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Home My WebLink About14087-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southo[d, N.Y. Certificate Of Occupancy No ..... Z.1.6.~ 6 ~ ...... Date ............. .J.u.l.y....1 .7 ............ 198.~. THIS CERTIFIES that the building ........ a. cl cl. $.t.i.o. ~3 ............................... Location of Property .. J 9.1. Q Lee ton Dr. Southold House No. Street Hamlet County Tax Map No. 1000 Section .....5.8. ..... Block ......... 2. .....Lot 1 2 Subdivision X .Filed Map No. X .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 21 14087Z ...................... 19.8. 5. pursuant to which Btfilding Permit No ...................... dated July 1 19 85 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 ......... A~d~ition to existing one-family dwelling. The certificate is issued to EDWARD FERGUSON ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval .................. N / A UNDERWRITERS CERTIFICATE NO ................... N 70/41 18 Building Inspector Rev. 1/al FO~I~ NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIUGIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK[ AUTHORIZED) N~ i4087'Z Permission is hereby granted to: ~, 4 .~.~.~..~.......u.:%.....~.~..~.~..:/......~...~ ~ ,o ~.~...~~.%.....~~....~.:.¢.~~~~..~,~. ~....~...~.,.,.,¢....:..¢..;......._........ ....... ; ...... ~ .......... = ......... ..;. ............... ,, ,,~,"~ ~ ~~,t~d ~ ...~...~~.....~ ...... &~......~.~.~..,.. .......... County Tax Map No. 1000 Section ...... ..~...~.'..~.. ....... Block ....... ..~....~:... ..... Lot No....~..?. ............... ~,,..o.~ ~o o..,,~o.on ~o.~ ..... .,..~~,.~.,~ .................. . ,,~,~.'... o.~ o~..ov. ~ ~e Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 or 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 p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $1 $. 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 7.~./ -.~"~ 5.Upda%ed C.O. $15.00 Date ... ~. Newconstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~ House No. Street Ham/et Owner or Owners of Property .... .~.-'.~` .u~..~r.~..~.....~'. ~ C%.? ?.~..~J.. .......................... County Tax Map No. 1000 Section ............... Block ... ~ Lot... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo.'.~O~'7%ateofPermi, ?.///~.'~pplican, ~'~.~-c .~...~'°~"..e- ~ ' Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval .... .~ ~ .............. Planning Board Approval ...................... Request for Temporary Certificate ...... ~/L ............ Final Certificate .... ~ .............. Fee Submitted $ .................. Construction on above described building and permit me~s all applicable ~o~~tions. ,, .......... ...... . ............... Rev, 10-10-78 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.00070~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and int~duc~ by the applicant named on the above application number ir~ the premises of ~ F~n, 1910 ~n was examined on ~gt 5, 1985 FIXTURE OUTLETS RECEPTACLES 4 [] 2nd FI. Section Block and found to be in compliance with the requirements of this Board. SWITCHES FIXTURES RANGES OVENS DISH WASHERS FANS INCANDESCENT FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE TIME CLOCKS LJNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I NO, OF CC. COND PER ,ff 1 3 NO, OF HI-tEG ) C E AW.G, NO. OFNEUTRAI A,W. O OF HI-LEO OF NEUTRAL 3 Sa~Prato, Elc~D2icim~ ~igcj..~ Iane Green.~x)rt, ~.¥. 11944 1049 GENEI~AL MANAGER Per_ 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COMMENTS FIELD INE['E~TIO~ 1. ~OUNDA~TION (1st) fOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BOARD OF TOWN TRUSTEES TO'~/N OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 21, 1985 TELEPHONE (516) 765-1892 Mr. Craig Richter R & R Home Improvement & Builders P. O. Box 676 Greenport, New York 11944 Re: Edward Ferguson Determination on Wetland Permit Dear Mr. Richter: Pursuant to your request for a determination on the need of a wetland permit for the above referenced, please be advised that the Board has reviewed your plot plan for the addition to the single family residence on property located at 1875 Leeton Drive, Southold and determined that no permit is necessary. To prevent erosion, the Board recommends that all areas of exposed soil shall be properly protected with suitable erosion control devices and/or vegetated to prevent entry of eroded soil into nearby waters. Thank you for your anticipated cooperation in regard to this matter. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: Trustees Building Dept. File r'p / 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 7654802 Disapproved a/c .................................... ./~ / / (Building Inspector) APPLICATION FOR BUILDING PERMIT Received 19 INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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) · ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ..... .~.~.~ .~.~. C). .... .~.~ ?..~.~...:q.o.~,? .......................................... (as on the tax roll or latest deed) If applica~Tis a corporatio~ign,~t~e o~ly ~horized officer. ....... .... ~(N~/~d title of co~ora~fficer)" ~ Builder's License No .......................... Plumber's License No ........ ~/~ .......... Electrician's License No. ~ ~'/o 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 Section .... .~. · .~[ .~. ......Block ..... ~ ......... rot ..... .......... 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 b. Intended use aRd occupancy ....... [ ....~.t:.~ .... ~ff~ ~[ :~'~ ...................... hi ppli ) ' ' . .['~... ' 3. Nature of work (check w ch a cable: New Building .......... Addition..! .... Alteration .......... Repair .............. Removal .............. Demolition ........... ~... Other Work (Description) (to be ipaid on filing this application) 5. If dwelling, number of dwelling uni~ ............... Number of dwelling units on each floor.../. ........... If garage, number of cars ./FC~ .~-. ................................ ' .................. i ....... 6. If business, commercial or mixed occupancy, specify nature 9nd extent of each ty~e of use ... ~/~ ..... 7. Dimensions of existing structures, if any' Front :g~ff Rear .. ?.J- n~,,,h ~'or ' Height t..,~. Number of Stories [ . . · ' S ' ' ' ................. : .... · .... ' ................ "TM ...... Dnnenslon of same structure with alterations or additions: Front ... ~.. ~ .......... Rear ...... ~..3 ........ Depth ..... .~.O..'.. ' ~ ! ........... Height ....... '~" 2 ........... Number of Stories ..... ./. 8. Dimensions of entire new construction: Front ..... 7... '7~ .............. ..... Rear ........ ' ....... Depth ...'.~:./../ ...... Height ... '. J.~f. ...... Number of Stories ........ /. ................. i ........................... 9. S~ze of lot: Front ....... ~ ............. Rear d3r ...... ~. ............. , Depth 10. Date of Purchase ...... /T.o.o.~...T../~7. ........ t ~ i ~ ' ..... ·. Name.~f Former Qwner .: ............ 11. Zone or use district in which premises are situated ..... ~'.~'.$..d.¢¢<~. (~F~.. ............ 12. Does proposed construction ,vi¢/z~any zoning law, ordinance or regulation: .... :.. ~..O. .................... 13. Will lot be regraded ...... /."/,.~ · ·, ?. ............. Will excess fill be r~moV, Cd from premises: ~ No 14. Name of Owner of premises .E.d.~.4:~.d....f'?.r~.u.¥.~...Address (~?¥~../:?.~'.Pq~..~t~.PhoneNo..~..¢5-~.~. O~'.2'... Name of Architect ............................ Address ............... .... Phnne Nn ~. Name of Contractor ~.~.t~../:/¢~. ~..~¢w*.c'~Address .~.,¢¢q..~..7.;,.6 ...... ..~.. Ph;ne N<~i ~.~i?i{ / PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ ifidicate all set-back dimensions from property lines. Give street and block number or description according to dyd, and sho? s~reet names and indicate whether interior or corner lot. Lo ~)~ ~-;~ L~k,O_) ~O ~ ro c) STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. 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 daid work and to make and file this application; that all statements contained in this application are true to the best ofhi~ 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 ....... day or ........... , 19 NOTARY PUBLIC, State of New" Ne. 4707878, Suffoik