HomeMy WebLinkAbout36269-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
5/1/2011
CERTIFICATE OF OCCUPANCY
No: 34923
Date:
5/1/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
RESIDENTIAL ALTERATION
700 LEETON DR. SOUTHOLD N.Y. 11971,
Sec/Block/Lot: 59.-1-6
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/28/2011 pursuant to which Building Permit No.
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:
alterations to an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
36269 dated 3/28/2011
The certificate is issued to
Fatimi, Zafar Uh & Fatimi, Khem
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36269 4/4/11
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36269
Date: 3/28/2011
Permission is hereby granted to:
ZAFAR & KHEM FATIMI
53 SOUTH HOWELL'S PT. ROAD
BELLPORT N.Y. 11713
To:
ALTER EXISTING ONE FAMILY DWELLING WITH A CATHEDRAL CELING SKYLIGHTS
ETC. AS APPLIED FOR.REPLACES EXPIRED BUILDING PERMIT # 19750
At premises located at:
700 LEETON DR. SOUTHOLD N.Y. 11971
SCTM # 473889
Sec/Block/Lot # 59.-1-6
Pursuant to application dated
To expire on 9/28/2012.
Fees:
3/2812011
and approved by the Building Inspector.
PERMIT RENEWAL
Total:
$75.00
$75.00
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
No.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
1~-o z ~,. ..... ~...~ ................... ,,,~.!..
Permission is hereby granted to:
...~ ~.-..~...:.!~ ~ ' '
· . .I,.I...-] )~
·-..---......-,,..~.....u...., ....... .....................
,o ...~....~~....~.....~.2~.%..~.....~.....~ ......
c_a~.....~.~.L....~. ~... ~.~......o~...~4.~....~ ..............
' ..OT..~ ........................ \ ................ ....~...~ ...............
County Tax Map No. 1000 Section ...... .~....~...~ ....... Bilk .......~..). ......... Lot No....~)..~c~ ............
pursuant to application dated ...i...~....(~......~...-- ......... .I....-~.. ............. , J9.~..L., and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 froin Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement b'om 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 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. '
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
Old or Pre-existing Building: (check one)
New Construction:
Location of Property:
House No.
Owner or Owners of Property: ~_~
Suffolk County Tax Map No 1000, Section
Subdivision
Street
PermitNo. ,3&~g,;C Date of Permit. ~
Hamlet
Block J Lot /O
Filed Map. Lot:
Applicant: tic <~ -- ~ ~0 k,/ ~
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Teinporary Certificate
Fee Submitted: $ ~) '60
Final Certificate: ~//(check one)
IApplica nt S ignature~'~-
Town Hall Annex
54375 Main Road
P.O~ Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
roger, richertC, town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
:ssued To: Fatimi
Address: 700 Leeton Ddve City: Southold St: Y Zip: 11971
3uilding Permit #: 36269 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 3-exhaust fans, 5-paddle fans, 12 ft lighting track
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures 181 Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures ~ TVSS
Notes:
Inspector Signature:
Date: April 4 2011
81-Cert Electrical Compliance Form
iION 2ND ~TION
REMARKS, ~-~'e ~) I~ 0 l/L/-.,""
DATE ~/~///c~/'
INSPECTOR ~/~/,/~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH
[ J FOUNDATION
[~'~MING
REMARKS:
PLBG.
ZND [ ] INSULATION
[ ] FINAL
DATE
//
INSPECTOR*~/~.~~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION ~.ST [ ] R~GH PLBG.
FOUNDATION 2ND ["J~ INSULATION
FRAMING [ ] FINAL
INSPECTOR
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [._~TION~
[ ] FRAMING [f"J FINAL
REMARKS
TOWN OF SO iLDiN~~~/-°/-
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] IN/S~ATION
[//]~NAL
[ ] FIREPLACE & CHIMNEY [ ] RRE SAFETY INSIIECTION
[ ] F~ .~ST~'r CO~TRUCT.~ [ ] F~R[ R~Sm',~T ~.L='mA'n0.
REMARKS:
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME &
(2nd)
e
-PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
Examined
BLDG. DEPT,
~ WWNOf
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CIIECK ....................
SEPTIC FORH ..............
c^~.L ~'./..~..7.~.,T/ ........
HAIL TO:
Approved ~-, 19c~l Permit No1 .~.~...~.-~. ~- ,~-.,~.
_ ' ........ , ..... ~ ~ ~~7..
lsappro ed a/c .... . .............................. [)j ~ ~
...................................~~.~: ......... ..... ~,~' qTY-~
(Build~g Inspector)
APPLICATION FOR BUILDING PERMIT
Date . ~.'. (~.x ......... 19
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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 Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance~ 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, buil~ting code, housing c~,.an~rpsulations, and to
admit authorized inspectors on premises and in building for necessary inspe~:tions. ,~ ,, r-~%~-~--(//~
...... ..........
(Signatur6I of applicant, or na~/~n)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .~...~. ?..~..~....-~....~, ~/~ ~ .... :.~../.~../..~.../. ..............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...... '?..e?7...~.t<4.'.72 .......
Plumber's License No.
Electrician's License No .......................
Other Trade's License No.
I. Location of land on which proposed work will be done.
...... 7.a.~ .......... g.e. ~.~.,,. ~, ........... .~.<~.~.~. ~ x.~. ..........................
House Number Street Hamlet
County Tax Map No. 1000 Section .... ~.~g ......... 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 ~. cc. ~. t. ~.~.,? c~ ~ '
b. Intended use and occupancy ~ ~'..~ t. ~. ~ K.~ d ~.~
3. Nature of wo,rk.~6eheck which applicable): New Building .......... Addition '~. i'/. ..... Alteration ..........
Repair .... '7 ......... Removal ............... Demolition .............. Other Work ...............
4. Estimated Cost .~-~..~.'t
(Description)
(to be paid on filing this application)
5. !~f dwelling, number of dwelling units ...... ./ ........ Number of dwelling units on each floor ..... ./... ~ ......
· J~ 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 .... ~..&. '. ...... Rear ... ~..~.' ....... Depth .... ~. ~'.' .......
Height ..../;2..~ ........ Number of Stories ...... ~.. ...............................................
Dimensions of same structure with alterations or additions: Front ....?.~..~ ......... Rear ....'?.~.' ! ..........
De th ~- '~ ' ~ ~
P ........ ~'- ............ Height ..... '/' .'. - - r ..........Number of Stories ....... ./ ............
8. Dimensions of entire new construction Front /~'/~- Rear ,,o//~ De~,h eq,~/,,se ' '
He,ght ..... .'~.~. ...... Num~ber of Stories ..... ~/~./~'.'... /"
11. Zone or use district in which premises are situated ~,~rtq.~(/
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ./rd..o. .......................
13. Will lot be regraded ......... ~ .6>. ............... Will excess fill be relBp~v~ed,frot~ ~remises: /o~c~s No
Name of Architect ............................ ddress . .- ............. /... Phone No ................
Name of Contractor . .~..~..g. ~. ................. Address ,dz. ,-<. . 2'-~.o.o...~. ..... Phone No ................
15. Is ch±s property wlthln 300 feet of a Cidal ~etland? ayes ........ No .........
*If yes, SouthoJ. d 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 comer lot.
STATE OF NEW YORK,
~OUNTY OF ................. $.S
· .~./d..~q ~....~'..,~. ~ ../7../ ......................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
....... i~ontractor, ....................... agent, corporate o f~l colt ~u;.L/~
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
~pplication; 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.
]wom to before me this
~ ~ ~ ~0,'~.at~ ~ , (.'qgnatur~ of applicant)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VI LLAGE DIST. SUB. LOT
ACK, J|
FORMER OWNER N ~ ~74~' Y E ~/~ '
~?~,~E~.~ ~ ~ S W ~PEOF BUILDING
?RES.~/~ S~S. VL. FARM CO~. CB. MICS. Mkt. Volu~
~ND IMP. TOTAL DATE R~RKS
Tillable FRONTAGE ON WATER
W~land FRONTAGE ON ROAD
~ead~l~d DEPTH
Hou~ Plot BULKH~D
Tota I
TOWN OF SOUTHOLD ~;ETY
OWNER
~/FORMER OWNER "
TOTAL
LAND IMP.
STREET
SI~S. ~ VL. FARM
DATE
IILLAGE
DISTRICT I SUB.
ICOMM.
REMARKS ......
TYPE OF BUILDING
IND. ' CB. MISC.
NOR~L
Acre
-/ .: ,.~
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland~
House Plot -'
Total "'
BELOW
Value Per Acre
ABOVE
Value
Extension
Extension
Extension e ~: ~ ~ z ~ ~J Fire Place ~ He=t ~,'~
Porch Attic
~off, ~ 76 ~/~ = 7~O. /~ /~' pOrch Rooms_ ]st Floor
~ ~~ ~Z~ , ~ ~ ~ Patio Rooms 2nd Floor
Garage Driveway
, ~a/~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 7th, 2007
Zafar & Khem Fatimi
53 South Howells Pt.
Bellport, N.Y. 11713
RE: 700 Leeton Dr. (ALTERATIONS)
SCTI~: #1000-59.-1-6
bear Mr. & Mrs. Fatimi,
Please be advised that your Building Permit # 19750 issued April 1st, 1991 has
expired. According to the Code of the Town of 5outhold, o Certificate of
Occuponcy must be issued before use of the structure.
To renew your Building Permit, please submit a fee of $75.00; at that time, we can
schedule an inspection by one of our Building Inspectors.
If you have any questions, please call us at 765-180Z
Respectfully,
SOUTHOLD TOWN BUILDINC- DEPT.
Southold Town Building Department
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 59.-1-6
Permit #: 19750
Permit Date: 4/1/1991
Expiration Date: 10/1/1992
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 3/17/2011
Applicant:
Location:
Work Description:
ZAFAR & KHEM FATIMI
700 LEETON DR. SOUTHOLD N.Y. 11971
RESIDENTIAL ALTERATION
ALTER EXISTING ONE FAMILY DWELLING WITH A CATHEDRAL CELING SKYLIGHTS
ETC. AS APPLIED FOR.
A FEE OF $75.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU.
Address:
ZAFAR & KHEM FATIMI
53 SOUTH HOWELL'S PT. ROAD
BELLPORT N.Y. 11713
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
7010 0290 0002 8968 21~5
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
door
~ ~ul ~,~e-~tt,
2.2xlO_ _
Col~ar ~5'e
c~ollar
,e¢/
~,~tl,~ OCCUPANCY O~
USE IS UNLAtqIFUL
WITHOUT CERTIFICATI~
4/ew ~/~e ~'e~/ OF OCCUPANCY
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3 INSULATION
4. FINAL - CONSTRUCTION MUST
~ SE COMPLETE FOR C.O
,.ALL CONSTRUCTION SHALL MEET
~-'~'/--~,~"~E REQUIREMENTS OF THE N.Y.
CODES. N~ RESPONSIBLE FOR
D~SIG. OR CONSTRUCTION ERRORS
7:>7"