HomeMy WebLinkAbout30255-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30588 Date: 11/23/04
THIS CERTIFIES that the building ALTERATION
Location of Property: 1285 REYDON DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 80 Block 2 Lot 15.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 23, 2004 pursuant to which
Building Permit No. 30255-Z dated APRIL 23, 2004
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 "AS BUILT" BATHROOM IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARY LEONARDI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 6085 11/04/04
PLUMBERS CERTIFICATION DATED 09/28/04 MATTITUCK PLUMB.&HEATING
A
ho/zed Signature
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 30255 Z Date APRIL 23 , 2004
Permission is hereby granted to:
MARY LEONARDI
1285 REYDON DRIVE
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN AS BUILT BATHROOM AS APPLIED FOR. ADDITIONAL
CERTIFICATION MAY BE REQUIRED.
at premises located at 1285 REYDON DR SOUTHOLD
County Tax Map No. 473889 Section 080 Block 0002 Lot No. 015 . 001
pursuant to application dated APRIL 23 , 2004 and approved by the
Building Inspector to expire on OCTOBER 23 , 2005 .
Fee $ 300 . 00
Autho ized ignat
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ` 6
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 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 qpp -L%Pm"ctootk. ,►,A Sx%sTt+jc.
3. Copy of Certificate of Occupancy-$25.00 ►3r�sE�•►. c
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00
Date. 101-L5 12004
New Construction: Old or Pre-existing Building: (check one)
Location of Property: (Z$S �E�DO� �R1JE SOVT�oL(�
House No. Street Hamlet
Owner or Owners of Property: K
Suffolk County Tax Map No 1000, Section C7 P5 Block QOQ 7 Lot O\S.C)O \
Subdivision lsyco(t S Filed Map. (o3\ Lot: -7/OzAca-sL
Permit No. 3 O Z•S S ?_ Date of Permit. !4/7-3/7-00A, Applicant: l.SPP\
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: N AP..
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 7-5 .0 D
Applicant Signature
�� 34
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street• Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764
Application: 6085 Date:11/4/04
Issued to: Leonardi
Address: Reydon Dr
Village: Southold By: Modern Electric East License#:4253-E
was examined and approved up to the above date and was in compliance with the NEC
Attic 1st A= Residential El Pbd Det Garage
Basement❑x 2nd floor Corrmeraal Hot Tub Addition
rV-
Switches Receptacles Fixtures G.F.I. Electric Whirlpool
Baseboard
1-1 future 1 1 2 f
Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon
Range/Amps Monoxide
Furnace Oil Gas Heat Zones Smoke Bell
Detectors Transformers
Meter Amps Phase Motors
Other Equipment:
Basement Bathroom
10 ut,Res
This certificate must not be altered
in any manner
It.
Town NriII, Finns Ma111 flood i ;'.; '7� IR) 7 5.152 3
P. U. [lox 1179 X1;1 rviap long (515) 7r�•1002
Snullwld, Hew Yotk 11971
OFFICE OF THE BUILDING INSPFCTon
TOW14 Of' SOUTI IOLD
C C R T I IF I C A T 1 n sr
Dui 1 d.) ng Permit No. :Q_rL.,SS Z
Owner :
( gle a print)
Plumber! .11�'aTt•�i��t �tml rat:,,
(plense prim:)
I certify that the soldor used In the vinLer, skipply sy:; tem
contnins 16ss than 2/10 of 1t, lend .
( f'I111njher. q) t;J.ynn7.11•1.-
sworn to before me thls
d 1 y o X
Notnry Fublici Colin1'y
NOW
Nobry" �g4 New Y*k
J.J.
Qua MMi.- ' Nassau/Suffoljr
Commis in r
04/22/2004 15:31 6317278033 BUTLER THOMAS PAGE 02
1
i
Charles M. Thomas, R.A.
PO Box 877
)amesport, NY 11947
(631) 727-7993
April 22, 2004
Town of Southold
Southold, NY 11971
Re: Leonardi Residence
To Whom It May Concem:
Please note the ceiling height in the cellar is 10'0".
iy
arles Thomas
f _ TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST.1 SUB. LOT$ ?3?3 _3
FORMER OWNER N E ACR. _
I OA
S W TYPE OF BUILDING
p �
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
Go 0 ci 600 z ! t �ljz 5av
i
,s
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
R7EMARKS• -S 2
DATE � INSPE
765.1802
BUILDING DEPT.
' NSP T ' o
[ ] FOUNDATI IST [ OUGN PLBG.
[ ] FOUN ION 2ND [ ] INSULATION
[ AMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE ��� INSPEC
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG LBG.
[ ] FOUNDATION 2ND ULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA HIMNEY [ ] FIRE SAFETY INSPECTION
REMARK
S
DATE � � � INSP II
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:- 2Z:�
DATE �� /3ZL9--J!!� '
INSPECTOR
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE - INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
------------------------------------
FOUNDATION
----------------------------------FOUNDATION(2ND)
\ z
ROUGH FRAMING& �
PLUMBING Xle (� y
- rU
INSULATION PER N.Y. r"
STATE ENERGY CODE H
f
FINAL
c�.
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST ,�-
` RUWARNG DEPARTMENT Da you have or need the fotlowiag,before apPlyin ,
TOWN HALL Board of Hearth
SOU MOLD,NY 11971 t smof Bur7din pwa
TEL:(631)765-1802 Planning Board approval
TAXI sw"y
www.northforLnet/Southoki/ PERMIT NO. Check-ik
Septic Farn
MYS.D.E:C.
/► Trustees
Eked V 29 CARtseft
Approved ,-20� Mail to:
_0-isappr afc
Phone: . FAS e
Exertion 20;�
I'
I �
APR — 8 2004 1 APPLkCATiON FOR BUILD I6 PEPAW
( k. Date 21� rJ >20 04
DISTRUCTI014I1S
,_)
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 WAW41119 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 shell be occupied or used in whole or in part for any purpose what ao-ever until the Building Inspector
issues a Certificate of Occupancy.
t:Every building permit shall expire if the work authorized has net commend within 12 mentis 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 i r.,uanoe of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,a�d other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for ren/oval or demolition as herein describod.The
applicant agrees to comply with all applicable laws,ordinances,bu' i de,!nous' ,andgulati and to admit
authorized inspectors on premises and in building for nxessary
(Si_ of applicant or ,if a oorPD=tion)
t+SN� A�J�tAP'Mi.*N C.GR-P
T-0
(Mailing address of applicant) q 0
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of of owner of premises O%-t tJ ar- 1`r AeR�1 to Ar(L6 1
(As on the tax rod r latest )
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which propgpd work will be done:
House Number Street Hamlet
County Tax Ma No. 1000 Section _Block Z Lot t • ,
Subdivision 440#4S t7e _ Filed Map No. l03 Lot 7 O
(Name)
�2. State existing use and occupancy ofsand intended use and occupancy of proposed construction:
a. Existing use and occupancy.P ES\T Syr- %-. }�
b. Intended use and occupancy 'KV.,S\ rz�'E1.1 GV--
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work AXpts "$
4. Estimated Cost ���cG Fee I50 00
(To be paid on filing this application)
5. If dwelling,number of dwelling units tv A 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. ty [A
7. Dimensions of existing structures,if any:Front tti/1ia 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 lien: Q0 GAAQ&EDepth
Height Number of Stories
9. Size of lot:Front O Rear Depth
10.Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO
13.Will lot be re-graded?YES_NO 111 excess fill be removed from premises?YES—NO-
14.
ES_NO_14.Names of Owner of premises".+�" ► Address Q4>5 lk!wta hone No.6a%- 7 b 5- GkOSR
Name of Architect<�--•�s Tuorwwa Address"gave_iuAea n Phone No_L2j • 7ZZ-
Name of Contractor lSlh • Con.! Address 2.u�ya.�r�_Phone No. (.d3t- 3(,R-�OSt3
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wdtland?-YES NO w
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS M/�Y BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?'YES 1.0
*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 is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OFA
PW%A '!5b . lft^*JT'E— being duly sworn,deposes and says that( he's the applicant
(Name of individual signing contract)above named,
(S&is the C 1)t J
(Conor,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.
Sw9rn to before me this
to da of Atoe�t- 20 01�
Notary Public Signature of Applicant
JOAN E.SCAMORDELLA
NobrU PoNeg4922202 New York
a0iWft is Wolk County.
RjEqw_ .2006
SURVEY OF
DOTS 33 , 34 & 35
I
BLOCK "E'
i
MAP OF
REY DON SHORES
Q) S FILE No. 631 FILED JULY 2, 1931
Q)
6948'40 £ ,��GffN SI T UA TED A T
`V,4 `rA
�M w� tiFf9NOUTHOLD
wce� fWN
TOWN OF SOUTHOLD
TI SUFFOLK COUNTY, NEW YORK
I LO � 1
,�j•/ stir , ti's 40• S.C. TAX No. 1000-80-02- 15. 1
SCALE 1 "=30'
OCTOBER 29s 2002
APRIL 8, 2003 FOUNDATION LOCATION
/ Bl ql. ,� 0 N-
SEPTEMBER 30, 2003 FINAL
Q SURVEY
W'4"t ,SERI/ M
AREA = 13,081 .79 sq. ft.
0.300 ac.
o �pQ pJ`' 2� Alz
4�, (9 ��� �? NOTE:
s. h
9pop 1 i/ ,�� QP
THIS LOT IS DESIGNATED AS LOT #1 IN A MINOR
�.
GV SUBDIVISION MAP MADE BY RODERICK VAN TUYL
« r6' x° � � ;��o AND APPROVED BY THE TOWN OF SOUTHOLD ON
-p °- n� OCTOBER 4, 1984
N
Ot<
GRAVE o.
2� 'C DRWP � k ��' ✓J? i
z O \ CURB 6
Z C � 0 `A Boo ��� � aE
aQ °�by PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE A.L. AND APPROVED AND ADOPTED
FOR SUC $Y.THE NEW YORK STATE LAND
Ak
O�VO;
4-
----- -- -----_ -- - N.Y.S. LIC. No. 49668
UNAUTHORIZED ALTERATION OR ADDITION
THIS SURVEY IS A VIOLATION OF
SE Jose h A. Ingegno
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW
Land Surveyor
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY n
i
l
ite Surveys — Subdivisions — Site Plans — Construction Layout
IS PREPARED, AND ON HIS BEHALF TO THE Y y
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND PHONE (631)727-2090 Fox (631)727-1727
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE
OFFICES LOCATED AT MAILING ADDRESS
THE EXISTENCE OF RIGHT OF WAYS 233 ROANOKE AVENUE P.O. Box 1931
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. RIVERHEAD, New York 11901 Riverhead, New York 11901-0965
- -- -------------------------------------
'UNDERWRITERS CERTIFICAI PED AROFr
REQUIRED �n- ry /rF
APPROVED AS NOTED
DATE: WA B.P.q
rq�qqTT
FEE: JBL_..._ By
NOTIFYI BUILDING DEPARTMENT AT
765-1802 8 A TO 4 P FOR THE TgTNo, 07.4U6 yOT
FOLLOWING INSPECTIONS: F OF NEJI
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE COMPLY WITH ALL CODES OF Z
2. ROUGH - FRAMING 8 PLUMBING NEW YORK STATE & TOWN COD
a. INSULATION AS REQUIRED AND CONDITIONSIF
4. FINAL - CONSTRUCTION MUST _
BE COMPLETE FOR C.O. SOUTHOLD TOWN ZBA D-/
ALL CONSTRUCTION SHALL MEET THE 11)
SOUTHOLD TOWN PLANNING BO N
REQUIREMENTS OF THE CODES OF NEW UJ
YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN TRUSTEES (�
DESIGN OR CONSTRUCTION ERRORS. N.Y.S.DEC
ALL CONSTRUCTION SHALL PLUMBING
MEET THE REQUIREMENTS OFTHE ALL PLUMBING WASTE&WATER LINES NEED
"
II'-a" 4'-0^
CODES OF NEW YORK STATE,- TESTING BEFORE COVERING
5�_4
' OCCUPANCY OR FLOOD ZONE �11�- L�yU
r - - - - - - � USE IS UNLAWFUL COMPLY WITHCHAPTE:R7a6"
❑ L - ° WITHOUT CERTIFICATE' FLOOD DAMAGE PREVENTION
r J OF OCCUPANCY SOUTHOLD TOWN CODE.
- - - - - - - - - - - - -
I I I iv
I PLUMBER CERTIFICATION L
1 1 ON LEAD CONTENT BEFORE `
0 CERTIFICATE OF OCCUPANCY V
I I e I 1 F
SOLDER USED IN WATER
Y SUPPLSYSTEM CANNOT
- < EXCEED P110 OF 1%LEAD.
1 31 21
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