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Home My WebLink About15414-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17339 Date SEPTEMBER 22~ 1988 THIS CERTIFIES that the building Location of Property 775 House No. County Tax Map No. 1000 Section 79 subdivision ADDITION REYDON DRIVE Street Block 5 Filed Map SOUTHOLD Hamlet Lot 15.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 1986 pursuant to which Building Permit No. 15414Z dated OCTOBER 20, 1986 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to FRED & ~4ELANIE FIEDLER (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N850006 PLUMBERS CERTIFICATION DATED N/A Building I~spector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PE~.IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15414 Z Permission is hereby granted to: ...~.J...~-, ................ ~.....~.- J,~ ...... ...~.~.~...~..~..~.~ .......... .~...~ ...... ................. ,~ .~, ~.~ (. ....... ............ : ................................................................. at premises located at .~..~,..~,.....--.~.~..~.,,~,.~ County Tax Map No, ]000 Section .....,(~.,~,.~ ......... Block ...... {~...,~-~. ...... Lot No ..... ).,,~--,,.:..! ........ pursuant to application dated ..... .Q~.......~....~..../...~. .................. , 19..~...~.., and approved by the Building Inspector. Fee $ ........................ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 LICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~Ja=~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory~,~ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Old or Pre-existing Building .......... Vacant Land ...... Location of Property . '~ ?.?'.. /~ ~ ~, ,c.' Zg~-_ , .~. ??/.7.~..~. ~ ~? House No. Street Nam/et Owner or Owners of Property K~.~.~...~.Z~.~. ~?../Al'../..~.~... % ...................... .~./.>~.,/~'---. . . . County Tax Map No. 1000 Section ...... Block ........................ lot Subdivision .. ............................... Filed Map No .......... . Lot No .............. Permit No./..0'..?./. ~...~ Date of Perm t/.~..,'..~.~Z~..~..Applicant ....................... Health Dept. Approval ............. Labor Dept Approval Underwriters Approval ....... ~ ............. Planning Board Approval ............. H.y.......... Request for Temporary Cer, ificate .................... Final Certificate ...... ..~...".'"'.'''. Fee Submitted ..... ..... Construction on above described building and permit meets all applicable codes and regulations. '-~,-/J~. 0~57¢5 Applicant. g~¢~%~..... . ...................... Rev. 10-10-78 'OUNDATION (2nd) tOUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST r ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/.~NAL 7GS-1802 BUILDING DEP'T, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL 765-~802 BUILDINe DEPT. INSPECTION ~ [~~N~ATION 1ST [ ] ROUGH PLBG. ATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: INSPEG~rOR~ 0oI 95 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ D~) I)5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT 442326/86 o~y the el~trical equipment ~ ~scribed belo~ a~ introduced by the applicant ~med on the above application n~mber in the prem~es of Frederick W. F~edle~,Reydon Dr~ve W/~. in the following location; ~ B~sement ~ Ist FI. ~ 2nd FL Secthm Bilk Lot ~sexamlnedon January ~h ~ andfoundtobeincompliancewiththerequirements~fthisBoard fiXTURE FIXTURES RANGES OVENS EXHAUST FANS OUT.TS SWITCHES FLOOEESCE~ 6 12 5 6 ~¥~RS FURNACE MOTORS EUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E NO OF CC COND PER ,~ A W G, / h/O' OF HI-LEG A,W, ~, OF CC. COND OF HI.LEO NO OF NEUTRALS A. W G, OF NEUTRAL Frank T,Stepnoakl 42C Little Neck Read Cu~chogue,New York 11935 'Llc#1209-g OBNE~AL This cettlficote must not be altered in any manner; return to the office of the Board if inco[rect. Inspectors may be identified by their credentials. THIS COPY ~ E. F~: ~'~ - ~~ FOLLOW~MG THE ~EQL~,;tS ~? ~'k~ N.Y COD~$ NOT ~S~S~_E FOR OCCUPANCY OR USE iS UNLAWFUL WITHOUT. CERTIFICA'[E OF OCCUPANCY xamined ..~.~..~.o.., 19 ?.~. FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 4~proved .O.e~?'...0~....&.P.., 19~..b. Permit No..I..~..~. !.~ ..~' dsapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tiou. 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 ~ail 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 ~ Certificate of Occupancy tall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Imit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) / / V7.44-. t · ....... tale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Ia,ne of owner of premises .~...~..'%. ~~ .~..~ ....................................... (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~. ~ .............. Plmnber's License No..~ ~d._.2 ..... Electrician's License No ...... ~ ................. Other Trade's License No.~k.. Location of land on which proposed work will be done .................................................. .......' llouse Number Street '~' Hamlet County Tax Map No. 1000 Section ..... ~..~ .......... Block .... .'~.. ........... Lot .... J..~.: . ./ ......... Subdivision .................. : .................. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occhpancy of proposed construction: a. Existinlg use and occupan% . ~. ~ ............................................... b Intended use and occ~ ~h~r-~.d~r,'~-... ............................................... [ ppli ) ' 3. Nature of work (check which a cable: New Building .......... Addition ........ . Alteration ........ .. Repair .............. Removal ............ Demolition ............... Other Work ............... ~ ., ~ : , (Description) 4. Estimated Cost ..... /. .o..O. ...................... Fee ......... ......... ~ .................... (to b6 paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unlits on each floor ............... If garage number of cars ' I 6. If business, commercial or mixed occupancy, specify nature and extent of each t~pe 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. i .................... 8 Dimensions of entire new construction: Front ............... Rehr ...... ~ Depth Height Number of Stories ' 9 Size flot: Front Rear ' Depth 0. Date of Purchase ............................. Name of Former Owner i ............................. 1. Zone or use district in which premises are situated ........................ 1 ........i .................... 2. Does proposed construction violate any zoning law, ordinance or regulation: .. ....... ; .................... 3. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No fp ' 4. Name of Owner o remises .................... Address .............. : ..... Phone No ................ Name of Architect ........................... Address ............. ; .... Phone No ................ Nmne of Contractor .......................... Address .............. i ..... Phone No ................ 5. Is this property located withinl.00 feet of a tidal wetland? ~< Yes ..... No ..... * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. i~dicate all .'set-back dimensions from ,roperty lines. Give street and block number or description according to deed, and shOw street m roes and indicate whether aterior or corner lot. TATE OF NEW YORK, S.S OUNTY OF ................. ................................................ being duly sworn deposes and sa ts that he is the applicant (Name of individual signing contract) I ' ' oove named. e is tbe .......................................................... : ............................. (Contractor, agent, corporate officer, etci) f said owner or owners, and m duly anthonzed to perform or have perfomned the ~aid work nd to make and file this .~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this ......... · /~ ........ day of .~..~ ......... 19 ~.(~ otaryPublic, ...~...~.-.....~..~...~/..~.... County il(Signature of applicant) f h~O'~ig¥ ~}~J~LD~N¢~ D, EPARTMENT AT' OCCUPANCy OR USE' IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY