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Home My WebLink About22931-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24118 Date JANUARY 17, 1996 THIS CERTIFIES that the building ACCESSORY 400 & 680 JACOBS LANE & Location of Property 10612 MAIN BAYVIEW ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 1 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1995 pursuant to which Building Permit No. 22931-Z dated AUGUST 9, 1995 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 AN ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHESTER & PARKER DICKERSON (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H047981 DECEMBER 1, 1995 PLUMBERS CERTIFICATION DATED N/A Building Inspec or 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) Date......... F. ......... ��................... 19. ... SIR 229311 Permission Is hereby grante to; .��.... .��. ''< ... ,............. ....................................... to .... . Wl,&...t....... ,'•.7W/��///J.. :..•........................... • • •• .. ... .. . ... ..... • . ......... ..• ••. •.... ..• • ... •••.. .•....•••••.•..•..•••••• (1;'V. . '2-44.. ` ..... . ... . .. .. ... ....... . .... ... .............t...... ... .. ..... .. .. . ..... ... . .. . ...............' ................................................................................. ...................... ......................... at premises located at.....,,r C /!�.... . L 4... I...IV... .....,......................... .................. ...................... Z........................,........................ . ........... County Tax Map No. 1000 Section ........(.l.O.......... Block........./............. Lot .../0............ ... o� pursuant to application dated ............ .. ... .......... .......... 19.. ......... and approved by the Building Inspect'. Fee$. g .............. Building Ins p for Rev. 6/30/80 Form No. 6 �C TOWN OF SOUTHOLD J 16 I996 BUILDING DEPARTMENT TOWN HALL r r�O.DENi 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. 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 and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1.7. 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 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 completed application and a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, /Commercial .$15.00 Date . . . . .la/1�!.�sr . . . . . . . . . . . . . . . . . . . . . New Construction. . . .. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . �C9.�j1� . . . - . . �:ec7. .1. W . . . . . . . . . . . S�.v.?�Gi.�C . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . .� ! . .7��. . P�t�'(P1 . ./�. . C��2Q� � c. . . . . . . . . . . . . . . . . . . ,ounty Tax Map No 1000, Section. . . . . . . . . .Block. . . ./ . . , . . . . . . . .Lot. (j . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FJI.cd Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . Permit No. . a.�'�3(?�: . .Dote Of Permit. ..q ,c/ G� � .A p p 1 i c,i n t. a��/u�t�--. . . . . V :1ealLh Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Uiiclerwriters Approval . . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . ;tequest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . -ee Submitted : $. . . . . . . . . . . . . . eC 'l� G .G THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8057633 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date DECEMBER 01 i,1995 Application No.on file 10701495/95 H 047981 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JAMES M-.DICKERSON,.,10612 BAYVIEW ROAD, -SOUTHOLD, N.Y. in the following location; ❑ Basement ❑ Ist Ff. ❑ 2nd Ft. GAR/OUT Section Block Lot NOVEMBER 27 1995 was examined on � and found'to be in compliance with the National Electrical Code. FIXTURE FIXTURES •,... RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. - K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS W wSERVICE,-DISCONNECT_<_:::.NO.-oE.- _ S- _....,_._E_... _ __:.R.. METER AMT. AMP. TYPE EQUIP. 10 2W 10 3W 3 0 3W}3,B'/W NO.OPEC .COND. A.OF CC..G. NO.OF HIAEG A.OF WHI-LEG NO.OF NEUTRALS OF NEUTRAL - OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical " survey has been made of the exposed electrical equipment in the. premises indicated. " "No ohvious "'""".'"'" 1. unsatisfactory condition was found.— , _F A t-SI �� AMOUNT PLEASE REMIT BY CHECK OR MONEY FEE PAID 'ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRE UNDERWRITERS JAMES M.DICKERSON AS CASH SENT BY MAIL WILL DE AT . 10612 BAYVIEW ROAD RISK of SENDER. SOUTHOLD, NY, 11971 � Per THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OI�;CQl1IPLIANCE.THIS BILL PAYABLE AT THE NEW YORK OFFICE,85 JOHN STREET,NEW YORK,N.Y.10038�� o�oSUFFoc,��, 0 ca Z Town Hall,53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179 A Telephone (516)765-1802 Southold, New York 11971 Oj `1►a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 11, 1996 Mr. James Dickerson 10612 Main Bayview Road Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) ' No Underwriters Certificate on file. xx 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) . BUILDING PERMIT # 22931-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEFT. INSPECTION [ j FOUNDATION 1ST [>] FINAL OUGH -LBG. [ ] FOUNDA710N 2ND [ ULATION [ ] FRAMING [ [ ] FIREPLACE & CRIMNEY REMARKS: DATE � INSP 12� ECTO 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]71NAL TION FRAMING [ ] FIREPLACE'& CHIMNEY- REMARKS: Z�/�'�� D2 z DATE 11W444___ INSPECTOR r WEL1T' NSPECTION REPORT DATE COMMENTSif _ r� if FOUNDATION ( IST) � --- FOUNDATION----(2ND)__-- --------------- ----- ----- - -- ROUGH FRAME & PLUMBINGIf H INSULATION PER N. Y. I STATE ENERGY I' H CODE R----1{ if --- II II - II I FINAL --u --------------------- - ------ ----- ADDITIONAL COMMENTS: H V H O z r `A 44, -- d l� b H O�og�fFO(�co f y = Town Hall, 53095 Main Road p • Fax(516)765-1823 e9 y�ol �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: July 19, 1995 TO: Chester & Parker Dickerson 155 Mountain View Manor Torrington, CT 06790 PLEASE ,TAKE NOTICE there , exists a violation of: Zoning Ordinance - Chapter 45 - Section 45.8 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: An above ground swimming pool has been installed without a Building .Permit. In violation of Southold Town Code YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 680 Jacobs Lane . Southold, NY 11971 SUFFOLK COUNTY TAX MAP #1000-88-1-10 - A/C ZONE Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. r Bu' ing Inspector , JMB:cmt (Cert. Mail) ��- BOARD OF HEALTH . . ... . . . . . I FORMN0. 1 3 SETS OF PLANS . . . . . . . . . k' 1-OWN OF SOUTHOLD SURVEY . . . . . . - . . . . . . . . . . JUL� 2Of so j,_BUILDING DEPARTMENT ' • ' . . 1, TOWN HALL SEPTJ.0 'FORM _ . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TOW,t;OF r�J�I`;_F1 ,�D_�� TEL.: 7G5-1802 CALL Examined . . . . . /. . 19j. MAIL T 0 . . . . . . . . . . . . . . . . . . . . . . . Approved . . . 19� Permit No. .C31. .� ,...ti.' Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (BLllldnlg IIISp tOI)' ;PLICATION FOR BUILDING PERMIT 1 Date . 7 �:t . . . . . . . . ., 19 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building sliall be occupied or used in whole or in part for any purpose whatever.until a Certificate of Occupancy sliall 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 co ply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. GRz1. . n. .��1 �t 1-��' '. . . . . . . . . . . . . . . . - gnature of applicant Jor name, if a corporation) . . . .l Q.6.0, � (Mailingaddress of applic1ant) State whether applicant is owner lessee agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . ... . . .UNDER**? TERS CERTIFICATE . . . Name of owner of premises . cvu-�6 . .Wl. ". V` �!?��R�. dJ�. . . . . . . . . . . . REQUIREQ. . . . . . . . . (as on the tax roll or latest deed)AP�NRVED AS N®TE9�If applicant is a corporation, signature of duly autlioriie� 9fic r �� DATE " B.P.#��5 `31 ENCLOSED! T • � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. POOL Q COD FE BY: (Name and title of corporate officer) UPON COMPLMOPI NOTIFY BUILDING OE T � � !BEFORE"IIVA'FER" 765-1802 9 AM TO 4 PM FOR THE Builder's License No. . C 1J�; C.. . OR FOLLOWINGINSPECTIONS: 1. FOUNDATION - TWO REQUIRED Plumber's License No. E. .� . . . .� FOR POURED CONCRETE •tn F. 2. ROUGH - .FRAMING & PLUMB IG Electrician's License N&p F'' H. ;' �" 3. INSULATION h � � RI' ''MCff ' 4. FINAL - CONSTRUCTION MUST, Other Trade's License 010'.N BE COMPLETE FOR C.O. ° �`' NUT ALL CONSTRUCTION SHALL MEET ;0b 'UP THE REQUIREMENTS OF THE N.Y. 1. Location of land on which proposed work will be hone. . . .• . . . . . . . . . . . . . . . .STATE .CONSTRU&ION• &• E•NLE-R•Gy, - ,,cc�� //� ) Y �� ES. OT SPONSIBLE FOR ( V lQ.[.� . . . . . . .. . . . . . . . . . . . .� . l! �. . . '%�. . . . . . . .�.'��rRUCTION .ERRCPZ . Mouse Number �treet Hamlet County Tax Map No. ]000 Section . . . .4.U. . . Block . . . . . . . . . . . . . Lot . . •/ •l.1 • • • • • • . Subdivision . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) ' 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction': a. Existing use and occupancyA2. . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy •!.I �11't°`� � aq. .G�' . . . . . . . . . . . . . . . �� :fi6R l..a est,e•t�J►� ,t��n w'o �.�9-�`�.E',l:vi�� C�.Ih-c�-c.r,,,,.�g �' ?"F�i��.».•ct��p •3. Nature of work (check which applicable): New Building . . . . . . . . . .. Addition Alteration Repair . . . . . . . . . . . . . . Removal . . . . Demolition pp ; . . . Other Work . p_ D ( . . . . . . . . (Description) . . 4. tIRS:UPost . V awee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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•eacli type of use 7. Dimensions of existing structures, if any: Front . . . Rear Dept}r Height . . . . . . . . . . . . . . . Number of Stories . . • . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . . . . . . . . . Height Y. Number of Stories . 8. Dimensions of entire new construction: Front . p�:�. . . . Rear p�. � Depth .Height . . . . . . . . . . . . . . . Number of Stories . . '�" 9. Size of lot: Front . . . . . . . . . . . . . . . . Rear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner IL. Zone or use district in which premises are situated . .12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill b removed from premises: Yes No 14. Name of Owner of premises . ' - . -)11 Address— v10`� "t0lP11one No.0.63 .y�Q1-R;>.o.f Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address phony, No. Name of Contractor . Address . Phone No. 15. Is this property within 300 feet of a tidal 'wetland? *Yes. *If yes, Southold Town Trustees Permit may. .be required. . . . . . No.�,. . . , ,. . PLOT DIAGRAM Locate clearly and distinctly all •'buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block,number or description according to deed, and show street names and indicate whether interior or cor er lot. T 1A) - 13 Poo[. STATE OF.NE COUNTY OF . . - • • • • . • . • . . being duly sworn, deposes and says that-he is the applicant (Nae of ind' 1 udN`signing contract) above named. die is the . . . . t:�.�:'� . . .. . . . . . . . . . (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 true to the best of his knowledge and belief; and that the work will be perfonmed in the set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . 2.t. ayV�1�. -_ 19S� Notary Public, . . . . . . . . .l . . . County Y � ROBERT 1.SCOTT. . . NOTARY PUBLIC Sta a of N.Y. . • • . . • . . . . . . . . . . . . . . No.4725089. Nolk Cou (Signature of applicant) Term Expir ay 31, 19 f. is „1 f.� +•^ ` , r - -..,.. ,. - _ - — / i �� Lj /-a� !"7 Gh�•r� N , zr �. _J �Ylr1 >?d oc,_ I7 scale: 00 -- ! ... . �� is �'�7dellick Vary 7' N L�C�r�S�cJ Garry �ur�Ye�Gr's A � free 1-7 Jb or?; 1.1. Y,. a [v` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES �� s+ FOR APPROVAL OF CONS TRUCTIO�d OF 4 Single F2 niiy Residence Only h S a37 c 14 1986 REF. NO. 4 I � .. . .. - DATE NOV -- - ------ � APPROVED t:.'?• EXPIRES TVJO YEARS FRO P ATE OF PPROVAL • l38.65 `o j ; �.w.•h-r yr' '�1 V.�� W` r� ..... - h.�� Ian( � _• t � v U 04 V.41 t.15 v • 7 [`J1 y 1 , ` � f� •�-....-..--.mil .�. i cfll�:tf�� r- 6 {t` y �5 1},/{ F,.,d i •i n c`t ,fJ,...YG..t P—_-) OF NE (E LL C6•i. r,'ti I'rur,• r;•n rai E:ns`m,) Q�cK !i1 •0..+„ Ct�.U':�Y`!j �Q'X F'�!L"�C:s:'1=1�L�1�G� 'r��"'t-^t O '�A''llO/�!r 12 '19h�6 � ��' 'L�. � cam•.- ..;•. ��:.�c!t•••'�.G�ch;xh.�:r�-� J � � dh .A G 7c -t: r trw:il t t•��_:,:. 1!,, .1 fwA M. O 1?T Ca 17(J mil?lF ncnty to fh,t^r:crt f^:rtih,n t?t�ram;lr l S.C. DEPT. OF <S 256`L title ror,-•; ;,{}e�c-rrxlnts:;-�:�c�C 3 HEALTH SERVICES c s�� life, a AND 'm zifrn.C-v, ntc�rr;no2Manx„reb!a in¢:itcaionz or sitter jucnt