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Home My WebLink About14857-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Soutbold, N.Y. Certificate Of Occupancy No...Z. 1 4 8 (+ 2 ......... Date . g p.~u.~ ¢. ~.~ ~ .................... 19 .a 6 THIS CERTIFIES that tile building .... ingvound swimming pool ..: 55 Chestnut Road Southold, N.Y. Location of Property ~t~tJ ~ h/o ......... ' .............................. s . 059 02Street 026 Hamlet County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision Filed Map No Lot No . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .~ p?.t.~...2.1., ........... ,19.8.6. pursuant to which Building Permit No..~z~5.7.~ ............. dated May 8, 19 .86., 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 s..wimm}ng poo.1 -,, Vincent & Joanne Fontana The certificate is issued to ........................................................... (owner,/l~:oK~ x of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N756474 UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 ~Iding Inspector ....... FORM NO. l~ TOWN OF $0UTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? li$57 Z Date ......................................................... 19. Permission ~s herebt granted to: ...... .................. ......... .~.r.z...~,:~..o..~......A.v.~. .......... ....... .'~...v.~. J.~,,.~..r...~:.~....z/...?..~ / to ...... .COL~..Z_/.~q,~......~.~..O.~.MZ~......z~.o..c,, ........ E~.~...z...~ ................ ....................... .lZ./z,.Z~,~,~,z.T. ....... .,.~.--..~..T.~,z~ ..................................................................... ot ~remises ,o~oted ot ...... ,~..~-... ...... C~I~.~.~z...../.~... .......................................... ........................................................................................................ ,~.e~.~../.~'D...-.z~..,,~ .... pursuant t0 application dated ..~' .~..-J~/..~,. ...... ~../. .............. , 19~..., and approved by the Building Inspector. Rev. 6/30/80 7GS.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH ?PI. BG. [] FOUNDATION [ ] FRAMING [~FINAL REMARKS: FORM NO. 6 TOWN OF SOUTHOLD Building Department · Town Hall ' Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted 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. ~m,~' 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 19B7), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survev of p3~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 bu ildings. 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: 1o Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Date . NewCOnS trhc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~..e..~..~. ~/._.%../.~.~....~.. ~./.~e ~'/,/.u.~..,(~.~.,.,. ~y.~ ?..7~.(eZc.~, .~ ;~ ......... House No. Street Hamlet Owner or Owners of Property . .~.. (~.~.C?.~L...q. · .~ ~../v....,~,,,...~,o,~V~,~. ,/~, .................. County Tax Map No. 1000 Section ......... Block . Lot. Subdivision ................................. Filed Map4~l'a. ~..~. 7../~...~.Lot No. ' ..... Permit No./..~f¥.~..'~'.. Date of Permit 's...~.'.~/.~.G...Applicant Health Dept. Approval ....... ~_~ ............... Labor Dept. Approval ........................ Underwriters Approval ~' '~.,'/.(o ni rd App ................... Plan ng Boa reval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and~mit meets all applica~)le codes and regulations. ApplicantC~...~?~..~,-.. ~?..~.~' ...................... Rev. 10-10-78 co e FIEED'INSPECTION DATE COMMENTS 1. FOUNDATION~(lst).---- FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ~/ ~ ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ]001381 BUREAU OF ELECTRICITY ~T 85 JOHN STREET, NEW YORK, NEW YORK 1003E a,e 2'7, -986 408 %/86 N75G474 THIS CERTIFIES THAT only the electrical equlpolent az described below and in traduced by fthe applicant named on the above appl~catton nurnber ~n the prerntses of Mr. Fan,aha, Cha~,3t:nut Road, (Vonney s Road), Sou~hold,NoY in the follow~ng location; ~ Basement [~ Ist FI. [] 2,d FL Section Block Lot ~s examlned on ~l'tA~e 2 ~ , 1986 a,~d found to be in compliance .'lib th~ req~ire,nents qf this Board. FIXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS FIXTURE SWITCHES OUTLETS FLUORESCENT DRYERS SYSTEMS NO. OF FEET E R I-G.F.C.I. NO OF CC, COND~ A, WG O~ CC. COND C NO, OF HI-LEG OF NEUTRAL (Swimming Pool)This certificate covers compliance at the date of inspeotion only, Because of onusual environments it is advisable to have frequent test and/or repairs mado by a qualified person, 3ody Pumillo ~~ Pa~ Lane ? ~lattituck,N .Y. 11952 Lic#2300E GENERAL ~NAGER /\ ~ This certdlcate must ,ut be altered in 0n ~o..er retur, to the office of the ~oard if incorrect, ins ~tors mo~':e identlfled~c:~(d~/~ ,~ ' , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approve, ............ l .,ermitNo. $rr? Disapproved a/c .......... '~ ........ ~ ......... ~PPklC~IIO~ FO~ B~ILDI~G Re, 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 this application may not be commenced before issuance of Building 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 auth°rized inspect°rs °n premises and in building f°r necessary~t~^ ~-'~-~'~ 0 ........ ~_~,~._- _-~.....C'~,~ ................. (SignatglLe of applicant, or name, if a corporation) ._~.t.. ~m~. ~x~... ,h~...: .............. ...... tfi0. .... · (mailing address o~'~pplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricfan, plumber or builder. ...... ..................................................................... N.eofownerofpre,nises ..... ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .......................... .c...~a...'~..~oT....~..~. ~.r.~.. House Number Street Hamlet County Tax Map No. 1000 Section .... .~.~. ......... Block . .(~).~. ........... Lot..~¢ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~> .~x~/..~------_~ ....... , .......................................... b. Intended use and occupancy ~)~:~~ ..... ~'l'..~..O~..[.~..~...'~..(~....~ ..... : .............. 3. Nature of work (check whxch apphcable): New Btaildang .......... dit on .......... Alteration .......... 4. Estimated Cost.. , ............................ Fee .......................... (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 ............................................ ; ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ.e 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 ............ i .... Rear .................. Depth ...................... Height ...................... Number of ~tories ...................... 8. Dimensions of entire new construction: Front ............... Rear ........ ; ...... Depth ............... Height ............ ,,~._Number of Stories ............................ i ................. 9. Size of lot: Front...~.~.~ e .~?. ......... Rear'..[33, .............. Depth · I J.~..~?~2 ........... 10. Date of Purchase ............................. Name of Former Owner .; ........................... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate agy zoning law, ordinance or regulation: .... i ....................... 13. Will lot be regraded ....... ~.2.¢~.. .............. Will excess fill be removed from premises. Yes 14. Name of Owner of premises .~..~"~.~.~. ...... Address ............... i . .. Phone No ................ Name o Architect . ~ ........ .~..~. ........... Address .................. Phone No ................ 15. Is this property located w±thin 1.00 feet of a t±dal wetland.* * Yes ..... iq~ .... ' · If yes~ Southo~-d Town Trustees ?erra±t may be requ±red. 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 YORK, COUNTY OF ............ S.S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. He is the ............................................................. i ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the s~id 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 Notary Public, .... ' .......... County ~ ~{~[~'~_~ ~ (Signature of applicant) SURVEY FOR VINCENT FONTANA AT sOUTHOLD DATE: ,JULY ~'9, 1985 TOWN OF SOUTHOLD SCALE: SUFFOLK COUNTY~ NEW YORK NO. 85-654 SURVEYOR'S IRKED SEAL OR EMISOSSEO SEAL SHALL NOT lie COatl$.~0.E REIERED TO &E A VALI O TRUE COPY RGUARANTE II~S~ICI~TED HEREON S~IALL RUN (~LY ~ ifil YOUNG YOUNG 400 0STRANOER AVENUE RIVERH~AD~ NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE N0.4§893 NOTE: I. SUFFOLK CO. TAX MAP NO. DIST I000 SECT 59 Bi( 02 LOT ~6 2. I = MONUMENT $. TOTAL AREA = 20919 S.E BRANDIS & SONS INC. 1046