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