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Home My WebLink About25997-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPD~NCY No: Z-28620 Date: 07/25/02 T~IS CERTIFIES t~at the building ACCESSORY Location of Property: 2165 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (H3LMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.52 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 1999 pursuant to which Building Permit No. 25997-Z dated SEPTEMBER 20, 1999 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 ABOVE GROUND SWIMMING POOL WITH ATTACHED DECK AiqD FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROBERT D & SUSAN A TOMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~RALTH APPROVAL ELE~rrRICAL c~TIFICATE NO. PLUMBERS C~TIFICATION DA'£m N/A 48365A 11/14/00 N/A ~~~ Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 25997 Z Date SEPTEMBER 20~ 1999 Permission is hereby granted to: ROBERT D & SUSAN A TOMAN 2165 GABRIELLA CT. MATTITUCK~NY 11952 for : ACCESSORY ABOVE GROUND SWIMMING POOL WITH ATTACHED DECK AND FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 2165 County Tax Map No. 473889 Section 108 pursuant to application dated AUGUST Building Inspector. GABRIELLA CT MATTITUCK Block 0004 Lot No. 007.052 31 99 and approved by the Fee $ 50.00 / Authoriz~ ~ignature Rev. 2/19/98 COPY 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 Dep~artment with the follo~inng: ._-- / A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and tmusual 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. 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. Ifa 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. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00] / New Construction: ///Old or P.re-exis,tipg Building: ~, ,(c]aec,k one) __ LocationofProperty:~5;~f&~'''~ ~(el/l~ C'~ ~ ~[~1[~-~[c.2(,_~'~ House No. Street Hamlet Owner or Owners of Property: ~,.~ ¢ (~ ,~ ~5 ~p.~~ Suffolk County Tax Map No 1000,'Section~' Block-- ' ~.~-{ Lot Subdivision Filed Map. Lot: PermitNo. ~),~1~ '~ Dateofeermit. Applicant: Health Dept. Approval: Planning Board Approval: Underwriters Appro~eal: Request for: Temporary Certificate Fe~ Submitted: $ ~ ~"-~'~'- Final Certificate: ~check one) Zlec?t"ical Znspgc ion Cet"?i 'caYg Electrical inspecUon Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 ~631) 286~642 Date: 11/14/2000 Issued to: Robert & Susan Toman Street: 2165 Gabriella Court Village: Mattituck Section: Block: Introduced by: Vogel Electric Application No.: 48365A Zip: 11952 Lot: Town: Southold Lic.# 3943-E Attic ~lst Floor ~,: OIS Residential Der, Garage Basement i-~ 2nd Floor ~_~ O/S Commercial ~ ~-~ NV Defects Switches Receptacles Fixtures GF1 Heaters 1 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Furnace 011 Gas Circulator Smoke Detector Meter Amps Phase Motors Telephone Television 1 Other Equipment: A/C Fans Garbage Disposal Bell Transformer Carbon Monoxide Hugo S. Surdi President Building Permit No This certit'~sai:e must not be a!tered ir~ any manner lnspe~ors may be identif"~d ~y their credentials 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] I~NSULATION [,/J/FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~ /7 765-t802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. ] INS~LATION ~FINAL DATE ,.SPECTOR~.~ FIELD ZNSPECTION REPORT FOUNDATION (]ST) FOUNDATION (2ND) ROUGH FRAME & PLUMBING INSIFLATION PER N. Y. STATE ENERGY CODE FINAL DATE ;; II II II ,,- II 11 II Jl Il' II II II II II II II II II I1 ~1 II tl __il 11 II II II II JI il II II II II II II Il II II II II II II II 11 --~1 II 11 II II II II II II II II II II II II II " ' il ,, / ¥ ,, // ilJl " 41 II ~" II II II Il Il Il II __~ CONNENTS ADDITIONAL COI~fENTS: i-: I 1999 ' BLDG. DEPT. TOWN OF SOI~THOLD FORH NO. TODIN OF SOUTHOLD BUILDING DEPARTHENT TOI~IIq HALL SOUTHOLD, N.Y. TEL: 765-1802 Examined ................ , 19 .... app~ed ....... .~.'k.°. ..... ,9.%0x. Pe~t ~..~..5..............qq '7 Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ~ ..... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: ,LL HAlL TO: .................... ~ldzng APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. This application mint he completely filled in by typeteriter or in ink and st~nitted to the Bllilding Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan six.ring location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of lala~t of property ramt he draten on the diagran iahich is part of this application. c. 'tim work covered by this application ~ not be ct~a~enced before isstmoce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such permit shall he kept on the premises available for inspection throughtmt the ~ork. e. No building shall be occupied or used in ~anle or in part for any purpose ~ahatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATI(I~ IS ~ ~ to the Building Departmmt for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the To~n of Southold, Suffolk County, Ne~ York, and other applicable Laus, Ordin~ees or Regulations, for the construction of buildings, additions or alterations, or for rc~al or demolition, as herein described. 2he applic~t agrees to o,,-~,ly with all applicable l~as, ordinances, building code, housing code, and regulations, and to ~it mathorized inspectors on in-~nises and in (Signature of applicant, or na~, if a corporation) (l'~ailing arklre.qs of applicant) State ~hether applicm'~t is mr, les~..-m, agent, architect, engineer, general contractor, electrician, ph~her or builder ...... ....... ........ ......................................... (as on tl~ tax roi1 or latest deed) If applicant is a corporation, signature of r~uly authori~l officer. (Nme and title of corporate officer) Builders License I~ .......................... Ph~hers License No .......................... Electricians License No ...................... Other Trart-'s Licei~e l~b ..................... !. Location of land on ~ich proposed york will he do~ .............................................................. ..... ..... ............ .... ....... ............... Bonse I~ mhe. r Street Hamlet County Tax i4,p No. 10OO Section-~-~-S ......... Block ....~.. ......... Lot ..... ~...Z~.~--~c~ aivision ...................................... Piled 1~ No ................ I~; ............... (~) 2. State existing use and occupancy of premises and intended use and occupamT of proposed construction: a. Existing use and occupancy ..................... j~ ]~IHTAT~ AHT~laI~iJ'~ ;: 5 / ~b tN ....... ~')' ...... ~9~6~',a.~a;~ua~;~'~Al~3~ ........ 3. ~;lture of ~ork (du~,_k ~t~id~ applicable): Ne~ I~ilding .......... ~iti~ ...... ~. Mterati~ .......... l~ir ............ ~al ............. l~liti~ ' Otimr ~ ...~.~..~ ........... .~~ (~rlp~i~) 4. Esti~mt~ ~st ............ ~. ......... f~ ,(to ~ ~id ~ fili~ this a~i~,i~) ' 5. If ~lli~, ~r of ~lli~ ~mi/s ............ [~r of ~lllng mits ~ e~ fl~r ................ If ~r~e, ~r of ~rs ...................................... 6. If I~i~ss, ~rcial or ~ ~, ~ci~ ~ture ~ ~ten~ of e~ ~ of ~ ...................... 7. Di~nsi~s of ~isti~ st~res, if ~: ~t ................ ~ar ............... ~pth ................. l~i~t ......................... N~r of Stories ...................... Di~mi~ of ~ st~e ~th alterati~s or ~iti~s: &~t ............... ~ar ............... ~p[h .................... ~i~t .................... ~r o~ S~ories ............... 8. Di~nsi~ of entire ~ ~st~ti~: ~t ................ ~ar ' ~p~ .............. l~i~t ......................... ~r'~f~s ............ '. ~ ....... 9. Si~ of 1o/: ~t .................... ~ ............ . ........ ~pth .................... 10. ~te of ~d~a~ ..................... ~ of Fomr ~r ........................................ II. ~ or ~ district in ~i~ p~i~s a~ si~t~ 12. ~s ~o~ ~t~ti~ violate ~ ~i~ 1~, o~i~e or r~lati~: ........................ 13. ~ill lot W ~ .................... ~ill mss fill W ~ ~ ~s: ~ ~ 14. ~s of ~r of ~s ........................... ~ress .............................. ~ ~ ............... ~ o[ ~d~it~/ .................................... ~ress .............................. ~ ~ ............... ~ of ~tr~tor ............................... .... ~ress ...~ ........................ ~ ~ ............... 15. Is this p~r~ ~iin ~ f~t of a ti&l ~tl~? * ~ ...~ .... ~ .......... PLOT DIAGRAH [~cate clearly and distinctly all buildings, ~ne~her existing or proposed, and indicate all set-bsck dimensions property lines. Give street and block ra~ber or description according to deed, and sho~ street n~res and indicate ~ether interior or corner lot. NOTIFY BUILDING 765-i802 9 AM TO 4 PM FOF; FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQU[(ED FOR POURED CONCRETE 2. ROUGH - FEAMi~G & PLUMBt~';G 3. iNSULATION 4. F~N~L - CONSTRUCTION MuST BF - ~N.ETE FOR C.O. AL~ :' : 'RUCTION SHALL MEET THE k,z;~.~,iREt,4ENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY ~ NOT RESPONSIBLE FC~R DESIGt~ OR CONSTRUCTIO~ERROaS ....................... "IMM EDiA'[ELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" UI~)~WRITERS CERTIFICATE REQUIRED (Na~e of individual signing contract) abc~re nm~,l, (Contractor, ~ent, cor~rate officer, etc.) of ~id ~r or ~rs, ~ is ~ly mtl~ri~ to ~rfom or h~ ~r[o~ d~ ~id ~ m~ to m~ ~ file this a~licati~G ~at all star--nfs c~tai~ in ~is a~lication are t~ to ~e ~st of his ~1~ a~ ~liefi a~ that the m~ ~ill ~ ~r[o~ in tl~ ~m~r mt forth in ~e a~licatim fil~ t~. ,9~m to before me this ........ ...... . .~L-~. ~EUZABETH A S"I'ATHII PLOT AREA = 40,009 :t rlRST FLOOR AREA = S~C£)H[) I-L¢.~Oi~ Al{LA - GARAGE FLOOR AREA = R = 25.00' L = 39.69'*~/ GABRIELLA COURT N38'$!'50'W 151,90' SUFFOLK COUNTY TAX MAP DISTol000 $£OT,105 BL,I(.04 P/O LOT 7,1 .^, No...,, O^T., OCTO.~. 0. ,00. BURTON ~OT · BEHRENDT Pc LOCATION I MATTITUCK ENGINEERS TOWN O¢ SOUTNOLD, ~UttOLK COU~ITY, New ~ORK ARCHITECTS SURVEYORS SURVEYED: MARCH 21, 1987 PREPARED: NOVEMBER, 1996 CERTIFIED TO= BUOVODANTONA ALIPERTI 244 EAST MAIN ST, PATCHOOUE, N,Y. 11772 (~18) 47~--O349 ~CALE: 1" : ~O,OO' ~11.~ NO: 87--~59--6 FAX 4Z~--O~61