HomeMy WebLinkAbout34881-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
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)