The URL can be used to link to this page

Home My WebLink About13864-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY NO: Z-32920 Date: 03/11/08 THIS u~KTIFIES rhmt the building NEW DWELLING Location of Property: 605 LEEWARD DRIVE (HOUSE NO.) (STREET) (HAMLET) Co%~/ty Tax ~ NO. 473889 Sectio~ 79 Block 7 Y~ot 26 Subdivision Filed Map NO. __ Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Buil~-g Permit No. 13864-Z dated APRIL 15, 1985 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 SINGLE FAMILY DWELLING WITH ATTACHED SCREENED PORCH & WOOD DECK AS APPLIED FOR. NOTE: THIS UPDATES COZ-13901 DATED OCTOBER 7, 1985. The certificate is issued to FRANK & CAROLE PERRICONE (OWNER) of the aforesaid building. SUFFOLK COUIT~Y DI~PART~I~T OF HEALTH APPROVAL R~.RU-i'KICAL tU~KTIFI~ATH NO. PLU~EP~ c~K'rIFICATION DA'£~ N/A N/A N/A ized &~ignature Rev. 1/81 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) 13864 Z hereby granted to: , . .,.~.L....~.~. .......... ....~..C.,.4..I. .................. ...t~.~~.....~.:.%~.m...~.~ ....... ....... ............. at prem ses ocated at..~9..~. ....... ~ .~ l~.,.., i~ County Tax Map No. 1000 Section ....... ..~..?....~ ..... Block ...... ] ............ Lot No .......~.....~. .......... pursuant to application dated .... ~ ....... L.'~... ................... , 19..~...~..'~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO V~'q HALL 765-1802 .... ?---A-P~PLICATION FOR CERTIFICATE OF OCCUPANC'~ This apl',lication nmst be filled in by typewriter or ink and submitted to the Building Depamuent with the tbllowing: A. For tleW buildiog or new use: 1. Phial storey ofp~operty with accurate location uf all buildiugs, propc~W liucs, scds. and [ nusaal uatural 0r topographic features. 2. Final Approval flora Health Dept. of water supply and sewerage-disposal (S-9 lbrm) 3 Al)proval of eledrical inslallation from Board of Fire Uudem'riters. 4. Sworn statement from plumber ce~ifying that the solder used m system contains less limn 2/10 of 1% lead. 5. Co mnercial build ng, indus~al bm ding, multiple residences and'si~nilar buildings and installations, a ce~ificate of Code Compliance from archit~t or engineer responsible for the Imildmg. 6. Submit Pla~ng 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 su~ey of prope~y showing all prope~y lines, streets, building and mmsual natural or topo~aphlc features. 2. A properly cmnpleted application and consent to inspect sidled by lhe applicant. If a Ce~ificatc of Occupancy is denied, the Building h~spector shall state the reasons therefor in writing to the applicanl C. Fees I. Ce~ificatc of Occupancy - New dwelling $25.00, Additions to dwelling $2~.00, Alterations to dwelling $2~.00, S~ luunmg pool $25.00, Accesso~ buildiug $25.00, Additious to accessoD, building $25.00, Businesses $50.00. 2 Certificate of Occupancy on Pre-existing Building - $100.00 3 Copy of Cm tificatc of Occnpancy - $.25 4 Updated Oeidficate of Occupancy - $50.00 l'cmI)~nmy Certificate of Occupancy - Residential $15.00, (tmn mc al $1 New ('onshudlon: ~_/ Old or Ih'e-existing Building: (check House No Street t ' -Ilamld - Snhdt' lYi.d/ . Filed Mai> ]tcalth [k:pt .~l)plrwal: . Undcrwrilcis 'l cmpr*l al 5 ( ?erlificate l'mal(te iqa{,:: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13901 Date October 7 ,,1985 THIS CERTIFIES that the buildh~g ....... .N.e.w.. p.w.e. 1..1.i.n.c.[ .......................... Location of Property 605 ' Leeward Dr. Southold House No. Street Ham/et County Tax Map No. 1000 Section 079 .. ,Block 07 .Lot 026 Subdivision..L.e..e.w.a.r.d...A.c.r.e..s .............. Filed Map No. 5599 .Lot No. 31 conforms substantially to the Application for Building Permit heretofore filed in this office dated April 1.2 19 8.5. p tt hi h Building Permit No 13864Z .................... , . ursuan o w c ...................... dated ....... .A.p.r.i. 1...1.5. ........... 19.8. 5., 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 ......... --- New Dwelling ( with attached Deck ) ........ The certificate is issued to PERRICONE, FRANK & CAROL (owner,~.oc:t~Ta/~t)- of the aforesaid building. Suffolk County Department of Health Approval 85-SO~ 51 UNDERWRITERS CERTIFICATE NO ................ P..e. .n.d.i.n. cj. :-..N. Tp.8.5.2. S...-. ?. .... Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ia~ 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 app~cable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p:Coperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ..... S. ,e~.~.;..3., .~?. 8, .5 ....... New Building × Old or Pre-existing Building Vacant Land Location of Property 605 Leeward Dr. Southold House No, Street Hamlet Frank & Carol Perricone Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 079 Block .0.7 Lot 026 Subdivision Leeward Acres.@ Bayview .... 5599 31 ................................ ~uea Map No ........... Lot No .............. PermitNo. 13864Z Date of Permit ~../,~5./..8.SApplicant Steve P, erricone Health Dept. Approval . Y.-..".~...-.;% ......... Labor Dept. Approval ........................ Underwriters Approval ..... ~'~' Planning Board Approval X Request for Tempo~r~y~Certificate ..................... Final Certificate ....................... Fee Submitted $ f~ ........................... Construction on above /c~ee described building and per i ee all app ab b c es~d regulations. ~ I ~_,~ r/ * Applicant . .. ,' ............ Rev. 10-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /%~V-z (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. p~l~ber s ~ignatu ) Sworn to before me this ~ .day of 0C~ , Notary Public ~FIE~D INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000062 BUREAU OF ELECTRICITY B.,e ~p,,,,c.,,o,. ~o. on*,e N 708525 THIS CERTIFIES THAT only th~ elec trlcal equipment as described below attd introduced by the applicant named on the above application number itt the premises of S, l~zrricon,~L L~m:~.~;1 Drive 'I~/S~ ,oasexa,.inedon Sep'b:~'¢~c 'L ].985 [] 2nd FI. Section Block and~ound to be in compliance with the requirements of this Board. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS FANS OUTLETS SWITCHES DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMEdLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V NO, OFRCC~,COND. A, W O. C NO, O~ HI-LEG OF HI-LEO NO. OFNEUTRA OF NEUTRAL Lic, 1529E This certificate must not be altered in any manner; return to the office of the Board if incorrect Inspectors may be ,identified by their credentials. I ANY MANNER. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~. '..../. ?..., 19~ .~: Approved ...~. ...... ?..~Permit No./ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF SOUTHOtD Received ........... ,19... Date ................ 19 ~,5 INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. · ~..,,¢.,.'~.v. :/:-.:~./r...~.,'.~.,.'~>. ................... (Signature of applicant, or name, if a corporation) ...~a B. ox .w... ~ ~.~.,. z:.~. c~. ~r. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) (Naffpfe and title of corporate officer) Builder's License No ......... /.5: ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ......... /~. a.57. ....... L. d~:~4.~ ~... 0~., ................... 6 4 ?..r>/~ ~-.D .... /.V,. X, ........ House Number Street Hamlet County Tax Map No. 1000 Section ..... ((~! .7. ~ ....... Block ....... 77 ......... Lot Subdivision..~.E.~..',~.4[.~./~../.~L(.,-le. g~. '(6~..~.~../7.g.~ .~... Filed Map No..D~.,S'7..~'.~.. ..... Lot...?../ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .... ~.~...~/4 .t~.t/q..~. ?... ~. ~.~ ~-. ~.l] {tt/..~-7 .... .~.~.~.A, .~.~. ) ............. 3. Nature of work (check which a~plicable): New Building ...~..... Addition .......... Alteration .......... Re r ...~ ,~ Re oval ....... Demolition Other Work ....... I (Description) 4. Estimated Cost .......... .[.i/.§, .0.O.0.,.'"-- - .0..~.. ............. Fee ...................................... 4, (to be paid on filing this application) 5. If dwelling, number of dwellin~ units .... .~./~.~ ..... Number of dwelling units on each floor... <~.tS(.P~ ........ If garage, number of cars .... i ....... ~-. t~.0 ........................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existingstructu~es, ifany: Front.......:......~ . Rear ........ ...... Depth ............... Height ............... Number of Stories .................................................. I ...... Dimensions of same structure With alterations or additions: Front ................. Rear .... Depth ................... ~... Height ...................... Number of Stories .............. /. ....... ' ~ ' ~ · '" 8. Dimensions of entCe new construction: Front ... ~(o ......... Rear ... ~.. 0 ......... Depth ...~ ........... Height ..... [~ ........ Number of Stories ............ ~.t~..~' ....................................... 9. Size of lot: Front ........ 1~.7.: ......... Rear ........ l.~.~..t ....... Depth ..~.3..~...~. (~.~.... 10. Date of Purchase .......... ! ................... I~Iame of Fenner Owner ............................. 11. Zone or use district in which piemises are situated ..... /~'t~$.~.t~.~.~.~..(r-. ................................. 12. Does proposed construction violat~e any zoning law, ordinance or regulation: ..... ,~//-~. t~2 .................... 13. Will 10t be regraded ...... ~: '~ ~": ': '.' ',~' · 'e · · '~. Will excess fill be removed from premises:Yes 14. Nme of Owner of premises P./~ .~6f0'~-.~.~.q F~q/t.,q .~4t~Address J: 7 .~?/'~A/./~ .t:.,~SFPhone No. o~q .fC.-;6~./.l(. 6.' Name of Architect ........................ .......... ~ .......... Address ~ ~O~n/~g~SL ~4/,/p,-,, none i'qo." . .............. ............. / Name of Contractor .~.~/?-/f ~4l~. ~ ~ iO/.~.~-~ :. Address tO0~.0.;~ H,/~. kt/, ;r'~.~.¢hone No. ~.~ .'~.~././. .... 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. _ STATE OF NEV~ YORK, COUNTY OF .,~.~'. ~:..~.0(~IT ..... (Name of individual signing contract) above named. He is the .......... , ........................................................... ' (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements con{alned ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~nor set forth in the application filed therewith. Sworn to before me this .......... /.~..~ ....... day o~ .... ~ ........ ,19 NOTAR~ PUBLIC, State of New York No,qT07878, Sui o k Co ntl Te[l~ Expires March 30, RODERICK VAN TUYL, LICENSED LAND GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROV~AL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY SERVICES -- FOR CONSTRUCT ION ONLY DATE: H. S. REF. NO.: APPROVED: DEPT. OF HEALTH APPROVAL OF SUFFOLK CO. TAX MAP DESIGNATION: DIST, SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L. ,~"/.~ P. TEST HOLE STAMP SEAL RODERICK VAN TUYL, LICENSED LAND SURVEYORS-'"' GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPRoV. AL H.S. NO. ~, STAT£M£NT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM. TO aTHE ~TAv~DARDS OF THE AppLiCAN~ ~ SUFFOLK COUNTY E)EPT, OF HEALTH SERVICES -- FOR AP. PROV,F OF CONSTRUCTION ONLY yX ~../~ DATE: SINGLE FAMILY DWeLl !Nc~,~ v S~FOLK CO. TAX MAP ~SIGNATION: DIST. ~CT. ~K ~L. DI~ED: L. TEST HOLE re:~'d.- $q s-Fy ( P. STAIVIP SEAL SUFFOLK CO. HEAL~ DEPT. APPROVAL ~ CONF~M TO T~ STANDARDS OF THE ,, ~F~K CO. DEPT. OF HEALTH SERVICES. ~OLK COUNTY ~PT. OF HEALTH ~ .... have bee= LICENSED LAND S~VEYORS ,, GREEN~RT NEW YORK If copper tubing ~s' Used for Water dlstrlbutJng eys!em; piplng shall be of types K or L only SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED ~110 of 1% LEAD. ~ON LEAD CONTENT BEFORI~ CERTIFICATE OF OCCUPANCY r ¢4OTi~(d--[4i~i~D lNG DEpARTM~IN/ ~6S-180'2 9 AC',A,_~O 4 PM FOP- THE FOLLOWING fi/z, EcTION~' FOR Pf:LJ~,~D coNC~E SOLDER USED IN WATER SUPPLY SYSTEM CANNOT .EXCEED 2/10 of 1% LEAD. I copper tubing is used [or water distributing system; piping shall be o[ types K or L only FOR 'l