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Home My WebLink About27126-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27676 Date: 05/14/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 600 PARK WAY SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 10 Lot 40 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2001 pursuant to which Building Permit No. 27126-Z dated MARCH 8, 2001 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 ACCESSORY ABOVE GROUND SWIMMING POOL WITH ACCESSORY DECK & FENCE TO CODE AS APPLIED FOR. The certificate is issued to JASON C & LAURA A LEONARD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-071241 04/26/01 PLUMBERS CERTIFICATION DATED N/A c Authorized Signse Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27126 Z Date MARCH 8, 2001 Permission is hereby granted to: JASON C & LAURA A LEONARD SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL WITH ACCESSORY DECK & FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at G00 PARK WAY SOUTHOLD County Tax Map No. 473889 Section 070 Block 0010 Lot No. 040 pursuant to application dated MARCH 8 , 2001 and approved by the Building Inspector. Fee $ 85 . 00 AuthorizV Signat ORIGINAL Rev. 2/19/98 i Form No. 6 TOWN OF SOUTHOLD , I -; BUILDING DEPARTMENT TOWN HALL 4 < 765-1802 PLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 o� 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. _ t 2. A properly completed application 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - I -25kt 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1 .00, Commercial $15.00 .r Date . Ar7/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . . . . Old Or Pre-ex'stivng B1 i ding. . . . . . . . . . . . . . . . . Location of Property. . . .�CJZ7r . . . . . . . . . 1 .. . . . . . . . . . . . . . . .� , , . . . . . . . House No. Streegt/� Hamlet Onwer or Owners of Property �1 / �1 e� County Tax Map No 1100000,, Section. .�l�V. . . . . . .Block. . 4 .Wk'O. . . . . .Lot. . . .L�.0 . . . . . . . . . . . Subdivision.. . ^Ca .�. . l t.. .. ...W . . . . . . . . . . .Filed Map. . . . . . . . . . .—Leo]ttq.. . . . . .`. �. .-,.. ./.A.. . . . . . Permit No. . . . J.� . . . .Date Of Permit. . .43.�. . . . . . . . .Applicant. lJ.!T.z* �. L-GX'- `"✓. .T"jc- Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . 4 . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . Fee Submitted: $. . . . p.2.� __. . . . . . . . . . . . . . . . . . . . . . . Vn . . . . . . APPLIC Co -a a76 7� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 `' 083566 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 26,2001 Application No. on,li<le 12177901/01 H 071241 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JASON LEONARD, 600 �AjRKWAY, SOLIT1401D,,,. TY in the following location; Basement U Ist Fl. LLJJ 2nd Fl. OUT Section Block Lot was examined on APRIL 18,2001 and found to be in compllance'}with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS !� OUTLETS INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT.1 TIME CLOCKS BELL UNI#HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. OAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. "AMT. M.P. SYSTEMS AMT. WATTS NO.OF FEET i RX . . F QR{fLEM.' .,. .E: I_,., ,. R V__ . . 1 .,,:: i,.. . E •. „ , :.,- .-,:., 4 AMT. AMP. TYPE EQUIP. 1•SW; 1 e JW J 13W S•4 'OPER OND. OF CC.A. OND. NO.OF MIAIG OF XI-LEO NO.OF NEUTRALS Op NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 20A CIRCUIT TO POOL PUMP-1 PLASTIC POOL NO BONDING-1 G.F.C.I:-1 "(SWIMMING POOL) This certificate covers compliance at the date of inspection only. $ecause of unusual AMOUNT environments it is adWi Sable t0 PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW have frequent ent test and or re YORK BOARD OF FIRE UNDERWRITERS Pairs AS CASH SENT BY MAIL WILL BE AT RISK OF SENDER. <<< Continued on Page 2 >>> Per ' THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE.THIS BILL PAYABLE AT THE NEW YORK OFFICE,40 FULTON STREET,NEW YORK,N.Y.10038 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 8083566 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 26,2001 Application No. on file 12177901/01 H 071241 THIS CERTIFIES THAT O the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JASON LEONARD, 600 PARKWAY, SOUTHOLD, NY in the foUowing'locadi'*; Q Basement 11lst Fl ❑ 2nd Fl. OUT Section Block ' Lot was examined on APRIL 18,2001 and found to be in compliance;with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENA FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 5[1lCrE ONNEGI,z N¢.OF .,. PER•E_ . OF CRO.COND. V_, I OF HbLE® .ron -ti; r ,OF NEUTRAL'r fi METER _... E<•,, J AMT. AMP. TYPE EQUIP. 1•2W 1•3W J E JW J 0 4 OF ER COND. - A.W.G. NO.OF HIAEG A W.G. NO.OF NEUTRALS A.W.G. OTHER APPARATUS: made by a qualified person. FEE PAIDUNt PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRE UNDERWRITERS AS CASH SENT BY MAIL WILL BE AT RISK JASON C. LEONARD INC. OF SENDER. P. 0. BOX 15'528 SOUTHOLD, NY, 11973 Per " '' FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE.THIS BILL PAYABLE AT THE NEW YORK OFFICE,40 FULTON STREET,NEW YORK,N.Y.10038 ��gUFFO(,�co opo Gyp Town Hall,53095 Main Road Fax(631)765-1823 P.O.Box 1179 O yC Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 26, 2001 JASON C. LEONARD BUILDING P.O. BOX 1528 SOUTHOLD, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . XX The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 27126-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION_REPORT___=DATE _ _ _ COMMENTS FOUNDATION ( 1ST) FOUNDATION (2ND) e111 = L x ROUGH FRAME & Hill PLUMBING I O INSULATION PER N. Y. r3 H STATE ENERGY CODE n `✓L> � G n FINAL ADD_ITIONAL COMMENTS: (Tp l p7 O z ro H 42 7 4-1- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG7ATI LBG. [ ] FOUNDATION 2ND [ ] IN ON [ l FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Cq, � ,D TEINSPECT a I r� b OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY i a 8 Tot ns tem" d. c- Sr�Pg oA , AP R 6VEeARSN02EED r1` S,o� ..IMMEDIATELY.. FEE Y BUI-_.BY: IIENCLOSEPOOLTOCODE NOTIFY BUILDING T DEPA NT AT UPONCOMPLETION FOLLOWING NS TO 4 S: FOR THE BEFORE'wATER„ FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING I INSULATION UNDERWRITERS CERTIFICATE 4. FINAL - CONSTRUCTION MUST REQUIRED BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS n r" M� d� z� 2-Ke sn rsrs ��_ I b'-o �d caoc 1VwivVrOVu1 vLL !, ' IO BUtLll1NU1'hXMI1AVPLICATNChECKLIS' BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL i' Board of Health SOUTHOLD, NY 1 971 3 sets of Building Plans TEL: 765-11 / Survey NO. �7/a ( � Check Septic Form Trustees Examined 20��d/'' Contact: Approved��,20`9/ Mail to: Disapproved a/c Phone: 0 u Building Spector APPLICATION FOR BUILDING PERMIT Date 20_ 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupan is issued 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.' j /f (Signature of p cant or name, if a corporation) / 0 �� ` I— j o'j6%1rk0c—V (Mailing address of applicant) State whether applicant ' owne , lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorizbd officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which p} od w will be done: � 11 Z fYCIO House Number Street Hamlett" '12 '{a ` c„s County Tax Map No. 1000 Section -70 Block Loth , .�~E Subdivision $6r.1 TN t/J n uFiled Map No. Lot 3 (]`lame) •. OWW VA1JU11Y, 0C.WALL UWUPaticyt premises and intended use and occupancy of proposed construction; a, Existing use and occupancy ,., �ji1/� L L� / /e—V y%' ��--- b. Intended use and occupan ly > jj etf/7 e)t-/71-4 � a4ejAIV /W6dL- i. Nature of work (check which applicable): New Building__TTAddition Alteration Repair RemovalT_Demolition Other Work� f �opL t. Estimated Cost Sono � Fee (Description) (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, f any: Front Rear Depth Height N� ber of Stories Dimensions of same structure with alterations or additions; Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear.Depth Height 'Number of Stories Size of lot: Front_ Rear Depth 0. Date of Purchase Name of Former Owner 1. Zone or use district in which premi�es are situated 2, Does proposed construction violateianyzoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: YES NO 4. Names of Owner of premises Address Phone No. Name of Architect —Address Phone No Name of Contractor Address Phone No, 5. Is this property within 100 feet of a�idal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6, Provide survey, to scale, with accuralte foundation plan and distances to property lines, 7. If elevation at any point on property leis at 10 feet or below, must provide topographical data on survey, TATE OF NEW YORK). SS: :OUNTY OF ) 4W4d Q ' D being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) bove named, i)He is the CJ`-'` 4-1SX 1 (Contractor Agent, Corporate Officer, etc.) f said owner or owners, and is duly authoried to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. wom to before me this :2day of 20I 0 1 4'� W < Notary Public �^ — Signature f pplicant IYNDA M 13 NOTARY pUgt,IC,State of N OuaIOHN H ed 113 f 02( CDup��f Term Explres March 8,20 r l I , I t ZI 1JZNG 'I�R `-REV1i�W C -X L-I-ST ApplicantlDate / Owners Name. ^" '' _ Reviewed _ [ Architect/ Date Engineer ___._ Submitted SCTM #: District: 1 000 Section X— [31ock V Loc Project /� o/,/ -L[—/Al��— ----- Subdivision '- Location _ Q4_Y.(/ �/� Wafi.LL A� � Name Single&separate Requirequired certtfication (Yes/No .—L�� eq R y Zoning District�i"✓ [Fot sou j9 6V0 Actual J -/�_#0 1 (tA coverage f'(//g Proposed �•I �� Req Req Req —7 [Front Yard `Proposed (Side Yard Proposed 1 [Rear Yard Proposed 1 Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW NSA. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees/ Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • X" �fr,�u�,� 1 % Vi im or L AT 1 9 1 4. taf '# wekre fi #0 (3RS �ar$ " t saa+434.r.',��rk's o*te � a-: