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Home My WebLink About17125-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19274 Date AUGUST 7 ~ 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 1665 ALBO DRIVE LAUREL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 3 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 1988 Pursuant to which Building Permit No. 17125-Z dated 3UNE 17, 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 ACCESSORY INGROUND SWIMMING POOL & FENCE AS APPLIED FOR. The certificate is issued to KEITH A. & CECELIA A. ROBERTS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-024051 - JULY 28, 1988 PLUMBERS CERTIFICATION DATED N/A ~r/ uil in-a~C g Inspector Rev. 1/81 soaas 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) 0 O1712`J Date ........I ..~R:.l 19.11. _ Z 7 Permission is hereby granted to: ~ I' ..~s.~.:C..P..7 Gz~ 0 ~ ~ ~.I at premises located of .t!.....~?..~........ ~ County Tax Map No. 1000 Section Block ....',Q..a~,......... Lot No.....~.~ pursuant to application dated ..........~...rf-~~t:SJ~.......~.... L......, 19.~.~ and approved by the Building~.L.n)spector. i, Fee $ Building inspector Rev. 6/30/80 { . ' ~ Form No. 6 2 Q d TOWN OF SOUTHOLD BUILDING DEPARTMENT J ~ ~ 765N1802L BLDG. DEPT. TOWN OF SOUTHOIAD` TION FOR CERTIFICATE OF OCCUPANCY A. This application must be £illed 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-4 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 17 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. B. 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 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 Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction....... Old Or Pre-existing Building Location of Property... ~C~S ~L't3rl..~~............ House No. Street ~j _ Hamlet Onwer or Owners of Property.......(?K=./NTH.~.::~~~~~-~~.~f;.,~S~~~C~-~,~ „ County Tax Map No 1000, Section....F.`~".`.~....B1ock......~........Lot.... ~ ~ Subdivision ....................................Filed Map............Lot..............._...... i ?ermit No..~ b~..~ ..Date Of Permit.~w-,7.~~..Applicant.. T:.~~.~CL~/tL.Sp//~5... Health Dept. Approval „ .Underwriters Approval..:~l..~~ ~`f.~'S f........ Tanning Board Approval ' tequest for: Temporary Certificate........... Final Certicate........... 'ee Submitted: $.....~,~:.~C:~............ a~.. ~ o : ~~.~..~-Cup...-~..-- Q as APPLICANT cu ~ 19a7~ o~~FFO~K~oG VICTOR LESSARD ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1179 (516) 765-1802 N ~ Southold, New York 1 1971 FAX (516) 765-1823 .ro'~0~ ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 7, 1990 Mr. & Mrs. Keith Roberts 1665 Albo Drive - P.O. Box 364 Laurel, N.Y. 11948 Re: Building Permit #17125-2 (Pool) Building Permit #11212-Z (DECK ADD.) SUFF. CO TAX MAP #1000-126-3-18 Dear Mr. & Mrs. Roberts: Enclosed is Certificate of Occupancy #Z-19274 for your inground swimming pool and fence. Certificate of Occupancy #Z-19261 for the deck around the pool was mailed to you yesterday August 6, 1990. In order for us to issue the Certificate of Occupancy for the deck addition to the house (BP #11212-Z), please fill out the enclosed application and return it to this office with your check in the amount of $25.00. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar encl. co~rMt;urs ~ _ c1cLD i;:sP~" IU:I ~~JAT:. ~ ~,_r m J ~ . ~ 1~~+- H !n _ _ _ _ y 111 FOUNDATION (1st) " ~ C~ N FOUNDATIOtd ( 2nd ) _ - m~ 2. ~ z ~ 0 6. s P,DUGH FRAME & rrl .PLUMBING H 3. ~ ~ A H . I1ISULATIOA! PER N. Y. ' STATE ENERGY ^^/I "'b CODE x A 4. H FINAL o z ADDITIONAL COMMENT x~ ~ ra x ro •N H ~ J H H'~~ O ~ z ^p 1 x P7 A • r H~~ x b ro H 17 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL R~/E-'t/j[M~~JARKS~: -f..~-~ us- DATE ~ ~o INSPECTOR ooS~EFOLIfCOGy.~ VICTOR LESSARD ~ < Town Hall, 53045 Main Road PRINCIPAL BUILDING INSPECTOR = z P.O. Box 1 179 (s16) ~6s-1so2 N ~ Southold, New York 11971 FAX (516) 765-1823 y0,r`0 ~ ,~,aQ~ ~/J 1 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 25, 1990 Keith Roberts 1665 Albo Drive Laurel, N.Y. 11948 Re: B.P. #171252 Inground pool and fence Dear Mr. Roberts: On May 30, 1990 our inspector did an inspection on your pool. He found that the fence on the upper deck has to meet the code. Also that a permit is required for the deck around the pool. I am enclosing an application for you tc fill out for the deck around the pool. Please take care of this right away because your permit expired 12{17{89 and you are now in vio- lation of the Code of the Town of Southold. Thank you for your attention to this. Yours truly, ~u.P~.J ~ ~ de{- c.c. Secretary A. Reilly & Sons o~~QFOIKC~ VICTOR LESSARD ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ Z P.O. Box 1 179 (516) 765-1802 ~ ~ Southold, New York 1 1971 FAX (516) 765-1823 y ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 25, 1990 Keith Roberts 1665 Albo Drive Laurel, N.Y. 11948 Re: B.P. #171252 Inground pool and fence Dear Mr. Roberts: On May 30, 1990 our inspector did an inspection on your pool. He found that the fence on the upper deck has to meet the code. Also that a permit is required for the deck around the pool. I am enclosing an application for you to fill out for the deck around the pool. Please take care of this right away because your permit expired 12/17/89 and you are now in vio- lation of the Code of the Town of Southold. Thank you for your attention to this. Yours truly, r1~ c.c. Secretary A. Reilly & Sons ~~~FFO~Kc VICTOR LESSARD ~ ~y~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR = Z P.O. $ox ] 179 o Southold, New York 11971 (516) 765-1802 ~ FAX (516) 765-1823 y0~`^S ~ ~~0~ OFFICE OF $IJILDING INSPECTOR TOWN OF SOUTHOLD May 8, 1990 Keith Roberts 1665 Albo Drive Laurel, N.Y. 11948 RE: B.P. #171252 Inground pool and fence Dear Mr. Roberts: I am writing to you regarding the above permit. The permit has expired and you have never scheduled a final inspection and you do not a Certificate of Oc- cupancy. Please contact our office immediately to set up an inspection. The underwriters certificate for the electrical work is in your file. When the pool passes inspection please fill our an application for C.O.. The fee is $25.00. Thank you for your prompt attention to this. Yours truly, .4~:-fez' l~e (~le/ Secretary THE NEW YORK BOARD OF FIRE UNDERWRITERS '"IIiJ ` ,>Z t" BUREAU OF ELECTRICATV 85 JOHN STREET, NEW YORK, NEW YORK 70038 ,n~n'~r I<,;SY z;ya(j•~,§4gjiiYV A' I',7rti~".'! j: Dote Application No. un file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .I K,";t'Yy K.7l4i~, li `_P,°ri 1 t, 4: F U (Ya 7 . 7x v+4 "p!"t'I _ ~ iL _ in thefollowinq locatio p ~ Bas rnent ? lst F'1. ? 2nd Ft. Section Block Lut was examined ore and found to be in coruplianee with the requirentenLS q(this Board. FIXTURE iIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES ,NCANDESCENi FIUORFSCENi ypppR AMT. N W. AMT K.W AMi KW AMi K W. AMi H P 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT R W OIL H. P. GAS H P AMT. NO. A W. G AMi AMP PMT. AMPS. TRANS. AMi H. P NO. OF FEET AMi. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMi. AMP. LYPE METER 1 ]W 1 ,e JW 3,9 JW 3 d 4W NO OF CC COND A. W. G. NO OF HI-LEG A W G NO OF NEUTRALS A W G. EQUIP. PER % OF CC. CONp QF HL-LEG OF NEUTRAL OTHER APPARATUS: (r ~~.t., l 'I s,rp~ufi,;~Plg r`Uln~} 'tqL: ,~r_. ,_Y~ .~~-t,- 0-rrra~ti ~•r~,np17.":.'e,rc a; Pisa ,parr- L-r'F ~ `i is^.po~t'4 -r „rl ut,7 t'• Um{zilt,or r~.P li rLT7'St1;i1 _ ' (a9Y%,° 7 :•t?i1Y,i,gy~Vf ~ 7 ! ~ ..`J1 C.r .r~,'+}~ F'_ I'.', fira`JC iX'rnC: gf]'trr ;,'~(-l /r'Cir~f ~,Y' Xi•}t[:4~k'$+ ,~{9., ~rl .T rjI?. C3i if irx,f Ira ~'°'Lia,, :fQarv Ptt{@ I I,Str `~/~i~ •r,,1'!"P I~P7(i peg! ? GENERAL ~iIAN#GER S4 f r :,It;s'wtt~'F, X34, -~3f1~ Per This certificate must not be aNered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. • COPY FDRtBUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST N®T BE ALTERED IN ANY MANNER. o~~FfOLK~oGy VICTOR LESSARD ~ ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR = = P.O. Box 1179 (516) 765-1802 t°l~ yr Southold, New York 11971 FAX (516) 765-1823 ~rOj~o ~ ~~Q~ 77 d OFFICE OF BUILDING INSPECTOR TOWN OF 50UTHOLD May 8, 1990 Keith Roberts 1665 Albo Drive Laurel, N.Y. 11948 RE: B.P. #171252 Inground pool and fence Dear Mr. Roberts: I am writing to you regarding the above permit. The permit has expired and you have never scheduled a final inspection and you do not a Certificate of Oc- cupancy. Please contact our office immediately to set up an inspection. The underwriters certificate for the electrical work is in your file. When the pool passes inspection please fill our an application for C.O.. The fee is $25.00. Thank you for your prompt attention to this. Yours truly, Secretary /zr ' THE UFFSEIS (UR UIE1ENSIUN5) !3 I"TJ( CL ° ' .r.r~l L: 1• '~~iL'~~ ~ SIIOf1H IIL!iE0f1 tltOLi 111E ~y ~ n, ~ S111U61 Ui;[i i111C1 I'hGl'Li11Y ~OG~'YDO~ Ill'. ('T i'}'t'^^. n~>1"fv llNES N:E tOR A a"El":I IC I UR~ IY51~CI :.Evidence Of 'Direction OI AoEEN01 Nlt vht T'IUR GUIUE >r R,esident. Localian OI,Saf119 ; ; * ' ',IpE EHECTIUIJ Uf IEirCkS, uE ' Len`,(sable. ` , TAINING WALLS, PUULS, PANUS. jed.~001y sWlr i, '.I ~ I'LANfING AREAS, AUUIIIUN fU ~~.f~y^~~ ~ BUILDINGS OR ANY UTHER `llvv 44`"''' +e '~i.'i,~ ~ ~ .r CUNSfNUG1fUN. 1" . r - ~ - i"~,' ! ..RI k.~ 7 1v tiff, 1\~Q\ "f eWs~ ~ - .a~, I'~Tti ' '~i i',,-..~1:Y ..i7~~.,.,,.!~. N7 ~d': vJt.N. ~1' ~tw .:I. ~.e. .N r~, 1,~\'~ s. ;i. i f -r : ,4 :Mr s•,l+i" ~'d ` ,i:"~. ~ ?A'V.~rn.r .+.I _ ~ 1f Y APPROVED AS NOTED J>7!kTE: ~.~~8•? M..L ~ L ~.5~'~l hereon shall run on1Y FIFE' ~ . ~ 6Y: ~ Guannte e~~ondi~o~z~ihom Il,e sn;vey is Dra' 1 NOTIFY BUILDING DEPARTMENT AT to the 80d un hi, be'~dl to 1.:: nhC,q°1u~ id~~. ~'J (iF N ElY\ parod, n~y znd Ithe zssiF.n':ca nl .~P FOLLOWING NSPECTIONS: FOR THE ituni'~s'tu11Ch111~IdaAdflloozlalnsjRUlVons ror r'O~,P~7' J. ~,;,``.r the lendm, 1 FOUNDATION - TWO REQUIRED translerabla ~ . FOR POURED CONCRETE suhsequenl owners. ~r t', Y ~ addtLOn of Uos ~ 11 , 2 ^tn1GM • FRAMING & PLUMBING j ~'I ~ - r Unauthorized alteratimt or X209 0l ~y,5{z l_l' w , ~ULATION ~ survey is a violation of Srcuun Q- York Stale EJucnhmi Law. " 4 ~L - CONSTRUCTION MUST the New ~n '1'0, ~9 : '."T"':. ••._.,-___1.~MP,LE~'~ FOR C.O. gop~es al Ihis survey rnaV nut bearing tha F~~ 38a ' ~'t F,r,M}~t~'t1~T10N SHALL MEET lend Surveyors mV.cA seal or ema uuahd True e nd( ' +.n &MENTS OF THE N.Y. shall not bz convdeted to bz ~~Y'j g~~~TRUCTiON ~ ENERGY <noY• v,. B FOR A/1 P. n~r~;nl P,i~,~ loN ERRORS DONALD J. TASE, L.S. ~`'~T~° G D ~ ,F, _ SUCCESSOR TO - ''c' S.If~ ~«[yr N• r• ~ RICHARD W I L H E L M ANO ASSOCIATES i~C/_ ~T'•!•3'/9~ LICENSED LAND SURVEYORS ' ~i~/,>J",e!/CrrQa! ~p _ C.nk.r Morich.., N. Y. 1143 BnnMood, N. Y. 11717 suAaANTEED Ta T.I. 87 110 .I. 173-8163 ,.F~~.rsZ~~c'.S~G ~h~~r-mss s'~~,~'S''"'~st`r? T' Sc/.P.9J~GQ QC1.r7.~9~ or{i[d $igMlur[ ' • u,__._____._rr a [..-J..A cl iL.. , . $OARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY °.OUTHOLD, N.Y. 11971 CALL TEL.: 765.1802 MAIL T0: Examined .~,/iL~t~nsl... 4 ~ 19~ . ~ I"\ Approved `X~4~:'1+~...~~.., 19~Q. Permit No. ~ 7 U ~.tr Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT ~~7 -may Date ~ . U 19~'". 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 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 inspections. L /G c ~ ~-~S d>?3, c e f~.•....~ ` (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......~~»!y...{!~??~ . (as on the tax roll or latest deed) I a t is a corporation, signatu of duly authorized officer. (Name and title of~iporat~ icer) ALL CONTRACTOR'S MUST BE SUFFOI,JL COUNTY LICENSED Builder's License No. • • • . i Plumber's License No . . Electrician's License No. '.:/..C,.~~?!U• • • ~'~C' Other Trade's License No . . 1. Location of land on which proposed work will be done. ~ ~ !c L~~'~- House Number /Street Hamlet s~ County Tax Map No. 1000 Section Block , Lot ...~S? . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises a~n1(d intended use and occupancy of proposed construction: a. Existing use and occupancy : t: b. Intended use and occupancy ~ ~`,~/.~~".°:~T,/. /`~.Z-. • • W ~di, i_ I ~ /h.(2 ..ri C /./U V t 3. Nature of work (check which applicable): New Building Addition Alteration ~2'~ ~ Repair Removal , Demolition ..............Other Work . (Description) 4. Estimated Cost......~v~~.'.~ ..................Fee...................................... (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. Dimgensions of existing structure, if any: Front . : :Rear Depth . Hei ht ...............Num~erof5tories.............. Dimensions'of same structure with alterations or additions: Front Rear , . Depth .Height , , , .......Number of Stories . g .....Num ction: Front Rear Depth HemhYsions of entire new constr Rear Depth . 9. Size of lot: Front , , , • • • • • per of Stories . . . 10. Date of Purchase : .................Name of o er Owner . 11. Zone or use district in which premises are situated ~~~~y,.(TY,,~2, , , , , , , , , , , , , , , , , , , , , , , , , 12. Does proposed construction viols any zoning law, ordinance or regulation: ,/.4~ . . 13. Will lot be regraded , . ~ ..................Will excess fill be removed from premises: Yes ( 0 1 14. Name of Owner of premises ...n t~.~ .....Address ...................Phone No............... . Name of Architect ................Address Phone No..... . . Name of Contractor 6Q: ~G,E'/.~ Y.Z. Address .,fLj.Y%7.r/.~C.~~, phone No. ~v.[~Q.~ 15. Is this property located Within 300 feet of a tidal wetland? *Yes No *Ii' yes, Southold Town Trustees Permit ma be required. PLO DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all setback dimensions from property lines. Give street and block r4umber or description according to deed, and show street names and indicate whether interior or corner lot. / /~~J ~iyt v ~~"G ~ I I STATE OF NEW YORK, SS COliNTY OF 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.) 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 contairjed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. - Sworn to before me this day of.; ........,190 Notary Public, ~ . ~ R. S~~ County HELEN K. DE VQE atuie of a i j NOTMtYPUeLIC,StateofNewYetN pplicant) No, 1707878, SuPfelk'County Term EKpirea k9erch 30,;19~~