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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 ................................................. ,,. ............' ...... '... ............ 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