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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