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Home My WebLink About15257-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No ...Z~16090. .. Date August 2I, 1987 THIS CERTIFIES that tile buridmg IN.G.R. OUND SWI..M~.I.N.G..P. O0.L. &..FE. NfiE. ........ Locahon of Pro erty 575 Theresa Drzve Mattituck, New York P House 'No ............. St/eet ................ Hamle~ County Tax Map No 1000 Section 115 Block . .15. ...... Lot .... 0.5. ...... Subdivision M/q De.e.g. tlqle. C.r. ee.k .Estates Fried Map No 425.6... Lot No . .4. 1. ...... conforms substantially to tile Apphcat~on for Bmldlng Pemnt heretofore filed in this office dated .....August 26, 1986. . pursuant to wluch Building Permit No ..15257.. z .... .... dated September 10, 1986 was issued, and conforms to all of the requirements of the applicable provlmons of the law ~le occupancy ~r w~ch t~s certificate is issued is INGROUND SWIMMING POOL & FENCE JOHN The ce~ificate m issued to .... of the aforesaid building. & DIANE DEFABRIZIO ...... ............ Suffolk County Department of Health Approval .... N/A UNDERWRITERS CERTIFICATE NO .... N774386 N/A PLUMBERS CERTIFICATION DATED: Buff&nE Inspector Roy 1/81 ~O~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 AUTHORIZED) 15257 Z Perm~ssron is hereby granted to. ..,. .... to ...~~....~....~,~.~......~......~.._.'t...&.~ ...... ~ ........... at premises located at ..~.")...~ ...... .J..~..~ ........... ..~,'. ....... r~~~ ........... cou,,¥ ~a~M. ,.,o ,ooo Se~7~.. I~.~... ~,o~,~ ....... I..~. .... ,o, ~o .... .~g' ...... pursuant to apphcat,on doted ~T~..~k~.'~ .~J~ ..... , 19~., and approved by the Building Inspector. -Building Inspector Rev 6/30/B0 FORM NO. 6 TOWN OF SOUTHOLD Budding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions g ?b [ ~ A. Th~s application must be filled in typewriter OR mk. and submitted I~ to the Budding 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 buddmgs, Industrla$ buddings, 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 buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~Coperty showing all property lines, streets, buddmgs and unusual natural or topograph m features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any houmng code or safety mspect~on of buddmgs or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certlflcateofoccupancv New Dwellzng $25.00, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certlfmate of occupancy $ 5.00, over 5 years $10.00 4.wc =t c.o. 2o.oo / 5.Updated C.O. $ 50.00 Date .... ~.~ ~.~ ............ NewCons tructlon ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~.~'...~.~. ~...~,.(~..~, .~...T~../~. '-t ............ /~. )~T~.I.~..~. ~/.~. ........ House No. Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section ,. ~ l ~OD ...... Block .... I~..OO ...... Lot.. C~ ......... Subdlv,slon ~)~'.~-P...H.Q.CC-'..C~., .~. F--, .~.~.7~]"~.F,led Map No./'~.~.e,... Lot No...t~, {' ......... Perm,t No..1.~. ~...~., Date of Perm,t .q ]/Q/.~.Apphcant . .,$.O..~..T_'_)~ .~--~1/5.~t .~,'~ ........ Health Dept Approval ....................... Labor Dept. Approval ...................... .. Underwriters Approval ....................... Planning Board Approval ...................... Request for Temporary Certlhcate .................. Final Certificate ... ~ ................ Fee Submitted $ c~'. (30. ................... Construction T FIELD' fNS~ECTION DATE COMMENTS FOUNDATION (lst) FONNDAT'rON (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~ULATION FRAMING [~/~ F!NAL DATE INSPECTOR G.F.C.I.~] [Swimming Pool}This certiEicate covers compliance at the date of inspection enly. Because of unusual environments it is advisable to have £requent test and /or repairs made by a qualified person. Brite Star Elec. 13 1¢illett Avenue Sayville, N.Y., 117£2 G~IFJU~L MA~AG~ Th~s certshcate must not be altered m any manner, return to the off~ce of the ~oard sf incorrect Inspectors may be ~dentdmd by their credenhals COPY FOR BUILDING DEP.~RTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY 1,4ANNER -- F E I I POOL PLAN DETAIL OPTIONAL [OOLS 288-..~25 122 MONTAUK HIGHWAY WE. STHAMPTON N Y 111a77 , )STORY FI:~E! HS'E. FEEL. 2~' 31 I' D'~" ,00'01 ~ M ,,0'1~ ,Otx o~0 ,00'0~ Examined Approved ~~ Disapproved a/c FORNI NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971 TEL.: 765-1803 1~,19~I~ jo, 19 1, Permit No/. (Building Inspector) APPLICATION FOR BUILDING PERMIT Recezved ........... , 9.. INSTRUCTIONS a Tlus application must be completely filled in by typewriter or in mk and submitted to the Building Inspector, wzth sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showing location of lot and of buddings on premises, relatmnshlp to adjmmng premises or pubhc stre- or areas, and g~vmg a detmled descnptmn of layout of property must be drawn on the dmgmm whmh ~s pa~ of thts apF cation c. The work covered by tbs apphcat~on may not be commenced before msu~ce of Building Permit. d Upon approval of th~s apphcabon, the Bml&ng Inspector wall tssued a Building Pem~t to the apphcant Such peru shall be kept on the premises available for inspectton throu~out the work e. No building shall be occupied or ~ed ~n whole or ~n p~t for any purpose whatever until a Ce~fficate of Occup~ shall have been grated by ~e Buildmg Inspector APPLICATION IS HEREBY MADE to ~e Building Dep~tment for the ~ssmnce of a Building Permit pursuant to t Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other apphcable ~ws, Ordm~ces Regulations, for the constmctmn of bufldmgs, additions or alterations, or for removal or demohfion, as hereto de~fib~ ~e apphcant agrees to comply w~th a~ apphcable laws, ordinances, building code, housing code, and regulations, and admit authorized mspectom on premises and ~ bulldmg for neces~~ ~~. ~ _(S~ ~appllc~ ~ffo~orat~on) _ (Mathng address of apphcant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or build. Name of owner of premtses 00 Prb~..~'. F ~ [:aOj~_ [ ~-..10 ,.. (as on the tax roll or latest deed) If apphcant zs a corporatzon, signature of duly authorized officer (Name and Otle of corporate officer) Builder's L~cense No Plumber's License No Eeectnman's License No Other~rade s Lzc~)nlse No Location of land on which proposed work will be done tlouse Number Street County Tax .Map No 1000 Section 115 Block . Subdivision h~ ~lb~ ~ ~~ FfledMapNo (Name) Hamlet Lot. ,,~ State ex]sbng use and occupancy of premises and ~ntended use and occupancy of proposed construction a Ex~st~ng use and occupancy b Intended use and occupancy Repair .... Removal . Estimated Cost . . .'?-?.-5:99 ...... 3 Nature of work (check which applicable) New Building .... Addition ....... Alteration , .... .... Demolition ......... Other Work ~.O¢~4 fe~'t¢.~.~ (Description) 4 .... Fee .......... " (to be paid on filing this application) 5 ...... Number of dwelling units on each floor ............ If dwelhng, number of dwelling units .. If garage, number of cars ........ If business, commercial or mixed occupancy, specify nature and extent of each type of use ... · Rear ...... Depth .. ... Rear .. ·. Number of Stones ...... Rear ..... Depth Dimensions of exlsnng structures, if any Front ..... Height .... Number of Stones Dm~enslons of same structure with alterations or additions Front Depth ....... Height Dimensions of entire new construction Front. .. Height ...... Number of Stones ........................ 9 Sizeoflot Front .. Rear ........ Depth ............... 10 Date of Purchase ................. Name of Former Owner ............. 1 1 Zone or use district in which premises are situated .... 12 Does proposed construction violate any zoning law, ordinance or regulation, i.'~. i.ii.ii.ii.ii'i'., i. iiiiii 13 Wall lot be regraded . ~.0 .............. Will excess fill be removed from premises Yes No 14 Name of Owner of premises ,..~. Address .......... Phone No .... Name of Architect ...... . ......... Address ......... Phone No Name of Contractor }~I~M.(°R.I.M.. ~.O. O1.~. .... Address I~X }'~o,¢hq~Y.. t4~hone No ~'~'8"- ,~.~i'~i ' ' PLOT DIAGRAM I! ti~I 7 Locate clearly and distinctly all buildings, whether extstmg or proposed, and. mdmate all set-back dimensions from property hnes Give street and block number or descnptlon according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NEW_YORK, COUNTY OF ,,.'~.~LK.,. S S ~,~.14-1~. .~.~· ~ll I~ e:~ 7...)~.. . being duly sworn, deposes and says that he is the applicant (Name of individual s~gnmg contract) above named Hels the . ~ }h'~e ~5.tx3~.~...f'~.. .... (Contractor, agent, corporate officer, etc ) ~ 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 contmned m this application are true to the best of his knowledge and belief, and that the work will be perfonued in the manner set forth m the application filed therewith Sworn to before me this ...... iX[ dayof Notary Pu~... DONALD F ABBATE NOTARY PUBLIC, State of New York No 01BA4613899, Suffolk Co~b/ Term Expires March 30, 198'7 County ~ w, / ~_/ (Signature of applicant) NEW SUFFOLK AVE. c.,, THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WllL~L CONFORM ~0 THE STANDAROS OF THE SUFFOLK COIJNTy DEPARTMENT OF HEALTH SERVICES SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE H.S. REF. NO APPROVED MAP OF DEEP HOLE CREEK ESTA-~ES JAN. 2B~1965 MAP N~4256 19,97' )' S 8' '-I~' 20" E IE~2.00' N 67° 19' 20" W 182.00; 4O 25 27 SURFACE UTILITY POLE WATER WITHIN ,! UNITEF~ SERVICE ABSTRACT CORP. I~SA TITLE ~_,,~._~ L}~ -._,'~C/0 (/.~ I FINAL LOCATION GRADE ~-24 -;52 TYPICAL PRECAST SEPTIC TANK NO SCALE TYPICAL PRECAST LEACHING POOL GUASANTEED TO INLAND HOMES INC. JOHN & DIANE DE FABRIZIO UNITED SERVICE ABSTRACT C..HICAGG TITLE INS CO, 8,308-510457 MAP OF LAND LOCATED AT MATTITUCK TOWN OF SOUTHOLD COUNTY OF SUFFOLK ~URVEYED FOR INLAND HOMES INC. .^~ 4-I4-83 · ~^.£ I" = 30' 158,00