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HomeMy WebLinkAbout23307-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24624 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1200 PRAITY LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1996 pursuant to which Building Permit No. 23307—Z dated MARCH 15, 1996 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 ENCLOSURE AS APPLIED FOR The certificate is issued to ANTHONY & BERNICE FASCIANI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #12001 — MAY 14, 1996 PLUMBERS CERTIFICATION DATED N/A _,-4- a�e� j din Inspector 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) Date ................... .........................., 19... f NS 23307 Z Permission Is hereby granted to: s ..... ... .�: i � ...371... . :....... .....4.................................... �✓ r � " �-f r�.{'Gt ........... ...... ......................................................... ......... ........... ..c............................................................................................................ .................................................................................................................................................................. ......................................................... .�;-�'��?✓i.... ... ................................................................. -- at premises located at........./. -Vw�.... -�4 � X '��- ....................... ...................................... ................................................................ . ............ cf County Tax Map No. 1000 Section ...yl .......... Block......®�....... Lot No. ........ !................ pursuant to application dated .............. .. ................................... 19...�C ..., and approved by the Building Inspector. Fee$. ... ..:- ... ............ � .. . ............................... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOi:D 3UILDIYiG DE2ART`IEN TOW`i LOLL 7o5-i802 �2FLICATION FOR CERTI=ICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin? inspector ;with the following: for new building or new use: 1 . Final sur'Tey or property with accurate location of all buildings, property lines, streets, and unusual natural or toDographic features. 2. Final Approval from Health Dept. or water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. T• . Sworn statement from plumber cartifying that the solder used -in system contains less than 2%10 of 10 lead. 5. Commercial building, industrial bu iIding,. multiple residences and similar buildings and-installations, a certificate or Code Compliance from architect or engineer responsible for the building. o. 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: I . Accurate survey of property showing all o_ roperty lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in Jr4 ting to the applicant. C. Fees 1 . Certificate of-Occupancy - New dwelling 325.00, Additions to dwelling 525.00, Alterations to dwelling 825.00, Swimming pool 325.00, Accessory building 525.00, Additions to accessory building 525.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinla Buildins - $100.00 3. Copy of Certificate of. Occupancy - .25-c. 4. Updated Certificate of Occupancy - �50.00 5. Temporary Certificate of Occupancy - Residential 315.00, Commercial S15.00 Date . . .September fix .1,9% . . . . . . . . . . . . . . . . . . . . . New Construction. . . g . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . .1.200 Parity, Lane, Cutchogue, N—. AM1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . Bernice � Anthony Fasciani. . . . _ _ . . . . . . . . . . . . . . . . . . . . . . . County Tax M-ap No 1000, Section. . . .109 . . . . . . .Block. . . . .5. . . . . . . . . .Lot. . .26 . . . . . . . . . . . ... . . . . .S'ubdiyiSjon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .riled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 23307Z 3/15/96 Bernice Fasciani Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Under-writers =pproval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board -'Dproval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Teaporar-T Certificate. . . . . . . . . . . .final Cartic_ta. . . . . . . . . . . Fee Submitted: 3 . . . .�25,00. . . . . . . . . . . . . . . . . . . . . .Bernice. . 9ci4ni. . . . . . . . . . . . . . . . . . . . . . . . . . . . . T. 1\T �,c a S 1PP .T c._i aV gay ELECTRICAL INSPECTION.SER VICE INC: 375 DUNTONAVE,NUE EAST PATCHOGU&NEW YORK 11772 (516)286-6641 12001 DATE: 5114196 APPL I CA T'IONNo.ON FIL E vILLAGE: CUTCHOGUE TOWN. SOUTHOLD ADDRESS: 1200 PRA ITY LA hTT t ISSUED =ASCMNJ INTRODUCED BY. _ HANKS ELECTRIC INC. LIC No: 2675-E was examined on. 5-14-96 :and found to.be in compliance with.the National Electrical Code LOCATION: Base.. Ist Jam' 2nd 3rd Attic Det.Garage Hot Tub Pool XX SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.L - AIR.COND. -- 2 DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKE DETECTOR FURNACE. : OIL GAS CIR. MOTORS BELL TRAM. SERVICEDISCONNECT METER AMPS PHASE OTHER EQUIPMENT _.. \OUTSIDE,RES... ! . 1-20AMP SPEC. 1-20AMP TIME CLOCK - ij HUGO.S. SURDI PRESIDENT . . BUILDING PEMWT No. This certificate must not be attaed in any manna ... .. Instxdars may be identified by thdr alodmtials BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND NS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 0 / INSPECTOR / l T65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL N [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: �ecl�'�2 DATE INSPECTOR a 4 FIELD lil_I)- I(lil'()I('1•= DATE I'()Iltllln'I'1011 I:;_I:) '--'-----------,- - ------•-..-• �'�v • I rourn)n•rioN====(zrto)a==a= I � I • ROUGH F RAIII, 6 11I.11HII I NC j I - -----=a==aaa===_=__ I N.`illt.A•I•I MI 1'1,It tl. Y . 1 STATE' litllil((:Y � CQI)I"s r _ h f.NAI. PI ----------------- Iq J � O � U BOARD OF HEALTH . . . . . . . . . . . . 3 SETS OF PLANS FORM NO. 1 SURVEY . . . . . . . . . . . . . . . . . . . . MAR TOWN OF SOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . . . . -- -_ - TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY n TEL.: 765-1802 CALL . . . . . . . . . . . . . . . . . . . Examined . . . . . . :3lls". . •, 19 7.�o MAIL TO : Approved . . . . . . . ��-. • 19 ("! Permit No. aZ . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ing nspector) 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, with 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 strec: 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 perm: 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 Occupancy 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 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, housinti code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. J . (S}ar�at� o pplic , or`nam�e,,}�aI r-A rJ—cd�� W.�1.�. 1. . . .�� .c,U S .l. . .� .1. .. . . . . . . cSV�ing V"s of ap Ii ) l el g State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner �. . . . . . . . . {�� . . . . . . . . . . of premises (as on the tax roll or latest deed) - If applicant is a corporation, signature of duly authorized officer. APPROVED AS NOTED . . 2a n . . .a .�..lc-?.r� Q�r.0 s DQ 3 i I .P.# LJ 3 0)- (Ue and title of corporate officer) FEE: 1�0• BY. I , l' 1�f�°'l�Pa�GV9C� ®61� NOTIFY BUILDING DEPARTMENT AT Builder's License No. L."l 1. f ,L���pp . . . . . . . . qp 61� 765-1802 9 AM TO 4 PiIA FOR 1lIE USE �9H �� �-��L FOLLOWING INSPECTIONS: Plumber's License No. . . . . . L 'I: FOUNDATION - TWO REQUIRED ���r�.-FHOUT CERTIFICATE, FOR PH - F MINGETE Electrician's License No. . . . L1!.�:._.1c �..%�. p(� �ry �. S. ROUGH - FRAMING PLUMBING � •� //�� ��� �.vuo��Jl�jf����lC� S. INSULATION Other Trade's License No. . . .(J 'r'l. . . . . . . . . . . 4. FINAL - COI�;,TR'UCT[01\1 MUST BE COMPLETE- FQif t Ci. ALL COrdF;,r pIJCTIOi,:- f ,C!:I 1. Location of land on which proposed work will be ddone. . . . . . . . . . �.. . . . . . . . .TH- • .q,S4;a;l; ;;. ,,,,._ .,,.; • • �, . 1.2��. . . . �• Lt I. ! . f . . . . . . . . . . �." {ATF Y1JJ.r t'C�°?.` . ...:'-.i .. . •t` _ ... , House Number Street 11 �r ; ain.let County Tax Map No. 1000 Section . . ±'DC/. . . . . . . . . . . Block . . . . . , • , • • • , • Lot . . � Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . Lot 2. State existing use and occupancy of prtemiisse-s�aSnd intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . 1 . .C�2 I Vt ;• �1� . .���j fib. . . . . . . . . : . . . . . . . . . . . . . . . . . . . . b. Intended use and occu -ncy 4 • jut!a• � . • j• -�o c ode . .1 :1 3. Nature of work (check wi,ich applicable): New Building . . . . . : . . ..: Addition . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . ' ' � . . . . . . . . . Demolition . . . . . . . . . . . . . Other Work . / bl• , /(Description) 4. Estimated Cost . . . . . 7 d 0 .a�. . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / (to be paid on filing this application) 5. If dwelling, number of d�ti :... units . . �f A. Number of dwelling units on each floor . If garage, number of cars . . . . t��4 6. If business, commerciai or mixed occupancy, specify nature and extent of each type of use . N/ 7. Dimensions of existing' strictures, if any: Front . . . . . . . . . . Rear Depth . • . • . . Height , . . . . ... 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . a/a: . . . . . . a 2:4, .�. . . . . . . . . . . . . .Depth • .�Q,J�.•Q.�.. . . . . . . . . . . . . . . . . . . . . . . . Rear'. !, q. . 10. Date of Purchase Name of Former. Owner 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . .. . • • . 13. Will lot be regraded . . Will excess fil be removed from premises: . 14. Name of Owner of premise An�hpny i�o j. . r Yes No . Address /�J Q �; �-Me- . Phone No. 7 .t{—`moo.s Name of Architect n.,A1�AT Ad �r�5ss Gchsy ,�Y. Phone No. Name of Contractor/>'Cu'tdy. . .�odPc Cr'; /o�nS(UiM.eif&so ss 71. •.o�5A,Roc(lX P! o. . �{. . . . . ,IJYPhone N `7. `{.$tOo 15 .1s this property located within 300 feet of a tidal wetland? *YES . . . . *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 property lines. Give street and block number or description'according to deed, and show street names and indicate whether interior or corner lot. a STATE OF NEW YOR ' COUNTY OF . . . ,s�. �d, 1 fL S.S • • ' ' ' aR'4 ' 'T`a'l signing contract)k4•�• • • . . . . being duly sworn, (Name ofn ividu deposes and says that he is the applicant i above named. He is the . . . . . . . . . . C�.dnr.L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ontractor, 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 .ill statements contained in this application are true 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 . . . .. . . . . . . . . .I . . . .day of. . YyLfl�� c� . . . . . . . . . ., 19 .9.(p. Notary Public, . . . . . . . . . . . County REM L HAGEFit...., Netts Public,State of Now Vbrd . . . . . . . . . . . No.52-4526433 . . . Qualified in Suffolkdounty (Signature of applicant) Commission Expires 7 rk a ERR I �"'9 �- = G T 4 S 6 01.lit I Ai jL t 1A \j. Ni � S.T. ^.�`� T♦ fit; .T `,tZz 12 ^'r ' 1 v Q r� ✓v r i—rJ. /fJ 'I ��i 171 r}'f E' It 2 %Z ENCLOSE POOL TO CODE UPON COMPLETION sin d BEFORE 'WATER'- OCCUPANCY O T / ua r s¢ED.uTEar noN oc worno�t G u a r a r f e S d 'i-O SD u t,f o/G� 4 V/r .S To f►KS kKM IS A vrOLADON OF uc�,2a, 9 USE IS UN AWFUL �' -fL - 6F T��w To,�SEA([ � / �G�X Mai� '.'rxi�TKt twvr. .�17t-7 Grr G n -� �c !1?rGO.i J WITHOUT CERT6FICAE C04 C.' _ : W 0 , T - �` �r :r r P/?f s T1rt•r`�S+>QVEVOC. OF OCCUPANCY �C` : `. — Er.�t'ucL SLAt}H.AU NOT {E co"m ✓ `/ / Q' . /L `� / TC / A dAlYl TI:{ff co". t2li c 1 ,�e-�� C.. �1 ✓�i i��Q r f .� �✓ 7,7 `,r ,' i1i �E '�!FI�E ;S�6.R 9FiC€�iE GUpM►ETtL• �I-.Fw t,EtEOrr A n+hon Bern ice, FaSe(ar,; RE 2UIFiEG oK,To TN[ nc,c,.:FOR wttior,THE StAtYET, r / , t rrlALL. ON na"AAu to Tttt ✓ 1.7 /Lw (� C... :nL(COauAM, vtu+Mt►rtAt AGtfK1'Ate � . uH;,, z:.,Vflow --� , I = y R 3� 112 Nutoet Area /I It `,_.... JI Ell atr Drat w6w- — J e 3' s6 I.. w _ " --_ L /c�,� �� tl Lures ^�c_r✓�c.� G'r055 6-h-eel- : Rt'. a� 7/ �/� . /97z /�%s�✓ '� �%�k` l n�'��i or l p�' IR'.la'.•• Cokc BLOC. 1. •� g' TREATED WOOD R cR I•.n•Loa[o rlTw .•� Q PLiTE ANCHORED TO CONCRETE PRE CAST CONCRETE O1 '• COPING PRE CAST $K!MMERS COPING /! RETURNS 0. 8 t1 II!LIII--- �at0. 3r" —.�.T TO'FILTER SLOPE SLOPE BARS FROM S KIMMERS O FORM TIES FILTERon o PUMP 'CO FROM FILTER TO RETURNS v TO WASTE - _ ROLLED f�IBETWEENNER PIPING ARRANGEMENT CONCRETEVINYL LINER 15001b SIDE OR B a'. IBCowc STEPS J= Oval /B_OC• PIERS POURED I j_ t21 j VINYL LINER-"—, "".". • +• � � ' `.: FIBERGLASS I rl t r SEE Ty;: C-L i . _N P : ' MOULDED I «ALL SECTION — _... I PIECE I 2: 4' SAND 121 I i Q1 c� SECTION FORM TIE —.-; 13- — B' 0 —� 13' !— 2'- 4'SAND ;BOTTOM Q �--� L_ MAX BARS ;r. _ _____ _ _ OPTIONAL STEP SECTION 6- B =1s T Y PE I. • r 'COW C. Tll.c GRADE 3 STEPS G I .8-0. I G P LAN .•. 11:• , COwC BLOCK O' r I - TYPICAL WALL , - - ..�, 12' 1 410- 12' 1 I SECTION A- A ,1 OPTIONAL STEP �z TYPE 2. SIZE A I 8 C I D I E F G AREA CAP FEET IT. IT. IT R rt I rs rt sort CA - 1 f NOTES_.. 5 GE � Oy If CONTRACTOR - WALKS TO BE SMOOTH- NON SKID TYPE, SLOPED x4 AWAY FROM 16 3Z 1 POOL t i?.• " ;�1 RANDY T. RODECKER, INC. WATER DISPOSAL SHALL BE LIMITED TO OWNER'S �r L =; r• SWIM KING POOLS PROPERTY TO SUIT LOCAL REGULATIONS 1 �','• :r'r< 6 32 8 8 1 t2 4 4 512 tB,500 _ ROUTE 2SA FOP °• 0:6145/J?' • . fi 16 36 12 t6 3 I 8 I 12 I 4 4 576 , 201roo � � �n• ar I �.. I I I ! I I I o�n.-. \40c�SSIC•+t-' .. t� 12 ..- c F^.^ -.. � j• nr-1.- �.. r I'•'. V1 -7 c.