on each floor If garage number of 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 .... .~.X'. i~ ...... 'Depth' ii '.~ ~.i ....... Height ............... Number of Stories ... ~ ..................... : ............................ Dimensions of same structure with alterations or additions: Front ,~.~..: ..... Rear .................. Dept ...................... Hmght ...................... Number ~ Stories ......... ~-. v .....~ · 8. Dimensions of entire new construction: Front ].{~.~. ~.-.~t~Oc/ ./'~..~ 13an*h ~ la. - ~ "' 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 premises are situated ......................... ~ ........................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: .... ~ ........................ 13. Will lot be regraded ..... .~.~:~. ...... ,,~; ......... Will excess fill be removecl from premises: '~ No 14. Name of Ownerofpremises..~.$..,~Address .... ~..~..[...PhoneNo.....'~.....~..... Name of Architect .~, ........... .~ ............. Address .......... . ~ .PhoneNo ................ Name of Contractor /~70. {*.~./.4J...~v~...~ ......... Address ~.~,.*~. ~.': .~.' ~ ~:: .Phone No. ~.~. :.~.~.~.~..'.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, . S S COUNTYOF .... ' .... ~.~.~ ...... ~m~3. · .~:'. .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ' ' Heis the f--~q e..o~.. ~-~/~.__ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his !knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day o ..... , NOTARY PUBLIC, e , , , No, 01BA4613899, Suffolk County ! ,~jg~am~e: or applicant) Term Expires March 30, 1987