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Home My WebLink About20320-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22231 Date MARCH 30r 1993 THIS CERTIFIES that the building. Location of Property 880 WEST MILL ROAD House No. County Tax Map No. 1000 Section 106 Subdivision ADDITION MATTITUCK, NEW YORK Street Hamlet' Block 9 Filed Map No. Lot 13 Lot No. confor~s substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 1991 pursuant to which Building Permit No. 20320-Z dated DECEMBER 9r 1991 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 DECK & FENCING ADDITION AS APPLIED FOR. The certificate is issued to of the aforesaid building. STUART WECHSLER (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 M-228091 - MD~RCH 12, 1992 N/A Building Inspector lq)Bag NO, 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y* BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20320 Z Permission is hereby granted to: ....... ..."~.....~..~ .......................................... · . g,.~u' . I ~ , .... ..~ ................... '.¥~....~..~..~ ...... .~..:~.L ~ ,o ...~±..~~..~....~...~...~..~.~.......~.~ ........... ~~~ .................. .: ...... ~ ........ .....~.....~.~ ......... ~..~:.:~ .............. ot premises Iocoted ot ....~...~...~......~....~..?....~.~..~,~......l~:.~:. ...... ;~..'..~.~~ ............. County Tax Map No. 1000 Section ....J..,C~,.~ ........... Block .....~..~. ........... Lot No....~...~ .............. pursuant to application dated ,,...~,~.~x~....~......,..,~ .............. , 19..~..~.., and approved by the Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 TOWN OF SOUTtlOLD 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 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 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary C rtlfzcate of Occupancy Residential $15.00, Commercial $15.00 Date ~ew Construction ........... Old Or Pre-existingjBuilding .... .ocation of Property· ..~.~. .............. ~.~. ..... ~.!./.[ [ ~..~...~.~ llouse No. ' ..... Hamlet nwer or Owners of Property ...... ~.~. .......... o~n~y Tax Map No 1000, Section...i.0..~ ...... Block ..... ~ .......... Lot....~.~.. ............... obdivision .............. , ..................... Filed Map ............ Lot ...................... · ' · .... Permit ................ Applicant ............ -~alth Dept Approval · · ......................... Underwriters Approval ..................... [arming Board Approval ......... ~qnest for: Temporary Certificate ........... Final Corticate ........... e Submitted: $ ...... .C~.. ~. ................ CO g[o 3 I THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY as JOHN STREET, NEW YORK, NEW YORK 10038 in thefoilmrlnglocation; [] Basement [] 1st FI. [] Snd FL [~0()~ L~C~}J? Section Block tvas examined o~, ~[/~r~{.~l~ I/) ~ ~ ~. ~ ~ 2 and found to be in co. pi an 'e u' th the req ~ rement.~ of this Board. Lot FIXTURE OUTLETS FIXTURES RANGES COOKING DECKS OVENS WASHERS EXHAUST FANS DRYERS .SYSTEMS NO. OF FEET E OTHER APPARATUS= E R V I C NO. %~CC~COND. AWG, OF CC COND. NO OF HI-LEG NO OF HEUTRALS OF NEUTRAL GENEI~AI. 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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE/dUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS 3. ]~}00fJ~ BUREAU OF ELECTRICITY [-~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the ~lectr~cal equipment as described b~low and introduced by the applicant named on the above application number in the premLees of in thefollowlng b,catlon; [] Basement [] 1st Ft. [] 2nd~FI. ~OOL L]~G~]? Section Block Lot tc~s exa~nined on ~.~[~ 0 D ~ ~.*J ~) ?, andfouttd to be tt cott p at 'e w tit the reqttlrettrents q[ this Board. FIXTURE OUTLETS SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENt OTHER DRYERS SYSTEMS NO. OF FEET E )THER APPARATUS: S E R NO O~E(~C,~COND, AWG OF CC, COND C NO OF HI-LEG A W 0, NO OF NEUTRALS A, W O. OF H~-LECi OF N~UTRAL POOl,) Tbt~; certificate complia~c~ at the data o~]~ Becau~e of GENI~RAL 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 BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY f/ANHER. FIELD i~SYECTLoN FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L ENTS: INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOT£ L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 MARCH 15, 1993 VARIABLES BOX 381 IqANORVILLE, NY 11949 D. WECHSLER To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~t~am~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~. 20320-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: STUART D. WECHSLER TOWN CLERK REGISTRAR OF VITAL STATIi~I'i~$ MARRIAGE O~CER OFFICE OF THE TOWN CLERK TOWN OFSOUTHOLD December 20, 1991 Town Hall, 53095 Main Road P.O. Box 1179 , Southold, New York 11971 Fax (516) 765-1823 Telephone (516~ 765-1801 CERTIFIED MAIL RETURN RECEIPT REQUESTED Variables P.O. Box 381 Manorville, New York 11949 Dear Sirs: Please be advised that your check no. 615 in the amount of $200.00, dated December 2, 1991 has been returned by the bank unpaid due to insufficient funds. I am enclosing a photocopy of of the check and advice of charge from the bank. This office is required to collect a returned check charge in the amount of $15.00 to be added to any amount owing on the check when checks are returned by the bank unpaid. Please remit $215.00 cash, money order, or certified check to this office before 4:00 P.M. closing on Monday, December 23, 1991. Your failure to pay this amount will result in the revocation of your building permit no. 20320Z and referral to the Town Attorney for collection. Thank you for your anticipated cooperation. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure cc: Tow~ Atto:rney ~,ilding Department JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 20, 1991 Town Hall, 53095 Main Road -~ P.O. Box 1179' Southold, New York 11971 Fax (516) 765~ 1823 Telephone (516) 765-1801 CERTIFIED MAIL RETURN RECEIPT REQUESTED Variables P.O. Box 381 Manorville, New York 11949 Dear Sirs: Please be advised that your check no. 615 in the amount of $200.00, dated December 2, 1991 has been returned by the bank unpaid due to insu~icient funds. I am enclosing a photocopy of of the check and advice of charge from the bank. This office is required to collect a returned check charge in the amount of $15.00 to be added to any amount owing on the check when checks are returned by the bank unpaid. Please remit $215.00 cash, money obder, or certified check to this office before 4:00 P.M. closing on Monday, December 23, 1991. Your failure to pay this amount will result in the revocation of your building permit no, 20320Z and referral to the Town Attorney for collection. Thank you for your anticipated cooperation. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure Town Atto. rney B~ilding Department 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~U~TION I' ] FRAMING [~"FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [/~I~AL REMARKS: ' FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .¢'~~. h.., 19q. J. Appr;ved-~.....c~,v~..~..., 19 .~?. Permit No..~.?...~..~.O..~. Disapproved a/c ........................... ' ........ (BuqYdi~g'Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... a. Tkis 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 ~ttall 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, build'.m.g~%)de, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp.~ie~ ...... ............. (Signature of apTcant, w~ame, if a corporation) .... 'I./9/..~¢.o.~pfo. ¢%,, .Bo.~..r...¢..eF&..6:r.~.,/!777... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .. 5.'?.t4,~eT... (~ec./~3./¢.~..,..o?.0...t4).e.~?..~.,.//...,qp.,. (*7. d .rc./.r. qq .~..'Y. V. ' (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... J J! .7/./:/?. ............... Plumber's License No ......................... Electrician's License No ....................... Other ~rade's License No ...................... I. Location ofland on which proposed work will be done. ~*,~er a'/e'6 m/~,~ Rd ~76-¢o7~ woo7/t o~ ..................................... ~-~' ~ ~ Jo~' ~A~7 / RO ~TT/TO¢K House Number Street Hamlet County Tax Map No. 1000 Section ....... <gQ ........ Block .... 9.~ ........... Lot . . .4~ .............. 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration . .~'".. ...... Repair .............. RemOval .............. Demolition ............ Other Work ~ (Description) 4. Estimated Cost ........ ~.~.o.~: .o..o ..................... Fee ..................................... i "" (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ............... 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 structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ....................................................... - Dimensions of same structure With alterations or additions: Front ................. Rear .................. De ..................... He~ ...... ~..~. .............. Number of o s .................... 8. Dimensions of entire new const~ction: Front .... ~.. ?..o .... Rear ..... ' ...... Depth ..... Height ............... Number of Stories ........................... [ ....................... 9. Sizeoflot: Front .......... i" .......... Rear ...................... Depth ...................... 10. Date of Purchase .... : ..... 4 .................. Name of Former Owner ............................. 1 I. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ! ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .d.r{~.~.r...¢¢c;~4r.e?.... Address . ~4~0..Lo?sr. ,t~ff:/.~,c ' Phone No. ??/. Name of Architect ......... i ................. Address ........ ~-./ ..... Phone No ................ Name of Contractor. R.r~e.m./.~... ~.oo/d .......... Address .~.o/i i/~,:or~/i ..... Phone No.. ~F4~'r,2.w..~..0' ..... Locate clearly and distinctly all property l/nes. Give street and block interior or corner lot. STATE OF NEW YORK, COUNTY OF...~vF~o,¢!.. . .... ... PLOT DIAGRAM 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 ............. ~..n?.o.q~...~qg./.~O.[ .................... being duly sworn, deposes and says that he is the applicant '~'(Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) f smd owner or owners, and m duly. authorized to perform or have performed the sa~d work and to make and file this application; that all statements contained in this application are true to the best of his knowiedge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i Notary Public ........ i .......... : ..... County t,E)l'^~Y pLt~LIC, ~tate al New York .................... No. 4~36010, Suffolk County ~ ~(Signature of applicant) lenn Expires Pebembel 3t, 19-'~ i?."'~"~'~ho~'' ~ ,, . x V NOT R~pO~Si~LE FOR