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HomeMy WebLinkAbout3208-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26776 Date: 11/10/99 THIS CERTIFIES that the building DWELLING Location of Property: 2100 LEETON DR SOUTHOLD (HOUSE NO.) (STREET) (F~%PILET) County Tax Map No. 473889 Section 58 Block 2 Lot 20.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1, 1966 pursuant to which Building Permit No. 3208-Z dated SEPTEMBER 6, 1966 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 ONE FAMILY DWELLING WITH GARAGE UNDER & ATTACHED DECK AS PER ENGINEERS REPORT OF LAWRENCE M. TUTHILL DATED NOV. 5, 1999. The certificate is issued to CARL J GRASECK of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R. VILLA ELECTRICAL CERTIFICATE NO. N-834324 PLUMBERS CERTIFICATION DATED N/A 06/18/68 10/08/70 ' /~ild~g Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BERTIFIBATE OF EIEIEiUPANEIY No. ~; 3135 Date ......... ~rll~y .l ...... , 19 68 THIS CERTIFIES that the building located at ]~/~ [~e~;e= D~':['~'e ...... Street Map No. ~ Block No. :K~ Lot No. :K~ t~tthold~' t~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..8e~.~ , 196({ pursuant to which Building Permit No. 3208 Z 'dated ..... [}cpi; 6 "', 19 66, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...Pl'iYa~ ozle. f~m~t~..~e.i.]: .~lg ................................ The certificate is issued to ~a:r].- & ~a~o}~e- Gl'&se~k ....... 01~rilel, s- ........... (owner, lessee or f~nant) of the aforesaid building. Suffolk County Department of Health Approval ~Ttlne l~, ~968 .by. 1~, .. ....... Building Inspector Upon cc~21etion of all structural work~ notify this office so a perminont eertifieat can be issued, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY N834324 PP ~--- 85 JOHN STREET, NEW YORK. NEW YORK 10038 October 8, 1970 .~.p,~c.,,o.,,o.,.s.,e4:z8572N 83437,4 Date THIS CERTIFIES that the electrical eflt~p~nent as described helotv and introdu( ed by the applicant nanted on the abore applicatgon number ir~ the pre.dse~ of C. J. Graseck Leeton Dr., Southold, L.I. m,hefollowmSIocat,on: ~ Basement [] ~,t r~ [] ~.d r/ outside soc,~o. ~o~ Lot ,~..~.,.~..do. October 2, 1970 andfoundtobein~omplianceu,ththerequlrement, ofth,sBo.rd. RECEPTACLES I FIXTURES RANGES ICOOKING DECKS I OVENS IDISH WASHERS EXHAUST FANS FIXTURE SWITCHES INCANDESCENTFLUORESCENT MERCU~R¥ X W Ij AMT K W [ AMT KWI AM.T K W A,V*T H P OUTLETS v*.o. ~T DRYERS FURNACE MOTORS I FUTURE AP~UANCE FEEDERS 'SPECIALREC'PTl TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS I SYSTEMS AMT K W OIL H P GAS H P AMT NO A W G j A/AT A~P A,~T AMPS TRANS AMT H ~ NO OF FEET AMT WATTS SERVICE DISCONNECT NO OF I S E R V I C E METER A W G ^ W G A,~T AMP TYPE r:QUJP 1~'2w 1,~'3w 3~r3w 3~'4w NO OF CC COND A W O NO Of: HILEG NO OFNEUTRAL5 PER ~' OF CC COND OF HI [FO OF NEUTRAL 1 100 CB x I 2 I h OTHER APPARATUS Water heater 1-~.5kw Motors 1-1/2hp Leeton Dr. Southold, L.I. 11971 may be ~dent,t.ed ~y fhmr creden a s Th~s cerflf,cate must not be altered in any manner, return to the off,ce of the Board .f .ncorrect Inspectors I Form San. RS-2 $CDH SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF PUBLIC HEALTH HAUPPAUGE, NEW YORK BUREAU OF ENVIRONMENTAL HEALTH SERVICES TO: CERTIFICATION OF APPROVAL OF REALTY SUBDIVISION PLANS Charles L. Rand Maple Lane Southold, New Yo~k 11971 This certificate is issued under the provisions of the Suffolk County Sanitary Code in connection with the approval of plans on . .A..6~2 .~.~. 2./.4~.,./. 9.7.8. .......for your realty subdivision known as BRI ONNGLOID-BY-THE-SEA The following data was furnished in connection with the submission of the plans. Location ... E..~..~ .M..a~..'o.n..4n..~. 0e..T.o.t.~..°. 4 .S..o..t~. h. o..~. .................................. Acres (approx.) 18.2 No. of Lots 7 Size (approx.) TWO Acres Owner intends to .... S..e~....~..~..q .fcC. fi: ............................................... To p ogra ph y ........ ~.e..~..g.. 3. L.o.p.g... ................................................. Depth to Ground Water- Max: . .~.~. ~.., Min:..0.~. .... When ...~.~.r}.t~..ff./.9.7.8. ............. soil 2, -o,, '~6 Drainage .......... .~..a.p..p.,~.0. v.e.d., b.y..L.h..g..T.o.~.~..o. ~..S. 0..~..ho..~.: .......................... ~re .... l, On each lot, /ndividual weL~s const~ueZed in manner approved by the ~g~,~¢. ~r0 .~ex~eA~ .4 e~ ¢. d/,-6 ro0.~ ad'~ .4 y4~e~ .. .................................... Sewage On each lot, one 900-flal~on minimum liquid capacity approved £t~.e seFtia ~in..i~m .a {. 150 .square .fee~ .e f .IcaeMn~ .~ .~eZ~w,Lke .i~geZ p.i~ ~nd~,rbed medd~m-eoaase sand and/or g~avel, or ~n the eas~ 'of ~J~ual so~,' e, xca~atian .iS .t~.~e .codified .~ .~ .de~h .~nX, AZ .o, .6.~ fo.q~ AOA~ .o. ~ .~J~.~qi.~t .ko.~g san. d and .qravel is eneounte)te~ and the pool is p.a. qvic~.ed v~h a m~,~v/a~um 3-f0ot sand cn~ .graueg .e~llar. for .a .0ne=~amigy .heu~ .c~ .~eSex;~ie~ .o. rt .c~ro.v.~d .~gAn~ ........... Approval of this subdivision is granted on condition: 1. That the proposed facilities for water supply and sewage disposal are installed in conformity with said plans. 2. That private sewage d~sposal systems shall no longer be constructed or used after public sewerage facilities become available. ee ~de~ick Van T, yl, P,e. flown of So~tthold Buigdlng Depg. Fedea~l Ho~sing AdmJ_nist~Xi0n Dept. of State-Subd/.vided Land U~v/Z H.W. Davids, P. E. General Engineering Uni~ Assistant Director of Public Health - Environmental Health S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date June 15, 1968 Bldg. Permit No. S0-127 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ~fest end of Paeton Dr, on L. I. Sound, 2100' West of Kenn~s Rd (Give deed location) S outhold have been inspected by this department and found to be satisfactory. District Engineer District Engineer SUFFOLK COUNTY DEP.,Xi~mLT OF HEALTH EASTERN DiSTRiCT County Center, Rzverheaa, New York PA 7-4700 H.D.Ref. No. APPLICATION FOR APPROVAL OF INSTALLED P?iVATE SEW,~CE DISPOSAL AND WATER SUPPLY SYSTk~MS Inspection for approval is requested, pertinenn mnstallation data herewith. 1-Name of Owner' '~ 2-Name of Builder Address 7-Sewage System ins~ailed by. ~' Address Phone~ Phone 3-Subdiv. 4-Section No. 5-Lot Number 6-Bldg.Permit No. Phone '" ' 8-(a)Deed location of propertZ (b)Hamlet or Villa~ (c)Town 9-Septic tank-Gal L__ft.W ft.Liquid Depth ft. 10-Cesspools-(a)No.pools (b)Blocks below inlet-i)__2)__3)__ (c)Block size-L in.W in.H in.(d)Precast pool (e)l . (f)H ft. in; Diam ft. in.(g)Finished grade to cover (h)Backfitl Material ll-Water Supply: Public System ; Private Well If Private, the following questions are to be answered: 12-Private WBter Supply System installed by Address ' x' ~ ' ~'~, ~ ~* ; ~ ~, ' ,2 3__ ft. 13(a)-Total Depth of Well 14-Diameter of well pip~ 15-Name of Laboratory 17-Date ready for inspection .(b)Depth to Static Water Level in. 16-Method of Disinfection The undersigned CERTIFIES: Above systems have been constructed and are in compliance with ~he Suffolk County Health Department's current Standards, Bulletins and Amendments :hereto. 18-Date ~igned Owner - Builder 19-Insert sketch of location of Water & Sewerage Facilities with accurate dimensions. STREET FOR HEALTH DEPARTMENT USE ONLY ~ --~.~ Inspected by. / -' . Date based upon thL~-Tflformation stated above,~satisfactory functioning of the ~bove systems can,be expected with proper main~~~_car~ ate 8 1§68 Approved t~,~*-~,~+ v ..... S-5e Ao 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 buildin inspector with the following: for new building or new use: l. 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 buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed szte plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings "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 applicar 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, Sw~ming pool $25.00, Accessory building $25.00~ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...~..t~X ~.~...?. L ~?~.~. .............. New Construction ........... Old Or Pre-existing Building ................. Location of Pr~r~ ~_%oo ~oo ~e~ House No. Street Hamlet Onwer or Owners of Property.. ~e~ ~. County Tax Map No 1000, Section..~.c~. ..... Block. ~'~ .Lot. Subdivision .................................... Filed Map ............ Lot ................. Permit No..%.°7~.%. ........ Date Of Permit. ~/~ .Applicant ~ -% ~¢'< Health Dept. Approval..~.~? ..................... Underwriters Approval.~ ................ Planning Board Approval...~!? .................. Request for: Temporary Certificate ........... Final Certicate.. ~ Fee Submitted: $ ............................. / APPLICANT FOI~M NO. I T~WN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. ^pproved ........................................ , 19 ........ Permit No ............................. D~sopproved a/c ................................................................................. ........................... ~"('~"~;i~,ng~lnspector) APPLICATION FOR BUILDING iNSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duphcate to the Buildin Inspector. b. PLot plan showing location of lot and of buddings on premises, relationship to adloimng premises or public streets c areas, and g~ving a detailed descnptJon of layout of property must be drawn on the diagram which is part of this applicatior c. The work covered by this apphcation may not be commenced before issuance of Budding Permit. d Upon approval of th~s application, the Budding Inspector will ,ssue o Budding Permit to the opphcant. Such perm shall be kept on the premises available for inspection throughout the progress of the work. e No building shell be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occupant shah have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuonce of a Budding Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances c Regulations, for the construchon of buddings, additions or alterahons, or for removal or demohhon, as harem descnbec The applicant agrees to comply with all applicable laws, ordinances, building code and regulations (Stgnatufe jif ap~phca~nt, or~name,~f a s:orp,c~iotion) . ........ ~ddr~s~ of 'applica~t .... '~'" ' State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buddei .......... ./- ..................................................................................... Name of owner of premises ......~...~...C~......~.......~.....~.~...~...!.(..W'.' '...~..'...~......'J...J .~. ~"~' If apphcant ~s a corporate, signature of duly authorized officer ................................................................................................ (Name and htle of corporate officer) 't/~/I o~ ~lt&t ~I~U~&JC(C, ~, Location of land on which proposed work will,be done .Map No ~...~ .~..~..~.~..,.~.'~$/. °~. Lot.No. ~. Street and Number ...~...~..~...~.i~.~l......~.~../...~..~... (.J....~..~...~..../~..~.~.~...~...iJ .~..). ..... .~I~...~..)~..i).~..j~.~.~..~i.~.L~.' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction' a Existing use and occupancy .... ..~.(k.~.i~..',~.~.. ...... b Intended use and occupancy ..... .0..'~....~....~.~A~%. ;l. L¥'~... ~..f,~ ~...(. t. L ),,~..~ .................................................... 3 Nature of work (check which applicable) New Building .................. Addition .................. Alteration ............. :. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ............................ ~ .......... 4. Estimated Cost ...'.'...~..~.~..~. ......................................... Fee (to be paid on fding this apphcot~on) 5. If dwelling, number of dwelling umts ...... .Q...~....~. ............ 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 D~mens~ons of ex~stmg structures, if any' Front ........................... Rear ................................ Depth .................... Height ........................ Number of Stones ............................................................................................................ Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height .....................Number of Stones ........................ 8. Dimensions of entire new construction' Front .................................... Rear ........................... Depth ..................... Height .... /....~...~ ...... Number of Stories ...... ..Q~...~. ........................................................ 11 Zone or use d~strict in which premises are s~tuated . . z~t .................................~, .............................................. 2 Does proposed construction vio ate any zon ng law, ord nonce or regu at on~ ;./~...~ 1 Name of Architect ............................................... Address ......................................... Phone No .................. Name of Contractor ....................................... Address ....................................... Phone No .................. PLOT DIAGRAM Locate clearly and d~stlnctly all buddings, whether ex~sting or proposed, and indicate ail set-back dimensions fron property hnes. Give street and block number or descnpt~on according to deed, and show street names and ind~cat~ whether interior or corner lot. ~, ~, ~ ~ tJ ~, 4 STATE OF NEW, yORK, ~ ¢ c COUNTY OF ..~.: .~.,fo.o. ~' ~'~-'//-~ ~/"/re ............................................. being duly sworn, deposes and says that he ~s the apphcar (Name of ind~vidual signing apphcat.on) above named He is the ....... .~f,~..~.~:.J~.. ................................................................................................................... (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 fH this application, that all statements contained m th~s apphcation are true to the best of h~s knowledge and behef; an that the work wdl be performed in the manner set forth in the application filed therewith. Sworn to before me this 0 , ........ ...... o, .... cc " ..........................,c,~-~.,.~.~,e..;:'; ....... 7...,~...~ .... ~..~g..;.~.:."7... ............................. ;. Notary Public,. .......................................................... ~<~:.&yv-'~c.~' .~ ~'~ature of applicant) LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT. N.Y. 11944 (516) 477-1652 November 5, 1999 To whom it may concern: On October 26, 1999 I inspected the one family residence on the premises of SCTM No. 1000-058-002-020.1 with reference to the temporary certificate of occupancy No. ~' 313~ dated July 1, 1968 and have found all the ~=~,-=u~! work completed a~::~,per code. It is noted that there are several vertical cracks in the cement block foundation, but none effect the structural integrity the wood frame there on. Sincerely, ~ rence M. Tuthill, P.E.