HomeMy WebLinkAbout14839-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICA~ OF OCCUPANCY
No Z-17781
Date FEBRUARY 22~ 1989
THIS CERTIFIES that the building
Location of Property 4700 OLE JULE LANE
House No.
County Tax Map No. 1000 Section 122
Subdivision
ADDITION
MATTITUCK, NEW YORK
Street
Block 04
Filed Map No.~
Hamlet
Lot 035
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 24, 1986 pursuant to which
Building Permit No. I4839-Z dated ~4AY 5, 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 ADDITION TO EXISTING ONE FAMILY D~ELLING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ALBERT A. III & D/ANE F. BRISOTTI
N/A
N766459 - AUGUST 29, 1986
Building Inspector
Rev. 1/81
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)
14839 Z
County Tax Map No. 1000 Section,,/j ~,~,:/"~"~,','(~'" ..... Block ......~....~... ...... _~:~Lot No..~...~..~-~.. .....
pursuant to application doted ..../..~'~.~..%.J.~.....~...~... ................ J 9.(J.l~.., ond approved by
the
Building Inspector.
Rev. 6130/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR
Instructions
A. This application must be filled in Wpewriter OR ink, and submitted ~ Imaaamm to the Building Inspec-
tor with the followin!]; 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 elec'c6cal 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 msponslble 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~operty showing all property lines, streets, buildings and u~usua! 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.
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory,S10.00 Business $50.00
2. Certificate otoccupancy on pre-existing dwelling $ 50.00
3. Copyofcertficateofoccupancv $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5 Updated C O $ 50 00 Date ..
NewConstruction Did or Pre-existing Building Vacant Land
Location of Properw .~. ~.l.b. .......... .(?./-. ~..~.~t~-~...~,~ .A~.~ ...............
House No. Street Ham/et
Owner or Owners of Property . .~?. ~.;f.~?~. · · ..~.....-~. ~...'~. · .~/./~ ~. ·..~., · · ~.~.//p..~./ .........
County Tax Map No. 1000 Section .../, ~..Z~. ....... Block .... ~ ......... Lot..~ .~'. .............
Subdivision Filec~ Map No Lot No
Permit No. /,~.?.~,~... Date of Permit .Applicant .~ .. '~ /.~gTT/. ........
Health Dept Approval ; Labor Dept Approval · ·
' ~] Planning Board Approval
Underwriters Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Submitted $.. .....
Applicant ~,..~.. J.-,~'~... ~ ..........................
Rev. 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF EL. ECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
D. te AUgUSt 29, 1986 421783/86
THIS CERTIFIES THAT
A~ Sectlo~ Bl~k Lot
~s examined att and found to be in coo~pl~at~ee with the req~tire~t~ents of this Board.
FIXTURE FIXTURES RANGES OVENS DISH EXHAUST FANS
OUTLETS SWITCHES
FLUORESCENT VAPOR
~1 3 2
DRYERS FURNACE MOTORS
FUTURE APPL!ANCE FEEDERS
TIME CLOCK%
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO, OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS=
S E R V I C E
AW.G
OF NEUTRAL
CoPY
Henr~ ~o~[
East Setauket,N.¥ 11733
not be altered in an manner; return to the office of the Board if
Li¢~2675E
GEN~R~t MANASBR
:t. may be b);~ thei~ creJent als.
BE AL EREp IN ANY MANNER.
EDING DEPAR' THIS COPY OF CERTIF
VICTOR LEfifiARD
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
4700 Ole Jule Lane
Mattituck, New York 11952
Re: Building Permit ~15067-Z & 914839-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 Southold 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
encl.
Vincent R. Wieczorek
Ordinance Inspector
TOWN Ol,' SOUTIIOLD
OFFICF. OF BUILDING INSPECTOR
P.O, BOX 728
TOWN llALL
SOUTHOLD, N,Y. 11971
October 21~ 1987
TEL, 765-1802
Albert' & Diane Brisotti
4700 Old Jule Lane
Mattiturk, New York 11952
To Whom qqlis May ConcerIl~
RE: Bui:{]ing ~ermit ~f}~2;2~ Pool & fence
Addztzon
We al'o unable to complete your Cert.Lf~cate
of Occupancy because .of the following reasons.
An applicatio'x for Certificate of Occupancy
is not on fi]o.
No Underwri, ters Certificate on file.
/.._/ Ne Health Dept. approval on file,,
/}~/ No final inspection has been made.
]ca.e contact our office on
Thank you for your
coopez atlon
Ih~ilding Permit # Z
Ihli3. dinq Dept:.
,,,/'?
this matter.
No PlumbeP Solder ~' ' '
¢,.ertlflcate on file.
( ali. permits involving plumbing being
issued after April ],~1984 )
'~' Occupancy
of Occupancy ,
or use is tmlawful without a Certificate
Clear up this matter as soon as possible
action does not haw, to be taken,
you for your prompt attentlon.
Thank
TOWN OF SOUTHOLD
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.
/--~/An_ application for~.,Certifi~ate of Occupancy
is not on f~le. ~/~ffC~S~tc, f)
/--/_C~/N° Underwriters Certificate on file.
/--~- The check is(c~d/not on file.)~.O O
/~/ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
............. Bui!din~ ~ormit ~ .
Building Dept.
***/Z/ NO Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
765-X802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
REMARKS:,
[~FINAL
BUILDIN~ DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] R/OUGH PI~BG.
[ ] FOUNDATION 2ND [~'] INSULATION
[ ] FRAMING
REMARKS:
FINAL
DATE
INSPECTOR,
]65-1802
BUILDING DEPT,
INSPECTION
UNDATION 1ST [ ] ROUGH PLBG.
F/~j F~INDATION 2ND [ ] INSULATION
~/FRAMING [ ] FINAL
BUILDING DEPT.'
INSPECTION
/
[//OUNDATION XST [ ] ROUGH PLBG.
//
["'] FOUNDATION ZND [ ] INSULATION
FRAMING
[ ] FINAL
DATE
,.S,'"CTO. A~
r\ .t. NSW~C ~ iON ilDATE COMMENTS
FOUNDATION ~
PLUMBING
~'-~STATE ENERG~ 7~
~OD~.
~- o, //
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1803
(Building Inspector)
Received ........... ,19...
APPLICATION FOR BUILDING PERMIT
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 authorized inspectors on premises and in building for necessary inspections. ,
..... /.c.,[3~/4; .~. .~. 4& .~. . . . ¢. ~. .7.~. ~.</7. .~. .4
(Signature of applicant, or name, if a corporation)
· A.m... .... :/_-7.*.~.~.fr~ ..~.,..
.. p. .....
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................ ..... ?. .......................................
Name of owner of premises/:~Z /'"~,~7,,CT ,,~), ./~,r'~/.$o
(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 ..... 7. &-:/./..~../.4/..../q.;/.,.~.-. ~~
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
~ "/?OD o4~....~..~ /--~. ... ~ ~
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 °ccupancy~of proposed constructi°n:
a. Existing use and occupancy ....... ~ ....................
b. Intended use and occupancy ................ ~ · ·.....- '~. ............................
Nature of work (check which applicable): New Building .............. Alteration ..........
Repair .............. Removal ............. Demolition'~. ....~ ..... Other Work ..... ~ .....
4. Estimated Cost..·/-~.?, . .~.~.Q
!
5. If dweiling, number of dwelling units ....
If garage, number of cars ..................
(DeScription)
(to b6 paid on filing this application)
·.. Number of dwelling urtits on each floor ...............
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 ...... i ........ Depth ...............
Height ............... Number of Stories ........................... i ................... ~ .........
Dimensions of same structure with alterations or additions: Front ........... ! ...... Rear ..................
Depth ...................... Height . .. .................... Number 0f Stories ......................
8. Dimensions of entire new construction: Front ..... ./'~ ....... Rear ..... j. iO. ......Depth .....Z'..~ .........
Height .... ; .......... Number of Stories ........ f .................. 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 ........................ i .............................. .
12. Does proposed consiruction violate any zoning law, ordinance or regulation: ......~..o. ......................
13. Will lot be regraded .......... ~.q. · · .~ ......... Will excess fill be removed from premises: 1¢~) No
14. Name of Owner of premises .,~/,~,~,~-T7 ./0'.~/.5~2'D Address . .o.. ¢~..O'.~..~...t~ ~ .. Phone No...'2 .~.,¢~...,.~.~/.o...
Name of Architect ........................... Address .............. ! .....Phone No ................
Name of Contractor . .~.o. ~,~'.,~..~.,f~t ~.~q.~ - '
Address o ~
...... ~.. ~'. 9'3../9~t2 .o~.cPhone N3~,.';Z &. -~.-..d../..~..
15. Is this property located within 1.00 feet of a tidal wetland? Yes ..... ~ .....
· If yes, Southold Town Trustees Permit may be 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. · '
...... y. ~,%;- .... ;,... ~'~ .~.. ;x .................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ......... ' .............................. ~ .................. . .........
(Contractor, agent, corporate officer, etc!)
of said owner or owners, and is duly authorized to perform or have performed the mid work and to make and file this
application; that all statements contained in this application are true to the best of t is 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
........... ;.?. · ? ....... dayof .... ~ .......... 19 ...~ '
Notary Public, · · ~. · .~. ~ · .~../'..~..~. · ........ County
.... ..................
(Signature.., ~f a??i?nt ~.
'1