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Home My WebLink About14074-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-33966 Rte: 09/21/09 THIS CERTIFIES that the building SWIMMING POOL WITH DECK Location of Prope~c¥: 475 ~J~OIS LA/gE ~L~TTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 123 Block 6 I~t 4.9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 21, 1985 pursuant to which Building Perrait No. 14074-Z dated JLrNE 21, 1985 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 IN GROUND SWIMMING POOL WITH DECK AS APPLIED FOR. The certificate is issued to HARRY M & ARLENE M JAQUILLJLRD (OWNER) of the aforesaid building. S~I~CO~DEPARTMENT OF }~%LTH~PRO%5%L N/A ELEC'~RIC~J~ C~KTIFIC3%~ NO. N 705585 08/20/85 PLU~ERS C~KTIFICATION DA'£~U N/A /~~ut hori~ Rev. 1/81 FORM NO. ~ TOWN OP 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) NO 14074 Z hereby granted to: ...~.~.....~.' ~..o~....~,..~ ............ .~....~..~.~..-~......~.:~'......u.~' '~ 3.~.~ ....... ~-h at premises located at ............................................ ........... '""T ~ '.'['='" -~ No ~: d ...(¢.~ ~) County Tox Map No. 1000 Section ..... I........~, ........ Block ...... .L,,) ............ Lot ......... ..J.... ~ pursuant to application dated ...~.... .~.o 19..~..~ and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTDOLD BUILDING DEPAKTHENT TOWN HALL SOUTDOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING~....VACANT LAND Location of Property ....~.. ~ .... ' t DAHLET, Owner or Owners of Property... ~o~, ~. ~ ~o. ,000 ~,o~ ~z~. ~o~ .c... ~o~ .~..(.~..~ ~ ~d~vi~io~.(.~..S C- d~~,~o ,ap ........ Lot ......... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certifleate ....... Final Certificate ................ Fee Submitted: $ .................... rev. 10/14/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~N HALt'. 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This applicatlon must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of rater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire gnder~rlters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of ]Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the 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: I. Accurate survey of property shoving all property lines, streets, buildings and unusual natural or topographic 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 ~hich shall show single and separate ownership of the entire lot prior to April 9, ]957. If a Certificate of Occupancy is deuied,'the Building Inspector shall state the reasons therefor in ~riting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: ]. An application for vacant land Certificate of Occupancy shall he submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, ]957 shall also accompany the application. If a Certificate of Occupancy is denied, the Buildiog Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. 3. 4. 5. 6. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $100.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00 Vacaut Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~r~ 35 JOHN STREET, NEW YORK, NEW YORK 10038 20 1985 349~57/85 ' o.S,,. N705585 THIS CE~IFIES THAT ~y t~ e~t~ ~u/p~nt ~ ~scNb~ ~ a~ int~ by t~ ~pli~t ~m~ on t~e a~ ~pl~atlon numar in t~ p~m~s of in the followlng ~at~n; ~ B~ement ~ Ist FI, ~ 2nd FL ~&fll~ S~t;on Bilk ~t ~ erami~ off ~S~ ~5 ~ ~985 a~found to be in compliance with the requirements of this Board. RXTURS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENT 1 1 i FUTURE APPIJANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1-G.F.¢.Z. S E R V I C E NO, OF CC. COI~D.A.w.G. NO. OFHI-LEG A.W.O. PER ,g OF CC. COND. OF NEUTRAL A. W. G, NO. OF NEUTRALS OF HI-LEG (SW/~4MX~G ~OOL.)THXS C~RTI~ICAT~ COV~R~ COi~LI~A~.~ AT Tm DATE OF INSPECTION C~LY. klECAU~ OF UMUS~AL ~&~rZ~M~T~ VT T6 ADVISABLE TO HAVe; F~.~QU~NT TEST AND/OR ~AXRS MAD~ ~Y A 13 Willett Avenue Sa~ille, ~ 11782 Lic~339~ NA Per 1 ' This ce~fico~e mvs~ no~ be al~or~d in any munner~ re~orn to ~he o~ice o( the ~ard if incorrect. ~nspec~ors m . COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [~'FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ..~,INAL, .,~ REMARKS: ~ INSPECTOR Fi~LD ~NS~ECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & ?LUMBING (2nd) INSULATION FERN. STATE ENERGY CODE FINAL DDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180:~ Examined . . ..~...~..~..o..., 19.3.~f Approved....~.1. · .t4~n~..~. 9.., 19~..%'. Permit No...q Disapproved a/c ..................................... (Building nspec or) APPLICATION FOR BUILDING PERMIT Received ........... ,19.. · Date ................... 19... INSTRUCTIONS a. Tkis 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 appli9able 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) ./:q. .8. . . .z<.K .... (Mailing address of applicant) State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. 0. ........................................................................ Name of owner of premises t/~.~.~,q.~....%/"~.~. ~/g--g, 4a,~.D. ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....?.3..d?~ ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ................................ ¢/.d.,. ........... House Number Street Hamlet County Tax Map No. 1000 Section . . . .1.~...%. .......... Block ..... ~ ............ Lot...?/.o..../-q .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... 0 A'~: 7~./4. ,'q ~ ~- ~/ /-)~/~ k?,~' .............................. use and occupancy .......... E.g. ai?r.. -,~. 9.. 1,4 .~ .................................. b. Intended /u 3. Nature of work (check which applicable): New Building ..... ' .....Additiofi J .'...t:~..... Alteration .......... Repair .............. Removal .............. Demolition · ..... ........ Other Work ~.x.~-t? o¢'o~,?'t ~- oO (ff ~__~ oaescnpQon) 4. Estimate~ 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. Dnnens~ons of existing structures, if any: Front ..... ~.Q ....... Rear .. ~. ........ Depth . ,2a ........... Height ............... Number of Stories. ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .~ ....... Height ............... Number of Stories ................... ; ............................ ~ ....... 9. Size of lot: Front .... {.~.~,...o.o..' ........ Rear ..... [. 9.0.- .Q2~ ........ Depth ...... [.~.r~ ~. ........ 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...................... ~...~O.' 13. Will lot be regraded ....... .-, ._._~.: ..~ ............ Will excess fill be removed from premises: (,Y~) No 14. Name of Owner of premises ~.~.. ~..~.~. ~.~! .t..c~,~. Address ~.~,go~'../¥'.8..//..~.~( .~.¢.~. Phone No. ~.~.~ 7..~fl.o..~... Name of Architect .................. Address ................... Phone No. Name of Contn~ctor /?~i'~'~k./~.~.~ ....... Address~l-~..oYr~.~.~.M~.~t.~ . .Phone No. 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. .day of.. ~t/r,/...~. 19~.~'- Notary~ .¥C~/~..c.~ County DONALD F. ABBATE NOTARY PUBLIC, State of New York No. 01BA4613899, Suffolk County Term Expires March 30, 198"/ STATE OF NEW_YORK, .... ~A~. ~.'..~. :. ~..~. ~. ~./~/~,~.z~. ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........................ ~O ..../'~/~_-.~.. ~. Cxj....,y?~.~.~.: ........................................... (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 manner set forth in the application filed therewith. Sworn to before me this FORAI NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote July. i~ , 89 TO Harr~ Ja,qu.~ll~f~ ............. (owner or authorized agent of owner) .- -;--.;.?.7. '5 -.~ l.o-i ,~-..t, a.~ e.r ..M.a- ~ ~.i.~ ~.c k. ............. [aDDress or owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance CBAP. 100 Other Applicable Lows, Ordinances.'or Regulations ............................................ at premises hereinafter described in that A swi~aing pool is being used without a (state character of violation) Certificate of Occupancy and an expired building permit. ARTICLg xxvIII-Chap. 100-281 & 284. in violation of (State section or paragraph of applicable law, ordinance or regulation) ...... YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 475 Alois Lane, Mattituck ................................................................................. County of Suffolk, New York. SUFFOLK COUNTY TAX Mu~P I! 1000-123-06-p/o 4 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. BP #14074Z (Cert. Mail) VINCENT R. WIECZOREK ,,,,,,,,,~ ~o~, POOL. PLAN DE.T~IL. A~,~ OPTIO~,IAL I ° I Th~ sewage disposal an8 water supply · facilities for this looatton have beeb ? SUF FOLK CO HJ;/~L I H ~.~Lr I STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H.S. REF. NO.: il °~0- 115- APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. lO00 :2~- G P..3 -~ OWNERS ADDRESS: ~-.~,"~ ;./2 ,'- DEED: L. ~0-~. P.38 ['~_EF.) TEST HOLE STAMP