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Home My WebLink About33964-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33521 Date: 01/30/09 THIS CERTIFIES that the building ALTER3kTION Location of Property: 1840 LEETON DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 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 MAY 23, 2008 pursu~nt to which Building Permit No. 33964-Z dated JUNE 12, 2008 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 MINOR AJ~TERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MILDRED A DIACK (OWNER) of the aforesaid building. SUFFOLK COUntrY DEPArTMeNT OF }~ALTH PPI{OVAL EI~L-rKICAL CERTIFICATE NO. PLIERS CERTIFICATION DA'r~u Rev. 1/81 N/A 4021787 01/23/09 01/07/09 BURTS RELIABLE INC ~/u~~ature · Form No. 6 TOWN OF SOUTHOLD 765-1802 APPLICATION FOR CERTIFICATE OF OCC~NC This applicat n must be ~lled in by typewriter or ink and submitted to the Building Ao 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 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 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. 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 New Construction: Old or Pre-existing Building: Location of Property: / ~:~ ~{~ '~ ~/-~' ~/~ House No. Stre Owner or Owners of Property: ~//.-, [k~/~5 Suffolk County Tax Map No 1000, Section (check one) ~. Hamlet Block ~00 ~ Lot O/l' Subdivision Permit No. Filed Map. Lot: Date ofeermit."~"-fJ-I'~ P-~ ~°~1/%licant: t~[~ ~ j/~ ~{~'~-'~. Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Ot0~.E9 E) Final Certificate: ~ (check one) Applicant Signature P 0 Bo> I 179 OFFICE OF THE BUILDING INSPECTOR TOWN OFSOUTHOLD CERTIFICATION Building Permit No. Owner: (please print) Date: Plumber: ._~ ('nt~ (~¢_..~ ..~J.~- (please print) I cer[ify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~ ~ (plumbers signature) Sworn to before me this i?/. k, d a y o f ,_)~_4[),X.c"t4 20(~ d Notary Public, .%t ) ~/¢13~ ~-.- County BERNAOEI'f£ t. TAPLIN NOTARY FUBLIC ff4844893 Slat(: of New York Residing in $ufieik County Cor~ =xphe~ S~ 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 G & S ELECTRICAL CONTR. MS. DIACK P.O. BOX 215 1840 LEETON DR SOUTHOLD, NY 11971, SOUTHOLD, NY 11971 Located at 1840 LEETON DR SOUTHOLD, NY 11971 Application Number: 4021787 Certificate Number: 402,1787 Section: Block: Lot: Building Permit:. BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, 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 the23rd Day of January, 2009, Name QTY Rate Rating Circuits Twe Appliances and Accessories Dish Washer I 0 1.2 KW Exhaust Fan 1 0 F.H.P Wiring And Devices Outlet 10 0 Gen, Purpose Paddle Fan 1 0 Receptacle 4 0 GFCI Receptacle 5 0 Gert, Purpose Switch 3 0 Gen, Purpose I of 1 sea/ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 1/15/09 Own of Southold Building Department Enclosed is my $25 check for the Certificate of Occupancy along with the form. My contractor, John Ki~ hnish will be dropping off the electrical and plumbing information needed with in the next 10 days. Mildred A Diack 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. 33964 Z Date JUNE 12, 2008 Permission is hereby granted to: MILDRED ANN DIACK 34 WATERSIDE CLOSE EASTCHESTER,NY 10709 for : ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1840 LEETON DR SOUTHOLD County Tax Map No. 473889 Section 058 Block 0002 Lot No. 011 pursuant to application dated MAY 23, 2008 and approved by the Building Inspector to expire on DECEMBER 12, 2009. Fee $ 200.00 ~ Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net PERMIT NO. Examined ,20 Approved ,20 Disapproved ~/c Expiration ,20 . ; :':~ ~-'---' - ~ Building Inspector INSTRUCTIONS BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health__ 4 sets of Building Plans Planning Board app~J Survey Check i,~ Septic Fonu N.Y.S.D.E.C. ,20 O ~ !~1~ app~i~al(~ ~_ ~.~,~l~e~'~om_p[ '41y filled in by typewriter or in i~k and submitlcd to the Building lnsp~tor wi~ 4 sets of plans, accurat~ ~1o f pl~cording to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public struts or ¢. 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. ffno zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pernut for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to die Building Zone Ordinance of the Town of Sonthold, 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 heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regxflations, and to admit authorized inspectors on premises and in building for necessapj-inspecfio_~~~, L~ ~ architect en neer en~er~t r~um~ t~, .,,~,-~.,-e.~,.,~/ .,,', _ State whether applicant is owner, lessee, agont, ' , gi ,g ral o traco,eectrician, p,umoerorouilaer (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 Lieonse No. ~o~"~"~ ~[ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on whichuronosed work will be dian~/~ ~/(~) ,~ ~//~ ..~/~, ~c~,L~% t~/~ ~.~ HSuse Number Street Hamlet County Tax Map No. , 000 Section ~"~ Block & Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of presses and intended use and..0ccupanc~of proposed construction: a. Existing use and occupancy ~ ~ ~_.JJ-- /~']~V'I/~ L~/ C~ '~ 3. Nsturo of work (check which applicable): New Building Addition Alteration Repair Ir/' Removal Demolition Other Work Lt~/.x/~-t~L CO [ ~ %, -- (To bo paid on filing this application) 5. If dwelling, number of dwelling units ~)/b~ f~ Number of dwelling units on each floor C~/V~ If garage, nurober of cars · 6. If business, commercial or mixed occupuncy, spacify nature and extent of each type of use. 7. DimensionsofexistingsWucturos, ifuny:Front C~, ~ Rear c~ Height Number of Stories ~',.~ ~,~--' Diroension$ of same structure with alterations or addilions: Front Depth ~ffl ~_~ Height~ Number of Stories Dimensions of eetire new construction: Fm~/~/~/~/~ Rear Hei0ht ~ Nurober of Stodes 9. Size of lot: Front 10. Date of Purchase Rear 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning inw, ordiannce or regulation? YES __ NO 13 Will lot bo re-graded? YES NO V~Will excess fill be removed from promises? YES · ' ' '--- ' 14. Names ofOwner of ,Llretnises/~l/~r~0 b/~A~s ]Of~ ./~r/~~ PhoneNo~-'~/ 15 a. Is this propew] within 100 feet of a tidal wetland or a froshwater wethnd? *YES L/ * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM/TS MAY BE REQUIRED. b. Is this pmpe~ within 3O0 feet of a tidal wetland? * YES__ NO * IF YES, D.E.C. pERM/TS MAY BE REQUIRED. 16. Provide surv~y, to scale, with accurate foundation plan and distunces to property lines. 17. If elevation at ~any point un pmporty is at l0 feet or below, must provide topographical da~ 18. Are there any covenants and resections with respeet to this proparty? * YES NO · IF YES, PROVIDE A COPY. IEOU~T~OF 74~-~ 1'5~'~c~ [ (lq~v;~Jual .signing contra~t) abo, v~ aam~t, A i / / ' // [£ said --ct °r --m~'. and.is . .(.I .ulY ml..th°H~ t° Peri°tm °r lin" _.l?'. [. °ri]lcd *e said w°rk ' t° make m~l ~c *is ap~licatioa; ~st all mte~e~s can~e~ m tiffs apphc~ m troe to t~e I~st o~his Imowl~ an~ ~ll~ ad ~ ~ w~ ~l ~ t ~ Fffo~ed in *e manaer set forth J~ the appUcstion filed therewith. New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY at Stony Brook, 50 Circle Road, Stony Brook, New York 11790-3409 Phone: (631)444-0365 · FAX: (631)~.~.~. 0360 Website: www.dec.state.ny.us LETI*ER OF NO JURISDICTION - TIDAL WETLANDS ACT Alexander B. Grannis Commisioner Mildred Diack 1840 Leeton Ddve Southold, NY 11971 Application #1-4738-03736/00001 Diack Property, 1840 Leeton Drive, $outhold $.C.T.M. #1000-58-2-1 ~ August 7, 2007 Dear Ms. Diack: Based on the information you have submitted, the Department of Environmental Conservation (DEC) has determined that: The property landward of the pre-existing (pdor to 8/20/77) bulkhead, which is more than 100 feet in length, as shown on the aerial photograph (exposure 70-1968 dated 6 APR 76) obtained from AeroGraphics Corp., is beyond Article 25 (Tidal Wetlands Act) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661 ) no ' permit is required. Be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or oca municipalities. Sincerely, Deputy Permit Administrator Suffolk Environmental Consulting, Inc. NYSDEC, Marine Habitat Protection file (kaf) .TELEPHONE (631) 29g-2252 JOHN LUDEMANN LICENSED ELECTRICAL CONTRACTOR POST OFFICE BOX 621 NEW SUFFO~W YORK-11956 Missy Diaek Date 7/28/05 34 Waterside Close Eastchester N.Y. I071~ INV# 1528 QUANTITY DESCRIPTION UNIT PRICE TOTAL Re Southold Beach House Remove old defective 100 amp electrical service and Replace meter box, riser, and conductors. 750.00 Charge by New York Board of Fire Underwriters for Inspection 65.00 Total 815.00 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [/...]-4qNAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ DATE ///~/~,~ INSPECTOR~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT/ION [ ] FOUNDATION 1ST [//]'ROUGH PLBG. [. ~/OUNDATION 2ND [ ]INSULATION [~] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE R.ISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMAR-- ~~ ~- DATE FIELD ENSPECTION REPORT ! DATE FOUNrDATION (1ST) FO[,qqDATION (2ND) COM~IY-,NTS ROUGH FRAiVI~G & PLU~IBE'4G UNISI:~rLAT1ON PEI:~ N. Y. STATE ENEtkGY CODE FINAL ADDITIONAL CO1VI/ViENTS Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971 0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 23,2008 Mildred Ann Diack 181 Green Palm Circle Palm Beach Gardens FL 33418 We are unable to complete your Certificate of Occupancy because of the following reasons: ~-~An application for Certificate of Occupancy is not on file. (Enclosed) ~o Electrical Certificate on file ~The Check is not on file - $ 25.00 No Final Health Department Approval on file. No final inspection has been made. ~No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance fi.om Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval B.P. # 33964 Alterations ,l,~,~ _..:r-,~ ~_v-// TOWN OF SOUTHOLD PROPERTY RECORD CARD ~/_.~2~ OWN ER FO~MER OWN~ RES. LAND AGE VL. STREET / c'. /,,' FARM TOTAL DATE DISTRICT SUB. ACREAGE TYPE OF BUILDING I CB. I MISC. BUILDING CONDITION ~.~--.~- NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Wcodland Swampland Brushl~l~,~ House Plot Total REMARKS M. Bldg. Extension Extension Extension Breezewa Foundation Basement Ext. Walls Fire Place Porch i Porch Patio Garage Driveway O. B. Ijt .. . ' Bath Floors Interior Finish Hea,t Attic Rooms 1st Floor Rooms 2nd Floor t~' f LEETON 75.00' DRIVE SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD ~8- 0,2-11 FLOOD ZONES FROM FIRM MAP NO. 36103C0154 ~ DA TED MA Y 4, 1998 ELE'VA TIONS ARE REFERENCED TO NGVD. AREA = 1~690 Sq~ ft. tO ti~ line 1800' P. O. BOX 909 IE30 TRAVELER $OUTHOLD~ N,Y. 98- 254 k ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. OCCUPANCY OR USE IS UNLAWFUL APPROVED AS NOTED DATE: ,~ B,P. #~ 765-1802 8AM TO 47M FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWU REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. rNSULATION WITHOUT CERTIFICATE 4. FINAL- CONSTRUCTION MUST BE COMPLETE FOR C O, OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OR NEW YORK STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. CERTIFIcATION 0~' COMPLY WITH ALL CODES OF NAILING & CONNECTIONS NEW YORK STATE & TOWN CODES REQUIRED. AS REQUIRED AND CONDITIONS OF SOUTHOLD TOWN ZBA ¢ . / V//~ S0t~0LD TOWN TRUSTEES N.Y,S, DEC 77.¢q /PF I