HomeMy WebLinkAbout23283-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24958 Date MARCH 26, 1997
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 37220 COUNTY ROAD ~48 EOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 69 Block 4 Lot 10.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 28, 1996 pursuant to which
Building Permit No. 23283-Z dated MARCH 6, 1996
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 INGROUND SWII~4ING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to STEVE & NANCY ROMEO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
M-050846 - JIFLy 11, 1996
N/A
Bu~lding~
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
[THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ....... ...~.~,..~. ~',. ................ 19..~...
N? 23283 Z
Permission Is hereby granted to: _ , ~, O/ ,/1
~...~.~..,,.~..:~.,...J..~
.......... ~.~..~.~.~.~V, ........ L~.~..~
..~.~...~.~~.~~.¢..~...:.~
~~""~~ ~ ~...~ ......... .(.:. ..~ ..........
oou~xM~pNo. ~000 sec,,o, ........ ~.~ ...... ,,o~ ......... ~ .......... ~o, No..Z~.,..~
~r~u~n,,o,~p,,~,,o,,~,od ................. :~..~.~ ......... ~..~.~... ~,~ ~pp,ov~d b~o
Building Inspector.
~oe ~.lff...~ ...........
Rev. 6/30/80
This application must be filled ~ by ~e~zcer OF, ink and submic:~d ¢o cb.e bui!din~
lnspecmor with ~ke following: for aew building or new usa:
[. Final su~ey of .proper~7 wi~h accurate location of al! buildings, proper~y lines,
s~rae~s, and unusual natural or topographic features.
Final Approval from 5e~h Dept. Of, wa~ar supply and sewerage-d!s~osai(S-~
Approval of elec~rlcal ~s~alla~ion from Boar~ of Fire
Sworn statamen~ from plumber cartlfy~g thaz ~he solder ~sed ~ ~yst~n contains
!ess chan 2/10 of 1~ lead.
5. Co~ercial 5uiid~ ~dustri~ build~ ~i~iple residences and s~5[ar buildings
and installations, a certificate of Code Comp'liance from architect or e~gineer
responsible for ~he building.
Submi~ Plann~g Board Approv~ of compla~a~ size plan requir~enzs.
For existing buildings (prior co April 9, i957) nqu-conforming uses, or buildings and
'Ypre-=--xis~mg" land uses:
1. kccuraEe survey of property showing ~l~ proper~y !~es, s~rae~s, bu~d~g and
~nusual na~ura! or ~opogr~phic faa~res.
2. i properly complegad application and a consen~ ~o ~spect si~ed by eke appiicanz.
if a Certificate of Occupancy is de~iad, ~he Budding inspector shall s~a~a
l, Certificate of Occupancy - New dwelling S25.00, Addi:ious to dwelling ~25.00,
Alterations =o dwelling $25,00, $,~Z ~ooi ~25.00, Accesso~ bu~d~g $25.00,
iddi:ions ~o aacesso~f build~ S25.00. Bus,asses S50.00.
2. Caruificaca of Occup~cy on Pra-~xisu~ Bu~d~z - $i00.00
3. Copy of Certificate of 0cc,apancy - ~ .25c.
U~datad Cer:iflcaza of Occupant7 - $50.00
5. Temporary Certificate of Occupancy - ~eside~ial
..... .......................
New Constant=ion.........../ 01~ 0r Pr~-~is=~g Bu~d~g .................
:o¢~=~o, o~ ~o~w...ZB~P...~....¢%<....~¢~~ ..... ~ ......./ .....
~ouse ~o. S Cree~
Subdivision .................................... Filed M. an ............ Lo: ......................
:~ ,w;?~'~ o o ..
........... ~n~e~_~-, ~ ~p~roval ....
Eea!%h Dept. Approval ............... ' ~ =~" - ....................
Planning Board Approval ........................
,/'
Request for: Tempor=_r-f Car~iflcace ........... .~znam Ca_~c .... -- ....
Fee .... .................
I'I.IIHI~ I lJ¢:
ST^TI': I(ttl':ltf~y
F [ I1^1,
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONlST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] I~ULATION
[~] FINAL
REMARKS:
INSPECTOR
M IDDL ~-
FEB 2 8 1996
LUG. DE:P].
'F~WN OF $OUTHO~
"IMMEDIATELY"
ENCLOSE POOLTO CODE
UPON COMFt,ETION
BEFORE ~
STEEr
, BARN
*-31:
S 49° 19'20"W
N/F BURNS
~o ×~o. ~ ,
W'~ L L-~0
250.0'
,~175'
.~'Vert/col Roll
Found w/th
,000-0 .0 -'000
S aro,'ee' indica'. o. ""' DESCRIBED PROPERTY
~ly to the per~n ~or
~s prepared, and ~ his behalf to ~e
title c~mpcny~ Govermental Agency,
,~.~ ~,,.~o., ~ ~.,.~ ~""~, ..a SUFFOLK COUNT~ N.Y
to the :ss~gnees of t~ lending inst;t~i~.
Guerantees are not transferable to . .e~ ~* · ~ ~ ~e-*~e ·
addlt~onal insfit~i~s or
S~V~Y~D FOR ST~VEN ond NANCY RO~EO
PE¢ONIC, ?'OWN OF SOUTHOLD
SURVEYED 12 MARCH, 1993
SCALE: I": 50'
AREA = 81,975 S.F,
or
I. 8819 Acres
GUARANTEED TO
STEVEN ond NANCY ROMEO
FIRST AMERICAN TIT~E /NS. CO,
THE LONG ISLAND SAVINGS BANK, FSB
TOWN OF SOU)NOLO
Unauthorized alteration or addition to thls
survey i$ a violation of Section 7209 of
the New York ,State Edu~allon Law.
Copies of t~s survey map not beorlng
Ihe Land Surveyors embossed seal shall
not be considered ta be a valid true
copy.
SURVEYEO 8Y
STANLEY ~. ISAKSEN, JR.
P,Q BOX 294
NEW SUFFOL K, N.Y., N956
(516,1
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
)isapprovcd ale .... . .............................
//_ ~Building Inspeo,o~
~LIOATION FOR BUILDING PERMIT
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
ClIKCK ....................
SEPTIC FORH ...............
INSTRUCTIONS
a. Tlds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 21
ts of plans, accurate plot plan to scale. Fee according to schedule.
k. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ti~n.
c. The work covered by this applidation may no~: be commenced before issuance ~f Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
all be'kept on the premises available for inspection throughout the w6rk.
e. No building shall be occupied or. used in whole or in part for any purpose whatever until a Certificate of Occupancy
all have been granted by the Building Inspector.
APPLICATION IS HEREBY N!A,B;*,~ the Buildin- D
~,~, ,-'. ,21,~m¢¢, [ ~pmmxenr Ior the mSuance ota ~uildin Permit ursuant to th
filding Zone Ordin~nd6-,~f tl~t~n of Southold, Suffolk County, New York, and other a licagble Law ~ e
· -ulations for ~,',' .... Pp s_ Ordinances or
-o , the constrdct~O~ o~' buildings, additions or alterahons, or for&eh ~'~:al~or demolition, as herein described
~e applicant agrees to comply with ali applicable laws ordi ...... ~,m~z~..~' ~aa' ..... '
..... ~c~,;tt~o~g~.~J~ /g.~smg coae, ana regmatmns and to
mit authorized inspectors on premises and in building fo~ece~~ ~g, // '
" . -,', . . / ~.o)gnatur~o,{, ,plic~f,,~ ,ifa orporation)
.......... .. (9.04
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumbe; or builder.
.... .......
........ '/'. .... &;'o'n';:e';a'x';;li ;; iit;;t'~;i~) .........................
,~pplicant is a cbrporation, signature o~' duly auth~orized officer.
(Name and title of corporate officer)
Builder's License No '
Plumber's License No .........................
Electrician's License Nb .......................
Other Trade's License No ......................
Location of land on which proposed work will be'done ...................................
"' " ~ cO ....
llouse Number Street Hamlet
County Tax Map No. lO00 Section .... ~..'.(~.~. ........ Block . .O..C.( ............. Lot.../.(J.',
Subdivision '
..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...........................................................
b Intended use and occupancy
3. Nature of work (check which ~.~-li,-~r,.~ ,,, .....
, rn,-~- ,-,-,,;~: ~ew ~uumng .......... Addition .......... Altera~n ..........
Repot .... Re oval .............. Demoht~on ..... ~ ....... Other Work~Q~...
4. Estimated Cost ...... osc on
~ (t
. . . o be paid on filing this application)
. If garage, number of c~s .... : ....... · .......
~d ~y .......................................
6. If business, commercial or mix occupancy, spec nature and extent of each type of use ...............
7. Dimensions of existing stmetu es, if any: Front ............... Rear .............. Depth ...............
Height ...............Number of Stories ...................
Dimensions of sam~ structure ~ith alte'' ~ L' ~ .............................
. raaons or a~mtlons: Front .............. Rear
Depth ................... Hei~ Number of Stories ............. 2.... .....
8. Dimensions of entire new construction: Front .~ ....... Rear . .
He Hxt ........ ~ ............... Depth
. ~ ....... Number of ~tones .~O.~& ~O~O ~o ~ ~ ...............
9. &zeoflot Front .. ~_ ' ................... ~'~ ..... ' ........ ~'
.......... De~th
I0. Date of Purchase .......... ~... .- . ......................
I I. one or use d~stnct m whmk pr'em~ses are situated ..................
Z ...... ' ............... Name of Fo~er Owner .......
12. Does proposed construction vio~late ~ny zoning law, ordinance or regulation' ~o .. ' ..........
Will lot be re,reded I/~ ~ , ..... · ........... . ...............
14. N~c~,.,~,~-.~'f ~'.'~;K.,LL'D~,''~"'wniex~essfillberemovedfrompremi
~v..~[?~,~ .~ q~.~. Address .... Phone No ...............
N~e of Architect ......... ~ .......
.......... · Address ]~4( ?~{~V 'a~' ' ..............
Phone No.
.........
15. Is this property within ~00 ~eee o~ a tidal wetland? *Yes ........ ~o.~ ......
· If yes, fiouthold ~o~n Trustees Permit may be required.
". i PLOT DIAG~
Locate clearly ~d distinctly ~l~build~gs, whether existing or proposed, ~d. indieate El set-back d~ensions fro~
propeay Hnes. Give street ~d block pumber or description aceord~g to deed, and show street n~es and indicate whether
~tefior or comer lot.
REQUIRED ,
765-1802 9 AM ~ 4 P
FOLLOW ~,~ ,..L'~ O~~
.... "'~ ~ ~%~ fie COMPL~ FOR C.O.
~,~ ' ALL CONSTRUCTION 8HALL MEET
~':~;'=-'~ .... THE R~QUIREMENT~ OF
~7, /;'~ l? ~';;,,,~;~A-~r~ STATE CONo. ....... ~E N.~
CODEs. NOT RESPON
S%XTE 0 F N'F~ y~g,, ~
s.s
"~~:~):~3'~[W~(" ' beingdulysworn, deposesandsaysthatheistheapplicant
(Name of i~divJdual signing]contract) ......
:bore named.
is the ....
. (Co ffi ..................................
~ ntractor, agent, corporate o cer, etc.)
said owner or owners, ~d is duly a6thorized to perform or have performed tl~e said work hnd to m~e and file this
pplicafion; that all statements containe~ ~ this application are true to the best of his knowledge and belief; and that the
'Ork will be perfo~ed in the manner sci forth in the application filed therewith.
worn to before ~is __ ~ ,
...... . /
Notary Publi~ S~te ~ New York ~~-~. r... ~.~~
Qualified In ~olk County '' ~ / ~gnature of aO licant