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Home My WebLink About25515-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26423 Date: 05/03/99 THIS CERTIFIES that the building ADDITION Location of Property: 2150 LEETON DR SOUTNOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 5 Lot 1.1 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 1999 pursuant to which Building Permit No. 25515-Z dated FEBRUARY 2, 1999 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 ADDITION "AS BUILT" TO EXISTING PECONIC DUNES NATURE CENTER AS APPLIED FOR. The certificate is issued to COUNTY OF SUFFOLK (O~ER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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. 25515 Z Date FEBRUARY 2~ 1999 Permission is hereby granted to: COUNTY OF SUFFOLK 330 CENTER DRIVE R~VERHEAD~NY 11901 for : CONSTRUCTION OF A DECK ADDITION "AS BUILT" AND AS APPLIED FOR. at premises located at 2150 County Tax Map No. 473889 Section 059 pursuant to application dated JANUARY Building Inspector. LEETON DR Block 13 1999 SOUTHOLD 0005 Lot No. 001.001 and approved by the Fee $ 0.00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-t802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: i. 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 buildi~ 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 Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual naturai or topographic features. 2. A properly completed application and a consent to inspect signed by the appiicanl 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 ~6f Occupancy on Pre-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............. A ........................ New Construction ........... Old Or Pre-existing Building ................. Location of Property....~..~.0..~. ~OO~m V~mVq ~¥a. House No. Street Hamlet Onwer or Owners of Property.. ~00~¥ O~ tion . loc ..... ...... Lot... County Tax Map No 1000, ~ c .............................. Subdivision .................................... Filed Map ............ Lot .................. . Permit No .......... 2~ ~ .~. .... Date Of Permit ........ ~ ~ ....... ~ Applicant .................... R~.~.~p .~.'~.~.~.¥ Health Dept. Approval .......................... Underwriters Approval ................... .. Planning Board Approval ...................... . . × Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ....... '.'.- .................... APPLICANT 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. ]~ULATION FINAL [ ] FIREPLACE & CHIMNEY REMARKS. ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [~/~INAL FORH NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~ HALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 Disepprove~l/,.,,aJc, ~;: ............................... I~STRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOEN ................... -NOTIFY :. CALL **...f ............ MAIL TO: .................... a. 'Ibis application mast be c~upletely filled in by typewriter or in ink and m~mitted to the Building Inspactor w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoring leea~iofl of lot and of buildings ee pran/ses, relatloaship to adjoining pranises or public streets or areas, and giving a detailed description of layout of property mint be drmm on the diagran ~hich is part of this applicat itm. c. 'file ~ork coveredby thi~, appl~gatiofl, nlhy'mt be ear~nced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will isane.a Building Pemit to the applicant. Such pemit shall be kept an the premises, avfiilable ior"irmpectioa throughout the work. e. No Imilding shall be o~copied or used in ~aole or in part for any purpose ~daatever until a Certificate of Occupancy shall have been granted by the Building Inspector. AP[~I~ICIt IS Elgl~gBY ~IE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Toan of Suuthold, Suffolk County, ~ York, and other applicable La~s, Ordinan~as or Rngulatioas, for file construction of buildings, addltiees or alterations, or for r~oval or demolition, as herein &scribed. 1he applicant agrees to comply ~ith all applicable lin, ordinances, building code,' housing code, and regulations, and to ~rlm~t authorized inspectors tm premises and in buildings_for nece~asrYxiosp~Ljon~a. _ ~x ...~..~.:.~../: ~' .if.... ~..°...~...e..~.. .............. (Signature o~ applicant, or naua, if a corporation) (Mailing address o~ ~pplicant) State ~betber applicant is oaner, lessee, agent, architect, engineer, general contractor, electrician, plu~er or builde~ ............................. % ..... ..... 2'""/'"z' ........... .................... ~ o~ o~/o~ pr~ses .... ¢:~:.~....~... p..~...~..~.~...<¢.... :l:....-. .... .~..7.....~..-. ~.:/../ ................... / ,.,.--~~ ~'~ ~/the~ ~ mi1 or latest deed) If applic corpe, t' ' signature of du? authorized officer. / ...... .i~...........~ ~a title oe cor~a~.,~fi~r~ Builders License No ................... Plurabers License No ........ Eleetriciass License No ...................... ........................................... ~ .... ~ .... /'~. . . . . , .... ~ . ~. . . . z~-c~, : . . , . , . .% . /l. . 2/ .... l]ouse Nm~er Street lt~let C~ T~ap ~,. ,~o s~tio~ .... ~ ....... ~lo~ ..... ~ ....... ~t ..... /:./. ..... Subdivision .............................. Filed Map No (~) 2. State existing use and occupancy of premises and intended rose and occupancy of proposed ~truction: a. Existing use and ~ccupancy ....... ~ .~.t~..~..~f....~o~./~..~. ...................... . b. Intended use and occupa~ .,..:.:..?~../~..~, .~..~.....~.~.~ ........................................ 3. P.~ture of ~,~rk (check ~dch appl [cable); Ne~ }kfilding .......... Addition . Repair ............ Re.oval ............. Bemolition ............ Other ~ork .... ;Lq$11 ~. ~X' Z T':~ .... (to be paid on fil[ng this application) 5. if &ceiling, nt~er of d~lling mits ............ Nunber of t~elling traits on e~dl floor ................ If garage, r~ber of ears ...... , ............................... 6. If business, e~mereial or auzed aconpaney, speelfy nature and extent of each type of use.....~../~.~ ......... 7. Dimensions of existing structure~, if any: Front ................ Rear ............... Depth ................. Deight ......................... ] IxLraber of Stories ...................... Dimensions of s~e strnature vlt~ alterations or additions: Front ............... Rear ............... Repth .................... Beigh~ .................... lxlarber of Stories ............... 8. Bi~mnsions of entire ue~ e~astn~etlon: Front ................ Rear Depth tleight ' {N an b er f Sro 9. Size of lot:Front ' .......... .. 1' ........ Rear ............ ..... . ,. Depth .................... lO. Dete of Plwdmse ......... ' Nam of Former Ouner .................................... I I. Zone or tree district in ~hlch pr~nises are situated .............................................................. 12. Does proposed eonstrontlon viola ~e any zoning ln~, ordinance or regulation: ... ~...' ................ 13. Will lot be regeaded ...~..O.'...~/a/~./.,,,Will excess fill be removed frem pre~ises: I~. ~ of Cnatreetor .................................. t~lress ............................... H~ee No ............... 15. Is this property within 300 feet of a tidal ~etleed? * YF~ .......... N0 .....~.... PLOT DIAORAH Locate clearly ned dlstinetly a.l1 buildings, ~hether existing or proposed, and indleate all set-back dimensions from properiy,lines~ glve'~reeC and filoek~t~mb~r or description according to deed, and sh~ street nares and indicate xdmther interior Or'comer lot. "l ' ;' ' / 5"Y< ............................. ~ .................. being duly ~m, deposes and says tt~at he is tl~ sppl. icm~t (Na~ of indivldL~ signi i:),' [,, ,, ';- [kc is 'Lhe ........... (Contractor, .a~t, con,raCe officer, etc.) ,,, '~ o: ~td ~er or ~rs, aM la ~ly ~$horir~ to ~rfo~ or h~ ~rfo~ the ~id ~ ~ to ~ke a~ file thi¢ a~hcacion; that all sCat~nts c~tai~ in ~is a~J. ieati~ are t~ tu the beat of his ~1~ and ~].iefj a~ that the ~rk will be ~rfo~ in tim ~r ~t forO~ in the a~licati~ ftl~ t~r~. / ................... day of ................ m9 ..... :~'. ' ' ~' ': : "'" ~t~ B~lle ..................................... OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE. OF OCCUPANCY APPROVED AS NOTED ,0o00 ~. NOTIFY ~UILD~ DEPA~'I'M~ AT 765-1802 S ~ 11) 4 ~ ~ THE 1. FOUND/(I1ON - ~ REQUIRED S. INSUL.ATTO~ 4. FINAL. - CONSTRUCTION MUST BE COMPt.ETE FOR C.O. ALL CONSTRUCTION ~ MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS