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Home My WebLink About12105-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22116 Date JANUARY 19, 1993 THIS CERTIFIES that the buildin~ Location of Property 1980 LEETON DRIVE House No. County Tax Map No. 1000 Section 58 Subdivision ADDITIONS SOUTHOLD, N.Y. Street Block 2 Lot 13 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEF~ER 22, 1982 .pursuant to which Building Permit No. 12105-Z dated JANUARY 13, 1983 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 ADDITIONS & NEW FOUNDATION UNDER EXISTING DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. JEAN C. LEONARD (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 permission is hereby (THIS pI~RMIT MUST B~ KEI~T 91~i ~H COMPLETION OF THE'WOP~ ot:o~emtsel located at .......... , and~pproved by the Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 ~nd unusual natural or topographic features. 2. A properly completed applicat{on 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4.. Updated Certificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..\ .~ ~..~71..~. ?. .......................... New Construction ....... ~... Old Or P~e-existing~ Bui~,g.. . Location of Property. i....~.b ...... .~..~.~, ....... --.~. ] ] i [ [ ] [ i. ]~.' .~.'..~..'[.~. ............ House No. Street Hamlet 9nwer or Owners of Property .... .~.~..~.....~:..k.~.~f~ ...... ; ...................... . Zounty Tax Map No 1000, Section ........ .Block................Lot .... ~ubdmvmsion ................................... - Filed Map ............ Lot ...................... ~ermit No./..~./.¢~..~:~.Date of Fermit ................ Applicant ............................. {ealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ , . ~equest for: TemporarY_ Certificate ......... . .' Final Ce_rt~cate' ............~'~ ' - !ee Submitted: $ ...... ..~-...~ .................. .(')//~ / f--~/ ~ ........... ' ' ' ~/AP~P L I CANT 76S-t802 BUILDING-DEPT. INSPECTION FOUNDATION ZST [] ROUGHii PLBG.~i FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ', ~, REMARKS: , ,, ~ ~ , ~,~ , ,,,~ DATE INSPE~OR FIELD YNSP~CT~ON COMMENTS FOUNDRT IOl~ (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY G,ODE FINAL ADDITIOnaL COMME____N,~'S: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ~.~._. .............................. ~...~../~....~:% ..... ~.~r~ PLEASE TAKE NOTICE that your application dated ,~~..4~ 19 .~ for p e m it t o c o n st m ct.~. ~//~ ~. ~ ~ ,~ ~~ .... at ~o~=n o~ ~o~,y ..~ Z~O.. ~~..~: ..... .(....~o.* ~/~ ...... House No. Street ~Hamlet corny ~ ~p So. ~ooo s~tio~ . ~ ..... ~=k .. &~ ....... ~t . .G/~. ..... 7.....~. Filed Map No .... Lot No Subdivision ....................................... is returned herewith and disapproved on the following grounds/~ZT, drT,<ZT./.A~.5.../.~... . z~.<,.~ .......................... ~ ............................. Build~g Inspector RV 1/80 Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUT~tOLD, N. Y. 11971 765-1802 ,J NOTE: · -- MONUMENT Young & NE~I YORK STATE ~)EPA1TT'MEILq' OF EI, IlI~I~O~E~I'AL CO~ISERI/AT~O~I Sto~ ~ook, ~V 11794 (516) 751-7900 Jean Leonard P.O. Box 741 Southold, N.Y. 11971 December 7, 1982 RE: SCTM No. 1000-058-2-13 ~e~L Mrs. Leonard: Raise your existing residence so that you may construct a basement b~low it. Loea~Zon: 1925' east of the intersection of Leeton Dr. with Kenney's road. pa, e. cef, ___~_ p~oj¢~ ~o be landward of a substantial man-made structure n~excess of--l~O feet in length. Con6e.~va~-~on Lam ..~ ,~equ,.~ed ,s,i, nce. ,the. p,~opo.6a.l ~ b~ond ,.q,b~e ma.~d~f, ed Rcg~l 'Pe~ Ad~t~r 1).IL:RNT:cz 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE INSPECTO YORK STATE DEPAP, T~%~NT OF E).~VIP. ON~.,~..NTAL CONSEP. VATION Regulatory Affairs Unit Bldg. 40, SUWf-*Room 210 ....... Stony B~n~.. ~ '11794 ..... ' '1516) 751-7900 Location: New York State Dep/~rtment of Environmental Conservation has found the .. parcel ....~,/ project to be: .... Greater than 300' from inventoried tidal wetlands. ,,.~/~Laadward of a substantial man-made :tructure~ ~/~/~Z greater than 100' in length constructed prior'bo September 20~1~'7.' Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope. Landward of topographical crest of bluff, cliffor dune in excess of feet in elevation above mea~ sea level. Therefore, no permit under Article 25 (Tidal Wetlands' of the Environmental Conservation Law) is required at this time Since the ~urrent proposal is beyond State mandated ]urlsdiction pursuant to this act. However, any additional work or modifications to the project may require a permtt.~~ It is your responsibility to notify this office, in writing, if such additionalwork of modifications are contemplated. DJL:P~T:cz Very truly your~, ReglOnal/upe rVisor of Regulatory Affairs FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .7-&,~. . Z ~'. . . ., l ~J ee~mit No../P~.~:..~. ...... ~' '~" '¢"'" '~ ...... ~1' ~ ~/ ...... ~~. .,, ' APPLICATION FOR BUILDING PERMIT Apphcatlon Ngr'~.'~.· ............. Date ... ~.t).td-....?..~.., 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 altelations, '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 .... inspe~...~' '~.1.:: . .' ns. ~ 9'.} ~ .~,,~.~, ~ d~ ( ignature of app icant, or name, if a corporation) ....P...~..,.&~.. ?.4. ?,. ~~, .~.,~. ~./.? ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... ,.~..~. ........................................................................... Name of owner of premises .q~..~....¢., ..~ ~,~ ............................................ (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,.[..~. ............... Plumber s License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will ,be done .................................................. House Number Street Hamlet County Tax Map No. 1000 SecWon ~ 7.&~..f~ .... Block .... ' .............. Lot... Subdivision .~5¢~8..~.w &.~ ~ .................... Filed Map No ............... Lot ~ .~ .~ ~.Q .... (Nme) 2. State existing use and occupancy of premises and ~ntended use and occupancy of proposed const~ction: a Existin~ use and occunanc~, ~ [ ~ O · ~ . ~ ................ .~ ..................................... ~ ........... b Intended use and occupancy ~'~ ~~~ ~~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration i .~.:.. .... Repair .............. Rem6val .............. Demolition .............. Other Work ............... : (D ipti ) : o-c) esot on 4. Estimated Cost. !~' 10 O ~ ,! Fee / ~'~ i (to be paid on filing this application) 5. If dwelling, number of dwelling units.. I Number of dwelling units on each floor If garage, number of ears ..... i ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmcturels, if any Front. 21 & '. ......... Rear . .~..~/ ......... Depth . .~..~ .~ ......... Height . k...'.~o~..~. ~ .....Number of Stories ... ! .................................................... Bimensions of same structure with alterations or additions Front ................. Rear Depth Height Number of Stories 8. Bimensions of entire new construction: Front . .~'.a, .n9 ~ ...... Rear . .~'~..r~.~,. ..... Depth . ~*4rr}.,~..., ..... Height . ~..~..{q~. ,J .......Number of Stories ............ t .......................................... 9. Size of lot: Front...,~'.O..t. .... i ........... Rear.....~.O. ............... Depth .. 10. Date of Purchase ../.~. ?./.~.: .7.~ ................. Name of Former Owner .,-f .~-~o n .~ ...... 1~...,~ .~,[ ! .... 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded . ."J..~ .... . .................... Will excess fill be removed from premises: Yes~'/ No 14. Nme of Owner of pre~nises 4.~-vx..~..~.e~. ~.~-.k. Address O.~g~.~.,[~ .~, ,ot..q~. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ........................... Address ................... 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 dumber Or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW'eRIC,/ COUNTY OFz:z:~~ .... ~'~ - ......... i .. being duly sworn, deposes and says t e is the applicant ~,rne o~ lna~vmuai s g ~ g ) above named, l ~e is the ............... ~~ .............................................................. (Contractor, agent, corporate officer, etc.) of s~d owner or owners, ~d is dul~ authorized to perform or have perfomed ~e said work ~d to m~e ~d file this application; that all statements contoined ~ this application are true to the best of his knowledge and belief; and that the work w~l be performed in the m~ne~ set forth in the application filed therewith. Sworn to before me this .......... .... (S~nature of apphc~t) ~e2~= f~.~ REVISIONS ' , NO~'E; · -' MONUMENt' YOUNG YOUNG