HomeMy WebLinkAbout16227-zFOR~f NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19B99 Date MAY 8, 1991
THIS CERTIFIES that the building. ACCESSORY
Location of Property 8200 SOUNDVIEW AVENUE
House No. Street
County Tax Map No. 1000 Section 59 Block 9
Subdivision Filed Map No.
SOUTHOLD, N.Y.
Hamlet
Lot I
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 10~ 1987 pursuant to which
Building Permit No. 16227-Z dated JULY 14~ 1987
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 ABOVE GROUND SWIMMING POOL & FENCE AS APPLIED FOR.
The certificate is issued to MICHAEL PICUCCI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-lB4402 - APRIL 23, 1991
N/A
Rev. 1/81
~OZl~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALl.
SOUTHOLD, No Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
16227 z
Permission is hereby granted to:
..~ ........... :......:. ........ ~ ......... ~~
.~..~..~.....~.~...~....~..: ............ ..i
..~.....u.......ff........~L.~..~."l .............. .,_,. .
,o ..~...~.....~..~.~...~..~...~....~...¥~
~ .............. ~ ~-. ~o ~. .... .~....~_~..~ ......
at prem,ses located at ..~ ..~.~...~..'.......~ .........
County Tax Map No. 1000 Section ....... .~...'~...~.. ..... Block ...... ..(~.....~ ........ Lot No .......~..J .............
pursuant to application dated ............ ...~..~.,J.,~:~. ................... , ig..'~..l.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
lJ L_
BLDG. DEl°T,
TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted m ~ 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 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pzt)perty 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 informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory%$~O.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5. Updated
C.O.
50.00 °ate .. ............
NewCons trucbion ...... Old or Pre-existing Building ............ Vacant Land .............
Lo ti f P ty
ca on o roper .......... .
House No. '' ....................................
Owner or Owners of Property .
County Tax Map No 1000 Section
· · .............. Block ............ Lot ...
Subdivision ..................... Fil d M
............ e ap No ........... Lot No ..............
,
Permit No. !,~.. . . Date ofPermit ~.. -- .Applicant .~.~. ,~., .~q.r..~.~C,~'. ............
Health Dept. Approval ........................ Labor Dept, Approval ....
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $. ,'~, .~]'.:~ .................
Construction on above described building an.(I ~ermit m%et~a, ll .al:~jT~ble codes and regulations.
Applicant .. . .
Rev. 10-10-78
UNDATION ( 1 s t)
UNDATION (2nd)
UGH FRAME &
PLUMBING
SULATION FERN. Y.
STATE ENERGY
CODE
ADD
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ~ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING ~r F~INAL
REMARKS:
DATE INSPECTOR
BUILDING DEPT.
SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ~.~SULATION
[ ] FRAMING [,~ FINAL
REMARKS:
DATE, ~j?/// ,NSPECTOR~,~/
,1'/ , ~
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF $OUTHOLD
May 3, 1990
Michael Picucci
8200 Soundview Ave.
Southold, N.Y. 11971
Re: ABOVE GROUND POOL B.P. ~16227Z
Dear Mr. Picucci:
I am writing to you regarding your above permit. This
permit has expired and you have not passed inspection nor
filed for a Certificate of Occupancy. This is a violation
of the Code of the Town of Southold.
I am enclosing a copy of the inspection report from 5/7/88.
please contact our office regarding these violations. Thank you
for your prompt attention to this matter.
Yours truly,
Secretary
TOWN OF SOUTHOLD
OFF'ICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUI'IIO!.D, N.Y. 11971
December 3, 1990
Mr. Michael Picucci
140 7th Ave.
New York, N.Y. I0011
To Whom This May Concern,
TEL. 765.1802
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
1_--/ An application for Certificate of Occupancy
is not on fil~.
// ?lo !laderwriters Certificate on file.
I~I No final inspection has been made.
contact our office on this matter.
Z (SWIMMING POOL)
P.] ease
Thank you for your cooperation.
Buildinq Permit f} I 6 2 2 7
Dui ldi;~,g [)opt.
'~**/_--/ Ho Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
000121 BUREAU OF ELECTRICITY
B5 JOHN STREET, NEW YORK, NEW YORK t0038
O.,e APRIL 23,1991 ,~ppllcatlonNo. onfile 72912091/91 N 184402
THIS CERTIFIES THAT
was examined on APRIL 18,1991 and found to be.in co,npllant.e with the requiren,ent.19f thi~ Boa[d~
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT OTHER
i 3
DRYERS
OF CC. COND
SWIMMING ~POOL-1 ,
~(SN!MM!NG;PO05) This. certificate
covers compliance at;~the date of
inspection only. Because of unusual
environments it is advisable to
h~ve frequent test and/or'repairs
made by a qualified person.
PAUL R. BURNS LIC.#282E
· ) 275 .TOWN HARBOR LANE
~.i. : -SOUTHOLD, 'NY, 11971
This certificate must not be altered in any manner; return to the office of t~e Board
I~-O 5£VENTH AVENUE
NEW YORK~ NEW YORK t0011
HAY - 8 t991
m~
r-0
O~°z
Z
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
· ~OUTHOLD, N.Y. 11971
TEL.: 765-180;3
Examined..
Approved, . ."~..'~/~ J..q. ,., 19'~. ?. Permit No· ,L .~. .'~.. .'~. .'~. .'~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date ................... 19...
INSTRUCTIONS
a. TbJs 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 .~e 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, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspection.
....... .............
(Sign, ature of applicant, or name, if a cgl~poration)
whether applicant is owner, lessee~architect, engineer, general contractor, electrician, plumber or builder.
State
... . : .c. /.
Name of owner of premises . ~. (~,.~.g/./,E..Z~. ...........................................
(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 ........ ~ . ./~".f ...........
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ........... /c~ tO .........................
. . oo.o ................ ;,.,,.Y. ............. .............
House Number Street Hamlet
County Tax Map No. 1000 Section . .~.'~...-.~ ..... Block ...... .~ ........... Lot ..... [. ............
Subdivision ..................................... 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../. ~.~'.~...'~._~.t~...~..~_...~/4~/.. i. i ..................................... ~,
b. Intended use and occupancy./.~..Y'. J. ~. . ......... ~. .~. ,,.~ .~.a.~,.Z . .?'.d'( ("~'. ~. : .~.~. J.i.~.. . '. .~. . . . ..........
3. Nature of work (check which a ~plicable): New Building ..... ' ..... Addition . .b~. · · · · · · Alteration ..........
Repair .............. Rea oval .............. Demolition .............. Other Work ...............
(Description)
/4. Estimated Cost .. !..~..O..O!~) ......................... Fee ......................................
(to be paid on filing this application)
5. If dwelling, number of dwellin units ............... Number of dwelling units on each floor ................
If garage, number of cars .... ! ....................................................................
6. If business, commercial or mix{d occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structuies, if any: Front ............... Rear .............. Depth ................
Height ............... Number of Stories ........................................................
Dimensions of same structure With alterations or additions: Front ................. Rear ..................
Depth ....~.:. a,~ ......... i' ' ' Heig~ ..;. 2'o5 '~"~' ~- ........ Number of Stories ......................
8. Dimen~iotis~f~eI~l~new construction: vronr l.o'r~,.~..o... Rear ............... Depth ...............
Height ............ .,. Number of Stories ........................................................
9. Size of lot: Front .... ./.O.t~.]..)~..~...'-7..O. Rear ...................... Depth ......................
10. Date of Purchase .......... ! ................... Name of Former Owner .............................
1 1. Zone or use district in which p~emises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .............................. ...
13. Will lot be regraded ...... .~J...~ -~....., ....... - .....Will exc.e, ss fill be removed fr~m~...Yes_.. No.
14. Name of Owner of premises/././~.C~.../.-'?.~.R. ~.Q .t... Address ~').a~/~. t.~.q, . .g?*-~...... ~-none l'~o .........
Name of Architect ....j~(gq..o~/71z · · 'i.C~.~ .~. ................ Address'.: '~ ~,~' r'/'~'z,~ - ~ ,Ph°ne No .................
Name of Contractor ...... Address~C.~. '~./g.//Ot~./.~.~.t'.r'd./.<,r'Phone
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ................. ! S.S
.................................................. being duly sworn, deposes and says that he is the applicant
(Name of ind~wdual s~g~ng contract)
above named.
He is the ..................... I ....................................................................
i (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this
application; that all statements coniained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mann,er set forth in the application filed therewith.
Sworn to before me this
...' ............. /. ...... day qf ............... , 19~z
Notary Public ............. Cou
.........................
I~ 4707e'~S; Su~_lkCeu~O' · , (Signature of applicant)