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HomeMy WebLinkAbout16965-zFOI~ I'10. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the BuiLding Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-I9339 Date 8EPTF/iBER 6, i990 THIS CERTIFIES that the building. Location of Property 710 TALLWOOD LANE House No. County Tax Map No. 1000 Section 113 Subdivision ACCESSORY Street Block 7 Filed Map No. MATTITUCK~ NEW YORK Hamlet Lot 19.15 Lot No. conforms substantially to the Application for Building permit heretofore filed in this office dated APRIL 20~ 1988 pursuant to which Building Permit No. 16965-Z dated MAY 12, 1988 was issued, and conforms to all of the require~nents of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY ABOVE GROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JAMES & FLORENCE GEBBIA N/A H-017739 - AUGUST 27~ 1990 /B~ilding Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIPICAYE OP OCCUPANCY No Z-19340 Date SEPTEMBER 6~ 1990 THIS CERTIFIES that the buildin~ Location of Property 710 TALLWOOD LANE House No. County Tax Map No. 1000 Section 113 Block 7 Subdivision Filed Map No. ADDITION MATTITUCK, NEW YOILK Street Hamlet Lot 19.15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~PRIL 20, 1988 pursuant to which Building Permit No. 16965-Z dated MAY 12, 1988 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 JAMES & FLORENCE GEBBIA ~uilding Inspector X~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOI.D, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 16965 z Permission is hereby granted to: ....., oa,,~.....~; ....... ~ ....... ,o.,,~...~.... ................ - ..... at premises located at ........................................ .7../..~....Z..~.,.TL.~.........~.~ ............................................. County Tax Map No. 1000 Section ........ .~.l..,~. ...... Block .......¢:}..-). ......... Lot No....)...cJ.:..!..~.~.. ...... pursuant to application dated ...... .(~...,.2k.O, .................. , 19.~..~., and approvod by the Building Inspector. Rev. 6/30/80 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 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. r 5. Commercial building, industrial building~ multiple residences and similar buildings a~d 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: i. 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. 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 - $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 ...~/~.~ ............................... New Construction Old Or Pre existing Building Location of Property.. ~...~-~. ~!..~.~. ~.~..¢~q..../~..~..7~..~../~.~... ~/~....//~3i~.~.; ................ House No. Street Hamlet Onwer Owners of Property .~.~.~. ~ .~.~q~-.P~.<~ .~.&.~.f.~. County Tax Map No 1000, Section...~.~ ....... Block...Z ........... Lot...J~;/.~. ............ Subdivision .................................. .. Filed Map .......... .. Lot .................... . . No.~] Permit ..... Date Of Permit. ~//~/~ ....... Applicant.. ~q~-~'...~¢.7~.7~Z.~.'. ....... Health Dept. Approval .......................... Underwriters Approval ...................... . .. Planning Board Approval ...................... .. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ~ oYs .... .......................... APP~ CA?ri ' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to t~e 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. 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 1. Certificate of Occupancy - New dwelling $25.00~A~dit~ns to dwellingf[}25.'~Q~ Alterations to dwelling $25.00, Swimming pool ~._0p~ccessory buildin~$2~.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 ............................... .. New Construction ........... Old Or Pre.-existing Building ................. Location of Property...7~. ................... .~.~.~..<~./~..~. .... ~/Z.~..~.~.~ ........... House No. Street Hamlet On'er or Owners of Property..¥?../~..~-.? ~ ~fO~-~'YC~ .~.~.~.~{~. County Tax Map No 1000, Section...~.~. ....... Block .... 2 .......... Lot ..... ff~.~. K~.~ ........ Subdivision ................................. . . . Filed Map ............ Lot ...................... Permit No..[~.~..~..~...~%...Date Of Permit..~°.l.~7~ ..... Health Dept. Approval ......................... . Underwriters Approval ................... ... . . . Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... FOUNDATION {1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE ADDITIONA'L COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ,~019~,~ ~ BUREAU OF ELECTRICITY J~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 o~ly the electrical equipment ~ ~scribed be~w and introduced by ~ applicant ~med on the a~e application number in the prorates of in the/otlowlng location: ~ Basement [] IstFI. [~ 2nd FI. ()Wi/ SectlonJt3BIock0'~ Lot 3,9~'[~ FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS OTHER APPARATUS: *~ ( SWfbI!b~llhlG POOh) 't'lri ~; eert i.~ J r, af'c~ eover~ eo~pJiance at t:he date of environmeui:s J 1' 1~; aclv'isable t:o have freque~t test and/or repai~m ~.ado hy a clua],i/~ed person. 710 TAbh WOOD E R V I C E NO, OF CC COND PER ~' AWG. OF CC. COND AW.G, OF HI-LEG NO OF NEUTRALS AWG, OF NEUTRAL GENERAL MANAGER 1. t .... Pet' ,' v This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IH ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~NAL DATE ~/~/~ INSPECTOR,. ~ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) '/65-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 10, 1990 Mr. & Mrs. James Gebbia 710 Tall Wood Lane Mattituck, N.Y. 11952 Dear Mr. & Mrs. Gebbia: This is to notify you that our inspector was to your property on 5/9/90 and said everything was O.K. for a Cer- tificate of Occupancy. Two C.O.'s are required. I am enclosing two applications. Also you will need an Underwriters for the electric. Please return the applications and underwriters along with a check for $50.00. Thank you. Yours truly, Secretary VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765q 802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1197I OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 16, 1990 Mr. & Mrs. James Gebbia Mattituck, N.Y. 11952 RE: B.P. 916965Z Deck Addition--1 C.O. required Above ground pool and fence--1 C.O. required Dear Mr. & Mrs. Gebbia: I am writing to you regarding the above building permit. The permit has expired. You are now in violation of the Code of the Town of South- old. You are required to have an inspection for the work done under the permit and when it passes to file for a Certificate of occupancy. Contact our office immediately to avoid legal action. Thank ~0~. Yours truly, Secretary VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 24, 1990 James gebbia 710 Tall Wood Lane Mattituck, N.Y. 11952 Re: Pool permit 16965g Dear Mr. Gebbia: I am enclosing an application for you for The New York Board of Fire Underwriters. Please contact Ernie Pappas regarding an inspection. I told him about your GFI and he said he didn't feel that it would not pass. His number is 765-4177 between g a.m. and 8:45 a.m. or he is in our office on Mondays between 10 a.m. and 11 a.m. After you have your Underwriters Certificate or pending slip contact our office to set up an inspection for your C.0. Thank you. Yours truly, Secretary HEALTH DEPARTMENT -DATA FOR APPROVAL TO CONSTRUCT fo~me~\¥ john S'¢~6kc'° 3~r. iD, Co~et'\~e S't~'~c'~c~ ~ q,i a',J OT ~).~o~\s ~oT~e~\,j rEST HCR.E MARC BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT gEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..'. r. t ~...o~, ..~...'x,.,., ~ . ,., 19.~.~. Approved.. 19 Permit Disapproved a/c ...................................... NOTIFY CALL .......... MAIL TO: (Building Inspector) APPLICATION FOR BUILDING P£RMIT 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. ¢. 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 applicator. 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 IS 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 necessary~..~,...inspections.?/r_~..'. ~' '~':.. Zv~. ~?.- .~-~ ~ ~~~o~r ~ame, if a corp:r;o ) · · · (Mailing address of applicant) /tgi'~ State whether applicant is owner, lessee, agent, architect, engineer, ge.neral contractor, electrician, plumber or builder. fP Name of owner o remises .............. · ................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S IRUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done] ................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... ~.~3 ........... Block ...7 .............. Lot. J.9.~ ! ~.~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . !..F.,~.~..; .t ~.. g3.o. 0.4 .~-. } FpO.~.q~. ........................................ b. Intended use and occupancy /gt:-c/c / ~a~, c ~ A"~-,-,~I-- : ~'/ Alteration 3. Nature Of work (check which appli6able): New Building ..... ' ..... Addition..' .................. Repair Removal Demolition ' Other Work i (Description) 4. Estimated Cost.. ~../.~..~..°~'~c.~. :..//.o¢ .c 7./?.~.~. ;- ........ Fee .......... j ............................ · ' :~'o't~ ' ~e~ ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uniis on each floor ................ If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front. Rear Depth Height Number of Stories D~mensions~of same structure with alterations or additions: Front ............ j ..... Rear ................. Depth ...................... Height ...................... Number ell Stories ..................... ---8.. Dimensions of'entire new construction: Front .......... . ..... Rear ....... i ...... Depth .............. Height ............... Number of Stories .......................... 9. Size of lot: Front ....~.6) ............... Rear . 4.70 ...................... Depth . ~. .................... 10. Date of Purchase . .. 1.9~... ~ ' ' - ................... Name of Former Owner .i.~..m..).q~.~.~. .................. hp ' 11. Zone or use district in whic remises are situated ......................... 1 ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ! ............................ 13. Will lot be regraded . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ............... i ....Phone No ................ Name of Architect .q Address ' Phone No ' Name of Contractor ........................ i.. Addres. s .... : .......... I ....Phone No .. -... 15. Is this property located within 300 feett of a t~dal wetland? *Yes ..... No ..~. *If yes, Southold Town Trustees Permit ma~.be required. ' PLO-T DIAGRAM 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. STATE OF NEW YORK, S.S cou ¥ OF ................. ....~ii~~act)i~ ]' "' "'~'~-''~ . · · .'. · · , · . · · · . · . · ..~ being duly sworn, deposesl and says that abo'~ed~ ~ ' [ he is the applicant He is the ' (Contractor, agent, corporate officer, etc.~' of said owner or owners, and is duly authorized to perform or have performed the shid work and to make and file this application; that all statements contained in this application are true to the best of hi: work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Note. eublic .... .. County £x,lre~ knowledge and belief; and that the