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Home My WebLink About20709-z F FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24212 Date MARCH 15, 1996 THIS CERTIFIES that the building ADDITION Location of Property 2217 INDIAN NECK LANE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 05 Lot 14.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 1992 pursuant to which Building Permit No. 20709-Z dated JUNE 11, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOSEPH H. & TERRY L. PONTINO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A . R ui ing Inspector Rev. 1/81 FORM NO. $ 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) , 191. N°-N° 207087- Date Permission is hereby granted to: / s/..T...C1O~G...C:.. to %1 at premises located at .......f. te! ® e9 - County Tax Map No. 1000 Section .......4..Ir1.......... Block .......ds..... Lot No.... T~~.. /p pursuant to application dated ..................4?./..0............................., 19.1' and approved by the j Building Inspector. Fee 5....P....... Building Inspector Rev. 6/30/80 Form No. 6 ~ a TOWN OF SOUT'HOLD BUILDING DEPARTMENT TOWN HALL 765-1802 2~0 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 Y responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1.957) 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. $15.00, Commercial $15.00 Date New Construction.............. Old Or Pre-existing Building Location of Proper.ty..G./.-....c+R~~~~..1~!E~:Y~..~'~~:'°~-6~ . House No. Street Hamlet Onwer or. Owners of Property. .VA...? County Tax Map No 1000, Section..(R.......... Block S.•,• „ .....Lot.. .~J Subdivision .....................................Fiilled Map............ Lot...................... Permit No.J.0'4_0- Z...Date Of Permit. /./.2:...Applicant Health Dept. Approval ..........................Underwriters Appr.oval.... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $...i-•• mac. SaY~~ o~Gtv~s;? P 1, T CANT c O~OgOFFO(keQ c~ Gyp h 2 Town Hall, 53095 Main Road O • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. Box New York g 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 8, 1996 Mr. Joseph Pontino P.O. Box 396 2217 Indian Neck Lane Peconic, NY 11958 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx 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 # 20709-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ) FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 1 S :E CT ap FOUIDATION (1st) r ~I I c Tr, FOUNDATION (2nd) r" 0 0 ROUGH FRAME & V -PLUMBING y 3. m 1P INSULATION PER N. Y. 3 STATE ENERGY CODE i. 3 - -~m H FINAL ADDITIONAL COMMENTS: m S 4sl • m x ' H A N H H ~n O m a - r H Z p . m H CJL=~ BOARD OOF PLANS r FORM N0.1 3 SETS OF PL.\:IS TOWN OFSOUTHOLD `SURVEY /ctttacl - _ . 8 (99c BUILDING DEPARTMENT TOWN HALL //SEPTIC FORM SOUTHOLD, N.Y. 11971 TCV,r~• US TEL.: 765-1802 N 0T I r.Y CALL Examined 1!'0, / , , , , 19 MAIL TO: • . Approved l~l~ 19 5.1fPermit No:~ Ot7.. . . Disapproved a/c ( ilding Inspector) APPLICATION FOR BUILDING PERMIT p Date C:.. $ 19 INSTRUCTIONS 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. d. 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 inspec ions. (Signature . applicant, or name, if a corporation) 221.7... Fp? qq~W ..*c/L ..4144-r......... . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........0~:Ylw Name of owner of premises . Ja5.Cl~/E .C) (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~E. L-C- Plumber's License No. K. J Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done . f.1.......................... . ,1.1- 1-7 ' L , b I A-eJ l~ec ( --tA-eN e, Ptf- q tbo.i.(- K House Number Street Hamlet g County Tax Map No. 1000 Section ?A ~k Block n Lot. Subdivision Filed Map No. . . . . . . . . . . . . Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy e S 1 D 2r-5 c-e b. Intended use and occupancy I 3. Nature of work (check which applicable): New Building d=Pi(~ Alteration s' . Repair Removal Demolition Other Work , , . ,(Description) . 4. Estimated Cost 5b:a~J . Fee 1 (to be paid on filing this application) 5. If dwelling, number of dwelling Units . , , . I , Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed', occupancy; specify nature and extent of each type of use , 7. Dimensions of existing structures • • • • . • • ' • g , if any: Front Rear . 3 e . Depth . Height Number of Stories h alterations or additions: Front Rear . . Dimensions of same structure Height . Number of Stories ...1-k......... 8. Dimensions of entire new construction: Front . Rear Depth Height . Number of Stories . . . . . 9. Size of lot: Front 2-,S Q. . , Rear S?............ Depth ...(:Z r . 10. Date of Purchase ii Name of Former Owner 11. Zone or use district in which premises are situated . 12. oes proposed construction viola, 14. Name of owner of remises . .te any zoning law, ordinance or regulation; , , , , , , , , , . A• • • • . • • . Will excess fill be removed from premises: Yes ` o 13. Will lot be regraded Owner of ,Address . . ......Phone No............... . P Name of Architect-... D.cf , , , , , , , , , • , Address Phone No............... . L outhold T9 Address ne No................ 15. Nlsm this property onasto•within 390 feet of a tidal wetland? *yes,,,,,,, No• *i own Trustees Permit may be required. j 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 whether interior or corner lot. i III i li STATE OF NEW YORK, 31S cbUNTY'OF • • • • • • • • • • • • • • • • . • . • being duly sworn, deposes and says that he is the applicant (Name of individual signin'g contract) above named. Heisthe (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly lauthorized 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 li.. .....day of . . C\%- 19 ,F7 Notary Public, "J: bounty CE M. WILKINS Notary Publla, State of New Y " " " "Je f J . . f xl.......' . ork No. 4952246, Suffolk Count (Signature of applicant) Term Expires June 12,197; 0o v_ cn w 3 o P c c 0 p r r c U) "n > 43 z ~Q O O Q m o p m c m 3 n f ;a z y ti ~20'~~'~on !mot/ c' y o t IA ~K.~ R I eT ~ PVC 7- s o , cn ~ ~ I h n . ou k~R nm~ GM o z c~ yo IV s m e ON n - N u O O 4 U A 0 0 o~, ~sg _ i i +1 a n , 1 APPROVED AS NOTED DATE- B.P.# .boo t FEE: NOTIFYFY BUDE RT EN AT 765.1802 9 AM 70 4 PM FOR THE OCCUPANCY I OR FOLLOWING INSPECTIONS: ' 1. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE 2. BOUGH -FOAMING & PLUMBING 3. INSULATION WITHOUT UOUT 1 CERTIFICATE 4. FINAL - CONSTRUCTION MUST I BE COMPLETE FOR OF OCCUPANCY Y ALL CONSTRUCTION SHALL MEET ld V THE REQUIREMENTS OF THE NY - STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR 91 DESIGN OR CONSTRUCTION ERRORS gQ. n fc+~~ ft..,~t d E.X_t5T.1nk- fA.32..-IFOU NA OlTt af` 3 .c i~4t Hou SE 1 ;_i t_• 2hR rot 4 Nil t Z_-~.~9_ - _ 14 ~T W R~ _MP MRA ToSrpF( H. PoiMNO Pik<.erric N SCALE APPROVED BY D N II DAEE 24--m~wtltr- nenseo_ _ - - s~' K pR w-40- _