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HomeMy WebLinkAbout16124-zFOtL~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19652 Date JANUARY 11, 1991 THIS CERTIFIES that the building Location of Property 280 GROVE DRIVE House No. County Tax Map No. 1000 Section 80 Subdivision ACCESSORY STRUCTURE Street Block 4 Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 20 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1987 pursuant to which Building Permit No. 16124-Z dated JUNE 27, 1987 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 ACCESSORY TWO CAR GARAGE WITH UTILITY ROOM ON FIRST FLOOR AND NON HABITABLE SECOND FLOOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED LOUISE REEBEL ( GARAGE 89-SO-76 12/t0/90 - ONLY) N-147818 - SEPT. 7, 1990-(GARAGE ONLY) Rev. 1/81 FO~M NO. ~8 TOWN OE SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16124 z Permission is hereby granted to: /'~ ~ ' .... ...~..n......'~~...~..~....~ .... ........... at premiseslocated at .......... ..~...~..0......~.. ~'~'-~......~.~.~.'-'- ... ..... ~ ...................... County Tax Map No. 1000 Section ....... ..0....~...0. ...... Block ...... ..~....~ ....... Lot No.....~...0.. ............ pursuant to application dated ........ ....~....~..~...~... ............... , 19.~..~, and approved by the Building inspector. Fee ~ Building Inspector Rev. 6/30/80 BUILDING DEPARTMENT TOWN IAALL 765-1802 BLDG. DEPT. TOWN OF $OUTH~,LD ,~, ., APPLICATION FOR CERTIFICATE OF OCCU A. This applicatinn'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 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. B. For existing bqildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: , 1. Accurate survey of property showing all property iines, streets, building and ~ unusual natural or topographic features. ',' ,' 2~ A p~operly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is d~nied, 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 $~5.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory ~uilding $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 - $5.00 over 5 years - $10.00 4. Updated Cernificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 1991 New New Construction ........... 01d Or Pre-existing Building ................. ~ ocation of Property 280 Grove Drive . Southold House No. Street Hamlet Onwer or Owners of Property Louise V, Reebel County Tax Map No 1000, Section ..... 080 4 20 ...... Block. S.bdi ision. ey on ......................... Filed Map. 631 '14- 15- 16 ..... · ........ Lot ....... ~ . Permit N~ 16124-Z June 24 1987 ................. Date Of Permit ................ Applicant.. Louise V, Reebel [I lth pt App 1 89-S~-76 51692787/87 ea De . rove .......................... Underwriters Approval ....................... Planning Board Approval Request for: Temporary Certificate ..... Final Certicate. Final Fee Submitted: ~ 25,00 ' THE NEW YORK BOARD OF FIRE UNDERWRITERS ',~ 'I t 0¢1! It',' I BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date ~ppllcatlon No, on file THIS CERTIFIES THAT only the electrical eqoipment as described below and introduced by the applicant ~m~ on ~he a~ve applicatlo~ ~umber in the premises of in the/at o~ nglo¢atio~: ~*~ Basemen~ ~ Ist FI. ~ 2nd FI, GAR/OWl' Sertlon Bilk Lo* FIXTURE FIXTURES RANGES COOKINGOECKS OVENS DISHWASHERS EXHAUST FANS DRYERS SYSTEMS NO, OF FEET E E R V I C NO. OF HI-LEG t?OF NEUTRALS GENERAL MANAGER ,'~ This certiflcote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 67 Ma~tasset Woods Road Manhasse~;, NY 11()3" November. 7;0 1988 Mr Victor Lessard Executive Adm~n:i.~trator Building Depar~;ment Town o'~ Sc~uthold Idai n Road Seuthold, NY ],:1971 RE~ Building Permit ~ 16~.24 Z Dear Mr. L. essard: We have been unable to complete the k~ork ~(:)r building permit ~ 1612.4 Z ,issued to Louise Reebel at 280 Grove Drive, Reydon Shc)res, Southold. ]. would appreciate an extensiom o~ the above per m:i. t. Please send correspor'lder'lce regardincl tl]J.~; request at 67 Manbaeset Woods Road~ Idanhasset. NY :tl. 0.30. ] bald.:: yo(t your attention t:o the above. Very Truly Yours Louise V. ~eebel UNDBTION (1st) UNDATION (2nd) UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 67 Manbas~set Woods Road ManbasseE~ NY 110:30 htovember :];0 1988 Mr Victor Lessard Executive Admin'i,~:strator Building Depar ('mont Town of ~3ou~ho]cl Ma:i. n Road Soutbold~ NY 11,971 RE: Building Permit ~ ~6~.24 Z Dear Mr',, L. essarcl: We have been unable to complete tbe work for building permit ~ ~6124 Z ,issued to Louise Reebel at 280 Grove Drive~ Reydon Sbores~ Southold. I would appreciate an extension o'~ the above perm:i.t. at 67 Mar'ff'~asset Wl:,)ods Road,; Manhassc,)t,~ NY 11030. T['laFIk you fer your attention to the above. request to me Very Truly Yours Loui se V. Reebel 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOU'FHOLD, N.Y. 1197,1.. TEL.: 765-1803 '×amined..~ .-V~n..~..~., 19 .~. 7 .pproved ...~.~..~..~., 19.~.~. Permit No. l .~./..~..~..% ~isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... JUN I 2 Date a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts of plans, acci~r.ate 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 streets areas, and givihg a detailed description of layout of property must be drawn on the diagram which is part of this applL- tion. c. The w0rk covered by this application may not bec0mmeneed befOre issuance of Building Perniit. d, Upbn approval of this application, the Building InspeCtor will issued a Building Permit to the applicant. Such per,nit all be kept on the l~rcmises available for inspection throughout the work. e. NO building shall be occupted or used m whole or In part for any purpose whatever until a Certificate of Occupy, ney all have been grm,~ted by tlie Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursua, nt to the ,ilding Z0ne'Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~'gulations, for the c0nstmction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees t6 comply with all applicable laws, ordinances, building bode, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspe~ions. .. · i 'g' pp~J~'.5%YTr ~ ,'. 'cor~,;iaiid,;) .... (Mailing address of applican0 ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................................. amc of owner of premises .... : ............................................... (as on the tax roll or latest deed) applicant is a corporation, signatnre of duly authorized officer. (Name and t~tle of corporate officer) , Builder's License No .......................... Plumber's License No ......................... .... s License No Electncmn ....................... Other Trade's License No ...................... Location of land on which proposed work will be doncl ...... ltouse Number Street Hamlet cou,ty *a, ~ap ~o. ~000 S~,o~ ...... ~ ~ ..... ~o~ ~ ............. ~ot .4~ ..... , j . .......... (Name) State existing use and occnpancy of premises and intended Use and occupancy of proposed construction: Existing and occupancy " (?r/~.~- Alteration ' ' 3. Natureofwork(checkwhlchaI~phcable): New Building.. . ,dltlon . .................. Repair .............. Rem6val .............. Demolition ........ Other Work .............. ] (Description) 4. Estimated Cost ................................. ' (to be paid on filing this application) 17 ./t. Number ofdwe,mg un,ts on each ,oor 5.Ifdwelling number of dwelli~glmlits .................... If garage, number of cars .. g:~ .................................................................. · ' ' ' specif~n,~[ure and extent of each type of use 6. If busmess, commercml or mixed occupancy, '. ................. 7. Dimens oas of existing structures, if any: Front . '~,"~4~. ...... Rear .............. Depth ............. Height Number of Stories ..............................." ' ' ~ ~i~.': ............................... Rear Dhnansions of same structure wlith alterations or additions Front ....................... Depth ................... 4.. lteight ........ .! ............. Number of Stories ........... ]q~.~ ] .... 8. Dimensions of entire new construction: Front .. 3~. .......... Rear ,.~Q~/./.t. ......... Depth .~ ...... tleight . ,~.cp ........... Number of Stones ~ ............................................ 9. Sz~oflot Fro~t . ~l,g!..l: ... Rear..l."{~! .............. Del~th ..Z,~.~'.I..~ ......... ,o. Date or Purohase .." ' i. ¢.'7.[ ........... .~. m!,.~_~r,~r,ixer Owner .kl~I/~.~t~/'~Ctt ......... Il. Zone or use district ii which premises are situated..L~JI~.J~.L:. .................................. 12. Does proposed construqtlon violate tiny zonmg law, ord,nance or regulatmn: ./~.0 ....................... 13, Will lot be regraded .. '[0. t ' [ ...... ~ ........... W,II excess fill be removed from presses: _ Yes Name of Owner of orei[}~es/,.~l~.e ~ [.(E~O,[3..~.1~. Address/q.~../?.19/~.".~.~.~?.~.0:£P .... Phone No~?~..O.~? .q. 14. Name of Architect P./.~t~0~.gg)0 .............. Address tTtta~.u.¢~.. J/:/E-. .... Phone No?/.r .~k.~.g..~.~.O.. Name of Contractor ........ ; ................. Address ................. Plmne No. ~g .......... 15. Is this property locatediwithin 300 feet of a tidal wetland? &Ye} ..... No ~. *If yes, Sentinels Town TrUstees Permit mav be required. ~ PLOT DIAGRAM ~,lg,[ ~O Locate clearly and distinctly alI buildings, whether existing or proposed, and. indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheti~ :ntcrior or corner lot. ;'rATE OF NEWYORK, , :OUNT¥ OF...~4 h~¢0, ...... S.S ...... .... ......... (Name of individual si~ ning contract) Ibov¢ named, : ....... being duly sworn, deposes and says that lie is the applica te is the (Contractor, agent, corporate officer, etc.) fl' saul owner or owners, and is duly authorized to perform or bare performed the said work and to make and file ti qlplication; that all statements contained york w~l be performed in the m~ger set forth t~ the application filed therewith. ~wom to before me this ~mlssi0n ~u~c $0, 1~. ' (Signature el appfica ©