HomeMy WebLinkAbout24906-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27294
Date: 09/07/00
THIS u~TIFIES that the building ACCESSORY
MATTITUCK
L~catien of Property: 880 FARMVEU RD
(HOUSE NO.} (STREET) (HAMLET}
~ounty Tax Map No. 473889 section I21 Block 7 Lot 11
Subdivision Filed Map No. __Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 6, 1998 pursuant to which
~uilding Permit No. 24906-Z dated MAY 27, 1998
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
ie AOc~SSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED
REAR YARD AS APPLIED FOR,
The certificate is iseue~ to FRANK J & KAREN E MELE
(OWNER)
of the aforesaid building.
BuF~(I~K ~ DEP~T~X OF ~{E~LTH~PPRON~L N/A
K~.RU-r~ICAL ~KTIFICATH NO. PENDING 08/29/00
pL~S u~KTIFICATION DA'r~ N/A
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. 24906 Z Date MAY 27, 1998
Permission is hereby granted to:
FRANK J & KAREN E MELE
880 FARMVEU ROAD
MATTITUCK~NY 11952
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN REQUIRED REAR YARD AS APPLIED FOR.
at premises located at 880
County Tax Map No. 473889 Section
pursuant to application dated MAY
Building Inspector.
FARMVEU RD MATTITUCK
121 Block 0007 Lot No. 011
6 1998 and approved by the
Fee $ 150.00
ORIGINAL
Rev. 2/19/98
TOW]~ ~F 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 fo~m).
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/I0 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"~nd 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 Buildin~ - $i00.00
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 .....
ooation of P operty... . a ........ ..........
Onwer or Owners of Property..~..~ ......... .~-'~.-~- ..........f ............................
County Tax Map No 1000, Section...L~t ....... Block .....] .........Lot ...... ![ ..............
Subdivision . .~.~..0~.. .... Filed Map Lot
permit No..~..~.~.(? ..... Date Of Permit..~-/~--/ ..... ~ Appiicant ................. C~O~
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ....... ~...
Fee Submitted:
APPLICANT
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
July 14, 2000
Frank & Helen Mele
880 Farmveu Rd.
Mattttuck, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX
XX
XX
An application for Certificate of Occupancy not on file. (Enclosed)
No Underwriters Certificate on file.~
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).
24906-Z
BUILDING PERMIT #
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
COMMgNTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.?LUMBING'
INSULATION PER N.
STATE ENERGY
CODE
FINAL
Ye
ADDiTIONaL COMMENTS:
APPROVED A~ ~OTED
FEE' I 5~0' O~ BY:
N~)~i"IFY BUILDING DEP~
765-1802 9 AM TO 4 PM FOR
FOLLOWING INSPECTIONS:
I FOUNDATION - 'tWO REQUII
FOR POURED CONCRETE
iROUG#. ~ & FLUME
LqSUI.ATtO~ :
· FINAL - CONS?RUCTION M
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL
THE REQUIREMENTS OF THE
STATE CONSTRUCTION & ENE
CODES. NOT RESPONSIBLE
DESIGN OR CONSTRUCTION ERF
"IMMEDIATEL~
ENCLOSE POOL TO COD
UPON COMPLETION
BEFORE "WATER"
lED
lNG
JST
EET
~.Y.
:OR
)RS
UNDERWRITERS CERTIFICATE
REQUIRED
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~LATION
[ ] FRAMING [~/] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
L//
DATE
FORH HO. I
TOWN OF SOUTItOLD
BUILDING DEPARTHENT
TOWN HALL
SODTHOLD, R.Y. 11971
TEL: 765-1802
(Building Inspector)
APPLICATION FOR BI/II.DING PERHIT
INSTRUCTIONS
BOARD Ob BEAL'fH
3 SETS OF PLANS ...............
SURYEY ........................
CHECK .........................
SEPTIC FORH
NOTIFY:
MAIl, TO: ....................
Date ............... , 19
a. This application mst be cc~letely filled in by typewriter or in ink and anlmitted to the Building Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to sdiednle.
b. Plot plan arming location of lot and of buildings on premises, relationship to adjoining premises or public
street's or areas, and giving a detailed description of layout of property n~st be drawn on the diagram which is part of
this application.
c: abe ~ork cuvered by this appIie~tion may ont be ccrmmnced before issuance of Building Permit.
d. llpon approval of this appllcation, the Building Inspector will issue a Building Pennlt to the applicant. Such
pernfit stroll be kept on the premises available for inspection throngtmt the i~ork.
e. No Imilding shall be occupied or used in whole or in part for any purpose whatever ontil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS I~llEBY ~IP/IIE to the Building Department for the issuance of a Building Pemit la~rsuaat to the
Building Zone Ordinance of the Tc~m of 8onthold, Suffolk County, New York, and other applicable Laws, Ordlnanees or
Regulations, for tt~ construction of I~aildings, additions or alterations, or for r~aoval or de~litian, as herein
&scribed. 'lbe applicant agrees to ccraply with all applicable lm~s, ordinances, building code, hooslng code, and
regulations, and to admit anthorized inspectors on premises and in building for necessary inspections.
................
(Signeture of applicant, or name, if a corporation)
· .?.q...~.9.x...7...~44..~./.~..4. .~......x~..../4 ~ .~.~...
(Mailing address of applicant)
State vlaether applicant is omer, lessee., agent, architect, engineer, general contractor, electrlciao, plmber or builder.
x0z~/~g~/~ ...............................................
~ of o~r o~ p,~ise~ ..~.Zq.X2..~....~.. ~...~.:~... ~-¢. ..... g..~..~...~,.~..~.5 ..........................
(as on the tax roll or latest deed)
If applicant is a curporatign, ~signature of duly authorized officer.
(Nam and title of corporate officer)
Plumbers License No .............
Eloctricians License No ...................,
Ot[~r Trade's Lite,me NO .....................
I. lation of land on ~aid~ proposed turk will be dune ..............................................................
....... ~.~..0. .................... ' .~7..~.~.~ e ~..
'ltmme N~ber Street
c~ty Tax ~p NO. ~000 action ...!.¢./. ....... ~loa ...... ~.7. ..... ~ot ..... /.(:~ ......
Subdivision .~..f(~7.tAe~'...~.~ ............. Filed lqap NO ................ I~ ..~. .........
(~e)
2. State existing ~me and oeetrpaocy of premises 'and intended use and occupancy of proposed construction:
a. gxisting ase and occupancy ../...~..~'?.~'~..~...~---~.~.~..~../..~. ~..~.~. .................................
h. I,~te~ ~se ~a occu~. /....~...~.:~...'..~. ~V~..~. .... ..~.....~. ..... .~./..~./~.../..~..~.?..~.~...x~..... ~o~ ~,~)
12.
15.
l~;~lnre of ~ork (check ~hlch al~lic'able): lic~ IkHIdinp.. ......... . ~klit~- .........
~ ............ ~ ............. ~d ri:ion: ......... ~,~"~..~,~.---- - .~+ .... : .....
~k~llln{l, ~{mr o~ ~llh~ Hni~s ............ tt~t~r of ~k~llinR I,Hts ul each []~r
8orase, ~{mr of cars
I)i,~ns{~,s of exisl:i,,8 strlmCures, i C any: Fr~,C.~.,.~. J ..... Rear . ~Z Z: ......
~i~,c ...~. ................... ~,,{~ or Sco~i~ ...Z .~X.
l){n~nsl[xls o~ s,~ s~l~tlre vlth nlte~a~i~ms ou ~k]i[ions: Front ............... l~or ...............
l)}n~nsl~m or entire ~ c~sL~:l.{~: Fx'~t ................ l~au ............... [~pLh ..............
Ikit~C ......................... R~,l~r ol~ Sl:orle~{ .....................
si,~ o~ ~,,,:~ ,~,.,~ .../~.~L' ...... ~ ../~Z~:- ....... ~p,, ..~F.i ......
lkll'e of I~n-eha~ .....................~ o[ Fot~r ~r
l~ {,rol~{c~l c(~mCo~ct}~ uiolnte any zx~,inll l~, o~li~r~e or reBn{al'io{l ..~.~. ...............
~ OF Architect .................................... ~klres9 .............................. I]~ ~ ...... : ........
· ,,~ oc o~,.~o~,,~ ~.~. .................. ~u~ '~..~ Z. ~v~ ..... ~,,~
lids p~rl.y ~{thln ~) f~C o~ a ti~l l~tlar~l? ~ ~ .......... ~ ..~
PI,OT 1)1 AGRAH
F~, proj~rLy ]Jr~s. Oi~ 8t~t a~l bilk ~timr or ~scrlpLi~ accordinB I:o (~{, mid ~ sLreeL tl~s ae~l Jr~licaco
~elher interior or con~t- lot.
<. ss
(N.'J~ of~'*'l~idlu~r~ml..qip~HlnB eotlLl-~el.)
duly ~,m~rn, delx)m~s taxi ~ny~ that lie is the alff)l ii>IHt
,~Sent, corlx)rate officer, etc.)
el' sald (~)er ~ ~-~.~l [. dH[y ~ll n~ {z~ to lur[onu < r h$~<~ l~r~on~d I.Im sn~d ~k mid to ml~e mid [~1~
' l
aupl icnLi~l; tlmt all st.at~t~nLa C(~ltnh~l in IhJa nl]~lleal (~] ~re t.r~ Lo the I~,l: of hi, kl~ledlle m~I lx~l
I ImL the ~)~k rill I~ l~t[oni~l J, Ihe li~[,~ se~ [orLh i. lbo ,l~lle, l:i(~ [il~l
.............. day~ ..... ~.~ . ~.
I
( i~H.~lnce OF Appl
hi Ku AvO4F-I
z.z.- 18 -ac:) v,/'
~UM O~
~, P.E., I
Offic~ of Wato, m~d Wmstewal~. {
R
THE LOCATION OF WELLS, SEPTIC
TANKS AND CESSPOOLS SHOWN
HEREON ARE FIELD. OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
SURVEY OF: ~...~-j~- ~']