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HomeMy WebLinkAbout11663-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT_ Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z14844 September 2, 86 ................· · Date ................................. 19... THIS CERTIFIES that the building In.g~.o.u. nd Swimming .P.ool Lo ti nofProp ty 7800 Hortons Lane - Southold, New .Y?.r.k. ' Ca 0 er ...................... · Street Hamle¢ County Tax Map No. 1000 Section . .Q~.4... Block 01 Lot 029 ' Subdivision .............................. · Filed Map No ........ · Lot No ............. . conforms substantially to the Application for Building Permit heretofore ~ed in this office dated May 6, 82 11663Z ..................... ,19... pursuant to which Building Permit No ........ May 13, 82 dated ............................ 19... ~ 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: ......... Inground swimming p. 9.ol. The certificate is issued to Ric. hard Manfredi & .M.a.r.y. Leu Manfredi (owner~N~ R~r~R~ x x of thc aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N565969 UNDERWRITERS CERTIFICATE NO ............................................. . . . . Rev. 1/81 BUILDING DF.~PARTMENT: TOWN HALL SOUTH'OLD, N~ Y. BUILDING P.EIIMIT (THIS PERMIT MUST BE KEPT ON TH,~ PP, E~ISES UNTIL F, ULL COMPLETION OF THE WORK AUTHORIZED) ...,~~.. ........ Permissio~ is hereby granted t~-'~'-~ ~ : ; ;~ .~.~ ................ ........ ~, ...... ~~.~z....:~ ...... z~o.,~.~...~.~z~... ..... ~o.~ ....... ~C ........ ~;.,-,o~ ~.7~.....~.~.~.:.~~~ .......... ~ .......................... .................................................................................. ~, ......... "~"?"5~? ...... ~ ........ ~ ............. ........................... ~,~ ,o~ ~o~ ~o. ,000 .~,o~ ...~¢.:. ~,o,~ ~. ......... ~ ~:~o~ ~o. ~..2.7 ....... ~uildlno Inspector. Rev. 6130/80 ' ' TO N OF SOL'HOLD OFFICE OF BUILDII~G INSPECTOR P.O. BOX 728 TOWN HALL Sq)UTHOLD, N.Y. 11971 TEL. 765-1802 September 3, 1986 Mr. Richard Manfredi 391Muttontown Road Syosset, New York 11791 Dear Mr. ManFredi: Enclosed please find Certificate of Occupancy #Z14864 for your ±nground swimming pool. In checking our records I find that you need to apply For C.O.'s on your deck and for your Satellite Antenna. I have set up a final inspection for both of them on Wednesday September 10, 1986. Please fill out the two applications for CertiFicate of Occupancy and return to this office with your check for $10.00. Thank you. Building Department Georgia Rudder, Secretary FORM NO, B TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUP~ BLDG. DEPT. TOWN OF SOUTHOI . . in duplicate A. This application must be filled in typewriter OR ink, and suom~tted V :t:o zne uu oing Inspec- tor with the following; for r~ew buildings or new use: 1. Final survey of property with accurate location of all buildings, propertv lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-IS-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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 safetv inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 ~/./~j .~i/ 3. COpy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Dete .................... New Building ......... Old or Pre-existing Sulldln_q ............ ,Vacant La ..... j ........ Location of Property ' Ham/et Owner or Owners of ,roperty~.C~ ~. ,/~.,..~.. · ~ .'~' · · · (~;~')' ......... County Tax Map No. 1000 Section .............. Block ............... Lot ........... Subdivision ................................. Filed Map No ........... Lot NO.L~ ............ Permit No .... Date of Perm ]?..Applicant ~ .......... ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~,.,, ............. Fee Submitted $.... ,..~-~ ...... c eco esa r, u' Construction on above described building an~ets~ll appli lations. Rev. 10.10-78 APPLICANT: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN HALL SOUTHOLD, N.Y, 11971 TEL. 765-I 802 DATE: July/el, 1986 Dear: While reviewing our files I find that your expired pool permit {/~q~ has never been finalized. Kindly return the enclosed application with a check for $~.00. Also, please call and aruange for a final inspection so that we may issue a Certificate of Occupancy on the above pool and complete this outstanding file. Yours Truly, Victor Lessard Executive Adminstrator OCCUP/~CY OR USE IS UNLAWFUL WITHOUT CERTiFiCATE OF OCCUPANCY "IMMEDIATELY" ENCLOSE POOL TO.CODE UPON COMPLETION BEFORE "WATER° 1001J071 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10034 THIB CERTIFIES THAT only the electrica( equipment as described I~low and ~trod~ed by the appllca~t named o~ the above applicat~o~ ~u~ber i~ the premises of was examined on J~ 1 attd found to be in cotnpllance with the requirements of tbL* Bo~d, FIXTUEE FIXTURES RANGES COOKING DECKS OVENS OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS E R V C NO OF CC COND A W G ~ A'W'G ,40 OF N~UTRALS OTHER APPARATUS~ (b-~ Pool) 'FhL~ ce..~ctfteate cove~'G ~1~ ac c~ ~te of ~p~t~ ~,y. ~e of ~ m~Cs it ~ ~le m ~e ~ C~t ~d/or rep~m I~,F.I. OF NEUTRAL G & S Ele~cric, $out2~ld, ~4.Y. 11~91 L%m 57~ GENE.AL MANAGER · 11 This certificate must not be altered in any manner return to the office of the Board if ncorrect Ins~gctors may b.e dentfed by thief c/edentas COPY~ FOR ~UILDING DEPARTMENT. THIS COPY OF C~RTIF!~¢~T~ ~&~UST NOT I~E ALTER~p IN ANY MANNER. 7GS-~.80~ BUILDING DEPT. INSPECTION [ ] FOUNDATION ~,ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/]~JI:;ATION [ ] FRAMING [/~INAL REMARKS INSPECTOR FIELD I~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION (Jnd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE 4. O~ L- ADDITIONAL COMMENTS: ! '" ' ~OUTHO~.O CAST P~NG : I 0 SKli~MER$ S ECTIO~ ~ I ~z~. ....... < ~ ~-J~ 4o~ ' , SECTION . ~.'~ .- ,..,..~ )TEe w ' , WATE" DIS~SAL SHALL BE LIMITED TO OWNE.$ [ PROPERTy TO SUIT LOCAL EEGULATION$ ZE E ~ ' ' ~.T CO~ GR~O~ TROWELED OF CONCR[T~ POUR~O C FOOTING ~y, pi C'AL____.wA LL _~ ' . ..'~ f...~'%%[~. ,~rf~¥T ,~ 3 ,, OPTIONAL STEP '' TYPE 2. SECTIOI "~ c.~ :: ,'~': FORM NO. 1 ~-' "' ~""~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~- SOUTHOLD, N.Y. 11971 TEL.: 765-1802~ .... ....................... ........ APPLICATION FOR BUILDING PERMIT Application No.././..(~. ,~.'~ ..... Date ...[yl.ax .6.,..1.9.8. '.2..., 19. IN ST RUCTION S a. This application nmst be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed descripfion of layout of property must be drawn on the diagram which is part of this apt: 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 issue a Building Permit to the applicant. Such pern 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for re~noval or demolition, as herein descfib~ The applicant agrees to comply with ~,'.1 applicable laws, ordinances, building code, housing code, and regulations, admit authorized inspectors on premises and in buildings for necessary inspections. ........ $.ui. ra. lGLng. Pxaol s .................. (Signature of applicant, or name, if a corporation) .V.o.?..t :. ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ ........................................ b-geUt: ................................................ Name of owner of premises ...R.$9.h.a.]Cql. H. an! r.e.cU... ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ............ 6 $ ............ Plumber's License No ........... fll A ........... Electrician's License No ......... :1. $O:-J~ ........ Other Trade's License No ........ R l A ........... Location of land on which proposed work will be done. N./.s. .H..o.-ry.o.n..s..L.a.t.m.:..S.o..u.t:.l?.l.d. ................. ....'-{.~..Q (..). ................ llorCona. Lane .................. Sour:hold ...................... House Number Street Hamlet County Tax Map No. 1000 Section ....O..~..z/i ........ Block .... .0..( ........... Lot...Q.~, Q ....... Subdivision ..... .-?).K CJ .~.q...~..~ ...................... Filed Map No ............... Lot ............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... g¢$.Ldenc~ ................................................. b. Intended use and occupancy ...1.8.x. :} ~. ~.ngrollnd. s.~iraming, po~l.. ~ai~h. 4:..£o~tce..t:o. cz~de .... : , ~ ix 3. Nature of work (check which applicable): New Building .......... Addition .. i ........ Alteration .......... Repair .............. Removal .... ' ......... Demolition ...t ....... i... OtherWork (~q:..o~. ..... ). 1. 1. Estimated Cost 59~5. O0 Fee If dwelling, nmnber of dwelling units .............. Number of dw~ If garage, number of ears ............................................ I ............................ If business, commercial or mixed occupancy, specify nature and extent o ' each type of use ............ ; ........ 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 N i~nber o4 Stories Dimensions of.entire new construction: Front Rear ' ~ Depth Height Number of Stories Size of lot: Front ...................... Rear ................ Date of Purchase ............................. Name of Former Zone or use district in which premises are situated .................. Does proposed construction violate any zoning law, ordinance or regulati :operty lines. Give street and block number or description according to deed :.terior or corner lot. (Description) (to be paid on ~ing this application) lling unRs on each floor ................ ...... iDepth ............. Dwner ................... 1'10 Will lot be regraded ........ ye s ................. Will excess fill b ~ remove from premises: Yes No r a ~.. Phone No. . Name of Owner of premises . lqanfr, edi ......... Address '~8~t 1~ ~ ... , 3.64v3b. fi§ .... Name of Architect ...... ,NJA ................ Address .. rr-z-:-'r:-r.-:'r .... Phone ~o. Nmne of Contractor .... ~W./.O. lgj-ng. ~?9p.l~q~ Address .R..C.e.....5.A.R.o¢.ky.. Phone No.C'77vZ'7'~7' ..... Pb /c ............... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propose~, and. i~dicate all set-back dimensions from and show street names and indicate whether SEE ATTACHED SURVEY TATE OF NEW YORK, S.S OUNTY OF ..... Suf'/~o lk' · · · ...................... I~l$9.h. ql..e..S.m.~.~..h ........... being duly s~ (Name of individual signing contract) hove named. orn, deposes and says that he is the applicant Aj~ent e is the ................................................................................... (Contractor, agent, corporate ot tcer, etcl) f said owner or owners, and is duly authorized to perform or have perfm pplication; that all statements contained in this application are true to th~ ,ork will be performed in the manner set forth in the application filed there~ worn to before me this ............. ...... [ota~ Public, . .~k~ ned the said work and to make and file this ~est of h!s kmowledge and belief; and that the ;ith. ~ ' ~Signat~/re of applicant)