HomeMy WebLinkAbout31474-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date, 07/30/07
No: Z-32490
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1120 WATER
(HOUSE NO.)
County Tax Map No. 473889 Section 88
TERRACE
(STREET)
Block 6
SOUTHOLD
(HAMLET)
13 .23
Lot
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 22, 2005 pursuant to which
Building Permit No. 31474-Z
dated SEPTEMBER 26, 2005
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 AS APPLIED FOR.
The certificate is issued to BARTOLOMEO PISELLA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
01/31/06
ELECTRICAL CERTIFICATE NO.
123503
N/A
PLUMBERS CERTIFICATION DATED
~d:.E!:::
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
1----1,
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new bnnding or new use:
I. 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 I % 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 aud "pre-existiug" 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.
C. Fees ·
I. Certificate of Occupancy - New dwelling 525.00, Additions to dwelling 525.00, Alterations to dwelling 525.00,
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 - 525.00
4. Updated Certificate of Occupancy - 550.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
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New Construction: Old or Pre-existing Building:
Location of Property: 1\ 20 W I\'tejl. 'TEl' ~~"(.E
House No. Street
/' (check one)
.sD"~\."-
Hamlet
Owner or Owners of Property:
'"R Ac:\ 0 ~o" cO
Suffolk County Tax Map No I 000, Section
8'
"~~E I..lle
Block
(.,
Lot
\~.2.3
Subdivision
Filed Map. Lot
Date ofPermit.~ Applicant: ,S",^ t>t.~~....
Underwriters Approval:
Permit No. 3 \ "'rl '"\ ~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate:
.;
(check one)
Fee Submitted: $ 2S. 0.0
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, Applicant Signature
Ma~ 12 06 01.00p
Creative Illuminations In 16319792828
Creative illumination Inc.
31 MID Dam Rd.
Smilhlown NY
36158-ME ..-...
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Electrical Certificate
LONG ISLAND ELECTRICAL INSPECTION SERVICES, IN
TIIS CERTIFIES THAT
INSPECTOR
VISIBlE PORTION OF
INSTALLATION 0
COUPlJANT
ELECTRICAl.
LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC.
----
670 MIDDLE COUNTRY ROAD
ST.J"IIIES. NEW YORK 11780
(631) 265-3075
Fax (631) 265-e057
Owner: 8atl PIseIla
Addless: 1120 Water Terrace
Mooici~:~~~ m
OwnerPhone
Agent
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Agent
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1 ..IU... 1 __l~ 1r~
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1 GFCI Devices: 0 To ~ 111 1.
o IXmmers: 0 Ar.-EqulpmenlCIIUral:
o _ 0 ...~.....__
0_ O~P:
o HID: 0 ~aIolla:
o RBngeOwnCooICTop: 0 _pooIIla(Tub:
o IlrvolrEIKtrlc: 0 ............,
o ExIIau8IFans: 0 W...... - 1 L-
a C8IIIIIg~: 0 SmokeOl'I~la...:
o ow: 0 Tr-w w'1tln.-a~
o ........" 0 __
1 """"""""';-"""..... Gas 0 Put...........
o ExiISIgno: 0 _:
o en....MC)SIg..: 0 FuIureOutlrtts:
LOCATIONOFWORK: C- CFi_ C-.oo
c....._... Ingn>und Swmming PcoI WImg p,"", 1l271Q6
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Phase:
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CeritI:ale _ an: 1/31 f2OO6
_10 Bart Pisella
Addt8ss: 1120 WalBr Terrace
-
NY
Creative .lIIumination Inc.
31 MilrDam Rd.
Smi1htown NY 11787
Appll 110... No.:
_Number:
Block:
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123503
ConducIor
~No.
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11787
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123503
OF THE
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.
31474 Z
Date SEPTEMBER 26, 2005
permission is hereby granted to:
BARTOLOMEO PISELLA
1501 LEXINGTON AVE.
NEW YORK,NY 10028
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD WITH FENCE TO CODE AS APPLIED FOR
at premises located at
1120 WATER TERRACE
SOUTHOLD
County Tax Map No. 473889 Section 088
Block 0006
Lot No. 013.023
pursuant to application dated SEPTEMBER 22, 2005 and approved by the
Building Inspector to expire on MARCH
26, 2007.
Fee $
150.00
ignature
ORIGINAL
Rev. 5/8/02
Lot AR,,^ ~ Jl.707.sq. ft.
NOTE MAllIMUM CLEARING OF LoT IS LIMITED TO 5B"
NO MoAE mAN 15", OF THE LOT IS m 81;: PLACED IN FEI1TILlZED VEGETATION
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BARHlLgMt,Q PISEL\-A .' .
COMMON.~EALTH 1.1:\.tiD TITLE INSURANCE COMPANY
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HMOLD F'T~ANOHoN.1 N,Y. Lie. No. Otll~92
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NOTE: CESSPOOl. SEPTIc TANK ole WATER
SERvICE LOcATIoNs BY OTHERS.
11 -11- 2004 Fi NAL SURVEY
5-B~200+ FpUNDATlON LOCATION
JOB No. OO-J54 FILE No, ANGEL SHORES
SVMYED FOR
lOt NUMBE~ :21
MAP OF ANGEL SHORES
SITUATED AT 8AYVlEW
TOWN OF SOUn-tOLD, SUFFOLK CUNTY,N.Y.
ScALE 1" ~ SCl' DAtE: 10.19-2000
FlLEO MAl' No. 9129 DATE 8~23-19li5
fAX MAP No, (REF ONLY) 1000-88~6-13,2'1 OlSK 500
HAROLD r. T~ANCHON J~. P.C.
LAND SURVEYOR
P.O. BOX 6iil
1866 WADING RIVER-MANOR RD. WADING RIVER
. NEW YORK, 11792 .
631-929~4695
31Lf7f Z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING .M' FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ '
. ~J ~ tJf\r
1--/3- 07
DATE
INSPECTOR
~$IRL
JIl-f7tfZ
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULAT'~ .
[ ] FRAMING I STRAPPING ~ FINAL \[~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: T b"r ~ ~ ~ )
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DATE 7-r-?-tJ6 INSPECTOR ~~
FIELD INSPECTION REPORT DATE I
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD
BmLDlNG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.n Southold!
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BuiilJg Inspec~
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to: rUV /h~s IC-IV fJou'--S
{15' ,vi! wTOWrV I<h.fuIINVIEW
Phone: 'II.. -7J2.. -1'fIJe>
Examined
PERMIT No2>14~ 4- e.
Approved_
Disapproved ale
, 22 2!i1'1
.l,."
'APPLICATION FOR BUILDING PERMIT
I L_
L..:.";
Date
i /Ie,
I
.20~
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 waterways.
c. The work covered by this application may not be commenced before issuance of Building Pennit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a 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 what so ever Wltil the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pennit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pennit 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.
S'UNDcf/G-rv fiJOLS/IJC.
(Signature of applicant or name, if a corporation)
/lr;- ,vt;;-uJ\Owru R.I). I>LJ4/WVliFlJ, .U'f Ii.fJ3
(Mailing address of applicant).
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
"'
C-rt::ivt7UtL C()N,R.I-l-CrO~
Name of owner of premises 13 f/f),T D lO Mea 115 Be.. L A-
(As on the lllX roIl or latest deed)
If applicant is a col]1Oration, signature of duly authorized officer
(Name and title of cOlJlOfate officer)
Builders License No, Hi \? J.. (,'55-6 () () 0
Plumbers License No LL'i 0
Electricians License No. / f b 5i
Other Trade's License No.
I, Location of land on which proposed work will be done: ____
/ j). 00 w,,!-T7;:7L Ic!2J24C I:'
House Number Street
( o.;r'fuL6
Hamlet
County Tax Map No, 1000 Section
Subdivision
~8
Block 6
Ftled Map No,
Lot / 3, ~)
Lot
(Name)
,
2. State existing use and occupancy of premises and intended use and occ'!l1ancy of proposed construction:
a. Existinguseandoccupancy (.(iF~II'>~1v6E - .J {,,;o-[& f1rn?(L '(
b. Intended use and occupancy
,<;4""-C
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
OtherWork nv G~otJV l> Po 0 L
PI,) 0......> (Description)
(To be paid on ruing this application)
Number of dwelling units on each floor
Fee
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost .2 0 , D 0 0
,
wi FE.lVe-E rjJ c...cJ{jL--
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front f::::i1'f;>
Height Number of Stories
Rear (to
Depth 6l! 0
10. Date of Purchase
1.1'1
c, 1'6105
Rear /10
Depth d. / 0
ZtVl"1-tS w,.JiI2I><-To.J("
9. Size of lot Front
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO t
13. Will lot bere-graded? YES /NO_Will excess fill be removed from premises? YES_NO /
fIE~~rr 1J~"~c~ 6 ~ I 7t, r- D '9
14. Names ofOwnerofpremisesJllfJ{iD~o"e-. f' Address lIdO wl/-ntl- r"'l'hone No. ~ - -oJ J
Name of Architect Address Phone No
Name of Contractor .$/.;", /)CJJI-r-II'DDL5' Address 1/~-IIJE"wro....NR~hone No. ::If I. -7>"':L 'I 'f' 0
PL-4/NVI.-W . /'
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? 'YES_NO--1L-
· IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? . YES_NO....l::::::'
. IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survcy, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STAlE OF NEW YORK)
.~S'
COUNTY OFIVi!-illtVl) .
tlfR./S ID f"/fd.z r,(OI},<,,q./lTJf,v 0 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named.
~)Heisthe fRD )t;'c.j (v,,1..N41:r/:--(.!... - SI/IV ile-5 i &-tv /'o"L f
(Contractor. Agent, Corporate Officer, etc.)
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of said owner or owners, and is duly authorized 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
perfonned in the manner set forth in the application filed therewith.
Sworn to before me this
~~Tlt-daYOf SP2T~~ ~
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NotaI}' Public Signature of Applicant
ALEXANDER R 'iILDi::BRANOT
Notary PubliC, Slala ot New York
No.01HI5043130
Qua'ifled In Na'iSBU Cou.3.ty
Commisslc,n Expire. May 8, 0 0 1
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PERIIIrnR INClUDING STAlR- 117'
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INSTltiAnON TO BE IN ACCORIW:E MTH
FOX POOl. aJRP. RECOIIIIENllATlONS
RlXXX POOl. CORPORATION
J.4O NIAGARA Rl HT
3800 lYPElI
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