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Home My WebLink About12362-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hal[ Southold, N.Y. Certificate Of Occupancy NO Z-15279 Date February 24, 19 .8.6 Addj.ltjon' .& .dec.k .a,dd.i.t.io.n .~.0. existing .o.n.e .f.ami,ly THIS C£RTIFIES that tile bulldog . dwelt~g .................... 9.90 Central Drive Mattituck, New York Location of Property ............................................................. .. House No, Street Ham/et~ 106 016 ' County Tax Map No. 1000 Section ............ Block ....02. ......... . Lot ............... . . Subdivision . .M/.o..C.a. ptain .Ki,da E.s~tate.s Fll dM pN 1672 N 016 ................. e a o ......... Lot o .............. conforms substantially to the Application for Building Permit heretofore Cried in this office dated April 18, .8.3 pursuant to which Building Permit No 12362Z June 3, 1983 dated............... ..... ........ 19. .. , 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 ......... ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING. MARGARET LESCHUEK The certificate is issued to ........................................................... (owner, of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .Nfi.?~.S4. . g Inspector Rev, 1/81 .row. OF so"'%i BUILDING DEPART~ TOWH H:ALL~ $OUTHOLD; ". Y. (THIS PERMIT MUST BE.KEPT ON THE PP, E~I~:ES UNTII~ ~ FULL COMPLETION OF THE WORK AUTHORIZED)I : pe~nission is hereby gronted to: p~KMII": INCLUDES APPROVAL TO f~EMOVE EXCESS FILL ~ROM'~ ABOVE PREMISES BY / I~G~ADiNG LOT - DRIVEWAY; CONSTRUCTION __ - N CESSPOOL CONS TRUCTtO CELLAR CONSTRUCTION OTHER FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in wpewriter OR ink, and submitted i ~.a,.ammm to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of,Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect dr Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957). Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz~perty showing all property lines, streets, buildings and unusual natural or topogra;~hic features. 2. Sworn st;~tement of owner or previous owner as to use. occupancy and condition of buildings. 3. Date of ~ny housing code or safety inspection of buildings or premises, or other pertinent informa* tion requ~'ed to prepare a certificate. C. Fees: 1. Certif|cat~ of occupancy New Dwell[ng.$25.QO, Accessory..$iO.O0 Business $50.00 2. Cert,ficate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancv $ 5/00, over 5 years $70.00 4.Vacant Land C.O0 $ 20.00 5.Updated C.O. $ 50.00 Date .......................... 6.Alteration $25.00 ~,. ~,bJew)C ons t r u c t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property..?.~. ?.'....~. ?. i-t..~, h.~.~, j...I.~...}~.; ....... .J~...~..~..,..T..~.c../~. .... .~....~./.'.../! House No. Street Hamlet Owner or Owners of Property . .~. ?...~.~..~ ....... .~..~ .c..J~ ~ ~ ....................... County Tax Map No. lOOOSection /0~.... ~. Block .O.~?r.. Lot..~ /~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /. ~ .~.4'. v~.,~. Date of Permit .~.7./ .Y.'.~'.~.Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... for Temporary Certificate Final Certificate Request , . ........................................... Fee Submitted $ ~%-. ~ Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~-0(~,(}~j(~ BUREAU OF ELECTRICITY ~'~. 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrJcaJ equipment as described below and {ntrod~ced by t~ applicant ~med o~ the able application ~u~t~er t~ the premis~ of ~r~ PeCer ~eschuck, 99 Central Dr. ~ Matt~.tu~k, N~Y. inthefollowinglocatlon; ~ Basement ~ tstS. ~ Znd ~t. outaida s.~tlo. Block Lot was examined on ~ ~(~ ~ ~ ~ ~ ~ ~) ~ ~ and found to be in compliance with the requirements oJ this Board. FIXTURE BXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS DRYERS MULTI-OUTLET SYSTEMS NO. OF FRET SERVICE DISCONNECT E R V I C OTHER APPARATUS: AW.G, NO. OF HI-LEG A.W.G, NO, OFNEUTRALS A. W,G PER ~ OF CC, COND. OF HI-LEG OF NEUTRAL 1 I 1 1 Guetav Bartra 227 E. Breakwater Rd. Mat%ituck~ N.Y.~ ].1952 This certificate m~)st not be altered in any manner; return to the office of the Board if i~co[r~ect. Inspectocs moy be identified by their credentials. [% · COp~FOR BUILDING DEPARTMI ANY MANNER. THE NEW YORK BOARD OF F[RE UNDERWRITERS BUREAU OF ELECTRI~,ITY~ THIS CERTIFIES THAT was exatnlned or~ ~t~ ~ ~ ~ and Sound ~o be in compliaoce with the r~quiretnen~s of this Board, 1 3 DRYERS FIXTURES RANGES OVENS DISH WASHERS i EXHAUST FANS i E R V I C NO OF CC, COND. A W.G. NO OF HI-LEO A.W G, ~O, OFNEUTRALS A-W,G PER ,~ OF CC. COND OF HI-LEG OF NEUTRAL Peter Leschuck 990 Central Drive ~at~i~uck, NY, 11952 MANNER. As NOTIFY BUILDING D. ED;~,RTt';AFbvv 765-1802 9 AM FOLLOWING INSPECTIONS: ], FOUNDATION - TWO RE~U~RED FOR POURED CONCRETE ~. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAl_ .- CON'STRUC-FION BE COMP~TE FOR C. O, ALL CONSTRUCTION SHALL M~FT THE REQUiREMENT~ OF THE N. STATE CONSTRUCTION & ENER~TM CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. \ \ ,1 CONSOLIDATED EDISON CO. OF N.Y. INC. - GENERAL ENG. DEPT. STATION PREPARED BY __ DATE ~ PAGE No. _ PROJ. No.__ __CHECKED ~tY DATE 3 DATA SHEET TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765d 802 This is ko advise you ~hat the job under building permit no, 123~2Z issued to ?. Leschuck on __~J_3~_~. _ for Addition ia completed a final inspection has ( ) has not ( X ~-been done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed for~n, return same to the above office with a check for $55.'00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please, help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Victor Lessard Executive Administrator VL:gar encl. CONSOLIDATED EDISON CO. OF N.Y. INC. - GENERAL ENG. DEPT. STATtON PREPARED BY PROJ. No.___ CHECKED BY DATE DATE __ DATA SHEET PAGE No FIELD INSPECTIDN ~.~ FOUNDATION (l~t__} FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~DE FINAL ADDITIONAL COMMENTS: 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [ ] iNSULATION [~F~MINO [ ] FiNAL DATE INSPEcToR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 76,5-1802 .... , Approved..~--~..'fY..~'.. ~ ...... 19 .W¢.Sermit No../..~.5.. ~' .d..~ Disapproved a/c .............. ; .--~... ......... ~ ...... ~' . (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................ , .. 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 neces~sm'yfi, nspq4~tions. _ (Signature of applicant, or name, if a corporation) 7~q State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ............................................... Name of owner of premises .......... ~7..~/r~.....~.~,<'~.~ .~.'.~¢: ./~.. ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporqte officer) Builder's License No. S~d~[~. e,v,~ .'T-. . .737~ ~/..~' Plumber's License No. ' Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work wili be done. House Number Street Hamlet Block .................. Lot.. ~ ........... County Tax Map No. 1000 Section 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which a~plicable): New Building .......... Addition...~... .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost .. .~.~ .~. · Fee ........................... (to be paid on ~ing this application) 5. If dwelling, number of dwelling ~units ............... Number of dwelling units on each floor ................ If garage, number of cars .... i ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structurgs, if any: Front... ~.-/P. '/ .... Rear .~27~ ~'. ..... Depth .fi& ~. ~. ....... Height . ~'.~.. O. ....... Number of Stones .. Z)~'.,4~. ................................................ Dimensions of same structure with alterations or additions: Front . .~-. ~.~. ~.t ........ Rear . .~oZ-..~q.'/ .......... Depth .... ,~,..~.o. ,. ( .......;~.. Height .. ,'f.d.~.'.'..~ .......... Numbe,r/of Stories .... '.O .~./.,..--. ............ 8. Dimensions of entire new construction: Front .... .~..J~.'.'~..:.. Rear .. ~.~.'.-Y(. ['. ..... Depth . fl.~.-~.. ? ....... H i h ~.~'~t/ · A//~ e g t ./~ ............. Number of Stones... ~. ................................................... 9. Size of lot: Front .../9.O. ...... , ........... Rear.. ,~..o. ................. De~th ./.~.g. :.'.d_,q...L.. ......... 10. Date of Purchase .. ~.'."/'c~..~.~/.O. ................ Name of Former Owner .. ~.,d.t~'.//7.. ,<~-d'. ...... 11. Zone Or use district in which pr~mises are situated....~'z,PA'q-,t- .~A~.. ................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~ ........................... 13. Will lot be regraded ...,t~..~, ....... , ........... Will excess fill be removed from premises: a(~?~e~ No 14. Name of Owner of premises ,/~,,~d~A-. . .,~....:c.c~.~..c,q'. Address . ,~fP...~.~'../ff..;~..~.. ~dtPhone No...~f.~...,-~...~.~,~. Name of Architect ...... ~...: ................. Address Name of Contractor ~".~.T'./fittt,d./-~..~./.~.. ~ .Cos. ~,.do.. Address ~;~ ~g~ i/~.~'~i/.~ i' Phone No. PLOT DIAGRAM Locate clearly and distinctly alll 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. STATE OF NEW YORK.. COUNTY OF.. :S.S .....~0q<--~./.C/fn~/~.....~.....~...F~.c¢../~.. ~...re ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ................................................................................. (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 application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .... / . .................. g~N ?..~ (Signature of applicant) i NOTARY PUBLIC, State of New York S.u, ffotk County -- NO. 469631~C,,_~ Ce'~m:s~'on Fx~ires March 30,