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HomeMy WebLinkAbout49429-Z �oS11K y Town of Southold 7/15/2023 P.O.Box 1179 o • 53095 Main Rd �l X009;! Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44297 Date: 7/15/2023 THIS CERTIFIES that the building WINDOWS Location of Property: 110 Sleepy Hollow Ln, Southold SCTM#: 473889 Sec/Block/Lot: 78.-1-10.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/27/2012 pursuant to which Building Permit No. 49429 dated 6/29/2023 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: window replacements to existing single family dwelling as applied for. The certificate is issued to Neville Robert&Elizabeth Rev Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0 Aut ri Si ature �o�soFFo TOWN OF SOUTHOLD ay BUILDING DEPARTMENT TOWN CLERK'S OFFICE y . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49429 Date: 6/29/2023 Permission is hereby granted to: Neville Robert & Elizabeth Rev Trt 110 Sleepy Hollow Ln PO BOX 995 Southold, NY 11971 To: Replace windows to an existing dwelling as applied for. Replaces BP 42110 At premises located at: 110 Sleepy Hollow Ln, Southold SCTM #473889 Sec/Block/Lot# 78.-1-10.6 Pursuant to application dated 9/27/2012 and approved by the Building Inspector. To expire on 12/28/2024. Fees: PERMIT RENEWAL $125.00 Total: $125.00 Building Inspector TOWN OF SOUTHOLD �og��Fot�.cO BUILDING DEPARTMENT ; TOWN CLERK'S OFFICE oy • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42110 Date: 11/2/2017 Permission is hereby granted to: Neville Robert F Rev Trt 110 Sleepy Hollow Ln PO BOX 995 Southold, NY 11971 To: Replace windows to an existing dwelling as applied for. Replaces BP# 37560. At premises located at: 110 Sleepy Hollow Ln., Southold SCTM # 473889 Sec/Block/Lot# 78.-1-10.6 Pursuant to application dated 11/2/2017 and approved by the Building Inspector. To expire on 5/4/2019. Fees: PERMIT RENEWAL $100.00 Total: $100.00 Building Ins ct r Fot�71eo TOWN OF SOUTHOLD �guF BUILDING DEPARTMENT co TOWN CLERK'S OFFICE spy • SOUTHOLD, NY . 'jipl Off{ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37560 Date: 10/4/2012 Permission is hereby granted to: Neville, Robert & Neville, Elizabeth 110 Sleepy Hollow Ln PO BOX 995 Southold, NY 11971 To: replace windows to an existing dwelling as applied for At premises located at: 110 Sleepy Hollow Ln, Southold SCTM # 473889 Sec/Block/Lot# 78.-1-10.6 Pursuant to application dated 9/28/2012 and approved by the Building Inspector. To expire on 4/5/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 YJ111c�ou.2s �/6� rey12�,J Building Inspector Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 2110 of I% lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliatice-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)cion-conforming uses,or buildings and"pre-existing"Iand uses: 1_ Accurate survey of property showing all property lines,streets,building and.unusual natural or topographic features_ 2_ A properly cpmpleted application and consent to inspect signed-by the applicant_ If a Certiftcate 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.017; f Swimming pool$50.00,Accessory building$50.00,Additions.to accessory. building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3_ Copy of Certificate of.Oecupai►cy-$25 4. Updated Certificate of Occupancy- $50.00 • 5. Temporary Certificate of Occupancy-Residential$15.00,Cornmere'ial$15.00 I Date. vew Construction: ✓ Old or Pre=existing Butldin : (check one) lAmation of Property: ' ,/0 House No. Street Hamlet )wnor or Owners of Property: V'.rp'tOeJ`cf �� e (� AID r� o bxffolk Eounty Tax Map No-1000, Section j 1 Block p Lot 10 ; (� W"NiEsion )?filed Map. lit: 'etmit No. 2✓ 7 5� D Date of Permit. !0 Y- _ /a Applicant: Ieaith Dept.,Approval: Underwriters Approval: 11anning Board Approval: request for: Temporary Certificate Final Certificate: (check one) ee Submitted: $ /Y-1 I,, . App riant SiLynature RNA a SO(/l�°! # f TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [v] FINALI M&NA [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: l DATE 4V70 k3 INSPECTORX --M- k FIELD INSPECI'XON REPORT DATE CONIlVIENTS ►� FOUNDATION(IST) FOUNDATION(2ND) ' z O ca ROUGH FRAMING& PLUMBING 7z:: r© C�?y INSUL•ATION PER N.Y. STATE ENERGY CODE 'Irl, GEM FINAL ADDITIONAL COMMENTS ' c 1 s d la - d q %M 5a �� Ib rnm e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 57 Check oT Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined D 20 Storm-Water Assessment Form Contact: Approved /0/1f,20 L Mail to:pp Ek1K 9% Disapproved a/c Souftid, W 11971 Phone: 631 765-2054 i Expiration 20__& U E C E � U building Inspector CATION FOR BUILDING PERMIT RSEP 2 7 2012 Date S pry t pmh p r 26 ,2012 INSTRUCTIONS BLDG.DEPT. a.11:_-PPIZ0,44402aeaffly filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant.Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. 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 inspections. , ignature of applicant or name,if a corporation) RD Box 995 Spillho 'r] NY 11971 ARPROVEOMOTWO State whether applicant is owner, lessee,agent,architect,engineer,generaPATiEi' Qt 4/ krWRn#6UMAr builder Owner FEE; -Py-,V BY NOTIFY OVILUINU . T ENT AT 765-1802 8 ANI TO 4 PILI FOR THE Name of owner of premises Robert F & Fl i7abe t h A_ N p v k-d)LL-9IIVIIVf�NSP�vPi� (As on the tax roll or J jt_ q TION-TWO REQUIRED If applicant is a corporation, signature of duly authorized officer FOR POURED CONCRETE 2, ROUGH-FRAMING.PLUMBING, (Name and title of corporate officer) STRAPPING, ELECTRICAL 8 CAULKING 3, INSULATION 4, FINAL-CONSTRUCTION 9 ELECTRICAL Builders License No. MUST BE COMPLETE FOR C.O. Plumbers License No. ALL CONSTRUCTION SHALL MEET THE Electricians License No. REQUIREMENTS OF THE CODES OF NEIN Other Trade's License No. YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, . 1. Location of land on which proposed work will be done: Sleepy110 ' ow Lane Southold NY 11971 mg 1PANIny House Number Street a t USE IS UNLAWFUL County Tax Map No. 1000 Section 7 Ft_– Block – o Subdivision—S i e eT;H o i ow Filed Map No. 1 OF OCCUPANCY s 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Private One Fam i i y Dwe i l i ng b. Intended use and occupancy Same 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work wii Ar �l( Desoption) 4. Estimated Cost $1g,000 ± Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor If garage, number of cars 2 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front 2 81 Rear 2 8 3 Depth 150 west 87 east 10.Date of Purchase Apr i ! 2, L 99-Vame of Former Owner Robert & Carol Bohn 11.Zone or use district in which premises are situated n An 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO_X_ 13.Will lot be re-graded?YES NO-X _Will excess fill be removed from premises?YES NO Robert & Elizabeth A. 14.Names of Owner of premises Nevi i ie Address PO Box 995S0utpWY631 765-2054 Name of Architect Address Phone No Name of Contractor Tri—State Window Address336600 Mars Blvd PhoneNo.631 667-8600 Factory Corp. Deer rark,1�T729� 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland? *YES NO X * IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property his at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property? * YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk) F I i?abetb A Nevi I IP being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Gums (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 before me this 6-7 day of '? 20� otary PubliV Signature of Applfcant LINDA J COOPER VOTARY PUBLIC,State of New York NO.O1C04822563, Suffolk Count Term Expires December 31,20 v Southold Town Building Department �Q�osuFFol,�coGy P.O.Box 1179 Permit#: 37560 53095 Main Rd o _ Southold,New York 11971 Permit Date: 10/4/2012 yfjQl �ao�¢ (631)765-1802 Expiration Date: 4/5/2014 Parcel ID: 78.4-10.6 BUILDING PERMIT RENEWAL LETTER Dated: 4/23/2015 Applicant: Neville, Robert&Neville, Elizabeth Location: 110 Sleepy Hollow Ln, Southold Work Description: WINDOWS replace windows to an existing dwelling as applied for A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Neville, Robert&Neville, Elizabeth Address: 110 Sleepy Hollow Ln PO BOX 995 Southold,NY 11971 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. 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