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Home My WebLink About28752-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28879 Date: 09/19/02 THIS C~TIFIES that the building ACCESSORY Location of Property: 43475 MAIN RD {HOUSE NO.) County Tax Map No. 473889 Section 75 Subdivision Filed Map No. PECONIC (STREET) Block 1 (I4_AMLET) Lot 18.1 LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 2002 pursuant to which Building Permit No. 28752-Z dated SEPTEMBER 18, 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 ABOVE GROLrND SWIMMING POOL TO CODE AS APPLIED FOR, "AS BUILT" ·"ne certificate is issued to JOHN D & DOREEN J. MAZZAFERRO (OWNER) of the aforesaid building. SUFFOLK COUNTSf DEPARTMENT OF ~RALTHAPPROVAL N/A ELEC~fRICAL CERTIFICATE NO. N-42557 07/15/97 PLUMBERS C~TIFICATION DA'r~D N/A Rev. 1/81 ture 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. 28752 Z Date SEPTEMBER 18, 2002 Permission is hereby granted to: JOHN D & DOREEN J. MAZZAFERRO PO BOX 1133 SOUTHOLD,NY 11971 for : CONSTRUCTION OF ABOVE GROUND SWIMMING POOL TO CODE "AS BUILT" AS APPLIED FOR. (REPLACES BP #26300-Z) at premises located at 43475 MAIN RD PECONIC County Tax Map No. 473889 Section 075 Block 0001 Lot No. 018.001 pursuant to application dated SEPTEMBER 16, 2002 and approved by the Building Inspector to expire on MARCH 18, 2003. Fee $ 150.00 Authorl z~ Smgna~re Rev. 5/8/02 COPY 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. 26300 Z Date JANUARY 26~ 2000 Permission is hereby granted to: JOHN D MAZZAFERRO PO BOX 1133 SOUTHOLD~NY 11971 for : CONSTRUCTION OF ABOVE GROUND POOL TO CODE "AS BUILT" & AS APPLIED FOR. at premises located at 43475 County Tax Map No. 473889 Section 075 pursuant to application dated JANUARY Building Inspector. MAIN RD $OUTH/PEC Block 0001 Lot No. 018.001 6~ 2000 and approved by the Fee $ 50.00 ORIGINAL Rev. 2/19/98 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 Department with the following: A. 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 fi-om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement fi-om 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 fi-om architect or engineer responsible for the building. 6. Submit Plannlng Board Approval of completed site plan requirements. Be 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. New Construction: Location of Property: 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 Date. ~[*[~ / D~2)... (check one), Old or Pre-existing Building: Street Hamlet House No. Owner or Owners of Property: ~-~I~C~.) Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ r]S~L Block O~ Lot Filed Map. Lot: Applicant: Health Dept. Approval: Planning Board Approval: Request for: Te, mporary Certificate Fee Submitted: $ ~', ~ Underwriters Approval: Final Certificate: / (check one) - Applicant Signatu~ THE NEW YORK BOARD OF FIRE UNDERWRITERS P~G'E 2 .1~1093 BUREAU OF ELECTRICITY F ~, 85 JOHN STREET, NEW YORK, NY .10038 Dat. JULY 15,1997 Ap~i~.~o.'~o.o.~l. 14252597/97 N 425557 THIS CE~IFIES ~AT ~e.~ ~Y 11,1997 ~ ~XT 0RY~RS FI, HINACE MOTORS FUTURE AFIqJAN~ FEIOffRS TMMC:~OCKS UNIT HIATIIIS MULTI-OUTLE~ SYSTEMS NO. OF N~I* DIMMB~S C E OTNIB AFPAIIATUS: : AMOUNT ..... ...... - ..... - .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~1093 eUREaU OF ELECTRICITY r 85 JOHN STREET, NEW YORK, NY 10038 ~,~ ~Y 15,1997 ~1~,~ ~o. ~, 14252597/97 N 425557 ~ ,zami~ on ~Y :21,1997 : ~fo"~ ~ ~ come'ce ~ tk, N~ ~,~ ~,. ~X~ DF~CONNlCT S ! ':. I V I . C E ~ AFPAIIATU~. S~NG POOL- 1 SDECIAL RECEPT. AMP. 20-1 G.F.C.I-! *(b~{MiN~ WO0~.) Thls ce~ificate · c°~rs coalesce ag ~e 4a~ of '~" · ~tton o~ly. Beoa~e of ~usual ~nvi~nments it ts advts~le ~ have fre~ent test/~d, or repairs ~UNT ~de by a ~alifi~ person. <<< Continued on Page 2 JONN .-FECO. BtC BUILDING PERMIT_REVIEW CHECK L!ST Applicant/ --x-- f ~_./o/_.-f~'~r'.O Date Ovmers Name 5-3 ~¢c~ Reviewed: Architect/ Date Engineer: Submitted: SC~'M #: 9-5- Districl: 1,000 Section: Block: Project Location: Subdivision Single & separate Required cemfication: (Yes / No) Req Zoning District [Lol size Req {Frofll Yard __ Proposed: __ Project Description: Req. Aclual ] ILot coverage Req Rexl ] [Side Yald P~opose~d ] [Reaz Yard __ Proposed __] AGENCY PERMITS REQUIRED FOR REVIEW N.A. NO YES Permit Number Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~JC [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH ~L~' [ ]FOUNDATION2ND [ ] ~~'~ION i i~1RRAEMpILN;cE & CHIMNEY [ ~I=INAL REMARKS: ~ // / /~- - -( DATE FIELD INSPECT[ON REPORT DATE COIq/qENTS FOUNDAT[ON ( IST) II II II II II II II FOUNDATION (2ND) ii Il ROUGH FRAHE & II II Jl T{ II II II II II II II II II II ii II~ISUI~TION P~R COD~ Il 11 Il Il Il Il Il {I II Il Il il" ,, ,, FOltll NO. I TO~t OF SOUTBOLD BUILDING DEPARTPlENT TO~O1 HALL SOUTHOLD, N.Y. 1197 ! TEL: 765- 1802 I~.~a~i ned ................. , 19 .... .... ..... ' Di~t~ a/c .................................. .................. ~ ....~_~_~ ~ ........................ ~ ........ APPLICATION FOR BUILDING PE~IT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECI~ ......................... SEPTIC FOll~ ................... NOTIFY: CALL ~ ~ ~ ~ ~ ~ ~IL TO: .................... Date ................ ,19 .... a. This ~lication mt~t he c~upletely filled in by ~iter or in i~ ~ ~itt~ to ~ ~ildi~ In--for 3 ~ts of pl~, ~ate plot plm to ~le. F~ ~i~ to ~le. b. Hot ol~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~lati~ip to ~joini~ pr~i~s or ~lic st~ts or ~, ~ gi~ a &~ilM &~ri~i~ of l~t of ~ a,st ~ ~ ~ ~ di~ ~i~ is ~rt of ~is a~lioti~. c. ~ ~ ~ ~ ~is ~liati~ ~ mt ~ ~,~ ~fore i~e of ~ildi~ ~t. d. ~ ~ of ~is ~lioti~, ~ hildi~ ~tor ~dll is~ a hildi~ ~t to the a~li~t. ~t ~1 ~ ~ m ~ ~s ~il~le for i~ti~ fi~t ~ ~. e. ~ ~ildi~ ~11 ~ ~i~ ~ ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~rtificate of ~o~ ~11 ~ ~ ~ ~ ~ ~ldi~ ~tor. ~I~ IS ~ ~ to ~ hildi~ ~,~,; for ~ ism of a hildi~ ~t ~t to t~ ~ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo&, ~ o~r an~li~le ~, ~i~s or ~ati~, ~ ~ ~m~ti~ of ~ildi~, ~iti~ or alterati~, or for ~M or ~liti~, ~ ~in ~ri~. ~ ~li*~t ~s to a~.~,ly ~ all ~li~l~~ldi~ ~, ~i~ ~lati~, ~.to ~it m~ri~ ia~t0rs ~ ~s ~:~~s~ in~ti~s. ~ ', (~ili~ ~ss of ~lic~t) State ~r ~liat is ~r, 1~, ~.it, ~it~t, ~i~r, ~rM ~t~tor, el~trici~, pl,~r or ~il~r (~ m~ t~ roll or latest ~)' ' ' If ~li~t is a ~at~, siam of &ly m~ri~ offi~r. (~ ~ title o~e offi~j .................. Builders License No ................. . ......... Plmtmrs Lic~e lqo ............ ;/~'. ........... Electricianu License NO....~ ................ Other Trarl~'s License NO.v .................... I. Ix~cation of 1anti on ~ich proposed ~rk ~11 he done .... ~ :.". t S~- .USP;::..~ ..... L ~U ......................... ~ ~r St~t ~1 et ~ ~ ~ ~. I~ ktim .... .~ ...... m~ ...... ] ......... ~t ...[.~[ ....... ~ivisi~ ...................................... ~ilM ~ ~ ................ ~t ............... (t~.~) 2. State ~sti~ a ~ ~a~ of ~ies ~ int~ ~ ~ ~ of ~ mt~ti~: ' ' ' ................ D ........ ........ ..... ................... b. ~t~ ~ ~ ~ ............................................................................. 3. ffature of ~rk (check~,~alSdSich applicable): F~mlition~ Building .......... t~ldition .......... Alteration6~^ ~. ] ....... Repair ............ ............. ............ Other klork (Descr~ p"fft ion) 6. gstimatnd Cost ......................... fee ..... .~..5..~.~.0..~. .......... ' ................. (to be paid on filing this application) 5. If &~elling, m~ber of d~lling ooi/re~c ............ ltsaber of d~elling traits oo each floor ................ If garage, umber of cars .... ,r// ................................. 6. If business, cc~ercial or mi~ed occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing strictures, if any: Froot ................ Rear ............... Depth ................. Height ......................... N~ber of Stories ...................... Dimensions of sane structure ~ith alterations or arbtitions: Front ............... Rear ............... Depth .................... Height .................... Nmber of Stories ............... 8. Dimensions of entire ne~ eotmtruction: Front . ..~..~../.~. .... Rear ............... Depth .............. Height ......................... l~L~ber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Hepth .................... 10. Date of Purdmse ..................... Narc of Former Osmer ................................. ~4 ...... I I. Zone or use district in ~hich premises are situated .............................................................. 12. Does proposed construction violate any z~ning lin% ordinance or regulation: ........................ 13. ~/ill lot be regrnded .................... 14ill em:ess fill be nm,~ed f~t~, premises: YES ND 16. ltams of O, mer of p~e,~ises ........................... /kidresa .............................. Phone No .............. liana of arddtect .................................... /kidress .............................. Phone No .............. ~ of Contractor ................................... Mdress ............................... Phooe No .............. 15. Is this p,'oparty within 300 feet of a tidal wetland? * ~ .......... ND .......... PLOT DIAGR/~ I~cate clearly and distinctly all buildings, ~ahether existing or proposed, and indicate all set-track dinensions property lines. Give street and block r~her or description according to ~:d, and show street nines and indicate xdaether interior or corner lot. UNDERWRITERS CERTIFICATE REQUIRED C gPANCY USE IS UNLAWFUL V !ffHOUT CERTIFiC;\T[ COUNI~ ~ ...~.. 2~.'~ ......... ....... .~9~. ~ 5..~Z~f9 ..................... ~i~ duly (~i~ of i~ivi~t si~ing c~tract) APPROVED AS NOTED FEE: ~ BY:~~ 76~-1802 9 A~ TO 4 PM FOR TH~ FO~O~N6 INSPE~ONS: 1, FOUNDATION - ~0 ~[QUlR(D ~0~ ~URED CONCR~ 2. ~6H - ~IN6 i P~61N6 ~. INSU~ON 4. FINAl. - CON~U~ON ~UST BE ~MP~ FOR C.O. ALI CONSTRU~ON SHALL ~ff THE REO~m~EN~ OF ~ N.Y. STAT[ CONSTRU~ION · [N[~GY COD~S. NOT R~SPOhSlBLE FOR DESIGN OR ~NS~U~ON ERRORS ~s ~ ~s ~t ~ is tbe a~l.i~t lie is the (Contractor, agent, corporate officer, etc.) of said ¢x~er or ¢xmers, and is duty authorized to perfom or have performed tie said werk and to make and file this application; that all stat~nts contained in this application are true to the best of his kon~ledge and beliefi and that the ~0ork will be perfona_od in tim manner set forth in the application filed therewith. .~,aarn to .be,~ me this ...... Nola~ Public, Siai® of Now York No. 4981364 Qualified in Suffo k Couni~ Commission ffxpir~s Malt 22,