HomeMy WebLinkAbout24178-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25180
Date AUGUST 4, 1997
THIS CERTIFIES that the building
Location of Property 300 LEEWARD UHI~E
House No.
County Tax Map No. 1000 Section 79
Subdivision
ALTERATION
SOUTHOLD, N.Y.
Street Hamlet
Block 7 Lot 36
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 19, 1997 pursuant to which
Building Permit No. 24178-Z dated JUNE 11, 1997
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 ENCLOSE AN PORCH OF EXISTING ONE FAMILY DWELLING AS APPLIED
FOR "AS BUILT".
The certificate is issued to
JOSEPH & JO-ANNE CICOTTE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
ll~O~l~ NO. $
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
~ - (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Z Date ...... ..~..../.~.. ................... , 1 ..~..~.
24178
Permission is hereby granJ~d,to: ~ ~ A . /~ _
..t.~.:.{~'~....../...~....~. ..........................
...~.~.,,..~..,..~..../.z..~ '
,o
" / /4 -~
County Tax Map No. 1000 Section ........ Z..~.. ...... "lock .......... 7.. ........Lot No...?.. ,~... .............
pursuant to application dated ............ ~J--~.../..~.. ............. , !9..~..Z and approved by the
Building Inspector.
............... ~'"'~ing i~~" " .... .....
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDINC DEPARTMENT
TOWN uALL
765-1802
A~ ~
APPLICATION FOIl CERTIFIC ~E OF OCCUPANCY
Ibis applicatioa must be filled in by typewriter OR ink and submitted to d~e building
inspector with the following: for .cw building or new use:
Final survo~ of property with accurate location of all buildingS, property lines,
streets, and unusual na%ural or topographic features,
2, Final Approval from }{~hlth Dept. of water supply and sewerage-disposal(S-9 form),
3. Approval of electricm[ installation from Board of Fire Underwriters,
Sworn statement from~plumber certifying that the solder u~ed in system contairs
lesm than 2/10 of 1% load.
5. Cormmercial 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.
F~r existing buildings (prior to April 9, 1957) non-conforming uszS, or buildings and
"pre-exiSting" land uses;
1. Accurate survey of property showing all proporty lines, streets, building and
unusual natural or topographic features,
2, A properly completed application and a co.sent to inspect, signed by the applicant,
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons ~here£or in writing to tho appllcan~.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions ~o 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-existin~ Buildin~ - $100.00
% 3. Copy o~ Certificate Of OccupanCy ~ $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15,00~
Pate , ~a~..l.~...L%%l ...........................
New Constructien...~., Old Or Pre-exis~ing Building
toeation of Proporty,..tq~ Age.~gg~Mg',.%qqq~l~'. ~X%P~A .%l%11 ............................
House No. Street Hamle~
Power or Owners ..,f Property... ~qge~,~.q%~q<~g.&q~ J~-AnA~ ~%~q~g ............................
County Tax Map No 1000, Section ............ pc ................ ut ......................
~ of Leeward Acres at ~a~M~g~ .... Fi].ed Map,,.~%%~ .,Lot .... ~ ................
Subdivision ..................... '''
~ermit No Date Of permit Applicant -
Health Dept Approval Underwriters Approval . ..
? ann£ng ^pprowl ........................
;equest for. Tempornry Certificmte~ ........... Final~~/~////,~Oerti:ata~., ~. , ~ '~
'~(~O~'~'~f~ · ~BIG~L A. WICKH~, ATTORNEY FOR OWNER
WILLIAM WlCKHAM
ERIC d, BRE$SLER
ABIGAIL A, WlCKHAM
LYNNE M. GORDON
dANET GEASA
d EFFREY STARR
HUBERT F SULLIVAN
LAWOE ,CE5 ! ';-IviAY I 9 ig97
WICKHAM, WICKHAM & BREE;gLER, P.c. ,~ ........
10315 MAIN ROAD, P.O. BOX 1424 °~ ,.¢~.. ~LD~'. ,~';?~'['-'~"''~-'''~''~--~-
NEW YORK 1195~
275 BROAD HOLLOW ROAD
SUITE III
516-298-8353 MELVILLE, NEW YORK 11747
TELEFAX NO. 516-~98-8565
516-Z49-9480
TELEFAX NO 516-249-9484
May 16, 1997
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York 11971
Re: Owners: Joseph Cicotte and Jo-Anne Cicotte
Premises: 300 Leeward Drive, Southold, N.Y.
SCTM# 1000 - 79 - 7 - 36
Gentlemen:
I am the attorney representing the Cicottes in the sale
of the above captioned property.
I would appreciate a Certificate of Occupancy for the
enclosed porch attached to the southwesterly side of the
dwelling. Accordingly, I enclose the following:
1. Application for Building Permit;
2. Application for Certificate of Occupancy;
3. Consent to Inspect;
4. Survey of the premises dated May 14, 1997.
I have also enclosed our check in the amount of $25.00
to cover cost of the application fee.
The existing Certificates of Occupancy for the premises
are listed on the back of the Building Permit Application.
You can call Joe Cicotte directly at 765-1384 to
arrange for the inspection.
If you require anything further, please give me a call.
Very truly yours,
AAW/dmc
encls.
30/bldgdptl
I~ I IIAI,
I
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ] INFLATION
[/~F'I=INAL
[ ] FIREPLACE &CHIMNEY
REMARKS:.
~ ~2~ ~.~,~. ~ ~ /<
DATE
INSPECTS.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
INSPECTOR
765-],802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION¶ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] INS~UI~ATION
[ ~ ]~FINAL
DATE
INSPECTOR
CONSENT
TO
INSPECTION
JOSEPH CICOTTE AND JO-ANNE CIC0~TE , the, undersigned,
O~ner (s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the To%vn
of Sou%hold located at 300 Leeward Drive, Sou~hold, New York 11971
. -. , which is shown and designated on the Suffolk
County tax map as District 1000, Section 79 , Block 7 , Lot 36
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Sou%hold Tovrn Building Inspector's Office for the following:
Certificate of Occupancy for enclosed porch.
That %he undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Sou%hold to enter upon %he above described property, incl.uding
any and all buildings located thereon, to conduct such inspections as %hey may
deem necessary with respect to the aforesaid application, including inspections
%o determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Sou%hold.
The unde,{signed, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Sou%hold.
Dated: May 16, 1997 ; ~
Attorney for owners
(print name) .
(signature)
(print name)
FOEH NO. I
TOWN OF SOUTJlOLD
BUILDING DEPARTMENT
TOWN IIALL
SOUTIIOLD~ N.Y. 11911
i~.~ TEL: 765- 1802
ff , .. Permit ~ ...............
¢i~ a/c ..................................
.........................................
AP~CATIOR FOR BHI1.DI~G PE~IT
INSTRUCTIONS
B(}ARI) OF IIEAI,TII ...............
3 SETS OF PLANS ...............
SURYEY ........................
CHF-.CK .........................
SEPTIC FORM ...................
MAIl, 'FO: ....................
a. 'fids application nttst be completely filled in IH typewriter or in ink and sulnitted to the Ikdlding Inspector witl
3 sets of plans, accurate plot plan Co scale. Fee according to e~_hedule.
b. Plot plan sl~aing location of lot and of heildings on premises, relationship to adjoining premises or l~blie
streets or areas, mxl giving n detailc~l description of 'layo~lt of property ,~mt be dra~rn on tim diagrem ~hid~ is part of
this application.
c. 'll~e work ecr0ered by this application ~y not be cemented hefore issuance of Building Pemit.
d. Upon approval of tids application, the lk~ildlng Inspector will ism~e a Building Pemit to the applicant.
Mmic shall be kept on tim premises available for inspect{on throt~ont the ~orlc.
e. No Daildi,g shall he occupied or used in ~t~ole or in part for any purpose M~atever until a Certificate of
Occupasey shall have heee granted by tbe l~dlding Inspector.
APlq.lgA'fl(~l IS I[~.REBY Hgl~ to tim I~dlding Department for the issuance of a l~dlding Pemit I~armmnt to tim
lkfil¢li,g g~e Ordinarw. e of tim 'rc~m of Scuthold, a~ffolk County, lq~e York, and other applicable Laws, Ordi~moces or
~Rngulations, for the construction of I~aildings, alditi~ns or alterations, or for r~o~al or derrolition, as herein
deseril~-=d. 'lhe applicant agrees to ccrnply with all applicable laws, ordinances, lmildi,g code, honsing cede, arxl
regulations, and to aknit a~d~orized inspectors ~m premises and in .... heildi~f;~r~..~~.p~.{.9''~'~ne~essmT~ in~r~tions. .........~.~'r:~)
(Siigna~4~re of applicant, or name, if a corI~oratlon)
Ab±ga±l A. ~Sckham, Esqo
~..0.... ~.ox..!4.2.4,..~.ay.t ±.t.u.q .k~..~.e.~..~.9,r.k...1)95¢.
(l, lailing address of applicant)
State ~t~etber applicant is o~Y~ar, lessee, agent, ardfitect, engineer, general contract~~or Ixfilder.
· .&t.t 9.r.n.e.y. ~o..r..o..wV.~.r. ...................................................................... .~..~.1.1~. .................
N~ne of o~ner of premises ...~.9.s.e.P..h. .C.t..ep.t.t..e..a.n..d..S.o..-.A.n.n..e..q~.e.o.t.t..e ................... a~O~*~[O.~ ~0~'~ .......
'es-mo 9 4
(N,m~e and tiLle Of corlx)rate officer) FOLLOWING INSPECTIONS:
OCCU?ANCY co s'mucrto, r UST
E]~t'rlcJan~ Licen~ ~ ...................................... O~ ~COIV~I ~TE
ALL .ONoT~RJCT~Oh} gHALL, ~,qEET
Other 'lYm~'s Licen~ ~ .....................
CC~t:3}~$. NOT RESPONSIBLE F()~
.................................................................................. [?g~;!Ot~i
lk~ ~Imr Strut t~let
C~mt~ Tax ~p ~. 1~ &ti~ 79 Bl~k 7 ~t 36
a,lxlivis'ion ~qP. R~. ~AE~F.~.~&~P..~t. ~Y~q~ Fil~ mp ~ .... ~P.~ ....... lot ...g~ ..........
2. State ~sti~ ~ a~ ~ of prmd~s and inte~ u~ and ~cu~ o~ p~ e~st~tion:
a. Exlsti~ u~ and ~y ...q~..~Y. ~.~q~fiA .................................................
,,. ............' ...... '... ............
NVHNOIM 'V qlVOI~
/
aJa a~(xlaI) '.m.~ ~'I"P tIu!aq ............................. ~h~'~l~'~'t~' '*'~" 'Tf~'O'r'g~'
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'=a~R XI3aoqs pasoIoua u~q~ sea qoaod aq& '0'O aq~ ~o eouenssT aq~ pue;
'~uTIIoaP ~q3 ~o uoI3on~sudo aq~ jo uoT~aydmoo o~ aoiad ~yTnq s~ qo/od aq~ '~au~o aq~ aad sv ~
saneM pu~ IOO~ - ES~Z# ~Tmaa~ ~uTPITnR - ~Zg0TZ# '0'O
i ~uTIIamG ~TTm~ auo a~At~~ - ~gZ# ~Tmaad ~uTpITn~ - 86Z9Z# '0'D
:saxn~!ona~s NuTmoiTo~ aq~ ao~ p~nssT uaaq aAeM ~ouednooO to sa~oT~$~a~D
m~o!m~an!p ~,'~q-:laS [tn a:tUO]lX~
FIVHOVI (I .I.O'ld