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Home My WebLink About22999-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24790 Date DECEMBER 5, 1996 THIS CERTIFIES that the building ADDITION Location of Property 6325 PECONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 10 Lot 23.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 1995 pursuant to which Building Permit No. 22999-Z dated SEPTEMBER 7, 1995 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BETTY CUCCURULLO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ding Inspector 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) Date......••..... ... ...... ..................., 19./.. NP 22999 Z Permission Is hereby grante 1 ��f....... ...........�... ..G ... �.. to .. • • ••.•.•••.•.••••• ••.• •.•.••.•1. •••• �i..r.•...••.•.•.•• _ •.• •• • •..•• ••••••••.••••••..•..• • •......••••.•. ••• . .......• • •�••••• ••• •.• •.. �. • •• • • •• •.•. ...... .....•............ ..•..•• • •...•..••• •.•.•...• •• •• •.•.• • .� .••• • ••••...•.• ••• ....•.. ................................. •................................................................................................................................................................• •............................................................................................ ••.•• ........................................... ..... •..... at premises located at.......... .. ..... .�s'Y.4•.. . ..... ....... ^ .. .... a.................. C�P ....................... .................................... J ........................................................... County Tax Map No. 1000 Section 1w)- 6.,... Block.........1... Lot No, a( pursuant to application dated .................a. 9..,OZ and approved by the Building `Inspect�� Fee$.../. .... .... `1'. ............ ..... •.... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following:, _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 Buildin: - $100.00 3. Copy of Certificate of Occupancy - .25�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00^, /�Commercial p$15.00 Date . . . . . ?471?:i:v':�`:.v�.� �./. 9. . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building . ,V-11�_ . . . . .). Location of Property. . . .6.3.2 5. . . . . . ):P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. reet 1 Hamlet Onweror Owners of Property. . t .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000 Section_. . . . . .Block. . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.. .CR IQ. ✓. �.� . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .K. . . . . . . . _ dc7 Fee Submitted: $.5 .5. . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . APPLICANT co��l(�gb ors-ieo: BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR FIELD—LfPIsCT.LON—REPORT_— =DATE __II _COMMENTS__________________ --11 ------------- ------------------------ II II ^ H ` IAJ FOUNDATTON ( IST) II �I---- ------ --------- --------- FOUNDATION (2ND)____—_II _-- II ------------------ ---=====I ------------------------------------------------------- if II II II ROUGH FRAME S ------ii �v PT.UMB ING 11 II II II -----�I -- II Il INSTILATTON PER N. Y. if III II trl STATE ENERGY I CODE II II-- II -II— II jl II II II II I�� H if II p FTNAT. II II — ADDITIONAL COMMENTS: raj Pd ` 01 \Q t� H H I - - H O z •� r v BOARD OF HEALTH . : : : : : : : . FORM NO. 1 SET (Y I I l 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY . . . . . . . . . . BUILDING DEPARTMENT CHECK% . . . . . . _ _ _ . . . . . . . . . . . v TOWN HALL SEPTIC FORK . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 l / TEL.: 765-1802 NDT I FY CALL . . . . . . . . . . . . . . . . . . . Examined . 19 MA I L T 0 : Approved . . �. 19yfPermit No. . . . . . . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) P ICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 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 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) 6325. .PQgQ jc. >3.ay. .131.vcj, ,1,.aux'e.1.,.NY. .1.1.948. . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . Cuccurullo (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. Plumber's License No. AUG 2 $ 1995 Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6325 Peconic Bay Boulevard Laurel House Number Street Hamlet County Tax Map No. 1000 Section . . . . 126 .,00. , , , . . . Block . . . . . 10.00. . . . . . . Lot . . 2,3 .001 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 . . . . .Single ,falaily, Residence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . , . ,single Family Residence, . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . .X. . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . :. . . Removal . . . . . . . . . . . . . . Demolition New Deck • • • • • • Other Work . . 4. Estimated Cost . .$5 c 000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . (Description) . . . . . . . . . . . . . . . . . . . . riptio . (to be paid on filing this application) 5. If dwelling,number of dwelling units . N/A.. . E i s t; Number of dwelling units on each floor,. , . N/A . 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 . . .U... . . . . . . . Rear . . . 60'. Depth . 6 0 ' Height . . .16.'. . . . . . . . . Number of Stories . . . .One . ' ' ' Dimensions of same structure with alterations or additions: Front 60 Rear 60 ' Depth . 75 ' Height . . . . . . .1. .'. . . . . . . . . . . . Number of Stories . One 8. Dimensions of entire new construction: Front .NIA . . . . . . . Rear . . . 29.'.-2 . . . . . Depth . 2.9.! , Height . .1,',-6... . . . . . . . Number of Stories . .N/� , ' ' ' ' 9. Size of lot: Front 13 9. 9 9 , , . . . Rear . . . .14 6 . 93 Depth 2 5 0 . 0 9 10. Date of Purchase Apr i 1,. 1992. . . . . . . . • , . Name of Former Owner . . . 11. Zone or use district in which premises are situated . . . R.40 12. Does proposed construction violate any zoning law, ordinance or regulation:. . . . .NQ. . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded NQ . . . . . . . Will excess fill be removed from premises: Yes (NNoo) 14. Name of Owner of premises .Betty CuccurulloAddress 6325 Pec.Bay Bl.clPhone No. 516 298-42;S� Name of Architect Mark McKee .Address 615 Kno11wood L4Phone No. 51.6 298-9651 Name of Contractor .To. .Be Determined , Address Matti.tuck:14Y• • ,phone No. 15. Is this property within 300 feet of a tidal wetland? *YeS. . No. g " 'i ' . . . . . . . . . . . . . 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. On Separate Sheet STATE OF NEW YORK, S.S COUNTY OF .Suffolk Betty Cuccurullo . . . . . . . • , , • • , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. 3e is the . . . . Owner. . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) )f 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 .vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this . . . . . . . . . . . . . .day of. . . C:QlO1L. . . . . .. 19 � \ Iotar.v Public, County ELIZAB 6W1,ANN E\/14:91c . . . . . . . . . . . . . Not Public.State f Kcw York . . . . No.52-8125850,Suffolk Cou ty (Signature of applicant) Term Expires October 33,19 _._....-, � ,..<�-,. N_, ! !! ...1- .r.-- .7"-. l.�, -`" -,k ,.,.�. --:.I . -,.. .. -. j-F"",, - 1 ..1 ......� _T�.tA.--,. - r Z-'--j-. - 'l-:;I'.- ,- -` - ., .-"--.,--_ -". -, "_Z Ii 11.1,F.' '-. , � - - 1,.�_'.--� ,.- ', -)1--.. - ,, ...__.., ... �'--,- '. �_�:� _ ., I -, -_- . -`-.- �- '.. � " � -... ) , ,) 3-�, � 2_, �7 r - I� ". -I� .1 �,- C, , ' �t �4 %, _� t " -� , , - , � j'4 � -15 ' . ," -. -.z1.. ..� � .,_ -=. 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TION Of 1 w- � v I.1 Q Q% cotsTRUC. q ,/ e, 4 OR OTHER STRUCTURA I I � I - - A - _ r _ 4 . - � � - /d- � . _ %.� . . . � - - . I d . , : , . ' - , q 1 Q . ., A^iV.Fc . . .2:v J. . Aic - W,m� = cw� - I z f. z-I; v4qA""7E!- - 09 � t 2 z.� - 5p LF_;-.. 4 f,_ _ -i 6s y / �u4eo, I . . . - p : A ? A-1 oe rX Z_4"o - .O, -1 - .. 4.7 . - 7 I . � .. "I ..�," .,� - , t�- .,� t ' ,�'.. ,.. , � -- 1 I �__,��;,- X Y. -� .,,�.M-.�.t LI..`: ;:./-;;�1_.,_.*, _�I: f ,.--��,-/ -. _ _ 'C;. . AL.li_..�...I 7 - , , : , � . . -- - -13 Iv SufVEYEDM4 R.ga/ jq. L�. )9 --" y ` _ - - I < . RAMPA T,SUR EYING P.0 . _ � - 0030 ,. � - 377 �� -, ,; ," � ,FY_ ESP�ORT�i-L 1.':N. "194*m 7 , �:o .- -. � --,- - �-.-, ..: .; i';. , V 4 SlI0.,-340& -PA EFIL -N ,doI 0. 4� ,- Io. 1, .l � -1 _. - ' ,, 1 (_, 7- N,�Y ' 'W } __j 1 ; .II . -- - 10 i� i-1114 \J1 1p Q IL al z 9' I �. __..G yG-::.�Lov!✓ W,,4LL 0 C� cl x ' Io .00v bEck �►Xj-o �� ; � r �9 v 3- � . � �o.H, _ o L_ _` - � -lz�?UI f��p �Ez= b(✓� -- -�'� G<.a� .� GI�DE, GYP, - -- OLLLr - T xvii =I_-sFoR,i' o o + ax&C.CA z ' (( APPZoeQT ® UNDERWRITERS'CERTIFICATE ��YsT DATE: R:P# � REQUIRED l'd v1 �o �K o"• fF �ir�� r�N Ex 15t,NOve, w l K y cl1 o FEE: EY: F-�I Fj& —-� �Lr NOTIFY i3�3ILL�1NG M� xtoGG� T _ r z 766-1802 E :_- - ------ - p�tvE FOLLOWING INSPECTIONS: pFo� I L F_ cr _ 1. r"OI,sND;�Tlc�N TWO REQI�IR SYoNE c g� ' FOR POURED CONCRETE 2. ROUGH FRAMING & PLLlillc 1s11 i y 13q,q�' 3. INSULATION � �� '�� - - • 4. FINAL - CONSTRUCTION Mu �y � � � _ �MovE nits-I'IN�q' BE COMPLETE FOR C.O. � W; a• ALL CONSTRUCTION SHALL ME � u i THE REQUIREMENTS OF THE N. STAVE COP�STFlUCT!®!V Rx EPJER ` f � � � � I a -� `I� L�/ b CODES. NOT REsP®NsISLE F ' DESIGN OR.GOI�ISTRIICTlON ERRO � p m r . � 9 "'�� 2x13��:_NQ.1L��Z-- SIrtE p N . . 1 1 / I�� ' Imo : A�R K M c K-E�E�� ,,m��E®��,8� pNbt� l ' }- n $l!L`{ I,111 t'rFt sul.veY -or -p_AHpl&p_1' 5VIzVEYINC -°pe, '.r b G-K �� I N(� ��,�,N 6-15%Kn.ollwood Lane S .LE: Q� NvTEb - I� �a Mr�Rctt �.�, (q9�2, _ - - i�-•� - - _SUFFoLK C I)pTY.tAv VAb PVMMR : M ttit s ck New {000 - I oZ�c,Do ..`G: o� �3•00! -.. �.a}'os�p_ .. T�✓G b�G •4t' ��, u1 1962 - 5 GUG�_iJ 12U LLO I��s f D�NG� ��®��•e®�g�a°�� - IJE _ 6, - 1 8 965 dAs t .0.H I �T �6 tz y- -t-�,�N_._-n. _� V. mLD� A R N� E C.T _, 2!o'� �Q•_ �� 2!of Cra Ea, 2��n - ---- --- ------_.-. l7",A5,;A/E DEG N k -----=AILING. Tyr, _ _ _A_I&R. K,IL1Nr, � w � _ .s/�°�lQ wnob b�cdGlN� ---pl NrEP_ y / - N R K ncCEE -MA L t.R ED�e®�I�®, . REV ICI ONs, _ 61 ICnoIlwo4d_Lane � �� , . -SALE s IJ-cTEG Mattituck, New 'York -PfZopd.S.E.b___WOJb bEGK A7 THE 11952 _GU.C�C.0 U LL 516 2ss- �� b�NcE ss51 ��r,��,�®®�9A Imo' .. '- .• `a e y D,5L R.- - 1 TE-of s yC -T / ► s.. :z - SURVEYED; FOR:= w. LOCATED- AT C A�1FE�; TOWN.-OFT`^oE/ E-lc cO SUFFOLK COUNTY N.Y:r LOT.. . MAP OFC0..CLK: NO. FILED SCALE:1 2.50ao SUFFOLK:CO: TAX:MAP`DATA: - - woo NEE DIST.. .SEC. le6.400 BLK.'/.0`-00. COT 023.Gb/. P =jz � 4�•z... 4a.� ' " w—c> N - �. �, . rz a vow O 5 s ROM STRUitES !� \. y N y F K 'TO.RFIATIVE.BOUNDR UNfa. « u �•T�• R ON SURVEY, ARE F 04 gpEC1fl NOT 6E USED USE ONLY, A b u V ED V SHOULD ac'Z _ CONSTRUCTION OF F v N �i b Q �J TRUCTURK' OR OTHER S to 0 g r V CC).: N a wo.oFCw/cE lye /,Fo. 4Ria is/�TEzO -Ta = 25p.09 V ETTy CucG'ciFic/LGc .. :. ,4,vrH �rY , 4TNE,2/,vE . tfTlC�7i✓5�f: O - ?M!�?o�c/GVE4GTH "C..4clCiTY,.E a h - - / SURVEYED.-A-0f,4 1o� 1992..:BY RAMPART:SURV YING'P C PORT.L.1 ,N;Y 11947 P DAMES NYS LIC..34408>. FILE.NO:13,25/ PAGE25 GRIDIo _6RAW4 BY _