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HomeMy WebLinkAbout22047-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-23156 Date AUGUST 10, 1994 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property. 4800 NASSAU POInT ROAD House No. Street County Tax Map No. 1000 Section 111 Block 8 Subdivision Filed Map No. Hamlet Lot 11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1994 pursuant to which Building Permit No. 22047-Z dated MAY 6, 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 SWIMMING POOL WITH A FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to JOHN & LINDA PIEEOLLA of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. 4849 PLUMBERS CERTIFICATION DATED N/A JUNE 15, 1994 N/A Rev. 1/81 No 22047 Z FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT 1'OWN HAU. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted. J,o'. / / / ~ j ~, ./ ~ ~' ...?.....:.../....~.~. .............. ~ ............................ .:. .~.~...~....~ ....... ~,.~....:~...,.. ...... .: .............. .:..: ............. ~ ......... ,, .... ::>......~>.>~:~.~~ ~.~~.....:',~-~...~...,~: at premises located at ....... .~....~.....o. ........ ~.~....~..f~' .~.....~ .............................. County Tax Map No. 1000 Section ...... ./.../..~. .......... B~ock ......... ~ ............ Lot No .......... ./..~. .............. pursuant to application dated ........ ~.~.. ................................... 19... ~..~....., and approved by the Building Inspector. Fee $ ,/c~'~ / ,.~, J Buildihg Inspector Rev. 6/30/80 Form No. 6 TOWN OF 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 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 isstallations, 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 'Tpre-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, Swimming pool $25.00, Accessory building $25.00: Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $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 Date ............ .~. ].~./..~-~ ................... New Construction.. ~. ..... Old Or Pre-existing Building ................. Property ........ -~..~-~. ~ ........ ~-~ .~.q k~... ~.~.....~-~.~.....~..~..~..~..~.~1 Locatiou of House No. Street Hamlet Onwer or Owners of Property .... ~.~K~ .... ..~J '~.%~-~D.~.[O~,,. .. County Tax Map No 1000, Section ....... ~.1 .... Block ....... .~. ...... Lot ........ ~.[ ............ Subdivision .................................... Filed Map ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.~ ..... Fee Submitted: $ ..... ~.~. ~. ~.~. ............ / ~ .... ELECTRICAL INSPECTION SERVICE, INC. ':; / 3751)UNTDN AVENUE ..... ~ 'EAST PATCHOGUE, NEW YORK 11772 4849 ADDRESS: ~'8 ISSUED TO: ' INSTALLED BY: was examined on 6-.15--o. J4 and found to be in compliance with the Nalional Electrical Code. 1 K.W ', ~ll~T K.W. ANIT, K.W.---~IL fR.P. GAS I"I.P. AMT NO. 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [~INA~ REMARKS: ~:~/~ ~~ ~2 DATE INSPECTOR Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 3, 1994 Randy T. Rodecker, Inc. D/B/A Swim King Pools 471 Route 25A Rocky Point, N.Y. 11778 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 Occupancy 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 # 22047-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: '! FO Swi King ' ~I,'* '. *.., '~'.,',,~,;~. " PLEASE REPLY NECE$$AR~ u :*~,~ : ,~ , ' '. III I BOARD OF HEALTH ......  , 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... ~ BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 i _,, TEL.: 765-1803 MAIL CALL TO-----' .7.44-:81.QQ..-=.. Examined~.~-[9.~. ' SWIM KING POOLS ..~-/~ ........... 19.~/~.PermitNo..'.~...~_...~). · ROCKY POINT, NY Approved 11778 Disapproved a/c ..................................... (BffildinggIdasp e ct or ) APPLICATION FOR BUILDING PERMIT Date ..... 4/t 97-¢4 .... , 19... INSTRUCTIONS 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 Southol.d, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, 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. RANDY T. RODECKER, INC. d/b/a · 4.7.1..ROU.T.E. 2.5A,..ROGI~Y. POINT;..NY.. -1.1.778. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... RANDY..T. ~ · RO.DECKER..AGEN. T. · FOR..OWNER. ......................................... 'JOHN PIZZOLLA Name of owner of premises .......................................................................... (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. .... py. ' ........ " (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ...... 214.12tii ............ Plumber's License No ....... .N./.A. .............. Electrician's License No. 2675~i ................ Other Trade's License No ...................... 1. Locationoflandon whichproposed workwillbedone .................. ~.v.w~.~a~au..Zo=n.'c.a~ ...... ........................ : ............. House Number Street Hamlet County Tax Map No. 1000 Section ..... 111 .......... Block ...... 0..8: .0.q ...... Lot...1..1 :.O. qO. ......... OI "· Subdivision ..... ".N.A..S.S.A.U.. p...NT. Filed Map No ............... Lot .. 1.5.Q ........ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ONE FAMILY, RE~,t.D,E.]~.~ ~ ................................. b. Intended use and occupancy . .1..6..x..~. !~.~.9~...1~)). ,S.W'~.M.IN..G POOL, 4 ' FENCE TO CODE 3. Nature of work (check which ~ pplicable): New Building ..... ' ..... Addition ...... x', .~iti~pn .......... Repair .............. Ret ~oval .............. Demolition . ., ......... 4. Estimated Cost .~79.O.Q in ground swimming pool. 4' fence,.~, (Description) ................................ Fee ............. ~ .[ :',. ~ ............. *' (to be paid on fil!~lication) 5. If dwelling, number of dwellin units ............... Number of dwelling units bfi~,~,:w'"~l~i"'i~-~ ........... If g --- . arage, number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7 D' ' sofe ' 'ngstmctu} 'fany F Rear Depth · lmenslon xlstl es, 1 ~ ront ............................................ Height ............... Nutnber of Stories ........................................................ Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth .................. .[... Height ...................... Number of Stories ...................... ---8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............ Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ......... ~ R pth · 1 ............ ear ...................... De ...................... 10. Date of Purchase .......... i ................... Name of Former Owner ............................. 1 1. one or use dmtnct an which p~'emmes are mtuated ..................................................... '12. Does proposed construction violate any zoning law, ordinance or regulation: .......... 13. Will lot beregraded........,....................I Will excess fill be removed from premises: Yes No 14. Name of Owner of premises I . Address Phone No. Name of Architect ,' ' Address Phone No Name of Contractor ' Address : Phone No 15. Is this property locatedI within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trhstees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro~' property lines. Give street and blocl: number or description according to deed, and show street names and indicate whether interior or corner lot. FOLLOWING ~MSPEC'TION$: 1. FOUNDATION TWO 8EQUIRED F©I;~ POURED CONC. RETE 2, ROHGH F[qAI,~ING & PLUM~[NG & FINAL CONSTrUCTiON MUST BE COMPLE E FOR ~'- ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY C©DES. NOT RESPONSIBLE FOR DEolGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, COUNTY OF..~0'~6.[.~d,~ .... S.S ...... (. '~tt~t..~.-.t..~. ~.~..4.~-0~.-O.-..177. ............ being duly sworn, deposes and says that he is the applicant (Nan~e of individual signing contract) above named. He is the ................... .rT. .... .~.O..~ .... '~,T&..O.. [ .% ...................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................... day o ...... ~ .......... 19 . ! Notary Public .......... ~o.~.~. O.\. '.(. ............ County / ~._e /7. ,  NOREEN L HAGER / N~, / / // Quallfledln~ll~k~ / [ (Signature of applicant) ~ ; ' · EPT. ' ' ,' , Ill ~ ~z~ ~,~,