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Home My WebLink About27734-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-28863 Date: 09/12/02 T~IS CERTIFIES that the building ACCESSORY Location of Property: 775 H3~RVEST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.33 Su]0division Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 2001 pursuant to which Building Permit No. 27734-Z dated SEPTEMBER 27, 2001 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 SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to THOMAS A & MARY LENTINI (OWNER) of the aforesaid building. SUFFOLK CO[~qTY DEPART~NT OF ~]~ALT~_PPROVAL N/A ELECTRIC3%L CERTIFICATE NO. N-572067 PLUMBERS U~TIFICATION DA'~mu N/A Rev. 1/81 10/05/01 ~/~. o r ~S~ur e 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. 27734 Z Date SEPTEMBER 27, 2001 Permission is hereby granted to: THOMAS A & MARY LENTINI 775 HARVEST LANE MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE, IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 775 County Tax Map No. 473889 Section 120 pursuant to application dated AUGUST Building Inspector. HARVEST LA MATTITUCK Block 0003 Lot No. 008.033 10, 2001 and approved by the Fee $ 150.00 Authori ~e'd Signature COPY Rev. 2/19/98 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 Department with the following: Ao Co 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. 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 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- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. Old or Pre-existing Building: ?TJ- 7'- /_20 (check one) /l?J'-,,2 House No. Street Owner or Owners of Property: '7'-,/'/tg/f,,~,J' Suffolk County Tax Map No 1000, Section Subdivision -- Filed Map. Permit No. ~77~ DateofPermit. e}o2-7 JOI Hamlet Health Dept. Approval: y Planning Board Approval: -- Request for: Temporary Certificate Fee Submitted: $ o~ ~- oo c o -,?z Underwriters Approval: /31 o '40 I/0 I Final Certificate: / (check one) Applicara'~ignature Lot ~o Lot: Applicant: '~'tOP/,,~J~ /_&~ ~r-! THE NEW YORK BOARD OF FIRE UNDERWRITERS i2~5~ .... BUREAU OF ELECTRICITY ~ C 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 05,2'301 Application No. onfile 13182401/¢1 N 572067 ~ th* *~e~al eq~ment a~ de~e~bed be~w and introduced by the appl~ant named on the above applica~n number ~ in the MR & HR 7~NTINI~ 775 ~R'~ST ~, I~TTITUCK, NY ~. th, Iono~.g ~c~on; ~ Ba**ment ~ 1st Fl. 0 2nd Fl. OUT SeeHon Block ~t ,~ ~,~i,,d o. SEPTD~ER 21 ~ 2~1 and found to be in compl~nce with the NaMonal Ele~l Code. FI~ RECEffiAC~S SWITCHES FIGURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1 2 1 DRYERS FURNACE MOTORS FLUORESCENT OrHER FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS ~ERVICE DISCONNECT O~ER APPAR~US: SWIMMING POOL-1 G.F.C.I:-2 *(SWIPING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 >>> S E R V I C E NO. OF CC COND. A.W.G. PER ~ OF CC. COND. NO. OF HI-LEG A. W.G. NO. OF NEUTRAL~ A.W.G. OF HI-LEG OF NEUTRAL Per GENERAL MANAGER h ~lt~k',QtS I!1~il! I~Ot be QtIOIfKI |ll tiny monrtet; retum to the office of the $oorcl If Incor~'ect, Inspecto;t may be Identified by their creaentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER 3 :3~ ~:~ ~'~ -- OE I'- ,.~ ~,~ B U I~L D I NG--PEtOttT--RC~C-OT-GI-~ C%LA~ Applicant/ ..- ' Owners Name: 17 ~ ~*-7/7~ Date Architecff Date SCTM fl: District: 1,000 Section: mock: -> Lot: I.ocalion: Single & separate Required cemficmion: {Yes/No) ~,,)O Z(ming District: Subdivision ~/O_'~- __ Nan,e: Project Description: ./5. (9. AGENC~2PERMITS REOUIRED FOR REVIEW Suffolk County Health Dept. New York State D. E. C. Town Tmstees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: N.A. NO Permit . YES . _Number Notes: 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~SULATION [ ~ FINAL [[ ]] ~iRAR;pI;;cE & CHIMNEY FIELD INSPECTION REPORT ' DATE COl~llg~S rOU A OS ( II II II II ~O~ATIO~ (2~) Il II II II II II ~ING II I[ II II II II II Il II II II II II II Il l[ I[ II I~' II II STA~ E~R~ II I1' II II CODE II I1' II II II II II I1' II II II Il / II ,, // ADD~[TIONAL CO~.flgNTS: TOWN OF $OUTHOLD BUnJDING DEPARTlV[ENT TOWN K4.LL SOUTHOI,r~, NY 11971 'I'lL: 765-180~ · 20 ?ERM1T NO. BUILDING PI~RM1T APPLICATION CHI~CI~.T~T Do you have or seed ~e follow~; b~foro ~ply~g 7 Bo~'d of Herb N.Y.S.D.]~.C. Co.tact: [, U'LICATION FOI BUIL O l, gmvnT. INSTRUCTIONS ,20 o/ a. This appUcation MU~T b~ complet~y filled in by typewriter or in ink and sub~i~ to the Buila~-~ Tn~pector wilh sets ofp~m,, accm-ste plot plan to scale. Fee according to schedule. , b. Plot plan show~ Iocalion of lot and of bulM~? onpreml,es, relatio~,Mp to adjolr~ premt~ or public streets or c. The work covered by t~i, appIication,~-y not be ~.,.:,..~oed before issuanoe of Builai~ Permit. d. Upon approval 0f thla ~pli/~tion, the B~ldifig Tv~ector will issue a Bu!l. ai~s Permit to the applicant. Such a permit ~hsl! be kept on the pr~es aw'sMe for inspect/on throughout the work e. No Imil~o ~hsn be oooupied or used in whole or in part for any purpose wh~-so-ewr ~ a C~ificate of Occupancy APPLICATION IS ~rl~Y MADE to the Builai%~ Depa~im~t.for the issuan~ ~fa BuilahL~'P~mit pursuant to the Buflah~_~ Zone Or~ ofthe Town of Southold, Su~olk Couniy, N~w Yonk, and oth~ applicable Laws, Or~e~s or Reg, ds*ions, for the oon~t,,aion ofbuilai~; ~_88ilions, or alterations or for removal or d~moli~on as her~n descn'bed. The applic,~ agrees to comply w/th all applicable hWs, ordi~s~ces, lmilai~5 code, hou.4~5 code, and regulations, and to (St~e of a~plio,~ or mine, if a corporation) State whether applicant is owner, lessee, agent, architect, ea~neer, general contmotor, electrician, plumber or builder Nameofowncrofpremi.~es ~b/-/ /_~-~ ~'/~t~l ~.m. ~/~ ~/al ... ~-~-~ ~_~ ~_ · ' (as on.the tax roll or NOTIFY BUILDING DEPAI~d~i~X~ ' (Name and title of corporate officer) EleVens ~c~e No. 1. ~fion of lind on wM&~s~ wo~ ~ be ~ne: Ho~e N~b~ ~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING '. -~' INSULATION ~e 4. FINAL- CONSTRUCTION MUS? BE COMPLETE FOR C,O. }All]BOIff_CEBIIRCATE ALL CONSTRUCTION ~IALL MEET THE REQUIREMENT" 'OF THE N.Y. ~ STATE CONSTiIUCTIQN & ENERGY · CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR~ Hsmlet County Tax Map No. 1000 Section Subdivis/on ~,,~ (Nme) Block .~ Lot '~-, Fil~ Map No. ~yo~- Lot z. State exi~n~ use aud occupancy of premises and intended use and occupancy of proposed construction: a. Bxisting use and occupancy ~ ~z~ ,~*~. /-,~u~-~ 3. Nature ofwo~k (check which applicable): New Building Repair Rcxuovai Demolition ~. Estimated'Cc~st /~ ~ 5. Ifdwelllng, nnmher ofdwelllng 1111its If garage, number of cars Addition Alteration' (Description) Fee ~/.=-z~. vo - (to be paid on fili,~g this application) Number of dwelling units on each floor If business, commercial or mixed occupm~cy, specify nature and extent of each type of use. Dimensions of existing structm~, if an2u Front ~-/'~ ' Height ,~' Number of Stodes ,,~ ' Rear ,'~6~ ' Depth ,~? ' Dimensions of Same structure with alterations or additions: Front Roar Depth Height $. Dimeaaio~s o£ entire new cousma~on: :Front Height Number of Stodes ' 9. Size oflot: Front 1~' Rear '/~-'/ Number of Stofles Kear ' Depth 10. Date of Purch~e' Name of Foyer Owner 11. Zone or use di.,tdct .in which prami.~es are situated ~-~.~T//~ 12. Does proposed con~l~action violate any zoning law, ordinance or regulation: ~ O 13. Will lot be re-graded ~"~-~ Will excess fill be r~moved from pxe~v,i.~: (~ NO' , 14. Names of Owner ofpremises ~'/~,~ z.~,t,w~/ Name of Architect Name of Contractor ~t~ 7~z~ ~-~.-~ Address P~/~z ~ Phone No. Address. ~,~z. Phone No 15. Ls this property wimi,. 100 feet of a tidal wetland? *YES NO ~ . IF Y~S, sou'moLD TOWN T~UST~-S ?~~UIR~ ~&~r~',~,~:~ 16. PrOvide survey, to scale, with accurate foundation plan and ~~ty lines. 17. If elevation at any point on propeix'y is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) c: ~:~,~ :" (C. om-~or, Agc~, Corporate Officer, etc.) of s~i~t owner or owners, ~ncl is duly authorized to peffor~~ wozk and to ma~e and file mi.~ application; that.~ s~ements cnmak/ed in this ~l;~.~eation are tr~e ;~_!li~.b_e~t.~_ f l~s~k~l~_ ~and belief;, and that the work will be ~/~ota7 Put,]~c of Applic~ JOYCE M. WILKINS Notary Public, State of New York No. 4952246, Suffolk County Term Expires June 12,. ~. 00~ ~Q)