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HomeMy WebLinkAbout14060-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~OF OCCUPANCY No Z18576 Date NOVEMBER 20~ 1989 THIS CERTIFIES that the building Location of Property 95 DONNA DRIVE House No. County Tax Map No. 1000 Section 115 Subdivision POOL AND FENCE MATTITUCK Street ~amlet Block 16 Lot 01 Filed Map No. Lot No. conforms s.~ubstantially to the Application for Building Permit heretofore filed in this office dated JUNE 17~ 1985 pursuant to which Building Permit No. 14060Z dated JUNE 19~ 1985 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. The certificate is issued to DONALD & DOREEN KIRBY (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N703787 AUG. 7, 1985 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ctor lrO~ bO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 14060 Permission ..... ......... is hereby granted to: ~ ~ . ~.~...~.~5 ............................................... ,a.~~.. ~..~.~~ .................. ~ .. at premises located at .~ .................. .a~..L ........................ .~/~l~:f~.~.:.....~.~~ County Tax Map No. 1000 Section ..... .~.!..~.' ' '-~. ........ Block ....... ~...J:9. ........ Lot No ......I .................. pursuant to application doted ......... ,.,,~.~.,~..~ .................. , 19..~.~.~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ~c/c Zf. ~0 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET / HAMLET ............ Connty ~ ~ ~o. ~000 ~o~ .~/~. ~o~ ./~.... ~o~' ...( ..... Subdivision ....................... Filed Map ........ Lot .......... Permit No ......... Date of Permit ....... ApPlicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval Request for Temporary Fee Certificate Submitted: ~ ~ APPLICANT. ....... Final Certificate ................ ¢ o z.. rev. 10/14/88 Be FORM NO. 6 TO~ OF $OUTIIOLD ; I BUILDING DE~AKTHENT i TOWN IIALL ,~ ' " .... , 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS ~is application must be ~iled in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. Final survey of proper~y with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Heal :h Dept. of water supply and sewerage-dlsposal(S-9 form). 3. Approval of electrlcal iustallatlou from Board of Fire Under,fliers. 4. Sworn statement from p~umber certifying that solder used in system contains less' than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar: buildings and inscalla~ions, e certificate of code compliance from the Archxtect or Engineer responsible for the buil'ding. 6. Submit Planning Board lApproval of completed site plan requirements. For existing buildings (~rior to april 9, 1957] non-conforming uses, or buildings and "pre-existing" land 9scs: I. Accurate sux-vey of property showing all property lines, streets, buildings and unusual natural or to0ographic features. 2. A properly completed ~ppllcatlou, a consent to inspect siEned by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of O~cupancy is denied, the Building Inspector shall state the 'r~asons therefor iu~itlng to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent xnformatxonlrequired to prepare a certificate. For Vacant Laud Certlflc~te of Occupancy: I. An application for valcaut land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showlug single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. Ifia Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~rltiu§ to the applicant. D. ~FEES: I. 10/16/88 CERTIFICATE OF O~cUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of O~cupancy on pre-existing dwelling - $100.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 Vacant Land Certificate of Occupancy - $20.00 Updated C~rtific~te of OccupanCy - $50.00 Temporary Certif.cate of Occupancy - $25.00 Residential $50.0~ Commercial THE NEW YORK BOARD OF FIRE UNDERWRITERS lObl3al BUREAU OF ELECTRICITY I~ J~t ~r~ ~g 85 JOHN STREET, NEW YORK, NEW YORK 10033 · ~ .ate ~U~t 0r, l~ Ap.l,~a.o,.~o. onfil. ~0~/~ N 703787 THIS CERTIFIES THAT only the electr~al equipment as describ~ below and introduced by t~ ~pplicant n~med on the above application number i~ t~ premiss of ~n ~i~by, Donna D~ive, ~uok, NY (%~9D} in the following location; ~ Basement ~ lac Fl. ~ 2,rd Ft. ~Si~ Section Block Lot was exarrdned on AI~ O1 t ~5 and found to be in co,tp/~e with the requirements off this Board. OUTLETS RECEPTACLES SWITCHES FLUORESCENT DRYERS FURNACE MOTORS OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT S E R V I C NO O~C~COND~ AW.G, .O. OF HbLEG A. WG, NO. OF NEUIR^t$ A. WG. O~ C~. COND OF HI-LEO OF NEUTRAL J OTHER APPARATUS: ' Jod¥ ~umillo 11952 Lhis certificate must not be altered in any manner~ return to the offke o{ the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BJUILDING DEPARTMENT, THIS COPY OF C ~ R,T! !~! q~,~ M U~.S.T ~10T BI[ ,~[~TERED IN ANY MANNER, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION REMARKS: F~LD~NS~ECTiON COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ~ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORSI NO. 5 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date .J.~-.k~..,J. 1 ....................................... , 19.8..9. .... TO Don & Doreen Kirby (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. 100 Other Applicable Laws, Ordinances-'or Regulations ............................................ at premises hereinafter described in that A swlmmin§ poo! is bein§ used without (state character of violation) Certificate of Occupancy and an expired building permit. in violation of ARTICLE XXVIII-Chap. 100-281 & 284. (State section or paragraph of applicable law, 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 75 Donna .D.r.ive, .M.a.t.t.i. tuck ..Count .......................................................................... y of Suffolk, New York. SUFFOLK COUNTY TAX MAI' /1 1000-115-16-01 Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of Jaw may constitute on offense punishable by fine or imprisonment or both. BP #14060Z (Cert. Mail) ...................ORDINANCE ................. INSPECT "¢' ....... ..... VINCENT R. WIECZOREK 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 DON & DOREEN KIRBY 75 DONNA DRIVE MATTITUCK, NY 11952 SUFFOLK CO. TAX # 1000- 115- 16- 01 Re: NOTICE OF VIOLATION Dear Mr. & Mrs. Kirby: 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. # 14060Z ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,, ~OUTHOLD, N.Y. 11971 TEL.: 765-11302 Examined..~..~ .I.~..., 19~x'.: Approved·..~.'...C9~..1..el .... 195.~. Permit No. ! .~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date ................. , 19... a. This application must be completely filled in by typewriter or in ink and 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is.p~irt of this appli- cation. c. The work covered by this application may not be commenced before issuance of Bpildi,ng 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 Certi"ficate 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 o~ther applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein d~scribed. The app/4cant agrees to comply with all applicable laws, ordinances, building code, housing Code, and regulatibris, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) / ! .9.07. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ~.~/...~..~.c...~..~..~.r< ......................................................... N~me of own~ of ~r~m~ .. :'.O.~.. ~ ....... ~ ~.&Z~ ..... ]~.ff .......................... (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 ...................... 1. Location of land on which proposed work will be done .................................................. ..... '7~.~. ....... o~t.~.~.~.., a~.~.q .~.> .... ~..~.:..r.~. ~.:...~.-~, .~:. 7 ...... /(.?~.. House Number Street Hamlet County Tax Map No. 1000 Section ..... [(.~ ........ Block ..~ ............ Lot .... ~..1 ...... Subdivision. D&~.. ~ ~.. ~ ~Z<...~ Filed Map No ............... Lot ............... (Name) ~, 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~L~ (~&~ FI.4 ~ ......................................... b. Intended use and occupancy ~ ~.(~.~4 ~ ~. ~'~' ~":~ '~ ~*~ ,~v~* ...................... ,~h,;d:~'~ ~' '~ ........ 3. Nature of work (check which applicable): New Building ..... · ..... Addition .......... Alteration Repal'r~]~ .~ 1'~ .... Ren}oval .............. Demolition .............. Other Work ...... / .~..~e'~....~.. , ~ (Description) 4 Estimated Cost ~.~. ~>. Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwellini units ............... Number o f dwelling units on each floor ................ ~If garage, number of cars ............ . . 6.. If business, commercial or mixod occupancy, specify nature and extent of each type 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 ................. Rear .................. Depth ' 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 Former Owner ............................. Zone or use district in which p] emises are situated ..................................................... Does proposed construction vii late any zoning law, ordinance or regulation: ................................ Will lot be regraded ...... __~0~ r-.~. ................ Will excess fill be removed from premises: ,~$ ~(~Z/.~ No Name of Owner of premises . .~ ~ :~i tg~d~-z-~. ].<!~I/A'ddress . 7:5~../2~/9/I)~t....D~..l.~.~'~hone No .... Nmne of Architect .......................... Address ................... Phone No.. >, ....... ~ff.,.. Name of Contractor .t~ :./~di 7/&q ~/.~....,~1~$,. ..... Address tjX>7..~X{5...~..~.TY/,'~C/t Phono No. ~;~'l~.g'= .~.~ ~.' · · · PLOT DIAGRAM Locate clearly and distinctly a~l buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether ' 8. 10. ~11. 12. 13. 14. interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................ , ". ........... /~ ,2~2..~...~.....~. ..... ng duly sworn, deposes and says that he is the applicant (Name of individual siglaing contract) above named. Heis the ... ./~.. ~ /.~. j (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work v2,ill be performed ~n the manner set forth xn the apphcat~on filed therewith. Sworn to before me this j 765-18Q~ 9 A~ TO ~ ~ FOR TH~ FOI.I_OW)NG INSPECT ONS: 1. FOUNDATION - TWO FOq PmU~F~ CONCRETE 2, ROUGH - FRAMING & PLUMBING C~h.,~rR~;C'~Oh! S~!ALL MEE~' ~$,tFNTS OF THE N.Y, ~T '~- RESPO~'~ ~ ;IGN OR cONSTRUCTION ERRORS. HOUSE-" 1509 SQ, FT, GARAGE-' ~90 SQ, F~ £o/. ,95 ~rea = 23125 ' - A~ 87°19 Lot 71 120. OO ~BDIVISION NAP FI~ED IN THE OFF/CE OF TH~ CL~NN OF SUFFOrN COUNTY ON dAN 2~ 1965 AS FILE NO ~, 20,1975 1975 I0~. 19?5 MAR, MI, 1975 YOUNG & YOUNG 4.00 OSTRANDER AVENUE, RtVI[RHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: BEN MENDOZZ A LOT NO, 45 "DEEP HOLE CF AT MATTI TUCK TO----W. 0.' SOUTHOLD SUFFOLK CO,, N.Y. SCALE::