HomeMy WebLinkAbout25686-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26707
Date: 09/27/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 275 BALDWIN PL
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 103 Block 10
CUTCHOGUE
(HAMLET)
Lot 2.2
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 9, 1999 pursuant to which
Building Permit No. 25686-Z dated APRIL 22, 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 TO CODE AS APPLIED FOR.
The certificate is issued to MICHAEL J SIRICO & VERA ANN REID
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 489726
PLUMBERS CERTIFICATION DATED N/A
05/26/99
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)
PER~IT NO. 25686 Z Date APRIL 22~ 1999
Permission is hereby granted to:
MICHAEL J SIRICO
275 BALDWIN PLACE
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at 275 BALDWIN PL CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0010 Lot No. 002.002
pursuant to application dated APRIL 9 1999 and approved by the
Building Inspector.
Fee $ 150.00
Authorz zed~8~gnature/-
Rev. 2/19/98
ORIGINAL
, SEP 1g
BLDG. DEPT.
TOWN OF SOUTHOLD
Form No. 6 ,~L~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Ao
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 I% lead.
5. Commercial building, industrial building, multiple residences and similar building~
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
'.'pre-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,~.~wimming pool $2~.0~ Accessory building $25.00,
Additions to accessory building~2~.O0. Bhsinesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinz - $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
Date ...~J./~. ........................... ·
New Construction ........... Old Or Pre-existing Build%ng ................. __
Location of Property..~.7.~.. ~.~.' '~"' 'l' '~~ .... /'~'~' ~'s~ ............
House No. Street Hamlet
Onwer or Owners of Proper .......................
County Tax Map No 1000, Section .... ~.~.+¢. .... Block ............... Lot.. ' ...............
Subdivision .................................... Filed Map ............ Lot ....................
~ ~ .~..'?.~.'~ ~ Appli
Permit ~ .Date Of Permit .... cant ...................
Health Dept. Approval .......................... Underwriters Approval .......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
F~ Submitted=~ 0-t'~"~0'75 .... ' ................... ~..~..(~....~. ~...~
~(~ ~¢~ APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E
.UREAU E'EC .,C, Y
~-- 40 FULTON STREET~ NEW YORK, NY 10038
Date HAY 26,1999 Application No. onfile 1.8272199/99 ~! 489726
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above applicaHon number is in the premises of
MIKE BIS%CO, 275 BALDWIN PLACE, CUTCHOGUB, k~Y
in the following location; [] Basement [] ]st FI. [] 2nd FI. OUT Section Block
was examined on [~Y 21 t 199J and found to be in compliance with the National Electrical Code.
Lot
FIXTURE
OUTLETS
1
DRYERS
RECEPTACLES SWITCHES
FURNACE MOTORS
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT OTHER
SPECIAL REC'PT TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
S E R V I C E
NO. OF CC COND. A,W G
PER~ OFNEUTRAL
OF CC, COND, NO- OF HI-LEG
A, W, G, NO OF NEUTRALS
OF HI*LEG
SWI[fl~ING POOL- 1
*(SWI~IING POOL) This certi~icate
covers co~pliance at the date of
inspection only. Because of unusual
environments it is advisable to
made by a qualified person.
<<< Continued on Page 2 >>>
Pe
This certificate must not be altered in any manner return to the office of the Board if incorrect. !nspecfors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1185~77 BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK, NY 10038
Date I~A¥ 26,1999 Application No. on file 18272199/99 ~I 489726
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the appllcant named on the above application number is in the premises of
MIKE SISICO, 275 BALDWIN PLACE, CUTCHOGUE, NY
in the following location; [] Basement [] 1st FI. [] 2nd Fl. OUT Section Block
was examined on 1~¥ 21,1999 and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES OVENS EXHAUST FANS
FIXTURE RECEPTACLES SWITCHES
OUTLETS FLUORESCENT OTHER
DRYERS
R V I C
A. W.G. A. W, G. NO. OF NEUTRA~.S
PER ffi OF CC. COND NO, OF Hi-LEG OF HI-LEG
)THER APPARATUS:
ROSLAK ELECTRIC
?.O.BOX 164
CUTCHOGUE, NY, 11935-2453
This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY Of= CERTIFICATE. MUST NOT BE ALTERED IN ANY MANNER.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 12, 1999
Chituk Pools, Ltd.
P.O. BOX 9
Cutchogue, NY 11935
RE: Sirico, 275 Baldwin Place,
1000-103-10-2.2.
Cutchogue.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupa~pY is
not On file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25686-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
OUNDATION
OUGtt FRAI~ &
PLUI~ING
DATE
COt~4ENTS
I
iNSULATION PER N. ¥.
STATE ENERG~
CODE
II
Jl--
~DITIO~L
OCCUPANCY 0
USE IS UNLA~
~vlTHOUT CER'
OF OCCUP^H~
UNDER~R]T.ERS CERTIFI
REQUIRED
"IMMEDI,
ENCLOSE PO0
UPON COM!
BEFORE"M
~UL
~TELY"
,TQCODE
LErION
ATER'
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ]INSULATION
FRAMING [ ~INAL
FIREPLACE & CHIMNEY
DATE ~//.//~' ,NSPECTOR~~
HAP OF Pr~OPEI~P~'
STATEMENT OF tNT~NT
THE WATER SUPPLY ANO SL~WACa~ DI~
SY~EMS FOR THIS RESIDEKE WILL
SUffOlK CO. D[~. O~ ~[~TH ~WC~
-~FFOLK COUHTY DEPT. ~ HE~TH
H. S. ~. ~.. ~0'~ '0~ ,
~UFFOLK CO. TAX MAP Ds'SIGNATtO~:
DIST. S~CT. BLOCK
~AL
BLDG. DEPT. ....
FOI~ HO. I
TUb/It OF SOUTItOLD
BUILDING DEPARTNEN~
TOI~N RALL
SOUTBOLU, N.Y. 11971
TEL: 765- 1802
· 0
~.~Z/.., ,9.~ ~t ~o .................
Dis~l~roved a/c
(Building In~aeetor)
BOARD OF HEALTH ...............
3 SETS OF PLUS ...............
SURVEY ........................
CBECK .........................
SEPTIC FOP~ ...................
NOTIFY:
HAIL TO: ..........
APPLICATION FOR BUILDING PEP~IT
INSTRUCTIONS
a. ~his application must be completely filled in by typewriter or in ink ana anl~itted to the Building Inspector ~rit~
3 sets of plus, accurate plot plan to scale. Fee according to schedule.
b. Plot plan ~hoai~g location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a &tailed description of laymt of property n~st be draan aa the dingrm ~/aich is parr of
this application.
c. The work covered by this application may mt be tormented before issum~e of Building Permit.
d. UlXm approval of this application, the Building Inspector ~ill issue a Building Permit to the applie~t. Suah
permit shall be.kept on ~ premises available for inspection throughout the ~ork.
e. No building shall be occupied or used in rahole or in part for any parpose ~ahatever tmtil a Certificate of
Occupancy i~aall have been granted by the Building Inspector.
APPLICATIC[I Ig 1~1~t¥ ~ to the Building I)epari2mnt for the issuance of a Building Permit pursuant to the
BuildingVl~ase Ordinm~e of the Toan of Sourhold, Suffolk C~m~y, ~ York, and other applicable La~s, Ordin~eesor
Regulations, for the eoastruction of buildings, additions or alterations, or for removal or demolition, as herein
described. TnB applicator agrees to conply with all applicable la~s, ordinances, building code, housing code, and
regulatioas, and to ad,it authorized inspectors on premises and in building for necessary inspections.
UNDERWRITERS CERTIFICATE
REQUIRED
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE '~NATEI~'
(Signature of applicant, or naue, if a corporation)
(l~lailing eddress of applicant)
State ~ahethor applicant is onner, lessee, agent, architect, engineer, general contractor, electrician, plunber or builder.
....................... ~)~¢: .~..oZ' ........................................... ~R~Eb ~s.0n'0 ..........
~ of ~ of ~tses ..z~..t ~(~ .... ~/.7c./~r2 ............... : ............ ~:.q..~)-:~.~-~...#-~~
(as on the tax roll or latest deed) ~I=I~G. ]~O ~ B~ ~
If applicant is a corporation, siguature of duly authorized of~ ' ~'IFY BUKI~NG DEP~
, / ,/'P _ /" . \ \ 765-1~0~ e~ TO 4 PM FOR THE
....~..~. ~~ .... :~.~.~: ......... ~ ..... /! _~ t~ J
';- ' -- -:qB DE co ra~e 'off,esr) //t/l"" /. / 1 FOUNDATION I~NO REQUIRED
[ ~ ~ / I ROUGN - ~ & FLUMBING
· .............. / ~ ' ..-/~ ~ ~ E. I~SULAT1ON
Builders' LlCer~se No .~, ~.~.7 ~.....
mm,bere ~ee~e ~ ................... ~tP.~I I DJ~[I'P"'V ~tD ~ SE COMPLETE FOR C.O.
' UL~UUI rM~l~l UR ALL CONSTRUCTION SHALL MEET
Eleet,:~.,--L~,~ ~ ................ USE,o*e UNLAWFUL T.E REQUIREMENTS OF THE N.Y.
.T,',TE CO.T. UCT,O. *,
rr C.EI .I'IF. I.CA E ,OOEB. ,OT ,ES,O,S,S,.E
l. Location of land on ~ahich · .iaEE4GN-OR. CON61:RUOTION-ERRORS-'
0
.,, ..............
...... .................. ............... .....
~ limber Street ~let
Coant~ Taxl4ap No. 1000 Soctlon ...~..~.~. ....... Rloek ...~..0. ......... L~t ..~.*.~, ........
Subdivision . ~. .................... No .......... Lot ....
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. ha,ting ~ ~ o~ .................. ::t',..: ........... .... ..........
~ocate clearly and distinctly al
f-mm property lines. Give street and
~hether interior or corner lo~.
{l~ture of work (check ~hich applicable):
Itepair ............ P~vul ...~ ......... Ik~olition ............ ~lmr
' (l~escriptiou)
(to ~ ~id ~ fili~ this a~li~ti~)
If ~elliq, ~r of ~11i~mits ............ ~r of ~llin~ ~its ~ e~ fl~r ................
I~ ~r~e, ~r of ~rs ..... ~ ................................
If I~i~ss, ~rcial or ~ ~, ~i~ ~re ~ ~tent of e~ ~ of ~ ......................
'
t~i~t ..................... i ~r o[ S~ories ...................
Di~i~ of ~ st~ ~h al~erati~s or ~iti~s: ~C ............... ~ar ...............
Di~nsi~ of entire ~ as~ti~: ~
~i~c ......................... ! ~r of Stories .~ ...................
........ ...... .....
~e of ~dm~ ............... ~ ...... ~ o[ Four ~r ..................
~ or ~ disCric~ in ~i~ p~i~s am si~t~ ............................................
~s ~o~ ~C~Ci~ violate ~ ~i~ 1~, o~i~e or r~la~t~: .. ~ .................
~ill loc ~ ~ .ff~ .... ~ ......... ~ill
~s of ~r of ~s ~ ~{~ ............ ~ress ~?~. :~Z..~.. .... ~ ~..~y.~/.~
~ of ~it~t .............. ~ ...................... ~mss .................... · .. · .. · · . . H~ ...............
~ o~ ~o~ ~.~ .................. ~e~ ~.~. ~.. ~J, ............~ ~.2~~
PLOT DIAGRAH
~I~ ~r ~ ~scrip~i~ ~co~i~ ~o ~ ~ ~ strut ~s ~ ~icate
UNDA&COO~ ~ (Si~t~re o[ A~ti~t)
N~aW Public, 8tare of ~w Yo~
No. 4822563, Suffolk Coun~ ~
Term ~pir~ De.tuber 31,~ ~