The URL can be used to link to this page

Home My WebLink About16728-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17960 Date APRIL 18, 1989 THIS CERTIFIES that the building Location of Property 1650 GILLETTE DRIVE House No. County Tax Map No. 1000 Section 038 Subdivision MARION MANOR INGROUND SWIMMING POOL & FENCE EAST MARION~ NEW YORK Street Hamlet Block 2 Lot 17 Filed Map No. 2038 Lot No. 17 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 21, 1988 ...pursuant to which Building Permit No. 16728-Z dated FEBRUARY 5, 1988 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 POOL DETACHED FROM HOUSE WITH FENCE TO CODE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WAYNE & TERESA MAZZAFERRO PENDING SLIP DATED 4/20/1989 Building Inspector Rev. 1/81 TOWN OF $OUTHOLD IIUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~I~728 Z Permission is hereby granted to: ........... ~.~,....~..~ .......... .//...~?,,~ at premises located at ...~..' .~. .............................................................. ........................................ ~..~~. ,....~:.~~ ~.~, ........................................................ ..... ...~~.......~....~'.~ ........ ~~ .................................... County Tax Map No, 1000 Secton ..... ~..~.~.. ....... Bock ..... ~ ..........Lct No ......../....?.. .......... pursuant tO applicat,an dated .......... ./../~..../.. .............................. , iD, .~r',c~., and opproved by the Building inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUT~OLD, NEW YORK 765 - ]802 11~71 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..~....OLD OR PRE-EXISTING BLDG DEPT TOWN OF SOiJTHOLO BUILDING ...... VACANT LAND ........ ' Location of Property HOUSE NO. STREET HAHLET Owner or Owners of Property ..... .~. .... ' ....... County Tax Hap No. 1000 Section ' ck ' - Subdivision .. Filed Map .... Lot ...... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Submitted: $ ..... L~.~. ........... rev. 10/14/88 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CODE F i.N A LJ "" ADDITIONAL COMMENTS: FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ........................... 19 . ........... PLEASE TAKE NO~ICE that your ~ dated...,~ .............. 19~.. county Tax ~a~ No. lO00 Section ...... ~.~... ~oc~ ...... ' .~ .... Lot .....:. Z ..... ~.~... ~~..~..~. ~../~ ~. ::~ ~.}.....~~' RV 1/80 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~,ST [ ] ROUGH PLBG. FOUNDATION 2ND[] INSULATION FRAMING [~/] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS lUll/AU OF ELECTRIC~ Appl~i~ No. ~ZT. AF~RRO, t650 ,[[d,g[~,, OR., g. HAR[ON, N.Y. OUT and f~nd to be in ~mpllon~ wlt~ t~e ~i~ts of th~ ~. RXTU~ It4N~IS OV~ m ,&PI~UANCl m *($WIMHI~G POOh) This certiiicate covers compliance at the date of inspection only, Because of unusual envirou~nta it is advisable to have frequent test/and or repairs made by a qualified per~o~, S E 6AINATORE C. PRATO VI~GI#S bANg R.R. BOX 208 GkEENPORT, NY, 11994 h~C.I1049E B This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .~/~: .5 , 19 .Jr..~Permit No/.~.2'2 °~' ~ Disapproved a/c ..................................... .............................. "1 M M E DIATE kY" (Bu~din~I41sp~ctor) ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" BOARD OF HEALTH 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: ~0-~ APPLICATION ':OR BUiLDiNG PERMIT Date .................. , 19... INSTRUCTIONS a. This application must bt completely filled in by Wpewriter 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- cotion. ~ 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 Pe~a~h permit Shall b~,k~p~,o,n, Ihemrglrli~e~,0v, i~ble for inspection throughout the work. e. ~.bQil~ii~[~a[i~ i~}~[~ied or used in whole or in part for any purpose whatever until {~te of Occupancy shall haqg Ug~rL~r~a~. ~dllY~{h~lti~ilding Inspector. APPLIC~Oi~S~I~g~rl!~BY 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 ,*bt necessary, inspections. _ ,,. ~ ... :. .... '.. (Signatu~ of applicant, or nam ,~f a corporation) ........... [MailiJ~ address of applicant) I{ c15~ State whether applicant is_ owner, lessee, agent, a~chitect, engineer, general contractor, electrician, plumber or builder. · ,:...: ........................ : .......................................... rqame oI owner o~premlses ....... A..- ............. '.~l ........................... ' ...........t't ...... [~ (S}~s on the tax roll or latest deed) [} If applicant i5 a corporation, signature of duly authorized officer. OC ,U?/4 CY OR (Name andtitleofcorporateofficer) ' ~S~ ISUN[AWFUL ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENS Builder's License No ....... ./~.//. zc.a.. WITHOUT CERTIFICATE Plumber% License ,No ......................... rw OCCUPANCY Electrician's License No ........................ k? a Other Trade's License No ...................... /f C' //-¢ 7~~Jf~'n 1. Location of land on which proposed work will be done~ ................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... 0..~. .g ....... Block ...... & ......... Lot .... X ..~. .......... Subdivision Dq ttc l ~ Wt.~ o~ ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: .. ?,ve :4 ,1 b. Intended use and occupancy ....~..'../~....~ .... .~..~..~5....f.~..O.5: ..~. .............................. 3, Nature of work (check which apphcable): New Building .......... Addition .......... Alteratio,n .... ~ .~,... Repair ........... Removal .............. Demolition .............. Other Work. 4. Estimated Cost ............ , ......................... Fee ...................................... ' (to be paid on filing this application) 5. If dwelling, number of dwelhng umts 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 ..................... ' ~ if a D pth 7. Dimensions of existing structure , ny: Front ............... Rear .............. e ............... Height . .' r.. ~ ......... Number of Stories ...... ........... ~ ......................... D~aeaS~o~'s: b'i ~ame stmcture'wiih alterations or additions~ .~ ..... Rear .................. Depth ? ...... ~'. ........... ', ..Hexght ........ .z ....... /.. ... Number of Stories ...................... '--8. Dime~Sipns ~[~nstrUc~ion: Front../.~.{.(.. Rear ............... Depth ............... of ston .... .................................................... 11. Z. one o~a d~sincr m wh I, preimses a~ s~mat~ ~ ~..> ~ ~'N ~. .................. 12. Does proposed construction vmlgte any zoning law, or, mtn:ice or regulalion: ...... ~.q .......... 13. Will lot be regraded ......... i ................... Will excess fill be removed from premises: ~Y~ No 14. Nmne of Owner of premises .. J ....... ..........Address .......... ..,......Phone No. ............... Nme of Architect ........... ~ ................. Address ......... ~ .....a .... Phone No ................ Nme of Contractor~g.(.B ¢~ h~ ~0P ~S. J~C. Address ehon, .............. *If yes, Southold Tom Tru~s~ees PermSt maybe required. PLGT DIA.G~M Locate cle~ly and distinctly ~1!' bufld~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions from property fines. Give street and block gumber or description accord~g to deed, ~d show street nines and indicate whh~ther inte~or or corner lot. ~ : D AT "IMME ELY" BEFO~R ENCLOSE ~OL TO CODE ~0.6-1~02 9 AM TO 4 ~ ~ T~ being duly swor~~ is the a~licant He is the ........ of said owner or owners, ~d is duly authorized to perform or have perfonn~~~ ~file this application; that all statements con,ained ~ this application are true to the b~~~~d.that the work will be perfomed in the m~ner set forth in the application filed therewiffi~ Sworn to before me this i ~ ~ ~;~ '" ' N2tawP~blic, ..... ~'~ ~)~. Coun; 8~YO~tlC.~d~y~ ~ ~ ~ (Signature of applicant) ~erm ~xplres March ~, 1~ / STATE OF NEW YORK, ; S.S COUNTY OF .................. ,