HomeMy WebLinkAbout19211-ZFORM NO. 3
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)
PERMIT NO. 19211 Z Date JULY 20, 1990
Permission is hereby granted to:
CHRISTIAN C.WARD
7390 SOUNDVIEW AVE
SOUTHOLD,NY 11971
for :
B.P.#19211 CONST POOL WITH FENCE
at premises located at 355
County Tax Map No. 473889 Section 059
purs,,~nt to application dated N/A
Building Inspector to expire on
PRIVATE ROAD #25
Block 0009 Lot No. 031.003
and approved by the
99, 1999.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
It'OlI,M NO. S
TOWN OF $OU'FNOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP. EMISF_$ UNTIL FULL
COMPLETION OF: THE WOP. K AUTHORIZ£D)
Ne_ i~21~ Z
Permission is hereby granted to:~ / . /~
~ ·
...z~o.....~..~./~;.,~.......~
...~~.~..~...~:~....., ............ ~.~_~_
,o .......
ot ~, ~,,~ ~, .~.....~~.~~...~..: ......................................
..................................................... ~z~~ ..................................................................
pursuant to application dated ..... :,Z//..~ ..................................... ,
Building Inspector.
19..~..~., and approved by the
Rev. 6/30/80
BLDG. DEPT.
TOWN OF SOUTHOLD
Examined · ~..'~---O 19 .~.~!
Approved .......... , 19~-A/. Permit No..
Disapproved a/c .....................................
FORM NO. 1
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY ........ u ............
CHECK ......................
SEPTIC FORM ................
CALL ............
HAIL TO:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 tkis appli-
catiorl.
c. The work covered by ti'ds 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 o£ the Town of S0uthold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for ~;emoval or demolition, as herein described.
The applicant agra o i '
- er~.~rt-I LC,'P~,]~_, .{Y.,, ,~i.l,b, .all apphcable laws, ordinances, building code housing g ·
admit authorized i~etoi~' 6f~ l~r~rrfi'~e§ and in building for necessary insnections ' code, and re_ulatmns, and to
,.;",' ;';';c:' :,: .';.':% ....... (S~gnature/di~applicant orname fa .........
. ~ ..., ~,, ~.,, .~.~ , ,. . , corporauon)
3' '.ii,,: ~ 'i P. ' .' '. (Mailing add ress o f applicant)
~tate whether applie:iuP.'i~i3wner;;le§}ee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........ ~...;.,:.;.: ..................................................
' , · or'OD ..............................................
"" .~r ~O ..., :~ ;',,~:;~;It'~':~fl · '~ (as on the tax roll or latest deed)
If applicant, is a~P~l'a~a't~i~Itt,.~ *f gluly-~uthorized officer.
(Name and title of corporate officer)
Bu lder s Lmense No.
Plumber's License No .........................
lectnc an s L~cense No.
Other Trade's License No ....................
Location of land on which proposed work will be done;
Z4 .e .... .. .l l ?/. ..................
.... . ...... ~.o. ~ ~-d_ -
llouse Number Street, Hamlet ' ' ........
County Tax Map No. 1000 S,ction .... .'-~..~. ......... : Block f. Lot '~..ff:-ff "
Subdivision ..................................... Riled Map No.
(Name) .............. Lot .
State existing use and occupancy of premises and intended use and OccUpancy of proposed construction:
A. oceup nc ..' .: .< m ....................
~ ¢? ~ ........................ . .......................
Repair .............. Rdmoval .............. Demolition .............. Swimminm~ J.~.- · · '- ' ·
Tennis Court ......... Accessory Building .......... Fence ....... Ocher Work ............
,. stima,edCos, 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 ..........................................................
5. If business, commercial or mixed occupancy, specify natnre and extent of each type of use ...................
7. Dimensions of existing structures, if any: Front ............ Rear ........... Depth .......
Hei,'ht ............... Number of Stories ...........................................
Dimensions of same structure with alterations or additions: Front ................. Rear ........ ..
Depth .................. Height Number of Stories
$. Dimensions of entire new construction: Front ............... Rear ............... Depth .............
Hei,'ht_ ............... Number. of Stories .............. ; .................................
9. Size of lot: Front ............... Rear ................ Depth ..
0. Date of Purchase .... Name of Former Owner
1. Zone or use district in which premises are situated .................................................. ..
2. Does proposed construction violate any zoning law, ordinance or regulation: ...............................
3. Will lot be regraded ............................ Wiil excess fill be removed from premises: Yes .... No.
4. Name of Owner of premises .......... '.... Address \ Phone No . .
Name of Architect ........................... Address ................. . . Phone No ............... . .
Name of Contractor ' Address Phone No '
15.Is this property located within 300 feet of a tidal wetland? aYES .... NO ....
· If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and disti~otly.all buildings, whether existing or proposed, and. indicate all set-back dimensions from
,ropert¥ lines. Give street ~nd block number or description according to deed, and show street names and indicate whether
aterior or comer lot.
AP, P
76~-1802 9 ~ TO 4 P~I FOR THE
FOLL~ING INSPE~ON~:
1. FOUNDAT~N - ~ ~ R~UIRED
FOR ~URED CONCRI ~
2. ROUGH - FRAMING
3. INSULATION
4. FINAL CONSTRU
BE COMPLETE FOR C.
ALL CONSTRUCTION
THE REQUIREMENTS
STATE CONSIl~JC11~
CODES. NOT
DESIGN OR GONSTRUG1
I~UMRING
TION MUST
HALL MEET
fTHE Nfl,
~IBLE FOR
ION ERRORS
;TATE OF NEW YORK,
ZOUNTYOF ......... ........ S.S
, (Name of individual signing contract)
~bove named.
being duly sxvorn, deposes and says that he is the applicant
/e is the ............................................ .......................................... ;..
(Contractor, agent, corporate officer, etc.}
,f said owner or owners, and is duly authorized to pc,rform or have performed the said work and to make and file this
.pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
york will bc performed in tile manner set forth in tile application filed therewith.
;worn to bet'ore mc this
...... /0 ...... /~ ......... ]9
., ................ ~9,J.~ ~%/ y'~ ~/'_vday of.
~ ........ .~.. ........................
I{0}N~ PdNU~ Slm~ ~{ Nm V~ ~ (Signature of applicant)
;.;~_~-?_~~3L~TOWN OF SOUTHOLD PROPERTY REC:ORD CARD //,/,_~?
OWNER STREET VILLAGE DIST. SUB. LOT
~ .- ~/ / F //
S ,:, , W , ; / TYPE OF BUILDING
RES.~ / 0 S~S. ~VL. FARM COMM. CB. MISC. Mkt. Value /'
~ND IMP. TOTAL DATE REMARKS
~' ¢.7 ~ ~ .~' , .
4 ~,N C DII
N~ NORMAL BELOW ABOVE
FARM Acre Value Per Value
Ac re
Tillable 1 ~
Tillable 2 ,~
Tilloble 3
Woodlond
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD / 0 ~ ~, ~ ~' ~- o- *~
House Plot DEPTH I 0~ ~
BULKHEAD
~oto~ ~ ~ ~ ~ DOCK
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Patio
O.B.
Total
COLOR
TRIM
Foundation
,~rasement
Ext. Walls
Fire Place
Type Roof
Recreation Roorr
Dormer
Driveway
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floo~
7
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 14th, 2007
Christian C. Ward
7390 Soudview Avenue
Southold, N.Y. 11971
RE: 355 Private Rd. # 25 (in-ground pool)
SCTM#59 9 31 4
Dear Ms. Ward,
Please be advised that your Building Permit # 19211 issued July 20th, 1990 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York I 1971-0959
Telephone (631) 765- 1802
Fax (631) 765 9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December l§th, 2009
FINAL NOTICE
Christian C. Ward
7390 5oundview Avenue
5outhold, N.Y. 11971
RE: 355 Private Rd. # 25 (In-Ground Swimming Pool)
5CTM: # 1000-59. -9-31.4
bear Ms. Ward,
Please be advised that your Building Permit # 19211 issued July 20th 1990 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued before the use of the structure. PLEASE SEE ENCLOSED DOCUMENT
REGARDING SWIMMING POOL CODES.
To renew your Building Permit please submit a fee of $ 250.00: at that time we can
schedule an inspection by one of our Building Inspector's.
Copy of Building Permit Enclosed for your convenience.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
7009 0820 0001 7821 4885
I'o~lII ! lall Annex
54317,5 M~liil Road
P.O. 1½ox 117!t
S~ull~old, NY 11!t7
Ttlephonc (631) 76,5-18(Y2
Fax (fl;gl) 763-9302
BtTII,I)IN(; I)I~]~ARTMENT
ToIArN OF SOUTHOLD
Christian C. Ward
7390 5oundview Avenue
5outhold N.Y. 11971
April 26th, 2010
Re: 3§§ Private Rd. # 2§ / Violation
$CTM# 1000-§9.-9-31.4
To Whom It May Concern:
Your BUILDING PERMIT # 19211 for construction of an IN-GROUND SW~MALTNG
POOL has been referred to me because you have not responded to requests to
obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected
shall be used or occupied in whole or in part until a certificate of occupancy shall
hove been issued by the Building Inspector." PLEASE SEE ENCLOSED DOCUMENT
REGARDING. SWIMMING POOL CODES.
Therefore, you have ten days from the receipt of this letter to submit a check
made out to the Town of $outhold in the amount of $2§0.00: to renew the building
permit, or legal action will be taken against you. Should you have any questions, call
the building department between the hours of 8:00 a.m. and 4:00 p.m.
Respectfully Yours,
Damon Rallis, Zoning Inspector
Southold Building Department