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Home My WebLink About24771-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27865 Date: 08/14/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 1170 PARK AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2 .8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 12, 1998 pursuant to which Building Permit No. 24771-Z dated MARCH 16, 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 is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROY & DEBRA LOCASCIO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 20738 04/08/98 PLUMBERS CERTIFICATION DATED N/A C + r A or' ed 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. 24771 Z Date MARCH 16, 1998 Permission is hereby granted to: ROY & DEBRA LOCASCIO 49 ELIANE TERRACE YONKERS,NY 10701 for CONSTRUCT AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1170 PARK AVE SOUTHOLD County Tax Map No. 473889 Section 056 Block 0001 Lot No . 002 . 008 pursuant to application dated MARCH 12 1998 and approved by the Building Inspector. Fee $ 150 . 00 Q614 Building Inspe for ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT LI Li 1 _ A�9 11 1 76YSINIHALL SLDG. f'FPT. Tc) ` ^1 OF MIN -111 OLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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 bt Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildinj and installations, a certificate of Code Complianoe from architect or engineer responsible for the building. " 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9; 1957) uon-conforming uses, or buildings auc '•'pre-existing" land uses: _+ 1. Accurate survey of property showing all property lines, streets, building and a unusual natural or topographic features. 2. A properly completed application and a.consent to inspect signed by the applicant. f If a Certificate of Occgpancy 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 Buildinn - $100.00 3. Copy of Certificate of Occupancy - .250 4. Updated Certificate of Occupancy - $50.00 5: Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . A .� � .4��Y .... . .. . .... New Construction.'. .. .. . . :.. Old Or Pre-existing Building. . . . . . .. . . . . . ... . Location of Property. ..�1.7.� . ... . . i Atz-1f $.(i So(AmHoLD lJ97f. . . ' House No. Street Hamlet Onwez or. Owners of Property. . . .4.... . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s Couuty Tax Map No 1000,, Section. . . . . . . . . . . .Block. . , . . . . . . . . .Lot. . . . . .'. ��. . . . . . . . . Subdivision. . LO (T. . Pon.0 .A-5T.�, .Filed Map. . . . . . . . . . . .Lot. . . . . L] . . . . . . . . . Permit No a.W -7 !. .:-. . .Date Of Permit. 4 9 ?. .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . .. .. . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . Planning Board Approval. .'. . . . . . . . .. . . . .. .. . . . . Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . . . . . . iee Submitgd: $. a� . O� 2e X55:Ss . . .. . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . ' ATTT Tl.l lirtl ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 20738 DATE., 41"8 APPLICATION No.ON FILE VILLAGE: Southold TOWN: ' Southold ADDRESS: 1170Park Avenue ISSUED TO: Mr.Locascio ��1tTRODIIC�DBYt`ch`rrr�K{ dd - �r ., •° � ° 66SE > ,mss. -. was examined on 418198 and found to be in compliance with the National Electrical Code LOCATION: Base.. xx Ist 2nd 3rd Atha,' - Det.Garage Hot Tub Pool i i SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR.COND. j 1 2 1 DISHWASHER DRYER CLOTHES WASH. - `GAR.DISP. RANGE OVEN- SMOKEDETECTOR � f FURNACE OIL GAS CIR. MOTORS _ BELL TRAN SERVICE DISCONNECT . ' - MBPIat AMY3 -PILIYS OTHER EQUIPMENT - Outside,Res. 1-500 watt light 1-20Amp. time clock 1-20 Amp.spec 1-30Amp.pool panel NO 'VISUAL tis HUGOS SURD! PRESIDENT ., BUILDING PERMITNO. TJs vhficnamuslnoxbea aed nanymvme a p amsmeybeid.Mb dbythmi ..dmNals _ BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE - E l f f ate- 765-1802 BUILDING DEPT. INSPECTION ' [ ] FOUNDATION i ST [ ] ROUGH PLBG. j [ ] FOUNDATION 2ND [ ] INSULATION � ( ] FRAMING [ ]'°°FINAL [ ] FIREPLACE & CHIMNEY REMARKS: } r • f r f f r' DATE INSPECTOR s f LD Ii:SP2cTION JJDAT` H FOUNDATION FOUNDATION ( 2nd ) m 2 . z o —_ ROUGH FRAME & G PLUMBING s . n ' m I14SULATION PER N . Y . y STATE ENERGY CODE YK142t` � r 4 . FINAL m ADDITIONAL COMMENTS :44 x I Ar r' H \ 9 � H O �Fp m r d • m y 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: � - G DATE 11311AP INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY p R ARKS: ge a�71 /0 4�elo� DATE 17Afr INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: z4 12 DATE 0 17LO INSPECTOR -�-� _ U J L • pp 'i i Y P}CAL V a_ STNS � g�t}iY1i� ��®a..�D ✓� :. t .�... _ �t'r�.��PTH ®� ��L 4=0SZ. ��cCK L�t�L Ott _®til?tsG �C��i� To itirtE�1- N•S,F. R�'mY Y ��TiA �1>r1�T�-•V=+T,�h T •�'�Tf= G r� GAt�mty �� • Of ti Form No. 6 p WN OF SOUTHOLD BUILDING DEPARTMENT Uy- (,9 / 9 TOWN HALL A� f n p �I 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1. 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. 3. 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. ,. 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 Building - $100.00 3. Copy of Certificate of Occupancy - _ .251�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential// $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . .. . . . . . . . . few Construction. . . . . . . . . .. Old Or Pre-existing Building. . . . . . . . . . . . . . . . . .ocation of Property. . . ./.7O . . . .MRA- f�V... . . . .. . I . . . . . . . . . . . . . .. . SDC/THOLD. . . . . . . . . . . House No. Street Hamlet )nwer or Owners of Property. . . R. . . G. .. .. . gC/ O . _ . . . . . . . ;ounty Tax Map No 1000, Section. . . 5 3`.. . . . .Block. . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . .N.�. . ' Cr .Filed iap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ( . Cn)sf . . .Date Of Permit. . . . . . . . . .'ermit No. . I1I .2A . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Tanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . ,'ee Submitted: $. . . . . . . . . . ..`. . . . . . . . . . . . . . . . . , . . . . . . . . . . . . .. . . APPLICANT i - - A\ •- .° _ -yam gyp- � . . ;� t a 1 1 Pc3 m > !•�sr� stn-,n1E i = Acs TC-1 j t1c�DlSTv r��i=� �/yQ� t3� M�Ut"oM a'-6" 51 TNT -,t• i �K1t:_�� U>+i 1C� � �f�TF GAt jMUJ' F ^• —Ilk y fit -- ra` > 80,1FD t3F HEA[.'TH O FORM N0, 1 J SETS PP TOWN OF SOUTHOLD SURVEY PLA�tS ' A� BUILDING DEPARTMENT CtICCK 1� TOWN HALL serric FORM SOUTHOLD, N.Y. 11971 ); SLOG, DEPT TEL.: 765.1802 t:0T2 FY ; Ex, unc F T L 9 CALL . . . . . . _ . . . /may ' � (r�f ) HAIL TO : Approved 19 . . . Permit NoQq .r1 . .e . . . . . . . . . . . . . . . .. . . . . Disapproved a/c . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . ,• . . . . a (Building In cc or PPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 ,cts 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 rr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this are :ation. ppli- ,:,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 issued a Building Permit to the applicant. Such permit ,.hall 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 whatever until a Certificate of Occupancy .hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegul.'ttions, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Elie 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, . &.13 ! (Signature of applicant, Or name, if a corporation) (llatling ddress of applicant) . . . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . .L,y..�:�ca�r. . . , . e(1, • , �.Q�• rg. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . \amc of owner of premises . . . . . . . I (as on the tax roll or latest deed) 'f applicant is a corporation, signature of duly authorized officer. APPROVED AS NOTED DATE: ILP (Name and ti of corporate officer) "IMMW FEE: b'� BENOTIFY BUILDING ATBuilder's License No. . , �, °5J 71- } r 766=1802 9 ANI TID4 M FOR THE, ' • • ' ' SEFO FOLLOWING INSPECTIONS: Plumber's License No. 1. FOUNDATION = T4VOREQUIRED "DENRITER3 CERTIFICATE FOR POURED CONCRETE Electrician's Licensc No. . . . . REQUIRED .. ROUGH - FRAMING & PLUMBING OCCOPAANCYOR 4• FNALA- CONSTRUCTION MUST Other Trade's Licensc No. USE I�+ UNLAWFUL WFUL BE COMPLETE FOR CO. Location of land on which proposed work will be doneWITHOUT•CER �I I- CONSTRUCTION SHALL MEET �F)CATE7I'1g. REQUIREMENT'S OF THE N.Y. �.1.7� . .P.a✓k �kuWtte- • S0(1�6Idb OCCUPANCY STATE CONSTRlIC710N *8i •ENERGY House Number . • • • ' CODES. NOT RESPONSIBLE FOR Street HaphdN®R COIVSTft11CT1ON ERRORS County Tax Map No. 1000 Section .6to . • , • • , , • Block . • �•� Subdivision . Lt? v ,fs F( Filed Map No. (Name) Lot . . . . . . . . . . . . . . Lot . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . y{t,�� /dt-WK� / b. Intended use and occupancy .3: Nature of work (chec(ytivhich applicable): New Building . . . . . . . . . . Addition : �V r• i . . ' , . • . • 7 • Repair . . . . . . . . . . . . Removat , , , Demolition 4. Estimated Cost . , log f , (Descry ) �: . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . 1. � , . . . : �: . . . . . . If S If dwelling number of dwelling u(rits . , , . , , • , • , , , , , • Number of dwelling units n ca($r.o (to be p id o fill Shis,a.p ! t . .' garage, number of cars . . . . . °r • • 6, ' If business, eotmrnercial or mixed (occupancy, specify nature and extent of each type of use . 7, Dimensions of existing structures;if any: Front . . . . . . . . . . . . . . . Rear Depth , . • . . • . . • . Height . . . . . . . . . . . . . . . Number of Stories . Dimensions of same structure with alterations or additions: Front . . • . . . • . • • • • . . • • • . ' . ' . • ' ' • ' • . Depth . hIcight . Rear . . . . . . . . . . . . . . . . 8, Dimensions of entire new construction: Front , Number of Stories . . . . . . . . . . . . . . . . . . . . . . HeighHeight . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . t • • • • • • • • . . . 1 `g,,�t�mb�rofStorics . . . . . . . ' • Size of lot: Front . . . Rear . . . . / 'L y. . . . . . . . . . . . .Depth . . . . . . . . f. . . . . . .. . . . . . . li . Date of Purchase • i, , . . . Name of Former Owner .IJ '."au,e' . • . • . . ' 11. Zone or use district in which premises are situated , ' ' ' ' ' ' • ' • • • ' 12, Does proposed construct' n violate any zoning law, ordinance or regulation: ,, 11 D • • . , • • . • • . • . . . . • • . . • . . • 13H Will lot be regraded, ry' �^`� Will excess �{11 be rerrrr��,,ovcd fr,o�,�n premise Ye o 14, Name of Owner of premisesy �, ?('I� Address (f70,1tAYf�tICJD H1 ,�! Name of Architect tt ��Y Phone „ �� Address . Phone No. Nance of Contractor rr G.rl� •I?p�(S , , . , , , , • Address � 444'76 t j �. f:+� 15. Is this property within 30,0 feet of a tidal wetland? w � �hQne No. t * yes, wn Trustees Permit may be required. ” ' Nolti . . . . . . . If es Southold To PLOT DIAGRAM } Locate clearly and distinctly all buildings, whether existing or proposed, And.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street n s and indicate whether interior or corner lot. ii 130 , . aS �— — f33 Jovl-b-oM60)A crroj TATE OF NG\ Y QUNI'Y OP . r� 'l4• S.SI '4Tt`,of'iti;l't 3 a11n1+p1:I31i1Fk11P ��q� . . I3ifiShgtll� • • r ; • , . . f, ;s:bMng duly sworn, deposes and says that Ile is the applicant (Name of indivittllual s ing contract)' :ovc named. n\�,�¢� ry�' is the . . . . . . . . . �1� �� err,pp ? ` t -,' Z 13-rte �. . (Cot)(pact6o,ag'er1t,'corporate officer, etc.) said owner'or owners, and is duly authorized to perforin or have performed the said work and to make and file this Plication: that all statements contained in this application are true to the best of his knowledge and belief; and that the +rk will be performed in the manner set forth in the application filed therewith. 'orn^toAbefore mee,tthnis - 1 � :.q .day of. `:�... . . . 19 :14' rp tary It Public,\.�'��Y,� . , , . • . '1-�'' . . .\. unty FRANCINE CARLOMAONo NOTARY PUBLIC,State of Now York / Pig ' ' ' ' ' 'No.OICA�SO6675 c ( pplicant) Qualified in Suffolk County tFt�'Q ,, .'11w4 Commission Expires September 9; til NY AL 7-ERf'. FiCV OR 6G010Cy IL) TO ccy,.PLY V,'.- SAO Z % % f �7 r1 t LLI Uluiza % 5 The foco)iors of wtlls and K S. 00!:3?A VA T AN As r' 01A Y"Il