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HomeMy WebLinkAbout28027-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28597 Date: 07/16/02 TI{IS CERTIFIES that the building Location of Property: 57635 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 63 ACCESSORY SOUTHOLD (STREET) (HAMLET) Block 3 Lot 23 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2002 pu~rsuant to which Building Petit No. 28027-Z dated J~N-gARY 22, 2002 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. l~ne certificate is issued to WILLIAM A & PURA CAPONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIqT OF I{EkLTt{ APPROVAL N/A ELECTRICAL CERTIFICATE NO. 32939 11/10/99 PL~q~BERS CERTIFICATION DA-r~,~ N/A Rev. 1/81 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. 28027 Z Date JANUARY 22, 2002 Permission is hereby granted to: WILLIAM A & PUPJt CAPONE PO BOX 1223 SOUTHOLD,NY 11971 for : RENEWAL OF PERMIT NUMBER 25769Z TO CONSTRUCT AN ACCESSORY IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 57635 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 063 Block 0003 Lot No. 023 pursuant to application dated JANUARY 22, 2002 and approved by the Building Inspector. Fee $ 150.00 Authorized Signature Rev. 2/19/98 ORIGINAL 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. 25769 Z Date JUNE 2~ 1999 Permission is hereby granted to: WILLIAM A & PURA CAPONE PO BOX 1223 SOUTHOLD~NY 11971 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 57635 County Tax Map No. 473889 Section 063 pursuant to application dated MAY Building Inspector. MAIN RD SOUTHOLD Block 0003 Lot No. 023 17 1999 and approved by the Fee $ 150.00 Author~ Signature Rev. 2/19/98 ORIGINAL 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 Bo 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. Swom 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 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, 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- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Location of Property: ,~2)"~ ~3S ~ Iq ~d House No. Street Owner or Owners ofProperty: ~i~ i{0~q ~ ~)[A~r~ Suffblk County Tax Map No 1000, Section ~ Date. (check one) Hamlet Block O v-5 Lot 2- '~ Subdivision Permit No. 2 ~>1~ 2 Health Dept. Approval: Date of Permit. Filed Map. Lot: Applicant: ~t"5121:L~ ~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~-~.~ ~)~) Final Certificate: ~ (check one) ~~Sig~ DATE: 11/10/99 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 (516) 286-6642 32939 APPLICATION No. ON FILE VILLAGE: Southold ADDRESS: 576~.5 A/thin I?nad ISSUED TO: Mr. Capone TOWN: Southold INTRODUCED BK' Thomas Ball Electric LIc No: 2520-E was examined on 11-10-99 and found to be in compliance with the National Electrical Code LOCATION: Base.. X 1st 2nd 3rd Attic Det. Garage Hot Tub Pool x SWITCHES RECEPTACLES FIXTURES HEATERS FANS I G.ILL AIR. COND. 2 2 Jl DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE OVEN SMOKE DETECTOR OTHER EQUIPMENT outside resid. l 500 watt pool light 1 20 amp special BUILDING PERMIT No. BLUE ORIGINAL YELLOW COPY PINK COPY OFF/CE ~RUMENT.-THIS INSTRUMENT SHOULD B! USED BY LAWYERS oNLy, 063.00 03.00 ): 023.00C THIS INDENTURE, made the y of July , nineteen hundred and ninety-seven BET%NF-FN 'CAROL J. CASE, residin~ at 57635 Main Road, Southold, New York 11971 petty of the first pa~. ~nd .WILLIAM A. CAPONE and PURA ~ CAPONE, husband and wife,~both residin~ at 17 Florence'Street, East Patcho~ue; .NY J1772 p~rty of the s~cond pa~, Wl~~, that the ~arty of th~ first ~,' in consideration of Ten Dollars and other valuable consideration ' paid by t? ~"y of the second part, does hereby gmnt and rekase unto the pa~y o{ the s<ond ~, the heirs or successors and assize of the party of the second part {orever, ~.~ A~'that certa{~ plot, piece or parcel of land, with the buildings ~d improv~ents there~ erred, situate. lying and being in the To~ of Southold, c9~ty bf suf. fo~ and State of New York, are parti~larlY ~ded ~d 'descried ~s follow: ,' B~I~I~ a~ a point on the northerly~ Sid~ of. Main R0~d (~S Route 25) where s~ is inter~ected by the easterly side Qf a 16 f~t right of way and ~r~ises a~ut R~I~ ~CE alon9 said 16 foot right of ~y, north 23 degree 50 minutes 50 seconds wes%, 196.17 feet to land n~ or fo~erly of J.E. & M. K~sRi; ~NCE'alonB said last m~ntton~d land, north 72 d~rees 30 minutes 30 s~onds east, 88.86 feet to land now or fo~rl~ of H. Kruk~ski; ~NCE al0n~ ~aid last' ~ntioned ~an~ south 16 d~rees 31 minutes 30 s~onds .175.83 fee% %o the northerly side of:'~ain Road (~S Route 25); ~N~E alonB the northerly side of Ma~n Road (~S Route 25), south 55 d~s 53 minutes 00 seconds west, 66.98 f~t to ~he easterl~ side of a 16 foot right of ~y and the point or place of B~I~ING. BEING ~ I~ED ~ BE %he s~ ~r~ises conveyed to the pa~ of the first ~rt: b~ deed dated 10/21/94 and re~rd~ in the Suffolk Co~t~ Clerk's Office on 10/26/94 in Li~ 11699 Pa~e 926. TOGETHER ~vith all rig[vt, title and interest, ][ ~nyi of the party o[ the first part in'and to any streets and roads abutting the a~ve described premises to the center lines ther~f; TOGETHER with 'the appu~enances and alt the estate and rights of the party of the first pa~ in and to ~id premises; TO HAVE AND TO HOLD the premises herein granted unto the pa~y of ~e second ~rt, the heirs or successors and assigns o[ the party of the second part forever. AND the party of the first ~rt covenants t~t"the ~tty 0{ the first:pan has not done or suffered anything whereby the said premises have been encumbered in any way whatever, exc~t as aforesaid. AND the ~arty of the first part, in compliance with Se~ion 13 ~ the Lien ~w, covenants that the party o~ the first part will r~eive the consid~fion for this ~nveyance and will hold the right to r~eive such consid- eration as a trust fund to be applied first for the ~r~e of paying the cost of the improv~ent and will apply tim same first to the ~yment of the cost of the improv~ent before using any ~rt of the total of the s~e for any other put.se, ' . ~The xmrd "~amy" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN.~N~ WH~OF, the ~rty o{ the first part has duly ~ecuted this deed the day and year first a~ve ~,X MAP 'GNATION 1000 O~NEW YORK, COUNTY OF SUFFOLK ss, before me came . CAROL J. C~SE me known to be the individual described in and who executed the foregoing instrument, and acknowledged that ~.i~he exezuted the same. GARY THOR.SEN Notary Public, Slate of New York No. 4951538 Qualified in Nassau Counly Commission Expires May 22, 199 STATE 01: HEW YORK, COUNTY OF ss: On the day of 19 , before me personally came to me known, who, being by me duly sworn, did depose and say that he residesat No. ~' '.. ; that he is the ' ~ ~' of , the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board of directors o[ said corpora- tion, and that he signed h name thereto by like order. STATE OF NEW YORK, COUNTY OF , ~ , , ;: ,~ ss: · : : On the day of '' r'~ ~:'' ~'d9/,.~,,beJ0re me to me known to ~ the individual desCribed:rln ~nd,:who ex.uteri the foregoing instrument, ~nd ucknowledged that ~ecuted the ~me. STATE OF NEW YORK, COUNTY OF SS: On the day of 19 , before me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. that~ he knows to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and saw execute the same; and that he, said witness, at the same time subscribed h name as witness thereto. WITH COVENANT AGAINST GRANTOP,~ AClS CAROL J. CASE ~5'~:'~ 'WILLI~ A. CAPONE and PURA :'.' L. ~PONE, husband and wife ,. BROADW~ Y ABSTRA CT CORP.. 560 BROAD HOLLOI~ ROAD, SUITE 20~ MELVILLE, NY I 1747 (516~ 249-3493 FAX(516) 249-3577 S~CT,ON (O'~ BLOCK coffNTV Town TAX BILl.lNG ADDRESS ~o~rOod At Boqu*sl ol ~{ ~tlfi ~uarnnlo~ Oompan~ RBTURN BY ~1~ TO:. Law. Offices of David M. Green Attn. Keith Angerame, Esq. 56 Broadhollow Road· Suite 104 : Melville, NY 11747 Zip No. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. :ORAUMNIDNA~ION 2ND [~FINAU~ATION FIREPLACE & CHIMNEY ~ DATE/~~?//~~INSPECTO~ 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~SULATION [ ] FRAMING [ ~"FINAL FIREPLACE& CH IMNE~I~~~ DATE~__INSPE~OR~~ -FORIt NO. I TOI~lq OF SOuTHOLD BUILDING DEPART14ENT TOI~I HALL SOUTHOLD, N.Y. 11971 TRL: 765-1802 Disappmved ale .................................. ...... ~n: ildi tot) APPLICATION FOR BUILDING PE~IT BOARD OF BEALTH ............... 3 SETS OF PLANS ......... ...... SURVEY ........................ SEPTIC FOR~I ................... NOTIFY: CALL .................. ldAIL TO: .................... INSTRUCTIONS This ~pplicaticn ,amt be c~.pletely filled in by typewriter or in ink and suhnitced to the Building Inspector ao 3 sets of pl~q, accurate plot pl~l to scale. Fee according to acbedule. b. Plot plea~ sho~ing location of lot and of buildings on pr,~ises, relatio~hip to adjoining pr~nlses or public streets or areas, ~vt giving a detailed description of la, ut of property mist be dr~,m ot~ the dia~r~n vhieh is part of this application. c. The ~ork covered by this application ,,,~y not be c~,,e~cad before ismenee of Buildin~ Permit. d. Up~,-, ,~p,~al of this application, the Building Inspector will ias~e a Building Permit to the applicant. St~h pamit dual be kept on the premises available for inspection thronghont the ~ork. e. No building stual be occupied or used in ~hole or in part for any ptupose ~hatever tmtil a Certificate of ¢.1c~ ~'mll have been i-,~,ted by the B~ilding Inspector. APPLICATI(Iq IS ~ ~ to the Building Department br the ismmnce of a Building Permit purs~mt to the Building Zooe Ordinance of ~ Town of Southold, Suffolk County, New York, ar~ other ~pplirahle L~s, Ordinances or Re~lati~ns, for the construction of buildings, ~tditions or alterations, or for x~s~al or ~lition, as herein described. ~be ,pplie, e~t ~ees to ~?ly with all ~pplicable laws, ordinances, building code, l~using c~le, and re~ulati~s, and to ~t ~ized inspectors on ~,~ses and in build~ for necessary inspections. i i ;: ~,%*!-;,, ,~..;i (14ailing ~iaress of applic~t) S ...... --;; i'.~Ii~t~l~t~i~alessee, a~e~,t, architect, engineer,'~-eeral contractor, electricim% pl~ber or builg .... ........................................... ~ of ~, of ~{ses .~.~'[,h.4aO..~g.C~...~¢4~ ar3 ..... : .......................................... ~ (as'm the tax roll or latest deed) If awlicant i~ a corporation, si~~,~tm~e of duly authorized officer. (N~e and title of corporate offieer) ~. Pature of ~ork (check ~hich applicable): Ne~ Boilding .......... ~id~t~on · .. ~t ~ ............ ~,.~ ............. ~d~ ............ ou~ ~ ~O.~~nd..r,~oo. (to ~ ~id ~ fili~ 5. If &lli~, mr of ~lli~ units ..~ ........ ~r of ~lli~ mits ~ If ~r~e, ~r of ~ra ...................................... 6. If ~ims$, mereial or M~ <~, ~i~ ~mre ~ stent of e~ ~ of m ...................... 7. Dimnsi~s of ~sti~ st=ms, if ~: ~t ................ ~ ............... ~pth ................. lki~t ......................... ~r of Stories ...................... Oim~i~ of m st=m ~th alterati~ or ~iti~s: ~t ............... ~ar ............... ~Pth .................... ~i~t .................... ~r of Stories ............... ~. o,-ns,~o~ ~.~_~=~: ~ ...~ ......... ~ .~ ........ ~,~a'lz-g ' t~i~t JD.9. CO~ ..... ~r of Stories ..................... 9. Si~ of lot: ~ ........~ ..... ~,th ..~.~.~:.(7.. ..... 10. ~te of ~dm~ ..................... ~ of Fomr ~r ........................................ I I. ~ or ~ district in ~i~ p~i~s a~ si=t~ .............................................................. 12. ~s ~om ~t=ti~ violate ~ =i~ 1~, o~im ~ ~lati~: ..O.Q ............... 13. ~ill lot ~ ~ .................... gill mss fill ~ ~ ~ ~s: ~ of mddt~t .................................... ~ss .............................. ~ ~ .............. 15. Is this p~'o~ 6~in ~ f~t o~ a till ~tl~l * ~ .......... ~ ..~ .... / PLOT D I AGRAI,! l~cate clearly and distinctly all buildings, ~hether existing or proposed, and indicate all set-back dimensions f-rc~ property lines. Give street and block .~her or description according to deed, and sho~ street t~n~s and indicate td~ether interior or corner lot. ,,IMMEDIATELY" REQUIRED APPROVED AS NOTE~D/_ FEE: · ~-t, o. ~y:...~, ~~ N~I~ BUI~ING DE~ENT AT 765-1~2 9 ~ ~ 4 PM F~ ~E ~WING INSPE~IONS: 1, FOUNDA~ON - ~0 REQUIRED ~ ~R~ ~N~ R~ - ~ING & p~BING INSU~ON 4. FINAL - CONSTRUCTION MUST BE ~MP~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIRLE FOR DESIGN OR CONSTRU~ION ERRORS .being duly s~)rn, deposes and says that he is dm applicant (Contractor, agent, corporate officer, etc.) )f said o~ner or o~ers, and is duly authorized to per[om or have perfomed the said ~ork m~l to make and file this application; that all statements contained in this application are true to the best of his Imo~l~ and b61iefi and fi,at the w~rk will be performed in tim manner set forth in the application filed there~th. ~rn to before ma this ...... l.!'...m.. ..... day of .~tC~.~ ....... ,,.q.q.... ~tlrlstl A'J 6antulll Notary Publlo~ $:u~'e ~t New York .o. o,~^~o~o~, ~.o~ T~rdm E#plres Mareh (Signature o_~ Applicant) LOAN SURVEY FOR CAROL .I. CASE A T $OUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 65 - 05 - 25 SCALE 1"= 40' OCT. 17, 1994 94 - 330 L