HomeMy WebLinkAbout17027-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 219492 Date NOVEMBER 8, 1990
THIS CERTIFIES that the building POOL AND FENCE
Location of Property 4125 OLD NORTH ROAD SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 51 Block 03 Lot 02.4
Subdivision MT. BEULAH ACRES Fiied Map No. 6984 Lot No. 1
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 6 1988 Aursuant to which
Building Permit No. 170272 dated MAY 25, 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 ATTACHED POOL AND FENCE ENCLOSURE ADDITION TO EXISTING DWELLING
The certificate is issued to DENNIS DI TRAGLIA-ANTHONY MUSTO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N021382 JULY 12, 1988
PLUMBERS CERTIFICATION DATED N/A
Bu lding Inspector
Rev. 1/Sl
Fosas xo, a
TOWN OF SOUTHOLD
BUILDING DEPARTMEN4
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~fl ~~7~27 Z Date 19.~~
Permiasio is here ranted to: ~
~ ,-~yg Q
...........,...y,%,~ ~r~s~
..................:....t...................................
ct premises located nt ....lF.~~ r" ~G~..,.~/.jQ~G.~~...... ,C~?'7.~
...........................................~.t1~i~r`
Caunty Tax Map No. 1000 Section Block Lgot No........r~....:.~...
pursuant to application dated 19~G?, and approved by the
Building Inspector.
p r?
Fee
.Y!
uildi nspector
Rev. 6/30/80
Form No. 6 , 12 a M R
TOWN OF SOUTHOLD L5 19 /5
BUILDING DEPARTMENT ~ 7 ~ggp
TOWN HALL
765-1802 '
TOWN OF SOUTHOCD
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
"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
L. 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 In:;g"e!m~!;if.. ~ .
New Construction....J...... Old Or Pre-exi ting ilding..
Location of Property...~:a~....~~:.~~v~w~.~~:~.•......~u~~
House No. Street Hamlet
~ r~ `-ape
Onwer or Owners of Property...~~riiS...:k~1.9.~(Y-.~~:k-......-:!~.~::~..°l1~?~.~:~........
County Tax Map No 1000, Section ..............Block................Lot......................
Subdivision...~~.77 ................................Filed Map............Lot......................
Permit No....~.i0. a J. ....Date Of Permit ................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval...
Planning Board Approval
Request for: Temporar^^y Certificate........... Final Certicate..l~......
Fee Submitted: $....Y:~
~tc. oSOlo
C 0 ~ I ~ ~ ~O~ APPLICANT
_ i ~
a'( ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS '
11~G7381
BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK, NEEW YORK 70038
itr1,Y 7 G; ]9816 557478isu18ts N o?,7382
Date APPficatian No. on Jile
THIS CERTIFIES THAT
only the electrkrol equipment as described 6elou+ and introduced by ehe upp/isant Homed on the a6ooe applicetfon number in the premises of
A.MU`TO & D. D'T.RAGI,'I:A, 7.5G HT. itt.ill:R!t AYENiIS:, OI,I)NORTH tier, 1~iI~ ~ 3$, S(tU'rHgt:I): N.X.
Oil'I'
in thefdlotcinp lacett' ? B nt ? let Fl. ? Ynd Fl. .Section Blaek Lot
toes examined on and found to 6e in compliance with the reyuirementa of this Berard.
RxruRE AClES swli01F5 R%TUEES RANOES COOxxs6 DECxs OVENS DISHWASHERS EXHAUST FANS
OUTLETS INUNDE]CENT FIUGIlESGlNT v NAT. K. W. AMT. K. W. AMT: K.W. AMT. K. W. AMT. N. P.
7 7 ~ (
DRYERS RJRNAC! MOTORS WTUM AMUANCE IEEDERS SMOALREC7T TIME CU7gI5 E!LL DIRT ID/17ER5 MUlil-0IITIEi DDAh1ER5
AMT. K. W, ql N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. SYSTEMS AMT. WATTS
NO.OF tii
1 ?.G 7 4G
SlRVICE DISCONNECT ttO. OF S E R V 1 C E
AMi. AMP. TYPE 1 p ]W I 1 ]W ] A' 3W ] X IW RMCrCONe. Of CC
COMA. NO. OF NFLFG Oi.IW.LEO NG~ a NENMl3 ~ MEll~l
OTHER AMARATUS:
+(>{ilMft]NG PQOI:) This certificate
cr~vers coraplianre at the da1.e of
inspection only. Necanse= of unu~;l.la7
Pnvi.ronments it is advi.sahle tl>
have frequ«*nt. test/and csr repair,
made by a quali.f:.ed person.
/ G~~~~j-s'O'l
J(7[1Y pt7Nl:hI~U ~ 7G"Gr
PAT 1~ANF:
MATTI~.'f(J('It., NY. 17`3 ~>7, fiEN6tAt MANAOB
77 ~y,~
7.:E<'F:N;;F~ HID. '7"t(?GD~: Psr Jf~"~
Thit nrtif'N:aro must not EM aMered in any monner; return to the office of 1M Board if itlcomd. Inspectors moy be identiffed by 1Mir credentials.
COPY FOR WILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALIENED IN ANT MANNER. ;
r1ELD II;SP~C:Iu;; ~~U',.;; ~C:KM~.N"i`. V
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~OUtJDATION (1st}
FOUNDATION (2nd) ~ _ r
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P,OUGH FRAME &
PLUMBING
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IIJSULATI0II PER N. Y. yY
STATE ENERGY
CODE
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FIiJAL E C
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ADDITIOPJAL COMME S: x
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oS~EFOLKCOG
VICTOR LESSARD ~ ~ Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR = Z P.O. Box 1179
(516) 765-1802 N ~ Southold, New York 1 1971
FAX (516) 765-1823 y~`~O' ~ ~~0~
OFFICE OF BU'1LILDING INSPECTOR
TOWN OF SOUTHOLD
April 11, 1990
Dennis Di Traglia &
Anthony Musto
Box 434
Mattituck, N.Y. 11952
Re: B.P. #17027 Attached pool and fence enclosure
addition to existing one family dwelling.
4125 Old North Road, Southold
Dear Sirs:
I am writing to you regarding the alcove Building Permit.
You are in violation of the Code of the Town of Southold. Your
permit has expired and you have never had a final inspection
and you do not have a Certificate of Occupancy.
In order to avoid legal action please contact our office
regarding this matter. Thank you.
Yours truly,
v~
Secretary
S~a3 ~ o
~ _ ~i
1 ~ 2 _ t.
ii .
_ o?X 6 ----cci9_- .b~.etciu~_ 1~2~3Me
._._-----______C~
b f1~2 _-~___f ~~rNG
" _____--____..LerpAr2 __St~tJ.6~c> _~c'oor=iNG
i
APPROVED AS NOTED
DATE: ~ - B.P. it ,~~,/Z~
- -
NOTIFY"BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
_._._-___..__.__.___FOLLOWING INSPECTIONS:"-~-'---'--------- -
t, fOUNDATiON TWO REQUIRED
. _ .___--------_-fOR POUREDCONCRETE------------------
2. ROUGH - FRAMING ~ PWMBING
_._______.._._,__._...._.____.__.3.-.INSULATION..._W.___._..-----__.__ _
4. FINAL - CONSTRUCTION MUST
_ _~_A________..______.___ _..BE COMPLETE FOR C.O..-_----...--__----------__
ALL CONSTRUCTION SHALL MEET
-THE REQUIREMENTS OF THE N.Y.-
_._..v.
STATE CONSTRUCTION ~ ENERGY
CODES. NOT RESPONSIBLE FOR
-_---..._..___-_._____.___._..._.._.-DESIGN OR"CONSTRUCTION ERRORS-..
~a.~~.a~~°_~~~....es4~~~~s=..a~m Parr rRCOFnR
.
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f Ja3a~~1 l~s~%a~>I je~ i
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1 LOT 2
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3 r9RE ":YAi~rt"
1
srB 1 NB8°04/50//E 1 %~`r"I l 2.64/ s,,,
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."~.Fa~AI ~ WESLL. ~ ri~~VlN 11~4Y(.'f~~~ v^~';~\ I ~l .
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• ~ ~ FE \ R.i~MLliJlr Y"WA/I. i#J' l~My
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= Arf m EEF®RE'^rNATE61
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ON MAP OF
I~OU/~lT BEULAH ~4CRES
F/LE N° 6984; FiL EO MAY 29, /98/ CERT/F/EO T0~
S/TUATED AT ® SOUTHOLD SAV/NGS BANK
FORS
®~~(~pO ANTHONY MJSTOCT /NC.
TOWN OF SOUTHOLD OENN/S DiTRA6L/A
SUFFOLK CO., N. Y. Q n /J~
P~~DF NEW yap C~Q ah^
5~ ~p W DpNN ~ surveying a
~ ~ engineering p,e.
0 west main street
`'cF~, N°. 4926' riverhead, new york 11901
SFU LAND `'J` (516) 369-1717
' vP March 13, 1987 Job Ns 84-501A
REV CERTS - 9-14•BT
ELEVAT/ONS /NAN ASSJMEO DATUM FNO LU,,,--7. 3~_yr 1000-051-03-2.4 SCOIQ; 1~~=40'
NASSAU SUFFOLK BWhPNIN LING
BOARD OF HEALTH
3 SETS OF PLANS
FORM N0. t SURVEY .
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
BOUT .Y. 11971
T _ u w w~ u~r .
M ~ T0:
Examined 19 ~I,~vp ~7dZ7~ ' /
Approved . `.:~1~~ 190. Permit No........ ~ 6 ~ {C
Disapproved a/c ..................................TOWN OF'DEPL ~I(o $
~
(B Idi nspector)
IMMEDIATELY APPLICATION FOR BUILDING PERMIT
ENCLOSE POOL'Tp CODE
UPON COMPLETION Date ...Jr. 19
BEFORE "VYA7ER"
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 TS 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, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessa inspections.
~ al ~ _ .?a.rt (Signature of applicant, or name, if a corporation)
1ta ~F~'@ A~rf a,~{ i ~'Pa? = 1t~ ~ 1t 5t.~ x.a 4f"e' ~ ~ ~ l Z_
~tt1 ~ ~r, s~ 6 e~ii4 ~ ~li~g aQddrress~o£applicant) ~
~6'Ita!Y°1^}'x ' F91 nesf4:H?tf.1,i {{}T
State wheRIN~Ji,<}s ow~~~~,~-y~ge~t, architect, engi~i",~~~r~eg$~al~EiO'tr~tCflctd~} e1~~e~~ician, plumber or builder.
mt ~ ~ 9 d kfi,?1 ~s ~ ~ ~ k w. ~a..
~ HT'
Name of oIW~lI'Ipjp4'6B94flE~f~l'~~~b~
~ .....f ~`~~~/j~ ''~1 yf7~~~ ~1 m. (d `.5~..... .
,p„I, M?11 ~ ~ ~R (as on the t~~*i2?Fl'br~la>~d~st°~,t~aeii)
If ap ~ i ~ 4 pz1~M ~ ~
~iu~' authorized officer.
ATS
..IMMEDIATE
ALL C ~ 'F~T, K COUNTY LICENSED ENCLOS@IrOOLTO
Builder's License No. r ~./.~`,L.. • • • • • • • $E
pRr•EOMPLE7IpCM'dE
"WATER'
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
1. Location of ]and on which proposed work will be done. . O!!~tL~3. Sd~L.~? .
gas N
House Number Street Hamlet
County Tax MAap No. 1000 Section ~ ~ Block .....:3.......... Lot : ~ .
Subdivision . 41~:.... ~~~~~'~:N • • • • Filed Map No. `~.Y'.~~...... Lot
(Name)
2. State existing use and occupancy of premise/sJand intended use and occupancy of proposed construction:
a. Existing use and occupancy 9~:~j~~r?~~~.~.~ .
b. Intended use and occupancy ..........1. ~'~3. l ~?L?~~ J~t,),~, l
jf, , , i'JQQ•L• . . . . .
(--z~Lr_
3. Nature, of work (check which applicable): New Building Addition Alteration .
Repair Removal , Demolition Other Work .
yy~~ (Description)
4: Estimated Cost ~~Y...~7 Fee .
` (to be paid on filing this application)
5. I1' dwelling, number of dwelling
6. IP business comtnercral or mixe ber of dwelling units on each floor .
If garage, number of cars ~ .
pancy, specify natu extent of each type of use . .
Her ht g.... Num'`'if any• r~... Rear Depth .
g 6erofS o es.........~
Dimensrons of samerstructureuwr~fh a1Yerations ~radditionst Front Rear ,
Depth . Hei C~:is d
e~~uc"#kk~' ~ • , .......Number of Stories
8. Dimensions of entire new construction: Fron~:`:•`
. . Rear Depth .
Height,............... Number of Stones
9. Size of lot: Front Rear Depth .
ate o Purchase .
• { ~ ~ V~.,....... .
1 1. Zone or use district in which re ' ' ' ' ' • • • Name of Former Owner .
p raises are situated I«.b~~ ar a~; E .
12. Does proposed construction violate any zoning law, ordinance or regulation: ~f~Ek~ ,
~ r , ;44 :E . .
13., Will lot be regraded Will excess fill be removed ~i`h'`,~• irsest, . Yes
14. Name of Owner of premises r~(. 1 . Address Pone No. •
Name of Architect Q ................Address ...................Phone No............... .
15, Narne of Contractor . G.h yt...T.6n! f.... Address .../1J~JT!!~%~..~C..-Phone No...2~d~.:' .~Z~.'?
Is this property located within 300 feet of a tiidal wetland? *Xes No
*I.E yes, Southold Town Trustees PermitPLOyT'DIAGI~AMed.
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.
S~~r 6~~~~L~~ cJ i~[~G U
A~ AS NeREO
DATE• a B.P. N 742
OCCUPI~NCY OR UI~DING OEHA t A7
7A8•i~17 9 AM 1D 4 pAfl FOR THE
FOuA~wtHB INBPECTIONB.
USE tS' UNLAWFUL
WITHOUT CERTLFtCATt: ~ ~ ~
OF OCCUPANCY 4• ~
,
~ . 'weir e«i'i
no; g ~ Deg
.
STATE OF NEW YOR&;~~;' JS S
COliNT'Y OF .
(Name of individual si ni • ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant
g qg contract)
above named.
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dulylauthorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner Set forth in the application filed therewith.
Swom to before me this
......day of . 19c~~
Notary Public, :z.-Y-['!rti , ~`-~~-~D~i, , , County
No rtNELEN K. DE Yo
Now York
NDTAflY P"~I IC, . o
Teem I-. ~ ~ P,,,nty .
HELEN K OE VOE (Sign r o pplicant)
~ NOTARY PUALIC, State of New York
Na. 4707B%A, Suffolk Caunty8~j
Terrn Expires Morch 30,19,. /