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Home My WebLink About25360-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26190 Date: 12/28/98 THIS CERTIFIES that the building ADDITION Location of Property: 1395 SLEEPY HOLLOW LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 1 Lot 10.20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 12, 1998 pursuant to which Building Permit No. 25360-Z dated NOVEMBER 27, 1998 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 HANDICAP RAMP ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (HANDICAP RAMP NOT REQUIRED TO COMPLY WITH CABO/ANSI) The certificate is issued to MARIA TRUPIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building nspector oe— Rev. 1/81 Form No. 6 107 TOWN OF SOUTHOLDALL 9BUILDING DEPARTMENT TOWN HALL DEC 16 to 765-1802 L �, 70WMlOG�'�--...I APPLICATION FOR CERTIFICATE OF OCCUPANCY OFSQQT4C) 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 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 - Residential $15.00, Commercial $15.00 Date . . . . . . .10y. ! I/ .pJ. . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing( Building. . .,. . . . . . . .. . . Location of Property. . . .Q.D . . . . . . .O 1P.L1.auj.UV:k-1. . . . . . .VO�!0 . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . . . .. . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . ..Block. .. . . /. . . . . . . . . .Lot. . . . .. . . . �. . . . . . • • • Subdivision. . . . �1 . . . . . . . . . . .Filed Map. . 10 3. I, . . .Lot. . . . . 1.�. . . . . . . . . . . . . . � Permit No. . .�r ?V� . . . . .Date Of Permit. l� � 1J .Applicant. A,1CI . KJ� 7?! . .��r �— Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .✓. . . . . . . Fee Submitted: $. . . . P21 . . . . . . .. . . . . . . . . . . . . . CD � p 9� APPLICANT =1' LD Ii:SVE 10:7 JIDA 00HMFUTS m � H d =OUNDATION ( tst) c ti • m _ ?OUNDATION ( 2nd) — ?, z o ROUGH FRAME & U� -PLUMBING N � H 3. m 6 INSULATION PER N . Y. STATE ENERGY CODE x a a •� Z� �4+j .. 4T - .�y 4 . FINAL "{ . z •m ADDITIONAL COMMENTS: x H 9 H V H O - 2 • x mZ v . s� 0 m •v H -_ ,...._...,__ BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . .. TOWN OF SOUTHOLD SURVEY . . .... :::.. . .:. .. . : . .: : : (1nn II (I 111 BUILDING DEPARTMENT CHECK NOV 12 I99$ IUI TOWN HALL SEPTIC FORM . . . .. . . . . . . .. ...... SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: BLDG. DEPT. WN FS THOLD '"` CALL . .. .. . . .. . .. . . . . . . Ru irhed 19 MAIL TO: . . .. . . . . . . . . . .. . . . . . Approved.. ..... .... 19 98 permit No. ..?� .......... Disapproved a/c ................................... ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT J Date. nIUV.. .1.-rL. .. . . . . 19.�°. . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and suhmitted to the Building Inspector wi 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 wbich is part of this application. c. '%, work covered by this application may not be armnen:ed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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. APPL1cATICN 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 axle, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. e............ (Signature //of�f applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is carer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .....................................?U.y roJ...Nm h4a torn...................................................... Name of owner of premises ....... Q/1G:?..!!... .O-)............................................................. (as on the tax roll or latest deed) l If applicAnt is a corporation. signature of duly authorized officer. (Name and title of corporate officer) Builders License No. ..ley ... ._..... Plumbers License No. .......... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be done.............................................................. � ......... <.J L� ��/^ .[ .l[ ...4 ......................... � ................. House Number I Street , Hamlet County Tax MapppNo. 1000 Section ...7s.......... Block ..Q.f......... Lot ... 0:-. .... Subdivision .il.l. .. / il�� ?............. Filed Map No. .�7.�.51...... Lot .....Ly...... 2. State existing usenanddooccupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .... .,.,1 . d IANC-d.Lt . ........................ .-ab. Intended use and occupancy ........kck, d..lc.G (?.. QL ... l� .Y?... ....... 1. Nature of work (check which a licable): New Building .......... Addition .......... Alteration .......... Repair ............ Removal +........ Damlition ............ Other Work .IICAdJUL,Q.. ......... (Deacriipti �. Estimated Cost ...aao.........'�....... fee ..................... ............ .... (to be paid on filing this application) r 5. if dwelling, nud:er of dwelling emits ............ Wrber of dwelling units on each floor ................ ifgarage, rulber of cars ...... ............................... 6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use...................... 1. Dimensions of existing structure, if any: Front................ Rear ............... Depth ................. Height .........................' lirdler of Stories ............... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Heigh .................... Number of Stories ............... S. Dimensions of entire new construgtion: Front ................ Rear ............... Depth .............. gh ......................... Number of Stories ..................... }ei t �I 9. Size of lot, Front ............'........ Rear .................... Depth .................... 10. Date of Purchase ............... ..... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated ---- {. Q4 r .......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .....n.Q............... 13. Will lot be regraded .....Y�l� ........... Will excess fill be removed from premises: YES 14. Nares of Owner of premises 1". LG.,...... Address .............................. Phone No. .............. Nae of Architect Ev. r I cv *.Q4iVIAddreal .............................. . Yt No. .............. Name of Contractor.l0.na..a* I',r nt..[C�W14�P./t Address .�vp�r.Q �WU.�� . .....P& No. 15. is thisParty within 300 feetlof a tidal wetland? * YES .......... NO .......... *IF YES, SODIHOID TOWN TlQ1SII2S PEt W NAY HE mmmm. PLOT DIAGRAM Locate clearly and distinctly albuildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and , lock number or description according to deed, and show street nares and indicate whether interior or corner lot. j SWE OF MW YURK, O"jy or SS ...... ,;/{.Y.ti4,f:e..'l`:.+ �.F. (?J.�I...................being, duly sworn, deposes and says that he is tile applicant (Name of individual signing contract) above named, Ile is the ...........CKQpp/aC ..6i-41r.e-A............................................................ . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly a thorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the beat of his knowledge and belief.; and that the work will be performed in the,mamrer set forth in the application filed therewith. %worn this p �....:—...day of ....ca1(.19.,.. .. Z e Notary Public G✓` 42 :. !....... ..... ..Ul L✓� J ( -- .............................. L! (Signature of Applicant) Sv!oWq n:No'vv York, No.4106?3,034 Oualified in:iuffollt CopnYyp Commission Lxpiros Nlay 29, 19/_ 'Lw�o G.GA TOP PIA'iG �•__ t L.u LCP T.r kJ+i✓ _— GRh1rE '2 1 "I � 4 -�— i OCCUPPITY OR USE IS UNLAWFUL APPROVED AS NOTED WITHOUT CER f IFICATF 11-a1-5b n DATE: B.P. q OF OCCUPA140Y FEE: 7S BY: tiN r>gG NOTIFY BUILDING DEPA EN AT 786-1802 9 AM TO 4 P FOR HE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED _ FOR POURED CONCRETE - - - 2. HOUGH - FRAMING & PLUMBING 3. INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS - o o ❑ a -- - o - - -- ❑ 0 El Q ❑ ❑ 1-IEw -r�P FLn�*F-Psn TiYI' Pl,rc[KoRn1. FI'-i+SG (J.1 F� H4� NL.AF' V3-vnP {-LCX->2. Lo-T- 13 L lo-fE tj / , 4 _t/ a- /-' " ! t: PfLOYcn . .- h_r✓❑-cl�..n MLC' I_Y. . 0 .._ NI' _.-- .,, • . '-n. , J � An4o Jt�YliY!li-w•cl / aa- ss' /0, ' vs.sY I � � N Gh2K � PLAYrr,2ouvp (2)2<co cca / � 2+to cin Jo�s:S ti *-I"cin o•=sT - -M � Cala-ot.-2 (Oa.Scol (TYP�q-) ' afo G6T]M1(L p� GM1L N L Inti cin oocc-r �o•STS u (211Ke ccn G�ROEL IhU�TE%O� �_ . . -- ✓I„ ��" �, o� T b 5'-6 .a /L �L3vL 'If^ _ ___ _�' 2 z. y 7•_2t o 1 T _ "ff I _40 I 91:/ l PROPOSED HANDICAP RAMP EASTL�� FOR THE �o�l.aD� TIC�rJ - FIZAMItJC� Pi _Ar.l END 4 TRUPIA RESIDENCE SCALE AS hlaf>=TJ APPROVED BY DRAWN BY GLhA DATE. O�i- L9-9 B DRAFTING & DESIGN � r� 5130 MAIN BAYVIEW ROAD r SOUnIOLD NY 11971 u `/ F1' AI_.- n�ve�s�•��.+s A,-,o cwlomot✓S (516)7651867 DRAWING NUMBER $goy larl