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HomeMy WebLinkAbout29712-Z - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. i i CERTIFICATE OF OCCUPANCY I 'No: Z-30048 Date: 02/25/04 i p THIS CERTIFIES that the building ADDITION Location of Property: 1355 DEEP HOLE. DR MATTITUCK f (HOUSE NO.) (STREET) (HAMLET) 'County Tax Map No_ 473889 Section 115 Block 13 Lot 12.1 Subdivision Filed Map No. Lot No- conforms substantially o_conformssubstantially to the Application for Building Permit heretofore . filed in this office dated SEPTEMBER 5, 2003 pursuant to which Building Permit No_ 29712-Z dated SEPTEMBER 8, 2003 '., was issued, and conforms to. all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued h is DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY & ANGELA LEONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A. PLUMBERS CERTIFICATION DATED N/A c � Autho i ed ignatdre Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) -PERMIT NO[ 29712 Z Date SEPTEMBER 8, 2003 r . Permission is hereby granted d t o • ANTHONY & ANGELA LEONE PO BOX 1564 MATTITUCK,NY 11952 for . CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR III atP remises located at 1355 DEEP HOLE DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0013 Lot No. 012 . 001 pursuant to application dated SEPTEMBER 5, 2003 and approved by the Building Inspector to expire on MARCH 8, 2005 . Fee $ 150 . 00 /Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 UqTOWN OF SOUTHOLD €. , t BUILDING DEPARTMENT L { TOWN HALL s 765-1802 BLDG.€1EPT g jD uF—S`U Ili a _ --'1 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 2/10 of 1%lead. 5. Commercial buildings"industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from,architect or engineer responsible for the building. 6. Submit Plaunlug 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 Iines,streets,building and unusual natural or topographic features. 2. A properly completed application and 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. — i �C Fees 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25!30, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pie-existing Building- $100;00 l 3. Copy of Certificate of Occupancy $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 I Date. d New Construction: Old or Pre-existing Building: (check one) Location of Property: 3 J� DL[ AlbLa PtL_- lr�iA.i iz ewy House No. Street Hamlet Owner or Owners of Property: ` IV 7-N IV 4,p' ..Q L O r11 L-- Suffolk County Tax Map No 1000, Section //O' Block 0613 Lot 616k- 001 Subdivision Filed Map. Lot: Permit No. -1 19 7 l Z- Date of Permit. q 63 Applicant: f Health Dept. Approval: Underwriters Approval: Planning Board Approval: it Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ', nn Applicant Signature co 3C ' TOWN OF SOUTHOLD PROPERTY RE CORD CARD OWNER - VILLAGE �/ 5TREET 3 � DIST. -v4B-- LOT 22 FORMER OWNER _ _N 1 11a 1 t ACR, _ o y S W TYPE OF BUILDING I RES. SEAS. VL FARM COMM. CB. MISC. Mkt. Value Y£ LAND IMP. TOTAL DATE REMARKS _I 6 42 o -z ',?o D Lar, (e007 440 e - r 16 �- h7 UV � Bf�vU ✓ / to AGE 7bU c7 ✓ B LDING✓COND�TIOGt NEW NORMAL BE O r . . . ns _jodo "7l00 � oo t Vii' laod �c� Soa . 3 9S' tL fl dl �� Tillable Tillable 3 ` Noodland iwamPland FRONTAGE ON WATER 3rush14nd FRONTAGE ON ROAD _i ouse Plot 00 j DEPTH H R----mss BU6KHEAD Tots DOCK Av k> It LAI. ► f v t 1�-1 Applicant/ +r Date. Owners Name; �y.Q,�¢ Reviewed: Architect/ 'Gtigineer: Date SCTM M: Submitted: Disfrice 1000 Section: /_�� Block: Iof Pfojecf — I,.ocafion: .�z� �/ Subdivision 1 Single & separate Required cerlifica(inn: (Yes No) P ri, Rcq. �,1 e. ftcq. Zoning Dulritl: jlgl Size: jUl" ° .gcuial:,� t Rcy. r Req. n - ) 17�[covcrage dPigPiG j rom Yards Proposed =-�-1 (Side Yzrd i.f I'roposcd: P/fL/ 9 J [Rear Yard � f'ropesed Project Description: AGENCI�Y8.FI2MITS I2E RE UI Per mi f 1 FOR I2CVIDW N.A. Ir0 YDS Numbe Suffolk County Health Dept. New York State D. E. C- To Val Trustees Town Zotung Board approval: T'oknt,Platttting Board approval, Flood Plane Elevation??? I Flood Zone: ote r i Atirer /NOI}dHi n'/S 7CRY Go1142Y6 � _r fee °.0 ,, � 1<fTNL7rVYa u f�NGEL �l EO/VE AT / I ' r'a - s9Nrs N frau uavE �d' rvry .a..v W as .. ..+. :tb ['`,M,g y.(v� Ft" '� S'"C R' -W✓- � a h C � _v.H � 7€�� " �"? ' s• - t4 s / P'u"M^fry/fJ.4 rn+`a c�eii4�a�"c,.'"tvt' +`"�ieW. two Se l o tip r ioc k 43 /"t Gurs�anteed. �a �crtstc of':.<Y�ly Yox.Q'dea ' - �� 1 t ? . 71Z � i 4� 3, 765-1802 BUILDING DEPT. SPECTJON � i [ FOUNDATION 1ST j ] ROUGH PLBG. [ I FOUNDATION 2ND [ ] INSULATION j } FRAMING ( ] FINAL [ } FIREPLACE A CHIMNEY REMARKS: - I r ; f ; ii DATE INSPECTOR . � 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. y [ ] FO DATION 2ND [ ] INSULATION k [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS. i DATE ��`® INSPECTOR i J j M-1802 BUILDING DEPT. i INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. L { ] FOUNDATION 2ND [ ] INS ION { ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY I REMARKS: co j i DATE � F 0 3 INSPECTOR / I I FIELD INSPECTION REPORT DATE CO_NIlVmug FOtTNDATTON(1ST) 4c - y . rn FOUNDATION(2ND) rZ t=i z ROUGH,FRAMING& PLUMBING INSULATION PER N.Y. y STA=TE FEN ERGY CODE s � i i { FINAL ADDITIONAL COA MENTS O z m z _ g _ c y � c I z y x . TO"OF'SOUT11O.LD r TCNHiLPSE ' BUILDINGPERMIT APPLICATON CHEC KLIST Do you have or need the following,bef aPPgO { Board of Health sou rHOLD,NY 11971 f 3 sets of Building Plans TEL: (631)f 765-1802•- Planner Boazda FAX: (631)765-9502' ' g approval www.northfork netJSouthold/ PERMIT NO. Survey_ 02 7 G2 Check Septic Form, N.Y.S.I?.E.C. Examined---�-�7�� ,200 Contact;*Trustees ' Approved , 20_03_ Mail to: Disapproved a/c Phone: Expiration. v i200.15L n _ Building spector APPrJCATION FOR BUILDING PERMIT (1 Date 1l 2063 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 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. £ 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 MADh 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 olition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,h g c e, and regulations,and to adroit authorized inspectors on premises and in building for necessary inspections. (Signature of app cant or name,if a corporation) is (Mailing a(fdress of applicant) ( I State whether applicant is owner,lessee, agent, architect, enguiee ,general contract , electrician,plumber or builder i} Name of owner of premises 11171 777a.,Ll L✓d x) (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No, -2 Plumbers License No. Electricians License No. Other Trade's License No. i 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No: 1000 Section Block Lot 7 tf!!7 — F i Subdivision FiledMap oN Lot (Name) a k I I i- a, ' "H r ;rIT*'•''� `� , ' 'r;. d' _• ° II 1i. . ,n _ �;j - r i 1,:4 �, r y t ,It „ - •, :. t 1. _if�d _ t I ii I'll f, , '” ,, ' e ra+-' r- �" , - I'll h'., 5 . ay-i E7�1`f6JG19ONSE _ :,m ,i { 11 .•a �� „ I .lY i '{ .+ I' II ,t ',1 1 f ' ' 4i1. f I ( , , "'-I , - �ri y . .'r 4c •I: +-:, -1 1 7, 1 _F a I t t l _ � . r,�4 ' I �i ' titiM F _t l „_ ; I -, j - �,� T. "rr 004% G �f f L�, ^^ 1 -I , i. r f 1 Y 1,- 1 .1fl0:, .�t9C)GAfltMhh It � i I_ �I, f Y {.I' i L. , 1w1 „ 71 :" ems+ M� I. ;r . , 1 (1,1 1 �' •t f 1 L f f } S I I 1 :X W rz� f .I I I t I - - I 4 ' 's y i11 1 '- 4^Ay4,.+,V,�,n'/,P�C rim+ l - I 1 {,,�W 1 t Y I, ! i 1 11 1 I Y C _ P 7 } �YT X s'.W; � 1 1, 1 } '.:.M'Lr` ,,II•. 1 1 1 '� 1 0 111 1 ., A - il { { . ' t Q1it't ! I j: $ e i ,�_L � fi .. "I - 8 ' _,. - e w �. .� , i'., . . 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