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HomeMy WebLinkAbout27106-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27894 Date: 08/24/01 THIS CERTIFIES that the building ADDITION Location of Property: 60OF22 MEADOW CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 .1 Block 1 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 2000 pursuant to which Building Permit No. 27106-Z dated MARCH 7, 2001 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 DECK ADDITION TO AN EXISTING CONDO UNIT #22 AS APPLIED FOR. The certificate is issued to JAMES & PAMELA LOMBARDO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A ori ed Si ature 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. 27106 Z Date MARCH 7, 2001 Permission is hereby granted to: JAMES & PAMELA LOMBARDO 27 BANNEHR STREET OAKLAND,NJ 07346 for CONSTRUCT A DECK ADDITION AS APPLIED FOR APARTMENT #22 at premises located at 60OF22 MEADOW CT SOUTHOLD County Tax Map No. 473889 Section 087 . 001 Block 0001 Lot No. 022 pursuant to application dated SEPTEMBER 26, 2000 and approved by the Building Inspector. Fee $ 150 . 00 A or' ed signature ORIGINAL Rev. 2/19/98 i Form No. 6 ... !16 TOWN OF SOUTHOLD ; BUILDING DEPARTMENT Ii, << 5 TOWN HALL ILI L 765-1.802 ,.._.. a .,. �4 APPLICATION FOR.-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted 'to the building inspector withthe following: 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 building 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 11pre-existing" land uses: _ I. Accurate survey of property showing all property 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 writing'to the applicant. C. Fees 1 Certificate of Occupanc New dwelling $25. Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25. , ccessory u ng 25.00, Additions to accessory building $25.-00. Businesses $50.00. _ 2. Certificate of Occupancy on Preexisting Building - $100.00 3. Copy of Certificate of Occupancy - .29 4. updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential: $15.00, Commercial $15.00 :Date . . . . .. . ,� .J . .I... . . . . . . ... . . New Construction. . ..... . ... Old O�-rPre-existing,Building... .. . ... . .. . ... . Location of Property...��..l".'=:r7 W .L :.:�:QSc�►. .,, 11N)�4 o-j.( s House No. Street Hamlet. . • . .. ... . Ouwer or Owners of Property.. . .n?Fri,/R0 ri, 40.MI K�_ . .W. M. County Tax Map No 1000, Section Q.T.7% . .Bloch.Q.. . . . . .Lot.o. ..Q. Q.. 4©. . . . . . . . Subdivision. . .. . ... . .. . . . . . . . . .. . . .. . . . . . . . . . .. .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Permit N.o P7 IOC.. . . . .Date Of Permit. 317 1. ( .. .. . .Applicant. • . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . .. . . . . .. . . . . . . . .. . . . . . . .Underwriters Approval. . . . . . . . .. . . . . . . . . . . . . . Planning Board Approval,. . . . . . . . . . . . . . . . . Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . . . . . . . . . ,r Fee S . . .bmitted: $ a5•� . .. .. . . . . . . .. . . . . . .. . . . . e- . : . . . . . . . . . . . .... . . . .'. . . - lT YIYl.tn1' -• O��S�f FO�,�cOG o� y� y Town Hall,53095 Main Road $ Fax(631)765-1823 P.O.Box 1179 ifi O�� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 8, 2001 James & Pamela Lombardo 27 Bannehr St Oakland, NJ 07346 RE: 60OF22 Meadow Court, Southold, DECK PERMIT TO WHOM THIS MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is (not in file)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT * 27106-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT ATB ' COMMENTS II ij II H if H J FOUNDATION ( 1ST) IN A It �I r II N b FOUNDATION (2ND) 11 �t _________________II ------------------- II jj ' n I O ROUGH FRAME & Ili ii PLUMBING it I �I �J p _ sax=x======x-xoa_--==__-- ------ ------- - -----__--------------- INSULATION PER N. Y. II I { ! STATE ENERGY �u CODE ;q SU CZ 1 q 1 tl p I jj H c II tl FINAL =---x=x=maaaexxxxxx----�•a-=-s--a=N��- ------- aamx- --rs==saxex=x==aaxxxx-srs---- O } ADDITIONAL COMMENTS: S �\f i� H H _ rr py t7 Of ro H BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . .. . . . . . . . . . . . . . . . . . TEL: 765-1802 TRUSTEES . . . . . . . . . . . . . . . . . . . . . . NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined......kj��...... 20D1.. MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.......!JI�....., J WJ Perad t No. .vv.I ... .. ......... .............. Disapproveda/c .................................. ................................... ...................................................... (13uildinI• tor) APPLICATION FOR BUILDING PERMIT ^ Date. . . . . . . . . . . . . 2GQ0. INSTRUCTIONS a. "this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w: 3 sets ofplans,,.-accurate plot plan to scale. Fee according to schedule. b. Pl"lan 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 application. 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 issue a Building Permit to the applicant. Sucli permit shall be kept on the premises availfble for inspection throughout the work. e. No building shall be occupied or used in whole or in part for airy purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS BERM MADC 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 o Regulations, for the construction of buildings, additions or alterations, or for removal or demolit' �rei described. The applicant agrees to comply with all applicable lawsdinances, bu 1 ing code, inc regulations, and to admit authorized inspectors on premises and in i ding for ne ry ins t ons. 1 JiE*ure.of.applicant, or•name, if ation) (Mailing address of applicant) State whethe applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurber or builde ........................................................................................................................ Name of owner of premises ... .............................................. (as on the tax roll or latest 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 proposed work will be done..#.59Q .. ....•.w. . ....... 1D ..... .... ........���2. . . b.�..... : ....... ............................... House Number -QQ Street (Y)5AI ow CA" Hamlet County Tax Map No. 1000 SectionQ� 9.Q I.. Block ...Q�.:0p... Lot Q Q Subdivision ........................................ Filed Map No. ............... I.ot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 41 a. Existing use and occupancy ............ ..... ............................................................ r b. Intended use and occupancy ............................................................................. Nature of work (check which applicable): New Wilding .......... Addition ...?...... Alteration .......... Repair ............ Removal ......... Demolition ............ Other Work .....( ................ (Description) Estimated Cost ................�j....... fee .............................................. A (to be paid on filing this application) If dwelling, nuhber of dwelling units ..?......... Nurber 11 of dwelling units on each floor ................ Ifgarage, cumber of cars ................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... i�►� x Dimensions of existing structures, if any: Front......... .J' ..... Rear .. U...... Depth ................. Height ......................... Nuaber of Stories .!......! ST . ,tom. Dimensions of same structure with alterations or acklitions: Front ............... Rear Depth .................... Heiglht .................... Rnber of Stories L1............... 4 11 Dimensions of entire new construction: Front ................ Rear -'> .;...k.i. 1. Depth .............. ]height ......................... Number of Stories ..J.................. Sizeof lot: Front .................... Rear ..................../Depth ..................... Date of Purchase ...AU�?-R?...... Name of I�onrer Owner .....d:,,.rg...MANA4................... . Zone or use district in which premises are situated .............................................................. Does proposed construction v,,��`iolate any zoning law, ordinance or regulation: ........................ Will lot be regraded ......i11.4. ...... Will excess fill be removed from premises: YES Names of Owner of prermiseslNm l�flP:l jw.aim.. Address -zC �y, �aA, .......... Pt-,one Name of Architect ............. Address .............................. Phone No. ............. Name of Contractor ................................... Address ...............................Phone No. ............. Is tlhis property within 300 feet of a tidal wetland? * YES .......... NO ... ..... *IF YES, SUTAIIDfD MiN -S PERMrf MAY 136 W!QRRID. PLOT DIAGRAM I,ocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions -am property lines. Give street and block cumber or description according to deed, and show street names arxl indicate. ether interior or corner lot. 1 ' cr, AVD' 1 u � nn: or f, 00,e o J e rs N� SS AIN17 Or ...... ............ -'-. 7e�.....C4lf�.`�./�t.. d hi!&r.010..........bre.inl; (JuJ.y sworn, deposes aril says that he is the applicant "ne of individual signing contract) we named, isLlhe ................................................................................................... (Contractor, agent, corporate officer., etc.) said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge aril belief; arxl aL Lhe work will be performed in the manner seL forth in the application filet] therewith. orn to before me this /_ .... ....clay of �cl°�"ker..:•20 00 Notary Rmblie .. .....6^) MARY ... .......... ... u�-u NOTARY PUBLIC OF NEW JERSEY (Signature of Applicant) My Commission Expires Sept. 19, 2000 w