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HomeMy WebLinkAbout22931-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24118 Date JANUARY 17, 1996 THIS CERTIFIES that the building ACCESSORY 400 & 680 JACOBS LANE & Location of Property 10612 MAIN BAYVIEW ROAD BOUT~OLD NY House No. Street Hamlet County Tax Map No. 1000 Section 88 Block i Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J%FLY 21, 1995 ~ursuant to which Building Permit No. 22931-Z dated AUGUST 9, 1995 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 AN ACCESSORY ABOVE GROUND MWII~4ING POOL WITH FENCE TO CODE IN 'r~u~ REQUIRED REAR yARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHESTER & pARKER DICKERSON of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL H047981 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev, 1/81 DECEMBER 1, 1995 N/A Buildin' FORM NO,3 TOWN OF 8OUTHOLD BUILDING DEPARTMENt' TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 22931 Z pursuantto ~ppiicatlon dated ............ ~~...~-- .......... lg.. a~ ,d approved bythe Building Inspec~ ..... 6/30/80 ,)AI~ / 6/996 --' -, nG DEPT. .. ,,,~', _-.. AP?LICATION FOR CERTT-IrlCATE O~ OCCUPANCY TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ~[ALL 765-[802 AD This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new bnilding 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. Sworn statement fro~ plu~ber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 and "pre-existing" land uses: i. 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildi,g $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinM Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 New Construction .... ~ ..... Old Or ~re-existing Building ................. House No. Hamlet :ou,,tyNe iooo, Section...C.e. ....... Bloc, .... / ........... ot./.O ................. Subdivision .................................... F[lud Map ............ Lot ........... .,j/ ........ ;iealth Dept. Approval .......................... Underwriters Approval ......................... 'fanning Board Approwll ........................ ;(equest for: Temporary Certificate ........... Finul Certicate ........... Tee Submitted: r_.,¢ ':2_ ;;:,qttl{ THE NEW YORK BOARD OF ,FIRE r UNDERWRiTERS ~ ~ 8057633 , ' * BUREAU OF ELECTRIC T~' · ~ .,~ JOH, STREET. ,EW.YORK ,EW YORK ~oo~s ' 10701495/95 H, e~9~ '~ O,t~ DECE~ER e[ ~1995 ~ Application No. on file ' ~ ~ ~ THIS CERTIFIE~ THAT ; ' o~y the el~trical ~uipment ~ ~scdb~ be~w a~ i~t~uced by t~ appl~ant Mm~ co the a~e applicatton number m t~e prem~ses of J~S M.DIC~RSON, iO6~2 BA~I~W RO~, SOU~HO~, N~Tf. ~ ; and found to b~ ~n ~ompl~nce ~h the ~nal Elect~ ~Code~ DRYERS MOTORS FUTURE APPLIANCE FEEDERS TiME CLOCKS MU~TI-OUTLET DIMMERS SYSTEMS ~40. OF FEET *NO VISUAL DEFECTS: AWG. TH S S YOUR e a FOR SER¥ CE RENDERED AND S N~i~ Ar C~TISCA~4PU&N~E TH S BILL PAYABLE ~ T'E NEW YOI{K OFfiCE, R~ JOHN JAM~S M, DICK~RSON 10612 BAYVIEW ROAD SOUTHOID, NY, 1~971' "jPI~ASE REfiT BY ~K' OR MONEY 'm~s cas...TRY M^,~ W,LL. ~, ..,S~ OF s,.~.. , Per L "An electrical survey has been made of the exposed electrical equipment in the. premisesindicated." ~'N0L ~ ....... : unsatisfactory condition was found.:, Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 11, 1996 Mr. James Dickerson 10612 Main Bayview Road Southold, NY 11971 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. 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 # 22931-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGHfPLBG. [ /~ I~ATION [~'] FINAL [ ] FIREPLACE & CHIMNEY DATE /~/~ iNSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND ,[ ] I,~JLATION [ ] FRAMING , '[~INAL [ ] FIREPLACE"& CHIMNEY°' DATE PEC~~ FOUNDATION (IST) FOUNDATION (2ND INSULATION PER N. I. ST~Tg CODE ~DITIONAL CO~S Town Hall, 53095 Main Road P, O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD ORDER TO REMEDY VIOI~TION Date: July 19, 1995 TO: Chester & Parker Dickerson 155 Mountain View Manor Torrington, CT 06790 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Chapter 45 - Section 45.8 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: An above qround swimming pool has been installed without a Buildinq Permit. In violation of Southold Town Code YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises are situated at: to which this ORDER TO REMEDY VIOLATION refers 680 Jacobs Lane Southold, NY 11971 SUFFOLK COUNTY TAX MAP #1000-88-1-10 - A/C ZONE Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. ~ ~t ~ £ng Inspector ' JMB:cmt / (Cert. Mail) :, 'JUL 2qtlffii FORM NO. 1 : ~ ,'~OWN OF SOUTHOLD 'BUILDING DEPARTMENT ,: TOWN HALL INSTRUCTIONS BOARD OF IIEALTII o .., ...... 3 SETS OF PLANS .......... SURVEY ................... CIIECK ..................... S E pT~,I C FO lltl .............. I'IA I L~.~O: ./ . Date..-f./P-./. .......... 19 g4~ a. This apl~lication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets, of plans, accnrate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildh~gs on premises, relationship to adjoining premises or public streets or "areas, and giving a det~led description of layout of property ~nust be drawn on the diagram which is part of this appli- cadou. c. The work covered by this application may not be com~nenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued 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 occupied or used in whole or in p~t for any purpose whatever.unfil a Certificate of Occupancy shall haw been granted by the Building Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Bnilding Zone Ordinance of the Town of Soutb01d, Suffolk County, New York, m~d other appScable Laws, Ordinances or Regulations, for the construction of buildh~gs, 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, aud regulations, and to admit authorized inspectors on premises and h~ building_~ for.necessaw jn~p¢~tiop~. ...~h.~..~ ...... ~. : ....... ~;~. ;;; ; ...... -- ~gnature of applicant, or name, if a p t'on) State whether applicant is owner~e~ ageut, architect, engineer, general contractor, electrician, plmnber or builder. ............................................... ,au, own, +. .... ....... ' ...... ......... (as ou the. tax roll or lates~ deed)~R_VE '' Rppl'c,n[ iS ~ corporation, signature of duly authorize, t~EOIA~Y'r" - E~LOSE ~ ~ FEE: ~ BY:~~ : ~ ~'~ ~,R~ ~ Builders License No. , ~Y~L~'~'~.. ~. FOLLO~NG INSPECTIONS: 1. FOUNDATION - TWO REQUIRSD FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING S. INSULATION 4. FINAL '- CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. 1. Locatiou of land on which proposed work will be done .................... STATE .CONSTRUCTION. &..E4~.~G¥ ·. · .. ¢ 0 .~.['.~ .................... O ........ ~.~IRUOTI~N .E*~a~ · . llouse Number Hamlet Connty Tax Map No. 1000Section ...~.~. BIock..~..J. '... Lot..~./.¢ ....... Filed Map No. Lot ...... : ........ Subdivision ........ . ........................................... (Nmne) . 2: State existing use aud occupancy of premises and intended use and occupancy of proposed constn~cdon: a. Existing use and occupancy...~.~ .... ~:d~.~.j.--~..,.Ifl380,, ...................... b. Intended use anti occupancy ............ ~ff. ,'..l~nu,~,~}~.~) ............... '3. Nature of work (check which alpplicable): New Building .......... Addition .......... Alteration .... : ..... Repair .............. Renyoval .............. Demolition ~ (to be paid on filing this application) 5. If dwelling, · ~ . number of dwelhng umts ............... Number 0f dwelling units on each floor .............. If garage number of cars ' 6 If business commercial or mixed occupancy specify nature and extent of each t }e .................... 7 ..... ' ~ . ' Yl of use . Dnnens~ons ol ex~stmg structures ffanv Fro~t n ..................... ' "~' Depth lleight Nmhber of Stories .................. ............... ~ith alterations .......................................... Dimensions of shine structure or additions: Front De ~ ...................... e ~t .......... . ' .... ,.. Number of Stories ' . 8. Dimens OhS of entire new cons ction: Front . .: Rear ............. Depth .............. Height ............... Number of Stories ................... 9 Si , ' .... ~ ................................ . ze of lot: Front ......... ,. ............ Rear .................. Depth .... 10. Date of Purchase .................. ' N f Fo OW 11 Z di i .......... ~ .................. amc o m~er ncr ................. t in wi i I i ituated . one or ose str c i c 1 prem scs are s ............. ,. ' ........... Does proposed constroction violate any zoning law, orr nm~ce or regulation: ..... '~ .................. 13. ?11 lot ~regrad~l ....... Xh"~ .... X'~t' ....... Will es~~ fill ~re~ugved from premises: Yes No Na ne of Arc fitect aaa .... lgq~t~&~O~y~ ., . ' Name of Contractor ........ ~ ................. Address ................... Phone No .............. 15. I.s th~s property within g00 feet of a tidal. 'wetland'/ eyes ........ No.~ ..... · If yes~ Southold Town Trustees Permit may be required. . ... 4 PLOT DIAG~ Locate clearly and distinctly alli.bnildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show treet nines and intimate whether interior o ncr lot. ¸ lq/ ~TATE OF NE ' ~,: A · . ..~ COUNTy 0~..~,.: ~'~ ,., /7~~ ....... . --~---~ .... [""' '0~' ~~ .'t"7-'~--*-~* ' f.~'( *A~..~.'~'6~. · . . being duly sworn, deposes and says that he is the applicant (N~ni~}g con tract) ' above named. ~ ' ' e is tile ~ ~ g~ :- ~ (Contractor, agent, cori)orate officer, etc.) of said owner or owners, ~d is dulyiauthorized to perform or llave performed the saki work and to make and file this application; that all statements contaified in this application are true to the best of his knowledge and belief; and that the work will be performed in the ~ &et forth in the app ication filed therewith. Swom to berore me this A ' /~ .................. /~ay ~ &.. I/.~ ~. L~ .... '..'..., ~9 ~.~ ' / _ R~;~vSCOTV.~. ' ~ ~,, x_. // ~BLE~u~o~,.v. . ~.,. ~.~ ..... ~~ :~ .... ~ ~.4725089.~IkCou~/ ', ' (SJgnatur~ o~applicant) Term E~ir~a~ 3~. ~9~ , SU~OLK COUNTY DEPARTMENT OF HEALTH SER¥1CE,g FOR APPROVAL ~ CON$'[RI.ICTION OF $in~,le F~,-~nily Resid~a~'~.ce 0 ty .~- ' -~ :.. ~ · ,NOV' 1~..i~86 '~- :. "S.C DEUT.'OF . :H:AL?H SERVICES . '