Loading...
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 z Z