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HomeMy WebLinkAbout15111-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17861 Date MARCH 20, 1989 THIS CERTIFIES that the building. INGROUND POOL Location of Property 60 PECONIC BAY BLVD. LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 02 Lot 1.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15r 1986 . pursuant to which Building Permit No. 15111Z dated JULY 19~ 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 POOL AND FENCE AS APPLIED FOR. The certificate is issued to JOHN C. DILLER (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N775022 OCT. 17~ 1986 N/A Building' Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) 15111 Z Permission is hereby granted to: ~ ~ at premises I~oted ~ ...~..~ .... ~ .... : ........................ and by the Building Inspector. Building Inspector Rev. 6/30/80 ILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK ,802 1197 APPLICATION FOR CERTIFICATE OF OCCUP~ NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property., DOUSE NO. STREET HAMLET Owner or Owners of Property ............ · .................................. County Tax Map No. 1000 Section .(.f~. Block Subdivision ....................... Filed Map Permit Health Planning Board Approval ................ ........ Lot .......... No. {~QlI.~:. .Date of Permit ?.~/.~.5.~.~..Applicant ~..~'/,6a,/ ~o~ ,L~ Dept. Approval .................. Underwriters Approval .............. Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $..~..~.~' APPLICANT IO/14/88 FIELD INSI~ECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: [oo[~81 THE NEW,~, YORK, .. BOARD~ OF FIRE UNDERWRITERS 85 JOHN STREET, NE ,V~/ ¥O~K, NEW YORK 10038 """ N THIS CEEIFIES T~T J~ Dil~r, ~nic B~ ~, ~1 ~k O~ D~, ~1, N.Y. : ~ .~ RXTURE RXJURES RANGES OVENS DISH WASHERS EXHAUST FANS 1 1 2 DRYERS MOTORS FUTURE APPUANCE FEEDERS TIME CLOCKS UNIT HEATERS MU/TI-OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: ,1-G.F.C.I. S~,,- E R V I C E ~Swlmmln~ ~oo1: This certificate covers compliance at %he da~e of inspection only. Because of unusual environments it is advisable have frequen% %est and/o~ repairs made by a qualified person. Jod~ Pumillo Pat Lane Ma~tituck, N.Y. 11962 28.25 AMOUNT 4~U~ASE Em. EJY aeEaC OR ~ONEY ORDER TO THE ORDER OF THE NEW 11 TH?.__SIS YOUR BI LL~.i.._~ R SERVICE RENDEIIED AND IS !. THIS ~lJ. PAyARLE AT THE HEW YORK OFFICE, 85 JOHN STREET, N~/V YORK N. Y. 10038 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 9, 1989 Mr. John C. Diller 60 Peconic Bay Blvd. Laurel, New York 11948 BP 9 15111-Z Tax Map 9145-2-p/o 1 Dear Mr. Diller: During a review of our files, it was noted that the above building permit has expired, and a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for construction of an accessory swimming pool. It us unlawful to use said swimming pool until a Certificate of Occupancy has been issued. Your final inspection has been made. Please fill out the enclosed application for Certificate of Occupancy and return to this office with a check for $25.00. This is your second notification. Please correct this violation inunediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VRW:gar encl. Vincent R. Wieczorek, Ordinance Inspector 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined. ~t~. Approved.. Disapproved a/e .: ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This app~icati~n must be c~mp~ete~y ~~~ed ~n by typewriter ~r in ink and submitted t~ the Bui~ding ~nspect~r~ 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 streets 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 commanced 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 Occupancy 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, additions or alterations, or for removal or demolition, 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 in~spectigns. ..../q. ,.. 7Z~74.z .~.. x. £z~..s...zw.. c: ..... (Signature of applicant, or name, if a corporation) ,8.,~,~... (Mailing address of applicant) State whether applicant is.o)vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. .~.~~. ..... .c.~r../~z~ ................................................ Name of owner of premises .... .~..//J~. .... ?.: ................................................... (as on the tax roll or latest deed) I~n~~thorized officer. "? ....... Builder s License No ...... ?..0. ............. Plumber's License No ......................... Electrician's License No. t/~.~.TP~de. .... /¢.~:1~' Other Trade's License No ...................... 1. Location of land on which proposed work will be donel .. ~..].~.~.~.O..~..t~.. ~..~... ]3 .L?.r)./...~..~..~..(:..c-~.. .... House Number Street Hamlet County Tax Map No. 1000 Section .... /k.~. ........ 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. Existi.g use and occupancy b, Inten ed use and occ,' ,Nature 9f ~,vork (c/reck whict~ applicable) R, ~patr .............. Remoyal New Building ...... . . . '. Add':tlon . . ......" Alteration .-e'_' ...... : · Demolition .............. Other Work ............. (Description) 4 Estimated Cost (to be paid on filing tliis application) 5. If dwelling, number of dwelling nits ............ Number of. dwelhng units on each floor ............... If garage, number of cars ..... i .............................. .. ~ ............. ; ............... 6. If business, commercial or mixed;i occupancy, specify nature and extent of each type of use~. ~ .':.; .............. 7. Dimensions of existing structureS., if any'. Front, Real' .... Dgpth Height Number of Stories ' ! '~ ........... Dimensions'of same structure wiih alteiatiiins or additions: Front ................. Rear ................. Depth .................... i. Height ...................... Number of Stories ........... .......... Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... Size of' lot: FrOnt ........... i .......... Rear. ~... ~ ........ '. · ;'. .....Depth ..................... Date of Purchase ........... .; ................. Name of Fenner Owner ............................ l i. Zone or use district in which premises are situated ..................... , .............................. 12. Does proposed construction viol~e any Zoning law, ordinance or regulatioti: '. ................... 13. Will lot be regraded ...................... ... Will excess fill be remove~i f~om premises: (~ Nc 14, NameofOwnerefpremises .':2[h,,~..c7...D/.t4erL Address L#ttt'4CI .t~._'..PlmneNo .............. Name of Architect . : ' ~,,~ ' ' 'Lq' .,;~.j :.....:~ ....... .,~ .... ~xu~\ .................. ~'llone INO. ,,d ,., ·, . ,~ · · · ,~.~. Name of Contractor.. ZTt..~ ~.~L~//~..7../.. 0-'-,,~... Address ',. 4d t~.,~.,/~/~//.,'~.~°hone No..~.~.: .t,/,~.~..(... 15. Is this property located within 300 feet of a tidal, wetland? *Yes ;;,.,J .No~,,, · If yes, Southold Town T~u~tees Permit may be required, 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 fiumber or description according to deed, and show street names and$~dicate whethm interior or comer lot. 9. 10. /<) :/'Nc. STATE OF NE K, ., I.[U~.¢*:~'~ ................... being duly sworn, deposes and says that he is the applicant (Name ofindivid~l si~ning contract) above nmned. He is the I i (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have perfo~ed the s~id work and to make ~ file this application; that all statements contained M this application are true to the best of his knowledge and belief; and that the work w~l be performed in the m~ne,r set forth in the application filed therewith. Sworn to before me this ~ ' ' I ~ Comml~lon ~b~, JU~ 31, 1~ applicanP ' ' , ~ R~.~ 'tON ' "~ ::: ' ~ /~' ~ SUFFOLK county DEPARTM'ENT '6F H~LTH SERVICES. '~,' '. C. ~/LLE~ "1 ' ' ; ' : ' OC~'~4~ SE,2~ 1981 FOR APPROVAL OF coNsTRUCTION ONLY ~ AT L4UN[L ~: OC~ 2, I~0 . ' '~ouN y~,NEW ~o. 80-~8~ :, -.:. ~W'N.~ SOUTHO~ . SCALE: /" 50' D,~E . ..... ,s ~. ,0._: 'SUr"°L" T Yoa~ APPROVE ' ' ' ' ' ' ' ~ ~, ' · ' '~"' ,' ,~.,~ , : ': SUR~E~RS~ NKEO 'SEAL OREM~OSSED ~EAL SHALL, ~%r~- ~ ~ ,, , ' "' '' -"--R--T r~:'~HFORWHOM THE'SU~EY'ISPR~PARED / /_0N' _.~ '0~ V ,.', HE~TH DEPARTMENT-D~TA FOR ApPR0~L',~ C~/ ug . , ~NO,~'HIg ~H~LF m~ THE TITL[ C~Y. eOV~N- F~ I1~ ,~. ~ N ~ Wl~ ~ ~T~A~ ~F THE SUFF~K C0~TYOEPARTMENT: ~ ~YO E~ S~IHG';:S~RUC~R~S- AR~ FOR~:A' SPECIFIC ,