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HomeMy WebLinkAbout19568-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24816 Date DECEMBER 24, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 1895 LEETON DR. 80UTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 58 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 1990 pursuant to which Building Permit No. 19568-Z dated DECEMBER 7, 1990 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ARTHUR FU88 JR. & GLORIA FU88 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-403246 - NOVEMBER 15, 1996 PLUMBERS CERTIFICATION DATED DEC. 13, 1996-MARK MYSLIBORSKI Building inspecto Rev. 1/81 soaas uo. s TOWN OF SOUTHOLD ®UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILD{NG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF T1iE WORK AUTHORIZED) N°- 19568 Z Date .....ld~J i9..c~.o Permission is hereby gran d to: ~s~'6 ~ to .....,G~~...~~:~?F:t~:. ..~~.....~:t.1.... "f of premises located at ..,l..~........ ~~~r./$..'.2.~~' County Tox Map No. 1000 Section Block Lot No.......~'~..... pursuant to application doted ......ylyl~~~ i9..~..~.., and opproved by the Building Inspector. Fee $.5..?.ll... L~~^~~~~~s."" " " Bui ng 1 or Rev. 6/30/80 i Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be £illed 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Comp;li~nce from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed,aite plan requirements. B. For existing buildings (prior to Apzil 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 Building - $100.00 3. Copy of Certificate o£ Occupancy - $5.00 over 5 years - $10.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..12/24/96 New Construction........... Old Or Pre-existing Building .i Location of Property...,1895 Leeton Drive, Southold House No. Street Hamlet Gloria M. Puss Onwer or Owners of Property County Tax Map No 1000, Section...`~.$.,... ...Block.... Lot„ 10 „ Subdivision ....................................Filed Map...........,Lot...................... Permit No.,,19~~$Z.,..,..Date Of Permit. .12/7/90 „ ,,,,Applicant.......... Health Dept. Approval.. .....................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Cezticate... x Fee Submitted: $.25,OQ Lfl APPLICANT FFO( h~o~Og~1 q'~OG~ ~ ~ Town Hafl, 53095 Main fload y Z Fax (516) 765-1623 P. O. Box 1179 ~ ~ Telephone (516) 7s5-1 Bog Southold, New York 11971 ,y ~ .a>o~ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHbLD C E R T I F I CAT I O N DATE • ~ L / ~-t-~ Building Permit No. 195682 Owner: Gloria M. Fuss . (please print) Plumber: Mark Mysliborski (please print) I certify that the solder used in the water supply system contains leas than 2/10 of 1~ lead. (P1 rs n Sworn to before me this ' day of <o~.~~~ 19~ r ~ , Notary Public, J~U7~1 ~~c. County a - A.JACOBS ,l teary Puf~c, St~o afN9wYark No. a>~oo Qual(it:11 N 6uF~lk CtSdnty Qammlrsdon ~4es Mares S1, f0~.7 DEBORAH Dom ATTORNEY AT LAW 670 WEST CREEK AVENUE P.O. Box 1181 CvrcaocuE, NY 11935-0876 Fnx 516-734-7702 516-734-6648 November 26, 1996 BY HAND Southold Town Building Department Main Road Southold, NY 11971 RE: Gloria M. Fuss 1895 L,eeton Drive, Southold, NY (SCTM # 1000-58-2-10) Dear John: As we discussed on the telephone this morning, enclosed please find an application for a building permit for the "as built"' old portion of the deck at the above-referenced premises and my check #2173 in the amount of $75.00 for the application fee for the addition. In connection with BP #195682, enclosed are the Underwriter's Certificate dated November 15, 1996 and the Plumber's Certificate dated September 14, 1996. These documents complete the requirements for the Certificate of Occupancy. Very truly yours, _.i.-- ~ _ Deborah Doty Encls. DD:bdr THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY B5 JOMN STREET, NEW YORK, NY 10098 pate NOVEMBER 15,1995 ApplMotionNo.onfile 1 285 7096 /96 N 403246 THIS CERTIFIES THAT only the e4etrical putpmsnt M deecri6sd below and introduced 6Y the applicant named on the afwse epplicatton numfurr in the pralnLei of ARTf{[JR FUSS, LEETON D RIVE, SOUTHOLD, N. Y. to eheJolbwtnR kleation; ? Basement © Ixt Fl. ? End Fl. .Sw~tion Block Lot sees examined on NRV~'1B~ OB ,1996 and found to be in complkence wUh the Nadonal FJectrical Code. BXTURR RXTURlS RANOlS COORItgtXKJCF- OVENS dSN WAf11Nf RXMAUST FANS OU~IliS A~ NJGNDltClM nVOKltClM fYTNER AMT. K. W. AMT. K. W. AMT. K.W. IJAT. K. W. AMT. N. r. 4 3 4 4 DRYERS RIENAGE MOTORE F1ITURE AFFOANCR tN0lRf fMpAl REC'?f TIRtE ttOCKS . RNL UNIT MEA19S MIIlT40YTlRi DIMMERS MIT. K. W, pl N. r. OAS N. r. AMT. N0. A. W. G. IJAT. AMr. AMT. AMtS. TRANS. AMT. N, r. ~ t)! MT AMT. WAtTB SERVK= OIECONNECT NO.p S E R V I C E AMr. Mv. TTR! ~ I i ew t / ew x i ev/ s,t sM NO. as c icoNO. ct ' No. a N4uo Oi~M.1lG rq. a NEUTtus ~ ~reiJ~tAl OTNq AMMRAfUk PADDLE FAN-1 KITCHEN RENOVATION-1 MOTORS:1-F H.P. G. F.C.I:-2 JIM SAGE ELEC. INC. LIC. #3635E IaGsc,,,,..,_. 1... ~rn..>t, 350 MARINE PLACE GREENPORT, NY, 11944 OIMRA/ MANAOY 11 Pr This artificaN must not be aMand in any manner; rafurn fo 111a office of f11a Eoord if incorracl. ImPacMrs may bs identified by (hair cradamials. COPY FOR BUI LDIN6 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. - THE NEW YORK BOARD OF FIRE UNDERWRITERS v"'" ' r10~:1 "r u BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 _ ~YCTON'FJR 1$,19°~ b4n~ ~ lk~fJh9 •.iiN7;S Date Application No. on file = THIS CERTIFIES THAT = only the electrlcol equipment os described 6elors and introduced 6y the applicant Homed on the obooe application number to the premises of ,.t?J'{!'.; Lr.F;'t'f11Q Ilft., cr)tr'ril~il.ii, k.~`. ~ D ¢.I'1' in thefollouinq loca6t~t},t.l ~ g e 4 ? !st FI. ? Ynd FI. Section Block Lut 1 T, tl, hN 4~~~~: woe examiner! on andfound to be in contplionee with the reyuiremen[s of thla Boord. ~ NXTUR! ECNTACLlS SYWTCNES RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS = OUTLETS INCANDESCENT Flud1ESCENT OTHER NAT. K.W. AMT. K. W. AMi. K.W. AMT. K.W. AMT. N.P. 2 2 = DRYERS FURNACE MOTORS g1TURE AMl1ANC! RlMRS 5/ICIAI RK'FT TIME CLOCKS KLL UNIT HEATERS MULTI.OUTIET DIMMERS SYSTEMS - AMT. K. w. al N. P. GAS N. P. AMi. NO. A. w. G. AMT. AMP. AMi. AMTS. 7RAN5. AMi. H. P. NO.OF RET AMf. WATLS SlRVIQ DISCONNECT NO.OF 5 E R V 1 C E AMi. AMP. TYPE EGIKF. 1 / tW 1 P Sw 3 / tW 7 / AW GYER DCOND. OF CC. COND. ~ NI"LEG ~ ~ M~'IEG NO. GF NEUTRALS ~ ' EViNAt f. G R AMARATUS: T ;G.p.v~~;'F MAST)_ ONLY~-~~ 7~~5~ .S,PiLViGP pr~t7 ht'r:dR'S F1 i / i..Atri ~6'!,..;Yv „~.(:.~34N4 ~ r.f?. }acx ~..2ti8 _ /OYIEtAI MANAWR z Per ~ +,^i This certificaro must not be altered in any manner; return to the office of fhe Board if incorrect. Inspectors may be identified by their credsntia . ~ _ ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST_NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ]FIREPLACE 8 CHIMNEY RE RKS: ~ r ~ ~ _ ~ DATE INSPECTOR ~'7 \ ~ MARK MYSLIBORSKI DJBJA COMPLETE PLUMBING & HEATING 1210 NORTH ROAD GREENPORT, N.Y. 11944 516-477-1348 SEPTEMBER 14, 1996 LIC. ~ 3079-P GLOREA FUSS LEETON DRTVE SOUTHOLD, N.Y. 11971 RE: PLUMBING NEW BATHROOM & KITCHEN THIS IS TO CONFIRM THAT THE SODIER USED IN THE NEW BATHROOM AND KITCHEN AT THIS HOME ON LEETOI4 DR, WAS 95/5 ON ALL NEW PIPING, ' ~ ~ i TH ORSKI CC: C/P/H.... 1 f~' 5t NG~ Ya~~- Cov N D 5~r=~tlc '~Z~ t~(3-~2 13 , ~ ~CSwU`(ZN ~ 13~ 2t rn{ v ~v --M ~ s ~ _ aacoes ~y amofNe+gYa~C P No,470E9o0 tluaaSfS.^.~IM ~~Mattafi31~,9a~ conmss~on ~ 7 ~ MARK MYSLIBORSKI D/B/A COMPLETE PLUMBING & HEATING 1210 NORTH ROAD GREENPORT, N.Y. 11944 516-477-1348 SEPTEMBER 14, 1996 LIC. # 3079-P GLOREA FUSS LEETON DRIVE SOUTHOLD, N.Y. 11971 RE: PLUMBING NEW BATHROOM & KITCHEN THIS IS TO CONFIRM THAT THE SODIER USED IN THE NEW BATHROOM AND KITCHEN AT THIS HOME ON LEETON DR. WAS 95/5 ON ALL NEW PIPING. TH ORSKI CC: C/P/H.... , ~ ~ L' ~.u~ti.~r.A? ~ ~r~ 1~ q`w f ~ ~ ~ a~ ~p~, ~ j _ ~ ~ d ?A7 C~~~ ~ G~'°~~ ~J-~~ N' -~PFIf~~~~~ ~ T ~ ~~~r~~~C~~~ R i ~~c~~~ io~~ ®f' 1 9 ~ 4X, s~+t re X rs ~7.~ y = I ~.n aD...+ 4+~~Dos.~ ALL _ New `3nn+ F,,.~~~,~s Tit . ~.u ~C~rv+e~ C'nry„x~ s `a,,:~_ 7E&7N1tQ8fABt~p~RINQ ~x,rnJS ~,s„sa:+~as r FeaM,au~ - Lf[,~rrus pwn,~s~a~ wi~+ ~zycn.p?~oA oP r)Q~.+ vhL~p' " Z_Y~sr;ag E,cca-~~ u~tr•e tat,rtra'tr,~, `1nr„7,,~f7a.~ ",a (t c,.~„f.TMJarhl ~ ua,..~ C.c1n~-F.ti'A«P . 1'iL0 I:::;:~ .iJ:i {~J Ih i;?ti•l L7f I~ . _ I H~ OUttDA.~10N (tst~ c OUNDATI07J (2nd) - ~ • I o OUCH FRki~lE & r„~ PLUMBING 1, m n H =17SULATIO?! PER N, Y. STATE ENERGY CODE x • } ~v ~ J m 1, R c _ FIilAL ' I o ADDZTIOPIAL COMMENTS: H V . I A H • H \ O x M y • _ ~ - v i*''~ . m , ^v H ' ~ ~ a t 7 ~ . ~G 7'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDA 1ST ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION [ FRAMING ~ [ ]FINAL REMARKS: 9~',~?~_ ~3~--/i-~'""' r i f f - 4 I f U~ DATE ~ INSPECTOR \~")S L~L h..~r~. ~A,.. ~ ~'aasf~la.7 !~"'1 lA•~-'~ / G~ypS`~"~~..~`v~`~~ tm IiI Gs2~~_. ~ i f~.___._. ~a~~ - - - ~ ~ - ~.~1/'~9UL. - ~ ~ _ C ( _ _ ~ __..r__~~~o~ _ ~J'y~~ G~yC%4 / PLII/~/sE~R CERT/~dCATJ® fir-- C3f41 LEAD CO~~ENT $E'FC! E ~°ER~iFIGATE 0~ ®E~iJPAIV Y .50LDEl~ !,ISED 1~1 WATE ~CCEED 2110 ~ L~ T ~ ~ ~ ~y jT...kl _ _ . . bNDERyVI,,ITERS [s" a s*"'@ RE CERT/FICgTE 4X"~~s n.~ ~ ~ = AL4 PLUMBINfi Y~ ~TY~d fz~ ~ `~.<~.sn ~a & YIG?TER UNE3 r.~~~ i3wrt+ ~"ri~ v~~s ?EST1N0 BEFORE COVERINQ '~.)["~T~pt (~iLUMA~a~ w~rw acv ca_Pi ~vA aF'^ f%7~., vFL~Q' . CLY"Kt~~4 ~C~.iacr"Z~a.. ~"ril Chvr~n'rp `1.a~n, .,Arie.~ 'io fti c. e.c„N.nOAdi~ uc.." c._1a,,..rfi,._~7,.P B0,1RD OF HEALT}t• 3 SETS OF•PLANS l}~l FofinnNO.t SURVEY gry ~p~ TOV~tN OF SOUTNOLD Cl1ECl: ?.~.9GS . . ~ 9 BUILDING DEPARTMENT SEPTIC FORM ~i TOWN HALL BLDG. DEPT. SOUTHpt.C1. N.,Y.11471 t.£>T I FY E Mp,TOWfVOFS0U7HOLD 7EL.• 7G5•1II02 CALL Examined .~a~ . l9~ MAIL TO : ~~~•9 ~-f/&~t- Approved . , ~ !/V° 19f~.. Permit No. l.~~60 ~ ~"1-.~~ f . Disapproved a/c ' ( d~ pector) APPLICATION FOR 6UILDING PERl41IT Date ~?1v .3'..... _ I5~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wilt sets of plans,ar,.eurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oC lot and of buildings on premises, relationship to adjoining premises or public stye: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apF 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 perry shall be kept on the premises available for inspection throu~ltout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant shall have bten granted by the Building inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Rcculations, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein describes The applicant acrees to comply with all applicable laws, ordinances, building Bode, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspect s. •(Signatnre of applicant, or`/name, if a corporatton)~ • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...............`~~s. ~~:r . NameoCownerofpremises ..,~~cuA mat;,~Ss, . (as on the tax roll or latest deed] IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ ? ~:~?~':v . ' n Plumber's License No . Electrician's License No . ' Otltcr Trade's Liecnsc No . . I, Location of land on which proposed tivork will be done; house Number Street. Hamlet ~ ~ CountyTas\fapNo.l000Section Block Lot....®.. Subdivision filled Alap No.. Lot , yState csisting USC and OCCUpan Cy Of premssC$ and In tended U~SC and OCCtlpaney of pfOPOSed CORStrtfC tlOn: A. Existing use and occupancy . \ • ~M~~ ~ ~ • • . • • • • , +fini~' B. Intended use and occupancy. ~1: • • • . a`l ~ vn-;t ~ . • • • . . ! rr _ , • ~ r ~ 4 ~ i n,~ 3. Nature oC work (check which applicable): New iluilding Addition ~ ~ ~ ~ .Uteration . , ,Swi• m Repair , RFmova! Demolition • . Tennis Court........ Accessory Iluilding..........Fence 0 r Work:......... 4. Estimated Cost s~... Fee • • • • • " . s • • • • oplica[ionj • 4to be paid on thin this'a 5. IC dwelling, number oC dwciting units . ~ , . Number oC dwclting units on each Aoor . If garace• number of cars , . . 6. iC business, commercial or mixed!,ioccupancy,speeify nature and extent of each type of use • • • • • • . 7. Dimensions of existing structures, if any: Front ..~7.t: Rear ~v, , • . , , , , , , , Depth , , , Height Numt?cr of Stories .Y.... . Dimensions of same structure with alterations or additions: Franc , • • • • • • • • Rcar . . Depth ......JQ,•vC~ ; Height Number oC Stories . 8• Dimensions of entire nety constn}ction: Front • Rear Depth , Hei;ltf Number of Stories , , . 9. Sizcoflet: Front P.car Depth 10. Date of Purchasa .Name aE ['armor Owner , . 11. Zone or use district in which pre}ttises arc situated . • • • • 12. Does proposed construction viol~tc any zoning law, ordinance or regulation : . 13. 1Vi11 lot be regraded , . LVill excess fill be removed from prcrrriscs: Yc: !h. Name of Owner of premises • ..Address .Phone No. • • • • • • Name of Architect • , ........Address ...................Phone No... . Name of Contractor ....Address _ ..........Phone No. • • , . LS.Ls this gtoperty 'located orithin .3p0 feeC of•a tidal cretland? =Y1:5••.-tt t). *If yes, Southold Tawn' Trustees Permit may be required. PLOT D1AGTtAir4 Locate cleazly and distinctly all~ibuildings, whether existing or proposed, and. indicate all set-hack dime..^.;ior..: property lines. Give street and block bomber or description according to deed, and show street names and indicate w'::-::. interior or corner lot. II • ~~P ov ~ as wor~® ~ faA7"E; ~ ~ P°EE: • Novrt=Y L?v: 7Ei5.-7ti02 9 AM TO EFp E • EUi LOWINL; dNSflECT ONS FOR THE , i. FOL1NbAT1C)t~i - 'f4M1/t,9EL2UlRE'D FC314' ~'OUFiEL) C%ONCREpE 2• Rl7EJCi7i - FF;AMiNG .'S; f~f_UMIifNG fNStit.ATff)N d. FIN.~t• - CONS7'RUC'rrON MU3~' 'I ALL CONruTRUGTlGN C.O. . THE REQUIREMENTS SHALL MEET' STATE CONSTHUCTIONOF THE N.Y. CpOES. NOT RESPQ & ENERGY ®ESfGN OR CONSTRUCTION ERRpRS i i STATE OF tiles-YO COU~lTY `~l~.i 5.S ~~~'a:~. TY~.S 6ein; duly sworn, deposes and says that he is the appti,a: (Name oCindividual sig'ningcantract) above named. Hcisttte (Contr •t ,age t, orporate officer, etc.) of said owner or owners, and is duly authorized o p , or have performed the said work and to make and file t!: application: that all statements contained in this application arc true to the best of his knowledge and belief; and that I!- work will be perfornted in the manrjcr set forth in the application filed therewith. Swom to before me this Notary Public, .....C~~.-~•-t=.-r-~•-~-C • . • • ounty ~ NataY~ g~~ . ofNAW~ (Si;na[ure oCapplic No.4f3~gggg . C atHMd In BtHalk AIM ~FSt?,rq,,~„w~ , ,