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HomeMy WebLinkAbout16128-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~UPANC¥ No Z-23776 Date JULY 17, 1995 THIS CERTIFIES that the building Location of Property. 545 REE%~E A~ENUE House NO. County Tax Map No. 1000 Section 114 Subdivision ACCESSORY MATTITUCK, NEW YORK Street Block 9 Lot Filed Map No. Lot No. Hamlet 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 1987 pursuant to which Building Permit No. 16128-Z dated JUNE 24, 1987 was iesued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is INGROUND SWI~4ING POOL WITH F~NCE ENCLOSURE The certificate is issued to STEVEN TESTA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-825399 - AUGUST 6, 1987 N/A Rev. 1/81 Inspector FORM NO. 0 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) ~,,...~, ,o .~,,,o,,o~ ~,,~...~.....~..z ................ .,, ........ . .~ o~,o~.~ ,~ Building Inspector. Fee $.. j/.~...~..¢..~...~... Rev. 6/30/80 Fo~ln No, 6 TOU~I OF SDUTIIDLI) ' ': ,~ API'I,~CAT]ON FOR CERTIFICATE OF OCCUPANCY A. ThLs aPPl~caL~o~ mus~ b~ f~LLed ~n by ~Nlmw~ite~ OR ~nk ami subm~nd to elm FhmL Approval from lleh~th Dep~:. of wa~ev suppl~ aud $c<~cn~e-d~sposa~(S-9 form). 3. Appr<~vai of elec~ric~a), installation from Board o[ Fire Underwriters. S%;orn s[atement from~plumber certifying that the solder used in system co~xtairs less than 2/10 of lZ lead. e Complianc~ from architect r ' 6. ~nsponslble for the buildi,g. . o engineer Sub,lit Planning Board Approval of completed site plan requiremel~ts. B. For existing buildings (prior to April 9 1957) hoe-conforming uses, or buildings ' pre-exlstl ig land uses: , 1. Accurate survey of property slowing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed appiicatioll otld a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector sh~ll store the reasons there[or in %4ritiug ~o the applicant. C. Fees 1. Certificate of Occupancy - New dwelJing $25.00, Additioes to dwelling $25.00, Alterations to theelling $25.00, Staimmieg pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Busiuesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildine - 3. Copy of Certificate of Occupancy - $20.00 6. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - ResidRntial $15.00., Commercial $15.00' New Construction ...... ~... Old Or Pre-existing Building ................. Location of Propar~y ..................................... llouse No. Sereet llamlet One, er or Owaers ,.,f Property ...... . . . County Tax Hap No ~000, Section .............. Block .............. Lot ................ Subdivision... ~lam~lng Board ~pp~ovol THE 1~00].3~ k THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK '10038 , ordy the electrical equipment as described belair and introduced by the applicant rimmed or~ the al.;o~e oppllcatior~ r~umber ir~ the premises of fiXTURE OUTLETS DRYERS S~ITCHES 2 Msttituck~ [] 2.d FI, outside Section and found to he in compliance with the requ re.*ents o.f this Board. Lot FIXTURES RANGES OVENS EXHAUST FANS SYSTEMS NO. OE FEET A. w G, NO OF HI-LEG A W G, NO, OF NEUfRALS A, ',.V G OF CC, COND Of HI LEG OF N~UTRAL * (~q~'~,.~.,.QQ~) ~{IS CERTIFiCAtE COVing COMPLIANCE AT THE DATE OF INSPF. CTiON ONLY, BECAUSE OF UNUSUAL F..NVIRONMENTS IT iS ADVISABLE TO HA%~. FREQUE}~I~ TEST/AND OR REPAIRS ~ADE BY A QUALIFIED PERSON~ Jody Pumillo Pa~ L~ne Mattituck, This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER UNDATION ( 1 s t) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE F I~N A / ADDITIONAL COMMEN' 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~ [ ] INSULATION DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZNO [ ] INSULATION FRAMING [ I~~~L REMARKS.'~/~/ ,.~~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that [our application dated ..~. ~. ....... ,19~ 7 Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on thc following grounds ............................... Budding Inspector RV 1/80 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 SOUTHOLD March 23, 1990 Mr. Steven Testa 545 Reeve AVe. Mattituck, N.Y. 11952 Re: B.P. #16128Z Inground ~ool Dear Mr. Testa: I am writing to you regarding the above Building Permit for an inground pool. You have never had a final inspection and you dc not have a Certificate of Occupancy. Please call our office to set up an appointment to do a final inspection. After you have passed please fill out an application for a C.C. The fee is $25.00 we have your Under- writers Certificate in your file. Thank you for your prompt attention to this. You are now in violation of the Code of the Town of Southold. Yours truly, secretary TOWN OF SOUTHOLD BUILDING DEPARTMENT TO%~N CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF I)ISAPPROVAL Subdivision ................. Filed Map No ................. Lot Nt~ .................. is returned hcrcwith and disapproved on the fnllowing grounds ............................... Budding Inspector RV 1/80 ITl FORM NO. Y (� TOWN OF SOUTHOLD BUILDING DEPARTMENT v TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .... . ...........(.......... 19. ..�. Application No. ................................ ri Approved ............. ':^:....1. .... ., 191 Permit No. .. J, . ......... ' r C Disapproved a/c .............................................. ...... ...... ........... � .......... . ................................................... ............ ............. ............................ ...... ............... ........... �'(Building Inspector) APPLI&TION FOR BUILDING PER T 17 Date . ........... ............ ., G.,19. 1.... INSTRUCTIONS T a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building r '-'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 odioining 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 application. 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 issue a Building Permit to the opphcant. 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. o APPLICATION IS HEREBY MADE to the Building Department for the- is a"of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New ork, nd other a licable s, Ordinances or Regulations, for the construction of buildings, additions or alterations, o for r ovdl or olition, herein described. The applicant agrees to comply with all applicable laws, ordinances, b ilding ode, housi g code, regulations, and to admit authorized inspectors on premises and in buildings for necess in do f , ............. . ....... .... ....... .. .............:............ ................. (Si ature of app 'cant, o. name, if a cor or tion) ........ .. ... .... ...................:...................... ............................... (Address of applicant) State whether applicants wn lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................... .... ....................(.....: ..o.............. ........................................... ... Name of owner of premises ...... ... : .. :. If applicant is a corporate, signature of duly authorized officer. ................................................:..................................... _ (Name and title of corporate officer) Builder's License No. .................................................... Plumber's License No. .....................:........................... V Electrician's License No. ............................................ OtherTrade's;License No. ...........J?........................ 1. Location of land on which proposed work wA be done. Ma o.: ............................ Lot No. ................ ...... Street and Number ........�.c/ n7.. .. .. - `.. �.. . . ................. Municipality 2. State existing'use and occupancy of pr ises and intended use and occuponcy of proposed construction: a:- Exisiting use and occupancy ..... .. � '—� ....................................................,......................... b. Intended use and occupancy .......... .�.... .. . r� ...JQ.............................................................. i 3. Nature of work (check which applicable): New Building. Addition ~ . Repair -.----' | Demolition-... {}the \A/or�� --.. ,- 4. Estimated Cost 1�..�'���-��_-�-��--------'-.�ae -.�-.. .-------__--------_--------' `_��~~ / ' (to be paid on-filing this opp|icotkon) I 5. Ifdwelling, number of dwelling units ---. ----.Nun�ber ofdweUing units on �och fkoor -',-------. _ ` Ifgarage, number of cars _----.--.--'------------------------,---_---_------' - 6. If business, commercial or nniaad occupancy, specify nature and extent of each type of us�b� ............................7. Dimensions of existing structures, if any: Front .............................. Rear ................................ Depth --.-.--- Hekzh+ ........................ Number of Stories --.--.------.-------.-__`-_-_---_-----------. Din,ensions�of some structure with oHe�-ations or additions: Front .................................... Rear ............................ Depth ................................ Height ---------..Nun`ber of Stories ................................ O. Dimensions of entire new construction: Front ----.-.---.---.. Rea.---.------. Depth ........................ Height '"~' b~' ------'-- ---------'. ' ' 9 Size of |o�� Front .. ---_---. Rear -..��.H��.��------.. Oec�� -�����K��----.. ' � '' wr � . �� lO�_^�oteof Purchase �.�������!��---����-----..Non�eof Former Owner ---_---.-----.-~------. � ll. Zone or use district in which prar�iseu are situated --------.------------_------.------. `. ' 12. Does proposed construction-violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be rogroded - removed ( ) 14. NonnenfOwnerofpronnir ��8�~.- . Address .�... Phone Mo Address -. �vPhone N�xn �...s-c-ym»None of Architect �.' � -'.-�-..-- �eof [ontro - �No ~~' DIAGRAM ^- ` ~ distinctlyLocate clearly and U buildings, whether and indicate all set-back dimensions from property lines. Give street and block number Qr descriFti to deed, and show street names and indicate whet her interior orcorner |o*. . ` ' - /^ � / ' a. � ' ` , 51-AJE OF (S '`^, S COUNTY OF --{ � ..............................+`-.- ..........................................................being du|v�swurn' deposes and says that he is the opp(icon/ (N�nneof .K`d�kduo| ak]�ng controcf) ` . above named. Heis the .------------------.--~_-___-_----.---,----_______________________ (Contractor, agent, corporate officer, etc.) authorof said owner or owners, and is duly ized r'fn hove" e�ornned the id work and to make and file this application; 'that all statements c jms application are true to the baar or his knowledge and oo//er; and thor the work will be performed in the manner,�t forth in-the application filed therewith. Swo ' � ~ ~ -7 -��/� - Notary puUx �^,« '-'-----�'^�»�.�-�'r�'.�^�-----^~'.�.'^�~----'`f---- ' �/ (Signature of applicant)................................................. pp|icont) / . Notary ^v»/nv �� ?ER�� � Vb, x/ N,-`' -' ""« uz «f New York ' commis - � x��k Cun-7 �^ ~l[~e ~. TOWN OF SOUTHOLD ~ I"' fJ~,,~ BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL: 765-1803 Examine.. ~., 1~7 f..., Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received .......... ,19... Date..g .flY. .......... 19 ~.? ~. 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 this application may not be commenced before issuance of Bu~.~i~.g Permit. d. Upon approval of this apphcatlon, the Building Inspector will xssued a ~:L~~6,~he apphcant. 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 part for any p~(~[~ ~ertificate of Occupancy shall have been granted by the Bmld]ng 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 inspections. · .~.:..~7~.z..k... ~.. ~..o .~.~.. ~...c ........ (Signature of applicant, or name, if a corporation) [..o. /~ox .4Y..ff. . ...4'.~. .~. ~.. .~.~. . . (ma±l±ng ~ddress of appl±¢a ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. APPROV[~D AS NOTED ............. .... ............ ~e o~ owner of premises ...... i. 5..77~.V...Z~.. .... ...7~.....Z~.. ..... ~.~:/.~,de..,x:..G,..~,./-/.-. ..... (as on the tax roll o~r[~'d~)LDING DEPARTMENT AT If app4~ant is a corporation, signature of duly authorized officer. · ......... Builder's Licen~ No ..... 2. ?.z..: .~.7 ......... Plumber's License No ......................... Electrician's License No.. ~/~.~.fiff~.. '. ~/~/~. ~-'/~t Q~ Other Trade's License No ...................... 765~1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH .- FRAMING & PLUMBING 3. INSULATION 4. FINAL - CON'STRUCTION MUST BE COMPLETE FOR C: O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, Location of land on which proposed work will be done ....... ]'~ ."~..2~J. 2-~'1-~[.~.....~.:..~. ,- ............ .. f. //;; .... . ............................... /. cc'... .... House Number Street Hamlet County Tax Map No. 1000 Section ...... /./.~. ....... Block ...... .~. .......... Lot .... 7 ............. 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 ............ .~, .~..~./../ff.. · .~.. · .774~. ·~. ..... } ............................... b. Intended use and occupancy ........... (~..~..~.. (.~..~.. ~./ff..~. ..... ./~.. ?. , .7~.......~..~..D.. ,/_~-. ......... 3. Nature of work (check which applicable): New Building .......... ~.dditionI .......... Alteration .......... Repai R 1 Demolition Oth r Work r .............. emova ..... , ................. 1 ..... e ............... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling ulnits on each floor ................ If garage, number of cars ........................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each !ype of use ..................... 7. Dimensions of existing structures, if any: Front. Rear . Depth Height ............... Number of Stories .......................... ! .............................. Dimensions of same structure with alterations or additions: Front ' Rear Depth ...................... Height ...................... Number :of Stories ..................... 8. Dimensions of entire new construction: Front ........... ' ....Rear ...... j ......... Depth .............. Height ............... Number of Stories .......................... I ............................. 9 Size of lot: Front Rear ~ Depth 10. Date of Purchase ............................. Name of Former Owner: ............................ 11. Zone or use district in which premises are situated .. : 12 Does proposed construction violate any zoning law ordinance or regulation: 13. Will lot be regraded ..... tr~..~ ................... Will excess fill be removed from premises: Yes 14 Nam fp i ~.2~..2:~.. . .T~..~Add Ph · e of Owner o rem ses .... ress ............. , ...... one No ................ Name of Architect ............................ Address ............. i ......Phone No ................ NameofContractor.]~: .~.~.~7.g.g.~..~..~0',~rgT~g. Address ~?-'~q.~. Phone ~,l.f~7~./ 15. Is .this groperty located ~within t;O0' feet of a tid~i'~;'[l~d~''i*'~;~' . .... N .;~..../.~.. * If yes, Southold Town Tru'stees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.lindicate all set-back dimensions from property lines· Give street and block number or description according to deed, and stlow street names and indicate whether interior or corner lot. STATE OF NEW )~..R~/_ COUNTY OF. ,.(t,k:q'rgT~. S.S (Name of individual signing contract) above named· (Contractor, agent, corporate officer, et~.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed thc said work and to m~e and file this application;that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfo~ed in the m~ner set forth in the application filed therewith. Sworn to before me this