HomeMy WebLinkAbout15067-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17782
Date FEBRUARY 22, 1989
THIS CERTIFIES that the building
Location of Property 4310 OLE JULE LANE
House No.
County Tax Map No. 1000 Section 122
Subdivision
INGROUND SWIMMING POOL & FENCE
MATTITUCK~ NEW YORK
Street Hamlet
Block 4 Lot 35
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 2, 1986 pursuant to which
Building Permit No. 15067-Z dated JULY 9, 1986
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
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ALBERT A. III & DIANE F. BRISOTTI
N774980 - OCTOBER 17~ 1986
N/A .--
~--Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
'BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUI LDit*JG PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
'No. i5067
Z
Permission is hereby granted to:
...~.~**.~. r~,.~_~....~...~.....~.~
.~..~:....~.~.....~. J.o~...Z*;*~c~.~,~ ~
..~z~-~..~.~.~..~ ~-,,..,..~,,~.~****~.,.....~..L.~.~
..~.~... ........... ~ ~=~...~.'_.--~.. ~.......-~....~c.~..~.~..~ .......................
at premises located at ...,.~..~...{..(~). ....... ...~...~.~.....:.~..~..~,~...,,L,.~..~..,b~,i~-, ..........................
................................................................................. ~.z~.~..~.--:~.'.~...~....c_.i~.T..~..~:... ''~' '''%' ..........
County Tax Map No. 1000 Section ...!....~,.....~... ....... Block ....~......'J~L'.. ...... Lot No....O.....5...~... ....
pursuant to application doted .,.~.(,,).C,.~'.. ......... ~ ....................... , 19(~C:1~ and approved by the
Building Inspector.
Fee $....~...-~....'.~..T
Rev. 6/30/80
lO0 SS1 THE
Oate Octobor
THIS CERTIFIES THAT
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
BS JOHN STREET, NEW YORK, NEW YORK 10038
only the electrical equipment os described belair and introduced by the applicant named on the above application number in the premises of
A. l~,risotti, 4310 Ole Jule Lane, Mattituck, N.Y.
in the following location; [] Basement [] ~t ri. ~ Xnd *'i. outside ,%cti,,,, Bio~ rot
~s examined on *IU] ~ $ ] , ] ~ 8 6 and found to be in compl ante u, ith the requ rements qf this Board.
FIXTURE
OUTLETS SWITCHES
DRYERS FURNACE FAOTORS
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
FUTURE APPLIANCE FEEDERS
TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
G.P.C,I.
(Swimming Pool)This cert'ifica~e covers compliance e~ ~he da~e of inspection
only, Bocanse of u~tusual envirommem~s i~ is ~dvisabte ~o have frcquen~ tes~
and/or repairs made by a qualified person~
Jody Pumil] o
Pat Lane
Mattituck, N.Y.
]~1952
OE~L MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BU LO NG DEPARTMENT. TH S COPY OF CERTJF CATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
-- Southold~ N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUP
Instructions
lUJ 2,989
~,,~,, BLDG. DEPT,
A. This application must be filled in Wpewriter OR ink, and submitted I Imimm~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey o¢ 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-iS-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:
I. Accurate survey of p~operty showing all property lines, streets, buildings and ~nusual natural or
topographic featu res.
;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.
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2. Certificate of-occupancy o~ pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O.' $ 20.00
5 Updated C O $ 50 00 Date ....
NewConstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property. ,/'~, 3./, ...... (~.... ..~.ti~ .... ...~-¥.1- ~... . .L, .~, ,/v.~ .............. i~¥~qT,,T,/,To4 C ((, ,,, ....
House No. Street Hamlet
Owner or Owners of Property . t~, .~, ~.~ ~, ,~,../~,.,.." ~.~...¥...~.I~ ,k~,~. o ~.,...~,~].~.OZZj ........
County Tax Map No. 1000 Section / ~..'~. Block ~ Lot ,,,
Subdivision ................................. Filed Map No ........... Lot No .............
Permit No./.,5~.O. .~.7,,, Date of Permit .7./~/~¢. Applicant ~.~..~.~... j?:..&~. ,/~.O.T.~F ......
Health Dept Approval Labor Dept Approval · ·
/ Planning Board Approval
Underwriters Approval .............................................
Request for Temporary Certificate ..................... Final Certificate ......................
Fee Subm,ttad*. .t ........
Construction on above described building~licable co, des and regulations.
Applicant ~ .~-f~.~ , .~..~¢.%~. '. ?:; .~,-~¢~-,~'.., ...............
Rev, 10-10-78
Co-7__ i
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
January 23, 1989
Albert & Diane Brisotti
47Q00le Jule Lane
Mattituck, New York 11952
Re: Building Permit ~15067-Z & ~14839-Z
Tax Map ~122-04-035
Dear Mr. & Mrs. Brisotti
During a review of our files, it was noted that the above
Building Permits have expired and Certificates of Occupancy have
not been issued.
According to the Code of the Town of $outhold Article XIV,
100-141 and 100-144 A Building Permit is needed for construction
of an addition to an existing dwelling, and for an accessory
swimming pool. It is unlawful to occupy a dwelling or use a
swimming pool until a Certificate of Occupancy has been issued.
Your final inspections have been made. Please fill out the
enclosed applications for Certificate of Occupancy and return to
this office with a check for $50.00.
This is your third notification. In order to avoid any
legal action you must correct these violations immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
enclo
Vincent R. Wieczorek
Ordinance Inspector
TOVJN OF SOU~i/IOLD
OUI?ICI'; OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTIIOLD, N~Y. 11971
October 21, 1987
TEL, 765-1802
Albert & D~ane BrisottJ
4700 Old Jule I,ane
Mattltuck, New York 11952
To Whom This May Concern,
ui in ~ermit yqQl & fence
l~: ~ur{~zn~~ermlt ~t~ ~ m~*~tron
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
~ An application for Certificate of Occupancy
is not on file.
/.7/ No Underwriters Certificate on file.
.... ~ .... '~ ~S~ '
/_? No Health Dept. Approval. on file.
/-.]/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Dui]ding Permit t~ Z
Building Dept.
***/_--/ No Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
~ Occnpancy or use is t~nlawful wltbout a Certificate
of Occupancy. Clear up this matter as soon as possible
so ~hat l{~ga~ action does not bave to be taken.
Thank you for your prompt atteotion.
TOWN OF S01JTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, 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.
/--dAn application for Certifi~te of Occupancy
-- is not on file. ~k3P¢/o~'~/~
No underwriters Certificate on file.
-- The check is(o~ed/not on file.)~/0 ,¢~
/~/ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please
Thank you for your cooperation.
Building Dept.
***/5/ No Plumber Solder Certificate on file.
( all permits involving plu~ing being
issued after April 1,1984 )
contact our office on this matter.
76S4802
BUILDING DEPT.
INSPECTION~
FOUNDATION 1ST [ ~ROUGH pLBG.
FOUNDATION ZND [~/~NSULATION
IL/I/FRAMING [ ]' FINAL
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT,
INSPECTION
DATE
FOUNDATION (lst)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
FLUMBING
INSULATION PER N.
STATE ENERGY
qODE
FIN/AL /
ADDITIONAL COMMENTS:
~C
i
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
£OUTHOLD, N.Y, 11971
TEL,: 765-1803
Exa,nined .~.C.~.C....N.,.~....~..., 19 ~
Approved~.O-...~....~...., 190~..Permit No.{'~'~.~.7 .~
..... ,: ...... ...................
"
/
APPLICATION FOR BUILDING PERMIT 7joQ/.
Date .................
Received ........... ,19...
INSTRUCTIONS
a. Th/s 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 par~ 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 authorized inspectors on premises and in building for necessary iflspections.
.../-/,:,/~, ~t.t~.f. :.~..4.o..~z ,...7~..c. ..........
(Signature of applicant, or name, if a corporation)
. . L~ ~. z-. . . .U.3 9. .... Jelled.:. ~ .~ .z:.:: ......
'' (mailing address ~ app ' )
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....... ~'../.~...~...c. ..... O..~.rr~. ~..~.~.~
Name of owner or premises .. ~.~.s~. .7!-7'. . . . ..-br. . . .0] .t:G~bt}~. . ..... .~. ~. I.~.'.O. rtl .........................
(as on the tax roll or latest deed)
I£ .... ap p~iiirilllr :ii:71 ' '~' :~ '~' ' ' ~*' :ign at Urecorp orat:;dfi~e/:t horized .......... officer.
Builder's License No ...... /:.O.: .... .?~. ~ .....
Plumber's License No .........................
Electrician's License No.. ]/]~ eCtg~.....~rLp."~TT~e C~
Other Trade's License No ......................
. ./b. ~'rr t-rw~.
Location of land on which proposed work will be done .........................................
.... P~./.O .......... o.c. .6:. .... 3--a~. . . . z.,~.~, p.-:. . . ~ .... In .~. 7:. z;. .~. .~[c. . . ~. V.. ............
House Number Street Hamlet
County TaxMapNo. 1000 Section ..... . .'-~....L.~..o~.. Block ..... . .~P.....'.~.... Lot .....
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 ........ .~...O.~. t..~P~/'P4.. T..I..P'].~ .........................................
b. Intended use and occupancy ........ · .~.~ ]. P~. ' .G~.. ~'./..~';~.(.. .... p.a~../.~./. ~ .....
;v
3. Nature of work (check which applicable): New Building .......... Addition. ~ ........ Alteration . i .......
Repair Removal Demolition ' Other Work
7.0 o,o or (Description)
4. Estimated Cost ........... .~ .C~. ................. Fee . . ~ .....
(to beI paid on filing this application)
Ifd fd lling N b fd 11' ' hr
5. welling, number o we units ............... um er o we lng units on eac ocr ....... . ........
If garage number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type 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" Depth
Height Number of Stories
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 ..... /[~) .................... Will excess fill be removed from premises: ~ No
14. Name of Owner of premises,~.~..D. ../~//f$0 FF2./ .... Address . F~t.*/7"Z'. t~.r.fi..~. Phone No ................
Name of Architect ......... ,z, ......... Address ............ j .....Phone No ..............
Name of Contractor . ~.,.t~ ~/./.~..~.:~r.. ~d~_~... Address .~.~.7~.l.~..t~...~.. Phone No. i .~..~. :./'/'9.-1..~....
15. Is this property located within 1100 feet of a tidal wetland? Yes ..... No ..~.
* If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, anti. 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
(Name of individual signing contract)
above named.
being duly sworn, deposes and
says that he is the applicant
He is the .........................................................................................
(Contractor, agent corporate officer, et~.)
of said owner or owners, and is duly authorized to perform or have performed theJ said work and to make 'and file this
application; that all statements contained kn 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
............... g ....... dayof ...... ~ ........ 19.~. ,~ '
Notary Public,..~. ~.~ .~..~.~.~..~. '. County . . .~..~~ l'
~, 47076~, S~ ~