HomeMy WebLinkAbout2355-zFOI~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~RTIFI~TE OF ~CUPAM~
No Z-24259
Date APRIL 5, 1996
THIS CERTIFIES that the building
Location of Propert~ 1445 WIOIInAMAVE.
House NO.
County Tax Map No. 1000 Section 140
Subdivision
OWE FAMILY DWELLING
MATTITUCK, N.Y.
Street Hamlet
Block 1 Lot 4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
1180-Z &
Building Permit No. 2355-Z
8/10/60 & 4/15/64 .pursuant to which
dated 9/23/60 & 4/15/64
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 OWE FAMILY DWELLING WiTH ACCESSORY GARAGE -- BP ~1180-Z *
ADDITION TO EXISTING OWE FAMILY DWELLING - BP ~2355 *
The certificate is issued to PAUL J. & KIM A. GAYDOS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
*NOTE: THIS UPDATES CO Z-1016 DATED 3/15/1962 - DWELLING
& CO Z--2019 DATED 10/29/1964 - ADDITION
Rev. 1/81
FOI~M NO. ~
TOWN OF souTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING pERMiT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted
of premises located at ~/*~ ~0~ ~ r . . . ; : .... . .
................................................... , ............... ~.~.~i.~ .................................................... ; ..............
pursuant to ap"plication doled .............~ ....... ~ ......... :,A~tZ- ......'t~ .....19~F.., ~and approved by the
Building Inspector
Fee $ ...... :5~.0~ .....
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ~'l~B..J¢Ji.,,~kt~aTJ~...A.~.e ................................... Street
Map No ....... Z~ ........ Block No. :Y~d ............... Lot No. ~ ....... ['~[~[.~'I .~'k~GJ~t...),~(~.. ...................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.................................. j~.~[:$,],.....][.~. ........... 19,6.~.. pursuant to which Building Permit No. ~-.~..~..~..
dated ................................. 4~,~.£1.....],~., 19...~.~., 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 ........
....... ~,~.Y. ~,t Lotto.. £ aml L~r,...~:t,~,.]. 3;Ln~ .........................................................................................
The certificate is issued to .~[.~t.J;.~]J~£¢~,~;,..~...T.~fi~...~J~/....C4..,.~'L~.~.~,~...~...~.~-.~.~ ............ .~.~.~..~..e.?..~ .......
(owner, lessee or tenant)
of the aforesaid building.
T0~ OF SOUTHOLD
BU!LDLYG DE.~AR~%2~NT,-
TOW~N F~_L L
This app!!cacion zus~ be fi!!ad in by :ypewrizar OR ink and submit=ad oo =he building
inspecuor ~iuh :he foi!o~%ng: for new buildin~ or new use:
!. Final su~ey of .proper~y wink accuraue !ocatio~ of al! bui!din~s~ proper=y lines,
suraezs, and unusual nauur~ or :opographic faacures.
2. F~al ipproval from 5e~tk Dept. of water supply and sewerage-disposai(S-9 fo~).
3. Approval of eiac%rical ~scallg~iou from Board of Fire Unde~i~ars.
lass than 2/!0 of ~% lead.
5. Co~erci~ bui!~= ~nduszr!a! bu~d~, ~iuipia residences and simf!ar buildings
and ~s~lauions, a aaruificaua of Code Compliance from archi:act or eng~eer
responsible for ~he budding.
6. Submit P!ann~g Bo~rd kpprov~ of~ comp!e~ad si~e plan raquir~anus.
For ~xlsuL~ buddhas (prior =o April 9, I957) {on-confo~ing uses~ or build~gs and
'Ypr~-~%sc~g" !and ~ses:
~. Acc'urals so,ay of propercy sho%~g ~i proper:y lines, sur~ets~ budding and
~nusual nanur~ or topographic features.
2. A properly: comp!e~ad applicauion and a consen~ no ~specc si~ed by the applicant.
reasons ~harefor in ~%~!nE :o ~he app!ica~.
J~era~!ons :o dwe!lJ-ng g25~00, S~%mm~n~ pool S25.00~ Accessory
Additions to accesso~ bui!di~ng $2~,00. Busimessas $50.00.
2. Carc!fica=e of Occupancy on Pre-~xi$~in~ Bui!d~_mz - $i00.00
3. Copy of Cat,if!cane of Oca-~pamcy - $20200
Updated Car:!fica:a of Occupancy - $50.00
5. .Temporary Carnlficaca of Occupancy - Rasiden~!a! $!J.00: Commercial $15.00
a=e .... ........................
10PDAT~ CO
~ew Cons~ac~ion ........... Old Or Pre-exls=in~ Building .................
~445 Wickham Ave. Mattituck, N.Y.
Location of Properuy ...........................................................................
Rouse No. Stree~
rope_ ~y.. PAUL ~.. f ~ k...GkYDD~ ....................................
3ouncy T~x Lap No 1000, Section .............. Block ................ Loc ......................
' ' '~ ~ 4 .Filed Map ............ Loc .......
z,,go
?arm±: No Z2355 .Da~e Of ~ '.. . .........................
............... ~e_~a~t ................ ~eoLicanC... H.R. Reeve.
~_aa!oh Deoc. Aporoval ~' ' ~-=~ Approval
~!ar. ning 3oard Approval ........................
~aques: for: Temporary Car:iflca:a ........... Final Carc±aata ...........
'ee S ..... 9:99 ...................
...... -
TOWN OF SOUTHOLD
BUILDING DEPARTFfE~NT
TOWI~ HJ_LL
765-i802
APPLICATION FOR C~TIFICATE OF 0CCUPBJqCY
A. This application mus: be filled in by typewriter OR ink and submitted ~o the building
i~spector wi~h the following: for new building or new use:
1. Final survey of .property wi~h 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 forz~).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statemenn from plumber certifying that the solder used in system contains
less than 2/i0 of I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and instaila:ions, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Bo&rd Approval of completed site plan requirements.
B. For existing bu~ldings (prior ~o April 9, 1957) non-conforming uses, or buildings and
7pre-existing" land uses:
i. Accurate survey of property showing all property lines, streets, building and
unusual nagurai or topographic faagures.
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.
!. 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-~xis=in~ Buildinz - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. :Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00
Da~e April 3, 1996
New Construction ........... Old Or Pre-exis~ing Building. UPDATBD CO
~445 WickhamAve. Mattltuck, N.Y.
Location of Property .........................................................................
House No. Street Hamlet
Dnwer or Owners of Property ....... F~L~..A~A.. ~AY~D~ ....................................
County T~x .Map No i000, Section .............. Block ................ Lot ......................
Subdivision .................................... Filed Map ............ Lot ......................
z,, o
Permit No. Z2355 ...... Date Of Permit. .Applicant. M.R. Reeve.
Health Dept. Approval .......................... Underwriters Approval ......................... .
Planming Board Approval ........................
leques: for:
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey Of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate,
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date..
New Building ............. Old or Pre-existing Building(Z) .......... = fVacant Land ............
Location of Property .................................................. ~ ........ : ..........
House No. Street Hamlet
Owner or Owners of Property ................ -.- .....................................
County Tax Map No. 1000 Section ............... Block ............ ... Lot ................
'~.
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ............ .; .....................
Health Dept. Approval ........................ Labor Dept. Approval ...................... ,,.
Underwriters Approval ........................ Planning Board Approval .~ ,.,
Request for Temporary Certificate ..................... Final Certificate ........ - ......... -
Fee Submitted $ .............................
Construction on above described building and permit~mee~s ali ap~l~cable~codes and regulations.
FOR~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
, ..........
Approved ....... ~.:... ................. 19 ........ Permit No. ~..t..'-~;. ......
Disapproved a/c ...... ~~:..~.~.....~.~::~.......~ ..................
................. .............................................
.............................
Application No....l.J..~ .........
APPLICATION FOR BUILDING PERMIT
D- August 18 -- 60
are ............................................................ ~ ............
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 location.
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 on the premises available for inspection throughout the progress of 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 and regulations.
........................ ~...?l.../.,,~,~,,.~,,..,~....~...:~.~.,~,,,r ................
(Signature of abplicant, or name, if a corporation)
(Address of ~'plicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
f remises Harold R. Reev~ Sr. ~ Har.o. ld R. Reevem Jr. & Laurence P. Reeve
Name of owner o . p ...............................................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: ............................................Lot No: ....................
Street and Number .~.~.~...~....e~.....A.?..e.~"...Z.5...??.:~.~.~..~..~..b:~.~.~...e~..~.Z.?..~..~.~.&.~.~..~...~.~.~t. ...............................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy, of proposed construction:
a. Existing use and occupancy......~..e..~.~..~..e~..~..e~.. ..........................................................................................................
b. Intended use and occupancy ................................................................................................................................
/
Natgre of work (check which applicable): New Building .................... Addition .................... Alteration ................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost....~.?:~..0..O..0..'..0..0. ...................................... Fee ..~..1..0..'.9..0. ........................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units .........1,. ..................... Number of dwelling units on each floor ........................
If g,,aroge, number of cars ........................ 2~ ..............................................................................................................
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 ........ ..~. .............................................................................................
Dimensions of same structure with alterations or additions: Front ................................ Rear ............................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front,,.,,.2,,6,,~,~. ............... Rear .....2.~.!..-. ................ Depth ..Z~.,.!..-. ...............
Height .....2~..!..-. ................. Number of Stories ...... ..~. ...................
9. Size of lot: Front ..... .6..0.~ .................. Rear ....... .5.?.t.?. ............. Depth .....2..2..5.! .................
10. Dote of Purchase ...... .3:.?.~ .......................................... Name of Former Owner ,.,.~.~..e...~...a:.~.&...z~.. ...................
11. Zone or use district in which premises are situated ........ ?.. .................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~.9. .....................................
~,Harol~l~B. Reeve. Sr.. Harold R. Reeve, Jr, ,,
13. ~'4ame oruwner orptem.ses~..,r,~t~,.l~.6.~..~.;..-~,~c. Address ............................................ Phone NO .................
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 fr,
property lines. Give street and block numbers or description according to deed, and show street names and india
whether interior or corner lot.
STATE OF NEW,(,Y~:~./~h ) S S
CO. .
...... (' 'Name of indwMual ~ application) ~. ~ ¢
above named. He is 'he'"~~'""'T~'*:~":C~'";Z'~:";;;;~;;;";~7,';;;:";~;'~~ --¢''~(C~ ,}*¢~j: ...................................
of sa d owner or owners and is duly authorized to pe~¢~r ~e performed the said work and to make and
th s application; that all statements contained in this app,~¢on ~e true to the best of his knowledge and bel
and 'that the work will be performed in the manner set for{~'¢~¢~pplicatien fi~ therewith. ~ ~
Sworn to before me this ~ __ ~ x,~ ¢ ~ ~/~~ ~/~ ~1
~ day of ~.~ 19 ~ ~ (Signature of appl~nt)~~
.......... ..........
~ot~ P~bhc, .Coun~
FOE~ ~0. 1
TOV~'N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Examined A F~', /,...~........, ........
............................../
Approved ........................................ , 19 ........ Permit No.................................
Disapproved a/c ............................. ~..~z... .............
...................................... ...... ................. .................................
Application No. ~.....~.....~....~....~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 propertymust be drawn on 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 on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whale ar 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, building code and regulations.
(Signature of applicant, or name, if a corporation)
Mattituck
(Address of applicant)
State whether applicant, is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..................... ~r.a~tor. .............................................................................................................................................
Name of owner of premises ....... ~n...~*...~.G'll-~..~s.t~ .............. ! ..........................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: ............. ~ .....................Lot No: ..~ ..........
Street and Number ....~ck~..~e ............ ~t~O~ ..................................................... '.' ...............................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed ~onstruction:
a. Existing use and occupancy ........... ~D.[[~ ....................................................................................................
I1
b. Intended use and occupancy .................................... ~..~O~ ..................................................................
3. Nature of work (check which applicable): New Building ............. :.... Addition ...... ]1:;11~.... Alteration
Repair .................... '~'emoval .................... Demolition ................ .I.. Other Work (Describe}
4. Estimated Cost ..... ..~..t..~..O..O...?.. ..................................... Fee ...... .~.....0..0.. ...............
(to be paid on filing this application)
5. If dwelling, number of dwelling units ........... Ol:lll .......... Number of dwelling units on each floor
If g~rage, number of cars
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
Dimensions of same structure with alterations or additions: Front ................................ Rear
Depth .............................. Height ............................... Number of Stories ........................................
8. Dimbnsions of entire new construction: Front ...... ~8 ................. Rear ........ ~.8 ............... Depth .....].~ ...............
Height ............................ Number of Stories .............. oil. et .......
9. Size' of lot: Front ............................ Rear ............................ Depth ................................
10. Dote of Purchase ........................................................ Nome of Former Owner
11. Zone or use district in which premises are situated ........................ !!]t~)3...d:l~l:ll; .........................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ................. ~ ............................
13. Nar~e ~f Owner of premises ..... ~,.~t~,l, lt..]~ltl~...Address ............................................ Phone No.
Name of Architect ...................................................... Address ............................................. Phone No.
Name of Contractor ...~.t....~..~.°.~..~. ......................... Address ....... ...J~..~..~.~...~..O...~. ............... Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn
property lines. Give street and block numbers or description according to deed, and show street names and indi,
whether interior or corner lot.
STATE OF NEW ,~.O_.~,1~_~ ,_ ~ c c
COUNTY .OF ......i~..1~...~.9..~.~ .......... ~ ~.~.
............................ ~.~..~D~ ................................ being duly sworn, deposes and says that he is the c
(Nome of individual signing application)
above named. He is the ....................... ~.~O~ ....
(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 ·
this application; that all statements contained in this application are true to the best of his knowledge and bell
and that the work will be performed in the manner set,forth in the application filed therewith.
Sworn to before me this
................ .................... ........
: , ...... ......................
Notary Public, ~..~~... C~n~ _~ lSignature of ~pplicant)
JUDITH /. ~u,~ york
/