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)