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
~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