HomeMy WebLinkAbout8883-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 8883 Z
Permission is hereby granted to:
~e sa~e...~a~.v.i~e e...i ne ..... A/.~.. D~.n~a..Ca ~ul.a.
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at premises located at ....~..:..O..:?.~.t ..... ..~../..,~....~...a.~...]:..e.y....~..e...a,..q..h.....~..o..~ ...................................................
Mattituek
~-~*~ Building Inspector.
~-~.. ~:_ ,tD..9..o. .............
~%J: ~ Fee
pursuant to application dated .................... .~..~.....~.Q ................. 19.~7.(~..,. and , approved by ~he
NOTE~ ~eeds Underwriter certificate
Building Inspector
FORM NO. 6
TOWN OP $OUTHOLD
, Building Department
Town Clerks Office
$outhold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal).
3. Approval of electrical installation fram Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B;'For existing buildings (prior to April ]957), Non-conforming uses, or buildings and "pre-existing"
- land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees:
I. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00/ .~....~..Il ~-'~'-
3. Copy of certificate of occupancy $1.00 ..~.)
Date .........................
New B~tilding ................ Addition ................ Old 6r Pre-existing Building ................ Vacant Land ..............
o, ....... ........ ..............
Owner Or Owners Of Property ....~...O.....~..l....c~.. ...... ..~....O=...L.~..[..I...~.. ....................................................................
Subdivision ................................................................ Lot No ............. ~Tock No ...... ~ouse No......-~...i...
Permit No ~.~..~....~......7~. Date Of Permit .~/?~t .~C..-~.?/...~..Applicant ..~...~..~.v.~(~..?..c~..!...~.~.~..~...~..~...~..~
Health Dept. Approval ..... .'...d ........................ ..-?. ..... Labor Dept. Approval ..~.. ........... , ...............................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ FinoJ Certificate .........................................
Fee Submitted $ ....................................
Construction on above described building and permit meets all op. plicable codes and regulations.
Applicant ~....../..~ .........................................................
Sworn to before me this ~
(stamp or seal)
JAMI~S ARBOR~
NOTARY PUBL,C, State of New York
No. 52.4605946
THE NEW YORK BOARD OF FIRE UNDERWRITERS
y BUREAU OF ELECTRICITY
J B5 JOHN STREET, NEW YORK, NEW YORK lO03B
v.,b November 9, Z976 Ap,.,,c.tio-~o.o-file886255 N 311334
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application nun~bor in the premises of
Dante Catullo, ?rivate Rd., Opp. East End Ave. Bailey Beach Rd.,
NattltucF~,~ L.I.
in th~followinglov.~ion; L~ B.se,n.nt [] ;,trl. E} 2~d ri. Outside s.~tlo, Btoc~ rot
was exumaned on Novemb er ~ 3 [9 ? 6 and found to be in ¢ompllance with the requirements of thi~ Board.
~ LU~ IECEPTACLES SWIT. C,ES ,N~A N DE SC S ET J ~IuXo~!? ~'v~"~[' ~TRANC'~Sw
DRYERS J FURNACE MOTORS FUTURE APPLIANCE FEEDERS ~PECIAL REC'PT
' ~T K W, ~'[ H P OAS ,H,P ~T ~O A WG ~T ~P
COO~ING DECKS OVENS DISH WASHERS
~T r w ~T ~ w ~ J ~ w
I
EXHAUST FANS
I
DIMMERS
wAr?$
N~ OF CC d0r~o A W O NO OF ~ tED
, OF N[UTRA[
OTHER APPARATUS,
(Swimming 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 ~y a qualified person.
Mattituck, N.Y. 11952 Lic.7~3E
This certificate must not be alfered in any manner; return to the office of the Board if incorrect, lns~~
~lT Tlff~ r ~.~
T'I?E CA $ T
C 0~/~ G
GENERAL NOTES
5. Piping is shown schematic-
ally and shall be polyethylene,
P.V.C. or equal unless other-
wise noted.
2. Reinforcing steel shall be
deformed bars of intermediate
grade billet steel. All bars
shall lap a min. of $0 bar
dia.
$. The design is based on a
granular free draining soil
with less than 10% silt. No
ground water shall exist
I-/GIfT
T)(,P/CA L' 5 C TI 0
'TO£NOOEP PA T¥
7 Y~/'ML F'/P/NO
z'P S (',t L fE
within the limits of the
excavation.
4. No surcharge due to
additional load shall exist
within 4'-0" of the shallow
end or 6'-0" from the deep
end.
5. The pool must be kept
fu~l during freezing weather.
~. Walks to be smooth, impervi
ous, non-slip type sloped away
from the pool at 1/4" per foot.
?. Pneumatically applied
concrete will have a minimum
strength of 2000 P.S.I.
8. Water disposal to
contained on owners property.
9. Water supply by
10. The contr, shall shore,
brace or underpin adjacent
structures as required.
11. If fill ground exceeds
3'-0" pneumatically applied
concrete shall not be used.
12. The pump is capable of
discharging the total pool
capacity within 24 hours.
ADDRESS
o 50.OOJ
SURVEY FOR
DANTE 8~ HELEN'
CATULLO
MATTITUCK
TOWN OF SOUTHOLD
SUFF. CO,~ N~ Y,
SCALE; 1% I0,0t GUARANI[ED TO,
OCT. 25 96~ SOUTNOLO S~V[NGS BANK
N.12o51' ~O'W
I242'
REEVE