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Home My WebLink About21405-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24112 Date JANUARY 10, 1996 THIS CERTIFIES that the building Location of Propert~ 1040 LESLIE ROAD House No. County Tax Map No. 1000 Section 97 Subdivision ACCESSORY Block 9 Filed Map No. CUTCHOGUE, N. Y. Street Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 1993 pursuant to which Building Psrmit No. 21405-E dated MAY 12, 1993 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 INGROUND SWIPING POOL WITH FENCE ENCLOSURE AH APPLIED FOR. The certificate is issued to JOHN O. ~OODWIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-281051 - JUNE 25, PLUMBERS CERTIFICATION DATED N/A 1993 N/A Rev. 1/81 · // ~ilding Inspector 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) No.No, 21iO~iZ Dote at premises located at ..... ~..~...~....0....~...~_~ Permission is hereby granted to:/, ~ ~, I .......... ....... County Tax Map No. 1000 Section ........ ,~..,,,~. ........ Block ....~ ............. Lot No,~ .................. purSuant to application doted ............................................ , I , and approved by the Building inspector. Rev. 6/30/80 ~~]i~=~' Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. '~. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......................................... New Construction.. k/ Old Or Pre- existing Building. ............... House No. Street . Hamlet O 0 of Property .~ · · · County Tax Hap No 1000, Sectdon ........... Block .............. Lot .... Subdivision Filed Map Lot ...... .. Permit No..~.. [ .~..0.~...~....Date Of Permit...~.!1..Z. [ .~.~. .... Applicant. ~.'~'?..~. Realth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporar3. Certificate ........... Final Certicate ........... Fee Submitted: $ .... ~,~*.~ .................... ...... ......... ~0~)} ~ ~ M>PLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN STREET, NEW YORK, NEW YORK o~y the ~lectrical equipment ~ ~scribed b~low and int~duced by the appllcont ~med on the above application number in the premises of in thefollowlng location; ~ Basement ~ Ist FI. ~ 2nd f'L 0~ Section Bilk a~sexaminedon ,~H~] ?_,1.993 andfoundtobe ~ co. plancewlththerequlrementsqfthisBoard. Lot DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E R V t C NO.O~E~%.COND/ A.W.O. NO OF HI-LEG A W G. ~40, O$ NEUTEAtS A.W G. tlg.;,%'Thhg, NY~ t. 1782 OENERAL MANAGER P~r 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 FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS l [ ~ ~ ~ 0 ~ ~J ~3UREAU OF ELECTRICITY ~--, ~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 ~D~te' J~}~ 2~9~3 ~pplicationNo. onfile 81,[63~93/9~ ~ 2.8i~5~ T~I~ ~TIVI~ THaT only the e~ctrlcal ~u~pment ~ ~scdbed below and introduc~ by the applicant ~med on the a~ve application no tuber in the p~mises of in ~ foltowlng location~ ~ Basement ~ Ist FI. ~ 2t~d ~. 0~? Section Bilk Lot ~sexaminedon ~'~ ~[~[~[]3 andfoundtobeincootplianceu'iththerequlre.~entsqfthisBoard. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS NCANDESCENT FLUORESCENT SYSTEMS NO. OF FEET E R V I C OF CC, COND A W G. NO OF HI-LEG A W, G NO OF NEUTRALS A, W 0. PER ~' OF HI-LEO OF NEUTRAL OTHER APPARATUS: TI[{~] CLOCK,~M41). 40~' l ~($~I~ING POOl,) ?hJ~ oert.,ifioat, e cover~ compliaace at t, he dat,~ of inspection oaiy. Beca,~e of ummual e~vironl~etlt:3 il;. is a,:lvb~able to have frequen~ teat, Iaaa or repairs <<< Cont, iR~ed o~ GENERAL MANAGER 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 FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 4, 1996 Mr. John Goodwin P.O. Box 750 1040 Leslie Road 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 xx not on file. (Enclosed) No Underwriters Certificate on file. 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 # 21405-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 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 December 13, 1995 Mr. John Goodwin P.O. Box 750 1040 Leslie Road Cutchogue, NY 11935 Re: Building Permit #21405-Z Premises: 1040 Leslie Road, Cutchogue Suff. Co. Tax Map #1000-97-9-2 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, $OUTHOLD TOWN BUILDING DEPT. ~DUIlDA~ON ( 1 ~t) ~UGH FRAME & -PLUMBING .~;SULATIO~; PER N. STATE ENERGY CODE Fi;IAL ;%DDITIO}I~'L COMMENTS: /'~ ~ 76S-~.802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]/~SULATION [./J FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~,ATION FRAMING [,~J FINAL REMARKS: DATE INSPECTOR '% .% OR UNDERWRITERS CERTIFICATE REQUIRED NOTE= I= MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ,ON dUNE 2 1~TZ AS FiLE NO. 5723. .£WS,ONS YOUNG & YOUNG [ , 400 0STRANDEi~,AVENUEr RIVERHI~AD UNI~7~YORK~, ',,,~ ' ALDEN W. YOUNG ' " ' . ~ HOWARD W. ~OUNG SURVEY FOR: CLAUSEN CONSTRUCT~ SUFFOLK CO., N.Y. ~ I~~~ SCALE: I~ = 50' 24, 1972 ' 25 '. ' AY- 51993 Examined ....... , 19 Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 tdOARD OF HEALTH ............ SETS OF PLANS ............ SEPTIC FORH ................ NOTIFY CALL ..................... MAIL TO: ~__ ' ~o ' -~~ '- ~6, o~ ~'-~, (B'QildingSkfspector) APPLICATION FOR IBUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 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 th.is appli- cati?n. c. The work covered by th. is 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant 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, a,d, ditions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cade, and regulations, and to admit authorized inspectors on prenrises an? in building for necessary.~sp~ions. //O '~ f) ' ...... , . ~,. /~(Sl~ature ?/' a, pplican,, or name, ifa corporatl(Jn')' ' ' (Mailing address of applicant) ~I .... . State whether appliqant is~)lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises (as on the tax roll or latest deed) If applicant is a corpora!io~}, sJgnatpre of duly authorized officer. (Name an.d, title of' corporate?fficer) Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No. f~.~..'Zd',/'. 1. Location of land on which proposed work will be done ............ ' ................... .... ................. House Number Street County Tax Map No. 1000 Section ..... ~'../. · ....... Block ..... ./ ........... Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex st ng use and occt pancy I -~I(B; .~..~.~.tl;)/]~ k ( h 5ppli ) Nature of wot check whic cable: New Building ......... ~-~Additi2a.~ ........ Alteration ......... Rep~r .............. Removal .............. Demolition .............. Other Work ............... (Description) tto be prod on fihng tins apphcat~on) 10. 11. 12. 13. 14. property lines. Give street and block number or interior or comer lot. 4. Estim at e'd Cost..~ .o .o..o..L.°.~ ..... Ifa 5. welling, number of dwellin units ............. Number of dwelling units on each floor ..... If garage, number of cars . ~'[O' ..... ' ......... 6 If business ................ commercial erin xed occupancy specify nature and extent O£each type of use ~ ' j" ' 7 D ..... if any: Front ................ · mlens~ons of emst~ng stn, ctu res ............. Rear Depth Height Nu tn her o f Stories ................................ Dimensi;;~ ............ ' ....................................................... of same structure vith alterations or additions: Front Depth tleight ................. Rear ................ 8 ........................................... Number of Stories ................... · Dimensions of entire :ruction: Front Rear ' new con Height Nu nber of Stories ............................... Depth ............. Size of lot: Front .............. Rear ................. Depth .................... ~ate of Purchase ............ :" .. ': ~a;e of Former Owner ....................... · .......... one or use district in whic cruises are situated ................ ocs proposed construction vlqlate any zoning law, ordinance or regulation: ...~.6 Will lot be re, faded . , ,, ' .............. i(~ N N f O ............................. wiu excess fill be removed from premises: o amc o wner of premises .. i .................. Address ................... Phone No ................ Name of Architect ...... ,.. I .................. Address ................... Phone No ............ N. ame.of..Contractor I.~ :.. Phone No...~.~ -~.~ .,t~., .'' 15.~.s tnJ. s property'-located ~ith:tn 300 feet of a t~ff~ani~'~n~t'~dnd? *¥1~S..~ '." *If yes, Southold Tow[t Trustees Permit may be required. '' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions~from description according to deed, and show street names and/ndicate whether '1 STATE OF NEW YORK, COUNTY OF .............. LS (Name of individual signing contract) abovc nam'ed. APJqiOVED AS NOTED NOTIFY BUILD'IN(T~" ~PART~EJ~T 7ss-mo2 AM m PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCRETE 2~ ROUGH - FRAMING ~ PLUMBING 3. INSULATION 4~ FINAL CONSTRU~ION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR,CONSTRUCTION ERRORS ...... being duly sworn, deposes and says that he is the applicant (Con tractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contai~ed in this application are true to the best of his knowledge and belief; and that the work will be perforn~ed in the manner!set forth in the application filed therewith. Sworn to before me this ........................ day of i ............. , 19. N · °tawhl~u ' ~ · . .... ~.. q.'.'.'.'.'.'.'.'.'~..~4County DONALD F. ABBATE NO~y Publk, State of New No. 47~8859 Qualified in Suffolk County Commission Expires J~ne ~0. ~993 (Si°nature of applicant) 0 0