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Home My WebLink About26492-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27706 Date: 05/21/01 THIS CERTIFIES that the building ADDITION Location of Property: 500 SUNNYSIDE RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 1 Lot 3.2 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 2000 pursuant to which Building Permit No_ 26492-Z dated MAY 10, 2000 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 SECOND FLOOR SUNROOM ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARTINE BASCHNONGA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 45173 08/08/00 PLUMBERS CERTIFICATION DATED N/A Authorized Pgnature 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. 26492 Z Date MAY 10, 2000 Permission is hereby granted to: MARTINE BASCHNONGA 134 AUDLEY STREET KEW GARDENS,NY 11418 for CONSTRUCTION OF A SECOND FLOOR SUNROOM ADDITION AS APPLIED FOR. at premises located at 500 SUNNYSIDE RD SOUTHOLD County Tax Map No. 473889 Section 063 Block 0001 Lot No. 003 . 002 pursuant to application dated APRIL 18, 2000 and approved by the Building Inspector. Fee $ 75 .00 Authori ed Sign ure ORIGINAL Rev. 2/19/98 r Form No. 6 V V �3 ev TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL I 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the 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 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 a,consent to inspect signed by the applicant. If a Certificate of Occqpancy 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. , �. Certificate of Occupancy on Pre-existing Buildine - $100.00 34 Copy of Certificate of Occupancy - ; .25P 4. Updated Certificate of Occupancy - $50.00 5.'* Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date l Q. A� New Construction. . . . . ... . . . Old Or Pre-existing vBuilding. .J . . Location of Property. . . . �. . . . . . .�1 U/I�/?f i S�L�E i},O'T� . . . . . . House No. Street Q SSt�reet ^ , Hamlet Onwer or Owners of Property.. (.VA . 7l�E . . .I3. Se '.Y.oN G, /q 22 County Tax Map No 1000, Section. . . . .. . . 3. . . .Block. . .G.�J. �J.�. . . .Lot. .O.O.S.A o .0.. q Subdivision. .. . . . . Y» .Cq. . . . . . . . . . . . . . . I . . . . ..ry. . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .PI. (O7. . . . . . Date Of Permitl:� Yl�.aZ4�e!.Applicant./MA.?.l..vVPF gSC. . ... .A. Health Dept. Approval. . . . . . . .. .. . . . . . . . . . . . . . . .Underwriters Approval. . .L'` . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . 1 Fee Submitted: $. .. . . . .. . . . . . . . . . . . . . . ( .sg501 V�4� wo C � � 7 7 APPLICANT • • • • • • • • �\fes\t�•t�\�1 .t y�y .iTti` i�..•,ti� .i�.�,, .t,� �t,!_'� ��I .c .Vltr .:iit,':'�S�f. :!j•,771�!'. .,•a M1r r1...t a�i5rt� .i.tr r�?q ..�r�•}. �N t1%k•'r:x iihr � rr+rr�F . :. e'+,� w r ..1 S{tf!(E •rrV r N%, ,1. r1. i Y r.}. :it r 4iSf siyij Nts d.•,•in A r%1%::c. �'`-'+', :wrr�;r-. .,.M1..:.id'.: ,i . fy:' .�.,H; `a,rh.{ ,^y, ..S',,",;:.. ,h.r r r{rf;;;....,;,.rir> r. Rr,.. .S{r. .a,r(}w'trf'.�♦ f , v l 7 .1 ♦ v.i �yf'vr y,�. .,',i�� fs,r ala t0} ^� 1�� ♦v'sS, � Tar JL !. i!'f ra tar!/'•p \♦ r:l�! i. .�l .N�„4 ✓.,:ly. /!„f Ri, � _ Electrical Inspection certificate =� �1 Electrical Inspection Service, Inc. ";_ 375 Dunton Avenue ^ East Patchogue, New York 1177/2 ` ik ?” (631)286.6642 (! . w♦'�-` e�-iea�Q�� '” N s Date: 8/8/2000 Application No. : 45173 tip Issued to: Martine & Peter Baschnonga » Street: 500 Sunnyside Road 6 Village: Southold Zip: 11971 Town—Southold > �* Section: 3 Block: I Lot: Aix Introduced by: Damon Electric Lic.# 2752-E ' was examined and found to be in compliance with the Alatiawl Electrical Code ❑Attic ❑1st Floor ❑ O/S Residential ❑ Pool ❑ Det. Garage ..•: k ❑Basement C 2nd Floor ❑ O!S Commercial ❑ Hof Tub ❑NV Defects • m;, Switches Receptacles Fixtures GFI Heaters A/C Fans M-u. N• £-A 4 6 3 - Dishwasher WasherlAmp Dryer/Amp Oven Range/Amp Garbage Disposal 1 20 1 30 u Furnace 011 Gas Circulator Smoke Detector Bell Transformer ill Meter Amps Phase Motors Telephone Television Carbon Monoxide (,. Other Equipment: x Hugo S. Surdi x !- c9 President Building Permit No. This certificate must not be altered in any manner Inspectors may be Identified by their credentials „ .. i Cs f` c �♦ ;y! ( 13 ♦ r y, s "!I ♦ f ... S= i ii.�! v/J» _ ./ >E � 8�r h.� � al. `�f yt�. tff M1. �. �{ r, h.�.. C. e� !�♦ y\. �f r. � '�fii fV;� "%i 'iii.. Si4:uE X70. "f'��V{.:' 4.5M1 (C rf:tTfv��^ •%i(�i � �;ryhn 'r t ,f`` ( r;(5� 'liter'%' S..�lrhv .rti }M1�i :.. :1'yY.•s'i .rrdH :SJ,. ` as. i ?.'�� r1,.�v '.. � .v}�V•y,. e;4;4••:i �'% y�}f.. 'r+3'711,' $✓'.r'• FOUR SEASONS HOLBROOK, INC. 5005 VETERANS MEMORIAL HWY. HOLBROOK,NY 11741 TEL: 631 563 3381 ' FAX: 631 244 0612 , T1 !, I, facsvmile transmittal 2 3 10 To: \ Fax: From a--, Date: Re: Pages: Cc: ❑ Urgent For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle . . . . . . . . . . Notes: . . . . . . . . . . . . . . . . . . . . . . . . . . . . 765-1802 BUILDING DEPT. INSPECTION [ /F0DATION 1ST [ ] ROUGH PLBG. DATION 2ND [ ] INSULATION ING [ ] FINAL [ ] FIREPLACE & IMNEY REM RAMS. 7 DATE �/ INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ j FRAMING �/ [ FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE ��d INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND LATION [ ] FRAMING [ ] FINAL [ ] FIREPLAO� & CHIMNEY i\ REMARKS: Qom? ;DATE INSPECTOR �4±g�_' (::4/ -rte - 0 a-c�� 4'n V4 `� �-14- lam ► .-ate. 4 FIELD INSPECTION REPORT DATE COMMENTS k1 H FOUNDATION OST) 1111 ''I II Ij Q FOUNDATION (2ND) II II u '� u 000, i_ �I z ROUGH FRAME & n —moi PLUMBING jij - II 42 m-- ii ii INSULATION PER N. Y. u y STATE ENERGY CODE u ---- — II rill H u n I FINAL II n v — ADDITIONAL COMMENTS• r'> L11 H H C� O z r r� b H I I P M IT H K I T Date Applicant/ Reviewed: Owners Name: Date � Architect/ Submitted: Engineer: SCTM #: O� District: 1.000 Section: _4__2LLot: _ Block: _�_- Subdivision ProjectIV — Name: Location: 5 Single&separate Required certification: Yes o � R eq. q' ODO Actual: 1/7k. ll.ot coverage Proposed: ) Zoning District: Lot size: Req. or Req. Req. �'� Rear Yard .�P Proposed: ) Pro osed: ) I 'Front Yard �Proposed:_] [Side Yard ,ice_ P L � Y Project Description: Permit AGENCY PERMITS EW N.A. NO YES Number REQUIRED FOR REVI Suffolk County Health Dept. POI New York State D. E. C. Town Trustees Town Zoning Board approval: / Town Planning Board approval: Flood Plane Elevation??? Flood Zone: - W _ BOARD OF BEALTB . . . . . . . FORM NO. 1 >3 SETS OF PLANS ✓. . . . . . . . . . . . . . �+ TOWN OF SOUTHOLD SURVEY I' 0007 I BVILDTNr DEPARTMENT CHECK :#. . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 �•-•- - TEL: 765-1802 NOTIFY: n CALL -2�O, MAIL TO: .. .^ . �.. . . � .. Approved. !o /�:� Permit No. .' .` .. ••.�?'�Q...'`.•t. - \ Disapproved arc ............................•••••• .......1`t 3X-)kSr. ...................................................... �. CBuildIng tor) APPLICATION FOR BUILDING PERMIT y Date. . �A.��. . .. . 20J7: INSTRUCTIONS ' a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing 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 c 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. Sun 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. APPLICATWN IS EIMMY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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. �.. G��.MU�.:... (Signature of applicant, or name, if a corporation, (Mailing address of licant) State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or buil . h ................•----..... .ran! cftl" r--------.....-• --.......--------.....-........................---..-.-- t Nameof owner of premises .......At.T" Awl..... l n-A.......................................... (as on the tax roll or latest deed) If applicant is -a{cornpo/r�ation, signature of duly authorized officer. ... .X _..Csus".1 (Name and title of corporate*officer) _ R_ _ � � � fir- . •. i 4\ ' 1 : Builders License No. ........r......�.... I 1 . A20013 P� �..J Plumbers License No. .........................I �7, _. Electricians License No. ....... Other Trade's License No. .................... C 1. Location of land on which proposed work will be done............................................................ ......sem ,�ys,......... .......QW ......0�.r//.....I-I.A.J.1........... House Number Street// ZZ 2 H7anletl Coumty Tax Map No. 1000 Section .....1.�.,�?...... Block ....1........... Lot .7u.G ...1...... Subdivision ...................................... Filed Map No. ............... Int ............... (Name) 2. State existing use and occupancy of premises arAd intended use f proposed construction: a. Existinguse and oc \ �. �(1.(1 o � "iY.�"�A occupancy ........... .. ....... .i ,,. .., .,�..;,:'.�.�'+t3G�lL.......... b. Intended use and occupancy ............ ................ t` ." .;:," .. ., a>o'a...... 3. Nature of work (check which applic-*: New Building .......... Addition ./."Alteration .......... y Repair ............ Removal ............. Demoli.tion ............ Other Work .................................. _ (Description) 4. Estimated Cost Jam%........ Fee .............................................. (to be paid on filing this application) 5. If dwelling, numther of dwelling units ..II...( Haber aber of dwelling units on each floor ................ Ifgarage, ewnber of cars ..............1........................ 6. If business, mmhercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front...t42?........ Rear ...... Depth .�iJ...j 7 ... .......... sleight ......................... lkaber of Stories ........ ...........__.// Dimensions of same structure with alterations or additions: Front .....i7�..... Rear .... 6....... Depth ........L-114....... Beiglht f 1 rr of Stories ....{.�. / 8. Dimensions of entire new construction: Front ......ZaQ) Z. Rear ....J.�IV l.z.:Depth ..... Height .......J o.`.-i.�/......i Umber of Stories ... / m 9. Size of lot: Front ....,�.y.�...L�.... Rear .....�.1lJ:7!..�?.�.. Depth .....l.:J.U.. . 10. Date of Rrchase ..................... Name of Former Owner ........................................ H. Tare or use district in which premises are situated ...................................p..�......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...........1(w 13. Will lot be regraded ......3 ........ Will excess fill be removed from premises: YES NO 14. Names of Owner of premises ....k.]l .{1 i A...... Address L,�O.� D, ?�!'�Sf� Phone No. Name of Architect�n. -�_ ................. Address �?:1^!`�..r ',�ljl['. .. ........ Pfarn No. Name of Contractor `.' �.. �'"W:' ................ Address t, F?..11F:iE?.. ...Phone No. /.-.-/'/ ...... 2S 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .. N it ic(( *IF YES, SOLMOD 1Ud1 IMSIFES PM41T MAY HE l2WEED. .. 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 ember or description according to deed, and show street names and indicate whether interior or corner lot. Y( S( INi OF NS] A�� 55 CU1NlY (1f .. ...... ............4?r?rFl �... .Akk0r<.:.................beirg duly sworn, deposes aril says Lhat he is Lhe applicant (Name of individualsigning contract) above mmrd, 1kis Lhe ............... .... .: ....... ............................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed Lhe said work and to make and file Lhis application; Lhat allstatements contained in this application are true to the best of his knowledge and belief; and Lhat. Lhe work will be perfomed in the manner set forth in the application filed therewith. Swornbefore me this _ . .........day of .. . .......... ... oB..._ Notary Public ... .. . ....................... NANCY E.RANICE (Signature of Applicant) NOt"Public.State of New t OuaN ed n g ff Suffolk 551 CoOn f4100nE41.1Aug.31, =�L N/F Conway Bros. N 72'39 20" E 164.37' Nd ed AN rmx -CIA —_ - - - 6'gudaai!taus k Car '— S,fl to - 17 Bn�aY ls,r.J7' y k Patio hr-Ground Pod g r. 4 N/F Lauer res' e Frvne Shed Y 20' GREEN R+tee N/F Acfu FIELDS - - LAN Z` - h1' I C) I • c� � � f lV I ( Z rI air, tAk par N/F Groseck 5 72'28'50" W 142.19 rd N/F Winterling Z v m D v TM#: 1000-063-01-3.2 SURVEY OF SURVEYED: 5 August, 1998 DESCRIBED PROPERTY SAREASm CALled 1N 30 S.F. or "varaMees lndkahere on shoR run SITUATE .488 ACRES �'Only ro N» person for Whom the survey SOUTNOLD, OWN OF'' SOUTHOLD P pond, and on his behalf tothe SUFFOLK CUAIY, NEW YORK Nile company, Govenr.ente! Agency, lending inslitution, if listed hereon, end SURVEYED FOR: ANRIINE 84SCHNONG4 to the assignees of the lending institutton. PETER BASCHNONGA Guarantees ore not transferable to additional insfl"10a or subsequent owners. thmilha t=ed afteratkn or addition to this survey is a violation of Section 7209 d SURVEYEb BY: me New York Stab Nueati a Law. STANLEY-- 15AkSEN ✓r. GUARANTEED TO: p.0. BQX','9jr ;, , :. Peter Boschnon a NA Sirffolk�fifY 19956 Mariner Midland ngc Mor the La of this ym a snap 11of seal ssn0 51 the Land Surveyor smbofsed uai aho{I • ' Marine Midland Mortgage Corp. .- Fidelity National Title Ins. Co. not be conNdered to be a valid frus 198-1651`2 COPY. korfs hd,,4u'rxayd Town of Southold NIS b '/4g 1 .�M!llYilr 11 � •:1. '.1 1 •1 1 p I . 1 ' • •R. 7 i�i�l�l�l�l�l�l�lll�lll�l ,�.� �� 117 r Ir 1 1 � Illllllllllilllllllllllll • 7 - . -� 1 ril ®��®� ill< tililllllllllilil 1 1 7. 11 rl• I�I�I�7��I�I�I�I�I�I�I�I ,•. • • - � Ilillllllllllllllllllllll • . ' • � . - - . '11 r w «Irl I G> 1 11 _ �I�<Oti�l�l�l�l�l�l�l� •.. ..• -, . «a - • 1 r 11 Illilrlrlllllllllllllllll - • o r . I r 111• - ��!• i��l��iilllllllllll ll�l� • • • 1•r s r I8�1 I�I�I�Illlllllillllii�l�l r r • • • • - � - aINMI 0 �� Ilillllllllllllllllllll(I - LLl.1.1.1.1.1.1.1.1.1.1 • • 1 ill r � u r . '1 r �r r •: rr.. . •� n I-I � i .� • r • r.l' a •a 1 . 1 ' •1 �Iil 1•.. 1 : . . 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