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Home My WebLink About16123-zFORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17343 Date SEPTEMBER 22, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 4813Q MAIN ROAD House No. County Tax Map No. 1000 Section 069 Block 6 Subdivision Filed Map No. SOUTHOLD{ NE~ YORK Street Lot 9.2 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 1987 pursuant to which Building Permit No. 16t23-Z dated JUNE 24~ 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 SALVATORE CATAPANO~ SR. (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N001408 - DECEMBER 21, 1987 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 lVOB3~[ 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 AUTHORIZED) Ne_ 16123 z Permission is hereby granted to: pursuant to application dated ........ ..~r...~,~..~.J ......................... 19.~..~.., and approved by the / BuildSng Inspector. Rev. 6/30/80 TOWN OF, ~OUT~OLD APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 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 Arch tect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April lg57), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of p~operty 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 bud ngs ~ · 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 . 00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling.$25.O0, Accessory ~$10;0'0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0 0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $i0.00 4.Vacant Land C.O. $ 20.00 $ 50.00 Date ..... .~/.~//.~.. ......... 5. Updated C.O. NewCons f, ruction ...... Old or Pre~existing Buildinc~ ............ Vacant Lt~and ... ;./; ....... Location of Property .../z~.~;*~/..~. O ~)~ ~. Hoo No. ' .......... ........... Owner or Owners of Property ........................................................ . . . . County Tax Map No. 1000 Section ........... Block .............. Lot ................ Subdivision ........................... /. ~?..Filed Map No ........... Lot No ............ PermitNo./~o/,~...... Date of Permit ,~.Applicant '.'.~-.--..P~'~.- -.--.......... Health Dept. Approval ........................ Labor Dept. Approval ........... Underwriters Approval ........................ Planning Board Approval ............ Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ .... ,,. ........................ Construction on above described building and perF~t meets all applicable 9~-~iLr_egulations. Appl,cant '~/~. ~ ~ Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is net on file. /~" No Underwriters Certificate on file. /~/ No Health Dept. Approval on file. /~/ No final ~nspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # _~ ~ ~_ ~.. ~.~ Z~ Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 0~cupancy or use is unlawful without a Certificate of Occupancy. Clear up this matter as soon as possible so that le§al action does not have to be taken. Thank you for your prompt attention. UNDATION ls t) UNDATION 2nd) UGH FRAME & ?LUMBING SULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF $OUTNOLD CHECK .......... BUILDING DEPARTMENT SEPTYC FORM ............. : TOWN HALL i, $OUTHOLD U.y.!197~ TEL.: 765-1803 , ~' CALL ......... MAIL TO: Examined . .~AZ,A~...~..~.., 19~..~. Permit No. ]..~. ]..~..~..~ Approved Disapproved a/e ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date..[.--..~Y>.%....[..a. .... 19 .~.~. INSTRUCTIONS a. This 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 tins application may not be commenced before issuance of Building Permit. d. Upon approval of this app.lication, the Building Inspector will issued 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 pa!t.for any-pu..rpos~ whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fc~r 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 iff~ections. ~'~ ......... '(S{griature Of; applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises o ~xz_ 04 vn o ~ (as on the tax r011 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. ................................................. :.. ............................ ............. ............. House Number Street Hamlet County Tax Map No. 1000 Section . .~..~..~. .......... Block . .~. .............. Lot...?: .~ ............ Subdivisiou ..................................... 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, b. 9...w~%...'-... [. iF.&'. .vB.. t. ! .6{... ~...c.c? .e~] :~/, ,0,.cZ, ...................... Intended use and occupancy "~e. v", e.s< ~ Ot~o°oe~4 ,o~[,i'~,d 4'~'f' 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteralion .......... Repair .............. Rembval .............. Demolition .............. Other Work .~.?g-..'-. .¥~..~)9~[ 4. Estimated Cost .................... Fee ...................................... ~ ~'~~,'~d ! a'~ (to be paid on filing this application) 5. If dwelling, nul~~ ST~}~ ..... Number of dwelling units on each floor....'T"~.. .......... If garage, ~ ................................ , ........ ; .......... 6. If busine~e~}'~,,~.~ n~y, specify nature and extent of each type of rise .... ... 7. Dimenmofi~ o~{~tjn'~'~st~trelJ~lll~_a~ 'l~ont ................. Rear ...... . ...... .... Depth t:, ............ Height ...~.'~'" '~.~~ ~* ' ' ' ' .... ' DepthDimensi°ns.. of~ ~.~Height~lflSrati°ns or additions: Front ............ Number of Stories; .... Rear.. .................. ~-,8. Dimensions of ¢,ntjr~p ~k&~hst tion: Front .......... . ..... Rear ............... Depth ............... Height ........ .h~)j~*.~, ,.: .~ .... Number of Stories ........................................................ 9. Size of lot: Front .... ~..~.~. [z .......... ; 'Rear . .~..8?...r...~ :,. ....... Depth .B. ?.?.,~ ............... 10. Date of Purchase .'2..%/: 7. ~ YT .................. Name of Former Owner . ./.~...~: . .~..i-ff../(.~.qL ........... 1 1. Zone or use district in which pr~mises are situated....~ .~..r'.~.cr. ~./..~.% ~..,~. ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .DP ............................ 13. Will lot be regraded . v~ o. . ~ ........... Will excess fill be removed from premmes: Yes 14. Name of Owner of premises .~: ~ .C¢.~ ,c-/~o,, .a.~9 ...... Address ,~.~/A~. ~'~/'~r~'' Phone Noff..$. .~.7 .~...o.~..~... Name of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor .................. Address .... : ............... 15. Ts this property locatediwithin 300 feet of a tidal wetland? ~Yes .......... *If yes, Southold Town Trustees Permit maybe required. I PLOT DIAGRAM 'i 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. ! ,,iMMEDiATELY" ENCLOSE POOL TO CODE UPO COMPL n O.,N BEFORE "WATER being duly sworn, deposes and says that he is the applicant He is the ..................... : .................................................................... (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 ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannler set forth in the application filed therewith. Sworn to before me this .................... 19. I~. 4707878, Suffolk Tm'm ~pires March 30