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HomeMy WebLinkAbout23997-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25033 Date MAY 6, 1997 THIS CERTIFIES that the building ADDITION Location of Property 680 CEDARFIELDS DR. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 5 Lot 1.22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 1997 pursuant to which Building Permit No. 23997-Z dated MARCH 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 ie DECK ADDITION ON THE REAR OF EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to JASON C. & LAURA A. LEONARD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Build 9 Inspec r Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25034 Date MAY 8, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 680 CEDARFIELDS DR. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 5 Lot 1.22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NARCH 13, 1997 pursuant to which Building Permit No. 23997-Z dated MARCH 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 REAR YARD "AS BUILT" AS APPLIED FOR The certificate is issued to JASON C. & LAURA A. LEONARD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Build' Inspect Rev. 1/81 YORK X0. 2 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) N° 23997 Date ..... 1^f%.4. . 4.. ..........., 19.1. Permission is hereby granted4-SOA/ to- ...... o:/� ,/ .........?�..S 1 ....... .... ............ .. ...... ........ ..A.:...... ...............l' �.../.�/.. ....-.. to/ f/1. . :y - . . . . frf fYr`7� 2 .Q?. . ... L..`SG..... ............. ` ......................... .... .... .....a... -.t..... .. .... .. --. ... .......... ............... . .....,/... ... . .... ... Si ......`. . .. ' -.. ........ � at premises located at ............... ...Q. ........ .... �r Wil. rl��......`.:.`.... County Tax Map No. 1000 Section .......... /...`��...... Block ....... ...... Lot No. ........ 1�.Z pursuant to application dated ................./....`.....w:G.. ... .d., 19.C, ?/.7 and approved by the Building Inspector. Fee $....1/...... ........... .. ..... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 sewer age-dispasal(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 Buiildine - $100.00 3. Copy of Certificate of Occupancy - .250. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $ 5.00. Commercial $15.00 Date . . . 5'7 . . . . . . . . . . . . . CL(C !t!Q l dW New Construction. . . . . .. . . .. Old Or Pre-existing Building. . . . . . . . Locationof Property. . . C.. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property..J�A`5?/j . . . . .'�. . .t—. �,Z�.. . . r4'. :. . . . (-Lc 9 .. . . . .. .. . . . . . . . . . . . . County Tax Map No X1100000, Section. .. . .. . . .. .. . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . .. . . . Subdivision. . q < .L��L-..g 4. . . . . . . . . . . .. .Filed Map. . . . . . . . . . . . .LLot. . . . . . . . . . . . . . . . . . . . . . Permit No. 62239/ 7. .Z.DatettOf ermit. . .3.�11 ) D.Applicant. .i l �J•U�nn ���� Health Dept. Approval. . . . . . .!(. . . . . . . . . . . .Underwriters Approval. . . . . .//.. . . . . . . . . . . . . . . . Planning Board Approval. . . P: �.� . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . . . . . . . r.Q Fee Submitted: $. � . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . .. . . . GAi�7T (n 2 An 2, 3 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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,c6mpleted 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential !!$15000, Commercial $15.00 / Date . . r�b �1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Cons tructionz�!q. . Old Or Pre-existing Building. . . . . . . ./. .�. . ..,. . ./. Location of Property. . .6.9A. . ..e FE/C /J5. .. 09 . . . . . . . .. .(;J`c: PQ� . . . . . . . . . . . . . . House No.^^ (( n Street /� n Hamlet Onwer or Owners of Property. �!I Sv^ . . . .Crr. ."?� . . . �. .!.�. . . .f . . . . . L�� . . . . . . County Tax Map No //110�000, Section. .. . . . . . .. . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. .C�0til ffn .. .. . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . Q�7 2 // . . . . . . . . . . . . . . . Permit No.GIs3.�9 .l. . .�-. .Date Of Permit. . .3.1 !51. /g7 .Applicant. �-S 4 . .�'�ML� . . . . Health Dept. Approval. . . .. :51/6. . . . . . . . . . .. . .Underwriters Approval. . . . ...J.IA. . . . . . . . . . . . . . Planning Board Approval/:1.�.sq. . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .1!. . . . . 00 Fee Submitted: $. . . sag G 9 . . . . . . . . . . . Co � ase 3y I' Itl.11 IINWIiGI IOII IIRI'llit'I" 11AIF. CUl MEN 1':; l _ -_- - ----------- _ fa 1,WINIM I'WN (21117) I,VG� —z n nnulal r•Itnnr. a I'I,lI1 N1 I my r — ...nnn,.m....nnw..m_.,n_.._,.m_.. . _.,...,nm .....,nrw....m,.,.m___.,..,._.._n_,._..n..__n_nm_......n_..,._n...........-.,_n . Ll CUilfi -n mm n---- �m nwnm w..mn rt....rt..mn n ..n m --n--- 'Ll i f PIIIAI. - - ----------- -------- ----_n_nrtww_ nnm__nm_m,.n..wmn-„m_w__m_mm_w__,n_...,__mn.._mm-_nn..__nn_n_ �1 - AIM tT I OtIAI. f__n_n_n__.._mm_..m_m___ _ ___n__n_nn__mn_mn__ - t o JT f" 'i n G l'I .y —� i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ j'-FINAL [ ] FIREPLACE A CHIMNEY REMARKS: oe v. R DATE Jam— INSPECTOR BOARD OF BEALTU . . . . . . . . . . . . . . . M NO. 1 3 SETS OF -- TOWN OFRSOUTUOLD SURVEY . . PLANS. . . . . . . . . .. . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . IVAR 1 31997 TOWN BALI. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: ".CG. DEPT OF CALL r.arn: .. ._a :. .x:4.'. . .0.. . . . .. F.xaninenl.P.!....!.... /._, 19q ��jjyMAIL TO: . . . . . . . . . . . . . . . . . . . . Approved—�l�., 197 Permit No f. Disapproveda/c ............................ .. ... .................................. ......................................... .... ....... .... . ................ ........ BUilding Inspector) ICATI(1N FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. This application mist be ernpletely filled in by typewriter or in ink and submitted to the Building Inspector w 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 giving a detailed description of layout of property must 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 througi--tout the work. e. No building shall be occupied or used in whole or in part for arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPL1CAITON IS DEFERY MAIZE to the Building Department for the issuance of a Building Permit pursuant to the Building pone Ordinance of the Tann of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for reurval or demolition, as herein described. Ile applicant agrees to comply with all applicable laws, ordi es, building code, ltousing code, and regulations, and to admit authorized inspectors on premises and in boildr for ne essa in ions. rY • ..��t..... ... �............. rgnkature of appl nt, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build: vs ( ....................................................rs]_ 1 .. a ............................................ Name of: owner of premises .:+�!:u.5� �.:. /1"!`.'.'r! `--!"✓�} �' . �—l=V � ...... .... ...... ............... .................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nave 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 proposed work will be done.............................................................. 6 �...........C�cA�<r tp5....�i .............. �� - >17-...................------ House Nu ler Street ,�/ Hamlet County Tax Map Na. 11000 Section .e... �........ Block ....?........... Int ... .-. Subdivision .�(�If/ l'�C-.�:..�J............... Filed Map No. ............... int ...F� ..... (Nam) 2. State existing use and occupancy of premises and intended use am] occupancy of proposedconstruction: a. Existing use and occupancy ,. ^}�L4- ....FA-!'!t«-y �i✓-f l" ;C-;Ln/� ..... ..... .......................... b. Intended use and occupancy ... t-� ...-'� sf-�G-`� rT.�$� eul1 C._7 ........ ..................... ...... '1, N_Ilule of work (dwa wtlidl appl icah le): N_u Ikai ldinig ... . ...... Adkli Lion ....,'..... �AtLerat ion .. _.,.. Mpwir ............ I(m oval ....... ..... . DwriliLion ............ Other Un k .,�.(�yr....y....0. . .... (Description) It. Est iucatetl Cost .. fQl.I..........,, fee .............................................. (to Le paid on IiIing this application) 5. if Arching, nnber of dwelling uni Ls ............ ti:uber of tk�-lling units cn each flour ... ...... ... .... Ifgarage, rxniier of cars ................................ ...... 6. if Ixasiness, cxunrercial or mil occupancy, specify nature alai extent of eadn type of use.................... .. 7. Dinensio ns of existing structures, if any: hronl................ [tear ............... depth .... ...... ....... Ik:ighL ......................... Mniier of Stories ...................... Dimensions of sane structure Willi alterations or alkliLions: front ............... hear ............... IkepLli ............... ..... Ileight ......... .......... Nnier of Stories � ( ((yy / S. Dinensions of entire new co nstrex_fimn: Fuad ..... .......... hear ....9.. ........ Depth ,_.t4........ Ileigilt .........40.............. M.dier of Stories . .......�........... / ?S / 1 9. Size of lot: Front ....... ......_.. (tear .....�:'f....... .. Depth ... Ei.'S ....,. 10. Date of Huchase ..................... Mine of Fortier Owner .. ......... ... ............. ............. II. Zone or use district in %Audi pranises are situateol ........ .................................................... 12. Ikes proposed constnatioon violate any zoning law, ordinance or regulation: ................... ... .. 13. Will lot be regratled .................... Will ewcess fill lie telimed frau pranises: YES M] M. Nines of Owner of proinises ........................... 7vklress . .....................,,...... Foxe bio. ........ Nage of Ardnitect .................................... Acklress ... ...... ..................... plane No. ........ Mille of Contractor ................................... luklress ...............................Ilxone Mn. ...... .. 15. Is this property within 300 feet of a tidal wetlalxl? * YES ...... .... Ml ....... ... *IF YES, samuD mm 1RUSIEiS ItiIAICI' MAY w gL.(XImm. PLOT DIAGRAM Irx:aLe clearly aml distinctly all Ixnildings, whether existing or proposed, aml inxlicaLe all set-lurk dilnensicAs frnn properly lines. Give street: and block nnier or descriptico acconling to deed, and altar street nares anti irxlical u1ledier interior or corner lot, �sl SCJ PRo40JSt_0 4e_.__ 1 ,ZSI ------ I j DLA ,S'I'A'IE (A� N41 YMK, SS (XAINIY (N' ,..... ......rt.r'7W .... .... . ... ..... ...... ....lx:ing duly sw)rn, delxjses anal says Chat Ile is the applicant. (Nine of imlividual signing conLracl) :have 1n111xA, I k in I I1C .....U'-rw x" L=��...................... ..................... ...................................... (Ciatraclor, agent, corporate officer, etc.) of said rxner or oenngr::, nlxl is duly aulhol izsl to Ixn{ono or Ilaw Ixv lolurd i1w said exalt will to nialm aixl file thio: application; that all slateueots containtal in this application are Lae to the Lest of his kolmledge and lelief; alxl ILaL the weak will lie terfonneel in the armor seL forth in the application filed therewith. D.Amo to ix:fore lie this - -- �` 7 ✓..........day of .... ...2r I19..�`.�. Mit ary 11161 is ,y�r.�e..�!•.....V?/�!: [ice. / ... .. li!"11FCc'D.F{ORNf ($iga nature of AppTic 7,; NawYork f'.o!u!ty . 2L, 19-47 SUR VE Y OF LOT 22 SUBDIVISION OF CEDA RFIEL DS FILED JUNE 27, 1990 FILE NO. 8988 A T GREENPOR T TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 40 - 05 - P/O 01 Scale 1" = 30' July )1, 1990 Sept. 28, 1990(found. loc.) March 1, log 10m) June 12, 1991(revise) MAIN w�tE� pRI - �--- - VE 75.50 LOS '� E R F I E 00 5g� ,5 d `�\ G )Zg•17 ti Ir; R.4O 00, N Ston icy �W A I FRA OUSE C► 0 35'4 C�1 tn Z ►i' 3c' --� Qpeoo D Z3 LOT SGEN�G H. S. REF. NO. 90 - SO -85 LOT BUFFER N LOT 21 . 0 C AREA = 20,007sq.ft. o � ,, vV CERTIFIED TO: 15, od z 5 58 FIRST AMERICAN TITLE INSURANCE C COMPANY OF NEW YORK 75.50 TITLE NO. 605 - S - 8818 NPORT HARTFORD FUNDING Ltd. EE JASON C. LEONARD LAURA A. LEONARD VILLAGE � ,of NEW J� N lO I F y � t 4 of Prepared in accordance with the minimum standards for title survey& as established PEC by the L./A.L.S. and approved and adopted (516) T /or such use by The Kew York State Land P O. eO Title Association. P. ROAD SOUTHOLD, N.Y. 11071 per+ 1 �5 gg�Fid?��!'��z-4m '4Cr Hbc1S "7 �u�S� + ihr+eia. ; 1 S i ± 111 fi �xd c4A I x I _rAll R UNDERWRITERS CERTIFICATE REQUIRED I i f fi j r�.. ...-- - -�f ted �.t�i • _. I ��,� t����..- �e?j�� l5a rO P;,r 30 j) 44VI� I'Lrj< NT A74 4 PM FOP THE T jr)NS: FFAMING & PLUNIC"14r, MSTRFOR C.O.UCTION kVJST S�iAOC s-r#tvcro&c,,.s -()VIP;FTE -1 CONSTRUCTION SHALL MEET LI FFOUIREMENTS OF THE N,Y, Qi�Tr CONS RUMON & ENEnv T NOT RESPONSIBLE FOP V'Yil"N OR CONSTRUCTION ERRORS -Rix