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Home My WebLink About34881-ZFORM NO. 4 TOWig OF SOUTHOLD BUILDING DEPD=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34430 Date: 07/06/10 THIS CERTIFIES that the building SWIMMING POOL Location of Prol~r~y: 605 ORIOLE DR (HOUSE NO.) (STREET) County TaxMap No. 473889 Section 55 Block 6 SOUTHOLD (HAMLET) Lot 15.29 subdivision Filed Map No. -- Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 20, 2009 purs,,ant to which Building Pern~it No. 34881-Z dated JULY 20, 2009 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 FENCE TO CODE AS APPLIED FOR. · ~ne certificate is issued to ROBERT W & JILL A JOHNSON ( OWNER ) of the aforesaid building. SUFFOLK COUIqTYDEPARTMENTOFHEALTHAPPR0%FAL N/A EI~Et-r~ICAL CERTIFICATE NO. 78319C 07/30/03 PLI3MBERS CERTIFICATION DA'r~ N/A ~J'r' z/ed~gnatu re Rev. 1/81 , * Form No. 6 · TOWN OF SOUTHOLD /! TOWN ~L ~s a~hmon m~t ~ fi~ m by ~e~t~ or ~ ~d ~ub~ to For new buffing or new n~e: 1. FinM s~ey of prepay wi~ a~te loca~on of ~1 b~l~s, pmpe~y l~e~, ~, ~d ~1 m~ or to~p~c f~s. 2. F~ ~pm~ ~m H~I~ Dept. of wat~ ~upply ~d *ewemge~l ~S-9 fora). 3. ~pm~ ofel~ffi~ ~lation ~m Bo~ ofF~ Unde~fit~. 4. Sworn ~tem~ ~m plm~r ceffi~ ~t ~e mld~ m~ ~ system con~ le~ ~ ~10 of 1% lind. 5. ~mme~ b~ding. ~ffi~ b~g, multiple m~idmc~ ~d Si~ buil~ ~d in~latiom, a ~fimte of ~e C~mplm~ ~m ~t~t. or m~r r~ible for ~e bulling. 6. Sub~t P~nning Bo~ ~pmv~ of ~mplet~ site pl~ ~menm. 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 consent to inspect signed by the applicant. If a Certificate of Occupancy ts denied, the Building Inspector shall state the reasons therefor in Writing to the applicant. C. Fees 1. Certificate ofOcenpancy - 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. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00 *New Construction: Location of Pwperty: House No. Street Owner or Owners of Property: ~o l~t ~ f'~ 4 -.O-r-f' ' Suffolk County Tax Map No 1000, Section 0 5" ~" Old or Pre-existing Building: Date. / Block Subdivision Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Filed Map. , (check one) Date of Permit. Applicant: Hamlet Lot O J 5'~, Underwriters Approval: Final Certificate: t~ (check one) Applicant ~ issue Date 07/3012003 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 78319C East Patchogue, New York 11772 (631) 286-6642 Issued To: RobertW. Johnson Street: 605 Oriole Drive Village: Southold Zip: 11971 Section: 055 Block: 06 Lot: 015.029 Contractor: R. C. Electric Corporation Town: Southold Lic.# 1610-E was examined and found to be in compliance with the National Electrical Code. [] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement [] HotTub [] Residential [] Der. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters 1 1 1 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps A/C Fans Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH / Bldg. Permit: Other Equipment Jacuzzi Television CO Detector I-Gas Heater I-Pool Panel I-Time Clock I-Motor Hugo S. Surdi President Rough Inspection: 07129/2003 Inspector: Ed Scevelli Rnal Inspection: 07/29/2003 Inspector: Ed Scavel[i This certificate must not be altered in any manner. Inspectors may be identified by their credentials. / FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34881 Z Date JULY 20, 2009 Permission is hereby granted to: ROBERT & JILL JOHNSON 605 ORIOLE DR SOUTHOLD,NY 11971 for : CONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL IN REQUIRED REAR Y~LRD FENCED TO CODE AS APPLIED FOR.REPLACES EXP. BP # 32051 at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated JULY Building Inspector to expire on JANUARY 605 ORIOLE DR SOUTHOLD Block 0006 Lot No. 015.029 20, 2009 and approved by the 20, 2011. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM 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. 32051 Z Date MAY 26, 2006 Permission is hereby granted to: ROBERT WILLI~M JOHNSON 605 ORIOLE DR SOUTHOLD,NY 11971 for : CONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL IN REQUIRED REAR YARD FENCED TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 29298. at premises located at 605 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015. 029 pursuant to application dated MAY 26, 2006 and approved by the Building Inspector to ex/Dire on NOVEMBER 26, 2007. Fee S 150.00 ~/~~ Rev. 5/8/02 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 29298 Z Date APRIL 17, 2003 Permission is hereby granted to: ROBERT WILLIAM JOHNSON 605 ORIOLE DR SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR at premises located at 605 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015.029 pursuant to application dated APRIL 14, 2003 and approved by the Building Inspector to expire on OCTOBER Fee $ 150.00 17, 2004. __~h~i z e d Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~]INS~L~TION [ ] FRAMING / STRAPPING [ }/]'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:~~ ~' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~BG. [ ] FOUNDATION 2ND [ ]~JCATION [ ] FRAMING/STRAPPING [,/] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] F'mE REmT,~r coNs'muc'rl0. [ ] F~RE RESST, AN'r P~NETRA'[10. REMARKS:. DATE FO~A~ON (~) STA~ ~ CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~//?/ ,20 Approved ~,~; ,20 Disapproved a/c Expiration /~//.7 ,20~ BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~/~._.___~_ehone: Building Inspector APPLICATION FOR BUILDING PERMIT ~ ] /1~ Date ,20 INSTRUCTIONS ! a..T~ ~i~ application M(JS~T4~ompletely 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 perrrfit 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 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· - (S~)g/n~tuTre ~f ap~lic~/t or name, if a corpm:~ti~n) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. --'Il) ~- /4 Plumbers License No. Electricians License No./lo[O- ITl ~ Other Trade's License No. 1. Location of land on which proposed work will be done: Orint¢ tr, c,I d House Number Street Hamlet County Tax Map No. 1000 Section C),~, OD Subdivision ~4'1(5 h tDr~'~ Cl~' ['T)~C~~-- Block O&.(X) Lot(3i~o, Filed Map No. Lot 2. State existing use and occupancy of premises and int,~nded use and occupancy of proposed construction: a. Existing use and occupancy b. IntendeduseandoccupancytlqO,~T0~Xc~ .%LDlC'(xm, C~ Nature of work (check which applicable): New Building_ Repair Removal 4. Estimated Cost 6/~ (X~D. OO 5. If dwelling, number of dwelling units If garage, number of cars Demolition Fee Addition Other Work w'nrr~nct Alteration (15e~cription) (To be paid on filing this application Number of dwelling units on each floor 6. If business, 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 Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear. Depth Height Number of Stories Rear 9. Sizeoflot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES ~/NO __Will excess fill be removed from premises? YES__ NO / 14. Names of Owner of premise~Addres~;L~3~.~hone No.-'~&5 -/o~Q 5 Name of Architect Address Phone No Name of Contractor ll~xn ~a3nq4t~ 19o~3 Address ~l~hone No. ~o~- ~q ~ 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__NO __ * 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 ("~°)Ob'~ ~IT~'I~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)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 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 thist , /R 20g~ 3 /Si~nfiture 3fXpplicant 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 April 9th, 2009 /IR. ET NOT~CE Robert & Jill Johnson 605 Oriole Drive Southold, N.Y. 11971 RE: 605 Oriole Dr. (In-Ground Swimming Pool) 5CTM: # 1000-55.-6-15.29 bear Mr. & Mrs. Johnson, Please be advised that your Building Permit # 32051 issued May 26th, 2006 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before the 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 Buildin9 Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE ta. Legal Name and address of Insured (Use street address only) Modern Comfort Pools & Spas Inc. 543 Middle Country Road Coram, NY 11727 Work Location of Insured (Only required if coverage is specifically limited to c~rtain locations in New York,Ytate, i.~ a Wrap-Up Policy) 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder) Town of Southold Main Road P.O. Box 1179 Southold, NY 11971 lb. Business Telephone'Number of Insured 631-698-4488 lc. NYS Unemployment Insurance Employer Registration Number of Insured 41-62074 I d. Federal Employer Identification Number of Insured 11-3454756 3a. Name oflnsucance Carrier Oriska Insurance Company 3b. Policy Number of entity llsled in lmx "la": WC01346004 3c. Policy effective period: 12/12/02 to 12/12/03 3d. The Proprietor, Partners or Executive Officers are: ~ included. (Only check box if ail partncm/oflic~rs included) ;~all excluded or certain partners/officers excluded. 3e. D~molition is: (Definition of Demolition on Reverse) [~ included. [~ excluded. This certifies that thc insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance.to the entity listed above as the certificate holder in box "2". The Insurance Carrier will also notify the above cffrtificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other titan nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (l~ese noticm may be sent by regular mail.} Otherwise, this Cerfificate is pMId for a maximum of one year after this form is approved by the insurence carrier or its licensed agent. Please Note: Upon the cancellation of the workers: compensation policy indicated on this form. if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of'Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage require.meats of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Approved by: Title: Anthony Balvaqqio (Prlnt name of ~]~d ~pm~nmfive or licer~cd ~t of iesuranc~ cnrricr) ~j./y~- 2/7/03 ) ~' (D~e) Resident Agent relephone Number of authorized representative or licensed agent ofinsurance carrier: 631 - 884- 6000 ~lease Note: Only insurance carriers and their licensed agents are authorized to issue the C- 105.2 form. Insurance brokers are NOT tuthorized to issue it. STATE OF NEW YOIU~ WORKERS' COMPENSATION BOARD EMPLOYER'S APPLICATION FOR CERTIFICATE OF COMPLIANCE WITH DISABILITY BENEFITS LAW INSTRUCTIONS TO EMPLOYER: Complete PART I ONLY and haveyour Disability Benefits lmurance Carriercomplete PARTII. PART I. TO BE COMPLETED BY EMPLOYER EMPLOYER'S NAME AND ADDRESS (Home or Main Office) LOCATION OF OPERATIONS MODERN COMFORT POOLS & SPAS INC. ALL LOCATIONS OF THE INSURED 543 MIDDLE COUNTRY RD. CORAM, NY 11727 NAME UNDER WHICH BUS[NESS IS CONDUCTED, IF DIFFERENT FROM ABOVE OPERATIONS TO BEGllq ON OR ABOUT: 02/05/03 DISABILITY BENEFITS CARRIER (If More Than One, List All) NYS UNEMPLOYMENT INSURANCE EMPLOYERS REGISTRATION NUMBER FIRST REHABILITATION LIFE INSURANCE CO, Application is hereby made to the CARRIER for a Certificate of Compliance with the Disability Benefits Law. Date Signed. By (~g~atur~ of Owner, Partner, or ~luthor~zed Officer) Telephone No. (631)698-4488 Title PART II. TO BE COMPLETED BY DISABILITY BENEFITS CARRIER CERTIFICATE OF COMPLIANCE WITH DISABILITY BENEFITS LAW This is to certify that the above-named employer is insured with FIRST REHABILITATION LIFE INS. CO._ O!ame of CameO And that the policy covers: *a. [~ ALL of the EMPLOYER'S employees eligible under the New York Disability Benefits Law. *b.[~l ONLY the following class or classes of the EMPLOYER"S employees: Date Signed 2/5/03 Telephone No. 631)884-6000 Title RESIDENT AGENT *IMPORTANT: If BOX "a" is CHECKED, this certificate is COMPLETE. Mail it directly to the employer. If BOX "b" is CHECKED, this certificate is NOTCOMPLE'IE for~ofSectkm220, subd. 8 of the Disability Benefits Law. It must be mailed for completion to the Workers' Compensation Board, Disability Benefits Bureau, 180 Livingston Slxeet, Brooklyn, New York 11248-0005. PART IlL TO BE COMPLETED BY WORKERS' COMPENSATION BOARD (Only ifBex %" of Part II has been checked) State of New ¥od~ WORKERS' COMPENSATION BOARD There is on file with the Workers Compensation Board, Certificates of Insurance indicating that the above-named employer has complied with the Disability Benefits Law with respect to all of his/her employees. DISABILITY BENEFITS BUREAU Date By. Telephone No. Title THE WORKERS' COMPENSATION BOARD EMPLOYS AND SERVES PEOPLE WITH DISABILITIES WITHOUT DISCRIMINATION ACORD. PRODUCER Malpigli & Salvaggio Insurance Agency Inc 470 Sunrise Highway West Babylon I DATE CERTIFICATE OF LIABILITY INSURANCE02/06/2003 THIS CERTIFICATE IS ISSUED AS A MA~ ~=t< OF INFORMATION NY 11704- INSURED Modern Comfort Pools & Spas Inc. 543 Middle Countz~ Road ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. INSURERS AFFORDING COVERAGE INSURER ~ HARTFORD INSURERB:ORISKA I~ST.TRANCE CO INSURERC:FI~T REHABILITATION INS CO. INSURER D: Coram NY 11727- ~SUR~E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO1VffFHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER'nFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A GENERAL UAUIU~Y 120ENQS9340 L0/21/2002 ! 10/21/2003 ~ACH OCCURRENCE 1,000,000 ~ COMMERCIAL GENERAL LIABILFrY F~E DAMAGE (~ erie ~m) 100,000 I CLAiblS MADE F-~ OCCUR / / / / MEn EXP (An'/one pe~xt} 5,000 / / / / OCNER/~t. AGGREGATE $ 2,000,00~ POL,CY ,ECT LOG / / / / A A___UTOmOmL£UA~U~Y [20~CO~3311 02/05/2003 02/05/2004 ANY ~UTO {Ea ~1 $ 500,000 ALL OWNED AUTOS / / / / BOD~Y ~MURY -- HIRED AUTOS / / / / BOOTY INJURY / / / / GARAGE UABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO / / / / OTHER THAN EAACC $ EXCESS UABIU~Y / / / / EACH OCCURRENCE $ DEDUCTIBLE / / / / $ B WORKERSCO~PENSATIONANO ~C01346004 12/12/2002 12/12/2003 X I~OW~,,S'[~$l I°ET- / / / / E.L DISEASE * EA EMPLOYEE S 100,000 C NYS DISABILITY DBL-121170 10/21/1998 / / c~s CERTIFICATE HOLDER TOWN OF SOUTHOLD MAIN ROAD P.O. BOX 1179 SOUTHOLD NY 11971- CANCELLATION INSURE~ I'1~ AGENT~ OR ~NTA'I1VE~~ ~ . ~ ~ ~'~ORD CORPORATION 1988 ACORD 25-S (7~97) ~,.,- INS025S (~910) ELECTRONIC LASER FORMS, INC.- (800}3274~o4S Page 1 of 2 Tram Hall Annex .5 t37.5 Main Ro;ul P.O. Box 117!) Soulhold, NY 119714)9.59 Telephone (631) 76,;-1802 lqLx (631) 765-9502 B1 ;ILl)lNG I)EPARTMI~;NT TOWN OF SOUTHOLD June 28,2010 Robed & Jill Johnson 605 Oriole Drive Southold, NY 11971 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35501-Z swimming pool OCCUPA C'f :~C,b,'fEI APP~RQVED AS NOTED ~ ~ ' ~T~ BUEDIN~- ,,RTMENT AT ~ ~~ ~o 4~ ~ ~E ~~CT~NS: ~.' ,~ ~¢ ~o~[.~ ~ = } C ~, C~E FOR C.O. ~ ~ ~O~¢~ ~R ~ ~N OR ENCLOSE POOL TO GO . UPON COMPLETION ~ ¢~ .... .>,~ ~c ~ ¢/ ~THE REQUIREMENTS )F THE ~/%, *Hnw~~ELD OBSERVA- '~ES OF NEW ~O~K S' ~. CERTIFIED ONLY TO: , / 8y DESTIN G. GRAF N.Y.S. LIC No. 50067 SURVEY OF: ' ,~'°T ~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (63 ! ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 9th, 2009 FIRST NOTICE Robert & ,Till ,Tohnson 605 Oriole Drive Southold, N.Y. 11971 RE: 605 Oriole Dr. (In-Ground Swimming Pool) SCTM: # 1000-55.-6-15.29 Dear Mr. & Mrs. ,Tohnson, Please be advised that your Building Permit # 32051 issued May 26th, 2006 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the 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 765-1802. Respectfully, 5OUTHOLD 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 Robert & Jill Johnson 605 Oriole Drive $outhold, N.Y. 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 6*h, 2009 Re: 605 Oriole Dr. / Violation $6q'M# 1000-55.-6-15.29 To Whom This May Concern: Your BUILDING PERMIT # 32051 for construction of an IN-GROUND SWIMMING POOL has been referred to me because you have not responded to requests to obtain your ce~rificate of occupancy as required by $outhold Town code. Pursuant to 144-15A, of the $outhold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." 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. PLEASE SEE E!NCLOSED DOCUMENT REGARDZNG SWIMMING P OWNER - ~- ~- I~. ~':~ J TOWN OF SOUTHOLD PROPERTY RECORD CARD ACR. TYPE OF BLD. PROP. C?~ ~'-/OTM TOTAL DATE LAND IMP. VILLAGE DI~T~ SUB. LOT ~_~, / FRONTAGE ON WATER TILLABLE FRONTAGE ONROAD DEPTH BULKHEAD WOODLAND MEADOWLAND HOUSE/LOT TOTAL COLOR TRIM LM. -~j~l~g. "~--~Z~ ~ ~ 7~--~ ~4-6 ~ Bath ~ Dinette ~ Y I~ ~ ~ /7~ ~ Foundation ~..~, ~ ~ 'FULL ~ Floors Ki~. Exte~ion I~ X /~ ~ j ~ ~,~ ~ Basement SLAB ~;, Extension /~ Ext. Walls ~ .~ ' Interior Finish L.R. Extension Fire Place .~;~ -~" Heat ~/~] O'R- Patio Woodstove BR. -~r[~ ~,~ ]? - {~ ~ Z~ , ~ //~- Dormer :~./ Deck Attic Br~zeway Rooms 1st Floor Garage 2/r 2¢= ~ /, Z~ C7~5 Driveway Rooms 2nd Floor o.e._ Pool ~ I I(' 77)