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HomeMy WebLinkAbout25963-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27432 Date: 11/28/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 320 BURGUNDY CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 51 Block 3 Lot 3.15 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 13r 1999 pursuant to which Buildir~3 Permit No. 25963-Z dated AUGUST 18~ 1999 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 STOR3kGE SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to CHRISTOPHER & ANDREA MANFREDI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS u~crIFICATION D;Y~u3 N/A H-069922 11/15/00 /~u~orize~ Signature Rev. 1/81 FORM NO. 4 TO,tN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27429 Date: 11/28/00 T~IS CERTIFIES that the building ACCESSORY Location of Property: 320 BURGIZNDY CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 51 Block 3 Lot 3.15 ~ubdivision Filed Map No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 13~ 1999 purs,,~nt to which Building Permit No. 25963-Z dated AUGUST 18, 1999 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 ENCLOSURE TO CODE AS APPLIED FOR. The certificate is issued to CHRISTOPHER & ANDREA MANFREDI of the aforesaid building. S~3FFOLKCOI~rYDBPAR~T BLEC~fRIC~%L CERTIFICA~ NO. PLL~4BE~ CERTIFICATION N/A N-S08 ?0 2/06/99 rized Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 25963 Z Permission is hereby granted to: for : CHRISTOPHER MANFREDI PO BOX 218 SOUTHOLD~NY 11971 Date AUGUST 18t 1999 CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN T~E REQUIRED REAR YARD AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 051 pursuant to application dated AUGUST Building Inspector. 320 BURGUNDY CT SOUTHOLD Block 13 1999 0003 Lot No. 003.015 and approved by the Fee $ 150.00 / Authoriz d~_~ignature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00· Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildina - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ......... New Construction ...... ~... Old Or Pre-existing Building ........... Location of Property ................... ~. ......... ~..~ ....................................... House No. Street ~amlet Onwer or Owners of Property....~,G.~.~ ~ ............................ County Tax Map No 1000, Section. ~)~ I ...Block .... ~(~.~]~ .... Lot..~..~..~.~.O.! .~. gubdivision Piled Map .... Lot ...................... - Permit No ...... Date Of Permit ........ Applicant ........................... Health Dept Approval Undermriters Approval . . Planning Board Approval ........ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ~~~ . ...... .C..: ..................... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $I00.00 3. Copy of Certificate of Occupancy - · .25N~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .?./.~..~./.Q.~. ........................ .. . . New Construction ...... ~.... Old Or Pre-existing Building. ..--. ..... ~.--..~ Location of Property.. ~.~..~. ...... .~..~..~.~.~.~..~. Y...~.-~. ~ ....................................... SOO'-~O ~ House No. Street Hamlet Onwer or Owners of Property ........................................... . County Tax Map No 1000, Section....~..~. ] .Block. ~O.([]& .Lot..O..O.!~.O.! .~. Subdivision ................................ .. .. Filed Map ............ Lot ............... ... .... Permit No ....... Date Of Permit ........ Applicant ....................... Health Dept. Approval ...................... .. . . Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee~..,Submitted~ ~ :l $ ............................. C, ~ ~ ............... .................... FIi~LO ~SPECTION REPORT DAT~ FOUNDATION (IST) FOUNDATION (2ND) ROUGH FRAME & PLUMBING COMHENTS CODE '5 II~ ..................... ~ ~ =~-~ _'~k~__ _= _ _-~_-~~=~= ==~ ~ II " ~ FINAL ADDITIONAL / The 8'x10' Nassau An excellent "on location sales o~fice", pool house, or gener- al storage for your home. A beautiful way to meet your stor- age needs. Single or double doors are available on ALL MOD- ELS. 8' high, Shown is a 8'x10'. Comes with one window. This unique shed can be used on one side as a changing room for the pool or storage and on the other side as a play area for the kids, It comes in the Suffolk, Ranch or Colonial ~am styles. Shown is a 10'xt 6', Comes with two windows. All Sheds available in TI*I 1 or Tongue and Grove Cedar. The The 8'x8' Mini Barn 8'x8' Mini Barn 4 Ft. Side Walls This model will surely complement the natural landscape of your property, Like other models, the double doors will accom- modate eye.thing from toots to heavy lawn & garden tractors. Shown is an 8 fi. wide. 5 Ft. Side Walls This model gives you more headroom then the 4 foot side wall model, but with the same great look, Shown is an 8 ft. wide, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARK BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] I~ATION [ ~INAL DATE ~_~/~//~ IN: THE NEW YORK BOARD OF FIRE UNDERWRITERS %%~50'~,? BUREAU OF ELECTRICITY J--- 40 FULTON STREET, NEW YORK, NY 10038 Date DECEIVER 06,1999 Application No. onfile 19465199/99 N 508670 THIS CERTIFIES THAT only the electrical eqttipmenl as described belov~ and introduced by the applicant named on the above application number is in the premises of CHRIS lt%NFREDI, 320 BURGUNDY CT., SOUTHHOLD, NY in the following location; [] Basement [] 1st FI. [] 2nd FI. X Section Block Lot was examined on ~OV~J ~ER 29,1999 and found to be in compliance with the National Electrical Code. FIXTURE IRE .PTACtE'J ,~.,~.','-m:,~ I FIXTURES I RANGES l COOKING DECKS l OVENS I DISH WASHERS EXHAUST FANS OUTLET5 C .......... INCANDESCENT FLUORESCENT OTHER 1 20 I 1 4~ ^.T. ^.P. n,.~ Eeu,.. ,.~w ,,aw 3.~w ~..~w POOL- % G.F.C.I:-I · (SIfY3~ffNG POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs made by a q~alified person. <<< Continued on Page 2~ Per THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~,2 1.185077 SUREAU OF ELEOTRICtTY 40 FULTON STREET, NEW YORK, NY 10038 -- DECE~ER O6,1999 19465199/99 N 508670 Date Application No. on JTIe THIS CEERTIFIES THAT ottly the electrical equipment as described below attd introduced by the applicant named on the above application number is itt the premixes of CHRIS HAI~P~DI, 320 BURGUNDY CT. , SOUTHHOLD, NY in the following location: [] Basement [] 1st FI. [] 2ncl Fl. X Section Block Lot NOVEi~ER 29,1999 was examined on attd found to be in compliance with the National Electrical Code. J,.RY "L OTHER APPARATUS: RANGES SPECIAL REC'PT R TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET  SYSTEMS AMT. AMPS, TRANS. NO. OF FEET V I C T ROSLAK ELECTRIC P.O. BOX 164 C'JTCHOGUE, NY, 11935-2453 LIC.#3677E EXHAUST FANS , DIMMERS This certificate must not be altered in any manner; return to tho office of the Board If incorrecL Inspectors may be identified by their credentials, ; . THE NEW YORK BOARD OF FIRE UNDE ~08J.~"- BUREAU OF ELECTRICITY - r~ 40 FULTON STREET, NEW YORK, NY 10038 -- D~, NO'~!~ER !5,2~ Applica~. No. o, ft. !~2~,9,~3/t30 H 069922 THIS CERTIFIES THAT only the elec~cal equipment as desc~bed be~w and in~uced by the ~plicant named on the above applicaHon number ~ in the p~m~es o~ ~IS ~D, 32~ BURGUNDY CO~T, SOUTHO~'. ~' in me following locaaon; ~ B~ement ~ 1st FL ~ 2~ Fl. O~3T Sec~n Block w~ ermined on ~ ~R ~9 ~ 2~0 and fou~ to be in compliance wah the N~n~ E~c~al Co~. FIXltJRE R OUTLEI~ DRYERS RANGES MT. K,W. ).MT. k.w. FURNACE MOTORS I FUTURE APPLIANCE FEEDERS ;PECIAL REC'PT. TIME CLOCKS BELL~11UNIT HEATERS H,P, G,/~ H.P, AMT. NO, A. W, G. AMT. AMP, AMT, AMPS, TRANS. I ~ SERVICE DISCONNECT ~4~:~EORF S R V I C OTHER APPARATUS: STORAGE SHED- 1 MULTI-OUTLET SYSTEMS NO. OF FEET CI'{RIS [ ~.NFRED ~2~ B[~,GANDY COL~T SOUTMOLD~ NY, I~971 Lot NO, OF NEb11~AI.~ EXHAUST FANS AMT. H.P, DIMMERS This certificate must not be altered In any manner; return to the office of lhe Board if incorrect. Inspectors may be Identified by their credentials. ! / / S 87'10'40' E 137,37' FORNNO. TOWN OF SOUTHOLD BUILDINC DEPARTMENT TOWN~AI~ SOUTHOLD, Nfl. 11971 TEL: 765-1802 Dis~luo~d a/c ................................ · . BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOI~ ................... NOTIFY: t{AIL TO: ................... ~ ~ ~ ~g ~ \! Y (l~uilding ~q~tor) . Bt. OG. DE~T. ~ [ INSTRUCTIONS L ~0 '~'; (~f Sr:.L~T~,, . ) a. ~is ~li=tim =t ~ ~letely fill~ in ~ ~iter or in il ~ ~itt~ to ~ ~ildi~ Imtor · 3 ~ts of pl~, ~a~ plot pl~ ~ ~le. ~ ~i~ to ~le. b. ~ot plm ~ l~im oi lot ~ of ~ildi~ m ~, ~lati~ip to ~joini~ p~s or ~lie ~is ~li~ti~. e. ~ ~ ~ ~ ~is ~li=tim ~ mt ~ ~ ~o~ ime o~ ~ildi~ ~t. d. ~ ~1 o~ ~i~ ~li~tim, ~ ~ildi~ I~tor ~11 im a ~ldi~ ~mit to t~ ~li~t. ~t ~11 ~ ~ m ~ ~s ~il~le ~r i~ti~ ~t ~ ~t. e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ b ~ ~or ~ ~ ~t~r mtil a ~rtifieate of ~ ~1 ~ ~ ~ ~ ~ ~ildi~ ~t~. ~I~ IS ~I ~ to ~ ~ildi~ ~t for ~ bm o~ a ~ildi~ ~t ~=t to the ~ldi~ ~ ~m of ~ ~ o~ ~ld, ~f~lk ~, ~ Yot, ~ o~r ~li~le ~, ~ati=, ~or ~ ~=tim of ~ild~, ~iti= ~ ~terati=, or ~or ~ or ~liti~, ~ ~in ~ri~. ~ ~li~t ~ to ~y ~ ~1 ~li~le 1~, o~ims, ~ildi~ ~, ~i~ ~, ~ ~lati=, ~ to ~it m~ri~ i~ton ~ ~s ~ in ~ildi~ for mu~ i~ti~u. ..... ~g~..~&.~ ................... (Si~m o~ ~li~t, or m, i~ a ~rafi~) ~ili~ ~mss of ~limt) State ~nether i~pliemt is ~mer, lessee, ~geot, architect, ~imrs ~ral ~tr~tor, el~trici~, pl~r or ~ild ................... ~,~ ................................................. .t.~.~ ~_ . ..... ............... (~ m ~ ~ ~ll or latest ~) ~ ~) "~ ..... ............ (~ ~ title of ~ra~ offi~r) lileetrieims tim ~ ...................... ~ ~r S~t ~let (~) 3. F~ure of ~ork (check ~ifich applicable): Ne~ Building .......... ~/kklition .......... Alteration .......... ~i~ ............ ~ ............. (~ripti~) q. gstimt~ ~t ..~ .............. [~ ............................................ (to ~ ~id m fili~ this ~li~tlm) 5. I~ ~lli~, ~r of ~lli~ ~irs ............ ~r o[ ~lli~ ~irs m e~ ~r ................ t~i~t ..~ ................. ~r of Stories .. ~. ................ D~i~ o[ ~ *r~o ~ alterati~ or ~itims: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r o[ Stories ............... ~. ~i~i~ o[ entlm ~ ~st~tlm: ~t... ...... ....... ~ar .............. . ~p~ ......... ... .. mi~t .................................... . ~r of Storie* ......... ~.si~ o~ ~o~: ~ ..~ ............. ~ .~ ......... ~pa, ...~Z4.~ ......... 10. ~te of ~d~ ..................... ~ of Four ~r ........................................ 11. ~ or ~ district in ~i~ p~i~a ~ si~t~ ...~ ......................... ~-}.~ ......... 12. ~s ~ ~t~ti~ violate ~ ~i~ 1~, o~i~e or ~lati~: 13. ~ill lot ~ ~ ...f~. .......... ~ o~ ~it~t .................................... ~ss .............................. ~ ~ ........... 15. Is fl~is p~in ~ f~t o~ a ~i~l ~tl~? *~ .......... ~ ..~ ..... PLOT DIAGRAM Loca~e clearly m~d distinctly all boildi~gs, ~hether e~isti~g or proposed, and indicate all set-bsck dimensions from property lines. Oive street and block n~ber or description sccording to deed, and ~how street n~es and i~licaCe ~nether interior or corner lot. "IMMEDIATELY" (Hame of individu~/ s~gning contract) abo~ na~J, OCCUPANCY OR UNLAWFUL .,,~.-,'~ ~,~APPROVED AS NOTED IISE IS -- ATE: ~ . · WITHOUT CERTI ICAT E . F OCCUPANCY 765-~802 9 A~ TO 4 P~ FOg FOLLOWIN~ IN~PECTION~ FO~ POU~D GOMC~ ~Rff~ gER~IFI~TE ~. IN~U~TION gE~U~E~ 4. FINA~- CON8~UcTION ~U~T B~ COMP~T~ FO~ C.O. A~ CONSTRUCTION ~HAL~ M~T THE ~EOUI~ENT~ OF TH~ N.Y~ ~TAT~ CONSTRUCTION · ENErgY COD~. NOT ~E~PONSIBLE ~0~ D~SIGN O~ CONSTRUCTION ~O~S duly *~orn, deposes and says that he is dm applic~tt lle ~s fl,e ..... ~ ............................................................................... ((Contr~ctor,~nt, corporate officer, etc.) of said owner oh~owner~ is ~ly ~thori~ to ~rfo~ or h~ ~rfo~ ~ ~id ~ ~d to m~ ~ file this a~licat[m; ~at ~1 statmts c~ta[~ in ~is a~licati~ are t~ to ~ ~st of his ~l~ aM ~lief~ a~ flint ~ ~ will ~ ~rfo~ in the m~r mt for~ in ~e a~li~tim fil~ ~. (Signature of Applicant)