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Home My WebLink About17526-zF~ ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20312 Date OCTOBER 29, 1991 THIS CERTIFIES that the building SWIMMING POOL 17745 Middle Road & Location of Property 85 Silver Colt Rd. Cutchogue, N.Y. House No. Street ~ Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.1 Subdivision OREGON VIEW ESTS. Filed Map No. Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 1988 pursuant to which Building Permit No. 17526-Z dated OCTOBER 12, 1988 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 FENCE ENCLOSURE AS APPLIED FOR. The certificate .is issued to JOSEPH & BERNADETTE PETERSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-009345 - APRIL 28 1989 PLUMBERS CERTIFICATION DATED N/A Inspector Rev. 1/81 xoaa~ xo. s TOWN OF SOUTHOLD BUILDfNG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUI6DING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° X17526 Z Date .....lQ~.~Z .................................... 19.~~ Permission is hereby ranted to• Q ~~'~~~~ a.~........ ....,.. ........ ~.. ..... ................................. at premises located at ....~=5....r~"ll,~l..` ~~~~~.........!y. ...t..... ............ ... ............ .................................................................QQ....~~...-...............................''..//................................................... County Tax Map No. 1000 Section ...,N,,,........ Block ........7........ LLot No........~~t.~... pursuant to application dated ...~/..'~I .......................................... 19!!.GI.., and approved by the Building Inspector. D~ Fee $./6~ Rev. 6/30/80 1, .._-r,~~ ~1~1~ ~~ 1 ! ~ - """"~ Form No . 6 '- °'i , I, ~ ! ' €`~ ~~ ' ~~l~f 2 51991 ~; TowN of souTHOLD ' ~! BUILDING DEPARTMENT ~~.: ' ,,:,~I TOWN IIALL s E ~ ~~'`'~!" „._~ 765-1802 APPLICATION FOR CERTIFICATE OP OCCUPANCY 1. This application must be filled in by typewriter OF, ink and submitted to the building inspector with the Following: for new building or new use: 1. Final survey of property caith 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 Pire 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. :i. For existing 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 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. C. Fees I. 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 Certi//ficate of Occupancy - Residential $1500, Commercialc~~$175.00 /~OC~L Date ......~~.:?:5.,,.~/.,~•~............ :'ew Construction.. ........ Old Or PJJre-existin~ Building. j .... ..... I.oca[ion of Property....~.5....:~!` /~~ ~o L~ ~C/.. ,~ ~`TC/7p ~ vim: House No. Streets Hamlet •• -^ ~~rr Onwer or Owners of Property..... .... .. .~. ~// County Tax M,,ass'~p No 1000,' Section.. / ~~1.~?...Block. /. .. ~.~.....Lot...l..~'~~ j Subdivision..-.7.../.. .. .. .... .: Filed Map'; 7-.......Lot ..................... permit No..~./:~.~. ~. Date Of Permit ................Applicant............................. !iealttc Dept. Approval ..........................Underwriters Approval......................... !'i,cnning Board Approval ........................ Request for: Temporary Certificate........... Final 00 i'ee Submitted: $....... ~~ :.............. ~~y~~~o ~o~ao3i~ Certicate....... ~... ~~J~ - ••APPLICANT••••...•••••••....•••..• 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 o~~SUFFO(,~~o o~ Gyp ~oy~D~ ~~ `mil '~ ~~~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 24, 1991 Mr. 3oseph Peterson 85 Silver Colt Rd. Cutchogue, N.Y. 11935 To Whom This May Concern: SCOTT 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 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} No iJnderwriters 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 # 17526-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1cLD I;:SPEC:iOiJ ~~UAir. ~ OOMMENT~ t . `~ ''t H~ H FOUNDATION (1st) a\ FOUNDATIONd (2nd) - - ~ ~~ 2. _ z 0 ROUGH FRAME & s;l~ PLUMBING N H 3. ~ my m I1ISULATION PER N. Y. • • `3.QU \! STATE ENERGY CODE 5 9 ~ 4 . ® ~ .-~ _ C^ m FINAL ' I • .' o ADDITIONAL COMMENTS: x ~ ~ ro x .b H \ • H O O i [= 7 ` P [b'1~ \ \ \ x ~ e m b H r 0 L ~~~ ~~~ f ~~ ~~ ~ ~~ 3 C Y ~~ ~ gyp. i~ ~ , ~ ~~ .~ _ P. ~& ~ ; ~ ~ f ~~ Na _~' `., ~nN, "A a~ p ~s P ~~ A' , ••~ ~~~ ~~~~ ~ M '~ E. a T~~ ~y r- d ~ ~. ~ ~~qs~t ~ ~~! ~ ~ ~~~° ~~~ ,- hcbR~t w~I~ ~~i+ ,~~ ~~w ~~. •r I ~fi d i ~ ~V" ~~i~E ~ aK~N~.~~ V ,~ rr t R , ~ ~ m ~'Y~ „ v r~ ~~ ~~~~w ~~ ~~~~~~j ~`~~ ~?~ ~ ~~ N j ~~ E ~~~ ~ ,~ ~ R S ~~ p t ~ ~ r ~~~ ~~ •a• i~ . ~ , ~'~` . '~ , ., ~ O ~~ ~~• .a _~~_ __ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGl; 1 $01.1."$i BUREAU OF ELECTRICITY SS JOHN STREET. NEW YORK, NEW YORK 10038 ~~ APRIL 28,19$9 AppltcotionNo.onftle hl?.05289/89 N [109395 THIS CERTIFIES THAT only tM eleetriea! pu¢mawt w deeori6ed 6eloFO end 7ntroduosd 6y the applicant nomad on th. ehow epplicotion numher in tMpromien of USEFN & B.P6'PE1tSfCaN,^85g~SILVER C,UL'P ROAD, CUTCNOGUB, N.Y. in tkefdbtoint{locoA R1L Z; 7.98~nt ^ Iet Fl. ^ End F7. F~L Se,~tion Black95 Lot 1 roar examitted on ~ and found to 6e in rnmpliance with the reyuirementA of eh7e B,grd. RXTYM RXTURlS RA NORS COOKIN G DRCN4 O VRNS gSNW NAU ST AWS OUTIRTS AaK fYY1TC11Sf N[ANefSCtNT . nUa11F5[tNi OTNEa AMt. R. W. AMT. N. W. ANT. R.W. NAT. R. W. AMi. N. P. ] 1 1 gIYRRS RIRNAC! MOTORS IUTUq AN71A1IG RRORRf N70A1 RtC-T TIMS CI.OCIIf qll U1KT NSAipe IAIILTIAYTIRT pIR1M1NS AMT. R. W. ql N. P. OAt N. /. AMT. NO. A W. 6. NAT. AAV. AMT. AMPt. TRANS. AMT. X. P. NO ~O~ Rl1T AMT. WAM 7 LO fRRVKS pSOANNlCT MO.Ot S E R V 1 C E AMT. AMr. TTPe p~j i.e:w l .r tw a ~ aW t,- sw No. ~ ~coNO. a cc ' ~i+o. No. a Ni.lte a~~;~ No. or NFUruls a 'r euTOul OTNM AP-ARAIIK: G,F.C.I:-7. A(SAINNING POOL) Thitt certfi.c•ate covers cospliance at the date of ilespection only. Because of unusual environrents it i.s advisable to have frequent teat/and or repairs Iwttde by a qualified person. JOSEFN NETERSEN $5 SILVER CULT ROAD CUTCNOGUE, NY, 1.7.9:15 ~-` gMRK 11 Thit nrHlicaN mutt not M alNnd in am manner; rNUrn to rile offiea of the Roard iI inwrrM. THIS COPY OF FORM NO. 1 ' TOWN OF SOUTHOLD EUILDING DEPARTMENT ' TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined l~~!~ ......., 19 ~g' Approved . ~~` Z:......, 19 ~~ Permit No. ~~`.~1.!?~~ Disapproved a//c ................................../.. BOARD OF HEALTH .../......... 3 SETS OF/ PLANS . ~./........ . SURVEY Y. CHECK ..~~.V~I`-I~............ SEPTIC FORPf ............~.... NOTIFY CALL ..................... MAIL T0: .. IMMEDIATELY" gpPLICATION FOR BUILDING PERMIT ENCLOSE POOL TO GORE pp~ UPON COMPLETION Date ... . ~ . ~.~.. , .., ISIS BEFORE "WA'TER'' 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 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 remova demolition, as herein described. The applicant ctp~~j~h all applicable laws, ordinances, bu d' c e, in code, and regulations, and to admit authoriz a oils n premises and in building for necessary i ion . ` ~A#.,,,......._.-. _-.- ' `' (Siggature of applicarit, or name, if a corporation) TA '~'~AN i9P:ESt1il€t#~ .~t5zr'.~~'f /'~ ~fiT > ~ tfY IAA ~ ~atPa ,?~~, PO:.l.lZ?~. °~.~~~..~~..,.~cL-!'`?:~S.f.~.~... ~gfxblP xlfhiUtit~s €'~"~ •~ (Mailing address of applicant) 11 ~ -°~t3cTA~lltiltt`~ Y State whether a i ,< i91~~i, vagent, architect, engineer, genera] contractor, electrician, plumber or builder. I'~ (~-2 Vt~ ......... . ........................................ . t r~t.t. .... ............. . T .. . . Name of owner ' j~.... ~Qa'"S4Y.1 ..................... . 77Y1~! ........................ ~,~ ~ !~ 4Y (as on the tax roll or latest deed) _ __. If applioj~ ~e y authorized officer. ~ n.,;R >~ d ~., , ~ t f ~__~ ~ ,~ ~,. ~ .: .~ f f , (Name and title of corporate officer) ~,~ ~~VI~~`~:?~A'j"E.(~~„ 3 ~ ~ ~/ ~~ ....... uP~N co piE°r1 GaoE Builder's License No . .................. REFOR E "WATER N Plumber's License No . ........................ ,_f~i Electrician's License No . ..................... . Other Trade's License No . ..................... ~~ 7 ~Jr-' 1. Location of land on which proposed wppork will be done. ~ S ~ ~. ......`.-;~ .. ~..~- 1_ ,a House Number Strpeet LU) ,/ Hamlet /~y County Tax Map No. L000Se/ction ..... `~ . ` .~... Block .... ~. `f ; , , , , , , . , Lot .. !. 4,! ~, .. , , , , , , , , Subdivision~.~'e'~rd!1.:°Y: 1.~~..~-`~T~zT.4~..... Filed I~tap No. ~ ~-;~~1.5J... Lot ...'........... (None) 2. State existing use and occupancy of(p~remises and intended use and occupancy of proposed construction: a. Existing use and occupancy .1.~ !~7.'.~t~- • • Ye:Sr ~•~n•°• ;2... , Ag~Btt~t~~l;i tAsl~-S°:r.~~ ~{~ i 11H3p 1sz ate:"*: ,:~tYdu`i'~t.t?r$+" " " • ..... . b. Intended use and occupancy U' • • ~'•~~~G~ • c`•' •' b X3 ~ I }J ~~~~t~; ~~ ~, 1. ~Y':. . 3. 4. Nature of work (check whine yapplicable); New [3uilding .....'.... ,. Addition .......... Altera ''9n ....... . Repair ........ i{ioval .............. Demolition .....:........ Other 1Vork .LQq~~, F-e,,~c,~- ~~~,,,,,~~,.,~ (Description) Estimated Cost ......... . 5. If dwelling, number of dwellit If garage, number of cars .. . 6. If business, comtrtGt;u~}~' 7. Dimen ! ~f xis c ~.,. . Nt Dimen pns of spgl.~ str~c~ De th ~~tP`` U ~~.~~ .................... Fee..................................... (to be paid on Cling this application) units • . . ............ Number of dwelling units on each floor ............. . occupancy, specify atur and extent of each type of use . . ... Deptly3oa,.';~ . ~f;any: Front ... ~~ . ~ ..... Rear ........................ • .......... . 'bei,of Stories . it 'a~tcrations or additions: Front ... Rear . p .. ......... . .! . • ~ ~ei tt . . Nwnber of Stories , ................ . 8. Dimens } in,S 4fa..+n,,,,,ttr ti Front ....p ~........ Rear ............... De th ........ . Height Stories . p ~~ ~ ~ " • " " " 9. Size of 1 t• .... ... ... .',.:.. ~..:•.. Rear ...' /. s~.~. I ~ ........ Depth .°~.S...3. x ........ . 10. Date of Purchase ..',..... • , , , , , , ,Name of Former Owgp~A.. », ~ i. "~`. • ~ ~ • ~ ~ ~ • 1 1. Zone or use district in which pfiemises are situated .................... . • f •°~•b ~6~~' ` ~l t • ~ ~ • • • 4 3. Will lot be regraded ~ date any zoning law, ordinance or regulation: ~'~ f31".1~'tY'i gPS7.3`.Y,d • • ~ • • ~ ~ • Q' t~ii':t.drt4vll~ 41t~~ .... ...... . ....,... `I4. Name of Owner of s remisen vt Q$.~ ~ ~ S•~ ~ ~~ p ~ • • • • • • • • ..:...Will excess f e removed'-rr ,' ~fI'r`erht~se~: s No ~h • •~~~ArJ. Address tone No. ~,jr~', Name of Architect ,Address .Phone No. Name of Contractor ~~~ Er;',!+~~ ,~~5 , , , , , ,Address ~ ~1~ .IY1Q ;-t,~k•~~Jphone No.~S.~?`: ~ ~ $~,~ , , IS.Is this property located within 300 feet of a tidal wetland? *YES..,.NO?(... *If yes, Southold Towh Trustees Permit may be 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. i ., •~rnn RO`. ~e P a ,~ ;8~ q ~r , ~~(( _~~~~t=~,.,,i.,.~., ~., R, COUNTY OFE~?,y~~;•a~~ ~ ~ 5.S . ~ ~ ~ ... ~ . •(Namc of individual si~ni~'~ ~~~5, ~ ~~ a hg contract) above named. ~~ ~ -OtllMa e. {Ndp~M~1~NN~ ~ MI~1 A. FINAL COf1~111ypppti ~ ~ AFL T!A DATE: ~o ~~ B.P. tM 73a~ /.5'0 ° OT'IFV BU NIO OEM A 786.1802 9 ANI lb 4 fp11 TIIE FOt1OWINf31N8-ECININ~: /. fOUNflATKlN 11IIRiM~N11/p i0R being duty sworn, deposes and says that he is the applicant fie is the ..................... .... ... ~. ~.'L-~. ~.. . (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 fife this application; tltat afl statements contained in this application are true to the best ofhis knowl G,~q work will be petfonned in the manner~,set forth in tite application filed therewith. ~HIV~~~~~~~at the Sworn to before me~thips P.O. BOX 244 .............~. !. ~-.... y •~.... .... AMES, N.Y. 1178Q .da of ,~ 14~~ 5$4.5245 Notary Publi~.~.-~,,, KATHLEEN t. KUM~EQA ~ •' Notsry Public, Stste W ~ tflyii .. ~-- .....`,..7 • a f .................... . 9 (signature of applicant) ~. i SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE: FOR APPROVAL OF CONSTRUCTION ONLY DATE _ HS REF. APPROVED HEALTH DEPARTMENT-OATH FOR APPROVAL TO CONSTRUCT N NEAREST WATE11 ./AIN_MI. Y N SOURCE OF WATER PRIWTE .I! PUBLIC _. N SUFF CO. TA%MA- DIST 1000 SECTION DOR HACK ~4.. L07 IB.I R TNfRE ARE NO ~DWEL LINGS WITHIN 100 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. N THE WATER lUPPIY AND SEWA/C DISPOSAL SYSTCM FOR THIS RRIDE NCE WILL CpIFORM TO THE STANDARDf Of THE SUFFOIN COUNTY OEPARTMfNT Of NUITH SF1tV IC[f. AMIICANT~ AODRE33 NOTES~•=STAKE SURVEY FOR JOSEPH PETERSON LOT 1, "OREGON VIEW ESTATES~~ AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK K U/MU7NORI2 ED AITERA TI ON OW AODI TION m THIS GUARANTEE SURVEY rs A VIOLATION OF SECTION 7209 OF THE METROPO NEW YORK STATE fWCATION LAW k COPT ES OF THIS SURVEY NOT BEARwG THE LAND SOUTHO SUR VEYOII'S INKED SEAL OR ENBOSSEO SEAL SHALL JOSEPH ET NOT BC CONSIDERED TO BE A VALID TRUE COPY BERNA 6 T R GUA PANTEES INOIGTED HEREON SNAIL RUN ONLY TO ~ THE PERSON FOR WHOM THE SURVEY IS PREPARED AND CN MIS BEHALF TO THE 7171E COM PANY~ 60VERN- MENTAL AGENCY ANO LENOING INSTITUTION LISYEO NEREON~ AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRN/SFERA BLE TO AODI TIONAI INS TITUTIp15 OR SUBSEQUENT OWNERS / I M 01 STANCES SHOWN HEREON fPOM PROPERTY LINES r / TO EXISTING STRUC TUWES ARE fOR A SPECIFIC J ~ PURPOSE AND ARE NOT TO BE USED i0 ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES MTIIE LOGTKIN OF WELI(W), SEPTIC TANK(!T1/CES!-OOLS(C-)SNOWN IKREON ~1 • ME FROM FIElO OpERWl710N3 AHD OR DATA O/TNN[0 FIPOM OTHERS ~! BRANDIS & SONS INC. 1046 , 3 iG YOUNG a YOUNG AIDEN W. YOUNG, PROFESSIONAL ENGINEER 4ND LAND SURVEYOR N Y.S. UCENSE N0. 12845 HOWARD W YOUNG, LAND SURVEYOR N.YS. LICENSE NO 45893 II AUG 7,1985 MAY 9,1985 DA7E~ JAN 7,1985 SCAIE~ I°=50~ N0. 84 - 1275 • OF NFe. CO. yo 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK