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Home My WebLink About20891-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22129 Date JANUARY 28~ 1993 THIS CERTIFIES that the buildin~ ADDITION Location of Property 5700 NASSAU POINT ROAD House No. Street County T~x Map No. 1000 Section Ill Block 12 Subdivision Filed Map No. CUTCHOGUE~ N.Y. Hamlet Lot 2.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7, 1992 pursuant to which Building Permit No. 20891-Z dated AUGUST 17~ 1992 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 SWIMMING POOL ADDITION WITH FENCE & DECK AS APPLIED FOR. The certificate is issued to JOSEPH & CYNTHIA PERRINO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-251521 - SEPTEMBER 24~ 1992 / B~lding Inspector Rev. 1/81 TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PER~.IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne_N°. 20S§]Z Permission is hereby granted to: , ,~ -~ ~,~.._~~...... ~~..~.~;;~,-~ ~.~; .~.~.z...~.~..~.....~y2.<...~....../..~.. ,o ...... ~~...~...~.~~....~.~.-.~._~::-......~.~ ~...~ ........ ~....C~......~....~..~ ~ ~-:~ ...... ~..~..~. .................................. ot ~remises located at ................................... ~.~.,Z.~,, .~,. ...... ~..~.~..~..... ,.~,..~..-. ........ ............................................ .~ ................ ~..~.+/.~ .................. ~_~ ............................ ...................................... :~~..~..~..~-~~ ~~.--~---- ....... ~..~....../... .............................. County Tax Map No. 1,000 Section .... /../'/ .......... Block ........ ./.~ .........Lot No ........... .~..:.../..... pursuant to opplicotion doted ................ .~".~.:.....2.~ ............... I~)Z~..., ond opproYed ~ the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMElfr TOWN HALL 765-1802 i*,~,~,-; ' , 'i~CAT~ON 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 I% 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, i957) non-conforming uses, or buildings and '¥re-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 ~pplicant. 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 buildinE $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ........... House No. Street Hamlet Onwer or Owners of Pro rty ................... w ............... - ................... County Tax Map No 1000, Section ........... Block ............ Lot .................. Subdivision...~?. ?.~.~..'f.~X*,~.[? .............. Filed Map.. l ..~.& .... Lot...%. ................ . Permit of . pplica.t£.*f ..... Health Dept. Approval ...... ~.~. ~. ........... Underwriters Approval ................ Planning Board Approval ...................... Request for: Temporary Certificate .......... i Final Certicate ........... Fee Submitted: $..~ ~. '....--~. ................. ............... ........... "' ,..,oo. ooo ~,,¢,/.zoxo& ,o:--- 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. [ ] INSULATION DAT£ /~~//~ *'2~*~ I NSP£CTOR~/__~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION /ST [ ] ROUGH PLBG. [ ] FOUND/IkTION 2ND [ ] IN~ATION [ ] FRAMIN<5 [ P]~F'INAL DATE ~ GEORGE PONTINO BUILDE~R P.O. BOX fi STILLWATEER AVENUE TELEPHONE: (S1G) '734-5128 CUTCHO~UE, NY. 11935 OUNDA'TION ( lst) OUNDATIOU (2nd) :OUGH FRAME & .?LUMBING ]~;SULATION PER N. Y. STATE ENERGY CODE FI~;AL ADDITIONA'L COMME~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... ng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTtt ......... 3 SETS oF PLANS ......... SURVEY CIlCCK ................... gEPTIC FORH ............. ' -' .(.??.4. CALL ...... HAIL TO: Date ...... ~/~ ....... , 19 ~ a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets of plans, accurate plot plan to sca!e. Fee according to schedule. b,. Plot plan showing location of lot and of' buildings on premises, relationship to adjoining premises or public streets Dr.areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. ¢. 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 ;halt 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 ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or {egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. --- (Si=nature of applicant, or name, if a corporation) ,q~..~... ?.W_~/~,~ .~,,~../~. :~.. ~.~,~; (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, eno4neer, general contractor, electrician, plumber or builder. Name of owner of premises./;~'c~...*-~41C2 0....'~7'....~.~Je'.'.'d'~. t, .q~....~d... [ ~[~ ..... , (as on the tax roll or latest dee~) ~2~ ~/ ~ ffapplicant isa corporation, signature of duly~Z~o~f~, ~ D~~B.R ~ ~ ~ {~ ~ '~.~H '~ [1~ FEE: ~' ~ BY~/~. ~l ~l~/ ~i~ N~I~ BUILDING DEPA~NT AT .............................................. 765-1802 9 AM ~ 4 PM'FOR THE Builder's License No ......... . ROUGH - FRAMING & LUMBING Plumber's License No ................ ;~' ~. ~----~-- 3. ,NSU~TION UGGUFANG Electrician's License No. ~? 4. FINAL CONSTRU~ION MUST , ' ..................... BE COMPLETE FO~ C.O. ALL CONSTRU~ION SHALL ME~ Other Trade's License No ...................... THE REQUIREMENTS OF THE N.Y. . ~ I~ STATE CONSTRUC~ON & ENERGY Location of ]and on which proposed work will be done .... Q~. · · ~DES... N~.. RES¢ON~BLE. ~QR xOESIGN OR ~TRUQTION ERRORS . .~ ................. ~ .~¢...T~ .............. x~.. :m,~ .......... IIouse Number Street Hamlet Cou.tv T= ~p ~o. ~00o S~tion .... /Z/. ......... mo~k .... 4~ ........... ~ot .... 2, 2 ......... Su~Si~i~io~..~..~;~ ~ ............... ~il~d ~{ap ~o.../~ ...... ~ot..~ .......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: =. ~xi,~in~ ~ ~,d o~pan~y . ./.. ~... ~ ............................................... b. Intended use and occupancy ./f.. ~ ~ ~"' ~9~"V/ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ......... Repa/r .............. Removal .............. Demolition .............. Other Work Cf¥¢~*?,.~;. ~.. · (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling.units ............... Number of dwelling units on each floor · If garage, number of cars ...,,.~,'v .................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of eac.h~ype of use .................... 7. Dimensions of existing structures, if any: Front .. ~9 t .. ~... Rear . .,2~ ......... Depth .. ~-~.'2 ........ Height ...~.~( ........ Number 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 ......... ~_: .................................. '; ......... 10. Date of Purchase .-7/~fZ-. .... : ............. Na.me o~' Founer Owner ."~_~,c~,'~.~. ~b~rd i .'~/'c. .... 1 I. Zone or use district in which premises are situated...'7~t~c~-]-~..'l ...................................... 12. Does proposed construction violate ;iny zoning law, ordinance or regulation: . ./L,).D. ......................... 13. Will lot be regraded .~r/~._'5 .. ...................... Will excess fill be removed from premises: Yes 14. Naa-ne of Owner of premises ~a~..~,~ .... Address ~..'-F~...~>..~..0_.,4~.. Phone No ................ Name of Architect ........................... 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. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, anti. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether inter/or or corner lot. STATE OF NEW YORK, S.S COUNTY OF ............///A"7'~'J,~X. ..,.~ ............. being duly sworn, deposes and says that he is the applicant dis idual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 l~ot~ Public,, State Of N~m~ (Sign ature of applican t) No. 4952246, Sufl~l~ Term ~June