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Home My WebLink About19125-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20748 Date MAY 20~ 1992 THIS CERTIFIES that the buildin~ ADDITION Location of Property 805 LEETON DRIVE House No. Street County Tax Map No. 1000 Section 59 Block 1 'Subdivision Filed Map No. SOUTHOLD~ NY Hamlet Lot 24 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11~ 1990 pursuant to which Building Permit No. 19125-Z dated JUNE t2~ 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 AN ADDITION TO ANEXISTING ONE F~J4ILY DWRr~,TNG AS APPL¥~ FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N 147619 PLUMBERS CERTIFICATION DATED N/A ATHANASIOS MARINOS & WIFE SEPTEMBER 6, 1990 Rev. 1/81 FORM~ NO. ~ TOWN OF SOUTHOLD ~UILDING DEPARTMENT TO~VN HALL $OUTHOLD, N. Y. BUILDING PEP, MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date i 9.~.....O. / Permission is hereby granted to: ...l ............... ~~....~ ......................... ....~.~~...~.:..~.,.....u...~..~. ....... %_ , ,o .~..e._.~.....~.~....~...~.....~.~~ ~ ~,,~,, ~,~,, ,,.~.9.~...~...~..~, ........ ~ ............................ Coun~ Tox Mop No. ~0o0 Section ..... O..~...~ ...... mock ..... .~..~ ......... Lot No....~...~ ............ to application dated ......~....~.....!.! .........................19..~..?.., and approved by the pursuant Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TO~N 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. 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinm~ing 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 Date ..... q. · .~ ~ .............................. New Construction .......... Old Or Pre-existing Building ............ Location of Property.i. '~- %b~, ......................... ~'q ~ ~r~. ...... .~: ................ iiii ......... Douse No. Street Hamlet Onwer or Owners of Property.~ ............. =ounty Tax Map No 1000, Section...~.~ ...... Block .... ~ ........... Lot..~. ............... ~ubdivision ................... · · Filed Map Lot ~ermit No~%l~ ...... Date Of Permit ................ cant ........................... Appli . . tealth Dept. Approval ....................... - · · Underwriters Approval ......................... 'lanning Board Approval .............. [equest for: Temporary Certificate ........... Final Certicate ........... 'ee S~bmitted: $ .~ ~.~.~ ................. ............ THE NEW YORK BOARD OF FIRE UNDERWRITERS l~J ~:~0~'1 BUREAU OF ELECTRICITY 85 JOHN ESTREIET, NEW YORK, NEW YORK ~0038 Date ~pplication No, on fil~ THIS CERTIFIE~ THAT o~Jy ~he eJectrJcaJ ~q~ipme~t ~ ~scribed below and i~trod~ced by t~ applicant ~med o~ the ab~ applicatio~ number i~ the practises of f ~ (* ~,.* ~ Ist ~7. 2nd Fl. Section Bilk Lot FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS EXHAUST FANS DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO, OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUE: A. WG OF CC, COND NO OF HI-LEG E A, w G [NO OF NEUTRALS A. W G OF HI-LEG 0/: NEUTRAL ? RIVMRNEf~.D, N\"~ ] 1901 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 FOE BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FOUt]DATION Ilst) FOUNDATION (2nd) 2. ROUGH FRAME ~/ .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ~/~,NSULATION [ ] FRAMING [ ./] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION [ ] FRAMING [/.~qNAL REMARKS: '~~ ~x' ~~ ~ 765-J.80Z BUILDING DEPT. INSPECTION / [~/FOUNDATION IST ~ ~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~ ] FINAL 'INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] .FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE ~ , ~ INspEcToR 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND ["]"~-ULATION [ ] FRAMING [ ] FINAL DATE FOnt,il NO. 1 TOWN oF'soUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTIIOLD, N.Y. 11071 NOTIFY; CALL .A.- .... .''':''' .... APPLICATION FOR BUILDING PERMIT ' Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Buildin~ lflSPeetor, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. h. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pubffc streets or areas, and giving a detailed description of lfiyout of property must be drawn on the diagram which islra~ of this appli- cation. o. 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 throuzhout the Work. e. No building shall be occupied or used in whole or ~n 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 purSuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Yo'rk. and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as lWaein described. The applicant agrees to comply with all applicable laws. ordinances, building code, housin~ code, and r~ions, and to admit authorized inspectorS on premises and in building for necessary inspections. · t~gnature ot applicant, or n-a~n~, ~'?~atc'O~l~o'r~l;~o'n')' ' ' ..~r, ,'. 5~, -~-- .Z. (M_Jifin= address ot apptic:mt) State whe'ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ~e-t,~2,k... ~e4,~.~. ?roy-. ................................... (as on the tax roll or latest deed) ........... If applicant is a corporation, s, ignature of duly authorized officer. Plumber's License No Electrician's License No ...................... Oil,er Trade's License No ' t. Location of land on which proposed work will be done; ........................ ....... ilouse Number ' Stree[ .... ~ ~'. .... Hamlet ........ c :,ooo Oun Tax Map No Seclion .............. . ock .......... ........ Loi ...... / u viSion ................. . ~il ; ' · .................. cd Map No. ' (Namc) .............. Lot ............ ' - State cxisling usc and occupancy of premises and intended use and occupancy of proposed constrnctio~ , -- b. Intended use and occupancy ..... ~. · ... ,.. w ,,,'~ 3. Nature of work (check which app!icable). New Building., ......... ...Additian .. r ......., /~l-~;:t,on. · ........... , Re,.'rTenni. .............. Cpu= .............. Demo,itio... ........... ~ ......... '-~cessory- '---ou~l~Xng .......... Fence ....... Other t~ork ............ 4 EatimatedCo,t ~,~..?~ Fe~ ~ ~ ' (to bc paid on filing this application) S. If dx~'elling. ~umber of dwellin~ units, .. · · ·........... Number of dwelling units on each floor . . If garaee number of c~rs lfb ' d ~ fy ~. usincss, commercial or ~lXC ccupancy, spec nature and extent of each c typ .................. 7. Dimensions of existing xtmcturcs.I if any: Front ............... Rear .............. Depth Height Numb:er of Stories Dimensions of same structure with alterations or additions: Front ............... Rear Depth ..................... ~. HeiSt ......... I ........... Num bcr of Stones . Hcieht ~umb'er' of Stohes 9 Si~ of lot: Front ' Rear Depth 10 Date of Purch~e ~ ...... ............- , ................. Name of Foyer Owner ............ 11. Zone oruse district in which premises are situated .... ; .............................................. 12.~un~, .~ ~ -D°es proposed Construction violam any zoning law, ordinance or regulation: ........................... . . . 13. · .m~o~ueregraae~ .; ........ ~ .... ., ,. .............. wiu exce~s fill bc removed from premise~: Ye~ .... 14. of Owner Of ~cmiaes .... ~ ............ ' ....Address ................... Phone No .... ' .......... Nmeehi~of Contractor ~ ~.~[[..,-:._._' ...,. Address ~~r~ ...... Phon~No..~'.. 15.Is ~If yes, Souehold ~own ~Trustees Per'it may be required. ]?LOT DIAG~M Locat~ cle~ly ~d dist~ctly ~l bulldogs, whethcr existing or proposed, ~d. indicate Ml s~t-back d~ens{ons fro~. propemy SheS. Giw street ~d bDck nDmber or description accord~g to deed, ~d show stre=t n~e~ and ~di~t~ wh~ther STATE OF NE~V YORK, COUNTY OF ............... . . ........ ."('f,i,;4 'o'/ii, .......... above named. being duly sworn, deposes and says that he is the applicant H~ is the , I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly;author zed to pe.rform or have performed the said work and to make and file this application: that all state~nents contaihed in this applicatiou are true to the best of his knowledge and belief; and that the Work will be perforated in the manner :;ct ford in the application filed therewith. .,,, S~vom to before mc this i ..'~ ............. t.t.--.__'day or.! ..... ~l.ffig. CE'40~ , . (Signature of applicant) }~T~RY PUBLIC, ~e of NeW Yedl No, 4707878, Suffolk