HomeMy WebLinkAbout24567-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25584 Date: 03/13/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1455 BEEBE DR CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 4 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 19, 1997 pursuant to which
Building Permit No. 24567-Z dated DECEMBER 19, 1997
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 STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to STEPHEN F & GENEVIEVE LESKODY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Insp for
Rev. 1/81
--imw
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)
Date .....DECEMBER,,...19........................... 19.,97....
Permission Is hereby granted to:
...STEPHEN....F....&...WF... ESKODY
. ...............................
145,5„ HEEBE DR
... ....................................................................
.......CUTCHOSUE�.NY,,,11935
to ..... ONSTFt,UCT...AN. „AC ESSU,RY...STORAGE„SHEP,,,I,N THE REQUIRED REAR YARD OF
ASINGLEFAMILYDWELLINGASAPPLIED FOR
„ „ „ „ .......................
........................................................
..................................................................................................................................................
....... ...............................
..........I............................................................................................................. ......................,.,..........
at premises located at..............14455 HEEBE DR CUTCHOGUE
................................................................................................................................................................
County Tax Map No. ,,, 473889..... Section ...P0 ............. Block ....0004.,....... Lot No. 002,...............
pursuant to application dated ...NOVEMBER.....19. 97
...... . ........................... 19..............., and approved by the
Building Inspector,
Fee $...,... 35.00
Bullding Inspecto
Rev. 6/30/80
Form No. 6
D TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
✓ � 21998 765-1802
BIDG.DE H 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 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 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 Building - $100.00
3. Copy of Certificate of Occupancy - _ .25V.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
1
Date . . . . . Fir . . . . . . . . . . . . . . . . . .
New Construction . . G Old Or Pre-existing Buil/ding. . . . . . . . /� / ��
Location of Property. . . . .
. . 1� : . . . . . . . � .✓.�;/? QCT.�� �ViY1 .�If.56r'
House No. Street Hamlet
Onwer or Owners of PArGopert�y.gICpYClV. . rf . . �i- ✓�vl(� .. . . .. . sV.. . . . . .
�
County Tax Map No 1000, Section. . ./ P� . . . . .Block. .,'. f!2 (( . . . .Lot. . � . . . . . . . . . . . .
Subdivision. G. . . . . . . . . . . . . .Filed Map.✓-Z
. .Lot. . . . . . . . . A . . . . . . . . . .
Permit No. . F✓ . .Date Of Permit./ 19. . 1.�Applicant. . . . . .
� � .'1. . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . .
Fee Submitted: $. . a`. . : . . . . . . . . . . . . . . . . . . . ,Q
G
*e4
v ay
SY�SI
APPLICANT
co �� s-5C�
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR q� Ld
r
(;U(It Ill.'11 FIN
1"IbIIII I A TI IN I
----------- ---- -------------
III IIIILA'1'1011 ITIt 11. Y .
WI ATI1.
--------------------
LAI—
Ill NAL YK— e-
------------- ----- --------- ---------- ---
AIMITIMIA1.--
««.....««..-------- ----------------- ---- ---- l,—,..,.««......r.,.«....
---------- --------------
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 02 INSPECTOR
i
TOWN .'Oi Jou'rHDLDI,
S i
f T,;
A MAP, o.-GQoceeT+' �
�' :R► w i SUevereo Fo¢
tll { VV/.�Ll4M ¢y .MANGY / IJGGIIJS I
I . Rj CUTCHOGUE
. 1 m owK OF SOUTHOLD,.A'] i
• . � NoFe:LeJ n�w.La+i>Mwn rcf�+"
~ ' / 'Mep of Moat Grt i
.. L7 A4.#J4.A4.# N,nJ ? j0•
G q0 ' h Gwmn Med b ahs ot
cau m o o �•- Ch.ee to rrrrt
C) O d -
I'd
�.. 16, 1971- I i
V4N TY, Fr So-
�— t u h'. .'/ $ca/t:40'c/' L:.MJae La,d S rey✓a
6�twpeia New Yo.t .. —
A
3. Nature of work (check which applicable): New Iluilding 57"!. (!Addition .......... AlteraNion=., }1......
It-pair ............ Removal ............. Demolition Other Work •'
..............
�7 } s,, '(De ription) i'
4. Estimated Cost J.71(511 0
.1..1.v ' .
........ fee ...........................................�...
(to be paid dm filing this-i9p li¢�bifxn
t .....,.-.�.._..�........... ... .....amu.....
5. If dwelling, nniuer of dwelling imus ............ tluriner of dwelling emits on each floor ................
Ifgarage, nuduer of cars ......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if any: Front................ Rear ............... Depth .................
height ......................... Naber of Stories ......................
Dimensions of sane structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... Umber of Stories ...........
f
R. Dinensions of entire new construction: Front ..... . Rear ..... ....... Depth ....... ......
Ileight ......L�................ Umber of Stories .......�.)....., f I
n ��77 d D
9. Size of lot: Front ...�.d.�.Q.B. ..... Rear ...!.�/.rP.��....... Depth
10. Ilrrte of Purchase ..................... lame of Former Owner ........................................
II. Zone or use district in which premises are situated ..............................................................
12. Dyes proposed construction violate any zoning law, ordinance or regulation: ..A..............
. .re. ...�^y��,
13. Will lot be regraded .. . ............. Will excess fill be reamed from premises: YES `�
14. lames of Owner of premises Ind='+ /'/t�.�./�L5ress ..� -.2�.5�.^„�?.�.'t'.��..Y.: '. lime No. 's`l- _t5 114F
Name of Architect .......... .. Address ...9): � .............$... l7none No. ..............
. ...y' ..... . �, �/
Name of Contractor l�(?.�{.I.�..I.O.t?(Y..UY.QD.�. .�, I6Atl2ess ........ �2e 6)v(4�,.1.1�:.xi.Pl,oe
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ... ..... /
*IF YES, SOVI1101D 199 TRUSIEE.S PERMIT MAY IW MPM).
PLOT DIAGRAM
I,ocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
frrrn property lines. Give street and block nnber or description according to deed, and allow street nares and indicate
whether interior or corner lot.
l
O
SI'All? or UW Yom,
-Tli' ....................being duly sworn, deposes and says that be is the applicant
(hre of individual signing contract/)
above named,
Ie is the .....C.3.WN.��.
...................................................................................
(Cd➢ILracLor, agent, corporate officer, etc.)
of: said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statemenLs amLained in this application are true to the best of his knowledge and belieF; and
that the work will be performed in the rammer set forth in the application filed therewith.
Sworn to before ne this
....../..-... �/,/j0 .Nl/l� l� ..19.�.�...
Notary Public 7... 5.—..CLC(-�..
PATRICIA D. QARSIK (Signature of Applicant) !!
Notary Public, State of New York
No. 01 QA46M18
ouan ied in Suffolk Cblxlty qV I
ti Dommiaslon Expires August 91, _L__
.,, BOARD OF HEALTH . . . . . . . . . . . . . . .
Q L'1 �l! TOWN OF SOUTHOLD SURVEY . . PLANS
�p
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
NOV 19 1997 S " i TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
J SOUTHOLD, N.Y. 11971
13LD(i.DEPT TEL: 765-1802 NOTIFY: .�IF
bbmnined...alj. .. . .. MAIL TO: . . . . . . . . . . . . . . . . . . . .
;
Apprwed..< .�y7 19.. . Permit No ..: ...............................
Disapproved a/c .•.... 19..+ /
....?ICATION
.
Inspector)
OR llUTLDTNC PERMIT
' Date. . . . . . . . . . . . . . . . . 19. . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
3 sets of plans, accurate plot plaSn 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 mast be drawn on the diagram which is part of
this application: I
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Ulan approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premiss 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 HEREHY MAIM: tol 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. Tihe applicant agrees to rnghly 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, engineer,'general contractor, electrician, plumber or builder
..................................®.( . ..k... ..... ..............
..... ........ ........... .
Nae of owner of premises 4 �ip • �.7
as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
!.a,'.:&'4$= ' C3albL.§�lt�1O.1 D'E�'�8
dpi AM TO 4 Kvi 11:311 ' ,1+E
•• • ... •• ......... ... ......•... )t.9:?rJhivh£96ivoApkfT94f99 :
...... ....
(Name and title of rate off i er)/eSl�? �G�SL?Y �'yr^�'/ .�'00N'D fioN . 'ilNG REO.M4€AVO
Builders License No. ....... �. ........ 4
1t� �,> >e m 'tx ` 16 I1f36
ti e1 v I� a
I, „r f i'1R�S9SI'31i3CTR19A �,�"i 'f
timbers License IVo. .........
K 4 ON19 & 11'v'FOR GD,
Electricians License No. ....�,......IfO .,r, °;'� �� f fA's S1f311('TidTh! 1sNA9.L h'mf >I
Other Trade's License No. ........... RREO111€11"PU1ENTS OF 'T"E NI V',
+..°� �Snl,t�a�C oaeti�vtl � u,"9,f�: Q;f1i�k`""x'f4iiCf:3`9CDf•R £°a EiU&affi�d."�
1. location of land on whichpr sed work—will be done ...... .........# +. ig a •RCffNSLT ••^" b ..
......
House Number Street / Hamlet
County Tax Map No.01000�c ion .....I0, .�...... Block .t. ®�j. .. Lot .S?�.z .....J..
Subdivision .. V ...F...I'....� �.1/ ....... Filed Map No. m7..z.Y�..0...... Lot .....&......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancyj ................................ ............................................
b. Intended use and occupancy, ....Ca `�L ...... �V .. �LdC ZAG••.. .................