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Home My WebLink About20698-z I~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23536 Date MARCH 10, 1995 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 360 SIGSBEE ROAD LAUREL NY House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1992 pursuant to which Building Permit No. 20698-Z dated JUNE 9, 1992 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 A DECK ADDITION AND ALTERATION TO INSTALL NEW DOOR & WINDOW TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES & DEBRA TIMPONE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 I. ~ FORM NO. s 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) N°-N° 206992 Date ............`7 , 19.- Permission is hereby granted to: p .......................c..:4......................................... / to ...F3 .rle?~ ......................45W . at premises located at .56.Q .../.:1Mu+...... County Tax Map No. 1000 Section ...f.~f Block .....Q/......... Lot No....... 0j pursuant to application dated 19.9k, and approved by the Building Inspector. Fee Xnsp-c t..... or Rev. 6/30/80 i MmeA nc aCeCQr~ss. ( Form No. 6 o box )55 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15j.00•, Commercial $15.00 Date 3.t:3~~~5 New Construction..... Old Or Pre-existing Building g.. n. . ^ Location of Property...J~~ ?.I k ..j~t l.'.... J4~.~ . ~Iq(A House No. S eet Hamlet Onwer or Owners cJ Property.. a! Ql~ es. 9 , , , , Q jam, , 1 1 1 . County Tax Map No 1000, Section :"(.2 !.....Block...... ~ 1....... Lot...... Subdivision ....................................Filed Map............ Lot...................... Permit No ................Date Of Permit.............. ..Applicant........ . Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: 3 saw ? APPLICANT INSPECTORS Victor Lessard ti,FFi7I,Y~ Principal Building Inspector Curtis Horton ti~ a % SCOTT L. HARRIS, Supervisor Senior Building Inspector y Southold Town Hall U' Y;iip T lY Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector ~'t Southold, New York 11971 Gary Fish D! Fax (516) 765-1823 Building Inspector 'sly Telephone (516) 765.1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD DECEMBER 23, 1992 CHARLES A. TIMPONE P. O. Box 155 LAUREL, NY 11948 RE: PREMISES @ 360 SIGSBEE ROAD To Whom This May Concern: We are unable to complete your certificate of occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XXX 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 # 20698-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. H.D. H~F. NU. ~`r" vv vac DATE SEP [9 1986 THE SEWAGE DISPOSAL~!iQ~p ,E SUPPIL. ACILITIES FOR THIS LOCATION HAVE EE 0 BX.-THIS DEPARTMENT AND FOUND TO L3_E Ct 14'AC Ch eP1-Wastewater Management, flan t dLn ' '3 I K cn G~ nE 3 Fi Vp'~a te}U ~~ct a N°° W ~ppd -3e VJCIL w (r~ Ito 0 2 69 ~,w 3Z' f N p~ FA tri N 1 S1 T` a wmdo 50, 0 O g JA% w r n h p S' • Z ~S y` z, w,eoie3 1a0 A 0 e NO sPr o~'~, Test boring ~n O"'£ 69e 2Z. rp~50/~ 0 u 5 ' ell a.3 z O " Gaam ~ ~~ef Q A.6' V fii r@ 5 . s Qod coW'se sand 17' SURVEY OF LOT 7 AMENDED MAP OF MATTITUCK PARK PROPERTIES INC. FILED JAN. 12, 1926 FILE NO. 801 AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK _-CD-UN-T-Y1___N Y t CIOOO 143 01 SEP Isaa -SCALE -T" JULY 22, 1965 St1H f?;i'i. Mw,1h4Fb6S AUG. 20, 1985 I;t~A MAY 13 , 1986 ~pLAND SG AUG. 22 1986 CERTIFIED TO W- U.S. LIFE TITLE INSURANCE p COMPANY OF NEW YORK a/ AMJAD I ASSOC, / AL LANE ? N. Y. S. L 1 C . 4 9 6 6 6 Prepored In accordance with the minimum /'CIONI "6INEERS, P. C. etandordr for title rurveyr or 8610611;hod by (516) 766 W+{ the L. I. A. L. S. and apptovod and adopted 54655 MAIN for soeh Ilse by The New York State Land SOUTHOLDt N. Y. 11871 AREA = 7~'~b100~tffi~•FT. .-trR2tl,n°d:.fv.ulde8w:r n..e.."~'~,kexRn~x'~iwnFlr~~uo:Xa:~..z:m.,~:..~t.e.„, „~aamusa2ab~ievvfrznA - "i4ea`'.{e9s~lbWslw~a~.~aiandfo4:rvck'et--5 iC",e.f~~=_?~~~°•:';~"`,~'°" BOARD OF HEALTH FORM NO.1 7 SETS OF~PLANS TOWN OF SOUTHOLD SURVE JUN - ~lBUI LDING DEPARTMENT CHECFY. .ot.®9.9........... TOWN HALL SEPTIC FORM ~i SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY SCI. O CALL ~7•`-~./. . Examined {p . . . . . . 19 9! MAIL TO: Approved 1f 7 197.x Permit No.lR Disapproved a/c wilding Inspector) APPLICATION FOR BUILDING PERMIT Date / 19 INSTRUCTIONS I a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. Id. Upon approval of this application, the Building Inspector will issued 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. APPLICATION 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe/urei c.~c~ a . na applica-&, am e, if a corporation) c~ (Mailing address of applicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........Gc~ Erc Name of owner of remises I ~AA44 s. ~~~t?!3.. 77 `4 p .o.:..........APPROYEI}ASNOTED....... (as on the tax roll or latest deed) DATE B.P.#- If applicant is a corporation, signature of duly authorized officer. FEE: &LOP B11:~ NOTIFY BUILDING DEPARTMENT AT 765-1802 R AM TO 4 PM FOR THE (Name and title of corporate officer) FOLLOWING INSPECTIONS: Builder's License No . 4 .GCUPA CY OR 1. FOUNDATION - TWOREOUIRED FOR POURED CONCRETE Plumber's License No . USE I UNLAWFUL 2. ROUGH - FRAMING & PLUMBING I-TH T CERTIFICATE 3. INSULATION ; . Electrician's F OCCUPANCY 4. FINAL - CONSTRUCTION MUST License No . BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Other Trade's License No . THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 1. Location of land on which proposed work will be done. (:~aDEB, ..N 90EGPONSIBiE FOR rrf~r5i3~E DESIGN,OR CONSTRUCTION ERRORS 30...... d.......... C~A!~ra .Jrnruc x...................... House Number Street Hamlet County Tax Map No. 1000 Section Block Lot . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use anal occupancy of proposed construction: a. Existing use and occupancy . f ? f.y! LY yy e Cie i Ate )g . b. Intended use and occupancy t-7W... /.JL.l CLC.~ ; ,O,i?W/Z , ~fc{~ , 3, Nature of work (check which applicable): New Building Addition Y! Alteration . Repair val Demolition Other Work r (Description) 4. Estimated Cost f•7U~ Fee 5. If dwelling, number of dwelling u (to be paid on filing this application) nits Number of dwelling units on each floor If garage, number of cars . . . . 6. If business commercial or mixed occupancy, specify natur and extent of each t pe of use . . . . . . . . 7. Dimensions of existing structures, if any: Front al , Rear , , Depth , , , , , • Height ...............NumperofStories ...........,/,fz,,,,,,,,,,, Dimensions of same structure with alterations or additions: Front 95"......... Rear Depth Height , , Number of Stories f , , , . , 8. Dimensions of entire new construction: Front , -A° Rear .2.°..... , Depth . , Height &40K. . /YNumberof Stories 9. Sze of lot Front .l Rear....,....' Degth ..N9.'................ 10. Date of Purchase , , , , , , , , , , , , , , , , Name of Former Owner ,~br11/7<M.Gi gee 11. Zone or use district in which pre ises are situated f~~~ at ynrn c , , , , , , , , , , , , , , , • , . • 12. Does proposed construction vio~ls~ to any zoning law, ordinance or regulation: . • • • 13. Will lot be regraded " ' Will excess fill be removed from premises: ises: Yes (So:) 14. Name of Owner of premises C ? ~F.s * * ,.rFOa~ , Address Phone No. Z F,E, Natne of Architect /A Address . Phone No............... . . Name of Contractor cA-9............ Address . . . Phone No.. . 15. 14 this property within 300 feet of a tidal wetland? * " " " " " " • Yes........ No......... *If yes, Southold Town Trustees Permit may be required. 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 number or description according to deed, and show street names and indicate whethov interior or corner lot. ef~SF C/~'E~'~ v., r Up ? /i`tai~ /1~iv (o~J~., Or- V~iC?CC.~ ~^-.C~dSCrJ Ii I STATE OF NEW ORK, S.~iS COUNTY OF ( AOO A` being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the 0 C'.,J-I £ eA - (Contractor, agent; corporate officer, etc.) of said owner or owners, and is duly authorized 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 best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of. . U~ e 19 . 91L 1 Notary Public, County LINDA J. CpOPER • • . Notar Public, State' of New Yor (Signature of applicant) No. 4822563, Suffolk County Z~ Term Expires Decemrr a1, 1 8 ~cIELD Cl..XMLNI~ py 1. I m Q, H V+ FOUNDATION (1st) FOUNDATION ( nd) - - m e 2. ~.:CGTit1 e, I z 0 ROUGH FRAME & IS'S PLUMBING N H 3. x INSULATION PER N. Y. STATE ENERGY CODE r FINAL o ~ ADDITIONAL COMMENTS: x a 15 ra•• • x ~ H H O x - • m ~ m _ H 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING 144*mf&-, REMARKS: DATE c~~- L--`INSPECTOR J P77 6,4, ofe. SUFFOLK COUNTY hEALTH DEPARTMENT SINGLE FAMILY rV;'FLLING ONLY W.D. REF. NO. g6 so-oa DATE SEP Z9 1986 THE SF.WAGE DISPOSAL p1~Y E SUPPLY. ACILITIES FOR THIS LOCATION HAVE EE nN88 C B. -•THIS DEPARTMENT AND FOUND TO BErSAFA(. Chi _y1,Westewater Management4, (ion t5~ o Vale,& tq0 r,d a °e QJ I' J f 1;- 'app -.38 j,,~Wbll W~ rn t ~ w 69 32• w bo°ar~ O N' 1 sip n w red 5p Q ;AN hOajr { CA40, N 0. way S 0 41, 1ry~ l~ er 1A s 0-, N°o S p' Q % Test boring W yNA u S 69e 2Z a 11'"~ a.3' 7Dpsod x 0Gvj loam f+l o~et O A.6' f)il@ B. rood coarse Sand t7' SURVEY OF LOT 7 AMENDED MAP OF MATTITUCK PARK PROPERTIES INC. FILED JAN, 120 1926 FILE NO. 901 AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK CD-U1474-MY. sir C1606--- 1 43 01 8 Isae -C7~CE~T" =-3~~-- SC DA''i. JULY 22, 1985 13F AUO. 20 , 1985 I;FiR1H YlA,1'106S MAY 13 , 1986 ~p1AN0 AUG. 22 , 1986 CERTIFIED TO /A' q~r'PL U.S. LIFE TITLE INSURANCE 1 COMPANY OF NEW YORK / o AMJAD I ASSOC, / AL LANE 1 - ? N. Y. S. L 1 C • 4 9 6 6 8 Prepared in accordance with the minimum ECONI Qk ENGINEERS, P. C. etandardt for title mrveyt at ettabll;hed by (816) 768 the l.1, A, L S. and aPProved and adopted 94685 MAIN ?er weh use by the New York State Land SOUTHOLDt N.Y. 11971 AREA 2 7dt'E&o4P*9•FT, i i L~ NEW ZBIb m Z, I I 1 I d I I i Si ~i _ I 1 l i NPJ124'L WINDQ,/ 3 c'~ NI NI nil a _I ,"rl r NFW CCC 144 L kxls IN cs ri r E Z L FLOOR PLAN ~~N~x fi~ CEpgR PEC%~Nf~ 2K6 ~s 2r6 . NU'(F.: fao Fu~raG RP.iL Ny ilk. tlV;h.eJ V'' NN TIIF~~ IEf` HHcvE F~IraraL (iRAUt RS 1'r` Nl's i "„t. 1 DE -IvieD S-I>OM E x15TmIG HW5E - r~rl cRCi-- %Ec"ool F, '/4"_ ~'•o' Phone 477-0400 t Main Road GRE ENPORT, N.Y. 11944 NOTE, VERIFY Air- DIMEN Sloes -t'IMPcaNt ':wb-t~=s,~S pyyG 14.0 %20-ti" OBc~c PLAN NO. ILJ6 7 A SCALE 1 ~M I