HomeMy WebLinkAbout14090-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21035 Date SEPTEMBER 21~ 1992
THIS CERTIFIES that the building. SWIMMING POOL
Location of Property 9715 MAIN BAYVIEW ROAD SOUTHOLD~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 88 Block 3 Lot 22.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 11, 1985 pursuant to which
Building Permit No. 14090-Z dated JULY 1~ i985
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 SWIMMING POOL & FENCE AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
THOMAS & ROSELLR~ STORM
N-701501 - JULY 24~ 1985
N/A
~ ~/~Building Inspector
Rev. 1/81
FO~ NO~ Il
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)
NB 14090 Z
Permission is hereby granted to~ ~ , -~ ~ ~ ~.
~. .................... ~ ....... /:..~. ....... & ..............
,.,L~ ~... ~... ,~"T...~ ...........
c~"~-~"~'""'~;'i'~? ~ ~"~. .~
,o "~'"'~""": ........... '"'""='"'*' .......... ~""'~ .... ~ '" "~
.~....~...~...~...~ ........ ~.~.~......~.....W~....~
et premises located at ..~....~../..~'~........~.....D~, '.....~.~.......~...~.~...~:....~~ .........
County Tax Map No. 1000 Section O'~ Block ..... ~:~.~. ........ Lot No. ~.:2.. ~
pursuant to app{lcatlon doted ...... ..,~....~....L..I ....................... , 19,,~. .... end approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
SEP 2
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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:
I. 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 amd similar buildings
and installations, a' certificate of Code Compliance from architect or engineer
responsible for the building.
6. Subm%t Planning Board Approval of completed site plan requirements.
'B. 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.
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 - $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 .......... · ........ ~ ......................
New Construction ........... Old Or Pre-existing Building .................
oe tien of Pro-e=.
,, House No. Street Hamlet
/
Onwer or Owners of Property..~.~.<~.¥....~. ................
..................
County Tax Map No 1000, Section .............. Block ............ Lot .... ..~.?~.~ .........
S~bdivision ..................... f .............. Filed Map ............ Lot..] ...................
Of Permit .... '~///~''Z-- ~' ' ~'/~ ..... .Applicant. ~~S .... ~..~.~./~....'.
Permit
No./. ~./.~. ~.%.~T-... Da t e
Health Dept. Approval .......................... Underwriters Approval .........................
'Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ .............................
CO d2g.S · .............
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Sourhold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
January 21, 1993
Mr. Thomas Storm
9715 Main Bayview Road
Southold, N.Y. 11971
Re: Premises at 9715 Main Bayview Rd., Southold
Suff. Co. Tax Map ~1000-88-3-22.3
Dear Mr. Storm:
In reference to my letter to you dated September 22, 1992,
we still have not received the building permit application for
the deck around your swimming pool.
As you are aware, According to the Code of the Town of
Southold a building permit is required for the deck and it is
unlawful to use said structure until a Certificate of Occupancy
has been issued.
Please submit the building permit and Certificate of
Occupancy application to this office immediately so that further
action does not need to be taken.
If you have any questions, please do not hesitate to call
me at 765-1802.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Building Inspector
GJF:gar
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
SCOTT L. HARRIS,
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
Spetember 22, 1992
Mr. Thomas Storm
9715 Main Bayview Road
Southold, New York 11971
Re: Building Permit ~14090-Z - CO Z-21035
Suff. Co. Tax Map ~1000-88-3-22.3
Dear Mr. Storm:
Enclosed is the Certificate of Occupancy for the Inground
Swimming Pool.
Please file the building permit application and CO
application for the deck around the pool.
If you have any questions, please do not hesitat~ to call
me at 765-1802.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Building Inspector
GJF:gar
encl.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
102.502_3 .UREAU OF ELECTmCmT¥ [~ 0 ~O~
~- 85 JOHN STREET, NEW YORK, NEW YORK 10038
i11~.~ Date Application No. o~ file ~
· .,s N701501
only the electrical equipment as described be~w and introduced by the applicant ~med on the able application number in t~ premises of
~o~, ~In ~y View E/S ~d. ~ust N/O Jacob~ ~e, ~uthold, N.Y.
was exao~ined on j~ 18 ~ ~$ ~ and found to be in compliance with the requlre.,er~ts of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS ;PECIALREC'PT TIMECLOCKS
TRANS. BELL UNIT HEATERS MULTI-OUTLET SYSTEMS
DIMMERS
i 20 i ~0
SERVICE DISCONNECT E R V I C E
PER ~' OF CC COND OF HI LEG OFA'h jWuTRAL
OTHER APPARATUS=
~.S~'Lm~L_.L_.L_.L_.L_.L_.L~..Poo~_) g.~is oertlfie~te co"v'ez,~ oomplie~ce at, the d~'t;e o£ .ir~peotio~ only,
]~cause o£ ur~al envi:ronme~ts it ::L~ a~hLlsable 'bo have .t~ent test; and/o~ repe.iz, s
made b7 a qualif:Led person,
Henry Bohn
121 Sheep Pasture Redd
Setauket, N.. 11733
T_d.e. 2675
i1
This certificate must not be altered in any manner; return to the office of the Board if incor~*ect Inspectors may be identified by their credentials.
COPY FOR Bt ILDING DI 118 i RTIFICATE I MANNER.
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
SEPTgl~ER 16, 1992
TBONAS STORH
9715 NAIN BAYVIEW ROAD
SOUTHOLD, NY 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
~ An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
' xxx The 'check is~xm~not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PEPMIT 0. 14090-Z
Please contact our office
cooperation.
on this matter. Thank you for
SOUTHOLD TOWN BUILDING DEPT.
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 23, 1990
Mr. Thomas Storm
9715 Main Bayview Rd.
Southold, N.Y. 11971
Re: B.P. ~14090Z
Inground pool
Dear Mr. Storm:
I am writing to you regarding the above Building Permit.
You have never scheduled a final inspection and have not gotten
a Certificate of Occupancy.
Please call our office to arrange for an inspection. Once
you have passed the inspection please file for a Certificate of
Occupancy. The fee is $25.00 We have your Underwriters Cer-
tificate on file.
Thank you for your prompt attention to this. You are in
violation of the Code of the Town of Southold.
Yours truly,
Secretary
F1ELD INSFECTION COMMENTS
~O U__N DA~T I ON (1st)
~OUNDATION (2nd)
2.
ROUGH FRAME &
FLUMBING
iNSULATION ?ER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
Date: August 18, 1992
TO:
Thomas Storm
9715 Main BaMview Road
Southold, New York 11971
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 SWIMMING POOL IS BEING USED WITHOUT A CERTIFICATE OF
OCCUPANCY AND AN EXPIRED BUILDING PERMIT.
In violation of ARTICLE XXVlII - CHAP. 100-281 & 294
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at:9715 MAIN BAYVIEW ROAD, SOUTHOLD, COUNTY
OF SUFFOLK, NEW YORK
SUFFOLK COUNTY TAX MAP No. 1000-88-3-22.3
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
encl.
(Cert. Mail)
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ...~.~.~ .... ,19 .~.~
Approved....~..~ ..... 19~.~. Permit No. ).q .0.q .0..~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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 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 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 codec_and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. ~? __ ( )
... ~/. 7/....&:. ~.~..~ .~.<~./. ~.. ~.,¢..
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
· ....,.....~:.. ..... .... ........................ _..~.:,.,.:~..,;..,~.,:.:,..~,.,;~.,~:~ .....
Name of owner of premises . . ./.~tP~? ...... ~.d!..~../fi~. ....................... DATE' J'/-/J-~ ~ ~ ~ ~--'~t~ X, . , ,~'~' i .'.. \, r~
(as on the tax roll or~st~)~-'- R¥: _.'_'_y4_'?.~,~.',~ '"'4 '
NOTIFY BUILDIF!G DEPA~Mem~
If applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM TO 4 PM FOR THE
FOLLOWING IF'~5?TCTIONS:
.............................................. 1. FOUF!r~ATIOM ' TWO REQUIRED
(Name and title of corporate officer) FOR PO JR'~D CONCRETE
Builder's License No. ,z/. ,~- [-coq .... 2. ROUGH - FRAMING & PLUMBING
..................... 3. INSUI_AT~ON
Plumber's License No. 4. FIN)I i ,h .... ION MUST
........................ BE C'?"~?I ~TF F'.~:2 C O.
E .... .~-a~ ~' '~' ALL CONS'r~'C'~nFI 'SHALL MEET
lectnciansLzcenseNo ...................... THE REOl*ly:'''V~¢'TTc; ~F TF',E
Other Trade's License No .......... ;-. .......... C(3DES~, ~ FJ~)T RESPONSIBLE FOR/
1. Locationoflandonwliichproposedworkwillbedone. /~.~.~T.,q {p.~. q ~'.~.F. ?/ .d. . . .,~b. ~.q,~ .....
. ·, .,. ,.~. ....... ~ ~,.~.. ~ ~ x~. :,~....,¢.~... ................. ?..~.:~.,,. ~ ................ : ....
House Number Street ~ Har~e t
County Tax Map No. I000 Sectiou...0. ¢.~ ............ Block .... /.: ./.~.~. ~ .,..z..~ Lot....{~ .~¢.. F./0. . .C~...~.
Subdivision ... ff~4 .~F.r~ Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
use and occupancy .../. ..... :VI ./~.
a.
Existing
b. Intended use and occupancy ..~.e$/.~.~:~C.¢...~.~...(?.~.?.~....~.~..C%~..o.o.~.J ,~cu/,~r*Trx,/6~
/
3. Nat, u'r~ of work (check which applicable): New Building ..... ' .....'Addition .......... Alteration ...........
Repair ........ { ..._~.. RemOval .............. Demolition .............. Other Work....~..~.*..~. ......
: ~ J~ ' i (~_~) ,-- ~--, -' (Description)
4. Estimated Cost ...... :...~..B.o:?. ...................... Fee....~.~..~.~ ....................
[ (to be paid on filing this application)
5. If dwelling, number of 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 .............. Depth ...............
Height ............... Numlber of Stories.. .......................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .................... '.. Height ...................... Number of Stories ......................
8. Dimensions of entire new constrUction: Front ............... Rear ............... Depth ...............
Height Number of Stories
9. Sizeoflot: Front ..../.o~..,./.~..i ........... Rear .../.~,~. :.<~. ..... Depth . .o~.~ , ~
10 Date of Purchase ' Name of Former Owner
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction viol~te any zoning law, ordinance or regulation: ...~.o. ............. ~-~--~;;~i
13. Will lot be regraded ........ ,: ................... Will excess fill be removed from premises: ~-=~_~ 7,
14. NameofOwnerofpremises .-ffg4~rOq.s....-r~.o.C..,~...Address .,Tl,~.,q..~.~.X~t~..c.r~..PhoneNo ......... ~~
Name of Architect .......... ' ................. Address ................... Phone No ....
Name of Contractor .~.c~.,..,O..~.~ .~.~...~.¢$ ....... Address .~?(..~.~..¢. ~.& ........ Phone No.. ?f.~..~..o.q ....
PLOT DIAGRAM
Locate ~learly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF . .~..ff.~W..c../~. ..... ~'a
....... .~ .~av.....C .....'~..d~-). "T;'~q~.~. ~..~ ............ being duly sworn, deposes ~d says that he is the applicant
(Name of individual signlng contract)
above named.
He is the .......................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is duly autho~zed to perform or have perfo~ed the said work and to m~e ~d file ~is
application; that all statements contained h this application are tree to the best of his knowledge and belief; and that the
work will be perfomed in ~e m~ner set forth in the application filed therewith.
Sworn to before me this
./1
, ............
.............. ' ....... dayof.. 19.~~
Nota~ Public ...................... County
OWNIER; ,, . ,,,, ....
. / ,, ~, ~,
.
,.~o<~c~~ ~/:~o ~ :~ ~.~ '-
' ' ~1'~ ~ ' ~'
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'", : ..... '~' ~* ~ / i N
, ..... . ,: . .~ ..... . ,, ,--~. ...
-;~', I .......
~AYV/~ ~' ' '
, , ~D~CK VAN TUY~
I '
fc:~,~i[ / FOR AP ROYAL OF CON~U~ON ONCY
~ DAT[: ........... DIS~AL BY~M8
'~/- - 7' DENCE WILL
H. B. REF. Np.: , , , S~ANDAR~ OF gU;FOLK
AppRoVe:I- , '' ,,
-m , .~=~ OPTIONAL STEP
,,.~_ TYPE.._2.
OPTIONAL STEP .OTE~...
WALKS TO BE SMOOTH
TMDC I AWAY FRO..OOL I .
I I ~.. we -- WATER DISPOSAL SHALL BE LIMITED TO OWNERS
----- -- ....... PROPERTY TO. SuIT LOCAL REGULATIONS
~ SEE TYPICAL
,m,---~---~L SECTION 'i :
SECTION B-B
PRE CAST
GRADE COPING
BI
SECTION A-A
OR ENO
STEPS OPTIONAL
SLOPE
BLOCK
VINYL
/
CAST CONCRETE
GRADE
THICK 'OWENS CORNINC
FIBERGLAS'BLOC BOND'
TROWELEO ON EACH
OF CONCRETE {}LOCK
ROLLED FOAM
BETWEEN LINER,
end'BLOC BOND'
~ 12' ~ POURED CONCRETE
i FOOTING
TYPICAL WALL SECTIO
SKIMMERS
~TO FILTER
SKIMMERS
LTERo~d PUMP
TO RETURNS
~:RDM FIL~