HomeMy WebLinkAboutZ-40477 FOdF Town of Southold 7/3/2019
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Gyp 53095 Main Rd
C= Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40477 Date: 7/3/2019
THIS CERTIFIES that the structure(s)located at: 1840 Leeton Dr, Southold
SCTM#: 473889 See/Block/Lot: 58.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40477
dated 7/3/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame seasonal one family dwelling with decking, outdoor shower and accessory wood frame shed.*
Notes: BP 18352 alterations&repairs to existing deck COZ-18332; BP 33964 minor alterations COZ-33521; BP
42033 alterations &additions, inc. entry deck COZ-39662
The certificate is issued to Sound Side Cottage LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
t riz d Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1840 Leeton Dr, Southold
SUFF.CO.TAX MAP NO.: 58.-2-11 SUBDIVISION:
NAME OF OWNER(S): Sound Side Cottage LLC
OCCUPANCY:
ADMITTED BY: Mildred Diack
SOURCE OF REQUEST: Sound Side Cottage LLC DATE: 7/3/2019
DWELLING:
#STORIES: #EXITS: 2
FOUNDATION: posts CELLAR: CRAWL SPACE:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: yes PATIO°TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: none WARM AIR: HOT WATER:
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: wood frame
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/8/2019
TIME START: 12:14pm END: 12:35pm
Form No.6
TOWN OF SOUTHOLD DD
BUILDING DEPARTMENT
TOWN HALL MAY - 8 2019
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOOT��ALD
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 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 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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Da e� dl
New Construction: / Old or Pre-existing Building: (check one))
Location of Pro e 11 ` 4 r-51-5to✓y �'/
p rty.
House No. Street /A, Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ k Oo
�r�il Applicant Signature
CONSENT TO INSPECTION
jtdke� the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are)the owner(s) f the premises in the Town of
Southold, located at Lklll"� LC=G7,rj,U SA
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section , Block , Lot
That the undersigned(has) (have) filed,or cause to be file4an application ip the
Southold Town Building Inspector's Office for the following:
That the undersigned do(es)hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon,to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
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Dated: `�L,� ���
jSigt41 ru l�Zt
(Print Name)
(Signature)
(Print Name)
y�
TOWN OF SOUTHOLD PiROPERTY ,AEC09 o,
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OWNER STREET
VILLAGE DISTRICT SUB. -LOf3
FORMgR OWNS - N E ACREAGE
-1 TYPE OF BUILDING
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ZI L FARM COMM. I IND. I CB.
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DATE REMARKS
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.-
OF SOUIyo�
TOWN OF SOUTHOLD BUILDING DEPT®
couto, 765.1802 er4e,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
( ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: ml,J Mvc
mo�e ft-Ans A AS
DATE INSPECTOR
VAS 9Y--
fqjf
SOUIyo
TOWN OF SOUTHOLD BUILDING DEPT.
Mum765-1802
INSPECTION.
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL C
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
ogn
DATE INSPECTOR
ANY ALTERATION OR ADDRTON TO TM"VEY IS A WMA TM
OF SECTION TTO9 OF YM NEM MW STATE EDfACATKW LAW
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LEETON DRIVE 0
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SURVEY OF PROPERTY 2
A T SOUTHOLD
TOWN QF SOUTHOILD Lu-
SUFFOLK COUNTY, N.Y.
XM - 50 - 02 - 11
SCALE. Y" a 20'
AUG. 19, 1998 �Q��OF Np
S'O�H i.ME7jC O��'
FLOOD ZONES FROM FIRM MAP NO. 3610300154 G ,i y o
DATED MAY 4, 1998 Y.S. LIC NO. 49616
ELEVATIONS ARE REFERENCED TO NGVD. 15167 MM 2O S, P.C. 7�
S-0O
P. O. BOX 909
Gal' 1,
AREA = 14690 94 ft to to&M TRAVELER STREET
sour DL
98 - 254
LOCATION:
(number & street) (municipality)
SUBDIVISION: AP-NO.: LOT(S):
NAME OF OWNER(S)': A G
OCCUPANCY: %mr.,ld
(type) (owner-tenant)-
ADMITTED BY: ,d\i� eR('i l wgGI ACCOMPANIED BY:
KEY AVAILABLE: SUPT. 'CO. TAX MAYNO. 1000- rl l
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: V' �/ # STORIES: P # EXITS:
FOUNDATION'. OS'+S ,CASEMENT: AI CRAWL SPACE: �✓ �'
1 '
# OF BEDROOMS: IST FLR:'Y 2ND FLR: 3RD FLA:
,,,BATHROOM(S): -P�'�/ TOII✓ET AOOM(S): UTILITY ROO`M:# , __ %f (pX$
re f Sof-T-ft-i I V12
PORCH-TYPE: D'EKyEYP PATIO,TYPE:
1CLtva - 1
BREEZEWAY: FIREPLACE: GARAGE.,
,J
DOMESTIG.HOTWATER: TYPE HEATER: �C/ AIRCONNDITIONING:
TYPE HEAT: fjO gc2lY1 , WARM AIR: _ , HOTWATER:
# OF KITCHEN'S:
FINISHED BASEMENT:- YES A114- NO
OTHER:
ACCESSORY STRUCTUR]iS .
GARAGE TYPE OF CONST.\ • , r
S�T••RAGE, TYPE CONST.. W
SWIMMING P'O'OL: \, i GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTERA44 &N,Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ESCRIPTI6NART. SEC.
W
_fY SMID/
REMARKS:
INSPECTED BY: �_ DATE OF INSPECTION:
TIME START; � f END: Z• boom