Loading...
HomeMy WebLinkAbout15473-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . .Z1 �083 . . . . . . Date . . .November. .l 20. . . . . . . . . . . . . . .119 Q THIS CERTIFIES that the building . . . , D e c k. . .add i tion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . .765 Bayberry Road Cutchogue , New York �. . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section . .Block . . . .Lot . P Z.° , .13 . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated November 5 , 86 15473 Z . . . . . . . . . . . . . . . . . . . . . . 19 . . . pursuant to which Building Permit No. . . . . . . . . . . . . . . . . . . . . . dated . . . . . .November 8 , 19 . 86,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 around an accessory inground pool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ANTHONY & PATRICIA PAGOTO Ile certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Iownelx&t ikYOX Fe138nXIX X of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . Nati. . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . N/A, , . , . , . . . . . . . . . . . . . . . . . . Building Inspector Rev. 1/61 FORM NO. f 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) N° 15473 Z Date ..... ................... 19..6 Permission is hereby grant to: .. ....... ... ...................... ........... to .. %!?':`:!.\.?`".::U......4r...VI`:+.}i+.4.... ?'` ."(^.....Q!il!1....... ...�. ( . ...�r.✓..�.q.:YfY�i •. at premises located at ... d........ ................... ....................................................................1............ ................................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ........11.1......... Block ......!.�........ Lot No. 21.z........ pursuant to application dated ..... ` ....s;................. 193.. ., and approved by the Building Inspector. Fee 5.. �I.'.. ..... Building Inspector Rev. 6/30/80 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted =N� to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 . 00 3. Copy of certificate of occupancy $1.00 4 .Vacant Land C.O. $5. 00 5.Undated C.O. $15 .00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . NewConstruction . X . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . . 7'65. Bayberry Road Cutchogue , N . Y. . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property Anthony & Patricia Pagoto p/o 13 County Tax Map No. 1000 Section . 1 1 1 , Block . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. 1.5473Z11 /8/86 Anthony & Patricia Pagoto . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . .5 -.90 . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Anthony & Patricia Pagoto Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rev. 10-10-78 � . 30M Co ? )S �17 , n Vl • x L H J OUNDATION ( tst ) OUNDATION ( 2nd ) c� o C' J OUGH FRAME & `^ PLUMBING ti H m m y _NSULATION PER N . Y. STATE ENERGY CODE x a 1 r S7 m FINAL ) z .�- ADDITIONAL COMMENTS : x m • x ro H �7 ov H O �G z 1 ' x m a - x c7 m ro H x FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 � pp TEL.: 765.1802 Examined . �4!!a^^ � .�. 19�.� Received . . . . . . . . . . . , 19 . Approved !r� .1. ., 10 Permit No. ). Disapprover) a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wiff 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 stret or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 pern 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, b ilding code, ho mg code, and regulations, and admit authorized inspectors on premises and in building for necessary ections. Cie /t��Signature o ppt),,* r/, if a rporaYton) . . . . . .'�{'.� . . . .0 t iiF::'C Applicant). . . . . . . . . . . . (mailing a fess applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor electri*% plumber or builde . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , J. . . . . . . . . . . . . . Name of owner of premises . h1� c'. . . . �. . . . yrC. . . . . . . . . . . . 1 son' the tax roll or latest dei d� If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) 1 Builder's License No. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which p�oposed work wil e done. . . . . . . . . . . . . . . . .y.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i I z(.r . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet �QCounty Tax Map No. 1000 Section . . . i/ J. . . . . . . . . . . . Block . .(.? . . . . . . . . . . . . . . Lot . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. A. . . . . . . . . . . . . Lot . .X. . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupp)))anc of proposed construction: a. Existing use and occupancy . . . . .414(, 7r 1-: al -: / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alter ton +' Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . .` . . . Other Wo rkl Pe ,w,�}} a&).L WW (Des6l'ption) 4. Estimated Cost . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee �S ... . . . . . . . . . . . . . . . . .. . Are (to be paid on filing this application) 5. If dwelling,number of dwelling units . . ... . . . . . . . . . Number of dwelling units 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 . . . . . . . . . . . . . NumberofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . `. . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . .r . . . . . . . . . . . . . 0. Date of Purchase . . . . . . . . .1 .)4s4 . . . . . . . . . Name of Former Owner r". .Fuzea-L. . . . . . . . . . . . . . 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 1. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 5. Is this property located within 100 feet of a tidal wetland? * Yes . . . . . No . . . . . * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from roperty fines. Give street and block number or description according to deed, and show street names and indicate whether tenor or corner lot. AP71-4Q kB tt"JG'ED Y �1 FEF.,OCCUPANCY OR 7h= tt i;,t, z , , �f' ..D USE IS UNLAWFUL WITHOUT CERTIFICATE 4 E ST OF OCCUPANCY At.i `p HE}N� Tt� N.y C: l F rOR 'ATE OF NEW )UNTY OF . .p�Y. .PR4 :. .. S.S R5� being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ove named. isthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent,corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ,rk will be performed in the manner set forth in the application filed therewith. ,om to before me this . . . . . . . . . . . . . . . /'. . . . . .day of. .. .. .. . . . . . . . .. 19 •tary Public, . . . N.`� 2:. : _ l� „ - • �/. . . . . . County rZ - � M ARY e of 113WYork (Sijaituotk f applicant) G?ualif:e,i in Oc,sCns County Certificate Filcd in Nassau County) Commission Expires Mdarch 30,t;Jf Memorandum from . . . . BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 Oct. 28 , 1986 Dear Ms. Pagoto: I am returning your application to you it must be signed and notarized. Please send us your check when you ret- urn the application. The amount due is: $25 .00 for the Building Permit $5. 00 for the cert . of Occupancy Yours truly, AV" r+suuing-Serv��6�-- 77, 2 319M (212)312-6340 u October 8 , 1986 Dear Sirs: Our pool was built last year. We have an application on file in your office. We recently decided to apply for a new mortgage at a lower interest rate , when we discovered that the applicationonly applied to the pool and the fence. Therefore, we need to aply for a new permit for the decking and have the inspector check that it has been done correctly. Since this problem is ho]-ding up our closing and of course is a year late already I wish that you would consider it a high priority. Sorry for this bother I still don ' t understand why the pool company didnt do this when they applied for the pool and fence. Thank-you,, ( Patricia J . Pagoto Nassau Point : �?� J� A,4 Q