Loading...
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. · i iirl: _.~_]O-TE._~. /NLL C~L'".":'b :g -I 'FT-'I i I! ,t