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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