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Home My WebLink About37157-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 5/4/2012 No: 35579 Date: 5/4/2012 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 760 TALL WOOD LANE MATTITUCK, SCTM #: 473889 Sec/Block/Lot: 113.-7-19.17 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/4/2008 pursuant to which Building Permit No. 37157 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 ~round swimming pool with fence to code Lot No. filed in this officed dated dated 4/24/2012 The certificate is issued to ARLINE BOECKMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N 023181 7/25/88 A~t~,~ed ~natur~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37157 Date: 4/24/2012 Permission is hereby granted to: ARLINE BOECKMAN P.O. BOX 1014 MATTITUCK, NY 11952 To: CONSTRUCT INGROUND SWIMMING POOL & DECK WITH FENCE TO CODE AS APPLIED FOR. REPLACES EXPIRED B.P. # 33957 At premises located at: 760 TALL WOOD LANE MATTITUCK SCTM # 473889 Sec/Block/Lot # 113.-7-19.17 Pursuant to application dated To expireon 10/2412013. Fees: 6/4/2008 and approved by the Building Inspector. PERMIT RENEWAL Total: $217.50 $217.50 Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~_RTMENT Town Hall Southold, N.Y. BUII~)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33957 Z Date JUNE 4, 2008 Permission is hereby granted to: for : ARLINE BOECKMAN PO BOX 1014 MATTITUCK,NY 11952 CONSTRUCT INGROUND SWIMMING POOL & DECK WITH FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 31727. at premises located at County Tax ~ap No. 473889 Section 113 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 760 TALL WOOD LA MATTITUCK Block 0007 Lot No. 019.017 4, 2008 and approved by the 4, 2009. Fee $ 435.00 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. ~7 Z Date JANUARY 12, 2006 Permission is hereby granted to: ARLINE BOECKMAN PO BOX 1014 MATTITUCK,NY 11952 for : CONSTRUCT AN INGROUND POOL & DECK WITH FENCING AS APPLIED FOR. THIS PERMIT REPLACES BP 17519. at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated JANUARY Building Inspector to e~ire on JULY 760 TALL WOOD LA MATTITUCK Block 0007 Lot No. 019.017 12, 2006 and approved by the 12, 2007. Fee $ 435.00 Authorized Signature ORIGINAL Rev. 5/8/02 lvO~ NO. ~ 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) N_o L)17519 Z II Date~ ....................... , i 9...~,..? Permission is hereby granted to: / A _ ..~..~....l..~ ............................................. ..~..,. ....... ~ .......... :..v..~ ........ ~.~..~... ~ . ........ ct premises located at .~..,.c..: ........ ~j..i{.....~,_,~,j~....~,,~., ......... ,'--:--.)~ ............ ........................................................ ..~ .......................... ~./.~.......~~..~.~ ........ ........ - ' ~ '".'~-LL_.~ pursuant to application dated ...~.),~o.,K~........~-....~. ............. , 19.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tbis 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: I. 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 aud sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less thau 2/10 of I% lead. 5. Commercial building, iudustrial building, multiple resideuces and similar buildings and installations, a certificate of Code Compliance from architect or engineer respousible for tbe building. 6. Submit ?lamfing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, !957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sm'vey of property sbowiug all property lines, streets, building and unusual uatural or topograpbic features. 2. A properly completed application and consent to respect sigued by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor m writing to the applicant. C. Fees I. 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 ot'Occupancy on Pre-existing 13uilding- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Ce~tificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1500 New Construction: Location of Property: '"7~, House No. Owner or Owuers of Property: Suffolk County Tax Map No 1000, Section // Sul3division Permit No. Health Dept. Approval: Date. Old or Pre-existing Building: Street Block ~7 Lot Filed Map. Lot: q- (check one) Hamlet Date of Permit.//- 2~, - / Z.~ Applica,!: ~zl~'~ ~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ t~/') . ~/~_~ Final Certificate: (check one) A/p pgqa n{ Slgfiafure ......... BUREAU OF ELECTRICITY {fRANK BIJ~gCKMAN, CO~( NF',CK bANE, H~T'rr'~:l(:t< was examined on and found to be in compliance with the requlrementn of this ~ard. / ORYERS I FURNACE ~K,TORS I FuTUIE AFf~UANCE EEEDffilS S~ECIALIK'C'PT TIMEC.~)CKS I lEU. JUNIT HEATERS Ms~Ly~T~M~LET - DIMMERS SERVICE DISCONNECT NO. OF S E R V OTHER AFg~ARATUS: (;.F.C. * (~;W:Y~IH]NG POOl,) Th~s covers compliance at the date :~r,~pect~on ~n]y. Because of e~vir,>nme~t~ it i.~ aavi.~able to h~ive freqsent tact/and or repa~r~ a~de by a qua].~.fi, ed person. This cedifica~ m~t ~t ~ a~ in any manner; r~urn ~ office of t~ ~rd if incorrec[, Insp~rs may ~ identified by t~ir c~dentials. ~ ~ F~ BUI~ DEPART~NT. T~S C~ ~ CERTIFI~TE ~T N~ BE ALTERED IN ~Y ~ER. ~ TOWN OF SOUTHOLD BUILDING DEPT, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~ PLBG. [ ] FOUNDATION 2ND [ ]~'IJLATION []FRAMING/STRAPPING [~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPE~TION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENLql~TION [ ] ELECTRI,~AL (ROUGH) [ ] ELECTR~) REMARK ,S~)~u/~ ~.~. .~ DATE INSPECTOR 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS~TION [ ] FRAMING / STRAPPING [ L.~'I:INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:. DATE ''~ ~//~' INSPECTOR FOUNDATION ( ls t ) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL I'-' /I ?~ _ f~ ~ ADDITIONAL COMMENTS:/ - ~ FORM NO. 1 i.ff~.-- l"O'-~,p._~ TOWN OF SOUTHOLD - ~'~ -_~UILDING DEPARTMENT ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 .............................. ................................ ...... (Building Inspector) ~PPLICATIO~ FOB BHIkDI~G P[B~IT BOARD OF HEALTH SURVEY SEPTIC FORM ..... ~/a ..... NOTIFY CALL ..................... MAIL TO: ~0. /~-'~ , . INSTRUCTIONS 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~,tvm,=-' ' ,, a detailed description of layout of properW must be drawn on the diagram which is part of this appli- cation. c. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 applica[~ie laws, ordinances, building 9fide, housina~code, and regulations, and to admit authorized inspectors on premises and in building for necessary ~.//~.s~~ (S~u're df applicant, or name, if a coi'l~o'r.~t]gn)' ' ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... ~..~...-.~...~.9 . .~.. e .~..-c...,~!..~.:-~-o ~ Name of owner of premises .~.~.~..../~r~5....~....~., .~. . .~.. ?.~_...~t...~-.~k.....~.. (as on the tax roll or latest deed) If applican~is,4~corpo, l, fition,~ignature gl' duly authorized officer. / ~///(Name and title of corporate officer) Builder's License No. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................ ~ ................... o. co,,,- .... co~,,~,~x ~,~ ~o. ,ooo ~c,on .t~ ~ 1~...: ~oc~ .... ~w ......... ~o~~~~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~. [~,~g ~ an~ o~,~an~ ....... ~...~.~.t ~5 .... .~~.,.~3 ............... b. Intended use and occupancy Repair .............. Removal .............. Demolition .......... 4. Estimate'd Cost /S-~ ~OF_j It.!i~..~.. ~. ~. ~...sC.~r~n ) ...................................... Fee ."h ..... tto ,be I[J~l,i~gli.cg t.h~,s al~lthca ion .. 5. If dwelling, number of d~velling units ..... [ .......... Number of dwelling If garage, number of cars u 6. If business, commercia, l or mixed occupancy, specify nature and extent of each type of use ...... . ..... 7. Dimensions of existiff~ structures if any' Front ~ ."~O Rear , . · · ................... D~pth Height ............... Number of Stories ............................. ' ..... Dimensions of same structure with alterations or additions: Front Depth ................. Rear ......... ...................... lleight ...................... Number of S ......... tories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ..... Height ............... Number of Stories ................ ' ......... 9. Size of lot: Front ...................... Rear ...................... Depth 10. Date of Purchase ...................... ............................. Name of Former Owner ... 1 1. Zone or use district in which premises are situated ......... ' ......................... · 12. Does proposed Construction vi ............................................ 13. Will lot olate any zoning law, ordinance or regulation: be regraded ................................ .................. .-. ......... Will excess fill be removed from premises: Yes N 14. Name of Owner of premises k-'-.~(4tOlq~..,tq .~ddress .% .~~.o.4.h~..s..r~.. ehone No. /~J .~.'~ ~ .~.&. "~ .o. Name of Architect .......................... Address .................. Phone No ... , . Name°fC°ntractor"~O ..~-.~.tt'-."?..~. ~2*"~t~ Addr~oo ~"~,n- ~-t~jz, ,,~ .. '~,~&'~'~'~';,i''' T~ ~'h-~ ....... ''-''' '. ....... ' ~o · t .......... ~. ..... rn0ne INO..a-./.~....~.?~.1~ . ......... ~ property xocatea w~thxn 300 feet of a tidal ~*etland? ~YBS .... NO~.' *If yes, Southold Town Trustees Permit may be required. ... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frown property hnes. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, Corporate officer, etc.) of said owner or owners, and is duly anthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true 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 ..... }~io;at;ie 'o~ ;;plicant; · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery Is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the flont if space permits. P.O Cc'x, Signature ~..~ .., ~.."7"'P .¢ r-,~,,., ' ~. is ~leli~J a~lif~;l~{)~'~ '1 ~ I~yes ~l ~M~i ~ R~ ~ R~m R~ for Me~andl~ ~ In~ M~I ~ O.O.D. 4. Restricted Deliver? ~Extm Fee) r'l yes 2. Article Number UNI'FED STA'[E$ POSTAL SERVICE IFlint-Class Mall Postage & Fees Paid USPS Permit No. G-10 · Sender: Please pdnt your name, address, and ZIP+4 in this box · TOWN OF SOUTHOLD BUILDING DEPARTMENT P.O. Box 1179 Southold, N.Y. 11971 h,,lh,lllhl.h,,l,,,lllh,J~[,,,[,I,hh~h,,ll,h,,.l,l[ Southold Town Building Department P.O. Box 1179 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel 1D: 113.-7-19.17 Permit #: 33957 Permit Date: 6/4/2008 Expiration Date: 12/4/2009 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Applicant: Location: Work Description: Dated: 4/16/2012 ARLZNE BOECKMAN 760 TALL WOOD LANE MATTITUCK TN GROUND POOL CONSTRUCT INGROUND SWIMMING POOL & DECK WITH FENCE TO CODE A5 APPLIED FOR. A FEE OF $217.50 I$ REQUIRED TO RENEW THIS BUILDING PERMIT. O~/ner: Address: ARLINE 80ECKMAN P.O. BOX 1014 MATTITUCK, NY 11952 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. THANK YOU, $OUTHOLD TOWN BUILDING DEPT. 50' ~.~ "~ . 60.°0 ,. FOR POURED CONCRE~: ROUGH - FRAMING & ~LUMS~NG INSULATION FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. A~ CONS~cTION SHALL MEET ~E RE~R~E~ OF ~HE N.~. OCCUAANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCy