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HomeMy WebLinkAbout41538-Z gi1FF04 TOWN OF SOUTHOLD o� foo BUILDING DEPARTMENT TOWN CLERK'S OFFICE Cn SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 41538 Date: 4/18/2017 Permission is hereby granted to: Siemerling, Arthur 1615 Woodcliff Dr Mattituck, NY 11952 To: Install an in round swimming g pool and hot tub in the required rear yard w/fence enclosure as applied for replaces exp. BP #38874 At premises located at: \40 0 I 0 1615 Woodcliff Dr., Mattituck �f SCTM # 473889 o V�- Sec/Block/Lot# 107.-6-17.3 () h Pursuant to application dated 4/18/2017 and approved by the Building Inspector. To expire on 10/18/2018. Fees: PERMIT RENEWAL $150.00 Total: $150.00 1k) B 6pector goon TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN'CLERK'S OFFICE o . SOUTHOLD, NY y�pl � ,yah BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38874 Date: 5/12/2014 Permission is hereby granted to: Siemerling, Arthur & Siemerling, Susan 1615 Woodcliff Dr Mattituck, NY 11952 To: install an inground swimming pool and hot in the required rear yard w/fence enclosure as applied for replaces exp. BP #37171 At premises located at: �3 1615 Woodcliff Dr, Mattituck SCTM # 473889 0 D Sec/Block/Lot# 107.-6-17.3 Pursuant to application dated 5/12/2014 and approved by the Building Inspector. To expire on 11/11/2015. Fees: PERMIT RENEWAL $150.00 Total: $150.00 Building Inspector �uL TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE �� • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37171 Date: 4/26/2012 Permission is hereby granted to: SUSAN J. &ARTHUR F. SIEMERLING 1615 WOODCLIFF DRIVE MATTITUCK, NY 11952 To: INSTALL AN INGROUND SWIMMING POOL AND HOT IN THR REQUIRED REAR YARD W/ FENCE ENCLOSURE AS APPLIED FOR.REPLACES EXP. BP # 35331 At premises located at: 1615 WOODCLIFF DRIVE MATTITUCK SCTM # 473889 Sec/Block/Lot# 107.-6-17.3 Pursuant to application dated 2/3/2010 and approved by the Building Inspector. To expire on 10/26/2013. Fees: PERMIT RENEWAL $300.00 CO - SWIMMING POOL $25.00 CO -ADDITIONKTOACCES SORY BUILD $25.00 otal: $350.00 ing ns ector �SUF of TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ,� • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37171 Date: 4/26/2012 Permission is hereby granted to: SUSAN J. &ARTHUR F. SIEMERLING 1615 WOODCLIFF DRIVE MATTITUCK, NY 11952 To: INSTALL AN INGROUND SWIMMING POOL AND HOT IN THR REQUIRED REAR YARD W/ FENCE ENCLOSURE AS APPLIED FOR.REPLACES EXP. BP # 35331 At premises located at: 1615 WOODCLIFF DRIVE MATTITUCK SCTM # 473889 Sec/Block/Lot# 107.-6-17.3 Pursuant to application dated 2/3/2010 and approved by the Building Inspector. To expire on 10/26/2013. Fees: PERMIT RENEWAL '12 $300.00 CO - SWIMMING POOL CO -ADDITIONS TO ACCE BUILD T c, Total: $350.00 Building Inspector 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. 35331 Z Date FEBRUARY 3, 2010 Permission is hereby granted to: SUSAN JACOBS SIEMERLING 1615 WOODCLIFF DR MATTITUCK,NY 11952 for INSTALL AN INGROUND WIMMING POOL AND HOT IN THR REQUIRED REAR YARD W/ FENCE ENCLOSURE AS APPLIED FOR.REPLACES EXP. BP ## 23532 at premises located at 1615 WOODCLIFF DR MATTITUCK County Tax Map No. 473889 Section 107 Block 0006 . Lot No_ 017 . 003 pursuant to application dated FEBRUARY 3, 2010 and approved by the Building Inspector to expire on AUGUST 3, 2011. Fee $ 300 . 00 Z4 /. Authorized Signature ORIGINAL Rev. 5/8/02 f FORK NO. S 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) N° 23532 Z Date ..............6112 ......................, 191. 4 65 Permission is hereby granted to: ...................... ............. s...........wa&.... ��r.- .... .. .�� ..... ............( �/....... 9 C....../,..0?.✓.�........ ..... ...l`. ..� . ...... rf... .�.✓. :r, .. ��'..J.... !. ... .� �.>.....:�r........................... at premises located at ..... (1.�,�.......... ; 4? 1 ..... . !ell/rz................................................ ...................................................f�1/�.r��. :" �?r..., ............................................................ .. ...... ......................................................................... County Tax Map No. 1000 Section ..10.2........... Block ....®O........ Lot No. / y� ......... pu uant to application dated ............V. r....... .................. 19./� and approved by the d spector. Fee ` ............. ! �.. �ildi g Inspector Rev. 6/30/80 5 `j C/ 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 Department with the following: A. 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 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. B. For existing buildings (p:-ior to April 9, 1957) iron-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 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$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, . . Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $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 $15.00 Date. 4." 7i _ New Construction: Old or Pre-existing Building: (check one) Location of Property: ��/� >1i��rx�1� f/ 6 t� _ c,�r Act"ciC House No. Street Hamlet Owner or Owners of Property: US/4 d I l le-M,!5-F_L /N C9, Suffolk County Tax Map No 1000, Section 10 -7 Block Lot Subdivision �fFiled Map. Lot: Permit No. 73:11 7/ Date of Permit. '7�- Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submittecl: "orj_'4.$ c � %eSL_ Ap cant Signature i � a Form No.6 v 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 Department with the following: A. 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 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. B. For existi:.g 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 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$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $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. ?i _ New Construction: Old or.Pre-existing Building: (check one) Location of Property: I�v/` I/ cy'l ) ell'frb"- House No. Street Hamlet Owner or Owners of Property: S()S/¢A-) -q- A 4�LcA_ S l e e L u&, Suffolk County Tax Map No 1000, Section 10 -7 Block (o Lot Subdivision Filed Map. Lot: Permit No. { 'J/ .Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �iLy Ap cant Signature pF SO!/l�olo " Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q roger.richert(aD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: S&A Siemerling Address: 1615 Woodcliff Drive City: Mattituck St: NY Zip: 11952 Building Permit#: 37171 Section: 107 Block: 6 Lot: 17.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Big Blue Electric License No: 35348-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub X Addition Survey Attic Garage INVENTORY Service 1 ph Heat 1-oil Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1 Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks . 1 Disconnect Switches F4] Twist Lock Exit Fixtures TVSS Other Equipment: in ground pool to include equipment bonding (fiberglass pool with no metal in it do( not require bonding),SUPPLY 50a GFCI protected power and disconnect,to self contained hot tub Notes: Inspector Signature: Date: May 8 2012 81-Cert Electrical Compliance Form.xls w f ' •�F "r. ,�. 't„ ,,� ,; �!` .Via': ? .r` \ � ,' ''' i moi• ti ' I a,� r r yr.� ` _r �." �.• '� Y +.,•may' .` �`'�, }���,� 'g,, .. T6S.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY � REMARKS _ d DATE INSPECTOR souryO� # # TOWN OF SOUTHOLD BUILDING DEPT. °ycourm,�'' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ vi-IFINAL 'PO-0 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: D e� � �k— fa z vo,x M, DATE INSPECTOR I IItI.��„ III�iI'� 1,l Il)11 Ill f 1111111 IA I'I Oil Illllll;ll FIIAIII: (. �I II,'iIII.A 1'11111 I'lill II . Y -' "� _�� -� ----" -•._.._. T 'i VA 111 1:11111 . -�• ..... _.._.._.............. ..•-- .................,,,...,.,,, .,,,,...,...,.......,..,. - _..._.... it � f/`. •/� ��/�f _ // fir, __._... .. ........... .-- --�---- - - - -- - - a3 .�o cavLs�2v I• I IIA I. ” _.-. i �•.,,�,..,., .,,�, .. .,..� AIM I'I I OIIAI. (,Ullllllll fS ; (Q f e-A n o { ...__L5l�..-on....re .. - --- . ... . ... .. ... . I'1 f OARD ' OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . _ _ _ . . . . . . . . . . BUILDING DEPARTMENT CIlEC1: . . • • • • - _ _ . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 r.,DT I FY CALL . . . . . . . . . .. . . . . . . .. . tI A I L T 0 : 19 /.Permit No. 7 � . . . . . . . . . . . . . . . . . . r __. OIOk!.tfIUSJ(3AJI!"�01• . /C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t �1c13Q 'JU lt3 ._ . . . . . . . . . . . . . . . . . . . . . . . . . . 9661 (B 11 Ilg I Spector) s` . 0 Al ,.1 APPLICATION FOR BUILDING PERMIT I/! o �/ Date . . . .!T . . .Z7. . . . ., 19 er 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 arias, 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 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.,-46r the-,construction of buildings, additions or alterations, or for removal or demolition, as herein described . The applicght agrees -1 tdfnp'ly-with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authoinz_ irispec)oi,"prQprern'ises and in' building for necessary inspections. i iv .R•::,�5• _ Rrr. K r�. . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) �'€ r.' (Meiling address of applicant) S.tatf hether.• applicant s, owner,. lesse , 'age architect, engineer, general contractor, electrician, plumber or builder. �. . . • J.L( t� . . . . . . . . . . . . . Name of owner.of premises... . . �_1. . .S/�. . . . . . . _ . '. , J(as bn,the tax roll or latest deed) If applicant is al'coiporafion, signature of duly authorised officer. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . ; (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . Plumber's License No. - £ . . . . . • • • • Electrician's License No. ,-1 C�4t. . um ! 1 �G. . . T� -- Other Trade's License No. I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . ._: . . . 00 ,. . . . . . . . . . . . .) . . . . . I-Iouse Number Street Hamlet County Tax Map No. 1000 Section . . . i0.?• • • • • • • • . Block . . 6. . . . . . . . . . : . . . Lot . . . .` • • • � � 1 LOCO . .Subdivision . 1f,U•� ` • • • • • • • • Filed Map No. . . . . . . . . . . . . . . Lot . . . , . . . . . . . . (Name) , -i ., : -iided '+sc, a; , occupancy of proposed construction 2: State existing use and occupancy o premises : a. Existing use and occupancy . . .�.+. . .. . . . . . . ..–.-. . . . z., •r.;t. ,: .+.1.,L' : . . . . . . . . . . . . . . . . . . . . . . . . y.1 b, Intended use and occupancy �'-�. . . . . . . � .0 y...1 .V; t.: ,_ 1 , -r,�'.+►, -'. . . . . . . . . . . .3. Nature of work (check which applicable): New Building . • , , . Repair . . . . . . . . . . . . . . Removal , . • • Addition . . . . . . . . . ',.. • • . �... .• . . . . . . Demolition Other 4. Estimated Cost�D�/. . . . . . . . Fee . . '. .1. -� . . . . . . . 5. If dwelling,number of dwelling units . . . .�. ; (to be paid on filin• Number of dwelling units on each floe; If garage, number of cars . . . . . . . 6. If business, commercial or mixed occupancy, specify natu a and extent of-each t • 7. Dimensions of existing structures, if any: Front . . . . J type of use . . . . . . Height . S' . . . . Rear. . . . .�. . . . . . Depth Number of Stories Dimensions of same structure .?. . • . • . . " with alterations or additions: Front Depth . . . . . Height . . . . . . . . . Rear . , 8. Dimensions of entire new constnictio ' ' ' • • • • : • • Number of Stories . . . . . . . . . . :' n: Front Rear Depth .Height Numbe of Stories . . . . . . . 9. Size of lot: Front /. , Rear. 10. Date of Purchase . . . , S:; S;,S Depth 11. ame of Former Owner '<�. . ,S1,,4C A . . ; Zone or use district in which premises are situated . • ' .12.. Does proposed construction violate an zoning law, � S � Y ordinance or regulation: 13. Will lot be regraded � 6 . Will excess fill be removed from premises: Yes • 14. Name of Owner of premises . .�US?Inl, �ccj�S Address cess f ill be re E� r'6 � N Name of Architect • • • • Phone No a�, .lQ, �',� Name of Contractor . . . ,�W, !��e, ' • • • Address . . . . . . . . . . . . . . . , Phone No. 1� Address 1l615_LM�D1,. ':A 15. ' Is this property within 300 feet of a tidal wetlan . !. . .�' d? �cyeS• , . • . • N . *If yes, Southold Town Trustees Permit maybe required. ' • " " PLOT DIAGRAM Locate clearly and distinctly all buildings, 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. K a,_-� 13 OCCUPANCY OR 0 36 �s USE IS UNLAWFUL WITHOUT CERTIFICATE, f s-I 0"r T4 �2.s % OCCUPA.NCY APPROVED AS(NOTED B.P-# �, p p� FEE 0' BY: 4 UNDERWRITERS CERTIFICATE ���I� 1 EDIATELY�' NOTIFY BUILDING DEPARTfAENT AT. REQ111RED ENCLOSE POOL TO CODE 765-1802 9 AM TO.4 PM FOR THE UPON COMPLETION FOLLOWING INSPECTIONS: BEFORE 'WATER" 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE r O 2. ROUGH - FRAMING & PLUMBING —1 3.. INSULATION 4. FINAL - CONSTRUCTION MUST! BE COMPLETE FOR C.O. l.Cl V 1✓ ALL CONSTRUCTION SHALL MEET' THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY STATE OF NEi�f C CODES, NOT RESPONSIBLE -FOR.' " COUNTY OF . . . S•S DESIGN OR CONSTRUCTION ERRORS ( ► c - -� being duly sworn, deposes and says that (N ividual signing contract) Y he is the applicant above named. `le is the . ... . (Contracto , agen corporate officer, etc.) ' ' ' ' ' ' )f said owner,or owners, andl is duly authorized to perform or have performed the 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 vork will be performed in the set forth in the application filed therewith. 4orn to before me this / ' \j . . . . . . . . . . . d or " r rotary Public, . . . . . . . . . . . . ROBERT 1, SCOTI t NOTARY PUBLIC,St Ce of N.Y. . . . . . . . . . . . . . No.4725089.Su�k Cou (Signatu of applicant) Term Expires M Y 31, 19_. BOARD - OF HEALTH . . . FORM NO. 1 3 SETS OF PLANS . . , . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . TOWN HALL SEPTIC FORM - SOUTHOLD, N.Y. 11971 TEL.: 765-.1802 NDTlFY Examined . . . . . . . .�� 19 .�� 711 CALL . . . . _ . . . . . . . . . . . . ' C,� P�f Qit�ti(�• MAIL T O Approved . . . . . . . �� . 19 /.Permit No. . . . . . . . . . . . . . . . . . . . Disapproved a c . . ~� dlOH_Lnos d© ?1/b'ej_- -- • . . . . . . . . . . . . . . . . . . . . . . . . . 8 1.dW '9018 .. . . . . . . . . . . . . . . . . . . . . ... . . . . .. . . . . ... . . . . . . . . . .. . . . . 9661 V - NAr ' (B it 'ng I spector ) - APPLICATION FOR BUILDING PERMIT C�/ Date ./!!!7 Z. . . . .. 19 X 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 occupied or used in whole Win 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 )wilding 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) a. /�.gwty (Mailing address of applicant) State whether applicant s owner, lesse , 'ageri; , architect, engineer; general contractor, electrician, plumber or builder. • • • • • • • .i • •'•8 - •.is ? . • . . . • . • . ... . • • • • • • • • • • . . . • . • . . • Name of owner of premises . . 5�:.Sf?.�u`. , , L?G. s77 .„ . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . {as on the tax roll or latest deed) If-applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No. . . Plumber's License No. . .:�: . . . . • • . . • EIedtrician's License No. Other Trade's License No., l.f. :_,. �lS�`Q1^ 1. Location of land on which proposed work will be done. .� � . . . . . . . . . . . . . �Q � '.-0 0 . . .!-1!1 .� . . . . . . . . .�./. J.J. .'i ! v . . . . . . . . . .. House Number Street Hamlet • 0 . . /. County Tax Map No. 1000 Section . . . r . . . . . . . . Block Lot . Subdivision .�. ? f�S . . . . . . . Filed Map No. . . . . . . Lot . . . ... . . ... . . . . . . (Name) 2.. State existing use'and occupancy o remises ari r,t..;,decj use aa:< occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy �U' d <"r.. fit'.} " .ca1;s i E. _ -3. Nature of work (check which applicable): New BuildingAddition Repair . . . . . . . . . . . . . . Removal De. " . . . . . . . . . Alteration . . . . . . . . . , . . . . . . . . molition . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . 4. Estimated Cost&De! , .�,Po ;7 4. J��•-- o (Description) . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 (to be paid on filing this application) S. If dwelling,number of dwelling unit .. . .I. : : : : • • • , . Number of d If garage, number of cars welling units on each floor . , , • , • • . 6. If business, commercial or mixed occupancy, specify nature and extent of-each type of use 7. Dimensions of existing structures, if any: Front . `" ' ' Height . . . . . . . . . . . . . . . Number of Stories. . . : -: : : : : Rear. �, . Depth . , Z• , , • • • . Dimensions of same structure with alterations or additions: Front • • �' ' ' ' ' ' ' Depth . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . .. . . . . . . . . 8. Dimensions of entire new construction: Front ' ' ' ' ' ' Number of Stories . . . . . . . . . . . . . . . . . . . . . . .Height . . . : . . . . .': / Numbe . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . ./ � of Stories . 9. Size 01716t: Front / Rear. . . . , $�; $'�' " " ' : J . 10. Date of Purchaser �!! / • • • • • • Depth . •�g �. ame of Former Owner f�. , lf.�c2A 11. Zone or use district-4n,'-which premises are situated ? ' ' ' . . • • 12.. Does proposed • • -�5.�:.. . . . . . . p posed construction violate any zoning law, ordinance or regulation: ��• , • ' ' ' ' 13. Will lot be regraded . . 6 S'uSP+�U 7,nc� ' ' ' Will excess fill be removed from premises: Yes N 14. Name of Owner of premises . . . . . . . ��,5... Address i''6J1,` Name of Architect �• • • • Phone No.�, j y�; Address . Phone No. Name of Contractor Ocej!�?-erg' , Address 16/5��1C��/? j.; ';�• , :TX• 5a f�: 15. ' Is this property within 300 feet of a tidal wetland? *yes. . . . , . a. C *If yes,- Southold Town Trustees Per may. .be required. PLOT DIAGRAM 4 Locate clearly and distinctly all buildings, 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. jl� a�j• l,gY r �_ UPANCY 36 -OR G All /t* ®C USE IS UNLAWFUL - THOU' CERTIFICATE; IP!­ M T�d .s 7e- Y C UPANCY !TO� D AS DOTED DATE: B.P.# �3.r *elm MEDIATELY FEE -��' BY: UNDERWRITERS C1:RTIFICATE ENCLOSE POOL TO CODE NOTIFY BUILDING DEPAR MENT AT REQUIRED UPON COMPLETION 765-1802 9 AM TO 4 PM FOR THE ! BEFORE 'WATER" FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. -ROUGH - FRAMING & PLUMBING - - 3. INSULATION ` n 4. FINAL - CONSTRUCTION MUST (' S- 0a BE—COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENITS OF THE N.Y. STATE OF NE STATE CONSTRUCTION & ENERGY - COUNTY OF . . .161 S•S CODES. NOT RESPONSIBLE FOR . DESPGN OR CONSTRUGTI��N ERRORS ,C.7 • : . . . . : being duly sworn;deposes and says that he is the applicant (N ual signing contract) above named. cue is the . ... . (Contracto , agen corporate officer, etc.) • ' • ' • ' ' ' )f said owner or owners, and is duly authorized to perform or have performed the 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 vork will be performed in the set forth in the application filed therewith. )worn to before me this �. . . . . . .d of Vr Lary Public, . . . . . . . . . unc ROBERT 1,SCOT . \ : NOTARY PUBLIC,St a of N.Y. ` No.4725089.Su Ik Coin� (Signatur of applicant) Term Expires M V 31. 192§ Y r ��O OG1 co N Z Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. O. Box 1179 y� 0� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPEC R TOWN OF SOUTHOLD SLOG DEPT ORDER TO REMEDY VIOLATION SOUTHOLrj Date: June 25, 1997 TO: Susan Jacobs 1615 Woodcliff Dr. Mattituck, N.Y. 11952 PLEASE TAKE NOTICE there exists a violation of : Zoning Ordinance -ARTICLE III 100-31 X. (4) (a) Other Applicable Laws, Ordinances or Regulations NYCRR VOL. 913 PART 720 at premises hereinafter described in that: AN INGROUND SWIMMING POOL INSTALLED WITHOUT ENCLOSURE In violation of SOUTHOLD TOWN ZONING & N.Y. STATE CODE YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATIONrefers are situated at: 1615 WOODCLIFF DR. MATTITUCK, N.Y. SUFFOLK COUNTY TAX MAP#1000-107-06-17 . 3 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. X-al GARY J: F SH BUI D NG INSPECTOR encl . (Cert. Mail) oF s0Uryo W Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 G • Telephone(631)765-1802 Southold,New York 11971-0959 '0 �yCoUNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD December 18th, 2006 Susan Jacobs 1615 Woodcliff Drive Mattituck,N.Y. 11952 RE: 1615 Woodcliff Drive (in ground pool/hot tub) SCTM# 107 6 17 3 Dear Ms. Jacobs, Please be advised that your Building Permit#23532 issued June 25th, 1996 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$300.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. OF SO!/r�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G • Q Southold,New York 11971-0959 �0 �yC4UP+1T`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE December 15th, 2009 Susan Jacobs 1615 Woodcliff Drive Mattituck, N.Y. 11952 RE: 1615 Woodcliff Dr. (In-Grd Swimming Pool w/ Hot Tub) SCTM: # 1000-107. -6-17.3 Dear Ms. Jacobs, Please be advised that your Building Permit # 23532 issued June 25th 1996 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. PLEASE SEE ENCLOSED DOCUMENT REGARDING SWIMMING POOL CODES. To renew your Building Permit please submit a fee of $ 300.00: at that time we can schedule an inspection by one of our Building Inspector's. Copy of Building Permit Enclosed for your convenience. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT Southold Town Building Department ��o�SUFF�I'�coGy P.O.Box 1179 Permit#: 37171 �. . 54375 Main Road Southold,New York 11971 Permit Date: 4/26/2012 �4% a0�� (631) 765-1802 Expiration Date: 10/26/2013 Parcel ID: 107.-6-17.3 p.u- BUILDING PERMIT RENEWAL LETTER Dated: 4/28/2014 Applicant: SUSAN J. &ARTHUR F.-SIEMERLING Location: 1615 WOODCLIFF DRIVE MATTITUCK Work Description: IN GROUND POOL INSTALL AN INGROUND SWIMMING POOL AND HOT IN THR REQUIRED REAR YARD W/FENCE ENCLOSURE AS APPLIED FOR.REPLACES EXP. BP #35331 A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: SUSAN J. &ARTHUR F. SIEMERLING Address: 1615 WOODCLIFF DRIVE MATTITUCK,NY 11952 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department ����gi16FOt,fCOG P.O.Box 1179 Permit#: 38874 53095 Main Rd Southold,New York 11971 Permit Date: 5/12/2014 4. (631)765-1802 Expiration Date: 11/11/2015 Parcel ID: 107.-6-17.3 BUILDING PERMIT RENEWAL LETTER Dated: 3/28/2017 Applicant: Siemerling, Arthur& Siemerling, Susan Location: 1615 Woodcliff Dr,Mattituck Work Description: IN GROUND POOL install an inground swimming pool and hot in the required rear yard w/fence enclosure as applied for replaces exp. BP#37171 A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Siemerling,Arthur& Siemerling, Susan Address: 1615 Woodcliff Dr Mattituck,NY 11952 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. .:� ::: ;iT i ( � �{1�" ter. .;.i' �-� �' ..i;.�r.. ' %.P• _ - _ _ .�'2 �_•Y_ ��,��r`� I (r..t '.d'�e:a '\`� ;��,aa��M __ - +:' �.:`<:'�!;M`�` 'A" ' - -=�' .��,• �T�- tit �•� - fiac� �,i a.,,,u.���t!.���o�'�` �: %Ajjsios',{4� �' c€ ���� � 'a� �r' �"'�d',,•�J t� W .5. y � s��e '�fi�k:l` �`�,� f«Yk;Tc't a:-;d '!,-.�djy•,;t '� :�+^," ,L�:"�' `.4`., `�y+ �; �-:,t'4:.: ,, .`��,)�i,fir�i�. T,at},�: T `� � I�=O:,yt�?'to'; °}� ea.' ,.};_{� +.<< 'i- �I ,1'•� � ;�; ". =E (;,�f 54t ��ltl�G��l ;� i o •\ °'"Pw ill,i7' _ a �•;. -�` r�:. . 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S�Cl'AK �hYrE' � n, t��y'e 5".•'.J^. ..:'�#��fir,. _ '.A.+�',.�s.tfi ,_t, .�a:1 ;' .iFv"'• _.;:..,y{t,n• - .iv:t4- r_i„<- ylix,- APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �;� �� ����� �� Date: =Jam. .Company Name: f cce e�7�G 'Name: License No.: 33 s—A/ r Address: 37V Phone No.: . q32- JOBSITE INFORMATION: (*Ind.icates required information) *Name: *Address: 1.k 15” r fr xc u-e_ *Cross Street: *Phone No.: Permit No.: Tax-Map District: - 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) 22 4 (Please Circle All That Apply) *ls job ready for inspection: eo?NO Rough In Final t?o'you need a Temp Certificate: YES/ NO Temp Information(if.needed) *Service Size: 1 Phase 3Phase 1.00 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ,, F .E!Mequest for Inspection Form KOEH1_�ER ` 4r SURIVE'►�ED FOP- N,72 OP- ` i e ��'N.F�9'27`30 E. N,72.07*F. P7 r` _ Cd OBC, r f I ! SP .;J�i, 1946 v i MAT BLDG.DEPT. _jWt,f" 5OUrH0LD,INlY, ! �I Z� '�`•.�,- �h_au TOVVTV OF SOUTHOLD 3 _..._ , `�- Lij ` ' - �• / _ �� Unauthai7rid alteration or addition ' t S ` to this surveY iso violation of a section 7219 d the Now Yaric Stats j Q i _ Education Law. i i a Q i Cepisa d this survey map not bearing f } j the land surveyor's inked seal or I embossed seal shall not be KA "r'1 o'. ! to be a Valid true Copy. ! L -.Ji, Guarantees indicated hereon attap n 0 s Mr i N Ute'N T j %"WE L ;�� only to the person for whom 0 i I^ e Is preparod.and on hh belialf tri , } ;l PIPE ap{ i t I tY; title company.governmental Many and 11 I"ng Institution listed hereon 4,14 -7. to the essignaes d the tending m ti-. f tution.Guarantees are not trs sleaw —— — ,( _ _ to additional institutions usM• f 71'42'40 \"J• L'`'Z� "�}.87 ?r} ; owssers { C�R43?Q Src D {{•Z9►-as-,. 42.4 . V100_4.}FF. + GUAPANTErD tC i THE TITLEIN3SURANCE COMPANYAhtJD�, * 7 HE RNERHSAP SAVi NGS SANK AZ ;y = Oji _ - -_ ► i -