HomeMy WebLinkAbout14166-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17115 Date JULY 25, 1988
THIS CERTIFIES that the buildin~
Location of Property 1000 BAYER ROAD
House No. Street
County Tax Map No. 1000 Section 107 Block 9
Subdivision Filed Map No.
MATTITUCK, N.Y.
ACCESSORY
Lot
Lot No.
Hamlet
29
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 27, 1985 pursuant to which
Building Permit No. 14166-Z dated JULY 29~ 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 ABOVE GROUND SWIMMING POOL & FENCE
The certificate is issued to
EDWARD & JUDITH H. LANNING
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N-020758 - JULY 6~ 1988
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CfHIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N_° 14166 Z
Dote ........................................... , 19 .....~
Permission is hereby granted to:
.......... ......... .....................
,o .............. ~.~.~L~J.~ ............ ~ ~.:'.~.~/~ ,... ~ / .... ~z.~4 .... ~.c .......
................ ~ ...... ~ ............................
0 ~y~'r C
at premises located at ........................................................ ~ ...................................................................
Courlty Tax Mop No. I000 Section ........ /..~..2. ...... Block 9 Lot No. ~ y
pursuant to application dated ............................................. , 19....~...., and approved by the
Building Inspector.
Fee $...,~....~,.,.~...
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y, 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval ol~ electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prier to April 1957), Non-conforming uses, or buildings and "pre-existi~g"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.OO POOLS $25.00
1, Certificateofpccupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2, Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O.~ $ 50.00 Date ...1.2.,/,I,8/.8..7 ..............
New C o,,~ a t r u c t i on ......Old or Pre-existing Building ............
Location of Property 1000 Bayer Road Mattituck, New York
House No, Street
Owner or Owners of Property .. EDWARD W & JUDITH H. LANNING
107 9
County Tax Map No. 1000 Section ............... Block ...............
Vacant Land .............
......
29
Lot ................
Subdivision ................................. Filed Map No ........... Lot No ...............
PermitNo. 14166Z Date of Permit .7 / 2. 9. ./.8 ~,pplicant E.d. war. d. W. Lannlng
Health Dept Approval ' Labor Dept Approval
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ 25.00
Construction on above described building and permit meets all applicable cocJes anc~ regulations.
^pp,,cant ....... ................
Edward W. Lan~ing
Rev. 10.10-78
.35
1'TJl S
~(*~o(;~: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~:~;
BUREAU OF ELECTRICITY
J ,~ . BS JOHN STREET, NEW YORK, NEW YORK 10038
Date Application No, onfil~ ) ,, {', ~ D.~ ~ ~,, / ~ ~, ~ '~ ~
THIS CERTIFIES THAT
only the electrical equipment ~ ~scribed below and introduced by t~ applicant framed on the a~ve application number iR the premtses of
in the followlng Iocat¥~ ~ B~ent ~ l~t Fl.
2nd
FI.
Section Block
at,d found to be in compliance with the reqt~irement.s qf thi~ Boerd
FIXTURE / ; FIXTURES RANGES COOKING DECKS OVENS
OUT/ETS RECEPTACLES SWITCHES EXHAUST FANS
DRYERS
SYSTEMS
E
OTHER APPARATUS:
_r ~o. OF HI-LEG
c
OF HI-LEG
NO OF N~DTRAI
d in any manner, return to the office of the Board if incorrect Ins-e-t- ~*-- ..... ~%/%~/~/ --~¢B
ARTMENT. THIS COPY O~'C~A ~ :FLUTE MUST NOT BE ALTERED iN ANY ~NNER. ~ I
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
To Whom This May Concern,
We are unable to complete your Cer%ificate
of Occupancy because.of the following reasons.
/~/ An application for Certificate of Occupancy
it; not on file.
/ / No Underwriters Certificate on file.
/~ The check is (~/not on file, )~2~O~
/5/ NO Health Dept. Approval on file.
/~/ No final ins.pection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Bui]dJ.ng Permit t~ I ~ ~ ~ L Z '
Building Dept.
***/~/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY.
CLEAR UP THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION DOES NOT
HAVE TO BE TAKEN.
Thank you.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 7654802
December I0, 1987
Edward W. Lanning
1000 Bayer Road
Mattituck, N.Y. 11952
Dear Mr. Lanning:
RE: 14166Z Swimming Pool with fence
I am writing to you in the hopes that we can clear
up the old permit you had for a swimming pool..
It is a violation of the law to use the pool with-
out a certificate of occupancy. In t986 we returned
your check #265 and asked you to return to us a new
check in the amount of $25.00. We ~eceived your check
#407 in the amount of only $5.00. We couldn't process
your application in any event because you have never
supplied us with an underwriters. I have checked our
Underwriters and cannot find one for you.
Please get an Underwriters Certificate and return the
new application which I am enclosing along with your
check for $25.00. I am returning check #407.
Our office cannot let this go any longer since it is
a violation. Thank you for your prompt attention to
this.
Yours ~ruly,
Secretary
FORM NO. 6
TOWN OF SOUTHOLD
Pa~ildlno Deoartment
C, Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copv of certificate of occupancy $1.00
4 .Vacant Lan%d/0. $5.00
New Building ...... ¥ ...... Old or Pre-existing Building
$15.00
Date...j .U./?~'~../.~j ........
.... ~ ...... Vacant Land ...........
Location of Property .................................................................
House NO. Street Nam/et
Owner or Owners of Property ........ ~. ~.~z,r..~..~.Q..~.. ,~...~T~/.~? .7"..~../.y...~.~..~..~.~.y.~. .......
County Tax Map No. 1000 Section .... ./'?. ~ ...... Block ...... .~' ........ Lot .... ~.~. ........
'~i Lot N o
Subdivision ................................. Filed Map No
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
........ .................
JUDITH H. OR EDWARD W. LANNING /4 0 7
---: ........ ~ ............. ~ ~ - io~- '~o the Building Jnspec-
" les, streets, and unu~al
~usrc~ __ ,rm or equal).
C~~. ~~~~ ~ ~ r buildings and installa-
....................... onsible for the building.
lings and "pre-existing"
land uses:
1. Accurate ~ey of p~perty showing all property lines, ~reets, buildings and unusual natural or
topographic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a ce~ificate,
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180;2
Bxamined ........... ' ..... ,19, ~'U--..
ppro,ed ...... 7./. .*. ? .... , l*.¢.CPermit
Disapproved a/c .....................................
BLDG. DEPT.
TOWN OF SOUTHOJA~ [
Received ........... , 19~.S~7
(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
iets 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
er 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
.... n
mall be kept on the premises avmlable for mspectio 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
~hall have been granted by the Buildh~g 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 reg~ations, and to
idmit authorized inspectors on premises and
in building for necessary inspections.
(Signature of applicant, or name, if a coff~o~atio~n) ,
State whether applicant is owner, lessee, agent, architect, engh~eer, general contractor, electrician, plumber or builder.
Name of owner of premises ..... ~.~.~. · .~- .~../~. ~.· ./4A/.
(as on the tax roll or latest deed)
~f 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 ...................... /0¢O ~
~. Location of land on which proposed work will be done.
House Number Street Hamlet
County Tax Map No. 1000 Section ....... /..0.'2 ...... Block ....... .......... .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and¢ccupancy of proposed construction:
a. Existing use and occupancy ........ ,1~.~. ...... i..~7' ..............................
b. Intended use and occupancy . .' .................................
10.
12.
14.
P ' · ............. '..~ ~ ............. '' ..4 ......... Other Work .......... . .....
Estimated Cost ......... ~ .'~ .i .......................... Fee .4 .......
~: ~' (to be paid on filing this application)
If dwelling, number of dwelling units ............... Number of d~ ~elling units on each floor ................
It' garage, number of cars .... ,~ .....................................................................
If business, commercial or mixed occupancy, specify nature and extent ~f each type of use .....................
Dimensions of existing structures if any: Front '~ ' Rea Depth
Height .............. Number of Stories .......................................................
Dimensions of same structure w,th alterations or additions: Front .................. Rear ..................
Depth , Height ~mber of Stories
Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
H~ight ........ Number of StoNes
Size of lot: Front Rear ...................... Depth ......................
Date of Purchase ' Name of Forme: Owner
Zone or use district in which p~emises are situated ......................................................
Does,proposed construction viglate any zoning law, ordinance or regula ion .......
Will lot be regraded ........ i..~-, t .....t ..... ll0,~,~jll excess filJ.
' . . Address .......
Name of Architect ......... , ................
Name of Contractor ' Address
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or propos
property lines. Give street and block number or description according to dee
interior or corner lot. ~
STATE OF NEW YORK, S.S
COUNTY OF ................
* rem3v~ld from premises: Yes
Ir't!'...~?..... Phone No ................
........... Phone No ..............
............ Phone No ................
~d, and, indicate all set-back dimensions from
and show street names and indicate whether
being duly ~vorn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the
(Contractor, agent, corporate ~ ~ficer, etc.)
of said owner or owners, and is d¢ly authorized to perform or have perfonned the said work and to make and file this
application; that all statements coOtained in this application are true to th{ best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed there ~ith.
Sworn to before me this
........ ;...~.~. ~ ...... day ~f..~x~ ..............
19 .~.gff
Notary "~blic . .~.~ .~..~. (Jff.~..../. ,~ounty
HELEN K. I)E VOE ! .~.
NOTARY PUBLIC, State of Newj¥ork .......
, No. 4707878. Suffolk Couj~tv_
Term Expires March 30,
(Signature of applicant)