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Home My WebLink About22424-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-24077 Date DECEMBER 13, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 210 NORTHFIELD LANE SOHTHOLD NY House NO. Street Hamlet County Tax Map NO. 1000 Section 79 Block 3 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 1994 ~ursuant to which Building Permit No. 22424-Z dated NOVEMBER 1, 1994 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 AN ACCESSORY INGROUND SWIPING POOL WITH FENCE ENCLOSURE AND D~CK SURRO%FND AS APPLIED FOR. The certificate is issued to JOSEPH & ANGELA BAVINO (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N352435 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A MAY 22, 1995 N/A Building ~r FORM BUILDING DEPARTMENi' TOWN HALL SOUTHOLD, N.Y. No 22424 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Building Inspector. Fee $.. ~, ,..~', ,,~),, ,..., ,':~.,,, Rev. 6/30/80 and approved by the Building Inspector / L:6 - ?/995 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OY SOUTHOLD BUILDING D EP ART~MENT TOWN HALL 765-1802 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. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 9pre-existing" land uses: t. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A erooer!y completed application and a consent to inspect sig"ned by the applicant. If'a ~ertificate 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 850.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ......... .................. New Construction .... ~ .... 01d Or Pre-existing Building ...... Location of Property ..... '.~.L.© ....... '.~f.~-f~. f.~.~(.~-~'~.-- '~: '~ff~''~f ........... House No. Street Hamlet Onwer or O~ners of Property ...... ~. ?..~.~//........g-- ~?~. ~'..~.gff..~. .......~...~/. (t~ ................. County Tax Map No 1000, Section ..... Q2~...Block ...... 3 ........ Lot ..... ~ ............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~..~.~..~..~. .... Date Of Permit ................ Applicant..~:.~ ~'- -/~- '~'9'2~'~ ..... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cer'ticate ........ Fee Submitted: $ ............................. 5o5 > .... . .............. E~ r (T SET (6"R) SET. AIGHT SET, (6"R) R :SET KIT iNGLE Typ E.'m'~ MBLY SET NG'STRAIGHT SET (6"R) CORNER ?SET . WARE KIT I minimum standards for residential pools, If diving boa fs or s ides a e o be []se i Spa & Pool Institote's minimum standards prior to installing diving boards er s[ide~ I Spa & Pool Instilute, 2111 Elsenhower Avenue, Alexandria, VA 22314 · 7031838-008;~ ,7~ 4~8',, '};i' b'" 14', §'6" 4'6" 4'6" 7; 4'8" ,*' 12' 14! 5'6*' 4'6*' 4'6" '9i 4is" "i!3~6" 15~6' 7' 4' 6' $' 510 SUMPTER DRIVE FORT WAYNE, INOIANA, 46f~ ~T, U.S.A. 219-432-8731 S'i"!_O O- I RECTANGLE THIS BROCHURE IS FOR ILLUSTRATIVE PURPOSES ONLY The m~ufecturer makes only those representanons which are stated m I 510~ 0°20 102.00 102"00 137000 STATE ENERGY 'IT SET (6"~) SET PE isET IAIGHT SET (6"R) ;R 'SET . · ~IGHT ,KIT tYPE NG/STRAIGHT CORNER )WARE KIT E !'F : ,, H J K [m. ;' 8' -14' 5~6" 4'6' 4,6" ,, 7' 4'8" ~' !0! t~, 5'6" 4'6" 4'6" 7' 4'8" "i~ i" , ~ !, "~ 5'6* 4'6" 4'6" 9~ 4'8" -~6' m'-6~,7', , ,, '4', 6" :8" 5'~', STLO0- I SCALE 3/32": 1' RECTANGLE d minimum standards for residerllial pools. If diving boards or slides are lo be used Spa & Pool Institute's minimum standards prior to instailblg diving boards or slidea ~1 Spa & Pool Inslilule, 2111 Elsenhower Avenge, Alexandria, VA 22314 * 7031838-0083 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. []FIREPLACE & CHIMNEYI ,,, ~~~,~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ]/,/~J~ATION [ ] FRAMING [ ~NAL [ ] FIREPLACE & C~HIMNEY ~ DATE INSPECTOR ~/~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 2 1185077 BUREAU OF ELECTRICITY ~ ~ 85 JOHN STREET. NEW YORK. NEW YORK 1ooae · I-~b, MAY 22,1995 0720[895/95 N 352~35 THIS CE~IFIES THAT o~y the e~ectric~ ~uipment ~ ~scdb~ be~w a~ i~t~uc~ by t~ ap~icant Mm~ on the a~ve appli~tion number in the prem~es of JOSEPH SAVINO, 210 NOR~ffIE~ RO~, ~OUTHO~, N.Y. Lot ~s examined off and found to be in compliance wHh the Na~on~ Electdc~ Code. DRYERS FURNACE MOTORS FUTURE APPLIANCE r~EDERS A/~T. K. W, OIL H, P GAS H.P. .~4T, NO, ~ A.W.O. SERVIC~ DISCONNECT NO. OF S AI4T. A~P. /YPE ~U~. ,~'2W t..~3W 3,~3W 3,~'4W OTHER APPARATUS: made by a qualified person. RANGES ;PECIAL REC'PT R COOKING DECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET V I C E EXHAUST FANS DIMMERS NO. OF CC. COND pER ~' A W G. NO OF HI-LEG OF CC. COND. A W.G, NO. OF NEUTRAL$ OF HI-LEG OF NEUTRAL ROSLA[( gL~CTRIC P. O. BOX 164 CUTCHOGU~], NY, 11935 LIC. #3677-E GENERAL MANAGER 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1185077 BUREAU OF ELECTRICITY ~-- '; HAY 22,1995 es JOHN STREET, NEW YORK, NEW YORK looae 07201895/95 N 352435 Dat~ /Ipplication No. on file THIS C~IFIE~ THAT o~y the e~tr~ ~Bipment ~ ~scrlbed be~ a~ int~uc~ by t~ ap~icant Mined on t~ a~ application numar iR t~ prem~es of JOSEPH SA~NO, 210 NORT~I~ ROAD, SOUTHO~, N,Y. in ~s examined on and found to be in compl~nce with the NaMe,al Elect~cal Code. OTHER AP~R~US: SWIt94ING POOL- 1 TIME CLOCKS-AMP. 40-1 G.F.C,I-I G.F.C.I~-'I *(SWIMMING 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 Continued on Page GENERAL MANAGER 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 ~,~ST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. t-~u)G. F~:P'L I TEL.: 765-1802 ~-~,~,!~;~o,~ ........ ~ 9,-/ Examined .. ~.g~.//~/. /..~.., 19~.T , / Disapproved a/c ..................................... APPEICATION FOR BHILDING PERMIT INSTRUCTIONS NOTIFY= CALL ................... HAIL TO: /.o/. Date ..... ~. ~. ....... ' 19 . a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 shall 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 shall 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regui~tions, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The 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. ,~' ... ,/)..:..,,¢.e.7.~..,..¢.~..J'..~.L....._z~..c..: ........ --- (Signature of applicant, O~ qame,.if.t~.~or~of~tion~) iling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' . .... .......... i Name of owner of premises ....... /h~ . deed) If a~ corpo/y,~on,~g)nat~r~/~f, dul~ authorized officer. ~ . . . //. .~~./l. · ' ~~7o~-;~;;~,~[;) ...... Plumber's License No. ' Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ...~/.e .......... .~?. ~p~ .F..,.~.,.o. ....... 4..~/~~. ..... . ........... .X..~. ZT/~ m.. ~. Y, .......... House Number Street Hamlet County Tax Map No. 1000 Section ' .O..?.e) ....... Block '-~ Lot. 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 r b. Intendeduse and occupancy ................. .~...f>.~../.~..6..9~..~7...//~......r.~/./. j~7~.....~../~.~ ........... Locate clearly and distinctly all property lines. Give street and block interior or corner lot. 'I 3. Nature ofwor ( heck winch apphcable): New Build~ng .......... Addition .......... Alterarion ........... Repair ............ '- Removal .............. Demolition .............. Other Work....~. 4. Estimated Cost ........................... Fee .................. .............. i (to be paid on filing this application) 5. If dwelling, number of dwelling )nits ............... Number of dwelling units on each floor ................ If garage, number of cars i 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ 7. Dimensions of existing structure's, if any: Front .............. : Rear .............. Depth ............ Height ............... Number of Stories ........................................................ Dimensions of same structure w~th alterations or additions: Front ................. Rear .................. Depth i Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height Number of Stories - 9. Size of lot: Front ........... .i ........... Rear ...................... Depth .................... 10. Date of Purchase ........... i ......... . ......... Name ofFo. rmer Owner ........................... 11. Zone or use district in which prdmises are situated ......... .f'.~f .~..6'~. Z%Z~ ...... 12. Does proposed construction vlol~te any zoning law, ordinance or regulation: .......... ~ ........ ~:.~'.... 13. Will lot be regraded ......... ~ ................ Will exces~fill be removed from premises ~' No 14. Name of Owner of premises ... !. ~,~.~..~f~O. l..~. ..... Address . .U~h~.~flf.~}o ..... Phone No ................ Name of Architect ...... .' · :' I ................. Address ................... Phone No ................ ~ Name of Contractor . .~.../'(.~6{fz.. ~.. ,f-. ffA'-~.. Address .... ..~/~ ~-~.. Phone No...~.~.%(~.. ~. ¢.. 15.' Is this property within 300 feet of a tidal wetland? *Yes ..... '... No.~ ..... · If yes, Southold Town Trustees Permit may be required. - PDOT DIAGRAM buildings, whether existing or proposed, and~ indicate all set-back dimensions from mmber or description according to deed, and show street names and indicate whether STATE OF NEW YOR.~ ~' ~-, ~ coum-v OF. ..... SiS ...... z. (Name of individual signin contract) above named. R~O~J~q~ENTS OF THE N;~ CO~JSTRUCTION & ENERGY ~JOT RESPONSIBLE FOR CONSTRUCTION ERROR8 · He is the ...................................... ./~..q~.. .... . ........................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly iauthorized to perform or have performed the said work and to make and file this pphcatmn; that all statements continued m th~s apphcatton are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this ........ / . .,.,.,~./~ .........day of. Notary Pubh. c ........ .... .... ,......, .... ~/~ County Notary Public, State of L,',w York applicant) m[ m expires october 31 [ 1 ,~'~_