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HomeMy WebLinkAbout25269-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26759 Date: 10/27/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 655 OYSTER PONDS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block i Lot 3.2 Subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1998 pursuant to which Building Permit Nc. 25269-Z dated OCTOBER 22, 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 JAMES J & SHARON BOGDEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 25030 12/02/98 N/A Building Inspe~or 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. 25269 Z Date OCTOBER 22~ 1998 Permission is hereby granted to: JAMES J & SHARON BOGDEN 655 OYSTER PONDS LANE ORIENT~NY 11957 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 655 County Tax Map No. 473889 Section 025 pursuant to application dated OCTOBER Building Inspector. OYSTER PONDS LA ORIENT Block 0001 Lot No. 003.002 19 1998 and approved by the Fee $ 150.00 Buildin~Inspecto~ 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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 building~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed s~te plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-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. C. Fees i. Certificate of Occupancy - New dwelliDg $25.~~ons to dwelling $25.00, Alterations to dwelling $25.00, w~ing~01 $25.00, A~cessory building $25.00, Additions to accessory building $25.00. ' Busihesses $~0.00. 2. Certificate of Qccupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~..25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date t~. I .~.l .~.'.~ .... New Construction ........... Old Or_Pre-existing Building ................. ......... r ...... ..... Location of Property..~..~ ...... -~.~ ~ {~-~f] ~' House No. Street Hamlet Onwer or Owners of Property.~~..~ .~..S.~ -~( .~.O...~.'.~./~d.~ ·©~ ~-~-~ ......... County Tax Map No 1000, Section.....~.2~.--~" .Block....~..~..~. I ...... Lo t... ~.~..~.~.,.~..~..~ Subdivision.... ...................... ........ . . Filed Map ............ Lot .......... . .......... Permit No..~..~...~..~..~. ~.Z..Date Of Permit. ~J~.~J?..~. .... Applicant~.~.~ .~.~ .~t~{~...~. ?..~... Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... DATE: VILLAGE: ADDRESS: ISSUED TO: ELECTRICAL INSPECTION SERVICE INC. $?~ OUNTON~mNU~ , ; EASr PArCHo~VE, NEw yoR~117~2, (510 286-6642 12/2/98 Orient , 25020 $outhota ~ 655 Oyster Pond Lane Jim Bogden LOCATION: $~ITCHE$. 2 DISJt~IarER FURNACE was eacamined on 12/2/98 and found to be ih compliance wtth the NationalElectrtcal Code ' Base ' 1st ' ' 2nd<~ ;' Sr~l ,.dtii~ ,- '' ' Der Garage Hot Tub ' i, * Pool x~ 2 : : ,, -: . '" ,' .)'! omv ~O~D~r~cr°~ ', DRYER C~E~ ~H. ,G~ DISP. ~ ~GE OTHER EQUIPMENT Outside, Rea. i:~OOw 1-20Amp. lime clock 1-20Amp. ~pec. BUILDING PERiVI1T No. otuam~ YguLOwcoP¥ rINK CoPY oFFIcE. EDWARD FORRESTER Director of Code Enforcement BUILDING DEPARTMENT TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 October 8, 1999 Randy Rodecker 471 Rte. 25A Rocky Point, NY 11778 RE: James Bogden, 655 Oyster Pond Lane, Orient. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX 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 # 25269-Z Please contact our office on'this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ]/I~SULATION / [ ] FRAMING [,~/] FINAL [ ] FIREPLAC~/~CHIM_NE~, R£MARKS: ~~ "OUNDATI£ !. ~OUGH (2nd) FRAME & .PLUMBING 3. IgSULATION PER N. STATE ENERGY CODE 'FINAL ADDITIONAL COMME~ rq F"' ! Examined ................. 19 Approved . .(~. · .~. g.L.., 197..~. Permit No. t~..~...j~_c~...~2 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... SEPTIC FORM ' BUILDING DEPARTMENT ' TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL ................ MAIL TO: Disapproved a/c ..................................... 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 occ, alai~d,~r~u~ia~J~q!~%~i~part for any purpose whatever until a Certificate of Occupancy shall have been granted by the APPLICATION IS HEREBY m~;g~b,~t ~h~b'~Iil~ Department for the ~ssuance of a Bmld~ng Permit pursuant to the Building Zone Ordinance of the Tow'~'~.g'6{~tl~/~ffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal Or demoliti6n; as herein described. The lRoplicant agrees to comply with ail applicable laws, ordinances, building code, h0usigg eod~,~and regulations and to. admi[author, zed inspectors on premmes and m buildmg for necessary ~nspect~ons. · (Signature'of applicant, 0~:name, if a corporation) ,,..:, (Mailing address of applicant) //77o State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~. J & .~A~. ...................... .......... (as on the tax roll or latest cleed~ , "~ ......... If applicant isa corporation, signature of duly authorized officer. (Name and title of corporate officer) ' ~,,,"lJ $ ~ ~0 ~ ~ FOR THE ALL CONTRACTOR'S MU~TBE SUFFOLK COUNTY LICENSED Builder's License No...c~J..~.~.~,?.H.._~. ........ ~ ll~ - ~ RI:OUIRED Plumber's License No ......................... ~. ~ * ~ · I~UMSING Electrician's License No...c:::~'"'-- .r7.~.~. ....... 4. FINAL MUST COMI, IATE C.O. &LL COI~8'[RUCTION 8HALL MEET Other Trade's License No ...................... THE REQtJ~EMENT$ OF THE N.Y. · TAT~ CONSTRUCTION & ENERGY 1. Location of land on which proposed work will be done ................... ~_,D.~_8.; *..N~[I~ 'RESPON~BLE ' FOR .... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~).~.~. ....... Block .... ¢1 ............ Lot ~..~.,~. .... .~. ..... Subdivision ..................................... 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~t~.~..F~/,~ !V'' b. Intended use and occupancy l ~ .~/.,~,. ~"~-,~Jl./~.· .. 3. Nature of work (check which applicable): New Building ..... · .....Addition .......... Alteration .......... Repair .............. Ren~oval ............. Demolition .............. Other Work ............... ] (Description) 4. Estimated Cost..'~..~5:~,. ~ .................... Fee ...................................... g ' (to be paid on filing this application) 5. If dwelling, number of dwellin units ............ Number of dwelling units on each floor ................ If garage, number of cars .... i .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... '7.Dimensions of existing structure_s, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dnuensmns'of same structure w~th alterations or addmons: Front ................. Rear .................. Depth .................. .... Height ...................... Number of Stories ................. -'8. Dimensions of entire new cons{ruction: Front .......... . .....Rear .......... Depth ii Height ............... Nu~aber of Stories ........................................................ 9. Size of lot: Front .......... [ ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... [ ................... Name of Former Owner ............................. 1 1. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction viqlate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ , ................. Will excess fill be removed from premises: Yes No 14. Name of Owner ofl~remises ~ .a?,. ~. ~j~-q-~.. ...... Address t0.~.ti~t~..~, e~S. Phone No. ~'R~ Name of Architectf.~-~t'~/"~tF-klw~ ........... Address [').~.~/~...0~.~...S~r~c:,~.... Phone No._~..~. ~_~ .2~._'.Q .... Nmne of Contracto~lD~.~~ ..... Address~.l.'b'fC~.~;~.~...flc~.lBhone No~ 15. Is this property located!within 300 feet of a tidal wetland? *Yes ..... No~,,.-~~~ *If yes, Southold Town Tr0stees Permit maybe required. PLO~F DIAGRA~ buildings, whether existing or proposed, and~ indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether Locate clearly and distinctly al property lines. Give street and block interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTII:ICATE OF OCCUPANCY "IMMEDIATELY" ENCLOSE POOL TO COBE UPON COMPLETION BEFORE '*WATER" UNDERWRITERS CERTIFICATE REQUIRED abis}~'~a~h~'Ji: ~OITgl/RTI~#03 ~ of said owner or owners, and is dul~ application; that all statements conta ................... being duly sworn, deposes and says that he is the applicant contract) (Contractor, ager/t, corporate officer, etc.) authorized to perform or have performed the said work and to make and file this ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannei set forth in the application filed therewith. Sworn to before me this I .d ~ ............ 19 .~..f'~ Notary Public ............ County 0 M~/N I0~.0