HomeMy WebLinkAbout21577-zFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25661 Date: 04/21/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 295 SHIPYARD LANE EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 38 Block 1 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 26~ 1993 pursuant to which
Building Permit No. 21577-Z dated AUGUST 4, 1993
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 INGROUND SWIMMING POOL WITH FENCE AS APPLIED FOR.
The certificate is issued to ROBERT J. WALLACE & WF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 288616 09/07/93
PLUMBERS CERTIFICATION DATED N/A
//B~ding Inspector
Rev. 1/81
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
SOUTHOLD, N.Y.
NO_
BUILDING PERMIT
[THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED]
Date ..~.~...~.. ................................................. 19.~....
21577 Z
CounlyTaxMapNo. 1000 Section ......... ..~....~.. ....... Block ........../.. ............. LotNo, ..~--~ ...................
pursuant to application dated ,,,.?..~,.~.. ~ .......................................... 19..~'--~ .......and approved by the
Building inspector.
Fee $.../~....~.....~...
Rev. 6/30/80
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 usa:
1. Final survey of property with accurate location of all buildings, preperty lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposai(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 i% 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:
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.
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-existinR 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
New Construction ........... Old Or Pre-existing Building .................
................. ...... ' y' ......
Location of Pro err ~ ~P~ ..... ~ ....
House No. Street B.ml et
Onwer or O~ers of Property~e~ ......... l~~.<. ~ ..... ~//~K~ ..........
County T~ ~p No ~000, Section .... 3.~ ...... Block ..... l .......... Lot .... ~ ...............
Subdivision ................................... . Filed Map ............ Lot .................... .
Permit No..~.IS.~...~....~Date Of Permit ...... .......... Applicant ............................
Health Dept. Approval .......................... Underwriters Approval ........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ...... .~..~..' .~ .~. ..............
TOWN 0F SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-i802
APPLICATION FOR CERTIFICATE OF OCCUP.%NCY
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. Connnerciai 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 c6mpleted site plan requirements.
For existing buildings (prior to April 9, i957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing ail property lines, streets, buiiding 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.
t. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
A_iterations 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 - $I00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co~erciai $I5.00
New Construction ........... Old Or Pre-existing Building .................
ooation of ................ ......
House No. Street Hamlet
Onwer or Owners of Property..'~. R.S.V.P..-/....-~.. ?'.... f~7'/~.C~'~.f. ~ ..... ~.~.~//.~. C~.~. ...........
County Tax Map No i000, Section .... ~.~ ...... Block ..... ~ .......... Lot ~
Subdivision .................................... Filed Map ............ Lot ......................
Permit No..~.~.~...~..~..Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Carticate ...........
Submitted: $ ...... ..............
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
September 12, 1997
M&M Robert Wallace
P.O. Box 2132
East Marion, N.Y.
11939
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)
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 # 21577-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Town Hail, 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
March 9, 1998
Robert Wallace
P.O. Box 213
East Marion, New York
****SECOND NOTICE****
11939
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)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.DD
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 #21577-Z IN-GROUND POOL
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FOUNDATION (1st)
FOUNDATIOn4
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
~N~'7
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
December 14,
1995
Mr. Robert Wallace
P.O Box 213
East Marion, NY 11939
Re: Building Permit #21577-Z
Premises: 295 Shipyard Lane, East Marion
Surf. Co. Tax Map ~1000-38-1-3
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible
may clear up this matter.
Thank you for your cooperation in this matter.
so that we
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
765-180::)
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND[ ] INSULATION
[ ] FRAMING ~
[ ] FIREPLACE & CHIMNEY
DATE ~/~/~
I'NSPECTOR~/~*
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~
I~'~7~ EUREAU OF ELECT.IC,TY
85 JOHN STREET. NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
o~y the e~ctr~l ~u~pmen~ ~ ~scr~b~ be~w a~ intr~uc~ by t~ ~pplicant ~ed on ~he ~ appli~atlo~ number ~ t~e prem~es of
~s examined on ~ and found ~ be in compl~nce ~th the N~onal Elect~cal Code.
RANGES
R
EXHAUST FANS
~,~MERS
OF HI-LEG
GENERAL MANAGER
This 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 BU!LDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTI~I~EI~ IN fll~l'l' I) 11 III II
THE NEW YORK BOARD OF FIRE UNDERWRITERS
i ! 8 ~ 1~ '~ ? BUREAU OF ELECTRICITY
~- 85 JOHN STREET. NEW YORK, NEW YORK ~0038
THIS CE~IFIES THAT
~s examined on ~ ~ ~ ~ ~ ~ ~ ~ ~ 0 2 ~ 19 9 3 and found to be in compliance witk &e Na~o~l Electdc~ Code.
.x,ou ~ I .XTURSS
RANGES OVENS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLIANCE F~EDERS TIME CLOCgS : UNIT HEATERS MULTLOUTLET DIMMERS
SYSTEMS
SERVICE DISCONNECT S S R V I C
*(SWIMMING POOL) This certificate
~vecs ¢omplia(xce at the date of
inspection only, Because of
enviroamestm it is advisable
<<< CotltJ, nued o~ Page
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, t~spectprs may be identified by' their credentials.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE, MUST:. NOT BE ALTT{I~Ifl IBI fl11111 Il I
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~a~,~ ',
~ ~o7 ~ SURE^U OF E~ECTR,CITY
~- B5 JOHN STREET. NEW YORK, NEW YORK IOO3B '
THIS CERTIFIES THAT
o~ly the electrJc~ ~utpment ~ ~scribed be~w a~ ~nt~uc~ by t~ applicant ~med on the a~ appJicati~ number in t~ premises of
in the follo~elng locatlon; ~ Basemen~ ~ Ist FL ~ 2ad f'l, O~T S~tion at~a Lot
a~s examined on ~ g p ~ ~ ~[ ~ ~ ~ ~ 2 ~ ~ 9 9 ~ and found to be in compliance ~th the Na~o~ Etec~c~ Code.
FtXTURE FIXTUEES RANGES OVENS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS /IMEC£OCI(E UNITtlEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C E
OT~R APPARATUEs
have ~requent te~t/and ox repairs
made by a qual~fied persoa.
GENSRAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials.
Exauline
Approved ...~/.~..
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
......... 19~..~. Permit No. ~./.~....7..7.~
Disapproved a/c ...................... '
· ,,('Buill/4'fig Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTIt .........
3 SETS OF PLANS .........
SURVEY ..................
CIIECK ...................
SEPTIC FORH .............
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sits 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 sfi-eets
~r 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 appiicant. 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 part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building ,Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, 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, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. . ._, // .
--' (Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder.
N~me of owner of premises .'~.~.~.....~....~..~t..'y~..... ~X~...[ .q0.,k. ' . .................
(as on the tax roll or latest deed
If applicaht is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No... ,/fiT./../~ .~....~/?./j~... ......
Plum'ber's License No ....... · ........ . .......... ·
Electric'an's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ......................... :
House Number Street Hamlet
cotm ty Tax Map No. 1000 Section .. {J:~. ~ .......... Block .... /. ........ ' Lot... 3. .............
St bdiv sin ........ .. ~C. ~/~ .... ' Filed Map N0 ............... Lot : ........
Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..
.3. Nature of work (check which apPhc~ble): New Building .......... Addition .......... Alteration .... ; ....
Repair Removal , Demolition Other Work
4 Estimated Cost c4.9
' ' .......................... Fee ...4'.~.. ..........................
(to be paid on filing this application)
number of dwelling N bet of dwelling
5. If dwelling, unit~ ............... um units on each floor ~. :. .............
If garage number of cars ' '
6. If business, commercial or mixed occupancy, specify natgre and extent of,each ty~p/e of use .....................
7. Dimensions of existing structhres, it' hny: Front... ,~..~-. ........ Rear ... P~4'~.t ....... Depth . ,4o.2~ .~.(
Height ............... Number 6f Stories .......
Dimensions of shine structure with alterations or additions: Front
................. Rear .................
Depth ' Height Number of Stories
8,. HDimensions,.gj[ entire new constructi?n: Front .............. : Rear ............... Depth .............
eight ./..~. ........... Number of Stories . ./, ....................... ..
9. Siz~ of lot: Front .../..~... g' ~ .. i.' ' Rear .ZO'-~.,.~)./. Depth .
10. Date of Purchase ' ' ' ..............................
........ ' ..... ' .... ' ?7.? :::::: .....................
11. Zone or use district i~ which ~re~n'i:6s ar; situ'a;;(i .~a~.~..r~.ef
12 Does proposed construction violate ~ny zoning law' ordinahce or regulation: tL~).~ ....................
13. Will lot be regraded . .~&..., .... i ................ Will e'kcess fill be removed from premises: ~ ~ No
14. NameofOwnerofpremises~..~4-...x.~.~/./...~.Address~C.,~.~./~.~..4~r~, .
Name of Architect ! --~ ' ' '~ '.g~-4*~Fkh4vh' - ..... ; ' ' '
....... ~ .... , ....... : ...... a, uuress ................ aa'r; Phone No ........... .
15.. ~, P~ p y 3. unzn Juu ireer or a tictai wetland. *Yes ..... No. ~ .... "'
· yes, Southold Town Trustees Permit may. be required. ' '
,.-. ,i . PLOT DIAGRAM
Locate clearly and distinctly all buiidings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
' APPROVED AS NOTED ' '
DATE' #
NOT~FY 8[JIE~NG DEPA~ AT
76~-1802 9 AM ~ 4 PM FOR
FOLLOWING INSPECTIONS;
~, FOUNDATION - "~,,VO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
4, FINAL CONSTRUCTION MUST
, BE COMPLETE FOR
ALL CON[~TRUCTION SHALL
THE REQUIREMENTS OF THE N.~
STATE CONS~UC~ON & ENERGY
CODES. NOT RESPONSiB~ FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NE.gAXORI~.~" t I.r~,
cou v s.si
......
(Naffl~ of individual signing ~ontract)
above named. !
.... being duly sworn, deposes and says that he is the applicant
lie ~s the ..... .. :~. .................... ~ .....
i gent, c;;'l~o/at; ;ffi;e;, et;.') ..................... .
of said owner or owners, and is duly authorize-ff-f~perform or have performed tlie said work and to make and file this
application; that all statements contained in this'application are true to the best of his knowledge and. belief and that the
work will be performed in the manner se~ forth in the application filed therewith.
.' .......... :'?Y°¢: .
.::taryPublJc, ~~....;;f...."~..'~[.~...~... County
, NO. 4879606 , ,~ ,n . -~.-, ..O.-~ ,-. r-;> . . · .
Ou.~ in Surfak ~u~ ~ ~ . ' ' ' ' ' .......
' ~mmlssion E~ires D~m~r 8.19~,[ , . , , (Signature of applic~t)