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34890-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~kRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34795 Date: 01/11/11 T~IS CERTIFIES that the building SWIMMING POOL Location of Property: 1130 PLUM ISLAND LA ORIENT (HOUSE NO.) (STREET) (HAMLET) Co%lnt¥ Tax ~4ap No. 473889 Section 15 Block 6 Lot 12 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 2009 pursuant to which Building Permit No. 34890-Z dated JULY 27, 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. The certificate is issued to MICHAEL J & DEBORAH A VANWYCK (OWNER) of the aforesaid building. SI~FI~LKC~)LR~i"fDEPAR~TOF ~AL~{;kPPRO~AL N/A ELRt-rRICJkL C~F~RTIFICATE NO. 34890 01/10/11 PLUMBERS u~u{TIFICATION DATED N/A 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. 34890 Z Date JULY 27, 2009 Permission is hereby granted to: MICHAEL & DEBORAH VANWYCK 1130 PLUM ISLAND LA ORIENT,NY 11957 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR FENCED TO CODE AS APPLIED FOR. REPLACES EXP. BP # 32273 at premises located at County Tax Map No. 473889 Section 015 pursuant to application dated JULY Building Inspector to expire on JANUARY 1130 PLUM ISLAND LA ORIENT Block 0006 Lot No. 012 27, 2009 and approved by the 27, 2011. Fee $ 250.00 Authorized Signature Rev. 5/8/02 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DBPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32273 Z Date AUGUST 4, 2006 Permission is hereby granted to: MICHAEL P VANWYCK 1130 PLUM ISLAND ORIENT,NY 11957 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 015 pursuant to application dated JULY Building Inspector to expire on FEBRUARY 1130 PLUM ISLAND LA ORIENT Block 0006 Lot No. 012 31, 2006 and approved by the 4, 2008. Fee $ 150.00 Authorized Signature Rev. 5/8/02 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey °f pr°pe~ty 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 of Fire Undenvriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of l% 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 Pl.anning 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 consent 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 Construction: Location of Property: \ \ House No. Owner or Owners °f Property: .- Suffolk County Tax Map No 1000, Section SubdiviSion x,e t No. q Health Dept. Approval: 'Planning Board Approval: Old or Pre-existing Building: Street Hamlet ~ ~ .Block (.~ Lot I ~ Date of Permit. (check one) Filed Map. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate ..... Fee Submitted: $ .~C) ~ /' Final Certificate: (check one) / ~[p plicm~t(.S igr~at ute Town Hall Anncx 54375Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 ro.qer, richert~,town.southold.ny, us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Van Wyck Address: 1130 Plum Island Lane City: Orient St: NY Zip: 11957 Building Permit #: 34890 Section: j ~ Block: ~ Lot: j ~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: Dan Wilcenski License No: 4723-me 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 Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: INVENTORY Hot Water GFCl Recpt A/C Condenser Single Recpt A/C Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures ~~[~ HID Fixtures Wall Fixtures J J Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS in ground pool, to include all pump, filter, heating, and bonding electricle equipmer related to the pool Notes: Inspector Signature: ,f Date: Jan 10 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INS~JL~ATION [ ~lf~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ..__INSPECTOR /~ /~ FOL~DATION (1ST) FOU~ATION (2~) ROUGH F~G & pL~G ~S~ATION P~ N. Y. STATE E~RGY CODE ! TOWN Oi BUILDIN6 TOWN HA1 SOUTHOLD )THOLD AR~TMENT ~11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Exanfined Approved Disapproved a/c , 20 06~ · 20 d6 Expiration e~/%/ ,20 ~ ~/ PERMIT NO. ,~ o~0 ~3 ~:~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Plmmmg Board approval Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail t o).:7~ Phone: , Building Inspector APPLICATION FOR BUILDING PERMIT~'/ AULd Date ,200~. INSTRUCTIONS a. Tins apPlication MU ompletely filled in by' typewriter or m 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 mad of buildings on prminses, rclationship to adjoiinng prermses or public streets or areas, and waterways. c. The work covered by tiffs application may not be co~mnenced belbre issuance of Building Perrmt. 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 tbz'oughout the work. e. No building shall be occupied or used in whole or in part for any pml~ose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building pemfit shall expire if thc work authorized has not conm~enced 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 hlspector 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 lyf removal or demolition as herein described. The applicant agrees to comply with all applicable laws. ordinances, buildin¢ code, housing code, ard regul/~tions, and to admit and in building for necessar~ms. ~ ~['i [/~ /} authorized inspectors on prem/ses State whether applicant is owner, lessee, agent, arcb~[~gineer, general contractor, electrician, plumber or builder S/fl. gkC_~_l,~k T ACC CONSTRUCTION SHALL ('~ ,~,~.__ M,=FTTHE RF©LJIREMENTS OFTHE A~2DD~v:r~ ~c ~^~r-,~ CODE~OF NEW¥O~KI3TATE. , , ,~ -,, , (As on the tax roll or late~-~.ed)/ 5 ( v. , If applied_ut is a coqaoration, sigDature of duly autho[ized officer NOTIFY BUi~ 4C- DEPARTMENT AT t n 'l '1 i~bb.t '¥ {~ 765-1802 8AM ,C 4PM FOR THE (Nmme and title of corporate officer~._~_~' .~_~ ~. ~.[~.~ ;..~'.',' ,, FOLLOWING INSPECTIONS: · HRI; HNI AWFUL ~. FOUNDATION- TWO REQUIRED .~/H~ ~.v..- ........ ~ FC~ ~OURED CONCRETE Builders License No. /~'/~ - t~i~n-m ~ ? r'l-~T EI~'/IT~ R~ ,~ ~RAq~.,- ..... Plumbers License No. 3. ~: L,;T,oN Electricians License No. Other Trade's License No. L 'ation of landeolkwhich proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision 4. f:',,,. -""' F' ' q '!LIST Eli C L:: , ALL CO :S TIQU ~ ,.~ MEET THE H~" OR CONSTRUCTION ERRORS. (Name) Block Filed Map No. Lot { '~----- Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Ifd 1 5. we ling, number of dwelhng units If garage, number of cars Addition Other Work Fee Alterati~ (D~gcription) (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 Lvpe 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. Size of lot.' Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in ~vhich premises are situated 12. Does proposed construction violate any zoning law? ordinance or regulation? YES NO I3. Will lot be re-graded? YES 5'<-. NO 14 ff//,c/4~ /A'~ W/~-~. · Names clOwner ofpremise~ '/olr0~ l/u~,yt.~ Address PhoneNo. Name of Architect '~ -- ~ / Address ,- ~ ~ Phone No Name ofContractorx Address / 89cT. //h r Phone · ,.. 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 R~QUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ': __Will excess fill be removed from premises? YES fi<,. NO ol ? 2'7 717 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 ~rovide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (Contractor, '~ '" '~'' '~ ' } Agent, Corpo~tte ~fi~er, e~.~ of said owner or owners, and is duly authorized to perfonn or have performed the said work and to make and file this application; that all statements contained in tiffs application are tme to the best cliffs knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. CYNTHIA A. GALLO NOTARY PUBLIC, State of New York No. 01GA6046451 Qualified in Suffolk County x Commission Exp res August 14, pplicant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ax (631) 7 5 BUll ]~ING DEPARTMENT -? TOWN OF $OUTHO!.n APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: /r S'T r JOBSITE INFORMATION: (*Indicates required information) *Name: *Address! /I ~0 ?/o~ /y/.,/,,o] d...,.,~.-r ., *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: .. I ~-- Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (Please Circle NI That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase 3Phase *New Service: Re-connect Additional Information: 100 Underground NO Rough In I~inal ) YES/(~ 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF $OUTHOLD Telephone (631 ) 765- 1802 Fax (631 ) 765-9502 February 18th, 2009 FIRST NOTICE Michael & beborah VanWyck 1130 Plum Island Lane Orient, N.Y. 11957 RE: 1130 Plum Island La. (In-Ground Pool) SCTM: # 15. -6-12 Dear Mr. & Mrs. VanWyck, Please be advised that your Building Permit # 32273 issued August 4th, 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 $250.00; 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 BI 'ILl)IN(; I)I,~IL\RTMI'~N'I TOWN OF SOUTHOLD Michael & Deborah VonWych 1130 Plum Island Lane Orient, N.Y. 11957 ,Tuly 14*h, 2009 Re: 1130 Plum Island La. / Violation $CTM# 1000-15.-6-12 To Whom This May Concern: Your BUILDING PERMZT # 32273 for constr~ction of an IN-GROUND SWIMMING 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 144-1§A, of the $outhold Town Code, "No building hereafter erected shall be used or occupied in whole or in pa~r 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 ENCLOSED DOCUMENT REGARDING SWIMMING D,~mon Ra~ Z~ning l'n,~p~or ~---- $outhold Building beportmen1"-----~ 7008 1830 0004 5083 9763 TOWN OF SOUTHOLD Pl)OPERTY RECORD CARD OWNER DISTRICT SUB. ACREAGE E W TYPE OF BUILDING FARM COMM. lIND. JCB. RES.~. / 0 sEAs. LAND IMP. 1/o o /20 o I 2-0 o Farm Tillable Tillable 2 Tillable 3 Woodland Swampland Brushlond House Plot Total TOTAL · DATE MISC. I Est, Mkt. Value x ~ / / /, cTM 1 [--~b t Acre Value Per Acre Value FRONTAGE ON ROAD BULKHEAD DOCK 15-6-12 9/00 A. Bldg. [xtension .l ]xtension ! Z.~ 'K ~.~ : Foundation r_ Basement Ext. Walls ~arage Bath Fire Place Heat Porch Roof Type ~ - hi T Parc~ i Rooms 1st Floor Patio Rooms 2nd Floor Floors nterior Finish N 01'02'20" E PLUM ISLAND 22.5' I & 2 STORY FRAME HOUS[ & GARAGE TYPICAL POOL PLAN TYPICAL CROSS SECT£ON ISLANDIA POOLS J OPTIONAL STEP NOTES: