HomeMy WebLinkAbout18674-z U
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"UK NO.
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 D 18674 Z Date ...... . ..N e:�J4 ......QJ..........
.....
Permission is hereby granted to:
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to ..0 �`^-4N! �-�s .. .4ri4.. .. .. ..... ...... ........................
�s....q,�4 � .. ..
of premises located at . U... .... ......... a;011LIL.............
.............
.1....09"( �. ..... ��.....................................................................
County Tax Map No. 1000 Sectlo2 .........I..7......... Bloc`k�....... .... .. Lot No. ...a.IAl......
pursuant to application doted ...N\..A?!arQ !s1 ... s .T............. 191T., and approved by the
Building Inspector.
Fee $...a�� s. �
04n, �........................
Buildildin...........Inspector
Rev. 6/30/80
- o��fFOIK��G
VICTOR LESSARD Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR I? P.O. Box 1179
(516) 765-1802 Southold, New York 11971
PAX(516) 765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 6, 1990
Wickham, Wickham & Bressler
Box 1424
Mattituck, N.Y. 11952
RE: Rudolph Rom BP 18674Z
Return outdated checks #2006 and #2054
Dear Joyce:
Enclosed please find the outdated checks that I spoke to
you about on Friday.
Please send me one check in the amount of $200 for the
Building Permit. After the inspection please send us another
check in the amount of $25.00 along with an application for a
C.O. Thank you.
Yours truly,
Enc. Secretary
THANK YOU FOR YOUR CHECK #3359 FOR THE BUILDING PERMIT. AFTER YOU HAVE
YOUR UNDERWRITERS CERTIFICATE PLEASE SEND US YOUR CHECK FOR $25.00 FOR
THE CERTIFICATE OF OCCUPANCY. _
Jn�w 1i Vic.
,BI.Gb DC-PT.
}'UVJN OF SOUTHOLD
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Town Hall, 53095 Main Road
P. 0, Box 1179 O • Fax (516) 765
Southold, New York 11971 y � Telephone(516) 765-15-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 27, 1995
Mr. & Mrs . Thomas Maniuszko
4 Bridle Court
Oyster Bay, NY 11771
Previous Owner: Rudolph Rom
***** SECOND NOTICE *****
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) **
xx 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 # 18674-Z A/G POOL
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS
UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED.
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Memorandum from . . . .
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
January 4 , 1990
Dear Mr . Wickham:
Enclosed please findthe Building Permit and
the Certificate of Occupancy for Rudolph
and Waltrud Rom.
I called your office today regarding the
Building Permit and Certificate of Occupancy
for the above ground pool . Please make the
necessary corrections and call our office
for another inspection. Thank you.
Yours truly,
;7,LZ ci D-1,JJO
Secretary
10007414.
THE NEW YORK BOARD OF FIRE UNDERWRITERS `r;I ; t
BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
OCTONP,7f l , 'ls?'=f{) yp V1990/90 'LAG tip
Dale Application No.on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
THt)Ydii 11; N7fr�,'Z,N'(>, 91,0 Cst7htNY J,A, , ,fCii.11�P3, Nfsld SIJfi' t7.i1S , N.f.,
ollowinlocoN't"��
inthe.( 9 i r� � g s
1'rJ A;It ?IT 6el��{t) ❑ lot F'l. ❑ 2nd Ft. Section Black Lot
was examined on ,t ! and found to be in compliance with the requirements of this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FIUORESCEI OTHER AMT K.W. AMi K W. AM} KI AM}. K W AMT H P.
- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
AMT. K.W. Olt H.P GAS K P AMT NO. A.W G AML AMP AM} AMPS TRANS, qM} H P SYSTEMS p
NO.OF FEET MT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
METER
MT. AMP TY NO OF CC.COND. A.W G
PE EQUIP. 1 ]W l p 3W 3,B'3W 3,e'4W NO Of H4IEG A W G NO OF NEU1RAlS A W G.PER 9 ryOF CC.COND OF HILEG /OF NEURAL
70o L.6
OTHER APPARATUS:
SERA110E 4`i9ACpGE Ofd1',V- 1
RTt;}TARN i;, R'k;1117IA 1 IC, #2148-41
P.(), VWX 372
LA77RII NY, 11948
GENERAL MANAGER
1.I �Per
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 MUST NOT BE ALTERED IN ANY MANNER.
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OCCUPANCY OR s , 0 I N
1 USE IS UN AIVYFUL p
L = INITHIOUT CERTIFICATE
OF OCCUPANCY I
70
APPROVED AS NOTED
70
JS742WV ��_
DATE: 'I Y9 B.P.# R `}/ FEE• ==2-n — BY• N G. )...NOTIFY BUILDING DEPARTMENT AT765-1602 8 AM TO 4 PM FOR THE
�v FOLLOWING INSPECTIONS:
vn"s 1. FOUNDATION • TWO REQUIRED I`� hFOR POURED CONCRETE2.4. R SU ATIONAMlNG & PLUMBINGCONSTRUCTION MUST = W N
CBE COMPLETE FOR C.0
` 5.7gALL CONSTRUCTION SHALL MEET I
�C m THE REQUIREMENTS OF THE N-Y,
STATE CONSTRUCTION & ENERGY
V „ CODES. NOT RESPONSIBLE FOR V
� Q a DESIGN OR CONSTRUCTION ERRORS e
Al A*P
.vow ae Fon.i:ems, .f s�vs r /99 9!0' r
I
• I
Fill BOARD OF HEALTH . . . .,. .
FORM NO. 1 3 SETS OF PLANS . " " "
; .3 SURVEY . . . . . . . . . ,
110V 2 4 M ' : ); TOwV OF SOUTHOLD CHECK • . • . . . . . . .
SUIED.ING DEPARTMENT SEPTIC F0RPI
! . . . . . . . .
OLDf,. uE'i. NOTIFY
TOWN OF s0WV�;,. 7 SOU TOWN HALL THOLD, N.Y. 11971 CALL • . .
. _.. ,..._..___......__ , TEL.: 765-1802
MAIL T0 :
Examined 11n!µt !+y?.8, , „ 19�,
Approved J�1 241"h .?t4 . , 191. Permit No.
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date , November 21: 19 89
INSTRUCTIONS
a. This application must be completely filled in by typewriter or iri ink and submitted to the Building Inspector,with
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 or in part for any purpose whatever until a Certificate of Occupanc%
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, buildA c de housing
admit authorized inspectors on premises and in building for necessary inspe s, code, and regulations, and to
. �� -. . . . . .
(Signattrre o applicant, or name,if a corporation)
No#Bunny Lane, New Suffolk, New York
Wailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . owne-r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . .. . . . .
Name of owner of premises . RuAPo LPJr, gpm. and.Flaltraud.L. .Rom, .his .wite
. . . . . . . . . . . .. . . . . . .. . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR ' S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done; Nolk Bunny Lane, New Suffolk, New. York
se . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Hou Number Hamlet
. . . . . . . . . . . .
County Tax Nlap No. 1000 Section . , 1}],09. , . , , , , . . . . . . .
Bloc} 06.. . .00 028 001. . . . . . . . Lot . . . . . .
Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . •. . . . .
. .(Name) . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . one,-€ainily. . . . . . . �MPSLXW py/
4 *A. . . . . .. . . .. . . . .. .. . .
b. Intended use and occupancy . . above, gxplipd, pppl. .�g J, ,JI °' MWHI"
a rw . .inn+
3. Nature of work (check which applicable): New Building . . , •
. . Removal . , , , • • • • Addition ..�t. . . . . . . Alteration"
Repair . . . . . . . . . Demolition
4. Estimated Cost . ? , Fee 10bcscriNion) '
.. . . . . . ... . . . . . . . . . . . . .
(to be paid on Tiling this application)
S. If If dwellinnum number
of veliin units . . . . . . . . . . . . . . . Number of dwelling units on each floor. . . . . . .
.: . ,
6 . . .
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 . ' • '' '
Hcight . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . .. . .
Dimensions of same structure with alterations or additions: Front • Rear .
Depth , , Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories .
S. Dimensions of entire new construction: Front . . . . . . . . . ... . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . .. . .
• •. • . • •. • • •
9 Height . . . . . .:. . . . . . . . NuttberofStories
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . .. . .
Size of lot: Front . . . . . . . , ,
0. Date of Purchase Rear . Depth • ,
. . . . Name of Former Owner • '
I. Zone or use district in which premises are situated ,
2 Does proposed construction violate any zoning law, ordinance or regulation: .No. . •
3. Will lot be regraded p No.remises Ru
4. Name of Owner of premises ' ' ' ' ' ' ' • Will excess fill be removed from premises: Yes No
'
iolpb.Rom. . . . . . . . . Address NPJt.BugPY. LAW . Phone No.7,34,.5A.L3. .
Name of Architect . . . . . . . . . . . . . . . . . . . Address , Phone No. .
Name of Contractor . . . . . . . .
Address • . • . • .Phone No. . • • •• • • . .. •• •
S. Is this property located ',within 300 feet of a tidal wetland? *Yes No .x..''
yes, . . . . .
*If es Southold Town Trustees Permit may be reqyu�ired. • •
PLOT DIAG1tAM
Locate clearly and distinctly all, buildings, whether existing or proposed, and.indicate all set-back dimensions from
roperty Lines. Give street and block'number or description according to deed, and show street names and indicate whether
aerior or corner lot.
see attached survey !
'ATE• OF NEAR s ORK
FFOLk. S.S
• Rudolph. Rom• • • • • , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
eve named.
is the . . . . . . owger. . . . . . . . . . .
(Contractor, agent, corporate officer, etc.) • '
said owner or owners, and is duly',authorized to perform or have performed the said work and to make and Tile this
nlication: that all statements contained in this application are true to the best of his knowledge and belief;and that the
rk will be performed in the manner Set forth in the application filed therewith.
orn to before me this
20th November
. . . . . . . . . . . . . . . . . . . . . .day of., . . . . . . . . . . . . . . . . . ., 1989
tart' Public, . . . . . . . . . . Suffolk • • • • • • . . . . Count
Y . . . . . . . . . . . . .
Cotntn _ / (Signature of applicant)
r