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Home My WebLink About26301-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27545 Date: 02/05/01 THIS CERTIFIES that the building ALTERATION Location of Property: 75 CEDAR DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 7 Lot 45.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 14, 2000 pursuant to which Building Permit No. 26301-Z dated JANUARY 26, 2000 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 CONVERSION OF ATTACHED GARAGE TO LIVING SPACE IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to TERENCE & DALE LEAVAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-538787 10/10/00 PLUMBERS CERTIFICATION DATED 01/11/0 K&K PLUMBING & HEATING * 4 hozed Signature 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. 26301 Z Date JANUARY 26, 2000 Permission is hereby granted to: TERENCE & DALE LEAVAY 75 CEDAR DRIVE SOUTHOLD NY 11971 for CONVERSION OF AN ATTACHED GARAGE TO LIVING SPACE AS APPLIED FOR. at premises located at 75 CEDAR DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0007 Lot No. 045 . 001 pursuant to application dated JANUARY 14 , 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authoriz�gnatu� ORIGINAL Rev. 2/19/98 Form No. 6 - e : d TOWN OF SOUTHOLD f• `..I` BUILDING DEPARTMENT , TOWN HALL 765-1802 1 APPLICATION FOR CERTIFICATE OF OCCUPALCY,',' J 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 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. 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. 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 dwelling25.00 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 - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0}0, Commercial $15.00 Date .� .�. .4 �.� cM.�. . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet r Onwer or Owners of Property.. . .... ... . . . . . . . ..... �t � P:: . . G C! 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision //. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . .J. . .. ..Lot. . . . . . . . . . . . . . . . . . . . . . Permit Nof U. dt�. . . . . . .Date Of Permit;U. 2 ..0. . . .AppIicantY.Z1J:0// . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval,If. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certif��icca�te. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . C�QC S�ASF� APPLICANT Co S 195 yb ,,,gpFFOL/regn o Town Hall, 53095 Main Road y Z Fax (516)765-1823 P. O. Box 1179 • Telephone (516)765-1802 Southold, New York 11971 •y��r' �aO! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. 3 d Owner: (please print) Plumber: / ! (ple se pri t) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of 1�- o/ Notary Public, 2 - - � County JOYCE NI.WIIKINS Public,State of New York No.4952246,Suffolk County Term Expires June 12, 000) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001093 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 10,2000 Application No. on�ile 10373400/00 N 538787 THIS CERTIFIES THAT rC;RN1IT N0. 26301 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of 14R & MRS LEAVAY, 75 CEDAR DRIVE, SOUTHOLD, NY in the following location, ❑ Basement ® Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on SEPTEI4BER 29,2000 and found to be in compliance with the National Electrical Code.. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCE FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. 4 7 1 3 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTT.I TIME CLOCKS I BELL IUNIT HEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS EET AMT. WATTS NO.OF F 3 600 SERVICE DISCONNECT NO.OF S E R - V 1 C E METER x0.Of CC COND. AAA. W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 EW 16 JW 3 0 3W D 0 dW PER D OFA GOND. NO.Of HIAEG Of HI- OTHER NO.Of NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 G.F.C.Is-1 DOROSKI ELEC. INC. LIC.#2941—EL L425 MONSELL LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER EPer. 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. L4'W- �$0_.22 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST >1ROU PLBG. FOUNDATION2ND ULATION FRAMING NAL [ ] FIREPLACE A CHIMNEY REMARKS: a - r ,DATE INSPECTOR / �" U FID r INSFKCTION REPORT DAT � -R-R-E-- _—C-- O —-------------- ----- 7 __,___� -- =— r, It �S �( FOUNDATION ( 1ST) U It III —�1 � FOUNDATION (2ND) - -- - _ _-- —ERRE— — ------- --/----- -- -------ERRE-- ----G __- II ----- ROUGH FRAME 6 PLUMBING p------�, --_— tt it II it — tl' — —__ _—II IV INSULATION PER N. Y. STATE ENERGY II II CODE II jj 0 I II =xssxxxsssxxaxssx==as=xss�� _-s.�xxss_=xss_xxss=exxssxxxxs=xxssx=xxss=x=xxxsssss=xxxxs � it I II II IIn'II_��II' N 1 FINAL I ii nr I� IIi -sxasssxxssssaxxsssxxssxxll xxssxxs$sxassexxssexxssss=ssscsc=ssxsssssx=xsssex=sss=xxe=sss ADDITIONAL COMMENTS: ---- -----------ERRE-- �" I r�l � z � c3o � 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC A CHIMNEY REMARKS: C r DATE / INSPECTO M-1802 BUILDING DEPT. INSPECTION [ VfFOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: . - A,I /or-o DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTIO [ ] FOU ATION IST [ OUGH PLBG. [ ] F UNDATION 2ND [ } INSULATION [ FRAMING [ } FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE `y` INSPECTO �yi M'1 N 1� (V 1j I FL:AGSTQNK �') � $LAGKTOP„„' 021VE i •� ��„� T S I ” r ZO= t� fig, 42y fl .,O”'-•,,,` to � 7 � u (tn l!ivv y- 2� tib S?3 tq.w. . ry. 6G , —,�•— Fig ,�ird:fiMBe IIIIG CW11C e.G. r " r • .611 .:h.' r= N i OD E �Il BLACV-70P MIVE 11 4 •d- cv bGf - yyI .f.1 , bn �j• iii J:Fnle –`— OIIG COroi ' � IGnCup 1. la lbu d3 '7:_44 ?��'.' BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: c/ CALL lined. � 20.4o 1 MAIL TO: . . . . . . . . . . . . . . . . . . . . App ...... /y , `�. Permit No. 5 ��'... .................................... Died a1c .................................. ................................... - . r- � � (Building T tor) JAN 14 2000 „1s APPLICATION FOR BUILDING PERMIT DateJ047\. . . . . . , 2000 i1Lf)Ci�rfa,i'T, j,�}, INSTRUCTIONS a.' 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wii 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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 mist be drawn on the diagram which is part of this application. 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 permit shall be,kept on the premises available for inspection throug)uout 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. APPLIGMON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 cmgly.with all applicable lz-ws, a.d=o ce , Wilding code,-bossing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. P`::."h-:.. '` ..... ` .. .... ............ (Signature of applicant, o corporation) (Mailing address of applicant) (VI-) I State whether applicant is lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............................................. .oti................................................................. Name of owner of premises ..� ��>~rte. ...` ..~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) 9-1 -4_r a Builders License No. .. ... . Plumbers License No. ................ .... ElectriciansLicense No."I-11V '?�4� e Other Trade's License No. .................... 1. Location of land on which proposed work will be done..................:........................................... � ....Ce�r,<t'.... ., �v e So a 1. ......� U°i.`?.0.. ................. ............ .... . ................. House Number , 5 Street qq C ao-(" D rev et !9Ou T tk8A-X�) County Tax Map No. 1000 Sectionn%13. '•y.�i. Blb& ................ Lot Subdivision ...................................... Filed Map No. ............... Lot ............... (Nam) 2. State existing use and occupancy of premises and intended \use and occupancy of proposed construction: a. Existing use and occupancy ........ ......'-'t..d': �.r........................ b. Intended use and occupancy .... v .... .��1 ...... .......................................................... rt KILUre Repan or wvrK w KWr 11 •.,}}caute/: New Building .......... Addition .......... Alteration .. 17........ Demolition ............ Other Work ................................. 0 (Description) 75�-..� 4. Estimated Cost t:?.g./f`..�?'S�T�naiAh� fee � .. ......... ............................... (to be paid on filing this application) 5. If dwelling, nuniner of dwelling units ............ liwber of dwelling units on each floor ......... Ifgarage, number of cars ......{............................... 6. 1 t /r occupancy, specify nature and extent of each of use........... ... !..... I I� r/t(y,,pe .ry � C 7. Dimensions of existing.structures, if any: Front....�.�....1.... Rear ...LI..i...... Depth ...4,.r..:7....... If business, comercial or surged b'I Wuri>er of Stories .....N................ Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................. Dei .................... ll of Stories ............... 8. Dimensions of entire new const ction: Front d.... Rear .��... Depth Height Sn .. .... � niner of Stories .�. ............... i 1�' ... INu 9. Size of lot: Front ...... Rear '.................... Depth`.... 10. Date of Purchase ..��........�. .. Name of Former (leaner .....�.u.'�\.�.5}.-Q1 .�L..�(��d. r...G.!..l..l.d"� II. Zane or use district in which premises are situated ......F--��S G7 '.Vh �l ?�1 ............................ 12. Does proposed uY�struction vrolata any zoning law, ordinance or regulation: ...................... 13. Will lot be .. p regradedcon ' `1 ........ Will excess fill be removed from premises: YES N , 14. Names of Owner of premises N _Vf... .�.�.: Acklress C� 2-.-� .,........... Phone No.7.�.t�.-. Owner i.me of Architect MA(��r . r^J ,�:'.\\r:l`.:�... ''. .1.`-t:a.1:`-t Address `:.�•.':r.? Q:.....h.J:l.. Phone No'+D.7.... Nae of Contractor ��1'.�Y+'�.�. Q .- Address ..J �n..•T. a .,(� U5 �D.5 5 ...1'Inone No.U5. 15. is this property within 300 feet of a tidal wetland? * YES .......... NJ :... *1F YES, SOu7lUM TOWN TCQISACES PE13.11T MAY RE l?l PLOT DIAGRAM Locate clearly arca distinctly alll buildings, whether existing or proposed, and indicate all set-hack dimensions from property lines. Give street and block nether or description according to deed, and show street names and indicate whether interior or cg`rngL.iot. I ( .ti srn1E % raw, nW>- _ awly or NL ,P'�y••........I'i..................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, Ileis the .................... .............................................................. (Contractor, agent, corporate officer, etc.) of: said owner or owners, awl is duly aut1horized to perform or have performed tine 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 bef.o5e me this 41 A- ........I.....clay of: Notary Public .. HELENE0 HORNS (Signature of Applicant) Notery Public,State of Ni w York 64 Qualifiiedoin Suffolk Cc u Commission Expire$May Z 1. v BUILDING JJ RJrIy— _S_J JEW Applicant/ Date Owners Name k c, 1 _ Reviewed: Architect/ Date / Engineer: _ -e --fes-- — -- - Submitted: SCTM #: r-� ' I District: 1.000 Section: _ ( � [3lock _ Lot:`'C Project1 _ C Subdivision Location"'It Sin&le&separate Required �_ certification: (Yes/No) ------_--- — w R Zoning Distrix�_ [Pot sizc D Actual_r ' T (Lo coverage 9&Proposed .RReq Req W [Frons Yard Proposed: (Side Yard Proposed ) [Rear Yard Proposed J Project Description: 121-- AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A./ 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: te • If copper tubing is used for water distributing OCCUPANCY OR APPROVED AS NOTED systems piping snail be U�,E IS UNLAWFUL �� ae of types K or L only DATEa! _DQ 8.P N UNDERWRITERS CERTIFICATE WITHOUT CERTIFICATE FEE: REQUIRED �FCGUPAI�ICY NOTIFY BUILDING DEPA E 765-1902 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED PLUMBER CERTIFICATION PROVIDE OPENINGS FOR FOR POURED CONCRETE ON LEAD CONTENT BEFORE EMERGENCY ESCAPE AS 3: NSUGATION RWING �` PLUMBING CERTIFICATE OF OCCUPANCY REQUIRED BY PART. 714 OF 4. FINAL - CONSTRUCTION MUST N.Y. STATE BUILDING CODE. BE COMPLETE FOR C.O. SOLDER USED IIID WATER ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. SUPPLY SYSTEM CANNOT STATE CONSTRUCTION & ENERGY EXCEED 2110 cif I% LEAD. CODES. NOT RESPONSIBLE FOR _._.. {f,•... PROVIDE SMOKE-DETECTING DESIGN OR CONSTRUCTION ERRORS PLUMBING ALARM DEVICES ALL PLUMBING WASTE AS TO PART. 721.1 _ _,-„_- •. -,.-._ 7C t —r i^ti✓ &WATER LINES NEED N.Y.S BUILDING CODE. TING BEFORE COVERING A- 1471 s' � 4 � � �L..._ _.._. rte,_.}, a'i�,�� `i�►�„;,,.. Cf�`aRT I .-..- P i r: '• f f, til ! «y ' �! �� ,f4 t�''� �t ]� !` yIil�( 1i r r ''!{�{I i, ,I1 Y ! ( # }H;jlf'j[ atLL�i.ut+U�,isL ray a icl 7 -M•"- /^,, Y,.- � .t .may " ' N �a � _ _. ._. ' �J_ _ _ _� ._ _ _ aM6r,+Fri..,�;�'/=,f'�•%`,fyG_/..cl+ _ PlAk a�, f `-I �. . t- .ct_ _�.•c ' ts! '4" # ^ ,,.; ,` ^`'jam. \ .y F V »«r- �' ; -fit`.• ,,� „�. _..�._„, .»..-_. .,..�....- T i ,. """ 4.r ,f *'-.4.11' �i -- „� "^" `^•t � •: ,� .,,,t.y , .,.. _- ' �4 - + r 'F"'" � � }� 1.+-�L� ...F 4 � � - - - i� _ .,,,. �n��4„�R. ,l fi �.,•�."SAY;'i" r' - { r P..,} ` `><:. ..i !q 1�< . ,J� ..� .,�. "a„� ! ]tom ..,'�--�'.-i.. f � ..-.._-r---, !"'r"�-F y-.,... .�. 1 �"`�'i..��`'d..? L.1-.•' �.�,�r.�".�, . .-J i. r". -t'7 d•*r+. - _ __ ('f .,. "• - 1 '. 9{ -_., 3 �.✓" - \ - -- __ '�--_r -� ��• }},I �i "�'1^,�!,.�5,�,1,,,,. - _ -- - x�- k� ,e._ .;�i,',a" pp i F f s,. � �''` ''d`�« ' {^�x1:,";+'�1 �,,'�iwb"•. Y �� i� nnipp-,� - , i�I �� ,,�„ ,w a n.,�:,�..,: ._._ _mow_—.—�-�...b.•.r=� .�::_ __ _ _ 1 JAN 18 200 EptED Aq�,y r d � z• r�� ,w,,� ,,.,,,; «.-w :. .,i, ,.;� ,,,,,./"� , 1-"'� � �,,,-•. �, I .d,' i�,w"� ;.,,,r ,�n "'"r X„r a..,-..':,....'z"'".. ",.f i � I `-.....»..,,�-i�.,1 ;r^K `EE...�'''r:--•,'., *,. J O�NDN