HomeMy WebLinkAbout23858-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OC~3PANCY
No Z-24871
Date JANUARY 29, 1997
THIS CERTIFIES that the buildin~
Location of Propert~ 1895 LEETON DRIVE
House No.
County Tax Map NO. 1000 Section 58
Subdivision
ADDITIONS
SOUTHOLD, N.Y.
Street Hamlet
Block 2 Lot 10
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 26, 1996 pursuant to which
Building Permit No. 23858-Z dated DECEMBER 11, 1996
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 ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
"AS BUILT"
The certificate is issued to
ARTHUR E. & GLORIA FUSS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
~~~~il i/ng~nsPectOr
FORM NO. S
TOWN OF SOUTHOLD
IUILDII',IG DEPARTi~AEblT
TOWN HALL
$OUTHOLD, N. Yo
BUILDING I'ERJ~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
County Tax Map No. lO00 Section ...... .~,..~..q ........ Block ....~ ............. Lot No. ~...~.. ...............
to application dotal .... .././.~... ...................................... , 19~.~., and opproved by the
pursuant
Building Inspector. / /
Fee $... · .~..S~.., .~,
~ B~rkegec:o r
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
· pre-ex~st~ng 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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~ .25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co.n~ercial $15.00
Date .........................................
New Construction ........... Old Or Pr~-exi~ting~B~ilding .................
Location of Property ........... ...~..~f~....~./~/..~., .......................
House No.~/~f~ /-~'~' ~Street Hamlet
Onwer or Owners of Property .... .~F...-~..._v ................................................
County Tax Map No 1000, Section ..... ~..~....Block...? ......... Lot...~..~. ..............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No.~.;~.~.~.~..~...Date Of Permit...//.~/~./..~..Applicant .............................
Health Dept. Approval .......... .z~ ........... Underwriters Approval..~...-' ...................
Planning Board Approval .................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $. ~a?,.~.r'..F~...'~..., ................ ~
APPBICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
FA][ COVER LETTER
DATE: March 3, 1997
TO: Robin Levinbook
FROM:
Georgia Rudder,
Southold Town Building Dept.
RE:
William Steal - Premises @1895 Leeton Dr. Southold,NY
TOTAL NUMBER OF PAGES INCLUDING THIS ONE - 2
If all are not received, please contact the above at 765-1802.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Re: Premises @ 1895 Leeton Dr., $outhold, N.Y.
Suff. Co. Tax Map %1000-58-2-10
To Whom It May Concern:
Please be advised that building permit %4351 issued for the
above premises expired and was voided.
On December 11, 1996 a new building permit was issued under
Building Permit %23858-Z for deck additions to existing one
family dwelling as applied for "as built". Building permit
#4351Z was incorporated into this permit, and a Certificate of
Occupancy Z-24871 was issued on 1/29/97.
If you have any questions, please do not hesitate to
contact this office.
Sincerely yours,
SOU~HOLD TOWN BUILDING DEPT.
Gary/~/. Fish,
Building Inspector
GJF:gar
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [~]~INAL
[ ] FIREPLACE & CHIMNEY
DATE/:~:~
765-1802
BUILDING DEPT.
/iNSPECTION
[ ] FRAMING [ ]FINAL
[ ] FIREP~AC~ CHIMNEY,
INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
[ ] ROUGH PLBG.
[ ] I~ATION
[ ]~FINAL
] FIREPLACE & CHIMNEY
REMARKS:
DATE~~/~y
INSPE:CT~/~
THE ,NEW YORK BOARD.'OF FIRE UNDERWRITERS
. 1075~7~7 * BUREAU OF ELECTRICITY
~-T, j;' ' ~ ' 85 JOHN'STREET, NEW YORK, NY 10038
Da~e AUGUST 14 ~ ~9t%7 ~pplicatio. No. o. fit~ :[3S8989~/97 N 4~]5 ~
THIS CE~IFIES THAT
o~y ~ el~tric~ ~uipment ~ ~sc~ be~w a~ int~uc~ by t~ applic~t ~med on ~he a~ve application ~u tuber in the prem~es of
in the fotio~in~ location: ~ B~ement ~ I~t FL ~ 2nd FL OU~ S~tion Bl~k Lot
~s exarnined on A~GU~T ~1.1997 and found to be in compliance ~ith the NaHonal ElectdcaI Code.
~XTU~E ' L I I , ~ FIXTURES I RANGES' IC~KINGD~CKSI OVENS IDISHWASHERS EXHAUST FANS
~RVI~ DI~ONNgT ~. OI - S E R , v I C
OTHER APPARATUS:
MOTORS ~ 1 -F H. P ~', 4 "F I'L P.
~]OI~ DETECTOR~ -2
BOX 39 MAIN ROhD
AQUEB£~I~J, NY~ 11931-0039
LIC,~2490*-~~
GENERAL MANAGER
Per 13. ' /
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 FORBUILD[NG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
3. Nature of work (check which applicable): New Building ........ : ......... Addition .....X,~ ........ Alteration ..................
Repair .................. RDmoval ..................DemolitJor .......... ,,/ ..... Other Work (Describe) ........................................
4. Eshmated Cost ............/:. ............................................. Fee ..........................................................................................
(to be paid on filing this application)
5. If dwellli~g, number of dwelling units ....... ~ ................. Number of dwelling units on each floor ............................
If garage, number of cars ............................................................ .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ :.~. ................
.).¢ !
7. Dimeneions of existing structures, if any: Front .........~. .................. Rear .....?~..?..'. ................. :. Depth . ..~.'. ..............
Height ........................ Number of Stories
~ / ./
Dimensions of same structure with alterations or additions: Fr~t ....... ~ ............... : .......... Rear ...:.~.~.~ ..................
Depth ¥ t~, Height ............................ Number of Stories
8. Dimensions of entire new construction: Front .................................. Rear ............................ Depth ........................
Height .................... Number of Stories ......... /. ...........................................................................................................
9. Size of lot: Front ......... ./...6:~. .......... Rear .......... ./.P.')C' ................ Depth ....... ~ ........ ....~ .....
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~lo ................................................
13. Name of Owner of premises ........................................ Address ............................................ Phone No .....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor .................................................... Address ............................................ Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether Interior or corner lot.
STATE OF NEW YORK ...
COUNTY OF ...... ~L'~.~..~.~../~ ...... J ''
.../~..~T.~./.~..~' ...... .~.....//~....~...~..~........~.r .../~ .................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ..... ~ ............................................................................................................................................
(Contractor, 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 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 before me this ,~- · ~ -~
....... .......... ........................... ,
^.TH ....................... ........ : ..................................
Notary Public~..~.~..l~totary.R~bl~,o~ of New York (S g a e o appl,ca~')' ....
~ Ho, 52~;~276305
~k~alified in S~ffolk County
~ernmission Expires March 30,
FOI[H NO. I
'I'O[4N OF SOUTIIOI,I)
IIUJ 1,I)1N(~ I)I[PAI['I'HF, NT
TOI4N
f;OUTJIOLD, tl.Y. JI5171
'l'lrA.: 765-
IH)AlII) t)F IIF, AI,TII ...............
· cHr.'l'.~J ()F [q.^N.'; ...............
~IJI~VF)¥ ................ : .......
CIII~CK .........................
DEPTIC FORH
HOT i I? Y:
C^I.I.
H^ ! I, TO .' ....................
.......... /. .... , .....................................
I) [ !ml~r~r~ed a/c .....................................................................
AI'PI.I CAT I ON FOIl BtJ 1 I,DI N(l PF, IIH I T
DaLe.. Nov. 26 . , 19.9.6.
1 NWl'Ill[CT 1 ()NS
3 ~ml~ of plmm) nccurnEe ploE i)lm) to ncole. I%~ nccor(ling I:o nchedule.' ' ~
I). PIoL plnu ~d~ing I(~nl:i(~ of lot mM or I~dl(ltnlco (~) i.(~.inen, relotlo.~hlp to
~l,~(,(,I.n or .rea~. ~lrgl B~vhq~ o (letnll~l (l~ncril)ti~l oF In~d: ()f I)rol~rl:y .~mt Im drmm (m Ihe (Ii.grin ~H('h in l~ll of
thh~ al~)l icatlc~.
c. 'lhe ~)rk c(~r~l 17~ thin .~llcnti(~ I,~y sx)t l~.co.t~ml Iz~fore {~m~m~e of I~lildhs8 t'eimlt.
d. [JIx~l .l~)r~al o[ tld~ nl~)licotion, [I)e I~Hldln~ Irml~etor ~.~i11 Jonue n I~ildinR pe~m[c to Ihe ~qq)liconl'. ~uch
lXmnit: slmll Ix~ kepi: ~l the l~r~)ii~s nva.il~]l)le rot insl~ctic~s thr(~,~(~t the
(X~(-Ul~.g:y nlmlt huve Ixte~l R~nnt~l by Ihe Ik~il(li~q[ hml~Ctor.
Alqq,l(~'l'l(~ H; I,~I~[IfY tEll.to tl~ I~,[1(1[[~8 I~lmrtlm~l: for the i~mmnce of
~k, ncril~d. 'lhe .ppllc.nl: .Rree. Io cc~ly ~ilh all..~lic~fl~l~ I~n, o~di~mce.,
reg. lnti~m~ taxi t.~ ~iuil: m~tl~ri~l ~n~l~ClOro ~ i.'o.lne, mM Ju I~Hhll.8 rot s~:~nory i.~l~eti~m.
Debor~ noty, as attorney for Gloria ~ss, ~er
· ..~9~n~ ...............................................................................................................
~x,~? of (s~)er ()r i,rc~.ise.~ Glor~.a M. ~uss
(on (~ tim ta~ %x)ll or Iai. ertl: (le~l)
Ir nl~li(:~,,,I in a COrlx)ral:i(~, .iB,~3t'ur~ of duly aul. Is)rir~d officer.
(~,,~? n,~l Lit le or (:orlx)rate o£ri('er)
Ph,lds~r!; I.{ce[);;e No ............ .n/..a ..........
Klecl rici.,m I,Ace..m ~ ........ ,a/a ...........
or.her 'l'r~'~ I,ice~me ~ ....... ~a ........ ~. ~ ~
I. Ig~'al.i~ ~;~ Intel (a% ~fch I.~qxm~l ~rk will Im do~m ..............................................................
1895 ~ton Drive, Sou~old~ ~
Ik~me ~k~,i~r Strut I~J.let
.......................... I ~led t~,p ~ ................ 1~ ...............
(m,,~) ,
one- f~lv residential
...... ' ' " built"
· ~ ,
BP for "as built" deck per ~B~ 4351 .(6/~8/65); Note:~,.-,,p~vr,~,,part of deck~ ,was built per BP 17240,
which has c/O ~Z171~3 issued~ ~ ~..
' · c,,~ FRSM~NG ~ PLUML¢~NG
- I ...H ~, i, ~ ' & FINAL CONSTRUCTION MUST
.... ' Bff COMPLETE FOR C.O.
, AL,i, CONSTRUCTION SHAt&,
CODES NOT RESPONSIBLE FO
...................................... ~ ................... I.d.II duly I~x.n, delXmU. I.~i'sn?u Ihnl:
(lt~,w~ (if il~IlvlihuJl ililtnilJ8 (:onl rilcl )i
I~: ',. ,h. $ She is the agent ~or
......... , ..... y... ...... ~. '~ .... . ...... ,., ..................................... , .................
~,,,,,, i. I~d,,,,~ ..~ lid,, / / ib ' ' L I ' J
,
..... 2~ ......... m ..19.96,,...
ff ~O~E~f"~"~ I, ~CO~f,: j~, (bllln~H m u ol: Appl hmul )
~A~Y PUB~ State of N.~
~. 472~89; S~ffolk Coun~