HomeMy WebLinkAbout16524-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z~17940 Date APRIL 11, 1989
THIS CERTIFIES that the building.
Location of Property 75 OSPREY NEST ROAD GREENPORT~ NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 35 Lot 36
Subdivision CLEAVES POINT Lot No. 3
ONE FAMILY DWELLING
Block 6
Filed Map No. 2752
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 8, 1987 pursuant to which
Building Permit No. 16524-Z dated OCTOBER t3~ 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 ONE FAMILY DWELLING~ GARAGE & ATTACHED WOOD DECK AS APPLIED FOR
The certificate is issued to
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
VICTOR & GAIL RERISI
{owners)
87-SO-155-MAR.31, 1989
UNDERWRITERS CERTIFICATE NO. N-062089-MARCH 9r 1989
PLUMBERS CERTIFICATION DATEDMARCH 20~ 1989- LISO & DOOLEY PLUMBING
AND HEATING CORP.
' Building Inspector
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~_I 6524 Z
Permission is hereby granted to:
...~.....~~.~..~....~..: ........................
.~.~ '.~,....~....~.,.....a.~.~..l ..............
to .... ..~'.....'):Y~.. ' · : *
,~a,edot .'1~....o~ ...1~.~','-.~. .~'~ ~ ·
County Tax Map No, 10OO Section ..... .,O,.,~...,~., ....... Block ....... ~,.~, ....... Lot No. ,...'~..~.. .............
pursuant to application dated ...... .(~..~.qt~....~. ................... , 19~."] ..... and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
B§ILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ..~. .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO. STREET HAHLET
Owner or Owners of Property
Conut, Ta=, ,,ap No. 1ooo Seetio,~ ~.~... ~loc~, ..~ .... ~o~ 2..~ ....
su~divisio-.~i~A~ ~e<~ Filed Ma. ~7~ Lot
Health Dept. Approval .................. Underwriters Approval
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ....................
APPLICANT
rev. 10/14/88
~LDG. DEPT.
TOWN OF SOUTLIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
MARCH 21, 1989
TEL. 765-1~02
VICTOR RERISI
9 CAT HOLLOW ROAD
BAYVILLE, NEW YORK
11707
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/_--x/ An application for Certificate of Occupancy
is not on file. (ENCLOSED)
/_)~ b~o Underwriters Certificate on file.
/.~_/ The check i:;~R~a~M/not ou file.) $25.00
~/ No }Iealth Dept. Approval on file.
/_/ No final insDection has becu made.
Please centact ()ur office on this matter.
Thank you for your cooperation.
lh~ilding Permit t! 1 6 5 2 4 Z
Building Dept.
*~*/~ Ho Plumber .Uelde~: Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
TOWN OF SOUTttOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit NO. f~_~.L~
O er3//
(please print)
Plumber//f.'~ ~ ~
(please ~rint)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber ' ~ig ~nature )
Sworn to before me this
19 f? .
Notary Public,~/~/~ County
Notary Public
DOLORES L USO
Commission Expires Oct. 31,.,~r..~
THE NEW YORK BOARD OF FIRE UNDERWRITERS PASE
BUREAU OF ELECTRICITY
] 85 JOHN ~I'REET. NEW YORK, NEW YORK 10038
~1~ CE~IFIE! THAT
~. RERESI, OSPREY NEBT ND,, GREENPOR~, N.Y~
~ exami~ ~ ~dfound to ~ in ~nt~ian~ ~ith the r~ui~ments of th~
~ ~T~ ~N~T
SIRVIC:! DISCONHICT S ! I V I C
AiR HANDLER- 1
SHOKE DETECTOR: - t
TRACK LISHTIN6;-20
20 POPLAR AVE.
FARHINGDflLE, NY, ll7.3b
L[C,#604 E
~his cen'fficote must not be , manner; return to the office of the Board if incorrect, be identifi~ , their
.~ . COPY FQR BUILDING D~PARTIdENT. THIS COPY OF C~RTIFICATE IdJST HOT ~ AL~TERED IH A/4Y MAHI4ER
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[/.~OUNDATION 2ND [ ] INSULATION
DATE ~~_.__ I N SPECTOR~//~~/},
765-1802
BUILDING DEPT.
INSPECTION
[ ]~FOUNDATION IST []ROUGH PLBG.
FOUNDATION 2ND []INSULATION
FRAMING []FINAL
INSPECTOR
FIELD
FOUNDATION { 1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDIT!ON~L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [ FI~~NAL/~
7E~-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [/I~OUG.H PLBG.
FOUNDATION 2ND ] INSULATION
[ ] FRAMING
FINAL
7GS-~.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [/INSULATION
[ ] FRAMING [ ] FINAL
REMARKS,
765-1802
BUILDING DF, PT,
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
] F/GUNDATION 2ND [ ] INSULATION
/
FRAMING [ ] FINAL
REMARKS:
DATE
iNSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ]/~OUNDATION 1ST [ ] ROUGH PLBG.
[~/J FOUNDATION 2ND [ ] INSULATION
FRAMING
FINAL
REMARKS:
DATE_~ ~//~3 / ~: 1 _INSPECTOR ~ ~'~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION,-
FRAMING [ ~].~ :''
DATE 7 INSPECTO
VICTOR £. R£RISI
BM~ille, N.Y. ~1709
BOARD OF
3 SETS
'FORM NO. 1 SURVEY
TOWN OF SOUTHOLD CHECK
BUILDING DI--PARTMENT SEPTIC
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1803 CALL
MAIL
Examined .(~.~ .......I% 19'~.'~.
Approved .~. · .~. ~.. [ .~., 19'~ .'l. Permit No. I .~. ~ .'~.q..~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .................. ,19...
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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 premises or public streets
or areas, and giving a detailed ~lescription 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 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 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 Law% Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as lxerein 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)
........... ih'ah;,;; ............
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises VIC'~o,~ Re~i$1 '
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and tide of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No...- ,.ffx~../:-. ...............
Plumber's License No. 3 ~' '-.5
Electrician's License No .... ~' ?..~. .............
Other Trade's License No ......................
1. Location of land on which proposed work will be done...~.'~ ............................
............ .7. 7 ...... ............
House Number Street Hamlet
Couuty Tax Map No. 1000 Section ~ :~ Block .~. Lot 3~ '
Subdivision..~../~O.t4..~.~. .....~.O/~77 ............... Filed Map No...~. ?..~77. ...... Lot..3. ............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... .~./J..c~..~....~.O..-~'. ................................... ' ...........
b. Intended use and occupancy...../ .... ~. .,~.,'o,/.y.. .... I. .... .4~.~ !.~.~.~. ,c~. ..... ................................
3. Nature of work (check which ap,'phcable): New Building ...~.'. .... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
; (Descript! n)
4. Estimated Cost . :f?. Fee ..
' (to be paid on filing this application)
5. If dwelling, number o f dwelling units .... / ........... Number o f 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 ...............
Hmght ............... Number of Stones ......................... ./c ....~ .........................
Dimensions of same structure with alterations or additions: Front ........ /... Rear ..................
Depth .................... ... Height ...................... Number of Stories ......................
Dimensions of entire new construction: Front ....-~..0.'...'. .... Rear ....o'-O .......... Depth . .~'~.' ..........
Height ...-~..-? ......... Number of Stories ........................................................
11. Zone or use district in which pr~mises are situated... A ................................................
12. I)oes proposed construction violate any zoning law, ordinance or regulation: ../~ ...........................
13. Will lot be regraded .... N.O. i~ ....... ~ ........... Will excess fill be removed from premises: Yes No
nt a t ..... : ................................... Phone No ................
15. Is this property located~within 300 feet of a tidal wetland? ~Yes ..... No ~'...
*If yes, Southold Town Trdsteas Permit maybe required.
~ PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, ~ S.S
COU~Y
· g(L' ~ ........... ~.~ · · being duly sworn, deposes and says that he is the applicant
(Name of~ndMdual ' ~'
s~gOmg contract)
above named.
H~ is the ........ 0~...: ....................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owns~, ~d is duly authorized to perform or have performed the said work and to m~e and file
app~cation; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the
work will be perfo~ed in the m~n~r set forth in the application filed therewith.
Sworn ~b~re me this~ : ~
....................... day o~f .......... 19...
Nota~ Public, County
Notary Pu?e, State 0f NeW Y0r~ / ' ' ' ' ' (Signature of applicant),
uO. 4758098
c0.mss~o, tx~res~ ~0,
SUFFOLK COUNiY D,.r~,,~..~!.:',l ,: ~,_-.LTH
OAT ............... '~., ~. L T , ' :;
Thc ':',,"~',:'~ ,.,~' '~ ~:; ':., :: ,c::%s for
P.
,/ '//
/
//
/
SUFFOLK CO. HEALTH DEPT. APPROVAL
~/l~r~.R £. RERISI ff. H.S. NO.
Cat HeIIow R.ad "~- ~ ~O~ DA~ O~ ~pp~OVAL
~ ' ;~ ''- STATEMENT ~ INTENT
~ - ~EMS FOR THIS RESI~NCE WILL
_~ ~'/O~. ....... ~ ~' ~ Z~ ; ~ CONFORM TO THE STANDARDS OF THE
SUFFOLK SERVICES.
. : A~ICANT
' SUFFOLK COUNTY DEPT. ~ HEALTH
~~~ ,~.'~ sErvicEs - ~o. ~PP~V~ o~
· ~ ~/~ ~OLK CO. TAX MAR ~GNATI~:
' ~oyv/l,'~ ~. Y. //709
/
'e ~ ~ ' ,
f .'~
'""'
d .... ~'~rv~d ', ~) .~,-
L~D L~ ~VgY~
OCCUPANCY OR
-USE I,fi UNLAWFUL
WITHOUT CERTIFICATE
OF OCI;UPANCY
PLUMBER C,~
ON I. EAD CO;~qW*BEFOf~
CE~TE OF OCCUPANCY
SOLDER U&~.D IN WATER
SUPPLY ~f-~ TEM CANNOT
EXCEED 2/I0 of I% LEAD.
f~PflOV~D AS NOTED
AT,fl
'i
-_ . A _, F h. A,_T
G A ~ A~X ~
f
(_L E_ I_.L_ ~ ~L.
I :
Mtw~ic~r LM~
¸ r-v
OCCUPANCY OR
,,USE IS UNLAWFUL
"'WITHOUT CERTIFICATE
OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
,EXCEED 2/10 Of I% LEAD.
·
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