Loading...
HomeMy WebLinkAbout29576-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34659 Date: 11/05/10 THIS CERTIFIES that the building ABOVE GROUND POOL Location of Property: 4160 WICKHAM AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 107 Block 10 Subdivision Filed Map NO. __ Lot No. __ ~L~TTITUCK ( HAMLET ) LOt 3.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14, 2003 pursuant to which Building Permit NO. 29576-Z dated J~JLY 15, 2003 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JOHN & CAROLY~ J SIDOR, III (OWNER) of the aforesaid building. SIIFP~)LKCO~DEPART~TOFHF~%LTHAP~RO~rAL N/A ELRt-rKICAL C~K'rIFIC3%TH NO. 29576 10/20/10 PL~ C~KTIFIC3%TION Ik~'r~3 N/A - ~ut h~/ri ~e/Sig~ture Rev. 1/81 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. 29576 Z Date JULY 15, 2003 Permission is hereby granted to: JOHN III SIDOR 4160 WICKHAM AVE MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR. MAINTAIN PROPER SETBACKS. at premises located at 4160 County Tax Map No. 473889 Section 107 pursuant to application dated JULY Building Inspector to expire on JA/qUARY WICKHAM AVE MATTITUCK Block 0010 Lot No. 003.001 14, 2003 and approved by the 15, 2005. Fee $ 150.00 Rev. 5/8/02 ORIGINAL 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. 29576 Z Date JULY 15, 2003 Permission is hereby granted to: JOHN III SIDOR 4160 WICKHAM AVE MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR. MAINTAIN PROPER SETBACKS. at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated JULY Building Inspector to expire on ~JANUARY 4160 WIC~ AVE MATTITUCK Block 0010 Lot No. 003.001 14, 2003 and approved by the 15, 2005. Fee $ 150.00 Rev. 5/8/02 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ This application must be filled in by typewriter or ink and submitted to the Building Departm{ A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and con'sent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Constructio~ Old or Pre-existing Building: Location of erope~y'.~ C~J~O ~¢k)tC~h&lq'X ~ House No. Street Owner or Owners ofPrope~y-'~',J.' ~d~.Ccx~hD ~Bhr~x ~tc[o,~ Suffolk County Tax Map No 1000, Section ~k~'--~ Block Su~ion Filed Map. eernfit I,I'O~.] ~c~)[,O Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: (check one) Hamlet Lot: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Town Itall Annex 54375 Mahl Road P.(). Box 117!1 Soulhl)ld, NY 11971-0959 Telephonc (631) 765-1802 Fax (631) 765-9502 rofler, richert~,town.southold.ny.us BI 7II1)1N G I)EPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ;sued To: Carolyn & John Sidor ~,ddress: 4160 Wickham Ave City: Mattituck St: NY Zip: 11952 3uilding Permit #: 29576 Section: 107 Block: 10 Lot: 3.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures [~ HID Fixtures Wall Fixtures Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~ TVSS above ground pool, bonding, 1 pump, I gfci recpticle, 1 switch Notes; Inspector Signature: Date: Oct 20 2010 81-Cert Electrical Compliance Form 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/qSULATION [ ] FRAMING [,/'] FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: ~-~~~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL sOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 2 ^pprowd 7/i Disapproved Expiration ,20 '"~ ,20_~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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: Mail to: g Inspector 7-t ¥-6 '-- ,20 63 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 aPter 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 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. (Sigt/ature of applicant or name, ifa corporation) (Mailing add)ess of'applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises Cocd 3n co c[0r -re- (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet CountyTax MapNo. 1000 Section ]07 Block I ~ Subdivision Filed Map No. (Name) Lot ~ Lot b. Intended use and occupancy 0,~o0',/~ ~C&d~qC[ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost gl~O. Fee State existing use and occupancy of premises a~t intended use and occupancy of proposed construcfion:' a. Existing use and occupancy (3/~@ -~ktaaiC,4 (~CO0~qc, t If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (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 Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front 10. Date of Purchase Rear Depth 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 premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a 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 ) ch ("' being duly sworn, deposes and says that (s)he is the applicant (Name oTindividual 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 tree 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/~ /~// day of /-.Jt.eJ,.~.~ 20 ©~,~ J ~-~t-an~Public 7--- LINDA J, COOPER Notary Pulflic, State of New York No. ~822563, Suffolk Coun~.l.~ Term Expir6s Decem~r ;51, ~ 0 Signature of Applicant Town Hall Annex Telephone (631) 765-1802 · (631) 765- 50 64375 Mare Road ro.qer.nchertr~'~'~wn.soutg~o~'4~,,v . ,u P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT -" ~ /~. ~ REQUESTED Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: ql ~O *Cross Street: ~,e['~ ~o-~ (~<¢ 0¢ ~?~. ~d.,) *Phone No.: Pe~it No.: Tax Map District: 1000 Section: Lot: '~, / *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: ~/NO YE~ Rough In 3Phase 100 150 200 300 350 400 Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION ~ Other Overhead 82-Request for Inspection Form Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 / John Sidor 4160 Wickham Ave BUILDIN~DEPARTMENT TOWN OI*'8OUTHOLD Mattituck, New York 11952 TO WHOM THIS MAY CONCER ~'"We-a~ble to c~~Certificate of Occupancy because of the following rea s~g-6h-~.' Fax (631) 765-9502 Telephone (631) 765-1802 XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Electrical Underwriters Certificate on file. XX The check is (not on file)S25.00. No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984.) BUILDING PERMIT # 29576-Z Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF 8OUTI-IOLD Fax (6311 765-9502 Telephone (631 ) 765-1802 September 26th, 2006 John Sidor 4160 Wickham Avenue Mattituck, N.Y. 11952 RE: In Ground Pool TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. The check is (not on file) $25.00 Returned outdated No Health Department approval on file. No final inspection has been completed. No Plumber Solder Cedificate on file. (All permits involving plumbing issued after 4/1/84) Final Town Trustee Approval BUILDING PERMIT: # 29576-Z Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Please note if permit is expired, a renewal fee may be required. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 3rd Request BUILDING DEPARTMENT TOWN OF SOUTHOLD December 5, 2008 Occupancy or use is unlawful without a Certificate of Occupancy Mr. John Sidor 4160 Wickham Avenue Mattituck N.Y. 11952 To Whom It May Concern: It has come to the attention of the Southold Town Building Department that a Certificate of Occupancy has never been issued for Building Permit # 29576 issued on July 15,2003 for an Above Ground Swimming Pool. In order to rectify this situation please submit the following to this office so that a C.O. may be issued. ,>JAn application for Certificate of Occupancy is not on file.(Enclosed) w/"WNo Electrical Certificate on file. ~'/ The Check is not on file - $ 25.00 No Final Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval. 'l'mm I lall Amwx 31,37,3 Main Road P.O. Box 117!1 Soulhold, NY [ 1!)71-09,59 Telephone (631) 76,5-1802 Fax (63 I) 76,3-93()~ BI !ILl)lNG I)I~])ARTMI';NT TOWN OF SOUTHOLD October 21,2010 John & Carolyn Sidor 4760 Wickham Avenue Mattituck, NY 11952 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. (Town Trustees #765-1892) Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 29576-Z above ground swimming pool Ttmn I lall Annex 513375 Main l'~o~ul P.O, Box 1179 Southokl, N V I 19714)9.39 Telephone (631) 7(;3-1802 Fax (631) 76,5-!),502 BI ;ILl)lNG DEPARTMENT TOWN OF $OUTHOLD John Sidor III 4160 Wickham Avenue Mattituck, NY 11952 August 23, 2010 Re: 4160 Wickham Avenue, Mattituck SCTM# 1000-107.-10-3.1 Violation To Whom This May Concern: Your expired building permit (#29576Z) for construction of an above ground swimming pool has been referred to my office. 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 have been issued by the Building Inspector." Because you have repeatedly failed to respond to building department requests to obtain your certificate of occupancy, there is currently a violation on your property. Therefore, you have ten days from the receipt of this letter to contact this office, at (631) 765-1802, between the hours of 8:00 a.m. and 4:00 p.m. or legal action will be taken Re~pectfully You~ ( t~~i ~ ector 7010 0~90 000~ --. Southold Building De 8968 1058 lC)CPC)- I 0'7-/0 - '3,:J ] OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET ACR. , C?-7 TYPE OF BLD. PROP. C~ ~) LAND IMP. TOTAL DATE '7~oo /(oo0,~'~ 5'R* o ~"ONTAGE ON ROAD [ / DEPTH J / TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL II II II I I I I II II I I II III III z~ IIk~ .~ III ~,~ III ~ I I I II II 107-10-3.1 02/02 M. Bldg. '~'~2Z~ --' //,,~ O $.Z~ 5"~'~'o Foundation cs p~ Bath Dinette Extension Basement s~s ~j( Floors Kit. Extension Ext. Walls ~ Interior Finish LR. Extension Fire Place Heat D.R Patio Woodstove BR. ~ ~ ~ ' Dormer Fin. B. Deck Attic Br~zeway Rooms 1st Floor Garage ~ ~6 ~ ~ /.a~ ~ Driveway Rooms 2nd Floor Pool NOTE~ · MONUMENT 0 PIPE AF~EA: 42,0qq 5F OR O.q"f ®P-.APHIC SCALE I"= "IMMEDIATELY,, ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" MEET THE !NTS OF THE CODES OF NEW YORK STATE. APPROVED AS NOTED ~- <°~ NOTIFY BUILDING DEPARTMENT AT ~0765-1802 8 AM TO 4 PM FOR THE ~4~J.OWING INSPECTIONS: .d~i.~4~NDATION - TWO REQUIRED '~IK~R POURED CONCRETE 4.~INkL~ CONSTRUCTION MU~I' ~ ~OMPLETE FOR ~.O. ~ ~ONSTRUGT~N ~ALL ME~ ~E R~UIRE~E~ ~ THE ~ODE~ OF N~ YORK ~TATE. NOT RE~PON~I~ FOR O~N OR ERR~. N LL CODES OF STATE & TOWN CODES :UIRED AND CONDITIONS OF SOUTnO~D TOWN TRUSTEES N.Y.S. ~C UNDERWRffE~S CERTIFICATE REQUIRED FLOOD ZONE ~/& COMPLY WITH CHAPTER "46" FLOO~) DAMAGE PREVENTION SOUTHOLD TOWN CODE. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE CY JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERI~AD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\XHp server\dWr ROS\01-289.pro