The URL can be used to link to this page

Home My WebLink About23431-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24364 Date MAY 16, 1996 THIS CERTIFIES that the building ADDITION Location of Property 200 LESLIE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 9 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26, 1996 pursuant to which Building Permit No. 23431-Z dated MAY 10, 1996 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to EDWARD L & JEAN M. FLEMING (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i;]Zing Inspector Rev. 1/81 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) Nc 23431 -Z Date........... .................... 19/.��... Permission Is hereby granted to; ............ Z... ..... ...... ................. ..................... .................. ........... ... - =L. . ............................. `� to .....,... -. .3, - -...1�..................... ............................... ..� -..... ... . ..... .................. .......... .� ,:2, -........ .............. .%.... ..: ................................................................... .................................................................................................................................................................. .....................................................I..................... ... . ............ .... atpremises located at........................... . ...... ..... .. ........................................... ............................................................... .......... ............ ... ................................................................. County Tax Map No. 1000 Section ............. 7.. Block............. ....... Lot No. ............. pursuant to application dated .................... . ....... ... ......1 19.Gj ....... and approved by the Building Inspector. Fee$..��............. .... ........... ......... ..... ...... ..... ................... Building Inspect Rev. 6/30/80 n Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 ele6tr cal installation from'Board of Fire Underwriters. 4. Sworn statement fr'om,.plumb.er certifying that the solder used in system contains less than 2/10 of 1% Head', 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 a 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . /.7. .��.{P. . . . . �. . . . . . . . . . . . . Vew Construction. . . . . . . . . . . Old Or Pre-existing. Building..,,. . .��c: . . �:(. . 4�� vocation of Property. . . . ih.�. . . . . . . . . . . . . . . :�f'.�� i . �:CIL. . . . . . . . . . . . . �: !: !�U .C. . . .. . . . . . House No. Street Hamlet Dnwer or Owners of Property. . .G•%'j �:.�.- .�. �: �^ . . . . .F�qj/,l n .1 . . . . . . . . . . . . . . . county Tax Map No 1000, Section. . .. .r . . . .Block. . . . 0 q. . . . . .Lot. . . . . .T . . . . . . . . . . . . . . Subdivision. . . ( . . !7�l. :S. . . . . . . . . . . . . . .Filed Map. .5 ? A .Lot. . . . . . .f. . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . .Applicant.c:�_C.! . .Y��f:� . . 0? Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . `Tanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . A/L. . . . . . . . . . . . . . . .� APPLICANT 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] R GR PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING [ j FINAL � [ ] FIREPLACE & CHIMNEY REMARKS: 6- CA& 1: ,A� DATE �� INSPECTOR Cum 11;11 j:i I I H AT 1011 ....... ...... .......... ....... Fumil)A.l.I Oil ............ [UPICII FIIAIJV .......... I 11111I.ATI Oil ........... .......... I I IIAI. (;O,ljlltllj,S : ........................ ...................... ------------- ------- rj .................... .......... tj TI . }2 i t N ,j C.L- wu r IWs.Jean Fleming 200 Leslie Rd. Cutchogue,NY 11935 BOARD OF HEALTH . . . . . . . . . . . . . . . `1� FORM N0. 1 -a3 SETS OF PLANS - • . ll (�S TOWN OF SOU'I'HOLD SURVEY - - - - - - • - . - - - - - • _ • BUILDING DEl'AR'ft1ENT C1 . - . - '?. . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: --/I CALL 0-an Examined. .. f 19— MAIL TO: . . . . . . . . . . . . r � � � -r(O !-1,��,Approved... .... f'�-, 19 Permit No.�.... ........ ............ Disapproved a/c ... .. ............. .................................... ! ./. .. hilding Inspector) AP .I. CATION FOR BUILDING PERMIT+� // —7 �i�/Date. _(� . . �- . . . , 19. ! (� INSTRUCTIONS a. 'Ibis application must be completely filled .in by typewriter or in ink and submitted to the Building InspecCor•with 3 sets of plans, accurate plot plan to scale. Fee according to scheclul.e. b. Plot plan showing location of lot and of Wildings 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 application. c_ The work covered by this application may not be conmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit slhall be kept on the premises available for inspection dirouglhout the work. e. No building shall be occupied or used in whole or in part for any purpose wlhaCever until a Certificate of Occupancy shall have been granted by the LkAlding Tnspector. APPLICATION IS IEREHY MADE to the Building Department for the issuance of a Wilding Permit pursuant to the Building Zone Ordinance of the Tam 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 Therein described. The applicant agrees to canply with all applicable laws, ordinances, building code, housing code, and.. regulations, and to achhit authhorized inspectors on premises and in building for necessary inspections. p"a( of applicant, or name, if a o�ratiah) h2.... . .....C� r✓ lJlr t� P (Failing address of applicant) State whether applicant is owner, lessee, agent, archiLect, engineer, general contractor, electrician, pludher or builder. ......................................................................./..................................................---- Nave of owner of premises .`......?Cz... -h...�?.-�J �?�..l.!1... I��,4!1�i �"► ................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. u L5 (Name and•title-of-corporate officer) if Am' 2 6 p� SLOG.OEPT € TOWN OF Builders License No. ......................... SO OLO Plumbers License No. ElectriciansLicense No. ..................... Other Trade's License No. ... '_ • J / 1. Location of land on lhich proposed work will the clone....... ............................................................:.......................................................... llouse Nurber Street 61.3 , IlanleC Canty Tax Map No. 1000 Section ...o 17.1..._.. Block ...�-* ........ let .... ......... Subdivision ... LI) 0 Yh�-5................ Filed Map No. .7 . 3...... Lot .....i......... 2. State existing use and occupancy of premises and interuled use aril occupancy of proposed construction: a. Existing use and occupancy ......... ?UG C ...... �....t.dl.t.li.'� .................................. lu. Intended use and occupancy •............................................................................ s :1. N•,ture of trcuk Wiec:k t,Ahi(li applicable): W-w Iluildinl; .......... Acklitior, Alteration .......... Repair RemovaI ............. D011)Iitioil ............ 01.lher I,k,rk .................................. (Description) 4. 11istimatecl Cost: ........... fee .............................................. (to be Laid cxh filing Lhis application) 5. 1 f A40 I ing, timber of (L)eII irhg rhnI is .......__._. tknber of: dwel I ins uni is cxn each floor ................ If garage, ,xnber of cars .......... ............ ................ 6. If Ix,s!„ess, mmhercial or mixed occupancy, specify nature arxl extent' of each type of use...................... 7. 1imensioils of existing sLrt,cLures, if any: Front.................. hear ............... Depth ................. Ileiglht ......................... Mnber of Stories ...................... Dimensions of same strtrcLure with alterations or axklitions: front ...... ......... Itear ............... Depth •................... Ileiglhl .................... U-siber of Stories ................ 0. Diuhensiots of entire r►ew cohstn,cticxh: Front ................ Rear .... ........... Depth Ileiglht ......................... Mnlx:r of Stories ..................... 9. Size of lot: Frcxtt Mar Depth .................... 10. Date of Purchase ..................... N:hme of Former 0mer ........... ................. -: 11. ZcHhe or use district in t.Ahicah premises are situated .......................... `.. L:{a:zf?r 77C' . _, ...;... 12. lk,es proposed coost:nxaion violate any zoning law, ordirtahhce or regulation: . ........... .... . 13. Will lot be regraxled .................... Will excess fill be reiiiaved from pikinisesP. YES 'tx) 14. Names of Owner of premises ........................... Acklress .......... ° t ,` t' I' ` :........... V. Acklressp� "P1ii>P too. ........... M-ne of CmtracU,r .._.. Acklress ................................move No. ....... .. .. 15. is this pml)erty Within W) feel: of a tidal wetlarx]? * YES .......... NO .......... *IL YES, ,xxriirxn 'I"m 'IRIImmq Imu"I.1' MAY IIf: RL'titTimm. PLOT I)TAGRAM TAXate clearly aril distinctly all Imildings, cAhether existing or proposed, aril irxlicate all. .set-back dimensions from property lbies. Give street ahxl block rxnl,er or descripticxn according to deed, arxl show street names a,xl irxlicate tAhether interior or corner lot. APBOR � �®TAD e%v DATE: FEE: BY: UNLAV"I"U11 "4(?c IF BUILDIIIG 0E Al..655-.ISO2•9 Ails? TO 4 set FOR TR'E FJL_LOl.�IiING 11.SPEGTIOhl-� CEI-l"THFICUE , I. h il.lti ?s.T'0t1! _ TIA10 REOUI`RED U CONCRETE I�t r F•:ETE C ? F;:.. �� ✓. hi1 4� - r!? 11,°I!lVay PLUMBING� 6 ?. IINSULAT"IOtu 4. FINAL AL - CONSTRUCTION MUST PIE COMPLETE FOR C.O. f ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NX STAVE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS S I'A'll?. M, t114 YMK, flf; (XAJNIY U? a .....beicr duly�... ..•.... ..... b y sworn, delxrses arxl says that he is the applicant: (mmie of irxlividual. sil;n' , cc itr'aCL) alxrve nanhed, Ik: i:; the .......... ..........................1_....; ............................ (C)hLra• or, agent, corlxrrate officer, etc.) of: ::aid owix_-r or cmx-ms, mxl is duly authorized to lx:rfonn or have performed the said cork arxl to im.ke arxl file this application; hail all. sL'atehrients contaimd in Ods appl�icatimr are t:nx. to the best of Iris krxxal.edge aril b6l.ief; ahxl that the Work will. Ire performed in (lie maamher set forth in the appl.ic;at:ion filed therewith. fkaorn to I>efor mn t.his _.... .. clay of . .... 19........ n ar l'ub l i c kC ' .` --Nc L y .P.,� ....... Pew .� HELENED.HORNE (Signature Applicant) Notary Public,State of Newyork N0.4951364 Qualified in.Suffolk County C� Commission Expires Pb1lay 22, 19!.,7 t i i I. I (�._ �t ` ! �� f � ! 1 I - j 1 1 , i wQ d v a Jean Fleming ' { 200 Leslie Rd. Cutchogue,NY 11935 APR 2 6 1996 ELDr ' +35�0 \\\Sy _ TOW N OF SOUTFlQ! / L 5 150 Lam;�9 t, ?`�J 58 r 60 CID e aJ �C / T D—L -e. O 1\ J n J V N u. CT / N 7 � J G Ftis 3� Q Q�' ° 1.°t N ti3 O_ 6. � f� i� � of f° APR 2 6 1996 u� / P °fro NOTE• r�c e MONUMENT FOUND ' SUBD/VISIONMAPFILEDINTHE OFFICE A N � LD�G.DE��, OFTHECLERKOFSUFFOL COUNTYON ✓!/NE 2,1972 AS FILENO.5723. — REVISIONS YOUNG & YOUNG MAR 1",1994 400 OSTRANDER AVENUE, RIVERHEAD, NEW Y SURVEY FOR: * o `-':1"-:, A',kILAl, „a n NE,;N,o EDWARD L. FLEMING Q ✓EAN M.FL i `:��:i r e5 L':!t+l Al�\iN O4 SEC;�N 7;`9 TIE NEA' ,)4X 5%TE EDUCATI-:N LOT NO. I,"BAY HOMES„ .aw !'W'E9 )l T4,5.SUNJEY NAP NOT BEn RIND C` SI:RvF'i�-N IN SF 4t Oa C` 4g�, t4,BE:EC iFD a4n,_ NOr 9E CCN'.�GF NFO TC•BE n Vnl!O INUE Cl:PY AT CERTIFIED TO 4ERECN �Nni., RUN PECONIC EDWARD L.FL EM I NG 'i':>°,.• INnr,n•5p . G a'vcu nu' TOWN OF SOU THOLD CC JEA NTERN M R FLEMINANK MORTGAGE COMPANY s�i^hI �S!`NF'pApE;,yU uN ti15 BF-+iL� TRW TITLE INSURANCE COMPANY :Gi,- AN' „L E;...,:• A$:•.:?NE« ,F .!,E SUFFOLK CO., N.Y. BY GOn°Ah'EC9 A°E Nn: INAI. rcm ,c n': +.,;r,T:aNnL SCALE: n DATE 40 APR.//,1979 N''79-132