HomeMy WebLinkAbout35884-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
9/22/2011
No: 35227 Date: 9/22/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
1N GROUND POOL
820 OLD FARM RD ORIENT,
Sec/Block/Lot: 25.-5-10
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
Lot No.
filed in this officed dated
9/22/2010 pursuam to which Building Permit No. 35884 dated 9/22/2010
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:
in ground swimming pool with fence to code as applied for.
The certificate is issued to
Ehrlich, Robert & Ehrlich, Madelyn
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
2944 7/15/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35884 Z
Date SEPTEMBER 22, 2010
Permission is hereby granted to:
ROBERT & MADELYN EHRLICH
17 MAIN AVE
SEA CLIFF,NY 11579
for :
CONSTRUCTION OF AN IN-GRD SWIMMING POOL W/ ENCE TO CODE IN REQ.
REAR YARD REPLACES EXPIRED BP # 33749
at premises located at 820 OLD FARM RD ORIENT
County Tax Map No. 473889 Section 025 Block 0005 Lot No. 010
pursuant to application dated SEPTEMBER 22, 2010 and approved by the
Building Inspector to e~ire on M3~RCH 22, ~ ~
Fee S 250.00 ~S I ~
ig iature
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. 33749 Z Date MARCH 18, 2008
Permission is hereby granted to:
for :
ROBERT & MADELYN EHRLICH
100 MAIN AVENUE
SEA CLIFF,NY 11579
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL WITH FENCE TO CODE IN
REQUIRED REAR YARD REPLACES EXPIRED BP # 27576
at premises located at 820 OLD FARM RD ORIENT
County Tax ~ap No. 473889 Section 025 Block 0005 Lot No. 010
pursuant to application dated MARCH 18, 2008 and approved by the
Building Inspector to expire on SEPTEMBER 18, 2009.
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. 27576 Z
Date SEPTEMBER 28, 2001
Permission is hereby granted to:
AL & JOSEPHINE ALIO
34 WOODLAND RD
MILLER PLACE,NY 11764
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN REQUIRED REAR YARD AS APPLIED FOR
at premises located at 820 OLD FARM RD
County Tax Map No. 473889 Section 025 Block
pursuant to application dated SEPTEMBER 20, 2001
Building Inspector.
ORIENT
0005 Lot No. 010
and approved.!~
Fee $ 150.00
Authori ~ ' S ig~
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
76~-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 of property with accurate location of all buildings, property lines, slreets, 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 Under, vfiters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commemial 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 plun requirements.
For existing buildings {prior to April 9, 1957) non-conforming uses,, or buff
1.features.ACcumtesurvey°fPr°perty showing all property lines, streeta, buildingandt~[]n~lp~~7
2. A properly completed application and consent to inspect signed by the appl!c]h~..1] i Ce~ate ~[ O~ee~._upuac]]~ III
C. Fees
I. CeflificateofOc~,llp~-NewdweHing$25.00, Additions to dwelling $25.00,~' ,~goSe~t0~1525.00, ~50.00.]1
Swimming poo[ $25,0~ Accessory building $25.00, Additions to accessory building
2. Certificate of Och~ug~cy on Pre-existing Building - $100.00 ~
3. Copy of Cettificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conunemial $15.00
New
Location of Property:
House No.
Owner or Owners of Property :'~ o~o..-&~
Suffolk County Tax Map No 1000, Section
Subdivision ~ ~g~f~
Permit No. ~ Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Old or PreT~xisfing Building:
(checkone)
Slroet
Hamlet
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Lot I 0
~ (check one)
t Applicant Signature
Nassau
5A Canal Street * Center Mofiches, New Yo~rk
Application No: 2944
Issued to: Eh[ich
Address:Old Farm Rd
Village: Orient
Date:7/15/02
Zip: 11957
Introduced By: W.J.Kubacki Electric
Inc.
631-878-35oo * Fax: 631-878-3764
]6-E
,Nfic 1st Roor
Basemalt :~ldfl(xlr
;
Swltuhee Reeeptaolea Fixtures G.F.I. Miorowave Whirlpool
2 2 2-500W ~ 2
Oven Carbon
Fens Diehwaeher Washer/ATp )ryerlAmps Range/Amps Monoxide
Furnaoe 011
Cireulators i
Smoke Ball
Detunturs Transformers
Phase Motors
t-20A Tim~
1-Heater,girl
Res
certificate must not be altered
in any manner
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA~.E~ CHIMNEY~ ~
_~~REMA KS: '
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~ON
[ ] FRAMING / STRAPPING [/,~NAL ~C~/~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FI~RE RESISTANT PENETRATION
REMARKS: ~ (,///'~:~' ~-0~ ~-~/'~ ~
DATE ~/~//~/_ , INSPECTOR ~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION IST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I/NSU~
[ ] FRAMING/STRAPPING ~] F'NI~. ~.~ ~
E ] RRE RF.,~I~I'~rI' CONSTRUCTION ( ] FIRE RE~I~'I'ANT PENETRATION
REMARKS: ~_~ c..~-~ /t~ ~_~h oo ~.~
COl~ffil~S
i~O1YtqDAT ION (
PLUI~IItG
INSULATION PIIR N. Y.'
CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL.
SOUTHOLD, NY 11971
TEL: 765-1802
, 2o /
Approved ~. · ~ , 20 O/
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECK~T
Do you have or need the following, before applying ?
Board of Health
3 sets of Building Plans-'~,J
Survey ~
Check ",4 'aP ~q tb 'b-
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: ~l~
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date ~ / ] O ,20c~(
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 onpremmes, relationship to adjoining premises or pub ic streeti~l~
areas, and waterways.
c. The work covered by this application may not be comynenced 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 a Certificate of Occupanc)
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building. I~epartment 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} buildiog_c~ode, housi
authorized inspectors on premises and in building for necessa~ insg6ctions.~ f
UNDERWRITERS CERTIFICATE IMMEDIATELY"~' (~'i~
REQUIRED ENCLOSE POOLTO CODE ' / // /
· UPON CO.M, PLETION /
BEFORE WATER"
ag code, and regulations, and to admit
aatur a corporation)
nee AneY OR
State whether applicam is owner, lessee, agent, architect, engineer, general
Name of owner of premises 7~ O l~ (~'(d /
c o ntr ac t o ~0~~~1[~ ~d e~ll~r
(as o2 the tax roll or latest
· NOTIFY ~UILDING DEPART~IEI~AT
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. / 5 - ~ y /
Plumbers License No.
Electricians License No.
Other Trade's License No.
70E-1802 B AM TO 4 PM FOR THE
H:)LLOWING INSPECTIONS: ~
FOUNDATION - TWO REQUI'~'D
FOR POURED CONCRETE
~. ROUGH - FRAMING & PLUMBING
~, INSULATION
& FINAL - CONBTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REGUIREMENT~ OF THE N.Y.
~TATE CONSTRUCTION · ENERGY
CODES. NOT RESPONSIBLE FOR
1. Location o f land on whic~pr~oposed work w~.~one':
House Number ' Street
" Hamlet
County Tax Map_No.
1000
Secti~
Subdivision ~ ~/e~
"Filed Map No. '~
State existing use and occupancy of premises and intended use and occupancy of proposed const~ction:
a. Existing use and occupancy .~ ,,
b. Intended use and occupancy ~'f,,t. Jr~ ~/,4..~ ~,
3. Nature of work (check which applicable): New Building. Addition
Repair Removal Demolition Other Work
Estimated Cost ~9Q ~--&-C) C)
/
If dwelling, number of dwelling units
If garage, number of cars
Fee
Alteration__z~__.~'_
(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
Real-
Dimensions of same structure with alterations or additions: Front
.Depth
Rear
Depth Height
Number of Stories
8. ' Dimensions of entire new construction: Front '-~
Height Number of Stories
Rear Depth
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: rL,/c)
13. sLf~% ~
Will lot be re-graded Will excess fill be removed from premises: NO
14. NamesofOwnerofpremise ~&~'~'r~,/ifl~/C/~ddress~;C),/~t"~i90. PhoneNo. gdo-5~x~
Name of Architect ~ Address Phone No
Name of Contractor -c~O4r,~9/ ~Z$ L,~,, Address [b~ ~-~x~e t /~ ~tt?hone No. ~ 7 -
15. Is this prope~ within 100 feet of a tidal wetl~d? *~S NO ~
* · YES, SOUTHOLD TO~'TRUSTEES PE~ITS MAY BE ~Q~D
16. Provide s~ey, to scale,~ith acetate fo~dation pl~ ~d dist~ces to prope~y li~es.
17. If elev~b~,~[~ ~n prope~ ~s at 10 feet or below, must provide topo~ap~cal data on su~ey.
STATE OF ~W YO~) ~ ~,~
CO~TY,~- ~-: ~--
~~~ elng duly sworn, deposes ~d says t~t (s)he is the apphc~t
~i above named~
(S)He is the ' C
of a" ~ 41~g ·
s ~a o~ ~r ~~ ~u~d to perfo~ or have peffomed ~e said work ~d to ~e ~d file ~s application;
t~t all smtem~~~ca~on ~e ~e to ~ best of h~s ~owledge ~d beliefi ~d ~t ~e work ~11
perf~i~ ~~{~~licafion n~d therewith.
Notary Public
ature of A~
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone I631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
June 20th 2006
Robert Ehrlich
17 Main Avenue
Sea Cliff, N.Y. 11579
RE: 820 Old Farm Rd.
SCTM# 025 0005 010
Dear Mr. Ehrlich,
Please be advised that your Building Permit #27576 issued September 28th, 2001 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, 53095 Main Road
P.O. Box 1179
Southold. Ne~,, York 11971-0959
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
February 13th 2007
Robert Ehrlich
17 Main Avenue
Sea Cliff, N.J. 11579
RE: 820 Old Farm Rd. (in-ground pool w/fence)
NOTICE
SCTM: 25 5 10
Dear Mr. Ehrlich,
Please be advised that your Building Permit #27576 issued September 28th, 2001 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 Halk 53095 Main Road
P.O. Box 1179
Southold. New York I 1971-0959
Fax (631) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
October 18th, 2007
Robert Ehrlich
17 Main Avenue
Sea Cliff, N.J. 11579
RE: 820 Old Farm Rd. On-Ground Pool W/Fence)
SCTM # 25 5 10 FINAL NOTICE
Dear Mr. Ehrlich,
Please be advised that your Building Permit # 27576 issued September 28th 2001 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.
EDWARD FORRESTER
DIRECTOR OF CODE ENFORCEMENT
Southold Town Hall Annex
54375 Route 25, P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1939
Facsimile (631) 765-6639
e-mail:
ed.forrester@town.southo]d.ny.us
March 12, 2008
Robert Ehrlich
17 Main Avenue
Sea Cliff NY 11579
TOWN OF SOUTHOLD
Re;
Property at 820 Old Farm Road Orient
SCTM# 1000-25-5-10
DearMr. Ehrlich,
Please be advised that the Building Department has forwarded your file to this office for
enforcement action. Letters have been sent requesting you obtain a C.O. for the work
that was performed under expired permit #27576.
It is a violation to use a structure without a valid C.O. issued by the Building Department
Please take the steps necessary to remedy this violation.
Thank you for your anticipated cooperation.
Sincerely,
Forresrer
Director of Code Enforcement~/,]//,,~,
cc: Building Department
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF $OUTI-IOI.B
FIRST NOTICE
August 23rd, 2010
Robert & Madelyn Ehrlich
100 AAaJn Avenue
Sea Cliff, NY 11579
RE: 820 Old Farm Rd.
SCTM #1000-25.-5-10
Dear Mr. & Mrs. Ehrlich,
Please be advised that your Building Permit # 3374c] and Building Permit # 33853
have expired. According to the Code of the Town of 5outhold, a Certificate of
Occupancy must be issued before use of the structure. To renew your Building
Permit, please submit a fee of $450.00. At that time, we can schedule an
inspection by one of our Building ]:nspectors. PLEASE SEE ENCLOSED DOCUMENT
RE6ARDTN6 SWTMM]:N~ POOL CODES.
If you have any questions, please call us at 765-1802.
Respectfully,
5OUTHOLD TOWN BUILDING DEPT
BP# 33749 :IN-~RI) SWIMMING POOL- $250.00
BP# 338§3-ADD:L'T'E. ON$/ AL TERA T'E. ON$- $200. O0
1'.O. Box 1179
Tclephol~c (631 ) 76,5-
Fax (631) 76,5-950~
BI IILI)ING DEPAIiTMI'2NT
TOWN OF SOUTHOLD
November 16, 2010
Robert Ehrlich
17 Main Avenue
Sea Cliff, NY 11579
RE: 820 Old Main Road, Orient
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.
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: 35884-Z swimming pool
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ New York 11971-0959
Telephone (631 ) 765-18{)2
Fax (63 l) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 16, 2011
Robert Ehrlich
17 Main Ave
Sea Cliff, NY 11579
Re: 820 Old Main Rd, Orient
TO WHOM IT MAY CONCERN:
The Following Item(s) Are Needed To Complete Your Certificate of Occupancy:
__ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
J A fee of $25.00. (Your original check was returned to you in 2010
because it was outdated)
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees #765-1892)
Final Planning Board Approval.
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 35884 - Swimming Pool
~~WN OF SOUTHOLD PROPERTY RECORD CARD -~ ~ I
OWNER STREET ~? '~ r-,, VILLAGE I D
~,~~ ~__ v,~_~ DIST. J SUB. LOT ~ ~
~ ~ ~ S W ~PE OF BUILDING
RES. ~l~__~_~ SEAS. FARM COMM. CB. MICS. Mkt. Value
LAN D IMP. TOTAL DATE RF_MARKS
Tillable
FRONTAGE ON ~ATER
W~la~
FRONTAGE ON ROAD
M~dow~d ' ~ ~ f ~ ~ ~ ~ ~- DEPTH
H~. Plot ~~; ~/~ BULKH~D
Extension I/J ~, ~1 - z/~(~ ~ Basement ,~ ~ Floors
Extension = ~'~ ~
~ ~ ~/~ ~ I~ Ext. Walls V~,l~e~ Interior Finish
Extension -~'= =~ ~ ~ ~
Porch %~ t~ : ~k~ %~15:~ :~, 2Z~ Pool Attic
Deck %~ 7 ~ 7OO ,2~ t~ Patio Rooms 1stFloor [~ [ ~ e~ l [~~ ~ ~ j [~) ~
Breezeway 7~2~, I ~% Driveway Rooms2nd Floor ~ ~1)~
O.B.
~CDH$ ~ #RIO- 98 _ 0043
The Iocelton$ of wells ar~ cesspools
shown hereon ore from field observollons
end or fi'om dalo obf~7/ned from ofhers.
LOT'-~ -
~'el l
p,p¢ '~
S. 85'25'00' W.
OLD
FARM
200.00'
ROAD
S. 85'E5'00' W. ~'~8'/I
I om tarnl~'or wilh Ihe'STANDARDS FOR A~PROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
ond wE/ ob/de by fhe condllions sel forth fherein and on lhe
perm# fo consfrucl.
AREA = 1. 4894 ac.
TO AN ASSUMED DA TUM.
ANY AL TE~ TION OR ADDITION ~'0 ~ ~JRVEY I~ A VIOLA TION
OF' ~E~ TZ09 OF THE ~ YORK STATE EDUCATION LAW,
E'XC~PT ~._~. SECTION ~~ ~. ALL ~R~AT~
~ ~ ~ ~$ B~R ~ ~S~D ~AL ~ T~ S~VEYOR
~L Y TO C~ Y ~ $A~
~T ~ ~ BY A~ ~ ALL S~V~S
~ TO~A~ A~ NOT ~ C~ ~ ~ LAW.
CERTIFTED TO"
AL ALIO
JOSEPHINE A. AUO
EAB MORTGASE COMPANY INC.
FIRST AMERICAN TITLE INSURANCE
COMPANY OF NEW YORK
SURVEY OF
LOT 8
"MAP OF BA YWEW FARM"
RLED JAN19, ~ FILE NO. 7045
A T ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY; N Y.
I000- 25- 05- 10
SCALE.. 1" = 50'
FEB. 23, 1998
Jon. ~0, 1999 (foundolion Iocotion)
'~AUG. ~1, 1999 ( finol )
1£30 1~
SOUTNOL~
NO. 49618
-SCHEMATIC'PIPING ARRANGEME~IT .
w^c~