HomeMy WebLinkAbout29310-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29633
Date: 08/11/03
T~IS CERTIFIES that the building ACCESSORY
I~mcation of Property: 1140 CROWN LAND LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 7 Lot 11
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 10, 2003 pursuant to which
Building Permit No. 29310-Z dated APRIL 21, 2003
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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to ORAZIO & JULIA RAPUANO
(OWNER)
of the aforesaid building.
SUFFOLK COUA?TYDEPARTMENT OF ~RALT~;kPPROVAL N/A
ELECTRICAL CERTIFICATE NO. 75225C
pLI~MBERS CERTIFICATION D~r~u N/A
05/14/03
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PF~RMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29310 Z Date APRIL 21, 2003
Permission is hereby granted to:
OP~AZIO & JULIA RAPUANO
1140 CROWN LAND LANE
CUTCHOGUEfNY 11935
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REEQUIRED REAR
YARD AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 102
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
1140 CROWN LAND LA
CUTCHOGUE
Block 0007 Lot No. 011
10, 2003 and approved by the
21, 2004.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
COPY
Issue Date
05/14/2003
Electrical Inspection Certificate
Electrical Inspection Service, Inc. Application Number
375 Dunton Avenue 75225C
East Patchogue, NewYork 11772
(631) 286-6642
Issued To: Julie Joe Rupuano
Street: 1140 Crownland Road
Village: Cutchogue Zip: 11935
Section: 102 Block: 7 Lot: 11
Contractor: T. Raynor Electric
Town: Southold
Lic. # 1805-E
Was examined and found to be in compliance with the National Electrical Code.
Commercial ~_ NV Detects [] Pool ~, 1st Floor [] Indoor [] Basement ~ Hot Tub
Residential L~ Det. Garage [] Attic [~ 2nd Floor ~ Outdoor [] Addition L~ Survey
Switches Receptacles Fixtures GFI Heaters
2 1 1 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps
A/C Fans
Microwaves
Furnace Oil Gas Circulators Smoge Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi
/
Bldg. Permit:
Other Equipment
1-Pool Panel
1-Electric Heater 40Amp
1-Time Clock
1-Motor
Television CO Detector
Hugo S. Surdi
President
Rough Inspection: 05/13/2003
Inspector: Ed Scavelli
Final Inspection: 05/13/2003
Inspector: Ed Scavelli
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
Applicant/
Owners Nmne:
Architect/
Engineer: ~"~'
SCTM
Dislricr ]~0 Section: /~ 13{o(k ~ Lo(: /I
Reviewed:
Date
Project Description:
Permi__t
N,A. N_O YES Number
Suffolk Coanty Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
INSULATION
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ].~I.ATION
[ ] FRAMING [ ~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. (_/(~ ~ ~ .... ~, .~,,~-.
DATE
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSULATION
[ ,~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
/ /
/
DATE ~///~'~.~
~ ~NS~,~-rIO1~ an'o~rr
FO~A~ON (1S~
FO~A~ON (~)
~S~ON ~ N. Y.
STA~ ~ CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
PERMIT NO.
200_3
Examined "// ,
Approved ¥/)-/ ,20 O --% Mail to:
Disapproved aJc
Phone:
Expiration /0 / ~- / , 20 0 ~/(
BUILDiNG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
ilding Inspector
~7~ ~ ~ ~ APPLICATION FOR BUILDINGPERMIT
' .--J 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 waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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.
~OERWRITERSCERTIFICATEOCCUPANCY OR ,H/f][/{odjf- _
QUIRED
USE IS UNLAWFUL ' , (Signatm~ [~applican, or name, ifa corporation)
ENCtOSEPOOLTOCODE"IMMEDIATELY" WITHOUT CERTIFICATE + Pt&c gO,
UPON COMPLETION
OF OCCUPANCY (Mailing address of applicant)
117 _t 9
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises .~ca.[,¢ 4 .-~0'~-_.~ ~OL.L~.Irl~)
~e tax roll or latest d~t~l~:.,d&~.;~ B.P. #
(As
on
If apllL~ar~t ~s a corporation{ ~ignature of dul,v,authorized officer FEE:.- -~',,/,~ o. BY:
~Na~nt~ of corporate officer) 78S-I~ 8~ TO 41~1 FOIl TIqE
FOU.OWINO II~EC?ION$:
Builders License No. 1. FOOND~TION · IWO I~EQ~IIFIED
FOIl R3ORED CONClIIEtE
Plumbers License No. Z ItOlJOl. I - FRAMING & I~MBING
Electricians License No. [ c¢,D ~ ~-~ . ~ 3. INSOLATION
Other Trade's License No. [V_.L-T'~ I - H ..L 4. FII~ - CONgTR0¢IION MUST
BE CO~IPLETt r3R O.D.
1. Location of lg0d on which propose~work~will be_ d_one: | __ N.L CONSTRt~'~ ~. W $HALL MEET THE
J t OFC) (~'F"O (.t_} O /~-'-~0 J~'~'~"K)'~'~ CLL 14a~l~pfi~i ~iai ~. NOT RESPONSIBLE FOIl
4 C.~ 47~MENTS r: THE cODEs OF NEW
House Number Street ---"1~ OR CONST,R~GTION ERROI~
County Tax Map No. ]000 Section JO~__. Block -'~ Lot
Subdivision Filed Map No. L,ot
CName)
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost c~ t D~(). (X)
5. If dwelling, number of dwelling units
If garage, number of cars
State existing use and occupancy of premises {md int_qnded use and occupancy of proposed construction: a. Exisfing use and occupancy ~t~44</C~
b. Intended use and occupancy ~'l~3yo~f_J _~tr(l~3¢t3 [
Addition Alteration
Other Work,cO
,&.~e~cn'~p]ioh)
Fee
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
_Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear .Depth
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? YES NO ~
13. Will lot be re-graded? YES "~ NO Will excess fill be removed from premises? YES_~ NO
14. NamesofOwnerofpremises~-~___~_f~OctO'l[) Address O_~.[~t~c~cL'~- PhoneNo.7~Or-
Nme of Architect Address Phone No
Nme ofCon~acto~ ~ ~} h Address m~ I~,~r O~ Phone No.
15 a. Is ~s prope~ within 100 feet of a tidal wetl~d or a ~eshwat~ wetl~d? *YES NO
* W YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS MAY BE REQUIRED.
b. Is this prope~ wi~in 300 feet of a tidal wetl~d7 * YES NO
* W YES, D.E.C. PE~S MAY BE REQU~ED.
16. Provide s~ey, to sc~e, with accurate fo~datlon pl~. ~fl~: .r, -dist~ces-., to,.~pmP~y, lines.
17. If elevation at ~y point on prop~y is at 10 feet or below, m~t ~m~~hcal dat~ s~y.
STATE OF ~W YO~)
SS:
CO~TY OFf'oliO )
CA,~}~ ~q~7~ being duly swom, deposes ~d says that (s)he is the applicant
~me of individual si~ng co~ above nmed,
~¥r~:~: :~ :: ~2.flt3~6~r, Agmt, Co,orate Officer, etc.)
of said owner or own~s,'~5~l~ a~fiz~ to peffom or have perfumed the said work ~d to m~e ~d file this application;
that all st~ts co~ine~ in'~s'a~]i&tion ~e ~e to the best of his ~owledge and belief; ~d that the work will be
perfumed in the ~r sbt fo~h ip th~ application filed therewith.
Sw.m~ to before me this ' ~' ~' '7
. ;,:. -. ~
. iNotary Public . ;: : .V
Nota~ Public - ~ of New York
No, 01WO~029
Qual~ in Suffolk CounW
My Commission Expires
Signature of Applicant
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