HomeMy WebLinkAbout32303-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32860
Date: 02/01/08
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1815
(HOUSE NO.)
County Tax Map No. 473 889 Section 111
HAYWATERS RD
(STREET)
Block 4
CUTCHOGUE
(HAMLET)
Lot 16
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 17, 2006 pursuant to which
Building Permit No. 32303-Z
dated
AUGUST 22, 2006
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 IN THE REQUIRED REAR YARD WITH
FENCE TO CODE AS APPLIED FOR.
The certificate is issued to BORZILLERI INVESTMENT TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-462005
08/12/98
PLUMBERS CERTIFICATION DATED
N/A
Authorized Signature
Rev. 1/81
,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
J~
I~;S -~~o~ rJ!-J
~~
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, .
11:.1 , JAN 31
L
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new bnilding or new nse:
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 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 bnildings (prior to April 9, 1957) non-conforming nses, or bnildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
featnres.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building lilspector shall state the reasons therefor in writing to the applicant
C. Fees
I. 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
4. Updated Certificate of Occupancy - $50.00
, '""'""0 C'''~"''p;~'~': R",O"""I$" "" c"m"~:,:I$" 00 II Jjjo g
New Construction: Old or Pre-cxisting Building: (check one)
LocationofPropertyJ21 S I-JA'4Wfl/E,f1S ~ ~ ()J
Ho~~e No. .' Street /J' Hamle
ownerorowncrsofproperty:_HV~~ n~flHrJ or- f,4{IlH 100('L-I JO;('
Sufl(llk County Tax Map No 1000, Section LJ) Block C) C <' '1 Lot ((P
Subdivision
Permit No.
~ '[30 >Dateol~ermi\
Filcd Map.
<l-' t1l!Jl; APPlicant~ )J-~
Lot
0ori) )1~\
Hcalth Dep!. Approval:
, Underwriters Approval:
Planning Board Approval:
Fee Submitted:
Temporary Certificate
$~' 0\)
Final Certificate:
Rcquest lor:
fY..~ .7 3? P. :l-.
(o-l3;;(\5(PO
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.
32303 Z
Date AUGUST
22, 2006
permission is hereby granted to:
JOHN R BORZILLERI
105 EAST ST
HINGHAM,MA 02043
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL W/FENCE TO
CODE AS APPLIED FOR. REPLACES BP#28231
at premises located at
1815 HAYWATERS RD
CUTCHOGUE
County Tax Map No. 473889 Section 111
Block 0004
Lot No. 016
pursuant to application dated AUGUST 17, 2006 and approved by the
Building Inspector to expire on FEBRUARY 22, 2008.
Fee $
150.00
~ C-iL
Authorized Signature
ORIGINAL
Rev. 5/8/02
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)
27, 1998
PERMIT NO.
24894 Z
Date MAY
Permission is hereby granted to:
SALVATORE J CONSIGLIO
338 MARLIN STREET
DIX HILLS,NY 11746
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN REQUIRED REAR YARD AS APPLIED FOR.
at premises located at
1815 HAYWATERS RD
CUTCHOGUE
County Tax Map No. 473889 Section 111
Block 0004
Lot No. 016
pursuant to application dated MAY
22 1998 and approved by the
Building Inspector.
Fee $
150.00
.~~
ORIGINAL
Rev. 2/19/98
1001290
THE NEW YORK BOARD OF FIRE UNDERWRITERS
PAGE ')
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
16564398/93
I
AUGUST 12,1998
Application No. on file
Date
N 462005
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JOOHN BORZILLER, 1815 HF.~vATER ROAD,
in the following location; D Basement D 1st Fl.
AUGUST 06, 1998
CUTCHOQUE,
D 2nd Fl.
NY
OUT
Section
and found to be in compliance with the National Electrical Code.
was examined on
FIXTURE
OUTLETS
FIXTURES
INCANDESCENT FLUORESCENT
RANGES
AMT. K.W.
OVENS
AMI. K.W.
RECEPTACLES SWITCHES
OTHER
COOKING DECKS
AMI. K.W.
Block
Lot
DISH WASHERS
AMT. K.W.
EXHAUST FANS
AMT. H.P.
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIAL REC'Py' TIME CLOCKS
BELL
TRANS.
UNIT HEATERS MULTI-OUTLET
SYSTEMS
AMI. H.P. NO. OF FEET
AMT. WATTS
Per
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.
AMT. K.W.
OIL
A. W. G. AMT. AMP. AMT. AMPS.
H.P. GAS
H.P.
AMT.
NO.
SERVICE DISCONNECT
NO. OF
METER
EQUIP. 1 0 2W 1 0 3w 30 3W 30 4W
NO.OFHI.LEG
S E
R
V
NO. OF CC CONDo
PER0
A.W.G.
OFCC.COND
AMT.
AMP.
TYPE
OTHER APPARATUS:
TED CHESHIRE JR. CO.
P.G. BOX 255A
9280 SOUND lWE.
MATTlTUCK, NY, 11951'-3138
LIC.#953 E
DIMMERS
C
E
A.W.G.
OF HI-LEG
A. W. G.
OF NEUTRAL
NO. Of NEUTRALS
LlL
GENERAL MANAGER
11
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
BP ;).
V2-
121(1129,;)
THE NEW YORK BOARD OF FIRE UNDERWRITERS
PAGE 1
Date
AUGUST 12,1998
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
16564398/98
Application No. on file
N 462005
I
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JOOHN BORZILLER, 1815 HAll~ATER ROP~,
in the following location; 0 Basement 0 151 Fl.
AUGUST 06,1998
was examined on
CUTCHOQUE, NY
o 2nd Fl. OUT Section Block
and found to be in compliance with the National Electrical Code.
Lot
FIXTURE
OUTlETS
1
RECEPTACLES SWITCHES FIXTURES
INCANDESCENT FLUORESCENT
OTHER
RANGES
AMY. K.W.
COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
AMT. K.W. AMT. K.W. AMT. K.W. AMY. H.P.
1
1
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
AMY. H,P.
MULTI.OUTlET
SYSTEMS
NO. OF FEET
DIMMERS
AMT. K.W.
OIL
H,P. GAS
H.P.
AMI.
NO.
A. W. G. AMY. AMP. AMI. AMPS.
BELl
TRANS.
UNIT HEATERS
AMY. WATTS
1
r
1
20
SERVICE DISCONNECT
AMI.
AMP.
TYPE
NO. OF
METER
EQUIP. 1 III 2W 1 III 3W 3 III 3W 3 lit 4W
S E
NO. OF CC CONDo
PERfil
R
A.W.G.
OF ce. CONO
V
NO. OF HI-lEG
C
A. W.G.
OF HI-LEG
E
NO.OF NEUTRALS
A. W. G
Of NEUTRAL
OTHER APPARATUS:
Sl'IlIUUNG POOL-l
TIllE CLOCKS 40 AHP-l
G.F.C.I-l
'is\'!IHllING POOL) This certificate
c,)vers compliance at the date of
inspection only. Because of unusual
~nVlronments it is advisable to
have frequent test/and or repairs
made by a qualified person.
GENERAL MANAGER
,,;<0( Continued on Page 2 ~>>
LLi~
Per
This certificate must not be altered In any manner; return to the office of the Board It Incorrect. Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
3 ~--3 oJ Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL A- ~
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~~
r~ ~.~ 01\,
DATE 1-17- 0 !"
INSPECTOR ~ ~
3 ;>--30 3 z..
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
,
~
DATE
1-IIor-oJ"
INSPECTOR
~~
;;)?-L3j
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
g
REMARKS: W-
[ ] ROUGH PLBG.
[ ] INSULATION
[~
~
DATE
INSPECTOR
2fR/Yr
765-1802
BUILDING DEPT.
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: C) lie 6J e~~
~
DATE
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COMMENTS
:-'lSLD I;;S:.;2C7IuiJ
FOUNDATION
~
~
""
FOUNDATION
(2nd)
c"j;:,. \1
CJl'if-
"'r <f\
2 .
FINAL
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ROUGH FRAME &
PLUMBING
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
4,
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(/;?j:n-12~A< hl/A? {'~~n
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ADDITIONAL COMMENTS:
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WNER
, ,
TOWN OF SOUTHOLD p.O~eRTY RECORD CARD
C tc J I
E
vt
11-6
DIST. SUB. LOT 'n' 3 Y
f /V..lJ./'d (/ A /~ 7'
.t}y
TYPE OF BUILDING
~Q '(Q -.) ,
2-RMER OWNER r rMCtS,
STREET
VILLAGE
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,... \-"" c. e
L, W, '/..ral1
S
W
". ~ SEAS.
Ii
LAND IMP,
VL.
FARM
COMM, CB. MISe. Mkt, Value
TOTAL
DATE
O ~. ~~~~-~
. -' ,.~ . ~
C'~~' 4lJ J'Yl <I- j'YF
Fad
50
)
800
'5000
Jor) J
&100
" oot>
o 'if 00
AGE
IEW
ARM
BUILDING CONDITION
NORMAL
, BELOW
ABOVE
Acre
Value Per
Acre
Value
liable 1
(able 2
table 3
)odland
amplond
FRONTAGE ON WATER
fRONTAGE ON ROAD
DEPTH
I tf7) ~ j'oo ~ ,f()O ~
lsh land
)use Plot
: I
...-----
"<d'.____.
COLOR I
\
+OT)
1<.,' "
TRIM
^ ---: IL
Wl"k y ~C: r-l
'li "
~;.- , ~
,
, I 8 ~ -1
~- I
IV , I
91 ~l
Bldg. Ii X 3q ::"'("'3~ Foundation Pc. Bath Di nette
115"\ ~81o .
tension 5xz..~=- 5.'50 ~g73 ' Basement Fu.11 Floors K.
&><l<is=I03/ -
tension Ext. Walls V/ N\.jL Interior Finish LR.
--"'- \/cS
t~~~;,"", /0/10 - 100 2.se Z~O Fire Place Heat DR.
Type Roof / Rooms 1st Floor BR.
rch ~l('S co 50') ..... .50 75 Recreation Room Rooms 2nd Floor FIN. B.
)'~V on
'ch 24 X 5 = Izu Dormer
~ezeway Driveway
rage 2-1'X21 ~ L\41 \25 S61
~" I :-.; ~ r; ~/"J~ 24D ,2? &'n
'\ \;7,1(
Ie.. _ ./ -
'fl. f>.- 2DO
tal I too 9
'. ~~ i ::_)1 k~ r'.,_,,;,~::' '1
",}1 n!\\vi
(1"1 "'-~
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V~~ \~
in;), UNLA' ~~"'~','.-1, ,",'.,
A ~ .~':' >~. J '
~" 'v'rL-
"~";;n'UT CE'RTI'Cfi
;:~ t~~,:Ji'" h;;
p t",' '!')~ Iqf'U
. L.l r f;l~ ';~: :'LE< '~
UNDERWRITERS CERTIFICATE
REQUiHED
"IMMEDIATElY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'WATER"
SIZE! Fl') A
C
E'
B
o
A
A
B
B
PLAN
GENERAL. NOTES
THE DESIGN IS BASED ON A DRAINAGE son': WITH <1~
SILT. GROUND WATER SHALL NOT EXIST WITHIN THE
LIMITS OF THE EXCAVATION. IF GROUND WATER EXISTS
WITHIN 6'-0- BELOW GRADE SPECIAL DEWATERING
FACILITIES WILL BE REOUIRED. WATER DISPOSAL IS
LIMITED TO OWNER'S PROPERTY.
2. NO SURCHARGE ALLOWED WITHIN 4'-0- OF SHALLOW
END AND 6'-0" OF DEEP END.
3. THE PNEUMATiCAllY APPLIED CONCRETE IGUNITE)
SHALL BE A 1:4 MIX WITH A MAXIMUM OF 3~ GALLONS OF
WATER PER SACK OF CEMENT.
4. REINFORCING STEEL SHALl. BE INTERMEDIATE GRADE
BILlET"STEEL WITH A MINIMUM LAP OF 30 BAR
DIAMETERS. .
5. POOL WATER SUPPLY BY OWNEA'S GARDEN HOSE. POOL
TO BE KEPT FUU. DURING FREEZING WEATHER. PUMP
CAPACITY TO BE SUFFICIENT TO EMPTY POOL IN
24 HOURS.
el9llS'
F
'(3- AREA
SO,FT.
&'f8
o
WALL SECTION
B-B
CAP.
AL.
-
,......
A
1--'2.
:>
c
~
~
o b
;::
ffi h
>
"
"
"
UNDERWATER
LIGHT
(OPTIONAL)
..
DEPTH
HORIZ.
VERT.
FLOOR
~<'
If:
o
.
o
o
SECTION A-A
./ l~RETURNTO
r INLET
SCH=MATIC PIPING ARRANGEMENT
. &STEEl REINFORCED
POOL SPECIFICATION
.....1lI.typlcalpoot~
<.5'-0"
>5'-0"
8-00-..
"~'
6"~i:-.::~,
..11.....
12" DC EACH WAY OR
MESH EQUIVALENT
'Toe
'Toe
SKIMMER
v.....
~..-
INLET FlTTING-
~-
F,e_
o
--WATERLINE ----
F MAIN DRAIN
CONTRACTOR:
OWNER:
~
FORM NO. 1
TOWN 01' SOUTIIOI.D
\lUlI.DING D1WARTMIlNT
TOWN IIAU.
SOIl1'II01.D, N. Y . 1 '97 1
TIll.: 765-1 R02
I
I
1
ROARD OF UEAL111l ...............
3 SETS 01' PLANF ...............
SURVEY ...... '1' . . . . . . . . . . . . . . . .
CIlECR ....... .,.................
SI,PTIC FORM. .1.................
,
I
NOTIFY: 1
CAI.L .. 7. !r~ :. ~ . ~/ ?-.
MAlI. TO: .1...................
. .. . .. . . .. f . . .. .. . . . .. . . . . . . . . . . . . .
, ,
....... ...~........................
, ?"
l!1aJnired.~.1:~ 191f ), \/
AI~><<N<>d..Y~;-?:. 19.... Pem,it lb. :...~t?;::1cf:
Disapprove<! alc ...................;..............
......................................................
~
.... ('k',ii~i~'i~~'>ect~~)'''''r .
APPI.ICATION FOR \lUlLlJING PEl\MIT
'Date.. .Mz?.... ."c}y.
INSTRUCTIONS
a. 'lI,is application nust be conpletely fille<! in hy t'Yf"'Writer or in ink and .dJQitted to the Jklllding In8pector"
3 sets of plans, accurate plot 1.100 to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relatlooshlp to adjoln'ng prenlse8 or ld.lic
8treets or area8, and giving a detaile<! description of layout of property m'8t he drawn on the iagran ,J,ich i8 fIIIrt of
this application.
c. 'l1,e lolOri< covere<! by this application....y not be C<J1Jrenced before issuance of IkJlldlng tjermit.
d. Upon approval of this application, the luilding In8pector "il! issue a lkJildlng Permit Ito the applicant. Such
permit shall be,kept on the premises available for inspection thtOl'llllOUt the lolOrk.
e. No building shall be occupied or uaed In "lOle or In part for any purpose "\Stever unt I a Certificate of
Occupancy shall l\8Ve heen grante<! by the Jk,llding Inspector.
APPI.ICATl(Jil IS \EmIlY tWE to the Ik.ilding Department for the Issuance of a fulldlng Permi pursuant to the
lIuilding Zone Ordinance of the Town of Southold, Suffolk County, New Yori<, and other applicable l.aws, Ordinance. or
Regulations, for the construction of blildlngs, additions or alteratlona, or for renllVal or lItlon, as herein
described. n.. applicant agrees to canply with all applicable lawa, ordinances, building code, housing code, and
regulatlons"and to sUnit ....thorlzed Inspectors on premises and' il ~ f~ VA.' ry In~ tl[S.
" IA., I
r-' . ..,.,.. ...:V. .. .......................
/ (SI tu~o'1; appllc t, or ~r.tiOn)
I .. O.~..~~... .... .............. ..f!.7. .llN
, '
(Mailing addres8 of 8PP !cant)
fU~"""
.U :1M
,.
.
..
-
Electricians l.icense No. ................. -.........
Otl..r Trade'. License lb. .................... '
,
I. locution of land on ",Id, proposed work will be (Ione.X..igl5.'..tI:&.rW/H1HtS.J1.!{...C~T.t..lf.'!7Il.It.............
,
I
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. . .. .. .. .. .. .. .. . . .. .. .. .. . .. .. . .. . .. .. .. . .. . . .. .. .. . .. .. .. .. ~ . . .. .. . . . . . . . . . . . . . . . . . . . .
loose Ibtber Street Ilanlet I
County Tax Map Nt,. IlXXl Section...... fit....... 1llock ..... (~I........ loOt ....I.&... ..I....
SubdivislcxA.................................... File<! Map lb. ........;...... loOt ....j...........
(lime) I
2. State exi.ting use and occupancy of premises and intended use and occupancy of proposed t'stnlctlon,
a. ExIsting use and occupancy .... ::-:.................................. ..... ..... ....... .1..................
. I
1 I --.-.. nd /''\ c( L (' .} ....'12...A..-1 1
). nte.""" use a occupancy......... .... ""........ .. ....... ........... .............. ..................
",..llIIe ut work (doeck \A.ld. applicable), New IkJlldlng .......... Addition..... (^:.. ,Alteration. a.. '/.
llel,"!r ............ Ileloval ............. llemolltlon............ Other Work . ~t0. ~~ .It.:'~.k..:'..
(Ilescri~
Est i"..ted Cost ..... :~7~ '!.t!:!!. .. . .. fee ............................:.................
(to be paid cx, fll Ing this application)
If (h.JellinU. ."'lller of dwelling units ............ tllt'>er of (kolelling units on eacll floor ................
1 f garaae, 1..I'>er of cars......................................
6. If husiness, connercial or ml1letfoccupancy. specify nature and extent of eacl, type of use......................
].
'..
5.
7.
()ill~n8i()n8 of existing atnx::tures. jf any:
Frunt. . . . . . . . . . . . . . .. Rear ............... Depth
.................
Height...............o ..... .... tl.lllIer of Stories......................
Dimensions of SlIne stnlCture will. alterations or ackJitlons: Front............... Rear...............
Ilcpth .................... lIelght .................... n...ller ot Stories ...............
n. niuensions of entire new construction: ll'ront ................ near ............... Depth ..............
llei~,t ......................... n...her of Stories.. .. . ... . ... . ...... .. .
9.
Size of lot: l'Tont.................... Rear .................... Depth
10. Hate of Purchase ....................... N.--.re of li"ormer ()..nl€lr ........................................
II. Zone or use dlatrlct in wlld. premlsea are aituated ..............................................................
12. I'hes proposed coustnx::tion violate any zoning law, onlinance or regulation: .........................
n. III II lot lle t"egnkled .................... 11111 excesa fill lle r6lOVed !'rem preml sea: Q N)
1'1. NiI,es ot I}....er ot premlsea)(;JpJfN.f3ofl.:~j-!..Jlfg'I... lIcklress 1.'lIS.Jil}yNllt<<~.l!J1.C\j:tr.~H. I~.one tk>.'a.9.n.))J.'1..
NiIle ot Ardlitect .................................... Mdress .............................. Pllone tk>. ..............
NlI"e of C.ontractor ::J(;tf~>{~,~YSQ"..ut'.'-$.!:..... Mdress /41..n.?I!r:0t.!.(!<r.<I...l'II0ne tk>.7.~:1:t.~(<:
15. Is Ihis property within 300 teet.ot a tidal wetland1 * W..5 .......... N). X......
*IF YI!S, OO1nUD lUlllmJSl1!I!l; PIlllMl'I' HAY 00 RI!.(~J1Il1ID.
\'1.01' DIAGIIAH.
l.ocate clearly and distinctly all buildings, w..ther exlatlng or proposed, and indicate all set-hac:k dinensions
fron property linea. Give street alld block ..:..ber or description according to deeel, and ahow atreet narea and indieate
\..4lelher interior or comer lot.
OCCUPAt~Ci O~1
USE IS UNLAWFUL
W'iTHOUT CERTIFICPlTE
n~ orrUPANCY
O'I;; ~..v'V .
t.
a. . Itf--IJG
t FtfIIAt. . ~ MUST
. COMfU1I POll c.o.
ALL CO__lfhJCnON IHALL MEET
1ME IlIQUlItEMINTI OF 1ME N.V.
STATI COM8TIWCTION . ENERGV
sm:m u: /t;;w YIXlK, . . coon. NOT WllPONSllLE FOR
.. S:; DESIGN OR CONSTRUCllON ERRORS
(UlN~Y I' .......~/j'J...... K
iO,.,4."j J Wc,<coc--Z-J7j-v0<;L I,' II I I 1.1' I I'.
..... _.....It!<<~.............7r--:'u...........................Jelllg (II y sworn. (epOBeS En. IX"1YS llllt 'e Hi lIe app.l<:JlIlt
(N.....l~ of ilKlividual. signing contract)
::~: ~::~~:......... (~:.~.t!::.0~........................................................
(f..fJIltraclnf, IJgent;.. corporate officer, etc.)
UNDERWRITERS CERTIFICATE
REQUIRED
."MMEDIATEl V"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'WATER"
61
of snid (7olt'lef or owne:rs, IUKI Is duly mJthorize<l to perronn or have perfurned the said work Dnd to nrlke and fi I.e lhiR
uJlpl icution; that nll staterents contained in this application are In.te to the best of his knowleUge and belief; nlld
Ihat the ....rk wi II be perfonrecl in the """'ler Ret forth in the application filecl tiler ith.
e
Prtlf'orodln a::r.Ordi,JnC6 wlfh the minImum
,'i!(}p.UiJr,';5 h" fWd surveys 05 fJs/obllshed
lor Iha i..i.A.L.S. and approvr/(j 'lnd odopted
lor such l/.'i/J by The New '[vr;" Slale Land
TIIld /J.sr;'.'I:/~l!r.'l.
Th. wlor 'upplr ""d .....,. ""'c",
'r,lom~ lor /hi. ""eHnc. will cOlllorm
fo Ih. ,lon1",d. 01 TIN SlJllof1! Counfy
OsporJrr,snJ. ull-la"r.'h ~or~1':'j';.
SUFFO~'p~~"U~
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The _~ ~1lI1l1ld wder.\WIY ~ ,
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" end foundlo be 1I811sf8cto1y. .
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CER 7/11CJJ J()'
CHICAGO TITLE INSURANCE,>
COMPANY
TITLE NU. i3iJU8-01688
SAL.VA TORE J. CONSIGLIO
ANGELA CONSIGLIO (VACANT)
""
,
...
".....-
AREA 27,635. SO. FT.
"N
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.
Th. locaHon. of w." and cU!lpool!l, shown h.reon or8 Irom lI.fd
ob..rvaflon. and or datw obtalnsd from olhrB. .
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL 0.[. CON.STRUCTlON ONLY
h. 93 SO 08'
DA TE HS REF..tjO.
"1961-8
; i.......,___-,... .,.~_.._.e ...._.-<<,-.,
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Pr8f'orod In a::r.ordJnC8 wllh Ihe mInImum
,o;!<Jnuar:;:; h', J/:ld surV8YS 0$ esfabllshed
/If fhfl i..i.A.L.S. and approyr,ti 'md adopfed
lor s/ich I/!'" by The New '(r-,r~ Sfole Land
rifle ,A::t;'.',-:;:l!!:i1.
Th. "at., ''4''''' and ..".,. ""'a"
.,"IIff' for fhh r.,/denc. will cOR/arm
fa Ih. ,'.n1....d. al 7110 SIJII"/1{ Caunly
Osporlmsnl. u/ H,,"f!h. ~(lr',1"'1:>.
SUFFO~tP~tnftro"J1&ERVICD
AMnJfl eI 0clnIW*d WGltII
O8Ie.lU'LD..S.J991. U8.......... fj'~-SD -d!.
The _~ ~lIIl11ld wder ~........
.lhh IOceIIon hll" """ ~ MdIor .~---.
0Il1II1td bV I. ~ or other Ilgtndel
" end found to bu8llsfllCtOly.
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D MAP OF SECT/ON non
NA.SSAU POINT CLUB PROPERTIES
,
ING. . ,~~""'.
FLED MA Y 7. 1926 FILE NO. 806. ,....})
A T NASSAU POIN~Ijj> ~~
TOWN OF SOUTHOL~'" '" %~
SUFFOLK COUNTY,'N,,,,,.;' ~~/~y
1000 - 711 - 04 - 16. '" ., 1 ~.,,:,~
Scale 1" :::: 40' ~_" ~"': .
May 20. 1988 '
April 22.1993 (found). ~~0~~"'T-I"r;I'~u/yf-.
Mar, 22,1994 (final) !J fljj' Q~1,
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IJI,.A In
/1 jJ '1~"'O, 496\~ 0<1:-*'
(P-!-/l)~jtftwN,Y, OFN \(l-l 4961-8
P~C;NIC fJrNEYORS, P.c.
(516) 765 - 5020
p, 0, BOX 909
MAIN ROAD
SOUTHOLD, N, y, /197/
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CER 7!nctJ ro'
CHICAGO TITLE INSURANCf,/
COMPANY
TITLE NU, <38U8-016(]8
SAL.VA TDRE J. CONSIGLIO
ANGELA CONSIGLIO
'.
(VACANT)
.'"
,
'-
,
,
AREA 27,635. SQ. F1.
Th. loeaHan. of w." md cu!pooIJ., Jhown h.,fJon ors from fI.ld
ohwvaHon. and or dtIN Qbfofnsd from a/h.f',
APPROVED
SUFFOLK COUNTY DEP ARTI.4ENT OF HEALTH SERVICES
FOR APPROVAL 0[. CON.STRUCTlON ONlY
~.-.. 93 SO 08'
HS REF..NO,
DATE
I)r'~_'/~',I.' ~,c
3 ~/93
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