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HomeMy WebLinkAbout13122-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy Z13673 Date July 25 19~5. one-family dwelling. THIS CERTIFIES that~nthe building ....... W~'t' 'Sh b~'e' 'D?'. ......................... 2~5 Reydon Dr. Southold Location of Property ~s~ ~/'o] ....................... ~'r'e~t' ....................... 80 3 7 .2 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ....... x Filed Map No. x .Lot No. x conforms substantially to the Application for Building Permit heretofore fded in this office dated May 9 19 $.4. pursuant to which Building Permit No. ,, ~. ~.1.2.2..Z. dated ............................May 12 198.~..,wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... New one-family dweliing to replace mobile home. AUDREY REINHARDT The certificate is issued to ........................................................... (owner, ~x~,xo~. ~oE,~.~) of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ............ N 6 9 ? 2 6 9 Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT fl'HIS PERMIT MUST BE KEPT ON THE Pp, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13122 Z Date .......... ~.;.4 ....... ~ .......... , Permission is hereby granted to: ~......~.~...-...~ ................................................. .......................... ,o .~~.~.......:...~.~....~.:~i~:~.~=.~...~....~.~.~:~... ........................... '""":'""~'~'~""";"~; at premises located, at' `~(..`.~..L~.~...~...k~.~;~I..r..~...~..~..~...j~..~..~....~....~...~.~.~.~.....~.~..~..~.1~ ........ .~..../..~ ................. ,~.~.~.v. fl~ ~,~.~.. ........................................................................................ ..~...~.~ ........ ,.,.~.......~ ...................... ~ ................................................................................... County Tax Map N~: 1000 SectlOg ....... ..~ .............. Block ...... .~ ............. Lot No ........................ pursuant to application dated ...... i'.: ..~ ...................... , 19~.,:t.., and approved by the Building Inspector. Fee $ .......... ' .......................... ~F~T~; ......................... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY tnstructions A. This application must be filled in typewriter OR ink, and submitted ia ~l~llllll~ 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 natura~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-existing" land uses: I. Accurate survey of property 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. C. Fees: , , 1. Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling ,$15. O0 3. Copy of certificate of occupancy $1.00 ~_~f~<~.,~ 4.Vacant Land C.O. $5.00 Date ........................ ./ New Building ............. Old or Pro-existing Building ............ Vacant Land ............. Location of Property ....... "-'~' ' '..;- ........... .~ .b.~.. ~'~...~-. % ................. House No. ~ t~J~-~-~ ~ ~7~__ ~,Street Hamlet Owner or Owners of Property .. ~.~?.~..~.' .~?/..~.._.~ ....~-~: .~. i .~ .~.1~.~ .E:¢:~ i..--~. ............. ~'~ /[., t~/~f ......... County Tax Map No. 1000 Section...'2~.L~ ........ Block....~ .......... Lot.. 3./.L2../. ..... Subdivision ................................. Filed Map No ........... Lot No .... .. Permit No. ~.~)¢~..~-'~. · Date of Permit .~J.~c~ .... Applicant ./~.Q ~.\'-':.(~J~.~ ....q.Q.~.3.~. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ....... i .............. Request for Temporary Certificate ..................... Final Certificate .. / Fee Submitted $ ~'' (3~b q~-~L'7~ Construction on above described building an(;Lper~nit meets all ~applicable codes and regulations. ~ . .~ ....~.C(~-.~ .~ppdcant ............. ~.~.~J ..... .................... Rev. 10-10~78 TO~IrN OF SOUT~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date (plWase print) Plumber ~ ~CW- ~n~Q (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 19 Notary Public, (plumber' s signature) County JOHN p' BRISOTTI NOTARY pUbLIC, S~ote of New No. 47~13 Qualified In ~u~olk CounW Commlss~n Expires Mamh 30, %9 THE NEW YORK BOARD OF FIRE UNDERWRITERS .~LO00~ BUREAU OF ELECTRICITY i ~ 85 JOHN STREET, NEW YORK, NEW YORK t0038 ,a,e e20, 1985 3385 7/85N 697269 THIS CERTIFIES THAT ~y t~ e~t~al ~uipment ~ ~cH~ ~ ~ intoned ~y t~ ap~t ~d on t~ a~ ~pl~a~n ~m~ in t~p~m~ ~ey ~e H~t, ~yden Shore ~ive At ~r. of ~o~, Southotd, N.Y w~exami~don J~e ~7~ ~985 and fou~ to be ln ~mpl~nce with the requlrements of th~ Board. 29 [ 35 21 29 gANGES OVENS EXHAUST FANS SYSTEMS 15o, OB j I t/o OTHER APPARATUS: 1-~½~on A/0 2-G.F.C.I. 2-~r~ke Detectors. AW.G, OF HI-LEG Box 382 Laure%, N.Y. 11918 ' Per This certificate must not be altered in any manner; return to the ~ffice of the Board if incorrect. Inspectors may be identified by ix~l~r dentists. FIELD I~iS?~CTION [;'©U1;D,~ T .r (~ll ( 2nd ~IOUG}I FRAME & FLUMBING 3IISULA'['ION ~ER ti. Y C,ODE ADDITIO~IRL COMMENTS: TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO R[MEDY VIOLATIOU ,.~....~r.....:.....~ ........... ~.Y....z. X~ >/ (address of owner or outhorized ogent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ............................................ Other Applicable Laws, Ordinances 'or Regulations ............................................ at premises hereinafter described in that-~..~.q,,-~,,../.~/~..~,....../..T',.~..~...~.*~..~..--...~'.~¢~.~.'~L'~ ~ (state character of v~lation) ,z ........ .......... ........... ............... .............. (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED A~D ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the ..~....~....~~ ~ day of ...................................................... , 19 ........ /~~ ~ The premis~j to which this ORD~ TO REMEDY VIOLATION refers are situated at ~.'~...~..~....~ ,.~,~.f~....~..~....,~. ounty of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 72/t TOWN HALL SOUTHOLD~ N.Y. 11971 TEL. 765-1802 Aug.14,1984 Horton Construction Co. Box 21 New Suffolk,N.Y. 11956 Att. Dave Horton Re: Audrey Reinhardt B.P.#13122Z Dear Dave, This will rescind the "Stop Work Order" dated August 3,1984 placed on the above permit. We have received a copy of an easement granted by Ella Reinhardt to maintain the existing well for the new residince on her property. On the basis of this you may resume construction. Yours Truly Edward F. Building Hindermann Inspector EH:dsm GRANT OF RIGHT TO'MAINTAiN AN ENCR0~CHMENT ADJOINING p v -, · RgMISES. '7,z. TtIIS between ELLA REINIIARDT; HERMAN REIN}iARDT, party WI'£NI,SSE% II: INDENTURE, made the]~th day of August, 1984, party of the first part and MRS. of the second part @ WHEREAS the party of the first part is the owner of the premises Section 80, Block 3, Lot 7.1 at Reydon Shores, South-.. old, New York and the party of the second part is tile owner of the adjoining premises Section 80, l{lock 3, Lot 7.2 at Reydon Shores, Southold, New York and WHEREAS the well now erected on the premises of tl~e party of tile second part eneroaches upon the premises of the first part for a distance of approximately 5 feet at the south- easterly portion of the premises. NOW~ THEREFORE, in consideration of tile sum of $1.00 and other good and valuable consideration paid by the party of the second part to the party of the first part, the receipt where- of is hereby acknowledged, the party of the first.part grants and conveys to tbe party of tile second part, her heirs arid assigns forever the right and easement to maintain that part of~!the present structure upon the above described premises of the party of tile second part which projects a distance of 5 feet on tile premises of the party of the first part as afore- said as long as that part of the present structure stands 'fO HAVE AND TO HOLD the said right and easement unto the party of the second part, her heirs and assigns forever IN WITNESS WHEREOF the party of the first part has signed and sealed this instrument the date first above written. , Ella lle inhardt WITNES~_~ STATE OF NEW YORK) COUNTY OF SUFFOLK) On the ~'~ day of August, 1984~ before me personally appeared ELLA REINHARDT, to me known and known to me to be the individual described in and who executed the foregoing Stipulation and duly acknowledggd MICHAEl. J~ FIAU, the same. -2- JUDITH T. TEPAtY TOTM CLERK REGISTRAR OF VITAL STATISTICS MARR/AGE OFFICER RECORDS ~Z~NAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER INSTRUCTIONS: Office (agency Freedom of Information Officer). One copy will be in response to your request, or as an interim response. Town Hall, 53095 Mare Road P.O. Box 1179 Southold, New York 11971 F~x (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOV~N OF SOUTHOLD , : ., ~v t897 APPLICATION FOR PUBLIC ACCESS TO Please complete Section I of ~his form and give ~o Town Clerk~ returned to you SECTION i;/~ (Depgrtment or Offlce~, if k~own, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information.) / ' . ~i{{n9 Address (if different From ~bove): 3elephone Number: [ ] APPROVED WITH DELAY* ~'~-"~-- Juc~iih T. Terry Freedom of Information Officer [ ] DENIED* *'If delayed or denied see reverse side for explanation. RECEIVED Date ~A¥ 2 8 1997 luwn Clerk $outi3ola 'FORM NO. 1 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined....~..~fi..~'...., 19%.~. Approved .....~Y. Xgrt~ .~ ~.., 19~. Pe~it No.]. ~ ~ ~. Disapproved a/c ..................................... Received ........... ,19... ....... ~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .~. ............ , 19 a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 ~remises 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 appl/- cation. c. The work covered by tins 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 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 anypurpose 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ................................................................ Name of owner of premises ...... ~C~ --.~. r~...~. .... c~[ .~. ~..b~-)..--.~...~..~. ~..-~.. ............................. (as on the tax roll or latest deed) If a~nt i~ ~°~F,~C~'Fnature ° f dul~y,~u~,h°rized °fficer' Builder's License No .......................... Electrician's License No..'~.~ ~.~. ~ G' Other Trade's License No ....................... ~ 7~~"X ~__~/.L~Ot,.~ ~R. ~-~L. 1. Location of land on which proposed work will be done...~~~ . .{~. · · .~. · · .~..t-.J.O.~.~..~.~.. ............................................................ ...... House Number Street Hamlet '7~ County Tax Map No. 1000 Section ...... ~..O. ....... Block . .~. ............. Lot...~... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy ~of proposed construction: a. Existing use and occupancy.. ! .... ~. ~..q,~t...~ .~.~..- .~....~9...~.-~-. ~ ,-- .~-'~'l['..~)..~. ............... i ............ b. Intended use and occupancy ....... ?~ .~f3d/3.~_~. 7'~-.. "(<,-&~. ~.~.¢.~. ~'//10.~... .............. 3. Nature of work (check winch apphcable)..' New Building ....... Addition ......... Alteration .......... Repair .... Removal . ~ ........ Demolition .......... i ... Other Work ............... F, stimated Cost~...~.--~.. D. iD. ~ .~ ? "~ . (Description) 4. .I .................. Fee J/ .'..q ............... i ~" (to be paid on filing this application) 5. If dwelling, number of dwelling ~units ............. Number of dwelling units on each floor ................ If garage, 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 w!th alterations or additions: Front ................. Rear .................. r)epth .................... i. · Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........... i ........... Rear Depth 10 Date of Purchase I Name of Former Owner 11. Zone or use district in which pr~mises are situated ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... : .!-., ...... t~. ·; ·, · ·., ~ · Will e;~qess fill be removed from premises: Yes No 14. Name of Owner of premises .~e-~..l.<.e~,~.~O~ddress'~ft~,~Q¢...~,. ....... Phone No ................ Name of Architect .... ~ ........................ Address .... '.~....~...~...~..~.'~Phone No ................ Name of Contractor '.-~r~,.'~n~...('c_~4, .':rT. ....... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all i 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 YORK, COUN~I'Y OF .......... .S ............................. ~ ................... being duly sworn, deposes and says that he is the applicant (Name of individual signihg contract) above named. He is the ' ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner,set forth in the application filed therewith. Sworn to before me this ........ ~.G~ ..... 7 .... day of ii ..................... Notary Public, .... [~.. ~ .~...~..~.... County '~. ..... . ,...: , ................ N0rARY PUBLIC;. State 0I [!e~'~ !'or~ / ~" (S~gnature of applicant) j NO. 4707878, gutioli/Couht.g ~em Ex~,Irns ~,,l~,ret~ 30, / / / / RODERICK VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. hEAlth DEPT. APPROVAL h.S. NO. STATEMENT OF INTENT THE WATEr SUPPLY AND SEWAGE DISPOSAL SYSTEMS for THIS RESIDENCE WILL CONFORM tO THE STANDARDS OF THE SUfFOlK CO DEPT, Of HEALTh SERVICES. APPLICANT SUFFOLK' COUNTY SERVICES -- For CONSTRUCTION ONLY DATE: DEPT OV HEALTH APPROVAL OF h. S. REF NO APPROVED. SUFFOLK CO. TAX MAP DESIGNATION: DIST SECT BLOCK PCL OWNERS ADDRESS: " ' DEED. L TESt HOLE STAMP SEAL i Z L,, "T"© VV N ...... ' ..... ;' ..... r ~ ~ , ~ , ~ ~pper tubing is used ~:..-- .... I for water distributing ~ Ws em; piping shalJ be NOTIFY BU~LDgNG DEPARTMENT AT 7&5 1802 9 AM TO ~ PM FOR THE FOR FQUR=D CONCRETE SUPPLY Si'STEM CANNO~ 2. ROUGH - FRAMING P PLUMBING ' - -: EXCEED 2/10 0j'1% LEAD. S~ATE CONSTRUCTIO' A, ~NE~Y ~ODE~ NOT ~ESPON~IBLE DESIGN OR cON~T~UGTJ~Ni E~RORS, ,{", ~*~ . j , m.t~:~ ~.~.: ..~, ',{' ., CERTJFICATE OF OCCUPANCY.., .......