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Home My WebLink About32984-ZFORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33669 Date: 04/23/09 THIS CERTIFIES that the building WINDOW REPLACEMENT Location of Property: 44835 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 75 Block 2 Lot 18 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 2007 pursuant to which Building Permit No. 32984-Z dated MAY 3, 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 WINDOW REPLACEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEOPOLD & CELCIA D'MELLO (OWNER) of the aforesaid building. SUFFOLK CO~FI"fDEPARTME~TOFH~ALTHA~PROVAL ELECTRICAL c~KTIFICATE NO. pLUMbERS CERTIFICATION DA'r~u3 N/A N/A N/A //th~ize~ Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC' 'APR 22 2009 BLDG DEPT. TOWN OF SOUTHOLD 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, pr°petty 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 ofclcctrical installation fremBoard of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used ia system contains less than 2/10 of 1% lea& 5. Commereial building, industrial building, multiple residences endsimilar buildings and installations, a eartifieate of Code Compliance from architect or engineer respousible for the building. 6. Submit Planning Board Approval of enmpleted 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 Ce~ificate 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 Oecupancy on Pm-existing Building - $100.00 3 Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commereial $15.00 New Construction: Old or Pre-existing Building: (check one) House No. Street OwnerorOwner~ofPmperty: ~-.~019o[0~ °C ~__~ l~C~cx~ Suffolk County Tax Map No 1000, Section '~ ~ Block Subdivision Permit No. ~2~ ~ C~ Date of Permit. ~a~ ~ Health Dept. Approval: Hamlet Lot /~' Filed Map. Lot: Undemte~ Approval: Plaiming Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Ce~tificate: (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII~DING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32984 Z Date MAY 3, 2007 Permission is hereby granted to: LEOPOLD & CELCIA D'MELLO 5 FLINT LANE JERICHO,NY 11753 for : WINDOW REPLACEMENT AS APPLIED FOR. at premises located at 44835 MAIN RD County Tax Map No. 473889 Section 075 pursuant to application dated APRIL Building Inspector to expire on NOVEMBER SOUTH/PEC Block 0002 Lot No. 018 24, 2007 and approved by the 3, 2008. Fee $ 200.00 Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] INS,,~_ULATION [,~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR ~, ~s~,~CTiO~ ~OR~ FO~DATION (1ST) FO~ATION (2ND) PL~G ~S~ATION PER N. Y. STATE ENERGY CODE F~ TOWN OF SOUTHOLD DEPARTMEN~ BUILDING TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~///S ,20 7 Approved ,20 Disapproved a/c Expiration ,20.__ BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans [/',hi Planning Board approval Survey Check ~ ,~,~0, 0 £3 Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ALL CONSTRUCTIC:~ MEET THE REQUIREMETi-3 OF THE CODES OF NEW YOF,~ $-i'ATE APPLICATION FOR BUILDING PERMIT ---~ Date ,20 0 7 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 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. 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 I8 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. _ flgyED kS OTED (Signature o f applicant or name, if a corporation) FE~.~ BY:~ (Mailing address of applicant) whe~.~l~ l~8~lT~)~ua~ent,~'"'~'"' "~ - -- '~'~--architect, engineer, general contractor, electrician, plumber or builder State FOLLOWING INSPECTIONS: 1,t~{¢N~ION . TWr~ l~cr~ .=mD ~ FOR POURED CO~q~-T'~E'~-dPOL..~ lt~.~ 6gL. ct' ~ D /~IE'L.(.~O Name of~X,v~l~-JOl:llYr~i~G f-~ql.~G [~1 l} l lO ~ l~ 5bO r l-f OCj) ~ 3. INSULAIION (As on ~he tax roll or latest deed) If applicant ~_~o.'rkg.~__~iro~, ¢sl'b~t~f du. ly authorized officer YORK STATE NOT~REes~iB/~ ~ Builders ~-CON S'm~lg -~[~. Plumbers License No. Electricians License No. Other Trade's License No. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Subdivision (Name) Section 7~ Hamlet Block Lot Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ 1) ~ tO']' !/~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair c/ Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units I If garage, number of cars I Addition Alteration Other Work Fee ~r 2o0. (Description) (To be paid on filing this application) Number of dwelling units on each floor ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. '- 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front -- Rear Depth - Height_ -- Number of Stories Dimensions of entire new construction: Front Height 9. Size oflot: Front igC' ~ 10. Date of Purchase I]~ t>/~ gL 11. Zone or use district in which premises are situated Number of Stories Rear 12~5~' ~5 Name of Former Owner Rear _Depth Depth /~. ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO v/ 13. Will lot be re-graded? YES__ NO v~ Will excess fill be removed from premises? YES NO 14. N~es of Owner of premises Address ~¢~0 ~V lt~ Phone No. ~ 7- 2~G~725~ 7 Nme of Architect Address Phone No NameofContractor ~dICLtE ff~N~7_ Address PhoneNo.~b~2~-~ff7 15 a. Is this prope~y within 100 feet of a tidal wetland or a ~eshwater wetl~d? *YES ~NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this prope~y within 300 feet of a tidal wetland? * YES~ NO * 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 ) ~ g;L.c (/4 35' fid ~/-co being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (,8)[:te is the O00A/6t~_ (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 ~plicatien are tree to the best o. his knowledge and belief: and that the work will be performed in the manner set forth in the application filed therewith. Swo~n t.9 befare me thisrX ,~ ,. tO- c~TCr'~ day of ~4 2~'~ Not~ / Signature of Applicant /~-?~"-z-t~' TOWN OF SOUTHOLD PROPERTY RECORD CARD. .. ~ G~ OWNER STREET /'~/~ ~/ ~ ~ VILLAGE GIST SUB. LOT ~R OWNER S ~PE Of BUILDING RES.~/~! S~S. VL FARM COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS I AGE BUILDING CONDITION FARM Acre Value Per Value Tillable 2 Rllable 3 No. land ~wampland FRONTAGE ON WATER ]rushland FRONTAGE ON ROAD ffouse Plot DEPTH ~ ~ BULKH~D total DOCK /Vt. Bldg. Extension Extension Extension Foundation Porch Porch Breezeway Ga rage Patio Total Basement Ext. Walls Fire Place Type Roof /till i'/I/I lA' ll~l I I i I I I I I [ ii [llll ,u.~ !:'! !!:?,j !'! I I [ I i I II Ill I I I I I Ill II1 ~1 I-I I J J J I IIII1! I111i~ I Bath Floors Interior Finish Heat Rooms 1st Floor Recreation Room Rooms 2nd FIool Dormer Driveway Dinette I[ 125,0 o iFZ_?_P¢92_E ?Cr'.Y CEYED FOt2 ?lCtA ANN ~T $OUTROLD :.,F '~'-~O'JTI-,4OL[J tqV. /\ .-" AfZ.I{A, 21,852 ~.F, / / C0~k,,Zih · IHON2A WINDOW & DOOR HFG, LTD. 0 ~3-09 97 PLACE, CORONA, NY 11368 'TEL:718-760-0668 FAX:718-760-08!2 Page 2ATE: 04/06/07 09:20:48 {DMELLO HARDWARE P3-24 CORONA AVE ELHHURST, NY 11373 1718}592-3323 QUOTATION 17040160 1JOB ESTIMATION0 ACCOL~T #: #3040060 iN Fret PRODUCT TYPE CL UNIT WIDTH HEIGHT @ GL GRD SC REG Ss u NET $ NET ~10~ ~ WT 6 33.25X 2 FW F-2 D/H WT 3 32.00X 64 3 FW F-2 D/H WT 3 28.00X 42 4 FW F-2 D/H WT 2 24.00X 54 5 FW F-2 D/H WT 2 32.00X 50 6 FW F-2 D/H ,. ~-q-~ WT 6 36.00X 60 k3 7 FW F-2 D/H WT 1 36.00X 48 54.00 E C NO H 1128.0C: 94.00 SCREEN: (HALF) 00 E C NO H 600.005100.00 3,00.~'- SCREEN: (HALF) 00 E C NO H 480.00~ 80.00 240.0~ SCREEN: (HALF) 00 E C NO H 340.02: 85.00 -~ l SCREEN: (HALF) 00 E C NO H 376.00~ 94.00 188.06, ~' ~CRBq~:~ (HALF) ....... .... OO E C NO H 1200.00~100.00 600.01 SCREEN: (HALF)' 00 E C NO H 188.00~ 94.00 94.0'i SCREEN: (HALF) TOTAL WINDOW ITEM : 7 TOTAL UNIT : REMARK: "h" mullion - 54" x 3 pcs. 60" x 3 pcs. 6 pcs. "header" - 6 pcs. 66 1/2" X 3 pCS. 72" X 3 pCS. 23 ~4 3~ 2 ~ EXTRA CHARGE DISCOUNT SALES TAX TOTAL $2,368.97 PAYMENT TERM DEPOSIT: 50% $!,!8~.41 i. PRICES EFFECTIVE FOR 30 DAYS. SALES 2. DELIVERY DATE: APPROVED BY *** CONTINUED ***