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HomeMy WebLinkAbout18956-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT O€f ice of the Building Inspector Town Hali Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219206 Date JULY 10, 1990 THIS CERTIFIES that the building INGROUND POOL Location of Property 1455 MARRATOOKA LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 04 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1990 pursuant to which Building Permit No. 189562 dated APRIL 16, 1990 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 ACCESSORY INGROUND POOL WITH DECK ADDITION AND FENCE. The certificate is issued to PAUL AND THERESA MILESKA i (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N134221 JUNE 11, 1990 PLUMBERS CERTIFICATION DATED N/A Bui ding Inspector Rev. 1/81 rows xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) x.8956 N ~ Z Dote .....T,1.f.G7 19..1. Permon is ereb raje to• n . a~s?'.~~.~....o....... ~..-~-r~~....~ ,,~r~s....... r1../~...~~i at premises located at ~T...~r..'~.. ..A2Gy........~.`sJ..~... ~../...........~`.'.':~4~ce.......... ............................................Y1s~.(,~ ......................................................................................................c.,.~..................................................... County Tax Map No. 1000 Section `1~...... Block Lot No.......././...1........ pursuant to application doted 19.~p, and approved by the Building Inspector. Fee $.~.d ~.O.l~". ...~-®!C............... Buil ng nspector Rev. 6/30/80 r~.~.,_ Form No. 6 ' TOWN OF SOUTHOLA ~:y ~U ~J BUILDING DEPARTMENT D ~ :~„<4°`~, i f~ /'I "et e.- TOWN HALL ~ 'i d " n_ ~ 765-1802 APPLICATION POR CERTIFICATE OF OCCU AN~y~ BLDG CtC~ . ` "'~j~' -TOWN OF S~! A. This application must be filled in by typewriter OR ink and submitted to the ~buFlding 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-° 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 19 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. , C. Fees I. Certificate of 6ccupancy -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 O~~Q New Construction...........L/Old Or Pre-~eyxisting Building........... Location of Property..... f.l:.l~s...../.C~7~!?!~;7~~~.~.......1.:1.~~~~~~\ House No, _Street~,q ~ f Hamlet Onwer or Owners of Property......~~~C..t•. :':l...f..l.~G~~ County Tax Map No 1000, Section... ~ ~ .~......Biock ...........Lot... Subdivisionr....c./......-7 ...................../....Filped Map............Lot..............._...... Permit No./.~J. S~.lr..Date Of Permit..L/.~~?~/. ~..Applicant.,~r.~~~~~ .5. s©y(/S"•L~,/~ Health Dept. Approval ......................//....Underwriters Approval...................... 4 Planning Board Approval Request for: Temporary Certificate........... Final Certicate... . Fee Submitted: $....°1S n...................... ~~G~9o ~ \ . C G z ~ ~jao~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PA(+F ~ 1(101 "SH 1 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10088 Date J(1NE. 11, t9v0 APPlication No. on file by(Iti5C19C1(90 N 3:50171 THIS CERTIFIES TNAT ' ally the a/actricd puipment W described 6elors and introduced 6y the applicant named on the above application number in the promises of PAUL MTLESKA, MAf?RA70(1KA LANE, POLE: 812X, MAT1"I:1l1C;K, N.Y. in thefolloainR location; ? Basement (IIIT ? /st FI. ? Ynd FY. Sertiun Block Lot seas examined on MAY 22,1990 ondfoundto be in cumplionre with the reyuiremenG Uf this Boord. nXTURR NXTURES RAN6E5 COOIIINO aSC1IS OVENS OISN WASNERS EXNAUST FANS OUT4TS ACISS SW17C11S5 INCANDltClNT nUdIESCENT OTNER NAT. W. AMT. W. ~ AMt. R.W. AMT. t. W. AMT. n P. w 1 2 [ 1 DRYlRS FURNACE MOTORS IUTURE AFFl1ANCE IRROSRS SNCIAL RK'sT TIMR CIOCKS pll WIIT IIMTNS MULTI.OUTIRr DIMMERS AMT. t. W. Oil N. P. GAS N P. AMT. NO. A. W. G. AMT. AMP. AML AMPS. TRA/K. AMT. N. G. SYSTRMf AMi. WATT6 tto. a Far 1 61,1 SlRVIC! DIKONNKT NO. p 5 E R V 1 C- E AMT. AMI. Ink ~ 1 X tW t A TV 3 6 5W ] 1 AW KRCeCOND. ~ CC CWID. 1N'LE6 Of ~ NO.Or NEUIRAIS aj ' EN U~ OTHER AMARATUS: Q G, P.f,_T:-1 'lBWIMMIN6 FOOt.) This oar t.tiir.atn ~~overs coapiianoe at thr daf:e nT ,inspection only. Hecause of urnlsuel environRentx it 1~ advl.sable 1:'0 have frequent. text fmd/or• ret~n+r~; _ Sradc by A quaLiYlnd ner'sl>n. JUDY' PUM111.o 1.1'r;.#2300-E o~~ FAT LANE MA'CTJ'1'Uf,K, NY, 11v51 fi~ALMANMER 1 t Per o This artificaM must not be altered in arty manner; return to the office of the Board if incorrM. Inspectors may M idsmified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. t~Ly' ItJ5 ~~TIar1 . IW~#'i~ i~ Co>t:•t uT.s ~ • ~ ~i I. I _ _ H H~nI ?OUilDATZO:! (1St) `4 li~ FOUIIDATIOII (2nd) _ - 2. ROUGH FRkilE & .PLUI4HING • ~ ~ 3 . H m H ItISULATIO;! PER N. Y. q~ STAT£-. EiIERGY ~U CODE J ~ 11 . ~ y FINAL ~ Q~~ 1 ~ ADDITTOPIAL COI?t?EtdTS: • . ~ . ~ \ ro~ H A • H O m a r •-7 \ . - S d • C7 ^9 ..7 l ~i~~~ 765-1802 f BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ] !ROUGH PLBG. ' [ ] FOUNDA710N 2ND [ ]INSULATION [ ]FRAMING INAL ~ a-~ REMARKS: C. . DATE ~ INSPECTOR ~ ~ ' ` to $I~~c~ ~ ~io~~eZ ~ ~ ~ ~ ....t..'.' ~.N ~ • ~ 111 le V~~'S ~N ' ~.~}y' ~p~~ /iJU~F~;I.V''.K'~i 1•.1':4 ~ rr~`+'""~ .i`:~a`ti.`^:a'+-"','""...;, . i ~.:4"x 2.,...~,1,y ~ M1 'O '1Yg5 yam. f~-i if ,F.o . 1 Cl ~ ~ ~i~~. t ~ . ~ ~ . ti 4 : y ~~~,,,~d`•'{~ ~rw v,'~ ,.a. C, M i'~ ~ ~ ~ r....,~ -1>. ~ <1r, ~ , ~ mss; ~ , . m -d '.,':'it;; 1~ r. µ1t..,(,`-'4'?'`,.".' t" + in ~ rt` 9' ' . ' t' ' ` ~'4 C1 . Y_I. ~ Q' .l } raj i~"~. 1 e~~g r~ , ~ D ~ m - ~ ; ti N 1 ~o~~l~ ,~y1 ~Nm x N 1' xC7s ifl~ ~OT M£ M . M 4O ~ ~ to £ n X ~ CI ~ ~ M A N ~ e to r G rn .,.0 O n S. ~ ° n Z D •Z ~~.c r' Y " X d ~ ' x 271 Yn' Y. ~,n. a b. Cs_' ~ro ro.1 ~~i]~Z I a 36 'r Ky z x z & s a SS ^t'ii m ct 4~ Ifl O a, ~ ~ }g a c~ D a r ~ ~ iy ~ y, q3 ~ 3 .O ~ .1.. M 1.. Or"rPF, ~ w~ ~ ° ¢ +r ~.j ~ ~ ro l71 f;, b O O N mh,e fl0 Bq o ~ y~'9;:~^ My ~ya N}<_ x ~ ~t+~ ~'~nfl BOARD OF HEALTH 3 SETS OP PLANS • FORM NO. 1 SURVEY . TOWN 01=SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC PORhi ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL MAIL T0: \pproved 19 Permit No. ~~1.~6..~~ Disapproved a/c OL -~."G........ (Boil g Inspector) APPLICATION FOR BUILDING PERMIT Date . ~I.~Ot...., 19 g;D INSTRUCTIONS J a. Tlus application must be completely filled in by typewriter or 9n 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 ]rave bee~~~ , ~~•;;~~yI g Inspector. APPLICATION IS'FT~Y 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 Reeulations, 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. ~ °!,B ~ '•~,y•,„{~`t* t (Signature oi'applicant, or name, if a corporation) a•z~ ~ , „ (Mailing address of applicant) ~l~S~ State whether pplicant;is owngrt•lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .t.xs~,ifi, Name of owner of,premises (as on the tax roll or latest deed) If app ' s a corporation, si nature of duly authorized officer. :fi (Name arid`title of cor~-por~y ter) ~ ~ Builder's License No. 2. q.?. Plumber's License No . ~ ~ Electrician's License No. ~n~ti Outer Trade's License No . . 1. Location of land on which proposed work will be done. ......~,~.A'~c.C'.l~ 1 ouse Number Street. Hamlet County Tax Map No. 1000 Section .......IO~......,. Block , Lot .......~i. ~ . Subdivision Filed Map No. Lot . (Name) State existing use and occupancy of premises and//intended use and occupancy of proposed construction: a. xisting use and occupancy , . „r„- b. Intended use and occupancy . • • • • • • l'~ L~'7 . ( h ~ Addition Alteration 3. Nature of work check wttic' applicable): New Building , , . , Re air R' r1 ,~a P 6.t i n^- r+'1 t w C... ~pmoval . Demolition Other \Vork , ~~X ~ ~ ! oO SQ Ff /~d•~lG (•=(~ja~ (Dcscriptionp 4. Estimated Cost . ~Q j•C~v~....cr.............. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units . Number of dwelling units on each floor , , , , , , , , , , , , If garage.numbcrofcars 6. If business, commercial or m}xed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . Rear . Depth . Height ...............IJumberofStories....................................................... Dimensions of same structurC with alterations or additions: Front Rear . Depth } Height ......................Number of Stories . Dimensions of entire new construction: Front Rear Depth . Hei;ltt ...............Number of Stories . ' 9. Size of lot: Front....... Rear Depth 10. Date of Purchase , . . ....Name of Former Owner , . 11. Zone or use district in which.'prcmises are situated (Cb-~1.~L~;T7.~1:~.. . 12. Does proposed construction violate any zoning law, ordinance or regulation: 1Citi . 13, Wit( lot be re raded . , 14. Name of Owner of remises ~/b. ' ' ' ' ' ' ' ' Will excess fill be removed from premises: ~e Nc p '.LFVt 1 !-.t$:~l4...... Address ../$2~~T.~C/C ...Phone No . Name of Architect .....Address .....Phone No. . Name of Contractor . ~..~/~r~.`T. tr~.~ .....Address . /?~4~/`T.'/.~'//?!tR~. ..Phone No..~Y.~ :.~.~.d ~ IS.Is this property located within X00 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, and, indicate all set-back dimensions fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe. interior or corner lot. u~~~ A P QV D pS NOTED DATE: ~f~ a~B.P. ~f 1.56 FEE: --t~~--BY: NOTIFY BUfLDINti DEPA TAT gX ~ ~ ~ ~Oi70 76&•9802 9 AM TO 4 PM FOR THE 0 I FOLLOWING INSPECTIONS; ~ DEC 1. FOUNDATION - TWO REQUIRED ~Q O ,S ~ ~f FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING 3. INSULATION A. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRICTION SHALL MEET THE REQUIREMENTS OF THE N.Y. '~~MMEIDIATELY~~ STATE CONSTRUCTION 8~ ENERGV ENCLOSE ROOLTO CODE CODES. NOT RESPONSIBLE FOR UPON CQMPLETION DESIGN'OR CONSTRUCTION ERRARS BEFORE "WATER" STATE OF NEN ~S/J.S t, COUNTYHgG.~~~?'~`~)./l• ...!/4L,7~./....Y,.'' • • • • • R ^ , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. I I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to petrform or have performed the said work and to make and file thi: application; [hat all statements conTained in this application arc ~truc to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application Glcd therewith. Sworn to before me this it Notary Public, .....G:r`-:~?L:l).•.'E, ~2.Y.~'....... County . . . Nl1TI1RY p~hBL C, Stpte fo~New Yodt ' ' ' ' ' Te m~Exa esTl h 3Q 1~9.:_.`~,~ . • • (Signs f applicant'.