HomeMy WebLinkAbout17320-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218069 Date JUNE 1, 1989
THIS CERTIFIES that the building ALTERATIONS
Location of Property 1025 LEETON DRIVE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 59 Block O1 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUG. 4, 1988 pursuant to which
Building Permit No. 173202 dated AUG. 15, 1988
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 ALTERATIONS TO EXISTING ONE FAMILY DWRLLING.
The certificate is issued to THOMAS & BARBARA GALLIMORE
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED INNOVATIONS PLUMBING INC. MAY 30, 1989
Building Inspector
Rev. 1/81
F08M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 017320 Z Date .....f~.~/..:5 19~f
Permission is reby grpnted tp:
~~.~~9
...~~y~;.~~,,h.r ........~........Q~......
at premises located ~-!2!~j~..cf`:?!'!.•...G~..
..................................................O~~d...................................................................
.......................................................................~..-..p................................/.................................................
County Tax Map No. 1000 Section .........V"....1...... Block Lot No............~~...
pursuant to application doted )9 and approved by the
Building Inspector.
Fee
r
f.~.Fl..... ~
wild' 1 for
Rev. 6/30/80
G
M1 ~ FORM N0.6 ~ ~ ~rj ~ llry
TOWN pF SOUTHOLD l~/°'^
Building Department
Town Hall ~ ~ z
Southold, N.Y. 11971
765 - 1802 gL0~0~ti,yT_
APPLICATION FOR CERTIFICATE OF OCCUPAN TQt1~~°v`dJ1~40L0
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~-s to the Building In~7ec-
torwith the following; for new buildings 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 of Health Dept, of water supply and sewerage disposal-(S-9 form or equall.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00
2. Certificate of occupancy onpre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4. Vacant Land C.O. $ 20.00 December 20, 1988
5.Updated C.O. $ 50.00 Date
NewConstruction,,,,,,01dorPre-existing Building Vacant Land
Location of Property . ,1025 Leeton ,Drive,, ,Southold : 1VI' 11971
House No. Street Ham/et
Owner or Owners of Property Thomas & Barbara Gallimore
County Tax Map No. 1000 Section ..59 Block .1 Lot ....l? .
Subdivision .................................Filed Map No. ..........Lot No. .
Permit No. 417420, , , , Date of Permit 8~15~$$...Applicant ,Ron Morizzo Builder Inc:
Health Dept.Approval ........................Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval .
Request for Temporary Certificate .....................Final Certificate :
~ .
Fee Submitted $ . 25, 00 ~ . ~ .
Construction on above described building an pe it mee I applicable codes regulations.
Applicant ...~'z .
Rev. 70.70-78 ' l!~
~~3~0
6(Ic~ ~ (~o~~
TEL. 265-1802
o~~FF~LkCpG TOWN OF SOUTHOLD
Z s' ~ OFFICE OF BUILDING INSPECTOR
o s" , ~ 'rzT P.O. BOX 728 ~ ~ ~j~~ym ~~1~'~ L_
cn ~ TOWN HALL
`'O ~ SOUTHOLD, N.Y. 11971
~,yC! A~ MAY 3 1198.9
FJLDG. OEP
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
Date $~,~~r/ e~
i
Building PePPrmit Ngo.Q~~] c~C~
Owner~hh ~
(p ease print)
Plumber*Til-J/~.)~J ~~//JA~jr Y~r.n ~ti TAY ,
(please print)
I certify that the solder used in the water supply system
contains less than 2J10 of 1$ lead.
(plumber's signature)
Sworn to before me this ~/7,~~~
day of .,~G2~. ~..~s0~--(//~
Y
19~ Notary Public
Notary PUb11C, COUrity VERONICA F. CIDONE
NOTARY PUBLIC, State of New York
No. 52. 46614Q6
Qualified in Suffolk County
CommBSion Expires Dec. 31, 79 g
I;;:D i,a: EC:IUa I~ut,~E I~ coaKS~~Nrs
" ~ w
~ U
H
_ - - H
FOUtJDAT20N (1st) -
c
~ ~
FOUNDATIOIJ ( 2nd ) ~
2.
o t~,,
P,OUGH FRAME &
PLUMBING
ti
H
3.
ca
ca
H
IIdSULATIOPt PER N. Y. '
STATE ENERGY
CODE
m
-y
r^
FIi1AL
ADDITIOPIAL COMMENTS: x 1\~
x ~
-v
y \
H
O
2 0
~x
m
a
- ~
e
m
b
H
/ ~ Z ~ ,
765-1802
~~j..,,~JI~U-~ BUfLDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[~RAMING [ ]FINAL
REMARKS: cJ~-i
Y
f
"'"''U
DATE 0 ~ U ~ INSPECTOR
r
t
r~~., ~.12.a..~.~Ik
j}
MORIZZO [l MAY 3 ~ ~ U
BUILDER.INC.
P.O. Box 789 • Main Road, Southold, NY 11971 • (516) 765-577 BLDG. S7fPP.
TOWN OF SOUIMdLD
May 30, 1989
Town of Southold
Office of Building Inspector
P. 0. Box 728
Town Hall
Southold, N. Y. 11971
RE: Building Permit #017320, Owner Gallimore
Gentlemen:
Enclosed herewith, please find Notarized Certification
for the above referenced job.
Very truly yours,
Ron Morizzo
resident
RM/d ~ ~
Enclosure u~CJ .
~z~~„ D
TbWNpF•DE
August 15, 19 SDU7HOLD
Town of Southold
Building Department
To Whom It May Concern,
This is to verify that this house (sixth house on the left off of Kennys Road),
when originally built (1962) had, and still has insulation in the existing house
walls and ceilings. The house also had electric baseboard heat which plugged into
convenience outlet.
~
Barbara & Tom Gallimore
1025 Leeton Drive
Southold, N.Y. 11971
Building Permit # 017320 Z
~
~ ~ i y
Notary PuWfAc, SteteDof
~YaAt~~
No.4823B89, Suffolk County
Term Expires Dsosmbar 91, ir?
f BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. 1 SURVEY .
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
' TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
TEL.: 765-1802 CALL 765-5772
/C
MAIL T0:
Examined . ~~lJ 19 t~~~~
Approved ~.5 19~Permit No. ~.~`.3~~.~ D
Disapproved a/c ~~+i ~DOf~
t3I.DG. DEPT.
. ~ , , TOWN OF Sn4JTHOLD
(Buil g Inspector)
APPLICATION FOR BUILDING PERMIT -
Date ..August, .4, - - , , , 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 pazt for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
I
APPLICATION IS HEREBY MARE 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
I Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, 2s herein described.
' The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
I admit authorized inspectors on premises a;Yd ;az building for necessary inspections.
i8~4k£~~~i~3i Ron Morizzo Builder, Inc.
z (Sigrtature of applicant, or name, if a corporanon)
;):h"t P.O; Box 789e,.,SOUtho1.,.N:g:.
r, ~ ,
Yta (M.IN'951~"4'.or1 e°R'SC~IMtr lis$~J1 (Mailir~g~addrey~s~c3fapplican~)' '
~ ~ r ,
State whet~0r apphc~~"fi5ail~,~~''~2~l~gept, architect, engineer, general contraGCor,°el~6~iacian, plumber or builder.
,4 F
i+ ~~~Cy pEC9~ ~ a.t xtik S'• w e
l~ ~ ~ .
,.y .
Name of o ner of premises ~~a~l ~arbara,Gallimore, , , , , , , , , , , , , , . , , . .
°?tl4R = (as on the tax roll or latesf,;deed) , '
il4~ NC~F'I .a Ni~~ :~Y9.94td1{j.::It;
If app 'can is a cor l~ a~ithorized officer.
9IVI :1t1
' w
p ~ypr,.tierr.,.,.
Builder'8 0. .,6772-HI,,,,,,,,,,,,,,,,
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done . .
.~G ~5.... .....,,Leeton,Driye,i,,,,,,,,,,,,,Southold
House Number Street Hamlet
County Tax Map No. 1000 Section ......69.......... Block Lot...??..............
Subdivision Filed Map No. Lot .
.........(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , , .One family dwelling, , , , , , -
..11~'~.~Lz'>s ~t#f~sJ:r .
One famil dwel i~ ~ ` `4"~`"`n ~a4R
b. Intended use and occupancy X..... g - . , a!i~y(=$~t;y6~.tr}+, , , , , , , , , , ,
$ .J irMUiiP ,a,r° rgY..i~, > 'tF!nrv"+
3. Nature of work (check which applicable): New Building Addition Alteration .
Repair . X, , RemoJa! Demolition , . , , Other Work .Renovation.. , ,
(Description)
4. Estimated Cost...~.7t000.00'~ Fee
(to be paid on filing this application)
S. If dwelling, number of dwelling wits Number of dwelling units on each floor , .
If garage, number of cars : .
6. If bu ~~)~teSCial.or mixedoccupancy, specify nature and extent of each type of use .
7. DimehSf ~?$,~1~~~~~ing stititetu`re~y if any: Front Rear Depth .
HeiE_1 ~ _ . Nurti'ber of Stories .
DDim= si $s o. ~~e witch alterations or additions: Front Rear .
p 11 r ' .Height Number of Stories .
8. Dime~i$ions of entire new constru~otion: Front Rear , .......Depth , , .
Height Num[jer of Stories - .
9. Size of lot: Front Rear Depth
" 10. Date of Purchase Name of Former Owner .
11. Zone or use district in which prer~tises are situated • . .
12. Does proposed construction violate any zoning law, ordinance or regulation : .
l3. Will lot be regraded ~ . . . . . . .....Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ...............Address , .....Phone No............... .
Name of Architect , , .Address . ........Phony. No. .
Name of Contractor .Ron. mori~zo. Builder, ~ Inc. Address ,Southold' ' ,phone No. 765-5772 ~ ~ ~ •
IS.Is this property loca~ed within 300 feet of a tidal wetland? *YSS....NO....
*If yes, Southold TownTrustees Permit may be required.
PLOT DIAGRAM
Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block z{umber or description according to deed, and show street names and indicate whether
interior or corner lot.
I
1. Remove and replace main outside beam - (3) 2x12's
2.. New siding and basement w~ndows ,
I~ ,egi°~ APPpp{t~p ~ NOTED
FEE;
OCCUPANCY 0 gY;
786-t OEPq TAT
i ~ 8 AM 11y 4 pM OR THE
uSE IS UNLA FUL Fes' INSPEf;}IONS•
~A~ ~JOUT CER IFICATE 2•
Y~ITi~_~ 9. ~NBUI.A7IQN
OF OCCUPANCY 4• FINAL .
8E COMPLETE fpq ~~N MUST
THE ~ ~HALI. MEET
CO
g, ~ ~ lNIIIOY
bESI(iN''Op
STATE OF NEW RK, u~'Ol I' S
COUNTY
n • • • • • ~ rZ.2' being duly sworn, deposes and says that he is the applicant
(Name of individual sigm~tg contract)
above named.
Eieisthe
i (Contractor agent, corporate officer, etc.) .
of said owner or owners, and is duly authonz erform 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 manne~j set forth in the application filed therewith.
Sworn to before me this'' pp
Notary Public, . . ~ County
TEL. ' . .
4f~~~ (S~gnature of applicant)
DusllNed
In BuH~lt
Gommlmtfon Expires Dsa t ,1~