HomeMy WebLinkAbout26482-Z Of Solo/ Town of Southold
* * P.O. Box 1179
io 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 29301 Date: 03/07/2003
THIS CERTIFIES that the building ACCESSORY-NEW STRUCTURE
Location of Property: 475 Leeton Dr Southold, NY 11971
Sec/Block/Lot: 54.4-2
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 01/20/2000
Pursuant to which Building Permit No. 26482 and dated: 05/03/2000
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:
RESTROOM FACILITY AS APPLIED FOR.
The certificate is issued to: Town of Southold
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: Existing system as per
engineer.
ELECTRICAL CERTIFICATE: See letter from engineer dated 3/6/2003.
PLUMBERS CERTIFICATION: Jack Gismondi 04/10/2003
NV
Authorized Signature
Form No.6
TOWN 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 Department with the following:
A. 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 2110 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.
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 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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. March 7, 2003
New Construction: xx Old or Pre-existing Building: (check one)
Location of Property: 475 T.. Prnn Dr S nurhol d
House No. Street Hamlet
Owner or Owners of Property: Town of Southold
Suffolk County Tax Map No 1000, Section 54 Block 4 Lot 2
Subdivision Filed Map. Lot:
Permit No. 26482 Date of Permit. 5/3/00 Applicant:
Health Dept.Approval: Underwriters Approval:eaug r, pewlwa
Planning Board Approval: :V>0 0`c U-)Af�L_
Request for: Temporary Certificate Final Certificate: XX (che k one)
Fee Submitted: $ 00
Applicant Signature
FORM NO. 3
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)
PERMIT NO. 26482 Z Date MAY 3, 2000
Permission is hereby granted to:
TOWN OF SOUTHOLD
53095 MAIN RD
SOUTHOLD,NY 11971
for
DEMOLITION OF THE EXISTING & CONSTRUCTION OF A NEW RESTROOM
FACILITY AS APPLIED FOR.
at premises located at 475 LEET014 DR SOUTHOLD
County Tax Map No. 473889 Section 054 Block 0004 Lot No. 002
pursuant to application dated MAY 3, 2000 and approved by the
Building Inspector.
Fee $ DO.dV
Authorized Signature
z
ORIGINAL
Rev. 2/19/98
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Towii Hall,53095 Main Road . p Fi+x(63'1)765-9502
Y.U.Box '1'179Telephone'(631)765-'1802
Southold,New York 1'i 971-0959
AUII.M..NG DEPARTMENT
TOWN OF SOUT]HOLD
CERTIFICATION
Date:,
Ke1w).+5 iaea G{� �e$t�Qyh 8 v K.D ia,S —
��POOL(C 0.976(?
Building Permit No.
Owner: -Viwxv Dt &U-PnoLD
(Please print)
Plumber: _J AG k. G 15 M O N D 1
(Please print)
i certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plurnbers Signature) V
Sworn to before me this
day of
Notary Public, .S L-FFa,7-- County
RICHARD NONCARROW
Notary Public,State of New York
No.2902160
Qualified in Suit oll<County
Term Expires January 31,20
guFFot�
JOSHUA Y. HORTON ��°� c°y JAMES A. RICHTER, R.A.
SUPERVISOR
TOWN HALL - 53095 MAIN ROAD y r ENGINEER
� TOWN OF SOUTHOLD,NEW YORK 11971
Fax. (516)-765-1366 y�0• �aOl� Tel.(516)-765-1560
OFFICE OF THE ENGINEER
TOWN OF SOUTHOLD
Mr. Michael Verity March 6, 2003
Building Department
Town Hall, 53095 Main Road
Southold, New York 11971
Re: Building Permit#"s 26426 & 26482
Dear Mr. Verity:
The above referenced projects have been completed in compliance with the
approved plans and State Code. Please close out your open files regarding these permits.
If you have any questions concerning this matter, please contact my office.
in erely,
James A. Richter, R.A.
Q��gUfFO(,�co
JOSHUA Y. HORTON Gyp JAMES A. RICHTER, R.A.
SUPERVISOR 0 ENGINEER
TOWN HALL - 53095 MAIN ROAD • TOWN OF SOUTHOLD,NEW YORK 11971
Fax. (516)-765-1366 '1�j►�l �aQ`' Tel.(516)-765-1560
OFFICE OF THE ENGINEER
TOWN OF SOUTHOLD
March 6, 2003
Mr. Michael Verity
Building Department
Town Hall, 53095 Main Road
Southold, New York 11971
Re: Permit #'s: 26426 & 26482
Dear Mr. Verity:
Your office called regarding the construction status of the above referenced Building
Permits.
B.P. #26426 was for the construction of a 50' diameter Salt Sand Storage Building
for the Highway yard. This Project has been completed.
B.P. #26482 was for the construction of a new Restroom Storage facility for Kenny's
Beach. This Project has been completed.
If you have any questions concerning this report, please contact my office.
Si erely,
ames . ich 4R.A.
COMMENTS
FIELD=INSPECTION=REPORT* -�=DATE --li----- ----------------------------------==-----------.__
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STATE ENERGY
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FINAL
ADDITIONAL COMMENTS:
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BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 .3 SETS OF PLANS . . .. . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL; 765-1802 NOTIFY:
CALL . . . . . . . . . . . . . . . . . .
Examined... �.............
xamined.... ............. 20.... MAIL TO: . . . . . . . . . . . . . . . . . .
Approved.....&!�k 0%0 Permit No. j24 YZc2..a .. ....... ......
.. .................
.
Disapproveda/c ........................... .... ............. ... .......... ......
......................................... .... .......
. . ........ .. .....
(Building Inspector)
APPL
ICATION BUILDING PERMIT Date. .X4 ,. . . .ZO. . 2 0 2eP
INSTRUCTIONS
a. 'Ibis application must be-completely filled in by typewriter or in ink and submitted to the Building Inspecto''
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 mist be drawn on the diagram which is part. •
this application.
r— The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector xTill issue a Building Permit to the applicant. Su-
permit shall be i 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 BuildirT, Inspector-
APPLICATICK IS HEREBY MM 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 York, and other applicable Laws, Ordirkinces or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, o i es, bui 1 g e, sing code, and
regulations, and to admit authorized inspectors on premises and iny1di for nec s i ions.
............... ... .
(S ture of applicant, or nave, if a .corporation
...................................................
(Mailing, address of applicant)
State whether awlicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluffix-r or, bui
..............A ............................... .................................... . . .. . ..... .. . ..... . ... .
Name- of owner of premises .. ra��F.--.7.Ozou , OT VO.................................. .. .................
.......... ..... .......
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .......Yi..............
....Z.......
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
I Location of land on which proposed work will be done.... � ...... r.. ...... . .. .......
..........
House Number Street Hamlet
County Tax Map No. 1000 Section ...... ....... Block .....ff.......... lot ...........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... 0V fZ...�!t Q j ............................. ..............
. ,]b. Intended use and occupancy .............. .......................................... ...... ... .. ........
Y �
3. tJature of work (cl►eck Wihich applicable): New Building .\...... Addition .......... Alteration
Repair ............ Removal K..... Demolition ..x........ Other Work ..................................
�( (Description)
.4. Bstinrhted Cost ....l�f �............ fee
/�......:!' ............................ .
(to be paid on filing this application)
5. If &eIIirig, rxir6er of dwelling units ............ Number of dwelling units on each floor ..... ...........
Ifgarage, mniher of cars ......................................
6. 'If busirhess, ccmnercial or mixed occupancy, specify nature and extent of each tpw of use........... _
7. Dimensions of existing structures, if any: Front. 2T Rear 2� ///-- C
C7i1 ......... Depth ...W............
lleight .... ................. Number of Stories ( .... I 1
Dimensionsi f pine structure with alterations or additions:.'Front ....�..... Rear 2
Depth .... 2•....... ... Height .....IQ............ Number of Stories ...I.............. .
8. Dihrhensions of entire new construction: font ................ Rear ............... Depth ..............
lleight .......................... Number of Stories .....................
9. Size of lot: Front .................... Rear ....................
. ..... Depth ....................
10. Ilrhte of Purchase ..................... Name of Former Owner ........................................
II. Zone or use district in which premises are situated ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .........
................
13. Will lot be regraded Will excess fill be removed from premises: YES N3
14. Names of Owner of premises .-—r".!' It.I �y;��oll�.. Address .............................. Phone No. ..............
Name of Architect .�1�(�? �.L :, i� �;�;..
....... Address .............................. Phone No. ..............
Name of Contractor .. Address ...............................Phone No. ..............
15. is this property within 300 feet of a tidal wetland? * M. .. No
*T(: YES, SCXm1CH_D 'In M.Ii2 MM-3 PERMI'P MAY BE I�gn=. ..•.•.....
PI.O'r DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions
from property lines. Give street and block number or description according to deed, and show street names and indicate
Awtlher interior or corner lot.
see
TIME, (Y' Na W Y(ft,
SS
(XINIY A' ..... . . ..
.. .. . ... ... ..........being duly sworn, deposes and says that he is the appl.icant
fk of individual signing contract)
e ,
e is the
(C.cnhtractor., agen , corporate officer,.etc.)' ..--.'...••..
f said owner or (wns, and i. chnly authorized to perform or have performed the said work and to make and file this
pplication; that: al.l. staterrhents cmtained in this aj)pl.ication are true to the best of his knowledge and belief; and
hat the work will. be per.fonned in the manner set f.-ortb in the application filed therewith.
worn to before nhe t.h i s
............. . ....clay of ..................:20.......
Notary Public ....................................
(S'gnature of Applicant).......... .
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K E N N E Y S B E A C H Saul:,r y� ST
ottoScale
w ac LEETON DRIVE SOU'I'HOLD. New Y-4 114%1 DING.M;PREPARED BY:. SOUTHOLD TOW1C JAMES A. RIGHTER A
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PLUMBING RISER DIAGRAM
SCALE:NTS
~ P611...J, DATE:
REPLACEMENT&CONSTRUCTION OF WX RESTROOM 1'ACILITIES' 01120/00
h� o KENNEYS BEACH _ Not to Scale
STEDLEETON DRIVE SOUTHOLD, New Y rl. 11.971 DWG.o;
o PpEPAREDDY JAMES A. RICHTER ���
d p! SOt7THOLDTOWN
ENGIIVEERING DEPARTMENT REGISTERED ARCHITECT
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SCALE:1"=1'-0"
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SILL DETAIL
SCALE:1"=1'-0"
RE, &CONSTRUCTION OF NEW RESTROOI FACILITIlo4 01 i E 20 I DD
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w sSTEP LEETON DRIVE — SOUTHOLD, Now Y r)< 11971 DWG.M
PREPARED BY:
4�0 apt SOVI'HOLD TOWN JAMES A. RIGHTER A_
1 ENGINEERING DEPARTMENT REGISTERED ARCHITECT ri
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KENNEYS BEACH Not to Scale
w xSTEP LEETON DRIVE — SOUTHOLD, N—Y.k 11971 DWG.a:
y !� SOUTHOLD TOWN PREPARED BY,JAMES A. RICHTER ENGINEERING DEPARTMENT REGISTERED ARCHITECT A_4
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Proposed: DRAWING: �_- DATE:
�StFF9Jtr, -For: REPLACEMENT&CONSTRUCTION OF NEW RESTROOR KICILPPIES- U 20 i oe .
® KE NNE IYS BEACH SALE:Shown
: LEETON DRIVE ^' SOUTHOLD, New York 11971 LOCATION PLAN DWG.#
O
�� � • !� -
�JJ�pl �a0 SOUTHOLD TOVV1V PREPARED BY: JADES . RICH`I'ER Scale: 1"=5d147' I1p
ENGINEERING DEPARTMENT REGISTERED ARCHITECT
Lot C& ISLAND 50WJ D
L. ._E,c Isrf Ns,
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R .S-rROOM FACILITif;S
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Proposed: DRAWING: DATE:
SVFFQj REPLACEMENT&CONSMUMION OF NEW MTROOM FACURMS 01 /z0 z 00
NTEFor: K E NNE Y S BEACH SCALE:
As Shown
Iry
LEETON DRIVE ^' .SOd I'HOLD, New York 11971 S I T E P LAA
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PREPARED BY:SUUTHULD TOWN JAME5 A. RIGHTER Scale: 1°'_ We
ENGINEERING DEPARTMENT REGISTERED ARCHITECT sp- I