HomeMy WebLinkAbout14155-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Z-16358
October 30, 1987
Date .................................
THIS CERTIFIESthatthebuilding INGROUND SWIMMING POOL & FENCE
LncatimnofPmn~rtv 1145 Fairway Dr. Cutchogue, New York
House No. Street Hamlet
County Tax Map No. 1000 Section l 0 9 .Block 5 .Lot 14.3 0
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
July 24, 1985 14155 Z
....................... pursuant to which Building Permit No ......................
dated .........................July 24, 1985 .... 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
The certificate is issued to MICHAEL P. & CARMEN F. LAGANA
..................... ?o¥.b;t ...................
of the aforesaid building.
Suffolk County Department of Health Approval N / A
UNDERWRITERS CERTIFICATE NO. N 75 72 64
PLUMBERS CERTIFICATION DATED: N/A /~
!
B~g Inspector .......
Rev. 1/81
~O]g~ NO. B
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14155 Z
Permission is hereby granted to:
....
..... .&.~..~.~.¢~.z~-~.~...../~.: .....................
....
,o ........ ~.~.~:~z-'/z.o...~...z./..~:?..,d'~.~,u.~ ...... ~,~,q~.~ ..... .L~..o.~,.. ................
ot premises ......... .........
.... ~,~/_~u,,,~.....~,,ozc,qs. ....... .~...~..~x..4. .......................... ..Z..~..z:....~...~a ........................
Countr 'fox Mop No. looo Section ..... ./.0..~ ....... .i~k ....~....h.--.. ...... Lot ~o...aZ.~.~..
pursuant to application dated ........................................................ , 19 ........ , and approved by the
Building Inspector.
Fee $..~2~'.: ................
Building Inspector
Rev. 6/30/80
"~ ~'~,, -, FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
A. This application must be filled in Wpewriter OR ink, and submi~ed
tor with the following; for new buildings or new use: ~_ ~v~ up 50~TH~LD
1. Final su~ey of property with accurate location of all buildings, prope~y I~es, streets, an~
natural or topographic fea~res.
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 Unde~riters.
4, Commercial buildings, Indu~rial buildings, Multiple Residences and similar buildings and in~alla-
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-exis~ing"
land uses:
1. Accurate ~ey of p~perty showing all property lines, streets, buildings and unu~al na~ral 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 pe~inent informa-
~ tion required to prepare a ce~ificate.
; C. Fees: AUdit ~o~s ~25.00
~ l. Ce~ificate of occupancy New D~eZZ~nE.825.O0, Acceaso~F'~S]0.00 ~us~ess 850.00
2. Certificate of occupancy on pre-existing dwelling 8 50.00
3. Copv of certificate of occupancv $ 5.00, ove~ 5 ~ea~s
4.Vaca~ ~a~d C.C. ~ 20.00 Octobe~ 29, ]987
5.U~Ga~ea C.C. ~ 50.00 Date ..........................
NewConstruction ...... Old or Pre-existing Building ............ Vacant Land .............
]145 Fairway Dr. Cutchogue, New York
Location of Property ...................................................................
House No. Street Ham/et
MICHAEL P. & CARMEN F. LAGANA
Owner or Owners of Property ............................................................
]09 5 14.30
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
7/24/85^ . MICHAE~ & CARMEN LAGANA
PermitNo. 14 155 z Oate of Permit .......... ADp cant
Health Dept. Approval ........................ Labor Dept, Approval ........................
N757264
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ 25.00
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ................................................
Rev. 10-10-78
335aq
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~.001~(~'~ BUREAU OF ELECTRICITY r
~-~ 85 JOHN STREET. NEW YORK, NEW YORK 10038
N757264
THiS CERTIFIES THAT
Only the eleetricol ~uipment ~ ~scr~bed below and int~uced by t~ applicant ~med on the a~ve applieation number in the premises of
M~C L~a, P~thway (~A~ay F~), CIO ~ay~ ~c~e, N.Y.
in the fot~o~n~ ~o~,tion; ~ ~,~e~,,t ~ ~t rt. ~ 2nd ~'t. ~side ,s~i,,~ m~ Lot
~sexaminedon ~ 19~ l~ andfoundtobe ncot~tplla~tceu'iththere¢lttlre~ne~ts~ftltisBoard.
FIXTURE ~ INCANDESCENq FIXTURES ~facus~ RANGES C~KINGDECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS ECEPTACLE$ SWITCHES FLUORESCENT v,poe ~T K.W. AMT K W ~T K W, ~T K W ~T H P
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT. TIMECLOCKS BE[t UNITHEA~ES MULTI-OUtLET ~MMERS
SYSTEMS ~
~.OF ' S E R V I C E
SERVI~ DI~ONNECT,
METER J A.w G A W G.
~THER~ APPARATUS:
1--G. F. C. I ·
~NG ~ ~s ~l~ifi~te ~rs ~ at t~ date of ink. ion only.
~a~e of ~ual ~vi~nts it is ~v~able ~ ha~ f~u~t t~t/~d or ~p~
m~e by a qualifi~ ~n.
This cerfiflcete muff no1 be eltered in eny monner return to the off ce of the Boerd it nc0~rect. Ihspectors met be 8ent~f e~ by fhe r cr~, ~
~0PY FOR Bt
OF CERTIFICATE ~UST~HQT BE ALTERED N,AN~ MANNER
%,~ FIELD INSPECTION
&
1.
VOUNDRTIOH (1st)
FOUNDATION (2nd)
2 .
}tOUGH FRAME &
PLUMBING
I~oULAFION~' PER N.
STATE ENERGY
C,ODE
COMMENTS
FINAL
ADDITIONAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
REMARKS:
/]~" ~, .,. /... ~./
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [/]~,ATION
[ ] FRAMING ['*"~FINAL ~*
DATE ~/~/_~/? I NSPECTO ~R~~*~/~/~/
TOWN OF SOUTIiOLD
OPFICF, OF BUILDING INSPECTOR
P,O. [lOX 728
TOWN IIALL
SOUTtlOI.D~ N.Y. 119'71
October 21, 1987
TEL. 765-1802
Mr. & Mrs, Michael P. Lagana
? Woodcutters Lane
Co]c{ Spring Harbor, New York 11724
To Wholn This May ConcerB~
We are unable to complete your Certificate
of occupancy because .of t;he following reasons.
/~ An appJJcat[on for Certificate of Occupancy
is: ~lot on file.
/-/ ?I~) Undcr,,.;riters CcrLificate on file.
/.~? The check is(outdated/not on file.)
/_./ No Ileal. th Dept. Approval on file.
/'~? No final inspc~.ction has been made.
!r~lca:~3 contact our office on this
Thank you fo J: your cooperation.
matter.
No Plumber Sol(lc!r Certificate on file.
( all permit:3 involving plumbing being
Js:;ued after April 1,1984 )
Examined..,J~../.C/.
Approved ...~%/¢.
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
. .z.?...,
Permit
Disapproved
a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19...
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.
i 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 ~ Certificate of Occupancy
Shah 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
itdmit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
..................... 9 ...... F' .......... ~' ' 'i'
(Mailing address of applic~t) //7 5~
;State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.....~..~.~. ~ ....................................................................................
Name of owner of premises ..... /4//J.°.. X / /~ ~d/ ~.~/r~p~ ~'~ //~.~. gZ~ .......
, (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 ......................
K~-/ 3 ~ ~,-.~.~..£;;?.~.,~ ................
Location of land on which proposed work will be done. i~.;i .............
....... ..................... ............................... ...........
House Number Street ' Hamlet
County Tax Map No. 1000 Section ..... /..67.? ......... Block ....5. ............. Lot.../..4.:~e .........
Subdivision ....... .fl&Jr..~.~../f..~.lm...3~. .......... Filed Map No. ~ O ~'~ Lot
3
/(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... ~.~.x,C~. g.~..-7....~F..O~.¢<..t4.O~.e/.....~..~.~. :~.~./~.
b. Intended use and occupancy ..... .-(..)/SS./~.. ...~.~t~?,/ d~)../~.e.-/.'/?,~', ~ :7:,v.~,/* :,.:.~°J/.· .~.~--~<. .....
3. Nature:afa~l!~(olti~ek which applicable): New Building ..... ' ..... A idition .......... Alteration .......... .
Repair .l~. · .~.-.~.-.~]l~ · · · Removal .............. Demolition ............... Other Work..~.P.
~ ~ e,.,~ (Description)
4. Estimated Cost.../~../.~] ?. ~ .~. ....................... Fee., ~..~..~....'~ ..........................
' ! ~' (to be paid on filing this application)
5.If dwelling, number of dwelling units ............... Number of dy 'elling units on each floor ................
If garage, number of cars .... : ....................................................................
6.
If business, commercial or mixed occupancy, specify nature ~nd extent ~ ~f each typic of useL ........... :7 ........
7. Dimensionsofexjstingstructu~es, ifany Front . //~7 , Rea] l]7.. De,th
Height ... ~..~. ........ Number of Stones ..... /.. 7,~ ...............................................
Dimensions of. same structure with alterations or additions: Front ................ Rear .................
Depth ................... ,.., Height ...................... ~ amber of Stories
8. Dimensions of entire new construction: Front ............... Rear ............... Depth .........
Height ............... Nu~nber of Stories .'77. 2';~. [~.~:~m.d...ff.~. ,[ '- s..e-ret/a/.~. .... ' ....
9. Size of lot: Front ...... ~..h-.e? ........... Rear ..... Z.7. P. ..... i i i i i i. 'i)~ih
10. Date of Purchase .......... ~ ................... Name of Forme] Owner .............................
11. Zone or use district in which piemises are situated ..........
12. Does proposed construction vi61ate any zoning law, ordinance or regula !o'n':'iiiiiiiiiiiiiiiiiiiiiiiiiill
13. Will lot be regraded ........ i .................... Will excess fill be removed from premises:~ Yes (No]
14. Name of Owner of premises Z4...~4'...~.~-,~ ~.~ Address ~ lp~ ~one No.~.~'/.~.).
Name of Architect ........................... ^aaress .... ,q ....... ',, ,'Phone No ................
Name of Contractor ........ ! .................. Address .................. Phone No ..............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or propo~ ;d, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to dee. and show street names and indicate whether
interior or corner lot. :
STATE OF NEW YOR[, ....
COUNTY OF .... '?.~ ?~?./.~. .... ~'~
.... ~-'..f~..g-'d.~f~.c'~..dfC. · . .~rf~. · ..................... being duly vorn, deposes and says that he is the applicant
(Name of it/dividual signing contract)
above named·
Z...;. ' /
T '
He is the... ¢ ~. ...... : ...................................................................
' (C )
: i ontractor, agent, corporate ol ficer, etc.
of said owner or owners, and is d~ly authorized to perform or have perfo~ reed the said work and to make and file this
application; that ail statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the man~er set forth in the application filed there~ dth.
Sworn to before me this
............ /. ~...'.~. .... day ;f.../~ ............. , 19~.~.
~m EXl~'ea I~m'ch ~
?5. 59'
20097'
22000'
220 00'
S88°$8'~0"F- 173 25'
9o39'20"w
- -
NB9 1210 VI 20~00'
88°59'~0
154 30'
Ch
IV 88059 '20 "VI .2 70 52'
Gl'
iV 88059 'BO "VI
2G~69'
WOOD y
415 52 '
2 '
405t
263 98'
292 7
S88O38'20'~-
/