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HomeMy WebLinkAbout26081-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 2-26775 Date: 11/09/99 THIS CERTIFIES that the building ADDITION Location of Property: 1930 LEEWARD DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 7 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 1999 pursuant to which Building Permit No. 26081-Z dated OCTOBER 27, 1999 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 ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to SUSANNE J PERRICONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Ins ctor 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. 26081 Z Date OCTOBER 27, 1999 Permission is hereby granted to: SUSANNE J PERRICONE 1930 LEEWARD DR SOUTHOLD,NY 11971 for CONSTRUCTION OF A DECK ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. A5 Do«i at premises located at 1930 LEEWARD DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 045 pursuant to application dated AUGUST 26 1999 and approved by the Building Inspector. Fee $ 75 .00 T>� rL6O Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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 a "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 applican 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia $1 .00, Commercial $15.00 ')(ASCI f) (Ae— p'�lz l ��� Date X/?/?.2.1. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Q Old Or Pre-exists -ming. �— Location of Property. .'. ! .... . . . . . .:. ..O_e0-N . . . . . � . . . . . . . . . . . . . . . . . . House No Il I Street Hamlet Onwer or Owners of Property.:;&:;�.V:' S ! �.V4 �. . . . . . . . . � n.( ck County Tax Map No 1000, Section. . .C .I . . . . . . .Block. .7. . . . . . . .. . . .Lot. . 16. .1 . . . . . . . . . Subdivision. . . . . . : . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No.:;1.(0.os l.� .Date Of Permit. . .` . . . . . .Applicant Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval.:-. . . . . . . . . . . . . . . Request for: Temporary Certificate. .. . . . . . . . . Fina Certicate. . . . . . . . . . /� 9j Feee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . I ) Q,,10 Zi �� ` 7 J . . . . . . . . . . . . . . .. . . . . . . �L S`� C),8-3 APPLI NT C414 , Town hall,53095 Main Road Fax (516)765-1823 P.O. Box 1179 �1Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 9, 1999 Sandra Bollen P.O. Boa 343 Southold, NY 11971 RE: Susanne Perricone, 1930 Leeward Dr. , Southold To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : %% An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. X% The check is (not on 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 # 26081-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING FINAL [ ] FIREPLACE A CHIMNEY REMA DATE INSPECTO OF/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARNSc d� ,Q � fi _ — Dn �2�� DATE INSPECTOR r�ri BOARD OF HEALTH . . . . . . . . . . . . . . . ' Z G 17x7 " FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BLDG.DEPT. BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . W TOWDIOFSOUTHOLD TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Examined.................. 19.... O �,/�/' MAIL TO: . .�'�:. Approved....10r.eO..... 19�! Permit No.c�'!�:`:'.Qt�.... ...... 5✓✓�f��CLC F !u l/..... Disapproveda/c .................................. I ................................. ........................................ ..... ....... (Building Inspector) PLICATION 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 - 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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. Such permit sharp be kept on the premises available for inspection throughout the cork. 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 WME to the Building Department for the issuance of a Building Permit prsuant to the Building Zone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable Laws, Ordinancesor 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, rdinances, brJ ding code, housing code, and regulations, and to admit authorized inspectors on premises and in bldEiling inspections. /(Signlrcant, or name, if a corporation) 3.. ............. ress of applicant) State whether applicant is owner, lessee, agent., architect, engineer, general contractor, electrician, plumber or build ....O.W.)y . ..............................I.I.-.....:..................f.......(.........................`.I..,.....(.......... Name of owner of premises : -���::-:.1�4.1Y?. .. ':5.. .K.�2f.L.11'.! ..?fFi ..... ...... (as on the tax roll or latest deed) U:;i>a a1 rue— J lJe t'-r'i C 0 rl e-- If _If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plu hers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 22 � Q [` I�,++__ f 1. Location of land on whidn proposed work will be done. lQ. 7Q.. ee cLK? h ............o _YV I,n...... ....................................................................................................................... House Number StreetHamlet Hamlet Canty Tax Map No. 1000 Section .... .!........ Block ....(........... pinta ..YS ......... Subdivision .Lf;Q W CAU................ Filed Map No. .... Int ...Y g:....... 2. State existing use and occupancy of premises and inten# use and occupancy of},pmpo traction: a. Existing use and occupancy on., .Ox�:. O.M1u f1AT.......... b. Intended use and occupancy ..... ...........................:........,v...........i..--T ......... y Y J n OCCUPANCY OR �- ell- USE IS UNLAWFUL z WITHOUT CERTIFICATE $ OF OCCUPANCY 1 t Y 1 M 17 oeF l06i APPROVED AS NOTED DATE: b 14 B.P. # .Ni oS l FEE: AWO BY: �t / NOTIFY BUILDING DEPARTMENT AT 2 I 765-1802 9 AM TO 4 PM FOR THE p I FOLLOWING INSPECTIONS: I 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE P 2 ROUGH - FRAMING & PLUMBING 3. INSULATION F r, 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. " > ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. a STATE CONSTRUCTION & ENERGY CODES. NOT RESP014SIBLE FOR DESIGN OR CONSTRUCTION ERRORS V r b Stn�� /a ccr� J(5 Gut. -- —9,x 8CCA `o S-Miel salty 7a yxy o n X CCA m (ri fdt4. °• �4xycGA Cl v J�eck;uy— � ' i I t=m51;aE4.1 �oVSE 3o Le n.d D2 • SoAatct �(. 'vp Poo ick Po "Lrzpolv l � � OK. �0 006 OHO �JG♦ pq�.� p J_\ x�-► `�J// 0° ' h � 4 V . THIS SURVEY NOT T BE USED FOR TITLE ti 2° PURPOSES NOTE: •s mo#ilwNr Sl+t9diQ IMMAPFILEO/NTNEQF.VVE +�. \ or rNE armoFsuFFoLK couNrrav ! JUNE 4,/9T/AS FILE NO.5099. X10 q,.� low �p ��� **VISION$ YOUNG & YOUNG �. 5r. �� \®1 ; '� 400 OSTRANDER AVENUE, RIVER HEAD, NEW YORK � 73 FE6.28,1974 ALDEN W. Y04JNG HOWARD W. YOUNG S ►ROIESMONAL ENGINtKR AND LAND fURVI"R \ Os LAND PURVEYOR. N.Y.f. LIC. NO. 12843 N.Y.S. LIC. No. 'm4*,S SURVEY FOR: ' STEPHEN PERRICONE LOT NO. LEEWARD ACRES AT BAYVIEW 4- " ; . 14q► AT BAYVIEW GUARANTKED TO: \ MRCTEAN 1 TITLE DIVISION OF E I SURAMCE CO.or .�o� fy roti SOUTHOLD S EP►NEN RERRICONE e- SUFFOLK CO., N.Y. MY c+ ' ��,F �•w.rt of.,�o sCALK: I" z I DATt: APR. 10 1973 3 -3� 50 , BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: 968 1CO Nb Reviewed: /U,Z 60- I Architect/ Date . Engineer: OW ti�'R� Submitted: SCTM#: District: 1.000 Section: Block: Lot: tf t Project p�a� jj�� Subdivisio[t�� Location: ` 30 eew6©YJ lieIVe• Name: r..eew9R.D Acen Single&separate Req u' �X I�ylti certification: Ye o ll eq. Zoning District: [Lot size: Actual: (Lot coverage Proposed: Req. Req. Req. [Front Yard Proposed:_� [Side Yard Proposed: 1 (Rear Yard Proposed:_] Project Description: aGK An croy AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. X\— New New York State D. E. C. Town Trustees _X Town Zoning Board approval: x Town Planning Board approval: x Flood Plane Elevation??? ' Flood Zone: Notes: