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HomeMy WebLinkAbout14659-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z1896t Date APRIL 11~ 1990 THIS CERTIFIES that the building. Location of Propert~ 8625 WICKHAMAVE. House No. County Tax Map No. 1000 Section 107 INGROUND POOL AND FENCE. MATTITUCK Street Block 05 Lot 1.2 Hamlet Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 1986 pursuant to which Building Permit No. 14659Z dated MARCH 17, 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 & FENCE. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N747599 MAY 2, 1986 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 PATRICIA & RICHARD GLISKER (3uilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P E P-J~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 1~659 Z Date ............................................. , 19 ....... Permission is herebf granted to: ..~.~.~f~ ....~:.~.:.....u.~.~..~ , ~ ,o..~~....~.....~.~..~.~ ...... ~.....~....~. at premises located at .....~..~..~...~,......~,..~. ~ ................. County Tax Mop No. 1000 Section ...... l...O....'~. ........ Block ...... ..O...,.?... ..... Lot No ...... ~..'.~....' ....... pursuant ,o application dated ..~.J~......~- ..../.,..~.. ................... , 19.~.~,, and approv~ by the Building Inspector. ~ ~.~.~.~..~... Building I~tor Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING ' ~FINAL REMARKS: DATE /~/~///~ 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~ FINAL REMARKS: ~-'o~ ~ ~"~-.~'T* DATE INSPECTOR ~ ~/''- 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 accurate 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). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bnildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO Date .... ~.~i J.. ~ .~ ~ ~.~ ................... New Construction ........... Ol~d Or Pre-existing Bu$1ding.. Location of Property...~.~.-~...~Z~Q-l~...~.~ .... .~-"."~]~.'?]-~-.'~'i'-~--.-~--'.--~-~-~-f.'~- House No. Street Hamlet ~, c ~.~ County Tax Map No 1000 Section . Block Lot .. Subdivision .. Filed Map Lot Permit No f.~ f ~ Date Of Permit Applicant . . . Health Dept Approval Underwriters Approval . Planning Board Approval ........................ ~// ~ ~ Request for: Temporary Certificate ........ Final Ce tieate ........ ~/1~]~ Fee Submitted: $ .... ~'~.¢.' ..................... ..... APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS I02504S ~. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~y 2,:I. 9~ . ..lica.onNo. on. i,e S9642S/ 0 N 747599 THIS CERTIFIES THAT only the alee trical equipment az described below and introduced by the applicant named on the above application number in the premises of Richard 6 Pat Gliskcrp 8625 Wickham Ave., Mattituck~ N.Y, in thefollo%vlnglocatlon; [] Basement [] 1st FI, [] 2nd Fl. OUtS J, do Section Block Lot was examined anal) ~' ~ 1 2 ~ ~ ] 9 ~ ~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS ~ECEPTACLES SWITCHES DRYERS FURNACE MOTORS FIXTURES FUTURE APPLIANCE EEEDERS RANGES OVENS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E NO, O~ERCC.~COND. R v I C OF CC, COND NO, OF HMEG AW, G, OF HI-LEO NO OF NEUTRAl OF NEUTRAL G.F.G.I. I CSwimming Pool) Th.~.s certificate covors compliance at the date of insp.ecgion and/or ray, irs made by e qualifiedpers~n,,~ Brite St*r Sayville, N~Y., 11782 this certificate mus~ not b~ ahor~d in an}, monner; r~turn to th~ office of the Eoord ff incorrect Inspectors moy be idonlffiod by their crod~nfials. COPY FoR ~U LDING DEPARTMENT TH S COPY OF CERTIF CATE~MUSTNOT BEALTERED IN ANY MANNER VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York ! 1971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 6, 1990 Mr. & Mrs. Glisker 8625 Wickham Avenue Mattltuck, N.Y. 11952 RE: B.P. ~14659Z INGROUND POOL AND FENCE Dear Mr. & Mrs. Glisker: In regard to the above Building Permit for an in- ground pool and fence, please be advised that the permit has expired. You have not filed for a Certificate of Occupancy. It is a violation of the code of the ToRn of Southold to have a pool without a Certificate of Ocupancy. Please contact our office in this matter. Yours truly, Secretary 3'0]Iq 0F SOUTIIOLD OFFIC{:. (>F BUILDING INSPECTOR ILO. IJOX 728 TOWN IIALL SOUrlIOLD, N.Y. 11971 .April 3, 1990 TEL. 765-1~02 Mr. & Mrs. Richard Gllsker 8625 Wickham Avenue Mattituck, N.Y. 11952 To Whom This May Concern, We are unable to complete your Certificate of Occupancy becau.~e .of the following reasons. /-// An application for Certificate of Occupancy is not on fil~. (ENCLOSED) / / No Uader:¢riters Certificate on file. /W The check is(oi~a~not ou file.) /-/ No Health Dept. Approval on file. /_--/ ~:o final inspection haz been made. $25.00 P]ea:;e contact our office on Thank you for your cooperation. Building Permit t~ ] 4 6 5 9 Z Dui ldinc, r Dept. this matter. 11o Plumber Solder ertzfacate on file. ( all permits involving plumbing being .is:reed after April 1,1984 ) 'FORM NO. 1 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ~, TEL.: 765-1803 Examined .~~i !.'1..., 19~ .~. Approved I .-[.., 19~ .~. Permit No.l.q~..~.~..~... Disapproved a/c ..................................... ................................ ...... (Building Inspector) "IMMEDIATELY,, APPLICATION FOR BUILDING PERMIT .CLOs .OOL *o u.o co .P . rlo. INSTRUCTIONS BLDG. OEP1, TOWN OF $OUTHOLD Received ........... ,19... a. This application must be completely filled in by Wpewriter or in ink,and s~bmitt~g,to the Building Inspector wit sets of plans, accurate plot plan to scale. Fee according to schedule· . b Plot plan showing location of lot and of buildings on premises r~l~ti,~nship~. (0'a'djdi.n.iO~ premises or public streets or areas, and giving a detailed description of layout of property must be df'~,n 6fr'che"dl'~fgmm· whidh,is part of this appli- cation. c. The work covered by this application may not be commenced b~dfdreqs~u'ance'o~f~.B~.i..l~lih~ Permit. d Upon approval of this application the Building Inspector-will z's~ued~a B,u~ildingJ'er[n~ it to the applicant. Such permit shall be kept on the premises available for inspection throughout the4(o~kJ ' 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 Southotd, 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 herehi described. The applicant agrees to comply with all applicable laws; ordinm~ces, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building_ fo~ nece~rY i~t~[t~'~-"~7~~'~/"~' '~'//' ..................... "' · '- / ' ' (Signature of applicant, or name, if a corporation) · (Mailing address of applicant) State whether applicant i~lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .~¢q)h..Oq'.a....~...~....'-?.'~ ¢]..Or. .... .~.].k~..~....~. (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 .... .~ .'~'~..A/.] ................ 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 ~ 0 ~ Block 0 ~ Lot. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of propo, sed construction: a. Existin~ use and occupancy .... .~....,~...~ ....... /..~fi.l.~.....~..~..~.1) !.~. ?. ...................... b intended use and occupant. I~ g ~g<o ~./,3c~ ~t r~ ~'-~ .._~-.oo ."¢w ~v'. ~ ~ ~'~0ol . pa ~.y ......................................(~ [~ ~,' .... . ....... ~/'%0_ ~0~ ~_z~.~ ........... 3. Nature of work (check which applicable): New Building ' Addition .. i ........ Alteration . .i ........ Repair .............. Removal .............. Demolition ..... ' Other Work ......... i (Description) 4. Estimated Cost ..................................... Fee .......... i ............................ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unffs on each floor. If garage number of cars" 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ; .. Depth ............... Height ............... Number of Stories ............................ !. ........................... Dimensions of same structure with alterations or additions: Front ............ i ..... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear .... ...........I Depth ....... ........ Height ............... Number of Stories ............................ i ........................... Size of lot: Front..~.}.~.,.2.'/..' ............ Rear....~.l.~...~.'l..~. ........ Depth ~O...~..Of. ............ Date of Purchase ............................. Name of Former Owner . ............................ Zone or use district in which premises are situated ......................... ! ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . .~0! .......................... 13. Will lot be regraded .~.9 ..... ,, .....: .......... Will excess fill be removed from premises: ~ ~ No 14. Name of Owner of premises . .~. ,.. (~.]t g..~..r~. ..... Address i · · · Phone No. :~5[ .~../5~.~ .c/.O... Name of Architect ........ ~........,.... ~ . Name of Contractor ~g ~ al I,t .~.~.'1'.¢ .......... Address ~ Phone No ................ ................... Address Izx. ~1~' ~-~ Phone No. *.~?..'.~..~.~..h,'.'. · i~.i~.y~ & ~ ~.b ~1-.-.... .. 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 o descnptmn accordmg to deed, and show street names and indicate whether interior or corner lot. ......... ---. · NOTI~ kfU~L.D~NG OfiPARTM~NT '7~5-1~02 ~ A~ TO 4 PM ~OR THE FOLLOW~S FOR POUIqED ~ONC RTE 2 ROUG~ ~A~iNG ~ PLUM~5~VG 3. INSULAFIO~,I ¢. FINAL ALL CONST~UCTfON ~HALL MEET THE REQUI[~EMEN'TS O~ I'HE N.Y STATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBLE FOR ~IGN OR CONSTRUCTIOH '~'~- ~' '~ uK~-," :, S. S STATE COUNTY OF ........ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Notary p u ~.~.~. ,-/~. NOTARY PUBLIC, State of New York No, 01BA4613899, Suffolk County lerm Expires March 30, 198'~/ ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) : above named. He is the .............................................................. ~ ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application are 4rue to the best of his iknowledge 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 of./.¢/~.~. ~ County - / : ~ '(Signature of applicator),! "~ .... e,, '"' $~ ', no' ~' ,o,me''' ' ~"~ , SEPT. 4, 1985 SURLY FOR JUNE 5, 1985 RICHARD GLISKER ~ PATRIClA GLISKER ~AY MARCH 4~1985 AT MATTITUCK DATE' FEB. 19, 1985 ~N ~ SOUTMOLD SCALE: ~ "= 50 ' SUFFOLK COUNTY, NEW ~RK ~0. 85 - 97 M G~UTM~IZED ALTERATtOR OR ADOITION m ~lS GUARANTEED TO: NEW YORK STAT[ E~CATION LAW SOUTHOLD SAVI *COPIES ~ ~lS S~VEY NOT ~AH~G THE LANO LAWYERS TITLE~~~ HE~ DEP~RTMENT-D~T~ F~ APPRO~ TO C~STRUCT ~ ~ ms ~E~nc~ ~ ~ ~l~cE c~.~, ~OV~.- YOH G YOUNG NOTE ~ I = MONUMENT ~ = STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER I AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARO W. YOUNG~ LAND SURVEYOR I F F_ D A'~ DF-TAIL 8' J ,5. P. T.._