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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