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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