HomeMy WebLinkAbout28289-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
10/13/2011
No: 35239
Date: 10/13/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ABOVE GROUND POOL
1690 SIGSBEE RD LAUREL,
Sec/Block/Lot: 144.-1-10
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/17/2002 pursuant to which Building Permit No. 28289
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 swimmin~ pool with fence to code as applied for.
Lot No.
filed in this officed dated
dated 4/17/2002
The certificate is issued to
Renner, Paul & Roche, Maureen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
1062003
8/9/02
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. 28289 Z Date APRIL 17, 2002
Permission is hereby granted to:
PAUL J & M RENNER
BROOKLYN,NY 11215
for :
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL AS APPLIED FOR
at premises located at 1690 SIGSBEE RD
County Tax Map No. 473889 Section 144 Block
pursuant to application dated APRIL 17, 2002
Building
Fee $
Inspector.
150.00
LAUREL
0001 Lot No. 010
and approved by the
Authori/~ture
ORIGINAL
Rev. 2/19/98
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 Depm'tment with the following:
For new building or new use:
1. Final survey of property with accurate location o f all buildings, property lines, streets, and unusual natural, or
topographic featur6s.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board 0fFire Underwriters.
4. Sw.orn statement from plumber certifying that the solder used in system contains less than 2/10 of t% lead.
5. Commercial building, industrial building, mUltiple residences and similar buildings and installations, a certificate
of Code ComplianceTrom architect or engineer responsible for the buildiag;
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 c~, mpleted 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. Cextifica~e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimmiag 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
Date. /~ t/~,
New Construction: . Old or Pre-existing Building: ~ (check oOn~e)/¢
!ttouse ~qo. - Street , ,., . . L. ~a'mlo{
Suffolk County Tax Map No 1000, Section .(t_{'q /BlOCk` [ Lot
Subdivision
Health Dept. Approval:
Date of Permit.
Filed Map.
Applicam., ,
Underwr~tera Approval:
Planning Board Approval:
Request for: Temporary Certificate
Foe Submitted: $ c,~ ~ ~
Final Certificate:
(chec~
Applican%j
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
JOHN LUDEMANN
P.O. BOX 621
NEW SUFFOLK NY 11956
PAUL RENNER
1690 SIGSBEE ROAD
MATTITUCK, NY 11952
Located at
1690 SIGSBEE ROAD MATTITUCK, NY 11952
Application Number: 1062003
Certificate Number: 1062003
Section: Block: Lot: Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside, Pool/Spa,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 9th Day of August, 2002.
Name QTY Rate Rating Circuit Type
Appliances and Accessories
Furnace 1 0 Gas
Pool/Spa Bonding 1 0
Wiring and Devices
Receptacle 1 0 20 amp Pool/Spa
Switch 1 0 General Purpose
Receptacle 2 0 GFCI
(Swimmang Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
frequent test and/or repairs made by a qualified person.
seal
I of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] ~a~Yi~N
[~/]~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~-~
FO~DATION (1ST) ~
FO~ATION (2ND) ~
ROUGH F~M~G & m
~S~ATION PER N.Y. ~ ~
STATE ENERG5 CODE ~
~/~l '~ ~ r~
~D~ON~ CO~TS 5
TOWN OF SOUTHOLD
BUILDING DEPARI~MENT
TOWN HALL .
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
Examined
Approved
Disapproved a/c
,20 ~
Expiration
20 ?
PERMIT NO. ~
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
plarmmg Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
20o3..
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 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 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, housi~de, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
x~/.g,~a~re of applicant or name, if a corporation)
~j,~' (~aiPmff~dclrgss ofapplic~tk_ .
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elect~icia~plumber or builder
Nameofownerofpremises ~tl~lL ~(~lJl0~/~ ' ~I/~'A~9~
(As on the tax roll ~r lat6st 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.
Lo~alion o f land °~h/~r~__s. ed w/}~5 ~be d°ne:
_
~Iouse Number Street
Hamlet [ 0
County Tax Map No. 1000 Section ~t~,t~ Block 0[,00
Subdivision ,~..../~.. q'//d_~ ~-~/~, ~t~/~ Filed Map No. ,~3 t
' ' '0q e)' - '
L°tLot~
2. State existing use and occupancy of premises and intended use and occupancy of proposed cc~ struction:
a. Existing use and occupancy p&~,-~ t' ~'a-~C_. 0.~
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost ¢ ~,, ~) ~-' Fee
Alteration
(Description)
(To be paid on filing this application)
5. If dwelling, number of dwelling units .~ : Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
/
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height_ Number of Stories
,Rear
Dimensions of entire new construction: Front
Height Number of Stories
9. Size oflot: Front fifO.frO! Rear
10. Date of Purchase
11. Zone or use district in which premises are situated
Name of Former Owner
Rear Depth.
Depth /z~, 5~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~
13. Will lot be re-graded? YES__ NO __
14. Names of Owner of premises_~. (qIU t%rC*~&
Name of Architect
Name of Contractor
Will excess fill be removed from premises? YES NO
Address t'~ ~0 96Jg6~[ ~,)Phone No. dh3/' ~'~floO"f'~fl/
Address Phone No
Address /'~qJ(rg ¢o'/aE'. ttM Phone No. (aS[' -q 7q'-/q(.tC3
, [
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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.
NO X
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 )
~,/~/,_ ~/Q~ being duly sworn, deposes and says that (s)he is the applicant
(Nhme of individual sigrfing contract) above named,
~gSl~e 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~ 20 OL_ -.
/~o~ry Public - -~ ~
JOYCE M. WILKINS
otarV public, Stote of Now York
N~ '~"53246, Suffolk Count5
TOWN
OWNER
FORMER OWNER
OF SOUTHOLD
~TRE~ /
S
PROPERTY
VI LLAGE
W
SEAS.
LAN D IMP. REMARKS
~4~o
~-/0o /
~LEW
FARM Acre
Fillable
VL. FARM
TOTAL DATE
~lue Per T ~ 7
. ~ .,/ 1.-
rillable 2
Fillable 3
~ COMM. CB. MISC.
RECORD CARD
/D,s t SUB. 'OT
I ~PE OF,BUILDING
~/oodland
;wamp!and FRONTAGE ON WATER
trushland FRONTAGE ON ROAD
-louse Plot
'oral
DEPTH
BULKHEAD
DOCK
/9'0
M. Bldg.
Extension
Extension
COLOR
Foundation
Bath
Basement Floors
Ext. Walls Interior Finish
Fire Place
Type Roof
Heat
Rooms 1st Floor
D inette
LR.
DR.
BR.
Patio
/~?~'
Total
Breezeway
rog
Porch Recreation Room Rooms 2nd Floo FIN. B.
Porch Dormer
Driveway
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN O1~ SOUTHOLD
June 11,2002
Paul J Renner
314 8th Ave apt 2R
Brooklyn, NY 11215
RE: 1690 Sigsbee Rd
TO WHOM THIS MAY CONCERN:
We are unable to complete your Certificate of Occupancy because of the following reasons:
X An Application for Certificate of Occupancy is
not on file. (Enclosed)
X NO Underwriters Certificate on file.
X The check is (not in file)$2$.00
__ No Health Department Approval on file
__ No final inspection has been completed.
__ No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT# 28289-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
Fax (631) 765-9502
Telephone (631 ) 765- 1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 20th, 2006
Paul J.Rermer
1690 Sigsbee Road
Mattituck, N.Y. 11952
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 Certificate on file. (All permits involving plumbing ~ssued after
4/1/84)
Final Town Trustee Approval
BUILDING PERMIT: # 28289-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 I 1971-0959
Telephone (631 ) 765-1802
Fax (63 I) 765-9502
BUILDING DEPARTMENT
TO¥~2~1 OF' SOUTI-IOLD
September 24,2008
Mr.P.Renner
1690 Sigsbee Rd.
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 # 28289 issued on April
17,2002 In order to rectify this situation please submit the following to this office.
If you have any questions feel free to contact this office at 631-765-1802 between the
hours of 8AM-4PM.
An application for Certificate of Occupancy is not on file. (Enclosed)
No Electrical Certificate on file.
The Check is not on file -$25.00
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)
Certificate of Compliance from Southold Town Trustees.
Approval of the Zoning Board of Appeals*
Final Planning Board Approval.
UNDERWRITERS CERTIFICATE
APPROVED AS NOTED _..~ _
OATs'. '//~;/~
NOTIFY BUff. DING DEPARTMENT AT
765-180;! 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3, INSULATION
· FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL MEET
THE REGUIREMENT8 OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
OCCUPANCY OR i~~
USE IS UNLAWFUi~:~
WITHOUT CERTIFICATE
OF OCCUPANCY