HomeMy WebLinkAbout20775-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26741
Date: 10/13/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 762 NAUGLES DRIVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 99 Block 5
MATTITUCK
Lot 12.2
Subdivision Filed Map No. __ Lot No. ~
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 23, 1992 pursuant to which
Building Permit No. 20775-Z dated JUNE 29, 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 WITH DECK AS APPLIED FOR.
The certificate is issued to JOSEPH CUSUMANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 244031 07/23/92
PLUMBERS CERTIFICATION DATED N/A
/ B/i~ng I~spector
Rev. 1/81
lvOR,M NO. ~B
TOWN OF SOUTHOLD
8UILDIHG D£PARTMEHT
TOWN HALL
$OUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~N? 2077~Z
Permission is hereby granted to:
.....?.~...~.~.....~, ~.~ ...../../...z.~ ......
-. "'"'"; ...... '7' ...... 7'".~. ' A
....... AL....../J.f./..(.,.~,/. ....... ~_~.: ...................................................................................................
at premises located at ....... :~. ,/.~., ....... ...~..~.~...~..~..~/.~.~.~. ......... ~..~..: ........................................................
................................................... ~..~.~...~.z:..~ .~./~ .......... ....~..:..~..: .........................................................
............................... ...........................................................
County Tax Map No. I000 Section ...... ff~.. .......... Block ~'~ Lot No. /'~' '~
pursuant to application dated .................. ~.~.... lg.f.~.., and approved by the
Building Inspector.
Fee $..~.....~..'.....~. · .....
Rev. 6/30/80
Ao
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 submi
inspector with the following: for new building or new use:
1.
the building
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 building
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, 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 Qccupancy on Pre-existing Buildinm - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - ~50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... ~ /~/Old Or Pre-existin~_Buildin~2~/~ ..... ................. .~...'. ~..~..z. ~
Location of Property ........................... ~ ...........
House No. S~reet Hamlet
Onwer or Owners of Property..~.~.~--~.~. · ~ .~. ~.-~- . .(~..MV~....~...f~.~ .........................
County Tax Map No 1000, Section .......... Block ............. Lot .....
Subdivision .. Filed Map ......Lot....../~ ~.~... ..........
Permit No ~'V'~S~--' Dat ~ -~ ~.~ ~Z A ~licant .
............ e Of Permit ............ p~ · · .........................
Health Dept. Approval .......................... Underwriters Approval .......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
FOUNDATION (1st)
FOU~DATIO~ (2nd)
2.
ROUGH FRAME &
.PLUMBING
INSULATION FERN.
STATE ENERGY
CODE
FI;IAL
r .t
o
Town Hall, 53095 Main Read
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 25, 1996
Mr. Joseph Cusumano
710 Naugles Drive
Mattituck, NY 11952
Re: Building Permit ~20775-Z - (pool & deck add.)
Premises: 762 Naugles Drive, Mattituck
Suff. Co. Tax Map #1000-99-5-12.2
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [/~NAL
REMARKS: ~ ~
/ /
INSPECTOR .~c.~ ~/~/_~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1095037
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
~ $1IL¥ 2.3,1992 03325292/92 ~ 24~3i
FIXTURE
OUTLETS
DRYERS
FIXTURES RANGES OVENS FANS
OTHER
SYSTEMS
E R V I C
NO. OF CC COND, A W O NO OF HI-LEG A,W.G NO. OF NEUTRALS A W G,
~THSR APPARATUS:
~ve fm~quent t,}st/aad or repairs
made by a qualii~ed porson.
RON/ON~r)E~, NY, 1177~
GENSRAL MANAGER
Per 11
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FRANK MESS, iNA
P,O, iBOX 244
584~.,,5245
TOW!4 OF SC'UfI~OLD
(A
0
(
P
JUN 2 4 1992
Examined .....
Approved .....
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1803
.....
me=it No.
Disapproved a/c .....................................
·tnglnspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH ............
3 SETS OF ~LANS ............
SURVEY .....................
CHECK .....
NOTIFY
CALL .....................
MAIL TO:
FRANK MESSINA
P.O. BOX 244
ST. JAMES, N.Y. 11780
584-5245
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 l~yout 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 throu~hout 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 Buildin~iP,'ormit~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, a.d, ditions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building i6'~le, btO~sijcut~,code, and regulations, and to
admit authorized inspectors on premises and in building for necess, a.~ i. ns~ect, io .~,)~m~....-...~ '
(Signatu~, ~ n' a'n~ e', ~ f'a" ~'6~l~o'rfizi~n') ' ' '
' . .... i ........
· . (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.................................. AF ..o. ...................................................
Name of owner of premises . .~ .~.~.~e~.....~. ?. ~.~. ?/{~. ~..O...'.7![0....~. .... .-~'~ .~,..?...F,....~..A.'7.Tf.?.ff:~'
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporgte officer)
Builder's License No ..... .~).1. ~..'~..6..'7..[.t .I ......
Plumber s Lmense No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location orlando, which proposed work will be done...~ !.O...~/..d..L/..~.~'~. 5. ?...~..
House Number Street Hamlet
County Tax Map No. 1000 Section ~. Block ~ Lot /~'g ....
Subdivision..'%. ~ ~ ..~ ................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed constrnction:
Existino occupancy ........ , , Q,. . .............................
....... · .. . ;,:,...~': '~, ,
b, Intended use and occupancy ............
ipplicable): New Building ..
3. Nature of Work (check which , Addition ........... Alteration .........
Repair .............. Removal .............. Demolition .............. Other Work ....
~ ' (Descr/ption)
4. Estimate'd Cost I 0] ~
"· ....... / ..................... Fee .....
i d ~ (to be paid on filing this application)
5. If dwelling, number of dwelhng unJts ........... Nnmber of dwelling traits on each floor ...............
If garage number of cars '
6 If bus ness conunercial or m xed occupancy specify nature and extent et ............
· each type of use
7 D'~ ' of ' ~ 'f F R
· J ]lenslons exJstmg structu cs, l any: rent ............... ear ............ Depth .......
tlm :~"~' · v :~.Nun ere cs ...... '"
D ........... With tion dditio'n 'F'r ................................ ' ......
unen~tg,~s~OJs~rnq~cture alters s or a s: ont ............... Rear .... ........
D$~t,h ~ ..;~, ~, ~., ,.:.., ,~. ~ ~i~ ....... lie ~ht . . N,,,~.e c,. · .
8. Dimen~inn~?tt£1~,a~.i,~n ......... i .... . 7",21 ...... '' %2 ....................... l'les ..............
9. S~ze of lot. Front .. t)-.g'- ,, · ,n~=, ,,, ..:_~ ..........
..... ' g'~' '" ......... t~ear .... ...t. ~r.~ .... no,~th ~'t'7
I 0..uate o[ rurcnase . rat/x-~ .. g'_'" ........ ~"~ ....... ~ .............
· . ..... ' · · · -./' '-..,'- ............ ~ame el Pormer Owner .........
I I. z, one or use alstrlct In which premises are situated ~...t-u-'~ " ' ..................
12. ,D,,.o..es. pr.oposed construction vl61ate any zen,ag law, ordinance or regulation: ............... ' ..........
13, wtu lot De regraded ........ A~.O ........... ' ......~ ......
Ix.l.~_ --c ,r~ .. , an ,,e.~, .~..',' '. [ ......... Will excess gll De removed from premlses:
14. ,,.m,¢ m ,owner et premises .~ff.~..tT0-ttf. q ....... Address . .710 /e/..~....6.c.e.T p ~one No..
Name of Architect .
Name of Contractor .~.~ftE'/..r~.. T~.~lt~.. ~..e~.' .~'.' Address ................... _P~hone No ............ ,.
Addres~ . ./o ~'t'~¢vr //uor~,,,,, ~a., "1-'/~,-- )~ ~..t '
15.Is thzs property located within 300 ........................... ~..~.-.~s.
feet o£ a tzdal wetland? *YES .... NO~.
· If yes, Southold Town Trust~e~ Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
~roperty lines. Give street and blocg
nterior or corner lot.
UNDERWRITERS CERTIRCATE
R~UIRED
number or description according to deed, and show street names and indicate whether
A. PP qOV, ED AS NOTED
NDYIFY BU~L,D~NG DffPARTM~NT AT , .
765-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - ~0 REQUIRED
FOR POURED CONCRETE I
2, ROUGH - FRAMING & PLUMBING
3. ~NSLI~TION ;
4: ~INAL - ~ONS~UCTION MU~T
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL ME~
THE ~EODiREMENYS OF THE N,~
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE F~R
DEAIGN OR CONSTRUCTION ERROR,S
'ATE OF NEW YORK, .
(Nam o~indi idual ignit~g'c~ ................
eve named, e v s ntracO
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERtiFICATE
OF OCCUPANCY
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
being duly sworn, deposes and says that he is the applicant
is the I
(Contractor ................................................
i , agent, corporate officer, etc.)
said owner or owners, and is dulylauthonzed to perform or have performed the said work and to make and file this
H/cation; that all statements contaioed in this application are true to the best of his knowledge and belief; and that the
rk will be perlBnned in the m~ner ~et forth in the application filed therewith·
om to before me this
... ~'~" dav ne
...... ? ...... ~ounty
Qu~ltfi~ In Suffolk ~uflty ~ - ' ~ ~'~ ' ~ ~' ' : '~ .......
.'.~.~?[8!~_~'~ (Signature or applic~t)