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HomeMy WebLinkAbout22308-z <- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23279 Date OCTOBER 12, 1994 THIS 'CERTIFIES that the building ADDITION Location of Property 1455 BEEBE DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 4 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 17, 1994 pursuant to which Building Permit No. 22308—Z dated SEPTEMBER 8, 1994 was issued, and conforms to all,'bf 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 APPLIED FOR The certificate is issued to STEPHEN & GENEVIEVE LESKODY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building In ector 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 AUTHO ZED) Date ........ ......e4._ .. ...�J............................, 19.6. ...... 9�_ 22303 Z Permission is hereby granted t . srr .. .................... . , . 1- .....4...e............... .............. . .. ,. .......�..fn./. .... F . to ..... „ .c--/........f.........�C��.Af,......... , '........ �s r� '. ............ et". ... . . .- ......., 1� .��.. ... ..,.........................................................:....................... .................................................................................................................................................................... .................................................`...........................................................`..................................................... at premises located at.........../Y :7..� �..... U, ................................................ ..................................................... ........4.Y e....y. ........................ County Tax Map No. 1000 Section ......10-3... Block....... ............... Lot No. .15i�.............. pursuant to application dated .....'4 .C&-y-K......1 ........ 19.. K...... and approved by the Building Inspector. 00 Fee $.... ...:.? LR.... W. ........... Building In ector '\ Rev. 6/30/80 r i113,S Form No. 6 �';�,�� A.-Q �`�'► , gdj i; TOWN OF SOUTHOLD �r0 �1I1i BUILDING DEPARTMENT TOWN HALL !I� 765-1802 u BLDG.Dbi _ �011ViJ OF 50UL 0LD s 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 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, multiTle 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. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentiall $15.00, Commercial $15.00 Date . . . ./.�.. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . .. „ Old Or Pre-existing Building. . . :�.. . . . . . . . Location of Property. /*:J . . . . . . . . . . . . . . . . . . . .Gd %�,�J Pep House No. -7^6: // --5treet�^ - Hamlet---_ Onwer or Owners of Property. . . . . ,��I lel qll;U , , , , Count Tax Ma No J m e rVA1 „ y p 1000, Sectio/n�. . . ... . . . . . . . . .Block. . . . . .�1. . . . . . . . .Lot. . . . . . . . . ... . . . . . . . . . Subdivision. . .Al ? 7 6. . . . . l.dU/�. . . . . . . .Filed Map.�`�,��.!� .Lot. . . . . . . .. �. . . . . . . . . . . Permit No. �lp.. ��.1, 7. .Date Of Permit. . �:�, �� , .Applicant. .��. Health Dept. Approval. . . . . . . . . . . . . . . . .. . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . x. . . . . Fee Submitted: $„ p2;i ;, .. . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT . ... . . . . . Town Hall,53095 Main Road y 2 Fax(516)765-1823 P. 0. Box 1179 0 Telephone(516)765-1802 Southold, New York 11971 44 �! col � �a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 28, 1994 Mr. & Mrs . Stephen Leskody 1455 Beebe Drive Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No 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) . BUILDING PERMIT # 22308-Z Please contact 'our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765.1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL Ae REMARKS: !/1/ 5.S 12 DATE INSPECTOR �I�� �i �' ;�:��;::=u:r -�_,::; �� ...� � .s . .. ..._..�_,�,_.:_ _•;,.�;, -. .. - :n-� . _vim—,-.�:,:,�- cOIYMENTS IF ,111DATI011 111DATI011 (2nd ) _ y� 'GH FRAME - ULATION PER N. Y. II STATE ENERGY II CODE Ot� m •FINAL I -- -' O ADDITIONAL C01-11ENTS : m . H . ' r Fqn .1 BOARD OF HEALTH . . . . . • . .lrJ L5 u Ii/ FORM NO. 3 SETS OF PLANS f� 4 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . pa1G 17 1994 I ' `. BUILDING DEPARTMENT CHECK . . . . . _ _ _ . . . . . . . _ ji TOWN HALL SEPTIC FORK _ _ . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG,DE PT. p TE L.: 765-7 802 TOWN OF SOUTHO _� CALL . . / _ .�• . . Examined : 77z , 1 MAIL TO : Approved . . . . .(J. . . . . .. 19! Xcrrnit N l �.P. . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . . . • (Building Inspector) AP L ATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street .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 permi, 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 described. The applicant agrees to comply with all applicable laws, ordinances, uilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i ections. (Sibnature o name, if a, c rporation f applicant,• or�? . . . . . . .). . . (Mailing address of applicant) Af, t/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . : U �?. . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . :. . . . . . . Name of owner of premises . . . . l. �?� �✓. , , .¢ 1n/ (J �%^j//` ' *RRffi%1vf D. . (as on the tax roll or latest30F If applicant is a corporation, signature of duly authorized officer.• PFF: BY: . . . . . . . : . . . . . NOTIFY BUILDING DEFARTMENT AT (Name and title of corporate officerl: � "`u"�`"° '`,` � r A :; ' 765-1802 9 AM TO 4 PM FOWTHE ='' '„ FOLLOWING INSPECTION& Builder's License No. . . . . . . . `. r, << t r ? � �� � 9• FOUNDATION - TWO ROE(2UiREFi . ., . � I �� � � FC)FR � r'` '��: �✓ 9wii �i�x �d �wl' POURED CONCRETE _ Plumber's Lice ROUGH FI?A. " �� MING � PLUMBING License No. F n 4j ri G . R€�15t�1.nt sFi Electrician's License RR�a,^. ,R_ wi�l`d��3414,iC T ION MUST No. RAF COPx'IPLE t 4 +! i1 � iS ALI i"ONS T RRIU .�i ic)lj SHALL MEET Other Trade's License No. . . . . . . .. . . . . .. . .� � Tl-1f... OF THE N-Y. Suat ,tat ' N1=H(sY 1. Location of]and on which proposed work will be done. .? L ' FOR . . f . . . . . . . . . . . . . . . . . . Y . . . . . . � f.l�LV I-louse Number Street _ Hamlet County Tax Map No. 1000 Section . . . P . . . . . . . .. . . Block , , (�i° ��_ L ot 4W.7 . . . . . . . . . . . . .� Subdivision Filed Ala No. (Name) p r7 .. . . Lot . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: t- a. Existing use and occupancy . . . :. . . b. Intended use and occupancy . . . . . . . . . . . . . . . �. . . . . ° t ,, A k?,y. �,i.. . .�. . . . . . . . . . . . . . . . �. :tiL"f:.. . . . . . .. •3. Nature of work (check which applicable): Repair 61 . . . . . . . . . . . . . . Re New Building . . . . . . . . . . addition . . . . . . �',Alte•raty + a Removal • , . , , • • _ •. . , DemolitionWork . o . . . . . . . . . . . . . Other Work . . �--� 4. Estimated Cost . . . . - . . . . . . . . ) c: . . . . . . . . .©. . . . . . . . . . . . . (Deseription Fee . . . . . . . . . . . . . . . . . . . . (to be paid on•rfi-i:,h-s`a�plication) - 5. If dwelling, number of dwelling units . . • • . . Number of dwelling units oil each floor . . . . . . . . If garage, number of cars _ 6. If business, commercial or mixed•occu s •ccif • . • • • • • • . . • • • • • ' • ' • ' ' ' ' ' ' ' • • • • - 7. Dimensions ofexistin structures occupancy, p y nature and extent of•each type of use . . . . . . . . ,�, g , if any: Front . . . Height . . . . . . . • : • Rear . . O . . . . . . Depth . . .q� . . . . • • • . Number of Stories . _ • • • • • . Dimensions of same structure with alterations or additions: Front • • • • • - Depth . . . . ! .>l.r. .�. . . . . . . . . . Rear . . . . �i i� . . . . •�� . . . . Height • �. . . 8. Dimensions of entire new construction: • • • • • • ' ' ' ' ' • • Number of Stories . . . . . . :. , Front Rear � • • � • 'Height . Number of Stories . . . . . . . . . . . . . . . . . AP 1. . . �. . Depth . . . . . . . . . . . . . . 9. Size of lot: Front . , o?sQ`' ' ' ' ' ' ' ' ' ' • • dy• • • • _- 10. Date of Purchase . : —l3� q�i. . . . . . . . Rear. . . . .�.�,/.Ia .��. . . . . . . . . . Dept . . . j�� . . i. .I "� . Name of Former Owner �.,�jP�!y. 11. Zone or use district in which premises are situated . . . . . . . .12. Does proposed construction viola a any zoning law, or ' ' _l/Jp ' ' 13. Will lot be regraded . . . . . . , g dinance or regulation: . • , , , • , , , , • 14, p • • Will excess fill be removed from premises: Yes • . Name of Owner of remises .5. '�-t�/I/; �,��,S,a • dress ° Name of Architect ' e Phone No. '7.� :, ��- ddress ph ' Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . one No. . . . . . . . . . . • 15. Is this property within • • • • • • Address . . . . • . , „ • • ;, , , , , .Phone No. . . . . . . . . . .y 300 feet of a tidal wetland? * • • •r • *If yes, • Southold Town Trustees Permit may be required. • • •• ' No. . .•K.�. . • . 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. jb �-0 STATE OF NEW YO RK, -OUNTY OF . . . . . . . . . S.S • � • ' ' ' ' ' ' ' ' '�'I 'J •�'•'• �"��• • � •'• • •f`r�5-�.�'� being duly i sworn, deposes and says that he (Name of individual signing contract) s the applicant .bove named. le is the . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) • • • • • • f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this appli .'corn to before me this cation are true to the best of his knowledge and belief;and that tileork will be performed in the manner set forth in the application filed therewith. • . . 1. � • - . . . .day of. . . , 19 . ��� )tary Public, . . . . ;`'` County JOYCE M.WILKINS . Notary Public.State of New York • • • • • . . . . . . . . • • , , , , , , • No.4952246,Suffolk County • - Term Expires June 12,19 (Signature •f applicant) f I- _ k "rt-, StiA� TpWN' Hof'_ �OfJL'HOtD l MAP 01 ASudVEVEO Foe 'tR a W1 ,L1,1M gVQNGY H/Gf ll�JS I CC o or CUTCHOGUE { ` TOWN of SpuTNOLD,IV•/ AlUOSO CA ruY x. F- LU ® — (rj�y rn NO: O _ CJ+.ca?o Title /nJ�+rvnc� Co�n�^y I ®O ft>the ,Mold •$orl0'7 - . J y -IA.. 16, 1971_ m Z I �� ad Scway-od d SOAJ VG N T YL � n , f-IE /E:40'=!" L:csi►3ad tQ.d swvey s • J_ I i I I i I ! I I � I I I I I I I ' I I I � � I _ � j i � ' I► I A, 1 54 —_— i I 1 ' I i _ ' � � i_ � � i i �_ _��-�_ ;_ '-- 1 I--'——r—� '4 '— �--' �—_1�►1�M++��w ��_��.�h•�I}�Araa'i7� I I I I W(,) o j ,►j l i i � � ' I I I �, � , t i F �— I , � - I -�— BLDGSDE 1 4 —�- ; - - LT •;----I --� —.�:, OWN-O F- - --_- ! Stephen F. Leskod —�— ��:' y 455 Beebe Drivecutchogue, NY 11935Ii— • I i I 1M—�—,n//�� —t � � • I f 1— I I I I- A _�- - ,,�[yj_ — ' ' I I I 1IVVNN U �+ I• -- - • I I I ' Arlr 7;fig I DEPT O W� N-LOI�' F SI O—_U {OI -L I h L i TD! 41 II I^— iI I, 'I — �--- I- I�_ I- -- - i _ICJ' _I ✓��� "� ! %�%'l'_ I_�I T- t Phen !� -- - � F. y Le skod -'-— -I-- '- ! - - ! _ - - -- '---- - - ! --J Cut h NY 119oguee �,- -- - - - -— - — - - 35