HomeMy WebLinkAbout33001-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32483
Date: 07/27/07
THIS CERTIFIES that the building ALTERATION
Location of Property: 300 HARBOR
(HOUSE NO.)
County Tax Map No. 473889 Section 27
RD
(STREET)
Block 4
ORIENT
(HAMLET)
Lot 5
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 30, 2007 pursuant to which
Building Permit No. 33001-Z
dated
MAY 4, 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 KITCHEN ALTERATION AS APPLIED FOR.
The certificate is issued to SANDRA L ALLECIA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N 319828
07/08/94
PLUMBERS CERTIFICATION DATED
07/19/07 KING PLUMBING
4Y~
uth~iz Signature
Rev. 1/81
N9V 16 '04 113:~dPM OU\.JIHVLU
t)I..).Ll,....U.L"U '-'..J" .....- ----
,
Fo.... No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN' HALL
765-1801
r-~- --~-
JUL I 9
J
APPLICAll0N FOR CER.TIFICATE OF OCCUPANCY .
. j -F""-- ,.i'
Thi; application must be filled in by typewriter or inle and submitted to the Building Department 'will. ti\f fOI\oi1ii.tiJr~:~~
A. For new building or new IIse:
1. Final survey of property with accurate locatioll of all buildings, property lines, streets, and unusual natural or
topographic featUres.
2. Hnal Approval from Health Depl. of water supply and sewerage-disposal (5-9 fonn).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plwnber certifying iliat the solder used in ~)'stern contains less than 2/10 of I % lead.
5. Commercial building. industrial building. 'nullipl. residences and similar buildings and installations, a ccrlil:icate
of Code Compliance ti'om arc\1itect or engineer responsible for the building.
6~ Submit Plamling Board Approvai of completed site plan requirements.
B. Fer Ulsting buildings (prior 10 April 9, 1957) Ilon-colllorminll uses, or bulldlngs and "pre-existing" land uses:
I. Accutate survey ofproi>~"Ity showing all property lines, streets. building and unusunl natural or topographic
features. .
2. A prnperly completed application and conSOlIt to inspeet signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shaH state thb reasolUi therdor in writing to the applicant.
C. Fees
1. Certificate of Occupency . New dwelling 525.00, Additions to dwelling 525.00, Alterations to dwelling 525.00,
Swimming 1'001525.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Prc-elC.isting Building - SIOO.OO .
3. Copy of Certificate of Occupancy. $.25
4. Updated Certificate of Oceupancy . 550.00
5. Temporary Certificate of Occupancy . Residential $15.00, cornrnercial $15.00
Datc. 7/ tf/o/
New Construction:
Location of Property: ~
House No.
Owner or Owners ofProperty~ Ii!.. ~i-J Je...
Old or Pre-existing Building: ./"
fJ M-&/C ~
. Street
fYI/tel ~.
2"/
(check one)
C)/L/ e L-- f-
Hamlet
Suffolk CountyTllX Map No 1000, Section
Block
'-/
Lot
5-
Lot:
RIBT ~
lkalth Dept. Approval:
t.l\~
~\I~
Planning l30urd Approval:
Request for: Temporary Certificate
Fee Submitted: 5 :J...1)o!--
Co:c 3~'-f0
{Lee -r~ ~ 1\p
Final Certificate: J
(check one)
~bG1"
:)7- L{- 5'
Town Hall, 53095 Main Road
P.O.. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: '1/'7/0--r
. I
Building Permit No ~ I Q'3 'i' ~d '330D I
Owner: p;.r+,v,<--~r9rPvJ;jp !)}fa-r/:;
/ (Please rint)
Plumber: I0N? p(~ "r~
(Please print)
lead.
I celiify that the solder used in the water supply system contains less than 2/1 0 of 1%
~t/~
(Plum rs SIgnature)
Sworn (0 before me this ~
daYOf~_, 20~
c.j
Notary Public, .
\\ () 1lL County
MELANIE DOROSIO
1I0TARY PUBLIC, State of NewM
No. 01 D04634870
Qualified in Suffolk County ., n I'
Commission Expires September 30,,,,::::..:..0
-~~~~~~~~~~\<r3'1"i!: ~~ -------------.-
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1000121 BUREAU OF ELECTRICITY
r- 85 JOHN STREET. NEW YORK. NEW YORK 10038
Dat~ JULY 08,1994 Application No. onfUp 060 !l691/94 N 319828
THIS CERTIFIES THAT
only the electrical equipment cu daeribed below and introduced by tlw applkont named on the abmle application. "umlNtr in the premiHs oj
FRANK ALLECIA, 300 HARBOR ROAD, ORIENT, N.Y. '-, - '-l - 5
in the Jollou:in/1 location; o Bcuement o /RtFI. o 2nd n OUT Sef'tion Block Lot
. d JUNE 27,1994 and found to be in compliance with the National Electrical Code.
U'QS examIne on
AXTun ~ECEPT ACUS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES INCA.NDESCEN T FlUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. l.W. AMY. K.W. AMT. H. P.
1 6 1 1 1 g.g 2 ('.8 1 1.4
DRYERS FURNACE MOTORS RJTURI APPLIANCE FEEDERS SPECIAL IEC'PT TIME CLOCKS .." UNIT HEATERS MULTl-OUTlIT DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A..W.O. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. NO. OF fliT AMT. WA.TTS
1 600
Sl!RVIC1! DISCONNECT NO. OF S E R V I C E
METER NO. OF ce. COND. A..W.G. A,W.G. A..W.G.
AMT. AMP. "'" EQUIP. IA 2W 1,I3W 31113W 3,14W PER' OF ce. COND. NO. OF HIolEG OF HI-lEG NO. OF NEUTRAlS OF NEUTRAL
OTHER APPARATUS:
BOTOR",l-F H.P.
G. F. C. 1,-5
-
PAUL R. BURNS LIC.#282-E ~K~
P.G.BOX 1061
SOUTHOW, NY, 11971-0932 GB..Ai MANAGlI
11
Per.
This certificate must not be altered in any manner; return to the office of the Board if incorred. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COpy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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.
33001 Z
Date MAY
4, 2007
Permission is hereby granted to:
SANDRA L ALLECIA
26 WOODLAND AVE
SYOSSET,NY 11791
for :
INSTALL A WINDOW & A DOOR IN A SINGLE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES BP # 21939
at premises located at
300 HARBOR RD
ORIENT
County Tax Map No. 473889 Section 027
Block 0004
Lot No. 005
pursuant to application dated APRIL 30, 2007 and approved by the
Building Inspector to expire on NOVEMBER 4, 2008.
Fee $
75.00
/t?~ C~
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAll
SOUTHOLD, N.Y.
()
?J '0 r;fJ
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 21939 Z
Date ............-?/9........................................ 19...l.Y-
Permission Is hereby granted to:
ft,,;.y..!f!:f{.f'Y:I.'-.N.r::....~.~I.........A/~....E./0:~~.....A!.!.~q;.,
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....q)~~........c..~(,t.........~~&-~~...d!.....~c;4-t.........&~:...............
..................................................................................................................................................................
.........................................,........................................................................................................................
..............................................................A.(.~.~.<;;-;.;.~.............................................................................
at premises located at.............3<'-Q.........~g..........td:.:..................................................
....................................................................O"?!~r...,...,...................,.,",...................................
County Tax Map No. 1000 Secfton ....l?.............. Block .......<1................. Lot No. .......~..............,
pursuant to application dated ..................3./1..'.......................... 19.....9)f:..., and approved by the
Building Inspector.
Fee S....z..r.:..;;;....
.....4J.;~~..mmm
Rev. 6/30/80
33001-c-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] I~ATION
[Y1FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
,
DATE 7/ /f"1o)
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INSPECTOR
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ADDITIONAL COMMENTS:
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 11971
TEL.: 765-1802
BOA~D OF HEALTH .........
J SETS OF PLA~S ..........
SURVEY ...................
CHCCK ....................
SEPTIC rOR~1 ..............
i., _ /q>I". _,_',
Examine~~.-:-. .~:tI1......, 19.9y
Approved.... . )/1... . ., 19WPermit No. .c!/fj,9..?!;:
r:on F'f: 7;1 (j: ~ 77( 7/k-
CALL {'~"f'" ..t.'. ./.7.. . . .
NAIL TO:
. . - . . . . . . . . . . . . . . . . .
Disapproved alc .....................................
. . . . . . ~ . . . . . . . . . . . . .
................................::::4ai2~!~.......
APPLICATION FOR BUILDING PERMIT
Date ..~ )~!f.~...., 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 part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Butlding 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.
.. ~tJ 1J.IAA~t:'1~.~.~~...........
(Signature of applicant, or name, if a corporation)
6ib5., 'l'" (/k)
.. (TB:~ ~~..!'-?:t:. !./1.,s:!".....:... ...........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....... .G.-f.o/.i'.lf.:'M.. 0?-tr.~.~................................... A~~~~~.S.~9~~9:J9~.
A-J I . DATE: 3,- 'Yv B.P.# ___
Nameofownerofpremises j;{<,1;l~!~..... .fS. Jr--.:....................... '1'E~7Y~1" 9V: .~7~...
(as on the tax roll or latest Mi'RFV iiiilLDING DEPARTMENT AT
. . 766-1802 9 AM TO 4 PM FOR THE
sIgnature of duly aut~onzed officer. FOLLOWING I(;,SPEcnONS:
/7)-Ll" (?GUIS 1. FOUNDATION. TWO REOUIRED
V~~ . . ................ OCCUDANCY nD FOR POURED CONCflETE
Name and tItle 0 corporate officer) . ". r~..:\II\.-o ..._~.~..~~~:t"J'tDM~<
Builder's License No. ... -*. . $'~~~ .0~)j-.iijSEISUN[AWFOl :: ~~~~~~O~di.1TR~C~O~-:;~;~'
Plumber's License No. ..................... WITHOUT CERTIFIC~"l!c~N~~~:I~c'~HALL MEET
OF OCCUPANCY THE REOUIREMENTS OF THE NY.
Electrician's License No. ...................... STATE CONSTRUCTION & ENERGY
, CODES. NOT RESPONSIBLE FOR
Other Trade's License No. ..................... DESIGN OR CONSTRUCTION ERRORS
]. Location of land on which proposed work will be done. .................................................
.. .~9~....................;... .\-\A'~K.l:-.~........ .~! t:!:1<;-::~................
House Num ber Street Hamlet
County Tax Map No. 1000 Section.... .?:-.')........ 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 Q ~~ .. F.~ \ ! ':0 . ..1) I!-! f.l /.l~.. . . . . . .. .. .. .. . .. .. .. . . .. .. . .. .. .. .
b. Intended use and Occupancy .1\ Nf.. .{'!'9tnI'~. .Pl!!.~( {~.. .vh~. ~.W! ~~-W.":.....
4)dcl'--
~
3. Nature of work (check which applicable): New Building .......... Addition.. " . " . " . .. Alteration ..........
Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . .
- ~ (Description)
4. Estimated Cost..,.). ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling, number of dwelling units. . . . \. . . . . . . . . .. 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. . . . . . . . . . . . . . . . " . . .
7. Dimensions of existing structures, if any: Front. . .~(? <::t\'ft~r .............. Depth...............
Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front ................. Rear..................
g~Pth '." .. . i'" . .: . . . . . . . . . . . . ~eight . . . . . ^ 'ld . Cf!"~' .~ l' . . Num ber of Stories . 'D' . . h' . . . . . . . ."~ . . . . . . .
8. l~enslons 0 entire new construction: Front. .r.,'..... ... 'r---Resr .... ........... ept .................
Height ............... Num ber of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ......................
10. Date of Purchase ..~:...................... Name c;>f Fopner Qwner .............................
I I. Zone or use district in which premises are situated. . lit f"!". '. ~rt1 . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . }/.(!J. . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded ............. 'RHl . . . . . . . . . . . Will excess fill be removed from premises: Yes (Nl;)
14. Name of Owner of premises~.~).~. . . .{~ 11"1 . . . . Addressi..CfJ,~!"/~1A,..fT' . . Phone No.5/.,,= ::$0l.3.~. .'s.9.4
N fA h" <..",;,~"
ame 0 rc Itect ............: 'LX';'; . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name ofContractor/;;.~,>tM~"I ~!-'::"?"t".V:~':-.. AddressP.~~.Y/f!')~Ct?Y'.<L.. Phone No...:r~ ::~.'I.'72~
15. Is this property within 300 feet of a tidal wetland? *Yes...~ No......... .
*If yes, Southold Town Trustees Permit may be required. .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
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STATE OF NEW YORK, SS
COUNTY OF .. . ":t: .. . .. .. ., . .
.-:?l-f.~(./? . f? .c:~ -;e. Y';-'.liJ.v:-.V:- vS-. : . . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing~~tract)
]bove named.
'{e is the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~~ir~i0 ~;~t, ~~~~~;;t; ~'ffi~;;, 'e't~")' . . : . . . . . . . . . . . . . . . . . . . . . . . .
)f said owner or owners, and is duly ~e to perform or have performed the said work and to make and file this
Ipplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
york will be performed in the manner set forth in the application filed therewith.
;worn to before me this
" ..... J.~......... .dayof... 7?2~..... ..; 19'7:'T
<otaryPublic, .........~..........
~&7-~. \
.. Notary Public. Stat. of N_~
No. 4822563. Suffolk ~ I --:
Term Expires December 31. 1 'r ..
~//}..........:....
.. ~g~ature of apphcant)
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-<=::;::: CHAAAETTE PRO_FORM q::zO" PRINTED ON 920H CHARPRINT VELLUM
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ALl". EGR~SS \VI10DOWS TO ~>":S:."'"
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APPROVED BY~~
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{:'j:: /I JC DRAWN BY
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DRAWING NUMBER
/
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 26th, 2007
Sandra Allecia
26 Woodland Avenue
Syosset, N.Y. 11791
RE: 300 Harbor Rd. (installation door/windows)
SCTM: 27 4 5
Dear Ms. Allecia,
Please be advised that your Building Permit #21939 issued March 9th 1994 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of75.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
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TOWN OF. SOUTHOLD PROPERTY RECORD CARD
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LAND
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FARM
IMP.
TOTAL
DATE
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L..-'S'lS
f'- 3 y,,-
AGE
BUILDING CONDITION
NEW
FARM
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
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Tillable 3
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Swampland
Brushland
FRONTAGE ON WATER
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Hause Plat
DEPTH
BULKHEAD
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Total
DOCK
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Bath
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Floors
Ext. Walls
IN D ~ # IN G.t: Interior Finish
Fire Place
Heat
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Rooms 1st Floor
Rooms 2nd Floo
Type Roof
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Driveway
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