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Home My WebLink About22308-zFORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23279 Date OCTOBER 12, 1994 THIS CERTIFIES that the buildin~ Location of Propert~ 1455 BEEBE DRIVE House No. County Tax Map No. 1000 Section 103 Subdivision ADDITION CUTCHOGUE, N · Y. Street Block 4 Lot Filed Map No. Lot No. Hamlet 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 17, 1994 pursuant to which Building Permit No. 22308-Z dated SEPTEMBER 8, 1994 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. pLUMBERS CERTIFICATION DATED Rev. 1/81 STEPHEN & GENEVIEVE LEBKODY N/A N/A Building I~ector FORM NO,3 ~UlLDIN~ DI~PAi~TMBNt* TOINN HAiL $OUTHOLD, N.Y. 22308 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHC~ZED) z oat, ....... ........................ Permission is hereby granted t,o:/~_ / ......... .z'...~,~~.~..... ~...x'.., ............. .............. C~.~:...~,~...~:,~...~. ....... ~-.,~.., to.,,, .,r~... ~..,,'ftc"....~..Z~. ~.¢..-¢~. ,~..~, .. ........ ~ ........ ~. ~.~. ~ ........ ,~f~.. ,~...~,¥...Z~.,,d.. ~.'-~¢'4~,..,.. ~ ......... ~ .............. ~ ...... ,x. ........... ..~....s.' ....... xfp....,'.,...~.:~... ~: ~.~.., ................................................................................. at premises located at ........... . .Z~. '.,,,:~...',~-~... ........ ...;.~....: ............................................................................... .................................................... ~.~.~.~.~.~ ........ .,.~....y..., .......................... coun~y~oxMap No. ~000 Sea,on ...... Z.d;t.....~... ~oe~.....~. ............... ,at No...~ .............. pursuant to application dated ,.,,,,~-T/.~..¢.~.,~-~..~ ....... ~.~. ........ 19,~ .,~'~... ...... and approved bythe Building Inspector. Rev. 6~30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 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, aqd 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-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 i. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .............................. . ... New Construction ........... Old Or Pre-existing Building ...... ~ .......... Rouse No. - ...... Street ............. ~amlet Pro art ~ ~'~ ~/-'~'~ Onwer or Owners of p y ..... ~ ~/-~. ..... v.~,~.~ ...... ~.. ~$ ~.... Coun , axMa o ,o0o, s c.o .... .... .... .... Subdivision... ~.. D~ ~ . ...... Filed Map ............ Lot ............ Permit No.e~0~&.Date Of Pe~it. /%~:ng~...Applicant Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.. ~ __ Fee Submitted: $.. ~.Ol ...... 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 September 28, 1994 Mr. & Mrs. Stephen Leskody 1455 Beebe Drive Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22308-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS U4'DATIOII ' ' ' ' ('2ndt 'Gl{ F~AI.I~ &.. : '' ULATION PER'~. STATE ENERGY CODE FI;IAL .l ADDITIONA'L COM~ENTS: BLDG. DEPT. TOWN OF SOUTHOLD FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I-tALL SOUTHOLD, N,Y. 11971 II01~RD OF IIEALi"It ........ 3 SETS OF SURVEY CALL I'IA I L TO; Diiapproved a/c ' /3 ................................ //. (Building Inspector) AP~/I~ATION FOR BUILDING PERMIT Date ' 19 INSTRUCTIONS a. This apl;lication must be completely filled in by typewriter erin ink and submitted to the Building Inspector, with: 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 sfi'eet .or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appl/ 'cation. ~ . 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises 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 Occupanc) shall have been granted bY the Building Inspector. APPLICATION IS HEREBY MADE to 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. The applicant agrees to comply with all applicable laws, ordinances, t~uilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary it~gections. /..~ . ~gnarure o~ appdcant, or name, if a. c~rporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. tas on the tax roll or latest, da~) ~)/'_O/qCz~, -~ ,~ ~z.,~ ~__ If applicant is a corporation, signature of duly authorized officer.' ' ......................................... ~' ~:":"" .... 7815-1802 9'AM TO ~., PM FOR'THE · (Name and title of corporate officer) ' Plumber s License No ...... .': ... Electrician's License No. FOLLOWING INSPECTIONS: 1. FOUNDATION - 33NO REQUIRED FOR POUt:}~D CONCRETE R~ COkICLFT~ FOR C.O, ALi ~:~NgTSUCT~(IN 'SHALL MEET Other Trade's License No .............. ........ Location of~and on which proposed ' ~- ~St~ ~O~'~T~N & ENERGY ~ ,~,._ ~ ':~' "~ .... ~a~~~.. .. .......... · ......... l'touse Number Street . Hamlet ..... : .... ~/' ~_ ' County Tax MapNo. 1000Section ;...tO~ ...... Block .....~:.:... Lot~ .... ........... Z. ....... Zl ...... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ : .... ~. ~ . 5'~ V :Pf ' ::c,,'-' ' ~ ' .................. b. Intended use and occupancy '. ...... check wh~ch~ applicabl ......' ......... ..3. Nature of work ( i e j: Hew lmamng ........ Addit on o t ...... . ........ Re?oval .... . .......... Demolition .... ; .... Other Work. ~ (Desdfiption) 4. Estimated Cost ........... [ ..... . t ........ Fee ................... I (to be paid on'~lifig .this~h~blic~t on/ 5. Ifdwelhng, number ofdwelh~g units ............... Number of dwelling units on each floor ...... . lfgarage, numberofcars ...[ ...... ' ......... 6. If business, commercial or mi~ed occupancy specify nat e and,~xtent of.each type of ~e ........~ ./. ..... Heieht . 7 XT.! ...... ....... Rear . .~ .... ~.. · Depth ............... ~mensmns of same st~ctura with alterations or additions. ~r~[ ~'t' '~ ........... A .................... ~?th ' ~&' 4 Height ' Num bet of Stohe~ · ~mensionsofentirenewconstmction: Front ~ ~.~ ............. ~ .... Rear ~ Depth Height ............... Nuh~ber of Stohes ..................... ~ ............................. 10. DateofPurchase ..~ .... w..i.t.~~ ..... . ......... NameofFo~ ' ' ~ . ' '" 11. Zone or uie district a premises are s~tuatea .............................. ~ ..... 12. - .... Does proposed construction viqlate any zoning law, ordinance or regulation. ' .... ~. 13. Willlot be regraded . . '1 ~ ..... ~: "'J ..... t ........ WIllexcess fill be removed from premises: Yes 14. Nme of Owner of premises '~l~/~~dress /~~ Ph 7~g'~ Nme of Architect .. ~ · .... ~ one No. . Nme of Contractor ........ ~ .............. · · · Phone No ............. 15.' Is th~s property w~thin [300 feet of a .... Address ............. . ...... Phone No ............ ' .... . tidal wetland? *Yes ........ No...~ · If yes, 8outhold lTown Trustees Permit may be required. ' .r ~ ' PLOT DIAG~ Locate clearly ~ distinctly ~ bulldogs, Whether existing or proposed, ~d. indicate fll set-back d~ensions frown prope~y Hnes. Give street ~d block~number interior or corner lot. / or description according ~o deed, and show street names and indicate whethe~ ;TATE OF NEW YORK, - :oubrry OF ............ S.lS . , (Name of individual signing contract) .DOVe named. is the ' · , (Contractor agent corporate officer etc) .........' .............. said owner or owners, and is duly ~utl{orized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner s~t Tortb in the application filed therewith. .vorn to before me this N~tal¥ Publioo State of NeW¥o~k ~ ~ .~' ~ No. ~$2245, Suffolk Coumv . Term Expires June12. 1 {~.2.~-':I~ . ' (Signature/of applicant) being duly sworn, deposes and says that he is the applicant