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HomeMy WebLinkAbout18374-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219250 Date JULY 27, 1990 THIS CERTIFIES that the building POOL Location of Property 1480 WEST MILL ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block IO Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 1, 1989 pursuant to which Building Permit No. 183742 dated AUG. 11, 1989 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 ABOVE GROUND POOL WITH ATTACHED DECK AND FENCE. The certificate is issued to JAMES WOLBERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H016816 JULY 1, 1990 PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 roam xo. 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 18 3 7 4 Z Dote . 9.~.l.. Permission is hereby grante)d~to: ' ~ ~ A, at premises located ot ...~.T...s~....~.e~i..~~.~.... ~,...~:.r~.........~~~~~- Caunty Tax Map No. 1000 Section Block ...........~.Q..... Lot No.......d..l.'.~..... pursuant to application doted 19.~, and approved by the Building Inspector Fee $....~.~®!.J.~fCJ . ..::~Y Bui ing 1 or e// Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~"c7 n~` TOWN HALL I { L5 LI SOUTIIOLD, NEW YORK 11971 ~ r { ~ SEP Z 9198,9 i. ~ ~ 76s - lsoz 1~ T t3b5V4 (~Sr y~I~~Ir LLyi APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~ ~ nnTE...9/25/89...._.. NEW CONSTRUCTION ..~LD OR PRE-E%ISTING BUILDING....VACANT LAND.,,,,_„ Location of Property1480.West•Mill_Rd_.. Mattituck HOUSE NO. STREET.." HAMLET Owner or Owners of Property..JS[(t@,s,WOlbert County Taa Map No. 1000 Section .106,. Block ._10_•• Lot' 2.2 Subdivision Filed Map ........Lot........_. Permit No. 18374-Z__.Date of Permit $11/89 •--...Applicant Janice Fliss IIealth Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate X. Fee Submittedc $25.00 APPLICANT...... yak C42~~Iz Igo to/1a/aa ' 'i FORM NO. 6 TOWN OF SOUTFIOLD ~ BIIILDING DEPARTMENT TOWN DAL. 765 - IS02 ~;APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: i i , 1. Final survey of prope',rty with accurate location of all buildings, property lines, streets, and unusual 'natural or topographic features. ' 2. Final approval of IIea~lth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from lumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. Commercial buildings,l,industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. ,i 6. Submit Planning Board', Approval of completed site plan requirements. B- For existing buildings (prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land µses: - 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topiographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separ~te ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in vciting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informationl,required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. M application for vacant land Certificate of Occupancy shall be submitted, and a certified abstr~ct of title issued by a title company showing single and separate ownership of ',the entire lot prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor is writing Co the applicant. D- FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dweliling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. Updated Certificatee of Occupancy - $50.00 6. Temporary Certific,~te of Occupancy - $25.00 Residential I $50.00 Commercial i i -ev- 10/14 /S8 ~~I ' _ ~ ~ 8 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS r~~car':.} ~'~f"~~~ BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 70038 Dale ~7i71e~ Q~-: .f '1?%1f1 APPlicoteon No. on file ~s(ari~.l sfj~~~ fT fl}Fy{}~(j THIS CERTIFIES THAT i~l'.(t$~r'r SI4"P, 1~"t,P only [he elec[rical equipment to described 6ebw and introduced 6y the applicant named on the ofwve application number in the promises of e7~~3ES JI, W(SiL'~k;C{'(', 14F'sp pt,B;4'C 39`Oeie ROP,'tl, PC,'iT~~T, $#9'l; nt~A9"Pi~`iJGN., idrY. in thefollotcinQ locution: ? Basement ? 1st Fl. ? 2nd F'l. O~'~ Sertion BlockY~ Lot Lvas examined orz n7f/l~if La = i yid arzdfoured to be in camp/ianre with the reyuireneents q(this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENi OTHER AMi K W AMi K W. PMi KW. AMi K W AMi H P f DRYERS fURNAGE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMi K. W On M. P GAS H P AMT. NO. A. W G AMi AMP qMT AMPS TRANS. AMi H P SYSTEMS NO. OF FEET AAir warts SERVICE DISCONNECT NO.OF S E R V 1 G E AMi AMP. TypE METER NO OF CC COND A W G, A Ty G EQUIP. ~ ~M' e % 3W 3 % 3W R,9 4W pER % OF CC COND. NO Of HbLEG OF HbIEG NO Of NEUTRALS OF EUiNAI OTHER APPARATUS: , ~ 71~OYF i~fit~tfNl~ k'd'fCN~ kIT(ti"ivt,--1 G.h.t;.t;-1 ,JA14F;S 17. ~I~JTtRFYR'!' :iti$0 WEST M71,.t, BC)r'!t) e M9'PT7_'CXft';R, NY, 1'19x7, ~ GENERAL MANAGER 7 ~ Per ~ificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ` COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. IELD It:s:'EC,IU,) IjUA:E I~ OoNMENr° ~o . - ~ k l,\ FOUtdDATION (1st) g FOUNDATIOt1 (2nd) _ 2 . - - o P,OUGH FRAME & o PLUMBING H 3. ~ m m IIJSULATION PER N. Y. e„~ STATE ENERGY `~U CODE x a ~ ~ r a . 3 y FZ;JAL z ADDITIOP7AL COMMENTS: ~ x ~ ro\ H 7] ~ 9\ H H O 2 x r~ A x~ d m -o H 3 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ]FRAMING [ FINAL REMARKS: DATE INSPECTOR ~ ~ 765-1802 BUILDING DEPT. INSI~ECTIOI~1 [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ Iy,SULATION [ ]FRAMING ( ]FINAL REMARKS: DATE ~ 3 INSPECTOR ,,G'~ r~JFFaL,~~ r TEL. ',C,S-I80? c; Toy rr or sou~o~.~ t~.~,.~ . =:"'r'i7 ' ~ OFFICE C)F BUILDING INST'ECTOR a,~~y4 = I~.o. uox I 1 ~ 9 Q, '`~0++`~ ~ TOWN IIALL ' ~~t" SOUTIIOLD, N.Y. 1 1971 ~ ~i September 22, 1989 Janice Fliss 565 Old Main Rd. Mattituck, N.Y. 11952 RE: JAMES WOLBERT To whom This, May Concern, 4.e arc unable r.o complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy is not nn ills. (ENCLOSED) ^lo tJndcrwritcrs Certificate on file. 't'he checFc .i:: O6IG$XtXi&~.XI/not on file.) $25.00 No tlcal.th Dept. Approval on file. No final insl~,cct:ion has been made. Pease contact our office on this matter. - Thank you for your cooperation. Ihc.ildincJ Pcrm.it I! 1 8 3 7 4 Z Duildiny Dept, Mk~k/-/ Uo Plumber :;older Ccrt.ificate on file. ( al.l permits involving plumbing being i~sucd after :1pri1 1,1984 ) ~T i i.~.{`l'µ W..~ ,~~y~,r.~~i ~~:~1~ is VICTOR LESSARD . ~ ~ Town Hall 53095 Main Road ~~w PRINCIPAL BUILDING INSPECTOR ~ ' ~ e a,,a i~~ P.O. Box 1179 (s 16) 765-lsoz < r~ a'd~~~~ "r' ' Southold, New York 11971 FAX (516) 765-1823 1~ ~a ~ +,e; ~T ~t _ ; ~ , OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 1, 1990 Mr. James Wolbert 1480 West Mill Rd. Mattituck, N.Y. 11952 Dear Mr. Wolbert: On September 29, 1989 Stanley J.,Fliss sent in an application for a Certificate of Occupancy along with his check for $25.00. In order to process the application please provide our office with your Underwriters Certificate. IL is against the Code of the Town of Southold to use the pool without a Certificate of Occupancy. Thank you for your attention to this matter. If you need to speak to the Underwriter Inspector his number is 765-4177 between 8 and 8:45 a.m. or in our office on Mondays between 10 6 Il a.m., his name is Ernest Pappas. Yours truly, Secretary c.c. Stanley J. Fliss BOARD OF HE.\LTH , , FORM NO. 1 3 SETS OF PLANS , , SURVEY ' TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT sEPT>c Foart TOWN HALL , SOUTHOLD, N.Y. 11971 NO p ' TEL.: 705-1802 c~/~' ,~~~C~ CC CAL Examined ..Q.. 19 ~ /~37'Y"~ IL T0: , Approved ,~'~/a........, 19 ~PCrnt12 No...........~' Disapproved a/c D ~ Q V ~ t A~ ~ BLOC. DE'P7 ' (Bu' ding ~ector)~ TOWN OF SO~JTNOLt~ e.. APPLICATION FOR BUILDING PERD/IIT Date 15.. . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showin, 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 throu;hout 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 c mss, additions or alterations, or for removal or demolition, as herein described. The applicant agrees t coma v with all applicalih laws, ordinances, building code, housing code, and regulations, and to admit autltoriz~ ink toys'~t~4.~remises«a~ttd-iriRt~ui(ding for necessary i pections., 'f~.' 4:=.'} ! rsr iy'~. iikf4) ~ gn aIU LC OI apphcant, Or name, If a COrpOrallOn) ~ • . dt 't 49tx°J^:. ,r,_;tih., „5Fj5.O1d,Main.Rd.•,.Mattituck, N.Y. a:#,•;~ s+t~ (Mailing address of applicant) 11952 • «~=>Ae ~ rt State whether a~iplfcant is •owner, lessee;: agent, architect, engineer, general contractor, electrician, plumber or builder. , , • • • , , , . , • C3erci;er~1' Contractor,. . . Name of owner ~ ~ie~}seg,;, • ,-~Jametst~ W'olb~rt v,sbt3N91 ~ .-~:'t'1.3,,', (as on the tax roll or latest deed) If applicant is a ~ot~iordt$~`rt~;'sionat`ure rO'~'~luly)aufhorized officer. ..........i M~4 r (Name and title of corporate officer) ~VC(08R j~?C s ' UPply ~C1C ny Builder's License No. 12 985 HI g~~Oq~ ~~'L6Tjp~~' 'Ware.. Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done. , ,1480. West Mill Rd. 1480 West Mill Rd. Matti tuck N. Y. 11952 House Number Street • • • • • • • • • • Hamlet County Tax \1ap No. 1000 Section .....106, , . , . , , . , , Block • 10 Lot... 2.2............ Subdivision .Filed t<1ap No. (Name) Lot............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,Private Dwelling b. Intended use and occupancy Priv p .....ate. P.we1J-ing.wa..th.. oo.l and Deck I 3• Ret air of work check whiRh~ applicable): New Building , Addition Alteration p !moval . Demolition Other 1Vork X......... . Pool with Decking. (Description) 4. Estimated Cost...3x500 . Fee 5, If dtvellin~, number of dwelli (to be paid on filing this application) ~tg units , 1, , , , , , , , , , Number of dwelling units on each floor . If garage, number of cars . 6. if business, commercial or miffed occupancy, specify nat re and extent of each type of use . • 7, Dimensions of existing structures, if any: Front . N A ,Rcar . , N A , , , , , , , p A • ~ • • • ~ • ' ' Height N/A ~ De th . . • , Number of Stories . N A Dimensions of samestructure',with alterations or additions: Front 44 ~ Rear . , ,4,4 ~ Depth 21 ~ !i . IIeight . 8 ~ 3" . 8. i ~nsions~of entiro new construction: Front . 44' • ~ • • ' • ' ' • • • Number of Stories ,N(Q, • ~ "z+~ • I-T'etght g ~ ~ Rear 4~# ........Depth . 2.h~ • . Number of Stories . 9. Size of lot: Front . .135 ~ I, ~ . Rcar ...77.29 Depth 2,32.9b1.249....... Date of Purchaso 5(,2,9.Y74, , , ,Name of Former Owner Holvarc] , [ap,I,ll~z t, p p remises are situated . , , , , RP,s,i,cJ~It t i • • ' ' ' ' a~ 1... Does orou osed constructliontv~olatc any zoning law, ordinance or regulation: ...No • ' • 13. Will lot be regraded .,No, • • • • • • • • • • • • .........Will excess 611 be removed from premises: Yes R Nc 14. Name of Owner of premisesJ,~m~s, ,I~olbert , , , , ,Address 14$Q •W•• •M~I,I, )Zd•.... Phone No.298e•5942...... , Name of Architect . .Address ...................Phone No......... . Name of Contractor . $1=~Ir.7,e~y , zT,,, ,F1 is s, ,Jr,, ,Address 5f?5 ~7,d .['1&krl ~d,., M~.tEhone No.298r8790....:. , . IS.Is this property !orated with in~00 feet of a tidal wetland? *YES....Np~.., *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions froth property Gnes. Give street and block number or description according to deed, and show street names and indicate whetlt interior or corner lot. AP D AS NGTED DATE:G~G~~~ B.R M / t~ 3>~ NOnFV UI G DEFY 766.1802 8 AM TO a PM FOR THE FOLLOWINi3 INSPECTIONS: ' 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ' 2. ROUGH -FRAMING 8 PLUMBINQ 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION b ER(iY CODES. NOT RESPONSIBLE FOR ,,,r pESIGN OR CONSTRUCTION ERRORS „~~p, . ~:~~;,;I pats,"?~;~' i STATE OF NEW YORK, I' COUNTY OF S.S • , ' ' ' ' • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant • • • . , • • .(i\amc of individual signiing contract) above named. !fe is the (Contractor, agent, corporate officer, etc.) • • • of said owner or owners, and is duly authorized to perform or !rave performed the said work and to make and file this application; that all statements conta~ncd in this application are [rue to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application 61ed therewith. Sworn to before me this I~ ( .day of.''... 19.P~ --rr ,n, Notary Public, , ~4C,.~.~.!„ ?C, ; , R; ~~i, • • . , , , , County G?~~.Xit,lL?J IIFI.EN K DE VOE • PUOLI& ~ of New Yak ' . 0.~107078,3~k~ (Signature of applicant) Term Exgrex rnarnh 30.1 I'1 ~ N?1 I.G R.t~AD ~ ~q, ri m ~ ~ lV,t ~2o~zo»E. I~~,r~c~ ~a7~vvt~.W nv~... ~ ~ ~ y , ~f ~ _ ~ s ' wr ' ~ ~ ` - aa' . [ ~ ~ , '~~k ~ ~ ~ ~S ~ ~ ~ H - - ~ I ~ l I, v ~ 8 l~ 24 2tJ W. 77 7q N° ~ ~ ~ ~ ~ t + C~"~ X11 ~ 3i' ~ fO~X~~~~.~~~ p ~ C ~ r ~Q ~ h ! ~:'1 `-i p G` ~ ~ eto! ~ ~ vi C' o ~a "'J "M ' 4 A~ Sr r,i ' ~ tl ~ r ~ ~ ~ O ~ ~ ~ ~ ~ .r .~.a'... ~..i.~. u«...Yo...Y ......vn-....~.-.~...I.i ..r... \s...+4a.• r...~..._.F~w-.n...«. .x.. ..~~....~....y~r..u .r.....w..~~..-u....~~~.-.w. aY.a..~.~e-...r - r•.+.r....-~-..w..as.w.. J....-~u.-.. Barnes CJd(h~~T ~YBD Wei ~r?1~11 ~o~ i'YI a ~~fi~ c.l~ w 1N~RWR~TE ~r ' „`MnnE®o?~o CCU CY E"~P "°®",~A ER" USE I ULA ~L _ BEFpR@ ~ iT OUT CE TI~IC TE Exist«M, '^PP°r~ CUP C~ o~~~c /~Iof co»nec~'ec~ 7~ ' ~.~a@r clerk p ~°si9h o¢ Fcnce So, h, j ecf T~ ck, N' c S~'//'~ (rrade~ 3 ~V' i ~ _ oh ~aSf ~ t~l aa1~+s ` --~`i-ir 3~- ~ 36" A l( C C A ~'fec~'e~ ~as~ ~'or's~' 3 Ey F p ; t3 a <_s h.: s s_d. -~,o. ...:c-," i r, ,.'a ~ .~t~&m~s'...,.. s-~~r.~' _~'z~4as~~, pit. c!-e«, . _ Q' , g~° ~o ~ , ~s ~ 5-v $ o , l s , ~ f 3 0 / ~ ~ - i 2b ~ ~ - a stc~PS ~ _ N I~ S~~ ~nn??ras ~~C~s'~'a1 peek E- 16 ' X 3~ ~ t-- s' po,~ - - y8 ~ cads - T 1~~~~ o ~e _ ~ ~ ~~c = OCCUE~I~C~~ AW~{V Y ~ Y Y ri USE IS U~A~~~UL yg~a;~ti ~ ~ViTHOUT CERTI~ICA OE OCCUPAItiCY = eY~~, ~ Rc~. c, ~ goo APPx ~'f' "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION $EFORE "WATER" 'mot s~~ q4~Q Tv~ stet's ~ ~ - a