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Home My WebLink About32860-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32475 Date: 07/16/07 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 2060 LEEWARD (HOUSE NO.) County Tax Map No. 473889 Section 79 DR (STREET) Block 7 SOUTHOLD (HAMLET) Lot 46 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 2007 pursuant to which Building Permit No. 32860-Z dated MARCH 28, 2007 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM & JOAN E POLLINA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Form No.6 TOWN OF 80UTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ ;;)DM~~0 ~~:J II??I \L~:l: ~:~1~i '\ beO'; DEPT. \ L__TC'\NN OF C;"'LTHO:~~ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 (8-9 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 2/1 0 of I % 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 PlalUling 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 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. Pees 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 - $.25 4. Updated Certitlcate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 7 - / :3 - ;Z 0 0 7 . New Construction: Old or Pre-existing Building: Location of Property ;;.. 0 b 0 L{{~tJ;J~,\ 1,) If. House No. Street v--- (check one) ,S" c...//:.j oc.J Hamlet tJ I/' "'; /I ,+,-J I) :r 0.1 r-i Suffolk County Tax Map No 1000, Section 'f 73381. 079 Block I Subdivision A ((_1""',,4 6 CO 7 Lot Owner or Owners of Property: o<f(. Filed Map. Lot: Pennit No ~).6- 0 c) L Date of Permit. 3 - '2jj -67 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approv<ll: Request for: Temporary Certificate /J S"- 0 0 Fee Submitted: $ 17'- Final Certificate: v (check one) tJdL 1// Applicant Signature ~.7;}\15 (o-L3.9.V 75 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. 32860 Z Date MARCH 28, 2007 permission is hereby granted to: WILLIAM & JOAN E POLLINA 2060 LEEWARD DR SOUTHOLD,NY 11971 for : ADDITION/ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at SOUTHOLD 2060 LEEWARD DR County Tax Map No. 473889 Section 079 Block 0007 Lot No. 046 pursuant to application dated MARCH 26, 2007 and approved by the Building Inspector to expire on SEPTEMBER 28, Fee $ 200.00 ORIGINAL Rev. 5/8/02 . . TOWN OF SOUTHOLD PROPERTY' 3~~D IEOORD CARD . )))-1 10M -79- ,}-t./b OWNER ,'lll' E. -- STREET Z toO VILLAGE DIST. - SUB. ",~J ~1. ': . I/UWA?C-C! VRI'/ti! --S'~~ E J' ,___ C;') ,~::J ';. . e'- N ACR. _ , . S W TYPE OF BUILDING l,,'~, ~,..". RES....</O SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL i DATE REMARKS ,,\ .r--.... J 6'///./;74 ' '---" ,-\q<;s-\ '7 cr'O ?.ro- ' //~'/7.1- .?O~ .A) -/600 5.20D ~Po",/ ///$;/'7::' PEP!;.,:, N S97? b/~"/~2.. E""?J+/'S'-ot.)-! -3.r .r--<'<j 7/,Iv/l . ~ /kt.I w.:c.. - //9;:;'""/,, :?f~q-/9t)_ .El7'io ,F,""?"4JAI/.. _ - '<'/;'S-/9J! - :qr-fi.-.u/h.".,-c;_"'e~II(/':27/~ ~ ~~';jrj):;;/ ~ IIfI7fM-Ll3.f)7AD3g'7-I?I~ew~rJ. -fo 0/ / ~ V- - ri"i;OM , I , . - . Tillable . FRONTAGE ON WATER , Naadland - FRONTAGE ON ROAD '.-\eadow~ DEPTH iouse Plot BULKHEAD rotal 32806C- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [~AL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ DATE () INSPECTOR 3J-?60z!;- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~LATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS: ~j'<'J~ J(C--l'V ~.- .-", , I DATE ~/Jo/rJ7 ( ( INSPECTOR I 3 ()-S/ fa 0 Z- TOWN OF SOUTHOlD BUilDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1 ST [ ] FOUNDATION 2ND P<Q FRAMING I STRAPPING - ~ [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUC'nON [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE S-/1--- () 1 l INSPECTOR ~~ 3 ?-f{ " 0 z-. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ex( FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPEcnON [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ U2- ". DATE +'--()-7~o7 INSPECTOR ~ ~ J J-'g (, D 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ff FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRucnoN [ ] FIRE RESISTANT PENETRAnON REMARKS: ~ U<A- - 1<1 ~ DATE i-"-/b-"l INSPECTOR ~ ~ . . FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL . . ", . t:;-j 1- () 7 FA - /, ,.).- " (l./J "- .7' uJ... ''"' j1~ ~'::J n"" ~. r\-, );> I-C"':: \-:::~ z y9 " I] ~a gK.~ ') ~ ~/~ ~, ~ c' r, ~ ;,.. ..... - "- ..-<2 . ~, //' 1<1..,.r) '/ I f J7~-r-~ /~;6 t:....T'. _ ~'''' "'/ 27 7 c:-- r_ > ::::: - , ,., ....; 7/9/1 17 f f . ~ '1+- .a../o/1 // .A }/l- '" /J n ~ //, . - (/ . . ADDITIONAL COMMENTS Y::i/ ,./ // -' /' l}' r) r ( -+ ..,.... " ~ ~ . C? F- e y 0 . ~ z ~m t,;l) - ' - ~ - 0 ~ ~')'"' ~ , ... y- !;: ro....; 4 - 0 D z . <>-:> ::t: Z '"' -~ 1---;;, K; '"' .", ....; TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL.'AR 2:6 2f SOUTHOLD, NY 11971 0>' TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southoldl PERMIT NO. 2f)86073 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved Disapproved ale ,20-'::;-- ,20~ Expiration Mail to: Phone: (.,31 7 c,S' &0 L. 7 APPLICATION FOR BUILDING PERMIT Date ,200~ INSTRUCTIONS a. This application MUST be completely 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 oflot 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. WIUllfJ...l 90L-/.-/DII. (Signature of applicant or name, if a corporation) oWGD LF t::tUffRD DR1LJ6. &X.Ji7I00 (Mailing address of applicant) -' - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises UJIU-I If/.-( Po LLI A 1 fl. (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. Plumbers License No. Electricians License No. Other Trade's License No. I. Location ofland on which proposed work will be done: .2C(,t) I-er:; /.()t1R.t> "DRI/JE- House Number Street County Tax Map No. I 000 Section 7 9 Subdivision Block 7 Filed Map No. DC)( JT4-f('1/.-b H I t .."v....r.....J] ....j.... amlet r",,,,,,,U."','.M . ,-, ',<., llSIOY WJtt 10 '1TAf2. :J1J';!J'i i,I";<'<' tt~teAMtO .014 U / YTI4UOO~'tIJa 141 03I'IIJAt.:O l b _os ,ft .W i: 'F HOIl:l>IMMO:) ,... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 6i06/F f"A-M / L-Y I Sit{. 'Rt;""/T}FIJf'fj'!1:.?~{I:,R ftTTfJ(l J-{F,T::> tSr+Rrtt'r/;. b. Intended use and occupancy tm y~u: p.rJ-I-4/t..Y 1"b-rll''f?t;S/DFDt!..f-~;L /I..J}(? ItTlJ1(,J../E"f) C~I1-IZ/}(-t. 3. Nature of work (check which applicable): New Building Repair Removal Demolition X' Addition .x: Other Work Alteration (Description) 4. Estimated Cost /0, (")ryJ Fee 5. If dwelling, number of dwelling units If garage, number of cars ,$ (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Gt; , I.{ It . Rear Height 11o'IO~"'!!l/fHD 1-19:. Number of Stories I ~ Dimensions of same structure with alterations r additions: Front fb6 (- it " Depth 38\ ,(; U . Height Number of Stories h'e,'t/" , Depth 027161'4 1/IOPoec# Rear 6614..... / A-rj: 8. Dimensions of entire new construction: Front ad '8 ., Rear c1/)' R L' Depth Ic:l' Height I ?:>LG II Number of Stories I '<ir't . 9. SizeoflotFront \4 ().,.11' Rear r2D~54' Depth Cl7/ '03') ~Og.58J 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~- 4() 'R8':>I~D'Mt+I 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13. Will lot be re-graded? YES_ NO---x- Will excess fill be removed from premises? YES_ NOlL.:... 14. Names of Owner of premises Name of Architect "FRtrPI0 L)OTltR.{) Name of Contractor Address Phone No. Address f.o ?J1l1('11l, \.jo;lk)..;1~1vPhone No h'A\-J..~R. \\9-- q Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L * 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-L * 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 OF i'olll'f'Ol.-KJ) W I II, 1+ III Pc./I,,.) A- being duly sworn, deposes and says that (s )he is the applicant (Name of individual signing contract) above named, (S)He is the 0 t..J;oJ t !( (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 t*fore me this 8-(() day of (rytrveh 20sil- ~~<:AA~9 M~_~_OCCHIA NOTARY~~NEW~ ~"ld'fCU(cellIiir MY COIIlltl88IONDP1RE8 NOV. IJ. IlWJ. ~dL/JL~ Signature of Applicant ~,." 4 ,,~'