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Home My WebLink About19791-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22101 Date JANUARY 13~ 1993 THIS CERTIFIES. that the buildin~ ACCESSORY Location of Property 450 HUNTINGTON BLVD. PECONIC,~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 67 Block~ 4~ Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~kPRIL 12, 1991 pursuant to which Building Permit No. i9791-Z dated APRIL 22~ 1991 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 AS APPLIED FOR The certificate is issued to JOAN LEAVITT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-234061 - MAY 1~ 1992 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 '~ng Inspector FOR~ NO. 4 TOWN OF SOUTHOLD BU£LDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22102 Date JANUARY 13, 1993 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 450 HUNTINGTON BLVD. PECONIC~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 67 Block 4 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1991 pursuant to which Building Permit No. 19791-Z dated APRIL 22~ 1991 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 ADDITION & ALTERATIONS TO EXISTING ONE FAMILY DWE~J,ING AS APPLIED FOR. The certificate is issued to of the aforesaid building. JOAN LEAVITT (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-234056 - MAY 1, 1992 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ildi/ng Inspector i~uM NO. ~ TOWN OF SO~THOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 19791 Z Building Inspector. Rev. 6/30/80 765-Z802 {,2 i,' ~ii !' U ~~%. ~ 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 archiuect or engineer responsible for the building. 6. Submi{ 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential~lS.00,] Commercial $15.00 I ........................ ,ocation of Property...i .................................... . House No. Street Hamlet ~nwer or Owners of Property... A..~'~. ~.~ .~ .~-..~ ounty Tax Map No 1000, Section ..... ~.~....Block ...... .~ ........ Lot .... .7 ................ ubdivision ..................... Filed Map ............ Sot .................... ermit No...1 .~ 1 .~.! i i i Z~i~'Of ealth Dept Approval · · ......................... Underwriters Approval ........... ~ ............ ianning Board Approval ........ ~quest for: Temporary Certificate ........... Final~C%~e..~../ ~e Submitted: $ ...... ..~.. "'-- % .................. .......... BUILDING DEPARTMENT TOwN ~ NOV 3 0 1992 765-1802 ,i'' ~.,,,~ ?OWM OF SOU'THOLD ~PLICATION 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 i% 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. -. 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 Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · . ate ...... ew Uonstruction ..... -~. ~ ...... ~ .... ~' ........ llouse No. / j~' ~ ..... ~or or O-eers of Property..~?.. lunty Tax Map No i000, Section ...... .~.2...Block ..... .~. .... bdfvfsi°nyb'i'A ......................... 2...Filed Hap ............ Lot ...... rmit - / ~/~/ '//..~ ~' '~ ' ............... .o ................ Uate of'permit. 7./~m/. y/. ..... Applicant..'~.. ~a~.....4~. X,.r.n... alth Dept Approval ' · ' ........................ Underwriters Approval anning Board Approval ................... ~uest for: Temporary Certificate ........... Final_Cer~ieate. 2 Submitted; $.d~:.~?. .................... , - C0 ~ )0~' ' .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 1-'J. 9~ J-I-2 BUREAU OF ELECTRICITY ~- E5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scdbed below and int~uc~ by t~ applicant ~med on the above appiication number in the premises of in the following location; ~ Basement ~ Ist FI. ~ 2nd FL gI~BD Section Bilk ~s examined on ~{~ ~ [~ 27,t992 andfoundtobelncomplianceu'iththerequirementsofthisBoard. Lot FIXTURE OUTLETS DRYERS IFIXTURES ECEPTACLES SWITCHES FNCANOESCENT FLUORESCENT 0 3 2 MOTORS OTHER RANGES COOKING DECKS OVENS EXHAUST FANS MULTI-OUTLET SYSTEMS NO. OF FEET S E R I C NO. O~E~COND. OF CC COND A. WG OF Hi-LEG A. WG OF NEUTRAL P.O.BOX 1768 ~Og?HOhB, ~¥, 11.97l MJ~.~3635 ~g 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 GOPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~t~ ~ [[9~,~[~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW yORK 10038 Date M~ ~1~1~)92 ~pplicationNo. onfile 7~,/~ ~ ~3~ THIS CERTIFIES THAT o~ly the electrical equipment ~ ~cribed ~e~w and i~tr~uced by t~ applicant ~d o~ the a~ve apptlcation ~umber in the p~emlses of FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER 2 3 DRYERS S R V I C NO. OF CC COND PER ~ A. W, G, NO, OF HI,LEG OF CC. CONO, OF HI-LEG NO, OF NEUTRALS OF NEUTRAL NY, 11971 GENERAL MANAGER Per This certificate must not be c~ltered 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 NOT BE ALTERED IN ANY MANNER. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 MAY 18, 1992 HI]NT DEVELOPNENT CORP P. 0. BOX 158 SOIITItOLD, NY 11971 RE: JOAN LEAVITT To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. (FOR ADDITION) The check is ~,n'o~ file.)$25.00 (FOR ADDITION) 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 PEP~4IT ~ 19791-g Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TO~qq BUILDING DEPT. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOXVN OF SOUTHOLD MAY 18, 1992 ~ DEVELOPMEI~ CORP P. O. BOX 158 SOUTIt0LD, NY 11971 RE: JOAN LF, AVITT To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. (FOR ADBITION) The check is ~not~o~ file.)$25.00 (FOR ADDITION) 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 ~ 19791'-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION ( ls t ) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS· 765-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ INSPECTOR 7G5.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. ]/~INDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR UNDERWRITERS CERTIFICATE REQUIRED ,OCrOU?ANC¥ ORi o~. IS UNLAWFUL WFFHOUT OCCUPANCY ~ NOTIFY BUIL.O~G 765-~802 9 ~ ~4 P~OR THE ~, FOUND~K)NK~- l~ FOR POORED CONCRETE 2, ROUGH - FRAMING & PLUM~ING 4, FINAL CONSTRUCTION MUST ~E ~O~PLETE FOR C.O. ALL CONSTRUCTION SHALL THE REQUIRE~ENT~ OF THE N.~ STATE CONSTRU~ION & ENERGY , CODES, NOT RESPONSIBLE FOR ~ ~h k,'b ~,~ d ci~ [~ I f '~E~ OR CONSTRUCTION ERRORS 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .....Z<. ~ ...... , 1 ^ppru,,ed.. . .... 't,;e it mo.l :2..X,'f.,. Disapproved a/c ...................... , ' . ......... (Buildiffg lnspecJ~Sr) 3 SETS OF PLANS SURVEY .......... CHECK .......... SEPTIC FORM- NOTIEY CALL .-- MAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS , a. This application must be completely filled in by typewriter or in 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 this appli- 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 p~t £or an~ purpose Whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY,,MADE, to the Building DeEar. tment.~for, the issuan~c~e of a Building.Permit pursuant to the Building Zone Ordinance Of the T0wh' of Southolff, SuffolkCoflnty, 'N~w' York, &nd Other applicfible Laws, Drdinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demqlition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, burring}cOde} housing code, and reg~llations, 3txtd to admit authorized inspectors on premises and in build'~m, g foLnecessaryjnspec, tjqns. "X , / J ' ' - ,', ?,. .:~,Signature of applicant, or name, iff a corporation) ~ · ~(Mai~ing address of applicant) Name of owner of premises .......................................................................... on.,t~e tax rt?l[ or latest deed) If ap~ g co~pocti~ig re of dqhauthorized officer. "~ ,' ~n'e and title of corporate officer) , ALL C( RACTOR*S MUST BE SUFFOLK COUNTY LICENSED Build License No .......................... Plumber's License No ...................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on ~w~ich proposed work will be done .................... ~i .......................... ~ ~ ........ ~.~rr,.~.~.x~l.... ~.~o...~.. r~,a .,. e~.., ........... '.. House Number Street Hamlet County Tax Map No. 1000 Section ....... .~, .~, ....... Block ...... .~ .......... Lot ..... ! ............. Subdi¥ision ..................................... Filed ~ap No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and o~cupancy of proposed construction: · · ' ----- a, Existing use and occupancy". ; .... /. ·: ........ .;:'. ~ .~ ,/ ..... ~ .... b. Intended use and occupancy .. 10. I1. 12., Does proposed constritction violate afiy zoning law, ordinance or regulation: .......................... 13. TWill lot be regraded ,. ........... '! .............. Will excess fill be removed from premises: Yes 14 Name of Owner of premises ' Address.... Phone No Name of Architect " Address Phone No Name of Contractor I Address ' Phone' No 15. Is this property located withih 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold To*m TrusteesiPermit maybe required. I PLOT DIAGRAM ', ~ (Description) Estimated Cost ...... ,, · ..................... e ............................... '. ' (to be paid on filing this application) If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ....... [ ................................................................. If business, commercial or mixed o~cupancy, specify nature ant!. extent of each lly, pe., qf use ....... Height .... ! i~. ........ Numberiof Stories ... ] .................................................. ' ~,¥e Rear Dimensions'of same structure with a~lterations or additions: Front ............................ Dimensions of entire new constructi?n: Front ....... ' .... Rear .... ~ .......... Depth . . Height .............. . i5lullnber ~f Stories ................. ~.. ................... ~ ....... Rear ........... Date of Purchase ............... i .............. Name of Former Owner ............................ Zone or use district in which premisei are situated .................................................... No Locate clearly and distinctly all bufldifigs whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block numbe] or description according to deed, and show street names and indicate whether nterior or corner lot. /o,,t I G ~TATE OF NEW YORK, S.S '~OUNTY OF (Name of individual signing contract) ~bove named. ......... being duly sworn, deposes and says that he is the applicant te is the .................................. i ....................................................... ~ (Corltractor, agent corporate officer, etc ) ,~, '.~' >f said owner or owners, arid l~ duly authorized to/perform or have performed the smd worfc and to make and file this: ~pplicat, ion; that all i,t. atements contained in this application are true to the best of his knowledge and belief; and that the york will be perfornte~l in the manner set forth in the~ application filed therewith Sworn to before me this ........... ....... dayof... ....... / , . ;557/ 4otary Public ..... ..... ,Count . / Nola Publlo, State of New YOtli , . · ,~r. ~ ...... ;,:,: ........... : .... .o.~llm~., s..o,k c~..~/ . "~"'""' :-' :/'~ .. , (S~ature of appheant) Tarm Expires June 12, i ~ / ' - "" / YOU~G~" YOU~4G 400 OSTRANDER AVENUE, RIVERHEAD, NEW YOEK SURVEY FOR: VICTOR E. L'EPLK?TENIER "MAP N0.2 OF PECONIC SHORES" AT PECON JC SOUTHOLt 8AVb, g~ ,BA~X , ~ hO;,~E TITLa.,D1VIu~ON Or ChlCA60 TITL~ TOWU o~' SOUTHOI. D ~ J=~