HomeMy WebLinkAbout18352-z F04/(N2 Town of Southold 7/3/2019
P.O.Box 1179
o 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 18332 Date: 7/3/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1840 Leeton Drive, Southold
SCTM#: 473889 Sec/Block/Lot: 58.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/25/1989 pursuant to which Building Permit No. 18352 dated 8/4/1989
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:
alteration&repairs to existing deck of seasonal one family dwelling.
Corrected 7/3/2019 for"seasonal'use.
The certificate is issued to Mildred De Rosa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut o ' e Signature
f
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18332 Date AUGUST 30, 1989
THIS CERTIFIES that the building ALTERATION & REPAIRS
Location of Property 1840 LEETON DRIVE SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 58 Block 2 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25, 1989 pursuant to which
Building Permit No. 18352-Z dated AUGUST 4, 1989
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 ALTERATION & REPAIRS TO EXISTING DECK OF ONE FAMILY DWELLING
The certificate is issued to MILDRED DeROSA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0._ N/A
PLUMBERS CERTIFICATION DATED N/A
,t i
uu-~g Inspector
Rev. 1/81
n~osat xa s
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)
N 18 3 5 2 Z Date 19.. Q..~
Permission is her b/y
g~rante ~,to/:~„
7...... ..G
.
~ /
at premises located at . ~ .7:..~......~L.~t......,~!~~!!~
Caunty Tox Map No. 1000 Section .......4a``....~~.... Block Lgot Na........17...........
pursuant to application dated ............../...~~..i5..~........................, 19~?.., and approved by the
Building Inspector.
Fee
/ -
~Z
But ng Inspector
Rev. 6/30/80
FORM NO. 6 1'~~c~c'
TOWN OF SOUTHOLD ~'a'
AUG 2 519E39 Building Department
Town Hall
rit oG. ec~r. Southold, N.Y. 11971
,..YOB^~~~ a~ Suuruou> 765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec-
torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
z ? land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
" 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00
1. Certificate of Occupancy New Dwelling $25.00, Accessory ¢ ]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4. Vacant Land C.O. $ 20.00
5. Undated C.O. $ 50.00 Date ~ a'
NewConstruction,,,,,,OldorPre-existing Building ~ Vacant Land
Location of Property . , °~p.e.~°~~...l'~'-. ~o ~.y~~ /eQ
House No. Street Namlet
Owner or Owners of Property !.~R`Q®~..... ~4'.~`'Jct
County Tax Map No. 1000 Section S..~ Block .:Z, Lot ,
Subdivision .................................Filed Map No. ..........Lot No.
~i
Permit No. ~ ~:~f?-', , . Date of Permit ( Applicant ,~f, , , f ~0a~
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters Approval ........................Planning Board Approval .
Request for Temporary Certificate .....................Final Certificate .
Fee Submitted $
Construction on above described building and perm' meets all appli/cab/~le codes and regulations.
Applicant...0~~,{O/
Rev, 10-10-78
C'~~c. 38131
Coy I$33a--
J S
~ 765-18<f2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ~ ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING r~jNAL
REMARKS: C
zz
DATE ~ ~`J INSPECTOR
:1cLD I::S:~ .iv;. ~~un:E I~ ~vC4MCNTC ~
~ ~ w
~
OUtJDATIOIJ ~ (1st) ~ H N
?OUtJDATION (2nd) I _
2.
z
o
.',OUCH FRAME & ,Qh
PLUMBING
3. y
m
IIJSULATIOPI PER N. Y. y C
STATE ENERGY ~
CODE I
4. ~
i H
FI;JAL
=R
ADDITIONAL COMMENTS: m ~
. tJ
~
~
x ~
ro \
H
9
H
H \1~
p 1
m
~ H
v
m
^o
H
'r7 ?'7 ~ -1 .'a A W N -p
~ Om"''mr-o4
4e ~,ymrm~~OObr°:. ~m ~.rt1
~~~gz~~Df~Od~~~ >
8 ryp,.au~i~~~' O~ ~-~G7eD d ~
arascmnimC~~,av~ai~a 4
x~ !n ~s O O
cCi~QVaM-a7~ ~n ~ oW po >
Otz~^n2~7 ~~~y~$ 71°`ly
~ m ~ ~ 3 C ~
~v-c<~ ~ o mpi N
i
i
w --'°^a ,
-x
~
6\ n
~ ~ ~
~ ~ _`V \
~ e~
o
0
i !~i'
_ _ _ _ _
~I ~ - }
r ~
~j • m J _
f ~ ~ i ~ ~ ~
~ ;
~ ~ ~u - x ~ i
o . ~ o Ul i "0 ~ s
x ~ 4 m
~ I I'~ ~ ~ ~ ~
I~ ~ , p
m 5.99"`''~-1'30""E. ~ [F>9' r
I v
I ' ~
~ IAN .,*~~~~~Ga nzu a~~~ z~cA_
ff I^ ~.y~~ w: Q U t) Y n> .vU C yy D D ~
I > n
' ~f"i S~'[H~AZ 77 z5~ i
~ ~ S p.'yi. ~ C) ~ O Ate.
n~t C)~y ~°Z
~ ) O j~Y U O n O o - I
. ~ ~ n ~ 3~, (F T 'bit T£ < Z ~ tit ~ 111 ~ ~
~ ~ ~~'ti T
i
n r _ ~ ~ - - tip, ' . - ~ i
~ to i ~ o ~ ~ ~ ~
` C
~ ,
2 E z .y fi-a., 4~ x ~ ~ ~
~n i ,
b ~
m.
~t
4;C~~., ~ l U n~ K H' f)
m N t~ ILL'
I
_ ti
BOARD OF HEALTH ,
FORM NO. 1 3 SETS OF PL.\,yS : ' ' ~ '
SURVEY .....,f,
TOWN OF SOUTHOLD CHECK „ ~ • ~ "
BUILDING DEPARTMENT SEPTIC FoR:1 ~ ~
T06VNHALL
• ~OUTHOLD, N. Y. 11971 NOTIFY
~j TEL.: 7G5.1302 , CALti~ ~g~. ~'d 65t .
L•xamincd ~ 19~!, MAIL TO : .
Approved ~ ~ ~..e>..,~r...'~...
19v./. Permit No.~O~~ ~ ~ ~ ~ Q ~ IS ~~y!
Disapproved a/c +I
JUL 2 $1999 U
. ~~?".C iE/(i BLDG. DEPT.
~~~f/j~
uil~Inspcctor) • • ' TOWN OP SOUTHOLO
APPLICATION FOR BUILDING PERMIT
• Date ~/..1:.`r/. 15 .
INSTRUCTIONS l /
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, will.
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plgt plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strc:
~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap;
_ ration.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Buildin; Inspector will issued a Building Permit to the applicant. Such petr.:
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 idhatever until a Certiftcate of Occupant
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY hfADE to the Building Department for the issuance of a Building Pezmit pursuant to tl
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe:
iite applicant a;rees to comply with all applicable laws, ordinances, building code, housing code, and regulattons, and t
~dmit auzhorized inspectors on premises and in building for necessary inspections.
(Signature or applicant, or name, if a corpo:atton)
, (I.failing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, ral contrac ,electrician, plumber or builder
tiame of owner of premises . !11:i l ~PG2 e-~.Q .....lJ.~lC~o;Si?~ •
_
(as on the tax roll or latest deed) • • • ~ ~ ' " • ' '
IC applicant is~yic~~IOnr_p_o_ration~signature of duly authorized officer.
(Name and title of corporate officer)
Builder's Liccnsc No. >S~ 7 ~
Plumber's License No .
Electrician's License No .
Outer Trade's License No . •
Location of land o//n (Jwl[Lich proposed work will be done. ,
Flouse Number Street. • • ~ ~ • 1J • • • • • • • • , ,
Hanilet " "
County Tax dlap No. 1000 Section ......~:~t~..... , . Block
Lot...l~,
Subdivision F.ilcd ~fap No.
(N:uttc) Lot
State existing use and occupancy of premises and intended use and occupancy oCproposed construction:
a. Existing use and occupancy . . '
•~~U F,,~rYlt•z y .~LP~~;LLIII~~ .
b, Intended use ,/~'-~a,~; , , /~?~t: • • " '
and occupancy .t•.fa ..~,a ,
~ 41 r
3. A'ature of wor. .check which applicable): lYew Building • •
Repair • „ • , , , Rcmo~al Addition ,V tcratton
• . • • • • • Demolition Other 1ti'ork . •
4. Estimated Cost • • 9 • . • . • (Dacr'pp,
Fcc....
.numbcrofdty
5. If d~eclling cllin; units (to be paid on filing this application)
If gara,e, number of cars • • • " " " " Number of dwelling units on each floor....... , , , , •
6. If business, commercial or mixed occupancy, specil•y nature and extent of cacti t • • •
7. Dimensions of existing structures, if any: Front , ypc of use . • ~ ~
He,icht • • J Number of Stories • • • • • Rcar Depth . • • • ~ ~ ~ ~ •
Dinicnsio
ns of same structtlrc with altcratio • • • • " " • "
Dc t nsoradditions: Front....•
' 8. ei~ llcight Rear
ns of entire new construction: Front , ~ ~ ~ " • Number of Stotics .
Hci;ht ......Numbero Rear . .Depth
9. Size of lot: Front f Stories „ • " • • •
10. DateoCPurchasc Rcar• .......:.•............DcPth....................
l 1. Zone or use district in whiclt premises arc situ "Name of Pormcr Owner • • ~ • " "
1 Does proposed construction! cio ated , , . • • • ' ' ' ' • • • • • • • • • • • • .
l3. Fill lot be recraded late any zoning law, ordinance or regulation: • ~ • ~
14, Name'oi Owner of premises!. • • " ' • • • 1Vf11 excess fill be removed fro • • • • • ~
r m remises:
flame of • ........Address . p .Yes
Architect . Plionc No. .
Iv'ame of Contractor • • ...Address Phony, No.. • • • • .
IS*Is this property located wittiin••".Address .................•.PhoncNo.
If yes, Southold Town Trustees P Ormit may bearequiredetland? *ygSJ1;y,170.,,,
PLOT DIAGRA.'~1
Locate clearly and distinctl}•'',all buildings, whether existing or proposed, and. indicate all set-back dimcrsions frt
property lines. Give street and block number or descnption according to decd, and show street names and '
interior or corner lot.
utdicatc what
•
•
, ~
OU.\TY OF E1t'~~'ORK,('(' • /
Gh ...77 • !S.S
~1~.~.. s
(~`ame of individual si^nino contract)
• • ~ • ' • • • • • • • • being duly sworn, deposes and says that he is the applicant
:ovc named.
is the I
.
(Contracto gent, corporate officer, etc.) • ~ ~ • ~
said owner or owners, and is duly, autttonze o perform or have performed tlic said work and to make and file•tltis
~hcation; that all statements contained in this application arc tnie to the best of Itis knowledge and belief; and that the
tk wdl be perfomtcd in the manncr'sct forth in the application Glcd therewith.
orn to before me thisc.~
day f.',.. ~
• • 19 ~9
ar; Public,
• • • • County /~~~~/1,/%
NotuYPu~6NNoR~B
6N~wYak • •~~~"G
(lualiHed (n guryol~ Cp~My (~v ~ (Si;nature of applicant)
Commissbn Explree December 8,191_