HomeMy WebLinkAbout25251-zFORM NO. 4'
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26562
Date: 07/14/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 4835 OREGON RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 95 Block 1 Lot 1.2
Subdivision Filed Map No. -- Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 16, 1998 pursuant to which
Building Permit No. 25251-Z dated OCTOBER 20, 1998
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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to MORRIS ISAAC & ELLEN COSTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
25111 12/09/98
N/A
Buildl~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25251 Z
Date OCTOBER 20, 1998
Permission is hereby granted to:
MORRIS ISAAC
PO BOX 1687
MATTITUCK~NY 11952
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE
TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at 4835 OREGON RD MATTITUCK
County Tax Map No. 473889 Section 095 Block 0001 Lot No. 001.002
pursuant to application dated SEPTEMBER 16 1998 and approved by the
Building Inspector.
Fee $ 150.00
ORIGINAL
Rev. 2/19/98
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
Thi~ application must be filled in by typewriter OR ink and submitted to the buildin
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 buildi
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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a
'!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 applican
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
ilt\ .. acoesso y building $25.00. nsinesses $50.00.
~///! J~2.- ~m~-ifi{at~of Occupancy on Pre-existing Buildinz - $100.00
/M~Ai 3%.~...~f~Cer~ificate of Occupancy - = .25g.
~9~.~.%C__~ificate of Occupancy - $50.00 '
~~~T.~Hry Certificate of Occupancy - Residential $15.00, Commercial $15.00
Location of Property..~.~.
House NO. Street Hamlet
Onwer or Owners of Property ................... ·
County Tax Map ~o 1000, Section ..... B1 ck .............. Lot ..................
Subdivision Filed Map Lot .....
P rmit N ~.~..~ ~ Date .......
e o .......... Of Permit .............. .. Applicant ..................
Health Dept. Approval .......................... Underwriters Approval .....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
~OUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING'
I~SULATION PER N. Y.
STATE ENERGY
CODE
'FINAL
ADDITION~
0??08/99 17:06 BETHEL ELECTE[C 51636S0019 ~ 5!67~81052 001
ELECTRiC. AL INSPECTION SERViCE INC.
EA,ST PA ~H~x rj~ ~ ~ w YORK I 1772
~boPLIU.~TION No. ON
Ellen Co~er
I~I7~ODU6'ffO I~ ~Bethe! Electrical Contrac~_~lt Ltd
~?nd ~rd ~Otto
po~l xx
I
,~Z~RI,'~E DISCOWNECT
~UtPMPJgT
2-300 .,att Ilght~
I.~ t/2hp~r
1-20Amp. ~me cl~
/-pool hea~rpac, gas
1000 - 005- I - I
BUILDING PERMIT No.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 6, 1999
Summer Activities
P.O. Box 319
Hampton Bays, NY
RE: Morris Isaac,
11946
4835 Oregon Rd., Mattituck.
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.
The check is (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 PERMIT # 25251-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 23, 1999
Summer Activities
P.O. Box 319
Hampton Bays, NY
11946
RE: Morris Isaac, 4835 Oregon Rd., Mattituck.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
~ XX ~n for Cert~ficate---~o-q~pancy is
~ not on file. (Enclose) ~
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 PERMIT # 25251-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
-~ ., 0 £, 9j' °b~'
SEP--84--95 18:58 AM SUMMER ACTIVITIES ZHC
FORM NO. 3
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)
PERMIT NO. 25251 Z Date OCTOBER 20~ 1998
Permission is hereby granted to:
MORRIS ISAAC
PO BOX 1687
MATTITUCK~NY 11952
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE
TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at 4835 OREGON RD MATTITUCK
County Tax Map No. 473889 Section 095 Block 0001 Lot No. 001.002
pursuant to application dated SEPTEMBER 16 98 and approved by the
Building Inspector.
Fee $ 150.00
Buildingf/Inspect~
COPY
Rev. 2/19/98
TONN OF SOBTBOLD
BUILDING DEPAR'r~ffiNT
TOI~I BALL
SOUTHOLD, N.Y. l]97!
TEL: 765-1802
Disapproved a/c.. . · ..............
BOARD OF NEALTE ...............
3 SETS OF PLANS ...............
SURVEY ............
CBBCK .........................
SEPTIC FORH ...................
NOTIFY:
....
HAIL TO: ....................
APPLICATION FOR BUILBING PEI~ilT
INSTRUCTIONS
a. 'Ibis applicatioo must be ce~letely filled in by ty[~,-riter or in iuk aad suhuitted to Oae l~filding I~tor
3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~cordi~ to ~le.
b. Plot pla ~ l~ci~ of lot ~ of ~ildi~s ~ ~s, relatio~ip to ~joini~ p~s or ~lic
s~r~[s or ~e~, ~ givi~ a ~ail~ ~ripci~ of la~ of p~ ~t ~ ~ ~ ~e di~ ~i~ is ~rt of
~his a~li~ci~.
c. '~ ~ c~r~ ~ ~is a~li~ci~ my mc ~ ~ ~fore isle of ~ildi~ Pe~t.
d. U~ a~al of ~is a~liaci~, t~ ~ildi~ I~c~or ~11 is~ a ~ildi~ Pe~ to the ~li~t.
~t ~11 ~ ~pt ~ ~ ~s a~il~le for i~ti~ thr~t ~e ~rk.
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ ~ ~at~r mtil a ~rtificate of
~I~ IS ~ ~ to t~ ~ildi~ ~;a~ for ~ isle of a ~ildi~ Pe~t ~t to the
~ildi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er a~li~le ~s, ~di~es or
~lati~ for ~ ~t~ti~ of hildi~, ~i~i~ or altera~i~ or for r~al or ~litia, a ~in
~ri~. ~ a~lim~ ~s to ~ly ~a ~1 ~li~le l~s~ o~i~es~ ~ildi~ ~ ~i~ c~,
r~lati~s, ad ~o ~t ~ri~' i~tors ~ ~s ~ in ~ildi~ for ~ins~ci~s.
(Si~e of ~llmt, or ~, if a ~ratlm)
State ~p~[l~t~akles~, ~t, ~it~t, engi~r, ~mra ~p(r~tq[~ el~tricia, p!~r 0r ~ili
~t~~o~ ........... , . . .~ ,.-.~.~ ,.,.~...: .............
~ o~ ~a~~~Xm.~ ....t %~.~../~.~D'.5~.,., ..... , ....... , .......... , ....
Pl~rs Licm ~ ................ .... ... · ..
El~trici~ Li~ ~ ............. .. .... · .
0~r ~'s ~ ~ .....................
I. ~,i~ o~ 1~ ~ *i~ ~ ~,ill ~ ~..~.~.~..~...~.~V.9. ~J¢? .........................
~~. ...................
~ ~r St~t ~et
~ivisi$ Fil~ ~p ~ ....... I~C ......
(~)
~ ~ ~ , .' .
~. ~,~i~ ~ ~ ~ ..... 1 ..... ~ .... .~...~~; .......... :: ...............
~. ~ ~ ~ ~ .... ~.~.~.~.~ .... .~9.~ ............... ~ ...................
I0.
12.
14.
15.
If I~sinase~ oa.,~rcial or mt~
Dimensions of existing stmctur
t~i~t ........................
9imeesions o~ s~ne stx~eture
Dap~h ....................
Dimensions of entire on~
paint ....... ~ ................
8i~ of lot: ~t ...........
Kature of work (check ~tfid~ sp~licable): Ne~ Building .......... fi&lition .......... Alteration .........
Estl~mted ' ir ..... I ......... fee ..............................................
I I (to be paid on filing this application)
I[ dieelling, nt~r of d~ellin~~ onits ............ [ limber of d~lling units on each floor ................
If garage, nuaber of cars ......................................
occupancy, sDeeify nature and extent of each type of use ......................
.'s, if any: Front ................ Rear ............... Depth .................
· D, nber of Stories ......................
[h alterations or additions: Front ............... Rear ...............
~t .................... l~r of Stories .............. .
lotion: Front ................ Rear ............... Depth ..............
Nt~r of Stories .....................
......... Rear .................... Depth ....................
Date of Purdmse ..................... ~ oi~ l?ormer Otcsar ........................................
Zone or usa district in ~hi~h I~ reraisas am situated ..............................................................
Does proposed construction viol ~te any zoning la% ordinaeee or regelatlon: .... ~,..0. ..............
Will lot be regraded .... ~'~..0., ......... Will excess fill be removed fran premisas: NO
llanes of Oasar Of p~taaisas .... ~ ...................... /kldrees .............................. l~eeee No ...............
~ of Arddtoct ............. ~ ...................... &idrese .............................. lt~ne No
............ , ...................... A&]ress ............................... Plxme Ils ...............
Is this pmperO] ~ithin 300 fee~ of a t~dal ~etland~ * ~/F~ .......... lqO ..........
PLOT DIAORAH
I~cste
cle. arly and distinctly all buildings, x~betber existing or proposed, and
from property hees. Oixaa street andlbleek nanber or description according to deed,
whether interior or corner lot.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
gr^'lE OF Ixl~ YO~,
OF ......
(Nane of iMivial si~ing c~tract)
tbe C q .............
(~tractor,
a~licatlon; that aH
that the ~rk ~ill ~ ~r[o~ in th~
~m to ~o~ m this
......
"IMMEDIATELY"
~-'ilON
BEFORE "WA'I~I~'
UNDERWRITERS CERTIFICATE
REQUIRED
indicate all set-back dimensions
and shem street nares and indicate
FOLL.~ iJI~CTION6:
1 FOUJ · TWO REQUIRED
4, FINAL - ~RU~ION MUST
~~ c.O.
ALL CO~~ ~LL M~T
THE REQUIR[M~B OF T~E N.Y.
~TATE CON2~U~ION & ENF~qY
DESIGN ~ CONdiTION
................... being dely sworn, deposes anti says that he is tl~ applicant
rparate officer, etc.)
thori~xat to Iperfem or have perfotn~d the ,said work m~l to rmke and file this
ned in this npplieaticm are tn~e to the best of his kee~ledg~ and beiiefi and
~m~r sat forth in the application filed tbere~rlth.
(Sigeat~re of Applicant)
I
7GS,-~L802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG,
[ ] FOUNDATION 2ND [ ,] I/~SULATION/
[ ] FRAMING [ ~ FINAL
[ ] FIR!PLACe__ HIMNEY ,~ ~~
DATE INSPECT