Loading...
HomeMy WebLinkAbout10517-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13149 Date Jan. 16 198..5 THIS CERTIFIES that the building ....... .I.n. cj .r.o.u.n.d...S.w.i..mm..i.n.q..P.o.o. 1. .............. Location of Property 150 Ma le Rd. Southold House No. Street Hamlet County Tax Map No. 1000 Section ....0.5.4 ...... Block . .. 0..9 .......... Lot....0 ?.9 ........... Subdivision X , ,Filed Map No, .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .D.e.c.: ......1.2 ......19.7.9. pursuant to which Building Permit No....1.0.5.1..7.Z ............ dated ....... D.e..c: .....1.4 ........... 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 ......... In,round Swimmin~ Pool ( Fence ) Tho certificate is issued to .......... .J.O..A.N..N..&.. F..t3~..N.K...R.I.Z.Z..O ......................... (owner, lessee o~nt) of the aforesaid building. Suffolk County Department of Health Approval .......... .N[.~. ............................ UNDERWRITERS CERTIFICATE NO. N 4 6 2 816 Building Inspector Rev. 1/81 TOWN OF $OUTHOLD 6UH. DING DFA'ART~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING P£R~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10517 Z Permission is hereby granted to: '-" '"- >- 197...~.., and approved by the pursuant to application dated ~::~...Z~;~./.~,%~.~..*/.~-~ ....... , Building Inspector. / Fee $./.. .................... r) ........... FORM NO. 6 TOWN OF SOUTHOLD Buildin~ Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s application must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec- tor 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 ~nstallat~on from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a ceruficate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where app)icab~e, B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and,"pre.existing" land uses: 1. Accurate survey of peoperty 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 inspecti?n of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. CertW~cate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancv $1.00 $5.00 Date .. ~ ~ . . New I~+d-mg . ~.. .... Old or Pre-existing Building(X) ........ =/Vacant Land ............ ...... ............. - .......... House No. Street Ham/et Owner or Owners of Proper .;. County Tax Man No 1000 Sect on cc Lot ........ Subdivision .... /~ ........................... Filed Map No ........... Lot No .............. Permit No ......... ate of Permit . Applicant ....................... Health Dept. Approval ... ~ .............. Labor Dept. Approval Unde~r~ters Approva.. ,E .d:...~. ~ ?/.(~ ....... Planning Board Approva~ Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ................ Construcuqn on above described building and permit~meets all app~cable~co~des and regulations. Rev, 10-10-7S ; oct', THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ p~l BUREAU OF ELECTRICITY SE JOHN STREET, NEW YORK, NEW YORK 10038 ..,. .mnu, r~. 8. t980 ~.,,~.,,o.~o.o.~,,. o55~8o N 462816 THIS CE~IFIES THAT ~ly the ~t~al ~u~ment ~ ~N~ ~ ~ i~t~ by t~ ~t ~ ~ ~ ~ ~ ~um~ in t~ p~ o~ RItZo) ~ple ~d.~ Chestnut Rd. ~ P~ne Rd., ~outho~d, w~exnmi~on J~ ~ ~0 a~oundto~incompl~uncewlththerequi~n~o~thi~B~. OUTLETS ECEPTAC SWITCHES FLUORESCENT 'I DRYERS RJRNACE MOTORS mTURE APIqJAB~h:E FEIDEES SPECIAL REC'P1 AMT. K.W. OIL H.P. GAS H.P. MT. NO. A.W.O.. A.~T. AMP. SERVICE DISCX)NHECT NO. Of S R T. AMP. T~ ~p. I.f2W ,.~'3W 3.ff3W 3~'4W NO'OF~RCC~.COND' Of CC. COND. OTHER ~AR&TUS: V I C NO. OF HFLEG EX~UST FANS A/eT. H,P, IXMMEES ISwtmmlng Pool) This ae~ttficate covers compliance at the da~e of nspectlon only. Because o~ unusual environments it Is advisabXe to have £re~uent tests and/or repairs made b~ a auallffied person. J.L.S. Elco. Corp. 52 Vernon Ave. Mastic, N.~. 11950 Lic. 338 E eem~A .A.Ae~ ~ COPY BFOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOY BE ALTERED IN ANY MANNER. ~r September 28, 1982 Mr. Frank Rizzo, Jr. 150 Maple Road Southold, N.Y. 11971 Dear Mr. Rizzo: On my in,spection of your ~ui!di~g~permit ~10517Z for a swimming pool I found two ga%es not ~e~f-latch~lng themselves. Also I found ~part of your fence to be ~5 inche!s, not 48 inches high, and in the back there' are one dr'~two ro~s near the fence that a child night use to get 9var the 4!5" fence. These are violations and mFst be corrected, ~ I also noticed you no 1onSet h&~e~erage ~oorS, but windows. Any change of ther use of a?~rage to3 habitable area requires a ~uilding permit. In the rear yard I saw an accessory bnildiin~ no record of a permit ever baying been~Aseued ~or construction. Enclosed are abbve. that we have to allow two building permit appl~cat~;ions for the Yours truly, George iH. Fisher? Sr. Building Inspector GHF:ec Enclosures FIELD ZNSPECTION COMMENTS FOUNDATION FOUNDATION 2· ROUGH FRAME& PLUMBING INSULATION PE~ N.Y. STATE ENERGY COpE 4. FINAL ADDITIONAL COMMENTS,: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728, TOWN HALL SOIIFHOLD, N.Y. 11971 TEL,. 7654 802 Jan.14,1985 Frank Ao Rizzo ].50 Maple Rd. Southold,N.Y. 11971 Dear Mr. Rizzo, I am sending you back your check as it is out-dated° £ have a new check from Mary Ann Feavel, Final Inspections are being scheduled for 3 permits in your name. A Building Inspec- tor will be down to your home within the next week or so. SS. ncerely Yours, Dorothy S. Mldqley Building Dept. Sec. Pay to tho JO ANN RIZZO FRANK A. RIZZO 150 MAPLE ROAD NY 11971 ...................... ~'4~-- oliars TOWN OF SOUT~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 Dear ~ ~ ~R ~ : uO This is to advise you that the job under Building Permit Ho. ]0~;'7 ~issued to ~~ on~.\~ for ~%~ ~o~.~ ~c~' ~ is completed and a fznhl'inspection hhs/--~ has 'notz~~ been done. In order to complete this file, it is necessary that a Certmfzcate of Occupancy be issued. Please fzll out the enclosed form(s), return same to the above offzce with a check for $5.00 payable to the Town of Southold. Please indzcate to whom the Certificate of Occupancy is to be and arrange with this office for an inspection date. Thank you for your prompt attention. Very truly yours, Victor Lessard Administrator VL:ec Enclosures mailed, FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL FiFe No ................................................................ Date ...................................................... , PLEASE TAKE NOTICE thor your ~pplic~tion d~ted .................................................... , ~or ~erm~t to construct ........................................ ~t the ~remises located ~t .................................... Map .................................. Block ..................................... Lot ............................................. is returned herewith ~nd disapproved on the following grounds Building Inspector 16', . ~ ,,, ZOO F'f, Of "TH E PLOT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 ~nust 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 issue 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 applicable laws, ordinances, bmld~ng code, housing code, a,~d regulations, an to admit authorized inspectors on premises and in buildings for necessary inspections. ~ ~/,/,,,~/~. ..................... , (Signature of applicanJ~,or ~name, iJ~ corporfftioh~) · ' "~' 'fff-~? [Mailing address o~ applicant) ........ State whether applicknt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ · ............ ............................................. Name of owner of premises . .,4-~.~,. ~,--.--- .......................... ~ / (as on the tax roll o~l~e~leed) If applicant is a corporation, signature of duly authorized officer. _ A,~,~,,~ ~ II~lf ............................................. (Name and t~tle of corporate officer) Builder's License No .... ,~.~.~'/ .............. Plumber's License No .......... . ............... Electrician's License No..~.~.~..~-....~.--fi-v~2..e~'-J Other Trade's L~cense No ..................... t. Location of land on which proposed work will be done..~.. ~ .............. / ..... ~ ........................ ............... ......... .............. House Number Street Hamlet County Tax Map No. 1000 Section ....~.-'.~7.'f. ......... Block .. ~.7 ............. Lot..P ~. ? ............. SubdMsion ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises andjntended use agd o~upancy of proposed construction: a Existing use and occupancy .......... ~~ ~~ ~~~ ~ b. Intended use and occupancy ...... ,~Z~~a. f~ ~.. ~. ~ .~~ ....... 3. Nature of work (check which applicable): New Building .......... Addition .......... Altera~o~ ..... .~./. Repair .............. RemoVal .............. Demolition .............. Other , (Description) oo..o. '- 4. Estimated Cost .... ~ Fee ............. (to be paid on filing this application) 5. If dwelling, number of dwelling u3its ............... 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 stmctures¢ ff 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 violdte any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ..., ................ Address ................... Phone No ................ Name of Architect ' Address Phone No Name of Contractor ......... i ................ Address ................... Phone 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 corner lot. ,,4 ' /oo-Po STATE OF NEW ~3ORK, i...~ COUNTY OF .~~'~ ..../.,~ ' .......... ....... above named. ! , being &fly sworn, deposes and says that he is the applicant He is the .......................................................................................... / , (Co~a~gemc, corporate oflme~.) of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this application; that all statements cont0ined in this application are tree to the best of his knowledge and belief; and that the work will be performed in the mann{r set forth in the application filed therewith. Sworn to before me this ~ ........ .,4/...'~. ....... ~, .day oi.. , . ,~,~ .., 19 .~.. ~ '-~OT~^~¥ PUBLIC, s{~,~o o~ N~,~ Yo~k /I /Jif gnature of applicant) ~ No, 52-4522026 - Suffplk Coun~y~,/_j V c,' ~' i Comrai~sion Expires Mar~h 30, 19....~., ]