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Home My WebLink About25002-zFORM NO. 3 TOWN OF $OUTHOLD 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. 25002 Z Date JULY 6~ 1998 Permission is hereby granted to: THOMAS P PILESKI 1250 ELIJAH'S LANE MATTITUCK~NY 11952 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 1250 County Tax Map No. 473889 Section 108 pursuant to application dated JUNE Building Inspector. ELIJAHS LA MATTITUCK Block 0003 Lot No. 005.011 9 1998 and approved by the Fee $ 35.00 Building InMpector t/ ORIGINAL Rev. 2/19/98 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. 25001 Z Date JULY 61 1998 Permission is hereby granted to: THOMAS P PILESKI 1250 ELIJAH'S LANE MATTITUCKINY 11952 for : CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 108 pursuant to application dated JUNE Building Inspector. 1250 ELIJAHS LA Block 9 1998 MATTITUCK 0003 Lot No. 005.011 and approved by the Fee $ 50.00 Building ~Inspecto~' ORIGINAL Rev. 2/19/98 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26470 Date: 05/20/99 THIS CERTIFIES that the building ACCESSORY Location of Property: . 1250 ELIJAHS LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section .108 Block 3 MATTITUCK (HAMLET) Lot 5.11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 1998 pursuant to which Building Permit No. 25001-Z dated JULY 6, 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to THOMAS P PILESKI (O~ER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 062945 01/28/99 PLUMBERS CERTIFICATION DATED N/A ~u~ld" g/InS~ector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26471 Date: 05/20/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 1250 ELIJAHS LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 3 Lot 5.11 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 1998 pursuant to which Building Permit No. 25002-Z dated JULY 6, 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 SHED AS APPLIED FOR. The certificate is issued to THOMAS P PILESKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 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 buildi~ inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property line~ 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. 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 buildJ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings Ppre-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 applicar If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. 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 Buildinm - $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 .~1.~ ~ . New Construction ........... Old Or Pre-existing Building ................. ~ocation of Property.~. .... a(~.?'t~:...r~w~. ............................................ House No. " Street Hamlet County Tax Map No 1000, Section..~.O.? ........ Block...~ ........... ........... Subdivision .................................... Filed Map. ~.~- .~.? ..... Lot....~. ............. Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval........ ............ .... Request for: Temporary Certificate .... Fee Submitted: $ 2~. . ....... Final Certicate ........... APPLICANT TOWN OF SOUTHOLD BU~ILD ING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thfs application must be filled in by typewriter OR ink and submitted to the buildiz inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property line~ 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 build~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plauning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings Ppre-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 applicar If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~mtng pool $25.00, Accessory building $25.00~ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... z%/..../. ~. ...................... New Construction ...... /.... Old Or Pre-existing Building ................. House No. Street Hamlet Onwer or Owners of Property ..................................................... County Tax Map No 1000, Section ..... I.f~.~ ..... Block ....... ~ ........ Lot..~.'.!! ........... ..... Filed Map Lot Subdivision .... Permit No ................ Date Of Permit. ~ ........ Applicant....~. .......... Health Dept. Approval .... ...~-~J... ................ Underwriters Approval..22 ................. Planning Board Approval...... .......... . . . . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ....... ~. .................... v ... ................. 3-% o APP iCA THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~74177 BUREAU OF ELECTRICITY ~ ~ , 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 28,1999 Application N .~o,,~564799/99 l't 062945 THIS CERTIFIES THAT PERMIT .~5001 ) only the electrical equipment as described below and introduced by the apffli~an~t~thed on the above application number is in the premises of THOH~ PILE,~KI, 1250 ELIJAH LANE, HATTITUCK, NY in the following location; [] Basement [] Jst FI. [] 2nd Fl. OUT Section Block Lot was examined on JANUARY 2(}, 1.999 and found to be in compliance with the National Electrical Code. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE OUILEIS RECEPTACLES SWITCHES ~UO~ESC~N1 O~ DRYERS FURNACE MOTORS FUIURE AF FEEDERS SPECIA% REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT )THER APPARATUS: SWI~ING POOL-i G.F,C.I:-i *(SWI~ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to h-ave frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 S E R V I C E A, ~N. G, NO, OF NEUTRALS OF HI~LEG GENERAL MANAGER Per ~ 'his certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS so? 177 .U.EAU or ~ 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 28,1999 Application No. onfile 17564799/99 H 062945 TH~S CERTI~tES T~AT ~ ~O. 25~I only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of THOMAS PILESKI, 1250 ELIJAH LANE, M~TTITUCK, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block was examined on J~NUAR¥ 20, ~999 and fottnd to be itt compliance with the National Electrical Code. Lot FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS EECEPTACLESi FLUOREECENT OFHER DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET S E R V I C NO OF CC COND. A.W.G. NO. OF HI-LEG A- W, G, A.W. G PER ffi OF CC, COND, OF HI-LEG NO. OF NEUTRALS OF NEUTRAL OTHER APPARATUS: THO~Lz~S PILESKI 1250 ELIJAH LANE GENERAL MANAGER ~TTITUCK, NY, 11952 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT' SE ALTERED IN ANY MANNER. FOUNDATION (lst) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING~ COMM£~T£ INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION DATE INSPECTOR~ USE ~FUL WITHOUT CLTRTIRCATE OF OCCUPANCY~_ 'IMMED ENCLOSE POOL UPON ( BEFORI ~0 A~f,A ~ 7G5-~,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG, [ ~j~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTOR OCCUPJ CYOR USE IS UN LAWFUL WITHOUT CERTIFICATE OF OCCOIPANCY I ASSEMBLY INSTRUC[I¢ I , FOR YOUR- MODEL ¥ERO/.ADE 7 OVAL POOL "IMMEDIATELY ENCLOSE POOL TO CODi UPON COMPLETION iiEFQRE "WATER~ LONG TOP RAIL 1833 ~o4 Illustrated e t WARNING THIS POOL IS NOT DESIGNED FOR DIVING OR JUMPING· DANGEROUS INJURY CAN RESULT-SHALLOW WATER!!! Your Sharkline pool is designed for years of pleasurable, safe family fun. But, when used incorrectly, a swimming pool can be dangerous. To insure your pool is used safely you must observe the following safety precautions: --Do not dive! --Do not jump! --No rough play! --Do not walk on the top rail. tt can be slippery and is not a walkway. --Be sure to install all safety labels provided with your pool according to the instructions. -- Keep a safety rope 1/4" by 50 ' with a flotation buoy with an outside diameter of 15". Have accessible in a prominent area by your pool. --Post near all entrances to pool area; a list of telephone numbers of the: · Nearest available police · Nearest ambulance service · Nearest available fire department · Nearest available hospital · Nearest available rescue unit · 911 emergency number if available · Nearest available Physician -- Provide fencing or enclosure which is independent of the house as a closure around the entire pool area. The fenc- lng must be made of durable material, a minimum of 4' in height from ground level and with closures wdh self- latching locks, to make pool inaccessible to toddlers and uninvited guests. --Never drink alcoholic beverages or use any intoxicants which could hinder your judgement and reflexes. ~ BOX 486 AMITYVILLE, L.I., N.Y. 11701 occuP~c~ ~ USE I.%IJNL&WFUL W~THOUT ¢~TIFIOATE OF OCCUPANCY~_ "IMMED ENCLOSE POOL UPON ~ BEFOR! · ~ 4 i,'~:,. BLDG. DEPT. TOWN.OF SOUTHOLD FORH NO. I TOt{N OF SOUTUOLD BUI Lg] lqG DIZ PAR'I~IEHT 'l'Ol~l N HALlo SOUTHOLD, N.Y. !}971 TBL: 765-1802 }) t sap{)~Yed SYC .................................. · (Buildin~ lnsl~ctor) ~ BOARD OF HEALTH · ..~,-~ .... J ..... 3 SETS OF PLANS ............... ~ SURVEY ........................ CHECK ~ ................. SE~TI~ FORH ................... APPLICATION FOR UUILI)INO PIiRHIT INSTRUC'rIoNs s. 'lhis applicaCicu most be conpletely filled in by I.Tp~riter or in ink ami aul~m[tted to tim Building Inspector 3 .ets of plans, accurate plot plan to scale. Fee accurdi~ to sche(k~te. b. Plot plan sl)c~tnS location of lot and of buildings on premises, relatiosahip rD adjotnin& prenises or public atre~ts or- areas, and sivin~ a detailed de~criptic~) of layr~,t of property Tr~lSt be dra~n on tim dis&rs, d~ich ia part of ~ this applicati~x~. ' ~' c. 'lhe ~k covered I~y d,ia applica~ian r~ay ,.~.t .be comeoced b~,fore issuance of Building. {'emit. · -~ d. Upon approval off rids application, the Buildm& inspector ~1]~ issue a Building Pemtt to the applicant. · "~emit ~hsll be.kept o~ U~e In~ses availab{e {~or inspection Oim~,heut the work. e. No buildin~ s{mll be Occupied or used in ~{mle or in part for any purpose ~hatever u~ttl a Certificate of Occupancy shall have been granted by ~le Building ]nspector. APPLICKFIOH IS IIE~ZBY HN~ to [be Ik~i]din~ Departnent~ for Ule isanence o1~ a guildin~ Fermit pursuant to Suildiug Zone O~dlnance of Che 'ro~ of S~thold, Suffolk County, N~ York, and otl~er appl{cab{e I~s, Ordti~ancse or {~egulations, for .tbs ccua~mcticu of hdldinss, additiona or altere~ions, or for ~moval or demolition, es herein deacrihed. 1be applicant: ~p-eea I;o conply vil~ all applicable la~s, ordinances, build!u8 code, hcuslu8 code, ami re~datJons,,ax] to admit authorized inspectors al premises and in builain~ for necessary iaspec~icus. ............................ (Signature of applicant, or nauru, l[ a corpers~ion) · .t~.~...~tq~,.. ~.../~.~.~.v.~ .... .~. (Hatlin~ ~d&'esa of applicanl:) 'S~ate ~heU~er appTican~ is o~er, lessee, a§eet, architect, en§inaer,'gencral contractor, electrician, plunber or Ixa|ldel ............ 0~e.~.& ................................................................................................ OCCUPANCY OR ~ FOUNDATION- TWO REOUlRED ~,,de~s T.~ce~ .~ .......................... USE IS UNLAWFUL WITHOUT CERTIFICATE ~ noun- ~ & Pl~qbers License 1'1o ......................... 3. IN$I~I~O~ ~,~,rlci.-s ,.ice.~ No ...................... OF (I~CUPAffCY 4. FINAL '~ONS?RUCl'ION MUST BE COMPLETE FOR C,O. Od~er Trade's License NO ..................... ALL CONSTRUCTION SHALL MEET '- -"~ of land on ~hlcl~ .ronosed ~aork vill be. docs ............... .'(t4[.FJEQ~JJ~NtEN3'Jt.O~..Tt~E.~LY .... ........... ' -~". ....... STATE CONSTRUCTION & ENERGY - C · ESPONSIBLE FOR ..... ~ ~ ...................... 0,.~._~ .~ .... L~ ~ ............................ ~ ~,. ~p No. ,~ ~on .. {.o..y. ........ u~.ee~ ...~ ........... bet ..~TJ./. ....... Su~i~a~ee......... ..................... . . . . . ... F,ed ~,, No. ~..0.1..:, ..... ,~t ..3 ........... (aa.e) ~. St:ate existlnl~ use and occupancy of {~(~nises sz~d inLen(~ ,use and occtq)ancy of propased conatlmCtlon. .. F~.i~ ,~ and oc~,..O~.~...F~;.i.~...]X~ ..................... . ......................... , - ~ ..... ~....~,.~..' · "IMMEDIATELY" UN,~I),ERWRITERSCERTIFICATE ENCLOSE POO~.TO CODE ~ RESUMED UPON COMPLETION BEFORE 'qR/ATER" I¢), II. 12. 13. 14. 15. Does proposed ca~structlo(1 viol ~ltlt lot be rel~raded Nanas oE L~er of premises · J~ of Ard~Jt~t ............. · ~ of C~tr~tor ............ Ts this p~rt? within I~cate clearly and distinctly fr(~t i)roi)arty lines, Give sl:~eet at% ~,/~etlJer l~terior or corner ]o~. ..-....,,,.,-- I~ .~.li PI,OT DIAGllA~4. 11 L, ul]dln~s, M~tlmr exisl:ing or proposed, and indicate sll ~et-h~zk dimensions block u~xlf)er or daecrlptiof~ accordit~g to deed, and altc~ street ru. res arxl tr~liaate ~lt(T WO~ ~ & 0t' MA e - #0~ YO AqUO00 JUtWAJ U 813 1l 3T Ol IIT 30 TOOHTIW ................... neitqt (riley m~r,~, (lelx)Ses and ,says Lhot he is the appl. ic~JiH. ix)raCe oiEicer, etc.) of ss, id (~r or o~,{e, rs, srxl Is duly Litociz~l to I~r[on~ or I~ave i)e. rfor~l Lhe ~,~ld ,aork and I:o make and file Lhls fliq)l tcsLioit; Lhsl: itt! silaten~tits c¢~lt~lned in IJi[s alq)l.i(:atio~t are tn~e Lo the I)esc of h{.s koouledge m~l bdllefi (,txl tllaL L},~ ~ck ~ill I~ perEonned itt th~ lt~trtllelr itel: l~ot'Lh itl Lhe appl. ical:ion flied therev{.rh. York