HomeMy WebLinkAbout17305-z FOB~ NO. ~
TOWN O~ $O~THOLD
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~ 017305 Z
Permission~ is~ereDy granted to: __ .
.......................................
Coun~ Tax Mop No. ~000 Section .... Z~ ........ BJ~k ........... ~ .... Lot No ......
pursuant to application dat~ ..... ~,,~/~.~. ................................., 19~ and approv~ by the
Building Inspector.
Rev. 6/30?80
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 1 t 971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 20, 1990
Mr. & Mrs. Frederick Kaelin
335 Highland Road
Cutchogue, N.Y. 11935
Re: B.P. #17305Z POOL WITH FENCE ENCLOSURE
Dear Mr. & Mrs. Kaelin:
I am writing to you regarding the above Building Permit.
The permit has expired and you do not have a Certificate of
Occupancy. You have never called for a final inspection and
you will need an Underwriters Certificate.
Please call our office to set up the inspection. You are
in violation of the Code of the Town of Southold. Thank you for
your cooperation in this matter.
Yours Truly,
Secretary
FO U ~__~ D A_T I O__N --_(_1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITION~L COMMENTS:
TOWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SEPTTC
TOWN HALL NOTIFY
$OUTHOLD, N.Y. 11971
TEL.: 765-1803 CALL
MAIL
Examined ................ l 9 .~.~.
Approved .~ ........ , 19 ~&Permit No../- .7..'~..~..'~. ~~'~
Disapproved a/c .....................................
· .._ _ /~-duildin~nspector)
'IIV' I¥1EI.JI/'~,I~LY"APPLIC,~TIONaa~..r"~.~. ~,------.. __ -- FOR BUILDING PERMIT
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
INSTRUCTIONS
BOARD OF HEALTH ...... OF PLANS .......
FORM .............
TO:
TOWN OF SOUTHOLD
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 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 ij,aspections. L~
"IMMEDIATELY" _(Signature e~/applicant, or name, if a corporation)
E"CLO'E POOLTO COD
UPONoEFoRECOMPLETION..wATER,, '(Mailing address of applicant)
State whether applicant is owner,, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..... EX-L~TT~,, ,~,.,~. , ,, ,,. ..................................................................
Name of owner of premises Vi~'~..e-~i ~/2~ 03, /4.~ ¥~
' ' ' ' ' .......... (as on the tax roil or latest deed)
If applicant is a corporation,.signature of liuly authorized officer.
(,Name and title, of eorporatg'Officer) .
ALL CO~TRACTOR'S Must .~ff~'~UFFOLK COUNTY
Bnilder s License No .... '...,4.Z./. ~77 .............
Plumbers' License' No .... . .~. (.ff. "~. ./ "/ ..............
LICENSED
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
'" ..... ........ :: ...... OCCUPANCY
Electrician's License NO: .::'t ".t. :L~. '.~: ~ ........ ~,~
OtherTrade'~'Li'~enseNo. ..'.'.~./ff'~.. ..... ~.~..~
,,, '* ·
1. Location of land on which proposed work w' be done~ ....
...~. ~ 0.¢~..~ ...... - .......
.............. L.o...T. ............................... ~"
House Number Street
County Tax Map No. 1000 Section ..... l .~..?. ....... Block ..... ~ .......... Lot . . .j~,,..~. ........
Subdivision. i~. ?".~ ~/~ .~."?.4.. X~T~.'i .~.z~.>?. ·~. .3 .... Filed Map No..~...~..~...~. .... Lot....~. .........
d (Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
b.a' Intended Existing use and occupancy ..... 1- '~""""""""~-~' '~-~' ' ' ' ?' 'p. .... ' .~.b. ~O~'~ ' '~' ~'g .............. ~ ~ ~.. ............ ~ .....
use and occupancy .....
3.. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ....
Repair .............. RemoVal .............. Demolition .............. Other Work .~ .-7...
4. EstimatedCost.. ~)6r3~, b9.i c~7~' ~-~r0' Fee ~(,/.../,~...:.07P~°/-(Description)
! U ~ (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage number of cars - ~ .';
6. If business, commercial or mixed[occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structuresl, if any: Front. ,-~--.~_.. ....... Rear .............. Depth ....... : .......
H~ight .... Number of Stories ....................................... ~ .......
Dimensioj~t~ifl~e~[}~. cture wiih alterations or additions: Fron___2t _7_:T ....... .-. ..... Rear .......... ~' .......
D~p~th . .~27... i. Height ............ ~ ......... Number of Stories .: .......... ~-. .......
· .8. Dih/en$ions of entire new constm4ctmn: Front .......... . ..... Rear ............... Depth ...............
Height,.... '.... ;...' .... Number of Stories ...........................................
1 1.. Zone or use district in which pre~nises are situated ....................... ......U ............... ' ..........
12. Does proposed construction viol~te any zoning law, ordinance or regulation: .../ff.~ ........ :...¥:; ..........
13. Will lot be regraded ........ !12 .................. Will exce,ss fill be removed from premises: Yes No
Name of Contractor ~ Address ~: Phone No ' -
15. Is this property located ~ithin 300 feat of a tidal wetland? *Yes ..... No ..4-~~'~.
*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 ~umber or description according to deed, and show street names and indicate whether
interior or corner lot.
" .M_.MEDiATELY"
NcLOSE POOL TO CODE
UPON CO.M, PLETION
BEFORE WATER"
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C,O.
STATE OF NEW YORK, S.S ALL CONSTRUCTION SHALL MEET
COUNTY OF ............... :.
: THE flEQI, J!fl,EMENTS OF THE .#,v,
........ ; ................... being duty s~J~c~..'_~_T~t~l~thSt lC~Rll~'applicant
(Name of individual signigg contract) ,,.,uo=~. NOT RESPONSIBLE FOR
above named. , DESIGN OR CONSTRUCTION ERRORS
He is the
(Contractor, agent, corporate officer, etc.)
of 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
work will be performed in the mannerl set forth in the application filed therewith.
Sworn to before me this
............. · ~. 1 ........ day of ....
~A~ PUBLI~ ~ d ~w
. ~ 4707878, ~lk
(Signature o~ applicant)
APPROVED AS NOTED
anFV 'aUlrOd -
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION ,,,. TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH -FRAMING & PLUMBING
3. INSULATION
400 OSTRANDER AVENUE, LIVER
ALDEN W, YOUNG
'MAP h-,~6mPARED FOR: