HomeMy WebLinkAbout15964-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20994
Date SEPTEMBER 10, 1992
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 2390 CROWN LAND LANE
House No. Street
County Tax Map No. 1000 Section 102 Flock 8
Subdivision Filed Map No.
CUTCHOGUE ~ N. Y.
Hamlet
Lot i0
Lot No.
conforms substantially to the Application for Bulldlng Per~lt heretofore
filed in this office dated APRIL 23~ 1987 pursuant to which
Building Permit No. 15964-Z dated MAY 7z 1987
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which thls certificate is
issued is INGROUND SWIMMING POOL¢ DECK & FENCE ASAPPLIED FOR.
The certificate is issued to JACK & ROSEMARY MARTILOTTA (owners)
of the aforesaid building.
SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'£~3
N-825714 - AUGUST 7~ 1987
Rev. 1/81
FOB]M[ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK ,~.UTHORIZED)
15964
Z
Perrmssion is hereby granted to:
· ......
......~...?..~...~.~..~. .... .~ ......... ; .....................
..~..~~...~~..~:.~...~.~.~ ~ ~
~o..~~....~..~,~a...~..~..~.'~.~.~..~..~...~
C~n~ Tox Mop No. 1000 Section ...... /.~.~ ..... Bilk ......~.~. ...... ~t No ...J..~ ..........
pu~uont to opplicotion dot~ ....... ~.. ~..~ ............ , 19~.~.., ond opprov~ by t~e
Building Inspector.
Fee $.g~.:...~
Buildin~ I~tor
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC
This application must be fzlled in by typewriter OR ink and submitted to the building
inspector with the following: for new bumlding or new use:
1. Final survey of property wzth accurate location of all buildzngs, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fzre Underwrzters.
4. Sworn statement from plumber certifying that the solder used in system contemns
less than 2/10 of i% lead.
5. Cormmerczal buildzng, industrial building, multiple reszdences and similar buzldings
and installations, a certzficate of Code Complzance from archztect or engineer
responsible for the buzlding.
6. Submzt Planning Board Approval of completed site plan requirements.
For exmsting buildzngs (przor to April 9, 1957) non-conformzng uses, or buildings and
""pre-ex%sting" land uses:
~1. Accurate survey of property showzng all property lznes, streets, buildzng and
unusual natural or topographze features.
2. A properly completed appi~cation and a consent to inspect smgned by the applmcant.
If a Certzf~cate of Occupancy is den~ed, the Bu~ld~ng Inspector shall state the
reasons therefor in wrztzng to the applzcant.
C. Fees
i. Certificate of Occupancy - New dwellzng $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swzmm~ng pool $25.00, Accessory buzlding $25.00,
Addztions to accessory buzldmng $25.00. Busmnesses $50.00.
2. Certzfzcate of Occupancy on Pre-existzng Buzlding - $100.00
3. Copy of Cert~fzcate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residentmal $15.00, Commercial $15.00
Date ....... f.'..~. ~ f..~. ......................
ew Constructmon ........... Old Or Pre-exist~g Buzldzng ......
Location of Property~ .............................. :f .....
,. House No. Street
)nwer or Owners of Property.. .~FI~/...~~.~ .................
.ounty Tax Map N~ I000, Section .............. Block ................ Lot.../~ ...............
..... .
~ermit ' /~ ~ ~ Date Of Permit
~ianning Beard Approval ........................
'equest for: Temporary Certifzcate ........... Fznal Certicate
: ..... .......................
· ......................
OUNDATION
1st)
OUNDATION 2nd }
OUGH FRAME &
PLUMBING
NSULATION PER N. Y.
STATE ENERGY
CODE
FI~'~AL
ADDITIONAL CO,UMENTS:
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Ma~n Road
PO Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 2, 1990
Rose & Jack Martilotta
2390 Crown Land Lane
Cutchogue, N.Y. 11935
RE: B.P.#15964Z Inground pool
Dear Mr. & Mrs. Martilotta:
I am writing to you regarding the above Building Permit.
The permit has expired and you have not obtained a Certificate
of Occupancy. You are now in violation of the Code of the Town
of Southold.
Please contact our office immediately to set up an inspec-
tion. The Underwriters Certificate is on flle in office for the
electrical work. The fee for a C.O. is $25.00. Thank you for
your prompt attention to this.
Yours truly,
Secretary
Examined..'~..~(C~.~Cu~
Approved . . =-~
Disapproved a/c
BOARD OF
3 SETS
FORM NO 1 SURVEY
/OWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL
MAIL
., 19%.'1.
, 19~.7 Permit No / -5-9' ~) .¢.th.
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
HEALTH .
....
FORM ............. :
TO:
Aq;I 2 3 1987 'fiji
....
INSTRUCTIONS
a Ttus application must be completely filled in by typewriter or in ink and submitted to the Braiding Inspector,
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc str
or areas, and giving a detmled description of layout of property must be drawn on the diagram which m part of this
carton
c. The work covered by tins apphcahon may not be commenced before issuance of Buddmg Permit
d Upon approval of this application, the Building Inspector will issued a Bufldmg Permit to the applicant Such pet
shall be kept on the premises available for mspecnon throughout the work.
e No bmldmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa
shall have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Buddmg Department for the issuance of a Bmldmg Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance
Regulahons, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as herein descnl
The applicant agrees to comply with ali apphcable laws, ordinances, budding code, housing code, and regulations, ant
admit authorized inspectors on premises and m bmldmg for necessary kwrpechons ,
(Slgnat%re of applicant, or name, If a corporation)
(Malhng address of applicant)
State whether applicant ~a owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ot~bmk ·/~.er. z .~. re~. ............
Nameofownerofpremlses --7-,~'t"/5/fl~' /~--4PZe- /~/~,f~./"t' '~/ '/ ~1 ......
(as on the tax roi1 or latest deed)
If apphcant is a corporation, mgnature of duly authorized officer
Plumber's License No
Electrician's License No
Other Trade's License No
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License N6 . .o°3 ~.?~.- W'Z - -
·
Location of land on which proposed work wdl be done
House Number Street
Hamlet
Block .... ~...
County Tax Map No 1000Secnon /0 ~ .. . Lot /0
Subdivision /,/r~t-/g,~,w ~ ~7-/o 7-e'-.~ Filed Map No '/'~' 7/° . . Lot . .7
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction
a Exlsnng use and occupancy ~,~ ~/5"~-ro~(.~ . ./to-~$/.Oc-Tw.. c~--7 .....
b Intended use and occupancy Ox4. c'-' /--,~,~, ~-~ ,-7~a/.r'o..,~, ~ o ..~w.o /-'-- ~
3. Nature of work (check which apphcable) New Building .... .~---.%¢ ,~ ~_~_r~, FAdd~t~x.~,_,nL .~::/c3~. Alterat,on ....
Repmr . .. Removal ....... Demolmon .......... Other Work . .
* q/o (Descnptlon)
4. EstlmatedCost. .~[01.~.O0 -. ............ Fee .~/'~..~../.O.,=..#/~t~-''- .......
(to be prod on fihng thru apphcat~on)
5 If dwelhng, number of dwelhng umts . .'(4v/.-4: ...... Number of dwelhng umts on each floor..~/m.
If garage, number of cars ...... .,c'/e~ ..............................
6. If business, commermal or mixed occupancy, specify nature and extent of each type of use . ./~/,.?. ...........
7. Dunens~onsofexmtmgstructures,~fany Front. ~..0,o~ ..... Rear .. f~O,.t. Depth .
Height o~"] ' Number of Stones O. ,~ ~'~.
Dnuenmons of same structure w~th alterations or additions Front . ,~)O4'Xte-~. ..... Rear .. .-- .........
Depth ....... ~ ....... Height
'~. ......... Number of Stones ..................
8. Dimensions of entire new construction Front ~ . . Rear .... ,~'T)... .....Depth . ..¢..O ......
Hmght / ~(5..~v..v ~ ~ Number of Stones .d~ ~oo ~ ~
9. S~zeoflot Front ~a,.qG Rear
.. ~_ Depth ........
10. DateofPurchase . ..]~ ..... Name of Fo~er Owner Dt OO.E prl C,
I 1. Zone or use d~stmct m which premmes are s~tuated .........................................
12. Does proposed construction v~olate any zomng law, ordinance or regulation . ~ ....................
13 Will lot be regraded .~lDl~ ........... W~I1 excess fill be removed from premises Yes ~
14 N~e of Owner of prem~se~ ~Zor~4.. Address~ ~.~ .~(~ ....... Phone No. ~.B~.~.~
Nme of Architect . O/~ ....... Address .............. Phone No ............
N~e of Contractor ~e~ .~6X . . . Addre~ ,~. ~.~* ~5~. ~hone No. ~ VB - &?~
15. Es th~s property located w~th~n 300 feet of a t~wdt~an~es ..... ~o .~.
*~f yes, Southold Tom Trustees Permit maybe required.
PLOW DIAG~M
Locate cle~ly ~d d~st~nctly ~1 bufldmgs, whether existing or proposed, ~d mdmate fll set-back d~ens~ons from
>rope~y hnes. G~ve street and block number or description according to deed, ~d show street nines ~d lndmate whether
ntenor or corner lot.
3TATE OF NEW YORKj
~OUNTY OF. 5.o/~,~..c ~.. S S
........ .~(4:)/2~>. ~..D /~ ,~. /. ~--.t~.:.. ........ being duly sworn, deposes and says that he m the apphcant
(Name of lnd~wdual s~gmng contract)
~bove named
~e ~s the ......... . .~"~..TT..'~t..~-..7-.20..././././././././.~-~ ................................................
(Contractor, agent, corporate officer, etc.)
)f smd owner or owners, and m duly authorized to perform or have performed the smd worl~a~a'd~to~make and file tbas
pphcat~on, that all statements contained m thru apphcat~on are true to the best of his knowledge and behef, and that the
york wdl be performed m the manner set forth m the apphcat~on filed therewith.
,worn to before me this
.... .. dayof. ......
~lotary Pubhc, . ./. ounty
v MARY LOU REILLY
NOT/ffiY PUBI.IC, Sta~ of New Y~ .. ~/_~, a~.... ~. ~ ~. ..................
No 4805679 (Signature of appbcant)
Qualified m Nassau County
Cornm~sslon Expires September 30, I~9~
~= ~5 00 '
HEAl-TH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
SU~ FOR
MOH~ING ENTEt~P~ISES , /NC
LOT IVO /~ , "HIGHLAND ESTATES "
AT CUTCHOGUE
~WN ~ SOUTHO~D '
SUFFO~ COUNTY, NEW ~RK
TEL
;..
Al-DEN W YOUNG, PROFESSIONAl. ENGINEER
AND LAND SURVEYOR N