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34890-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector . Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34795 Date: 01/11/11 THIS CERTIFIES that the building SWIMMING POOL Location of Property: 1130 PLUM ISLAND LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 15 Block 6 Lot 12 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 2009 pursuant to which Building Permit No. 34890-Z dated JULY 27, 2009 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to MICHAEL J & DEBORAH A VANWYCK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 34890 01/10/11 PLUMBERS CERTIFICATION DATED N/A r A ized gnat e 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) PERMIT NO. 34890 Z Date JULY 27, 2009 Permission is hereby granted to: MICHAEL & DEBORAH VANWYCK 1130 PLUM ISLAND LA ORIENT,NY 11957 for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR FENCED TO CODE AS APPLIED FOR. REPLACES EXP. BP # 32273 at premises located at 1130 PLUM ISLAND LA ORIENT County Tax Map No. 473889 Section 015 Block 0006 Lot No. 012 pursuant to application dated JULY 27, 2009 and approved by the Building Inspector to expire on JANUARY 27, 2011 . 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. 32273 Z Date AUGUST 4, 2006 Permission is hereby granted to: �� a IUWI�- MICHAEL P VANWYCK I 1130 PLUM ISLAND LA ORIENT,NY 11957 for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE AS APPLIED FOR at premises located at 1130 PLUM ISLAND LA ORIENT County Tax Map No. 473889 Section 015 Block 0006 Lot No. 012 pursuant to application dated JULY 31, 2006 and approved by the Building Inspector to expire on FEBRUARY 4, 2008 . Fee $ 150 . 00 cze Authorized Signature ORIGINAL Rev. 5/8/02 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 Department with the following: A. 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%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. R. 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 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$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 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: l q House No. (� Street Hamlet Owner or Owners of Property: M 16 P A- . Suffolk County Tax Map No 1000, Section -Block Lot l Subdivision Filed Map. fit; Permit No.- Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ DD . 7Appllicain ignature pF SO�ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roper.riche rt(cD-town.southold.ny.us Southold,NY 11971-0959 o�yCOUNV,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Van Wyck Address: 1130 Plum Island Lane City: Orient St: NY Zip: 11957 Building Permit#: 34890 Section: j 5 Block: Lot: ' WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: Dan Wilcenski License No: 4723-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixturesE Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: in ground pool, to include all pump, filter, heating, and bonding electricle equipmer related to the pool Notes: Inspector Signature: 24v4w Date: Jan 10 2011 81-Cert Electrical Compliance Form OF SOUjyo coUHi'1, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSP ECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING /STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE Q INSPECTOR FIEF`INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) -� y • d � -------------------------------------- FOUNDATION (2ND) � , z • � �y ROUGH FRAMING& PLUMBING INSULATION PER N.Y. STATE ENERGY CODE Of r FINAL ADDITIONAL COMMENTS lcl p d s 4 �2•� 0 . Z M a Z z x r� - � d b y TOWN Oi ; 'JTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING',: 'PARTMENT Do you have or need the following,before applying? TOWN HAI- _ Board of Health SOUTHOLD, `11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www.northfork.net/Southold/ PERMIT NO. ,3 ad 73 r--- Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 aCP Contact: ( Approved ,20 9� Mail to: (.-ytw,e:d3- U�Ls I no Disapproved a/c f D��s eL AU'e- cy (60 I Phone: ��7�?7 1 2� Expiration ,20 d Building Inspector {' i APPLICATION FOR BUILDING PERMIT JUL 3 ! 2006 �',,_, -� Date � 200�- I; - INSTRUCTIONS a.This application M`U ' 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,buildin code,housing code, a regu. a ions, and to admit authorized inspectors on premises and in building for necessa . pections. "IMMEDIATELY" RETAIN STORM WATER RUN (Si ature of pp scant or n ,if a c oration) ENCLOSE POOL,TO CODE PURSUANT TO SECTION 45-10C UPON COMPLETION OPTHE TOWN CODE. BEFORE"WATER" (M ling ddress of applicant) UNDERWRITERS CERTIFICATE State whether applicant is owner, lessee, agent, are gineer, general contractor, electrician,plumber or builder ALL.CONSTRUCTION SHALL MEET THr-mcnUIRFMFNTS 0FTHE �IIR?l�Qt`11►�r Re wtnYrn CODE F NE� O K TAT ; I / Name of owner of premises Kic Vey L � `7�— B P # '�`� (As on the tax roll or late ed2� �y. If applicant is a corporation, signature of duly authorized officer NOTIFY BUILGI:'VG DEPARTMENT AT "% R 765-1802 8 AM 'l 0 4 PM FOR THE (Name and title of corporate officer L FOLLOWING INSPECTIONS: f �5 �WU'L .1. FOUNDATION - TWO REQUIRED Builders License No. j��'7 ' I-F, FOR POURED CONCRETE nrn.�T�F�CA�'¢ W- Plumbers License No. ri i �r t�' UGH - FRAMING & PLUMBING r 3. INSULATiON �� Electricians License No. OF MAI' .t Iw A�N ;Y 4. FhN,;L ;;N !ruST Other Trade's License No. BE C,",1.4, �._. ALL CONS7 ;TION Sr ,LL MEET THE 1. lation of land which proposed work will be done: REQUIREMENT%,,, 'uEC,,IDESOFNEW '3 0 PC o s� S( fin/✓J 4l�ll 0Y T r NOT RE3PONSIRI F FOR House Number Street HmN OR CONSTRUCTION ERRORS. County Tax Map No. 1000 Section (� Block o(,—Lot— Subdivision Z Filed Map No. (Name) , 2. State existing use and occupancy of premises and intended use and occupancy of proposed constr�u_ n: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alterati Repair Removal Demolition Other Work 4. Estimated Cost Fee (Decription) (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 Rear Depth Height Number of Stories 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 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES J NO Will excess fill be removed from premises? YES X, NO LjA 14. Names of Owner of premise a d✓ 4-Address���®� � Name of Architect Address Phone No Name of Contracto Address 0&14 ff hone No. 7Z7 6f1. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * IF YES, MAY BE REQUIRED: �'- , ,. . , w ; ? .E. D.E.C. PERMITS :�,:t!.' .- ` ". ,+r ��."{:l s �.� � .�- :•:.�� i ��� 16. Provide survey, to scale, with accurate foundation plan andf distances,to,property lines. "y; TAW'3,9(�alq 17. If elevation at any point on property is at 10 feet or below-i11&6 '$rovide topographical data on survey. STATE OF NEW YORK) -,, -,, j.a •�. COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name.of individual signing contract) above named, (S)He is the (?' O,n/ (Contractor, Agent, C o t5f er, u 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 performed in the manner set forth in the application filed"therewith.` Sworn to before me this day of otary ublic Signa e o pplicant CYNTHIA A. GALLO NOTARY PUBLIC, State of New York No. 01 GA6046451 Oualified in Suffolk County Commission Expires August 14,200P�1A o� of SO�r�,o Town Hall Annex J Telephone(631)76571802 54375 Main Road ax(631)765- 5Q2 P.O.Box 1179 • cC roster.richertCatown.soutfio d.ny.us Southold,NY 11971-0959 C ou BUILDING DEPARTMENT TOWN OF SOUTHOLD ; APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ^ � �SII lC ,r C,� Date: /A Company Name: �: rle Name: e-e, (-/-;- License No.: 3 _ ?,7 _ Address: To Phone No.: RG Y JOBSITE INFORMATION: (Indicates required information) *Name: 1, *Address: U 3 0 a *Cross Street: X-r. Z<"- *Phone No.: a' Permit No.: /L 4-V d Tax Map District: 1000 Section: i 1 Block: _ Lot:. *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: `l D/ NO Rough In Inal *Do you need a Temp Certificate: YES / O Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION pF SO(/lyol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,New York 11971-0959 COUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD February 18th, 2009 FIRST NOTICE Michael & Deborah VanWyck 1130 Plum Island Lane Orient, N.Y. 11957 RE: 1130 Plum Island La. (In-Ground Pool) SCTM: # 15. -6-12 Dear Mr. & Mrs. VanWyck, Please be advised that your Building Permit # 32273 issued August 4th, 2006 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit, please submit a fee of $250.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT pF SO�lyo�o Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 G Ar �OQ Southold,NY 11971-0959 �Q "!C4UNT1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 14'h, 2009 Michael & Deborah VanWych 1130 Plum Island Lane Orient, N.Y. 11957 Re: 1130 Plum Island La. / Violation SCTM# 1000-15.-6-12 To Whom This May Concern: Your BUILDING PERMIT # 32273 for construction of an IN-GROUND SWIMMING POOL has been referred to me because you have not responded to requests to obtain your certificate of occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of $250.00: to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m.PLEASE SEE EUCLOSEb DOCUMENT REGARDING SWIMMING POOL C R spectfully Yours, pop D mon Rallis, Zoning In, p ctor Southold Building Departmen 7008 1830 0004 5083 9763 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER R1:T . (+ VILLAGE DISTRICT SUB. LOT 9 p,�Ur,► L /ano1.� a n e k.f j y'J {� rI FORMER OW 4 ��ernbrf Plow, 1 E ACREAGE ✓>• ,.,c r r:. ems,.•.,... �1,�l�-trSs 01 �j S W TYPE OF BUILDING .4 RES SEAS. VL.. FARM comm. IND. CB. MISC. Est Mkt. Value LAND IMP. TOTAL .,,DATE REMARKS O 0 J /7 / rrr r ` 0 0 7-0 0 2l7 I c3 iUUSID (� ,?APAQC.OL AO0 L, 3%6 I Zoe 3z� l3 0o D za7 r1 1 � -1�®v� 20 o to©�c� 7 200 9 20 Zoo- // �oIq oa h S f embri Zo,�qE qQ 0 .Bl�l L ONDITlO 6 L d —L !Zas 1835= NEW RMALv BELOW A VE FRONTAGE ON WATER ' Farm Acre . Value Per Acre Value FRONTAGE ON ROAD F gP 3ZZ] raced ob 7� Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland i Swampland Brushland House Plot Total •"' Sr e'�� .u,�m n �,��yY+n.M� s n r �t..: �� �! ` �'49° 6"�R �� �esi,we�i�s.`e t� & 1 Af OR OEM M 00 S � r MEMMIN Y M INIMMI MIN MENi����� 0 MEN • �J•1 • i <2 y r Nu ram+ i . LoT 92 54.7 4' 1 E FOUNp•'� t TV A19 OVERHEAD WIRES — ° WELL -- ' • N 1" eqco CHIMNEY ^ 27.4' r e .e•. b let 4 2nd STORY W _ n OVERiANG C9 D1_ � Q 2.0' } > Q C4 LOT 91 52.6' dw _ woo 1 - - - - - - W 2.0' i Ixc s / N 14.4' r 1 6 1.D, _ 17� - 7 of V AN C 1) a 5 — 22.3' .+—''� CONC. S TO s� I CELLAR CE .,T. ; °. gel .a LEACHING V� I C POOL .0 I '� a da d 1• .�1 .. U "a. e LdCN:.+ O •a ' .. a.• cV d '. < 1 � 4a•3o 14 .. '°• a •° • OF ° 4 e. •e 4 ae a Of 6, e.. 7 jr OP L Y r OWNER: T� ISLANVIA POOLS 13Y JOHN J. HrYSOCZANSKI SLOPE.LINE '-�- HIM LOGIC OR BOXED DMUSION 108 FISHEL AVENUE, RIVERHEAD. NEW YORK 11901 (516)727-6312 I _ G RN LOCK COPING - GRADE _ ...- NOTE: FOR DIMENSIONS SEE Y POLY FOAI/ BACKING wa.wwzEn YX6 TOP PLATE }- TABLE BELOW \� \6- iSKIMMEI; RETURNS _ _`• VINYL LINER j� G uONOUDec POURED — 1/Y STEEL RODS. �O� CONCRETE WALL OO ��tp µs . C �R _ LADDER 'GL` Za06, I . SAND BASE / .. _ - - 77 FLAIR % TYPICAL POOL PLAN �RBE FILTER b: - E7�RI}f PUMP -r WATERLINE ' � I I NOTE: FOR DIMENSIONS SEE TABLE BELOW n �a m _..................... ............ c---I VINYL LINER -. •- 1'-7 TAMPED SAND BOTTOM FIBERMASS MOLDED 1 PIECE OPTIONAL STEP TYPICAL CROSS SECTfON N.S.P.I. TABLE OF DIMENSIONS SIZE A B C - 0 E F G H CAPAC:RY 16X3io 16 '( B-6 j f-& 6 4 4 B 512 17.650 GAL_ NOTES: 16X36 16. 3E 12-6 93-6' 6 4 4 8 576 15.150 GAT 1. 3.500 L.B. TEST CONCRETE TO BE USED 1BX36. 18 36 10-6 13-6 B 4 4 10 648 20.400 GAL IN CONTINUOUS POUR, 20X40 2D 40 12-6 13-6 10 4 4 12 BOO 25,000 GAL 2 WATER DISPOSAL LED TO OWNERS ' PROPERTY TO SUIT R LOO CALL REGUUITIDNS. , 3. THIS POOL SHALL NOT BE EMI MED. 4. ALL WOOD TO BE PRESSURE IMPREGNATED WITH PRESERVATIVE.: ' 5. WALKS TD BE SMOOTH NON—SKID TYPE, SLd1PED AWAY FROM T11P Pt10L.