The URL can be used to link to this page

Home My WebLink About20408-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22522 Date AUGUST 12~ 1993 THIS CERTIFIES that the building INGROUND POOL Location of Property 550 MOUNT BEULAH AVENUE SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 3 Lot 2.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 11, 1985 pursuant to which Building Permit No. 20408-Z dated SEPTEMBER 25, 1993 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 WITH FENCE ENCLOSURE The certificate is issued to VINCENT TIRELLI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-730519 - JANUARY 13, 1986 N/A Rev. 1/81 FO~r NO. fi TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, H. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZe:D) Ne- 20408 Z Permission is hereby granted to: /~, ~/ ,o .......... County Tax /V, ap No. 1000 Section ......... ...~...Z ...... Block ........ o..';~.. ......... Lot No ......... ..'.~..~....~-... pursuant to application doted ............. ~..~... ........................ , 19~-~., and approved by the Building Inspector. Fee $...~~. ~,ev, 6/30/80 APPLICANT. 'THENEW YORK BOARD OF FIRE UNDERWRITERS ]'00]0~ BUREAU OF ELECTRICITY ~-~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in the following location; ~ Basement ~ ls~ $L ~ 2nd FI. C~atsi¢le Section Block Lot was exumined on J~ ~ ~ ]'{'~q~J and found to be in compliance with the requirements of this Board. DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: S E R NO, C OF NEUTRAL ~(.~W~ _t/~.~__in~ :.Foq~l~.)_ This c~ctificate ca)v~cs ~pli~ce at the ~te of insp~'tion B~mlse of ~]us~l ~m%s tt is ad~.[~].e '~ have fr~t test ~nd/or This cerfi~cate must not be altered in any manner, return ,o the office of the Board if incorrect. Inspectors maybe identified by ~'~e~ cr~de~tia,s. ~ COPY FOR BUILDING DEPARTMENT. THIS COpY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FO]II~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N. Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Dote 14312 Z ........... ~.: ......................................... , "..'"'-- Permission is hereby granted to: .......... ~.!.! ...... ..R...o..~.~?. ....... tim ................ et promises Io~oted at ....................................................... ~..'.~.~ ..................... ~. ...................................... County Tax Map No, 1000 Section ...... ...~../. ........... Block ....:..'~. ............. Lot No......~..:..~ ............ pursuont to application doted ?/~L~f- 19....°~..C and approved by the Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 "OUN 2. ELD I~:]l, Ei4~l iON UND~TION. (~st) UNDATION (~nd) UGH FRAME & ..... FLUMBING SULATION PER N. Y. STATE ENERGY CODE "' ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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. ~ B. For existing buildings (prior to April ~9, 1957) non-conforming uses, or buildings and Ppre-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 appli.cant. 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-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 ' Date ..... · . . · ........ · ........ · . . . New Construction .....· ... Old Or Pre-existing Building ................. Locatio'n of Property. ~.~. .... .~.~.?..~.~... .~.?~.~ /~..~..~.. House No. Street Hamlet 0nwer or Owners of Property.... County Tax Map No 1000, Section. Subdivision ............................... · -.. - Filed Map ............ Lot .................... .. ............... Date Of Permit .... .~'. ...... Applicant. . ....... Health Dept. Approval .................... - ·-- · . Underwriters Approval ...................... ... · Planning Board. Approval ......... . . . ..' ......... . Request for: Temporary Certificate ........... Final Certicate ..... Fee Submitted: $ ............................. ....... ~.~44%~ ~& ~B t APPLICANT' TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN llALL 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 ~oard 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. B. 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 - $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 · .ew Construction ......... Old Or Pre-existing Building ................. Itouse No. Street Hamlet perry ' :uu,,ty Tax No 000, Soetio.... ([ .......... Lot. ubdivtsion ...... · :. ........... · -.,Filed Map ....... Lot..~ ................ ........... Date of Permit ....... ' eal~h Dept Approval ' Underwriters Approval !arming Board Approw~l ..................... ~-q.est for: Temporary Certificate ........... Final Ccrtica~e ........... Submitted: $ ................ APPLIC\XT FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approva~ of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1,00 // New Building ........... Old or Pre-existing Building ........... Vacant Land . ./~.~. J ...... Location of Property ~'~ '~ ~'~~'/~,~- ~-'/~- House No. Street Owner or Ownersof Property ~ ~'~ ~ c~ o ~ ~ ~ Hamlet County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No, , J .5~.~ ,~.~. Date of Permit .... ~...~ .Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ..... ,~, !~.. ~..(~. ,~ .~'.' .......................... 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Approved ...... ?/. '.v~.. .....19~"SPermit No /¢S/J'- Disapproved a/c ..................................... BLDG. (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 Southold, 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, b...uil4~ cs)de, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary~sp~.f---~' s. (Signature~ - "of applicant, or name, ifra~orporation) (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or 15uilder. ........................... , ............................................. Nameofownerofpremises..~....~.~ .~:...~...~..,.. ~ ' · (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's Licen.se No ..... V.~..4"7'. .............. Plumber's License No ......................... Electrician's LicenseNo ....................... Other Trade's License No ...................... 1. ,..L, ocation of land on v~hich prppo,~e4 ~o,.rKwill 1~ qlqmte .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ......... ~.. [ .... Block...~ ............. Lot...~ .~..6. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy o~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~._.~.~t/~..~.-~..~-~. ...... ./ .......... ~% .......................... b. Intended use and occupanc L~~:.)5~: . ~g~ ~ .!:~,; ~ 5 = ~ ~c~ ............. r 5. 10. 11. 12. 13. 14. Repair;~ q:. ( ......... Remo!al ............ Demolition ............. i~ ~i ~ i i Other Work.~/.)v%. ~.(~./~. ' ~' (to be paid on filing this application) If dwelling number of dw~llt'fig uqits Number of dwelling units on each floor If garage number of cars i .~ !] '-' '-' If business, commercial or mixed ioccupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures if any: Front ............... Rear .............. Depth ............... Height Numb r of St ries Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... I' Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories .................................................. Zone or use district in which premises hre situated ..................................................... Does proposed construction violaie any zoning law, ordinance or regulation: ......... ~.0 ................... Will lot be regraded . . A,.)..(~....~.~ .............. Will excess ~11 be removed from premises: Yes Name of Owner of premises..~.[ f~. CL~I ........ Address/B~t-6:~OT t-d) J~L.~/~ ~.q¢)~ Phone No ..... Name of Architect ~ ....... i ............... Address .............. . .~.L~... Phone No ................ 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 names and indicate whether interior or corner lot. Sworn to before me this ........................ day of. Notary Public, ...... ~..~.'. (Signature of applicant) STATE OF NEW YORK, COUNTY OF ................. S'!S ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) above named. He is the ....................... ! .................................................................. i (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 contalfied in this application 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. o ~ :~ ~ .=--'"-~ S. 00°.48 50"E. 2~1.04 ' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION [ ] FRAMING [,~"~L DATE INSPECTOR