HomeMy WebLinkAbout24967-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26520
Date: 06/23/99
THIS CERTIFIES that the building ADDITION
Location cf Property: 1895 LEETON DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 58 Block 2 Lot 10
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 13, 1998 pursuant to which
Building Permit No. 24967-Z dated JUNE 19, 1998
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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM R & MARY T STEELE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
B.Ui.LDING P~.RM~ T
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO~
24967 Z Date JUNE 19, 1998
Permission is
hereby granted to:
WILLIAM R & MARY T STEELE
1895 LEETON DRIVE
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF A DECK ADDITION MAINTAINING PROPER SETBACKS.
(SEE SURVEY).
at premises located at
County Tax Map No. 473889 Section 058
pursuant to application dated MAY
Building Inspector.
1895 LEETON DR
SOUTHOLD
Block 0002 Lot No. 010
13 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
?PLICATION FOR CERTIFICATE OF OCCUPANCY
Thi's application must be filled in by typewriter OR ink and submitted to the buildir
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 suppl~ 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 s
'!pre-existing" land uses:
i. 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 applican
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-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - , .~5~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date J~ J?/ [.~ ....
New Construction ........... Old Or Pre-existing Building .................
Location of Property t~ ~..~.O~. ~.~}g~ .~.~."[~-tD.L~ . . .
House No. Street Hamlet
Onwer er o ers of .......................................
County 0oo, Se tion. ...... .. .. ........... . ·
.................................. Filed Map ............ Lot .................
Permit ;~...~..~..~.~..~.. ....Date Of Permit. . .......Applicant ~fi.~.~.~.~.~. · · · ~ ...........
Health Dept Approval .... . Underwriters Approval .........
Planning Board Approval . ..
Temporary Certificate ....... Final Certicate..
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROU~DLBG.
[ ,] ~JLATION
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTC
FOUNDATION ~ (,l~t~)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING'
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIO COMMENTS:
INSPECTION \ 1~ ~11::
] FOUNDATION 1ST [ ] ROUGH PLBG,
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] I~...~TION
[/~-'FINAL
[ ] FIREPLACE & CHIMNEY
/..- t-/ // -
76S-1802
BUILDING DEPT.
JNSPECTION
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE&CHIMNEY
REMARKS: ~;~'~ ~.~,,~..
DATE
INSPECTOR
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
BOARD OF HEAltH ...............
3 SETS OF PLANS ...............
SURVBY ........................
GI1ECK .........................
SEFTIC FORN ...................
NOTIFY:
CAT,t . .~. . ??--Id & ?
HAIr. TO: ....................
APPLICATION FOR BUILI)IH(~ PERHIT
Date ................ ,19 ....
INSTRUC'rlONS
a. 'lhis application mast be co~letely filled in 1)y t~pe~riter or in ink ced ma~itted to ti~e Building Inspector w
3 sets of plarrs, accurate plot plee to ~cale. Fee according to ~d~e~de.
b. PloC plan ~hoaing locatio~ of lot and of Imildiags on premises, relationship to adjoining premises or I~d)lic
streets or areas, and sivtng a detailed descriptlun of iayc~Jt of property ~lat be dra~n cu tim diagra, ~id; ia pert or
this appl icaticu.
c. 'lhe ~rk covered by this applicatloo my not be commenced before issuance of Building Pemit.
d. Upon approval o~ thla applicatim~, the l~ildlng lnspeecor ~ilt iseoe a Building Permit to tim applicant. Such
pennlt shall be,kept on tim prendses available [or inspecttun O~rc~o~t tim ~ork.
e. No Imilding slmll be occupied or used in ~t~ole or in part for any p~rpase ~atever until a Certificate of
Occupancy shal! Imve been granted by tim Building Inspector.
APPLICATIGN I$ {~[~BY ~t~ll~ to ~lm Ik~tlding Department for tim issuance ol~ e guilding Penn|t parsuant to the
I~ildlng Zooe Ordinance o~ the l~n of .e~lthold. Suffolk County, ~ York, and oti~er applicable l.~s, Ordhmnces or
Reg~u~latiooa, for t{~e ccustruction of hdldings, edditio~a or alterations, or for renoval or demolition, as herein
deacril~l. ~lm applicant agrees to co~ly with all applicable l~s, ordinances, boildtng cad~, housing code, ami
reg~dat~ons, ~al~l to admit authorized inspectors o~ premises and in lmilding for n~ce~ssary lns.i~cti~ns.
~ . . .~..~. .............. ~ ....
../. ..... ......
(Bailing address of appltcadt)
State vt~etimr applicant ts o~er, lessee, agent, arci~itect, engineer,' §eperal cootractor, electrician, pl~dmr or Imild(
..~, ..................................................................... , ........................... ,,~ ..........
(as ~ tl~ tax mit or latest d~)
applicant is a co~ratt~, si~re of duly ~tberi~l o[flcer.
(~ a~ title of co.rate officer)
~. ~ RE~IJIRED
OCCUPAN OR
IS UNLAWFUL
~'~,,.be,'a ,.i~e~ ~ .............. ..--.-.-... II~flO~ CERTIFICATE '~ soum.mutsno~I
ff CUPANCY
~T~c~n IA~ ~ ...................... 4. FINAL - C~RU~ION MUST
~~~c.o.
OEber ~'s Licen~ ~ ..................... ~ CO~UC~ON 5HALL MEET
I. l~nEi~ of la~ ~ M~i~ pr~l ~rk ~ill ~ (~ ........................ ~,~$MENTS..OF. ~E. N .~ ....
~A~.~ONST~UCT~ON & ENERGY
{~ Z~ ro~ ~/vE ~eu ~ ..~9~:.~..~r.o~..~.~.
................... ~ ...... ~ Co~s~aoc~o~ ~sons
I~ ~r
~ t~x m~ ~,. 1~ ~tt~, ...~ ....... ~l.~k ...~ .......... l~t ...~ ..........
~ivisi~ Fil~ Bap ~ l~t · · ·
(~)
i~ ~ ~ / ~ ...............
a. F~sC a~ ~y .............................................................
,,. ......... ....
iecM:e clearly And dlal:tnccly 81
~3raklmr J,l:erJor or corner 'loC,
s~ ......................... ~d~ o~ Scorie8 ......................
9. SJ~ oE loc: [~ ............ L.; ...... ~ar .................... ~l)~h ....................
I
I0, I~fl'e of ~Jrdm~ ............... ; ...... ~m of For.er ~mr ........................................
Ifil
......................................................................