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 ,