HomeMy WebLinkAbout16478-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17498 Date NOVEMBER 10~ 1988
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property 4305 SOUNDVIEW AVE. SOUTHOLD~ NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 068 Block 01 Lot 17.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 23~ 1987 pursuant to which
Building Permit No. 16478-Z dated SEPTEMBER 27, 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 INGROUND SWIMMING POOL & FENCE AS APPLIED FOR
The certificate is issued to MADELINE BITTNER
(owner, ~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N043404-NOVEMBER 2~ 1988
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FORM[ NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby gr~ '~ ,,~ · __ ,
~---~....~.~..~..~ .......... ~.~ ...............................
~.U...~.:.%...u.~...~../.~ ....... .
-~'~ ............................... : ...... ~'~""~ ........ ~ ....... : ....... F~ ....... '~"~-':~'"":'"~' .................
at premises located at ....~....~......~.....~.~..~r~...~....~ ................
County Tax Map No. I000 Section ..... ..~....[,q....~. ....... Block ..... .l~..l .......... Lot No....I..'~...L/. ...........
pursuont to opplicotion doted ......~.~~....~.'~ ......... , 19x:~.~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted i ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of propertV with accurate location of a~l buildings, property lines, streets, and unusua~
natural or topographic featu res.
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 Architect 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 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~perty 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 buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date ...S??.~ .e.m,~.e?...~.6.,...~ .9.8.7...
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property , 4,305 SouD,~.¥ie~ Avenue
House IVo. Street Hamlet
Owner or Owners of Property .. Hadeline Bi%'cner
County Tax Map No. 1000 Section .... 0.6,8. ........ Block .... ,0,~ ......... Lot... ~L7...1 .........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant . .~.o.n..H.o..~.~A~.o...B.u.~.% ~.e.A,' .]:..n.c.....
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ......... Final Certificate X
Fee Submitted $ .... ~5...Q0 ...................
Construction on above described building a~)~,~meets al~,~_~e~c~,~d~egu lations.
Apphcant ~ (~. ~./
Rev. 10-10-7B
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN ItALL
$OUTIIOLD, N.Y. 11971
TEL. 765-1802
To Whom This May concern,
We are unable to complete your Certificate
of Occupancy because ,of the following reasons.
/5/ An application for Certificate of Occupancy
is not on file.
/_--~//No Underwriters Certificate on file.
Tile check is(outdated/P~_~)~2~-TC~D
/5/ No llealth Dept. Approval on file.
/-~/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ti L ~ ~ 7 & Z
Building DopE.
***/5/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
FOUNDATION ( 1 st)
FOUNDATION (2nd)
ROUGH FRAME &
-FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
COM~gNTS
FINAL
iL COMMENTS:
/
OCTOB~E 196&
50Uk~D
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[~]~INAL
765-~.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
~ ] FRAMING [ -FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND[] INSULATION
FRAMING r~FINAL
REMARKS~ ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
2UREAU OF ELECTRICITY
PA(,4', 1
STREET.
NEW
YORK.
NEW
YORK
1003~
~ ~at~ ~pplicalion No. onfil~
THIS CE~IFIES THAT
~ADEI,~NE ~]TTNE~, SOUN]) V]:E~ AVE.,
ms erami~ on and found to be in compliance with the requi~rnents of th~ ~.
RXTUII! RXTUR~$ RANGES OVERS DISH WAS~ EXHAUST FAN~
S~RVIC~ D~CQf4NECT S E R v I C
Per ) 'i
This certificate must not be altered in any manner; return to the ~f~,]~6~fl*~h~dar~J'~l~oi"~rect. Inspectors may be identified by their credentials.
COPY FOI~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY I~R.
"' · 'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N,Y, 11971
TEL.: 766-1803
m~n ~ ~
Approved .~.....~,~k~-,,q ,,x~.&.q., 195 .~. Permit No. [ .l,.~..-1..~.*..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVEY ......... ·
CHECK ..........
SEPTIC FORM ............. :
NOTIFY
CALL ................
MAIL TO:
Date . .S.e.p .g.e.m.b.e.r.. 3.6..., 198.7..
INSTRUCTIONS
a. This application must be completely filled in 15~ tyPe'writer or in ink and submitted to the BuJRting Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to scl/edule. ' ..
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises 6r phblic 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 Btlilding Permit.
d. Upon approval of this application, 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 part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building 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.
Ron Morizzo Builder, Inc.
(Signature of applicant, or name, if a corporation)
P.O. Box 789, Southold, N.Y. 11971
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(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 ........ .' .... : .........
Madeline Bittner .......... ~, w .......
Name of owner of premises ........................ , ...... j ...... .; ' '; '/'.' D'3*¢:~3~{}X~ <12~ ,~3
, fas on tne tax roll or latest o~ea)'
If applicant isa corporation, signature of duly authorized officer. ; e, r*i~
1. Location of land on which proposed work will be done~ ................. (~.,.~: ~** ~.~ :~..; .~: ·: · .. .... ~ .........
4305 Sound~ew Avenue , Sou~ho 1 &?~
House Number Street . Hamlet
County Tax Map No. 1000 Section 068 ' Block 01 Lot 17.1 ·
Subdivision .................................... . Filed Map No ............... Lot ...............
(Name)
State existing use and occupaBcy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......... .OJ~e. family..dwelling .... : .......... .' ................ ~ .....
b. Intended use and occupancy ...O.n.e...f.a.rq.i. 1. y..d.w.e~_li.rl9. !*i.t.h. po.o.%..al~.d..f. ~D.c.e. ...................
3. Nature of work (check which a~plicable): New Building ..... ' ..... Addition .......... Alteration ..... ...-..
· .~1.~ ~ ~ ~.~
Repair .............. Removal .............. Demolition ............ ~. Other W. ork .;p.o. ql .-
: (Descri~;tion)
4. Estimated Cost 25,000 '~ Fee $ 15.0.00
' · (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars .... i ........... ' .........................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . i .... : ..............
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Number of Stories .....
Height ............... . ........................................................
Dimensions'of same structure with alterations or additions: Front ................. Rear ..................
Depth" ' Height Number of Stories
'-.8. Dim~nsionsofentirenewconstruction:Front.... ...... . ..... Rear ............... Depth ...............'
Height ............... Number of Stories .........................................................
9. Sizeoflot: Front .......... i ............ Rear.., .................... Depth ...................... ,
10 Date of Purchase ' Name of Former Owner
1 I. Zone or use district in which premises are situated .....................................................
12. Does proposed construction vi01ate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ........ , .................... Will excess fill be removed from premises: Yes No'
14. Name of Owner of premises Madeline Bittne//~dra~Soundview Ave. Phone No. . .:
Name of Architect ........ , .............. Address ................... Phone No ................
Name of Contractor ........ , .................. Address .... : .............. Phone No ................
15. Is this property located; within 300 feet of a tidal wetland? *Yes'. .... No .....
*If yes, Southold Town TrUstees Permit maybe required.
' PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether.
interior or corner lot.
STATE OF NEW,¥"~]RI~
COUNTY OF..~Y~.,~-'~. .... a'a
............... . ~... being duly sworn, deposes and says that he is the applicant ~
(Name of ~ndw~dual mgn act)
above named.
He is the ......................... ~ 'r~g~t: 'c~;a't~ 'o'f~i~;, 'e't~.') ............................. '
of said owner or owners, and is. duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the'
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this ~ - '
........... ~::~. ..... da} 9!.q-~'~/~~ .... ;, 19.~.7 _
/ff ' ' .
] Notery Publlc~ State of New York ,
I -' ~ No, 52-8125850, Suffolk Cou~~'' ' ' _.
Term Expires October