HomeMy WebLinkAbout28311-Z
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
28311 Z
Date APRIL
23, 2002
Permission is hereby granted to:
ROBERT G & ORS BOHN
PO BOX 55
PECONIC,NY 11958
for :
RELOCATION OF AN EXISTING ABOVE GROUND SWIMMING POOL INTO THE
REQUIRED REAR YARD AS APPLIED FOR
at premises located at
2685 BOISSEAU AVE
SOUTHOLD
County Tax Map No. 473889 Section 055
Block 0005
Lot No. 014
pursuant to application dated APRIL
17, 2002 and approved by the
Fee $
150.00
Building Inspector.
ORIGINAL
Rev. 2/19/98
;-<631/ Z
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PlBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS1RUC'nON [ ] FIRE RESISTANT PENETRATION
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REMARKS:
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DATE
INSPECTOR ~~
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BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS~
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
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DATE #2/
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
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FOUNDATION (2ND)
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ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
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FINAL
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ADDmONAL COMMENTS
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MEMORANDUM
TO:
Mike Verity, Principal Building Inspector
FROM:
DATE:
Ed Forrester, Director of Code Enforcement
April 18, 2002
RE:
Pool Permit application, Bohn ,1000-55-5-14
I have met with the applicant and have recommended the removal of the pool from it's
"as built" location. The pool is being drained and disassembled. The applicant would like
to amend the application for the attached compliant location. At this point, I would like
you to consider it as a new pool application as opposed to an "as built". The as built
condition has been removed. And a compliant application is waiting for review.
- S",$"- .$"- I
IWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET b'D'S VILLAGE DIST. SUB. LOT
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S. .;.. (j SEAS. VL.
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TYPE OF BUILDING
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FARM COMM. CB.
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MISe.
Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
Acre
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AGE
IEW
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NORMAL
BELOW
ABOVE
Value Per
Acre
Value
liable 1
liable 2
lable 3
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1.I,rlte
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BLJLKHEAD
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t-( be "'.:
)odlond
amp land
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,use Plot
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Bldg. , ~ Foundotion ~g~ Bath / Dinette
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Jension 1.!i.X/VI .!Z.J-:Z }. .2~ t. t',,::!: ~ RI'osement P,<!"'f"r. Floors o AI":. K.
tension Ext. Walls WO;l i> $'/",,/ _'I',"; Interior Finish 5; x ,.. lR.
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iension Fire Place 1 Heat ;: Ii )..) DR.
Type Roof I Rooms 1 st Floor BR.
(9.1l.B.Lt;
-
ch Recreation Room Rooms 2nd Floor FIN. B.
:h Dormer _:is_!!'1I9 L L ..
,zeway briveway
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3540
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
Date: April 10, 2002
TO: Robert G Bohn & Ors
PO Box 55
Peconic, NY 11958
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance - Chapter 45
Other Applicable Laws, Ordinances or Regulations Title 19,
NYCRR SEC 444.3 (b) & (e)
at premises hereinafter described in that:
Above qround swimminq pool constructed without first obtaininq a
Buildinq Permit.
In violation of Chapter 45-8, Chapter 45-l5A
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at: 2685 Boisseau Ave, Southold, New York
SUFFOLK COUNTY TAX MAP 1000-55-5-14
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may cons t te an offense punishable
by fine or imprisonment or both.
encl.
(Cert. Mail)
M Boufis
DING INSPECTOR
TOWN OJ' SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NoP/B3/ I Z
Examined
Approved
Disapproved aJ c
20 L
'-
20 .?-
'-
Mail to:
Expiration
,20
Phone:
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I 111..-J.."j 4PPLICATION FOR BUILDING PERMIT
. :n'cl)__J Date
INSTRUCTIONS
11/ 17
(
,20~
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 waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 South old, 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.
~
(Signature of applicant or name, if a corporation)
Fo 13", 5~ ~1'~Jvy
(Mailing address of applicant)
State whether applicant iE.W~er)ssee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
.~"-L t&L ~_
(As on the tax roll or latest'deed)
If applicant is a corporation, signature of duly authorized officer
~-~
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(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed wo;;k will be done,
,2 b g 5 13 01.5 S.L~ u.Nv--. ~ AJ~~ ~
House Number Street Hamlet
County Tax Map No. 1000 Section ~ -Ij~
Subdivision
Block ~ -
Filed Map No.
Lot I Y
Lot
(Name)
.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
~JG- f ~
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
(Description)
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front :J 10 I
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance orregulation? YES_NO_
13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO_
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO V
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
P ~ being duly sworn, deposes and says that (s)he is the applicant
"'" (Name of individual signing contract) above named,
(S)He is the
~/
(Contractor, gent, 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 wiJI be
performed in the manner set forth in the application filed therewith.
Sworn ~ore me this
-L /'1 dayof ::;~__
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Notary Public
HELENE D. HORNE
Notary Public. State of New York
No. 4951364
Qualified in Suffolk CountY.
CommIssIon Expiras MaV 22. ~a:3>
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DA~' ~t~~~NO
FE!: 11/0 BY:
NOTIFY BUILDING DEPART
785-1802 II AM TO 4 PM F
FOllOWING INSPEcnONS:
1. FOUNDATION. TWO RE UIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING' PL MBING
3. INSULATION
4. FINAL . CONSTRUCTIO MUST
BE COMPLETE FOR C.o.
ALL CONSTRUCTION SHA
THE REQUIREMENTS OP
STATE CONSTRUCTION' NERGY
CODES. NOT RESPONtilB FOR
DESIGN OR CONSTRUCTION
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TM#: 1000-55-5-14
G'-I.Ii 'J.. Indlc.... .... an ..... ""'
..,Iy .. "" ,.... ........ the _y
i. prepo..... and ClOt Ns ....half to th&
tit'" company, Gav.rmental AU_y,
t"ndlng instiMion. if listed her...., ond
to the assiGnees of the lendlnll InstiMlon.
\, Guaranl_ ar. _ transferable to
oddllional inItitutiont or .. b.~ _
GUARANTEED TO:
Roberl G. Bohn
Carol Ann Bohn
Chicago Title "'s. Co.
" Cendont Mortgage Corp.
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SURVEY OF
DESCRIBED PROPERTY
SITUA TE
SOUTHOLD, TOWN Of SOUTHOLD
SUFFOLK COUNTY, NEW YORK.
SI/IMYEl) FOR: ROBERT G. BOHN
CARO/. ANN BOHN
Unalllhoflad 'a......... or caloIItion to lhb
.......y is a vioIolian of Sectlan 7209 of
"'. t :.w York Slate Education Law.
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SURVEYED: 7 July, '998
SCALE: 7--60'
AREAS= 9!/-.706.82 S.F. or
2. i74 ACRES
SURVEYE:D BY:
STANLEY J. ISAKSEN, Jr.
P.O. BOX 294
New Suffolk. N. Y.
51 7. - 5
Copies of IhIs _y map not bearlne
the Lan" Surveyors .m~d _I Ihall
IlllI b. -.i....... Ie' be a valid I....
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