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Home My WebLink About28275-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29257 Date: 02/07/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1765 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 8 Lot 53 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 2002 pursuant to which Building Permit No. 28275-Z dated APRIL 15, 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 "AS BUILT" ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. · ~ne certificate is issued to CYNTHIA A MARTOCCHIA (OWNER) of the aforesaid building. SUFFOLK couAvrY DEPART~4ENT OF ~R. AL~"~ APPROVAL ELECTRICAL CERTIFICA~ NO. PLU~4BERS CERTIFICATION DATED Rev. 1/81 N/A 1054738 07/12/02 N/A Aut h-ori-z e~ ~ignatu~ ~ 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. 28275 Z Date APRIL 15, 2002 Permission is hereby granted to: CYNTHIA A MARTOCCHIA 1765 MAIN BAYVIEW RD SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN "AS BUILT" ABOVE GROUND SWIMMING POOL AS APPLIED FOR at premises located at 1765 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0008 Lot No. 053 pursuant to application dated APRIL 15, 2002 and approved by the Building Inspector. Fee $ 300.00 .o~' zed Signature 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 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: LocationofProperty: H/o?se~N~off. /t~,'~Street Owner or Owners of Property: ~,, ~ 2[~ ,' J~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ ~_O~7 ~'~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (check one) Block Filed Map. Date ofPermit. /~,~. I~'j Oc'~ Applicant: Underwriters Approval: Final Certificate: Hamlet Lot Lot: (check one) ~pplicatnt Signature BY THIS CERTIFICATE OF COMPLIANCE THE~.~i? c~'~ NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GOODALE ELECTRIC TONY MARTOCCHIA 1765 MAIN BAYVIEW AVE 7255 MAIN RD. MATTITUCK, NY 11952, SOUTHOLD, NY 11971 ..~ Located at 1765 MAIN BAYVIEW AVE SOUTHOLD, NY 11971 Application Number: 1054738 Certificate Number: 1054738 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 12th Day of July, 2002. Name QTY Rathe Rating Circuit Type Appliances and Accessories Pool/Spa Bonding i 0 Wiring and Devices Receptacle ~ 0 GFCI (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is ~,.dvisable to frequent test and/or repairs made by a qualified person. seal i of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~AKE "IMM EDIATE ~L~.'~ ~'A ~ v, ~ ENCLOSE POOL TO CODE UPON COMPLETION R~FO~F AT 4 PM FOR TH~. 1. TWO REQUIRED Z R( r~ & PLUMBING ~ IN~ )N · FINAL=~ ;0NSTRUCTION:MUST BE C01~ C.O. AEL-cONSTI CTION SHALL MEET THE- REI STATE CONS CODES. NOT. DESIGN OR COI~ "~USE IS UNLAV~/FUL WITt-iOLIT CERTIFICATE "/,'V~--~U PANCY 5T, a/VL EY CIE aCt4, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ,~NAL []FIREPLACE&CHIMNEY REMARKS: ~ ~~_./~ DATE :/~D/dT?~ INSPECT0~~~~ ~n;LD ~NSYECT~~ ~'OR~ I D~TE I COASTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGE[ F~G & - PL~G ~S~ATION PER N. Y. STATE ENERGY CODE ~DmON~ CO~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Surve3( Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~ilding APPLICATION FOR BUILDING PERMIT Date "'1Ltl 10 ] ,20 (300~. INSTRUCTIONS / ~ a. This filled in by typewriter or in ink and submitted to th~/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 P~,nit. 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 until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit 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.,, f__.J' (Signature o,f apI~ant or name, ifa corporation) (Mailing add, of applicant.), State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (as o~ test deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade s License No. 1. Location of land on which propose~d work will be done: House Number Street County Tax Map No. 1000 Section C) 7 C), 00 Subdivision (Name) Block ' 0 g-DO Lot D %3, (~J~) Filed Map No. Lot z. otat~ OXl~tlllg USg illIU ocuupallUy oi pr~ ~u lmenueu use ~u occup~cy oI proposea cons~cuon: a. E~sting ase ~d occup~cy ~,i ~~,~ ' b. ~tendeduse~d occup~cy ¢~ ~ ¢ 3. Nature of work (check w~ch applicable): New Building_ Addition Alteration Repair Rmoval D~olition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions~gf~existing structures, if any: Front. Rear Depth Height t-{-~~' Number of stories 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 of Stories Size of lot: Front Date of Purchase ~JoZc] / O O 10. 11. 12. 13. 14. Rear Depth Name of Former Owner \~~ Zone or use district in which premises are situated Does proposed construction violate any zoning law, ordinance or regulation: Will lot be re-graded Will excess fill be removed from premises: YES NO Names of Owner of premises Name of Architect Name of Contractor ~-~ _~(~Y]U/4._.) Address Phone No. Address Phone No Address Phone No. t-/Ct S- ' /) I ~ 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, 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. STATE OF NEW YORK) SS: COUNTY OF ) A ~ C~b( ~.~ ~[_ ~/((.~/k"~0(_(.]_/4.'~ -- being duly swom, deposes and says that (s)he is the applicant (_J~ame of individual signin;~xrrrttact) above named, · tS)He is the ~ (Contractor, Agent, Corporate Officer, etc.) 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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this -(.5'"-'~L day of ~J-4.e~ 20~ Notary Public H£UENE D. ~ORN~ ~otary Public, Slate o~ ~o. 49~13~4 Oua![fied in SuHolk