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Home My WebLink About31282-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31235 Date: 10/24/05 THIS CERTIFIES that the building ADDITIONS Location of Property: 895 LEETON DR SOUTEOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 1 Lot 11 Su]~divlsion Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15, 2005 pursuzult to which Buildin~ Perm/t No. 31282-Z date~l JULY 15, 2005 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 2ND FLOOR kDDITION & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANITA QUINN (OWNER) of the aforesaid building. SUFFOLK COUIFi"IDEPi~RT~4ENTOF HI~ALTHAPPR~ N/A ELECTRICAL CERTIFICATH NO. 2074035 PLL~BI~RS C~TIFICATI~ DA'r~u N/A 10/04/05 ~A/ho ~/d~S ~na t ur e Rev. 1/81 Form TOWN OF S~ BUILDING D! TOWN 765- 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 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. 6. Submit Plamfing 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, Swirmning pool $25.00, AccesSOry building $25.00, Additions to access6ry 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 New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision PermitNo. ~/OQ ~o~-~ Date of Permit. Health'Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ _ ,~d~'"', OD Old or Pre-existing Building: 8'q5' L E E 7'0 0 House No. Street Date. Block Filed Map. Applicant: (check one) Hamlet Lot Lot: Underwriters Approval: Final Certificate: (check one) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by TOM KRAUS P.O. BOX 336 GREENPORT, NY 11944 ANITA QUINN 895 LEETON DR. SOUTHOLD, NY 11971 Located at 895 LEETON DR. SOUTHOLD, NY 11971 Application Number: 2074035 Certificate Number: 2074035 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square fi. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, describedbelow, located in/on the premises at: First Floor, Second Floor, stair well-addition, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 4th Day of October, 2005. Name QTY Rate Ratine Circuit Type Miscellaneous as built-1990 Wiring and Devices Outlet Fixture Outlet Switch Dimmers 2 0 Fixture 2 0 Incandescent 2 0 General Purpose I 0 General Purpose 1 0 An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal I of 1 This ceAificatemaynotbe altered in any way and is validated only bythe presence of a raisedseal att he location indicated. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31282 Z Date JULY 15, 2005 Permission is hereby granted to: ANITA QL~INN 249 HICKOK RD NEW CANAAN,CT 06840 for : CONSTRUCT 2ND FLOOR ADDITION & DECK TO AIq EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 22970. at premises located at 895 LEETON DR County Tax Map No. 473889 Section 059 Block pursuant to application dated JULY 15, 2005 Building Inspector to expire on JANUARY SOUTHOLD 0001 Lot No. 011 and approved by the 15, 2007. Fee $ 150.00 /~c ~i z~e~S ignature ORIGINAL ~ev. 5/8/02 FIEIJ; 2~S[ECTION REPORT DATE COMMENTS FO JNDATION ( [ST) INSULATION PER N.T. ~ ~ STATE ENER~ ~ CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ['~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDA~ [ ] ROUGH PLBG, [ ] F~BATION2ND [ ]INSULATION ~I~RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F21~UNDATION2ND' [ ]INSULATION [/FRAMING ~,~/~ [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/~ DATE INSPECTOR 7SS.tS02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] RO~J~H PLBG. FOUNDATION ;ZND [,"J INSULATION [ ] FRAMING REMARKS: [ ] FINAL mo~. "l!il FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT : _ .. TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... BOARD OF HEALTH 3 SETS .0.,~ PLANS SEFTIC FOF, H .............. CALL ................... MAIL TO: . (B,~ding Inspector) 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 set&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 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 York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein des_cribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .... i .o.m ................... (Signature of applicant, or name, if a corporation) Illl (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e~a~., 'plumber or bmlder. .. .......................................... Name of owner of premises...'~r~-~..v"~-~..~....~...~y, x...~?'A~r. '. ...................... (as on the tax roll or latest~l~d)FPJ'Z/~'r~. ---- ,U,LD,,G OE,AR E"T AT If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No... ~. ~..-.. O.~. ~..-. ~]~ ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 786-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS, OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSlSLE FOR DESIGN OR CONSTRUCTION ERBOR~ 1. Location of land on which proposed work will be done ................. ~. ................................ ............................ ................ ..................... House Number Street II Hamlet County Tax Map No. 1000 Section .... '~.~.'?. .......... Block ..... r?.f. .......... Lot ..... f.../' ........... 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 ...~. Y.~g,..."~'A~...'~.~....f~.. 't...~?~..a~rw ..................................... ', b. Intended use and occupancy . . . .O...~-:~... .v,.,v.~ . . .C.~.~.t.~..0q&. ~ ................................... 3. Nature of work (check which applicable): New Building .......... Addition .... ,~:/~... Alteration .. :'. ..... Repair .............. Removal .............. Demolition .............. Other 4. Estimated Cost .................................... Fee ...................................... (to be paid on f'ding this application) 5. If dwelling, number of dwelling units ..... ] ......... Number of dwelling units on each floor ................ . If garage, number of cars ......... ~ ............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each ~pe of use ...T: ................ 7. Dimensions of existing structures, if any: Front .... .~.~. ........ Rear ...~..~ ......... Depth . .$.~ .......... Height . Dimensions of same structure with alterations or additions: Front ....z:.~.~. .......... Rear .. '.~.? ............. Depth .... .~ ............... Height .... .z: ?. ............... Number of Stories .... ?-- ................ 8. Dimensions of entire new construction: Front .~t..,~. ..... Height .... ~..~..o ..... Number of Stories ....-T...*r ................................................ 9. Size of lot: Front .... I.O..O ............... Rear ..... .l.O..O ............. Depth .'¢.O..O ................. 10. Date of Purchase ....... 77. .................... N.an)e of Fgrmer Owner .... ~ ....................... 1-1. Zone or use district in which premises are situated... ~.~:..~ .~ ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . tl/~ ............................ 13. Will lot be regraded ..... /~.O. .................... Will excess fill be removed from premises: Yes ~c~ 14. Name of Owner of premises . .-J~...~y~q...~. w.~.~.~- ..... Address . ~..~4~'~.. J~o.'.~. ~.~ . Phone No..-/f f. '..~..~.~ .o.'.. Name of Architect .... '7. ..................... Address ......... 7? ........ Phone No .... '~.-: .......... Name of Contractor .~.~..~'~... ~..~:..~. A ......... Address . ge ~..l(U...5.o~.. Phone No..'~ .F.-..-ag. ? j'~ ... 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No...-%. ..... *If yes, Southold Town Trustees Permit may be required. PLOT 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 whether interior or corner lot. STATE OF NEW YORK, S.S COII~NTY OF ................. · l~~..l.(-.D..~..~c:.&. .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) abo.~named. He is the ](Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly auth4rized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... /f...'9'~. ......... day of .... ~.. ¢< ~ ~,~ ....... , 19 ?.~ ~,Z~a ( ~ County Notary Public, ........... r~.' ............. ~ ...... UNDA J. (Signature of applicant)