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Home My WebLink About31522-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 08/28/06 NO: Z-31789 THIS CERTIFIES that the building ADDITION Location of Property: 1580 LEETON (HOUSE NO.) County Tax Map No. 473889 Section 58 DR (STREET) Block 2 SOUTHOLD (HAMLET) Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 2005 pursuant to which Building Permit No. 31522-Z dated OCTOBER 12, 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 GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SUSAN GEITZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~. thorized Signature Rev. 1/81 I '--': APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No.6 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,..... c! -:~~1 'G24 J ',", . , 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 2/1 0 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 Location of Property: / Old or Pre-existing Building: I-ee-...J-v>? Date. New Construction: a. Hamlet House No. Street Owner or Owners of Property: Gel :'-7- Suffolk County Tax Map No 1000, Section ~ Block ~ Lot s- Subdivision Request for: Temporary Certificate 2S-~ , Filed Map, Lot: :5//2/ s-;.pplicant: 0~ J-r;z.-. / / Underwriters Approval: Final Certificate: L (check one) ~~w~-e:p Permit No, 3/ S --9,9 -2:: Date of Permit. Health Dept. Approval: Planning Board Approval: Fee Submitted: $ ~ .7ar:; ~ .2, Cf) e:5( 781 ~ jT~gg PROFESSIONAL ENGINEER 1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-765-2954 . FAX 631-614-3516 . email: joseph@flschetti.com Date: Reference: September 8, 2005 1580 Leeton Drive Southold Building Dept PO Box 1179 Southold, NY 11971 " 'I \ ~ ,o\'2.?G(JS j', -~ , l l .". . ~~-_.- -.' , _J \ ,..n''"'__-- Dear Sir, ~J\ v t ~\" GellzCatlllcallondGaragc.doc 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. 31522 Z Date OCTOBER 12, 2005 permission is hereby granted to: SUSAN GEITZ 20 DOGWOOD DRIVE SCARSDALE,NY 10583 for : BUILD AN ADDITION ON EXISTING DWELLING. REPLACES BP5424. at premises located at 1580 LEETON DR SOUTHOLD County Tax Map No. 473889 Section 058 Block 0002 Lot No. 005 pursuant to application dated OCTOBER 12, 2005 and approved by the Building Inspector to expire on APRIL 12, 2007. Fee $ 150.00 ~ ORIGINAL Rev. 5/8/02 315~;2- Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION . [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~h ) J3~;}-~ / ~ ~ ok 4 r~J-afo DATE INSPECTOR #. ~ FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING , DATE i r--- f-- INSULATION PER N. Y. STATE ENERGY CODE r------ FINAL <1...-'- -0 - COMMENTS . lJ.l;:! - ~ iA.... q; --l V" t~ ~ ~ V, ~~ ---~ !;J ? u (10~ ~ t'" l'l --l ~ L/ + t n-.. r ,.. U 1/ .#7;7A ~, J . 7/-rL ~ iJ'X 73> /' ~"-" "~P'k ~ '// 6a~ --r# .(7)(sua \~ t::z..r'.... L./ IV . - p ADDITIONAL COMMENTS OJ 1\\ ~ - -1 \\Jo ~ z (j'J~ ,c -k ..) _~~l'l .t.:;] .... (~ ~ (J --l ..jo :z -- == l'l G~ - == 1>1 ~ -- "'-" ."" ~. .~ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nt.' J1-,N2AJ\)~ J 5424 Z 3/S-d-d-.- Date ...........................~......26......., 19..7.1.. Permission is hereby granted to: ................. R":b~ r.t. .16lh.i te.................................. .................Le.tOCl..Dlt...... ...... ............... ..._.... ... ... ....................s.ut.IloJA.......................... .... ........... to .Bu111i..q..a4Uu.........u.t.tnfo...Wl-lia'... ...... ............... ...................................... ................................................................................................................................................................ at premises located at ............~/~.....~.~~.9.k:::~............................................................................... ..-.................................................................th.l.............................................................................. ................................................................................................................................................................ pursuont to application dated ...............................Jl,'J,Y........dG......., 19"'7'., and approved by the Building Inspector. Fee $1.o.t.............. ......44wc~...(...~~..................... Building Inspector r ,{ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD, N. Y. Examined ......~........~~..., 19..7/ ~- :::'> J S-&-~pplicatian No. ....~~g;.'I:.~ Approved .............~..................::......, 19...~... Pemit No. ..0..':I:.J..lf..Z...... Disapproved a/c..................................................................... ....................... .liJji................ APPLICATION FOR BUILDING PERMIT Date .............r?P.-!.:-::........!...~......., 19.ZI.:... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plat plan showing location of lot and of buildings an premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn an the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept an the premises available far inspection throughout the progress of the work. e. No building shall be occupied or used in whale or in part far any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment far the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and ather applicable Laws, Ordinances 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, ardi nances, buildin e, housing code, and regulations. ~~~ ...................................".............~....................... (Signature of applicant, or name, if a corporation) ...~~..&....2:~~~~...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. tJ //{/ /1/ E .e ~.~.~~.~;.~~~~;.~~..;;~~.i.~~~.........::::gq1i;~~:;:::::Z::>p.~;;;;::::::~;:~::.~;~;;;;::;~:::;;j;;:;,; If applicant is a corporate, signature of duly authorized officer. .................. i N~~~" ~~d" tit'I~" ~f" ~~';;;~';~t~' ~ffi~~';i"""'" 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No. ........................ Street and Number .................................................... ................................................ .................................. Municipality .............. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .............../.....E..(?(!1(~.'/......J.~1;-;!.!.//.!(.~....................................... b. Intended use and occupancy .................i:!.~"?:?'.-:.;;.......................................... ................................................ 3. Nature af wark (check which applicable): New Building ......~..... Additian ...xxx........ Alteratian ................ Repair .................. Removal.................. Demolitior.................. Other Wark (Describe) ........................................ 4. Esti mated Cost .....$. 5. Q P............................................. .Fee$5. .QD................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........l................Number of dwelling units on each floor ......1................... If garage, number of cars .....Addi:tion...is...to...!l.e..a..one...\;iU..!iJaX'.ag.e..................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ...................o.ne....................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number af Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................Name af Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of premises .R.abe.z:t...F.,...Whi.te..Address .Lee.ton..J:l1:i.v:e.....S.Q... Phone No.7.R.~.:7.?$.).J... Name of Architect ......................................................Address ............................................ Phone No. .................... Name of Contractor ....................................................Address ............................................ Phone No. .................... 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 YOR~. 'SS COUNTY OF .......f?\l..JQ;!.~........J . .................................................................................................being duly sworn. deposes and says that he is the applicant (Name of individual signing application) above named. He is the .. ..... .... ... .... ....... ...... .... .... ................................................................................................... .... ........... (Contractor. agent. corporate officer. etc.) of said owner or owners. and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of ............................................. 19........ ............................................................................. Notary Public, ............................................................ County (Signature of applicant) .................... 'I~.c" \nJj, ) ( fJ ("I ",-,ur;, r