HomeMy WebLinkAbout26797-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27605 Date: 03/28/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 9075 MAIN BAYVIEW RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 9 Lot 64
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 18, 2000 pursuant to which
Building Permit No. 26797-Z dated SEPTEMBER 27, 2000
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 CONSTRUCTION OF AN ACCESSARY GARAGE IN THE REQUIRED REAR YARD AS APPLIED
FOR
The certificate is issued to MICHAEL L & REUTER & WF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 554229 03/23/01
PLUMBERS CERTIFICATION DATED N/A
Authorized S' nature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26797 Z Date SEPTEMBER 27, 2000
Permission is hereby granted to:
MICHAEL L & REUTER & WF
PO BOX 1336
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS
APPLIED FOR.
at premises located at 9075 MAIN BAYVIEW RD SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0009 Lot No. 064
pursuant to application dated SEPTEMBER 18, 2000 and approved by the
Building Inspector.
Fee ; 79 .00
Authorized i ature
ORIGINAL
Rev. 2/19/98
Form No. 6
• TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application 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 locattcn of all buildings, property lines,
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 o� 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 buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'-'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, 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 $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25,-p
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00,`` Commercial $15.00
A.Date . . . .�. . O�Y' Gh. O O O. . . . . . . . . . .
New Construction. . . . . ./. . .^ Old OrnPAre-existing Building- - , .1 ��.
Location of Property. . �, 1. . . J vL 1�. .�.CA.��/.1.t'.cl�]. .'(� r. . .Y.�.�Q� . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. .:TA . . . . .Block. . ..0Q.1. . . . .Lot. . . Q-04 . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . Date Of Permit. roO. .� .Applicant
Health Dept. Approval. . . .lY. . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . .)I.$. . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . .. . . . .
Fee Submitted: $. . .a.Jr. .: ��. . . . . . . . . . . . . .
nc. -. . :,Z. � ::. . . . . . . . . . . . . .
�(/[A APPLICANT
THE NEW YORK BOARD OF FtR UHDER' NRITERS PAGE '
1001071 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10039
Date MARCH 23,2001 Ap [ication No. on ie N 554229
THIS CERTIFIES THAT AiiV5 NO. 6797'
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
MIKE REUTER, 9075 MAIN BAYVIEW ROAD EAST SIDE, SOUT1.!'), �. A'k
in the following location; ❑ Basement IN 1st Fl. IN 2nd Fl. GAR/u°;';` Section Block Lot
was examined on MARCH 19,2001 and found to be in compliance with the National Electrical Code.,
FIXTUREFIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDUaNj FWORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
6 12 5 6 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS
NO.OF FEET
1 20
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A A.W.G.
AMT. AMP. TYPE EQUIP. 1 2W 1 JW J a JW J O LW PER. OF CC.COND. NO.OF NI-LEG OF HIAEG �•OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
PANELBOARDS:1-3 CIR. 60
G.F.C.I:-1
G & S CONTRACTOR LIC.#1578 E L
BOK 215 ANN
SOUTHOLD, NY, 11971 GENERAL MANAGER
Per 11 i
This certificate 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 =P F ttrillf-JUAIL MUST NOTB A IN ANY MANNER.
o�Og�FFO�,�coG
�� yam►
Town Hall,53095 Main Road p '� Fax(516)765-1823
P.O.Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959
Bio! � Sao
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 11, 2000
Craig Richter
P.O. Box 555
Greenport, NY 11944
RE : Reuter, 9075 Main Bayview Rd. , Southold
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
,XX An application for Certificate of Occupancy is
not on file . (Enclosed)
XX No Underwriters Certificate on file .
XX The check is (not on file . ) $25 .00
No Health Department Approval on file .
No final inspection has been made .
No Plumber Solder Certificate on file .
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 26797-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
T65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULAT
[ ] FRAMING INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ,#n 1,--,7 /,_, (��
,DATE //U -INSPECTOR
yrs-isoz
BUILDING DEPT.
NSPECTION
[ ] F UNDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHI NEY
, /
REMARKS: � 4�:
,DATE INSP
7
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ j ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ( ] FINAL
[ j FIREPLACE 8 CHIMNEY
REMARKS:
rt� 1.,00
G
DATE INSPECTOR '�
UNDAT ION ( 1ST)
UNDAT I ON (2ND)
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ADDITIONAL COMMENTS:
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BOARD OF HEALTH
r-,
80 p 3 SETS OF PLANS . . . . . . .
_
FORM NO. 1 SURVEY
a
. . . . . . . . . .
TOWN OFSOUTHOLD CHECK . . . . . . . . . .
fovv,' 3i-Sv!JTH0i0 BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . .
TOWN HALL NOTIFY
;OUTHOLD, N.Y. 11971 CALL7
TEL.: 765-1802
MAIL TO :
Examined . . . . . . . . . . . . . . . .. 19 . . . I
Approved - . - �./: ?. . . .,�,g*`:'"'Permit No. W� 7 7
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
��irig Inspector)
APPLICATION FOR BUILDING PERMIT
Date . , Sept: .11 , 200019 . . .
INSTRUCTIONS'
a. This 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 premises 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 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 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.
R & R BUILDERS, INC.
. . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
PO BOX 555 , GREENPORT, 11944
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . .GENERAL CONTRACTOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
Name of owner of premises , , ,MIKE REUTER
(as on the tax roll or latest deed)
If applic corporatio g ture of duly authorized officer.
(N e d title of corporate officer)
ALL CO RACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . 13 3 01 H I
Plumber's License No. N/A
Electrician's License No. G & S ELECTRIC
Other Trade's License No. . .N/A . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9075 MAIN BAYVIEW ROAD, SOUTHOLD
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section . . . . 8 . . . . . . . . . . . Block . . . . . . . . 9. . . . . . . . . Lot . . . 64
Subdivision . . N1A. . . . . . . . . . Filed Map No. NAA ... . . . . . . Lot . . NSA . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . 1 FAMILY RESIDENTIAL
GARAGE
b. Intended use and occupancy , , ,
3. Nature of work (check which applicable): New Building . . .X... . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . .
Repair . . . . . . . . . . . . . -Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
(Description)
4. Estimated Cost . . .�18 ,000:00. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
` kto be paid on filing this application)
S. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
Ifgarage,number of cars „2, CAR GARAGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions,of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . .
.S. Dimensions of entire new construction: Front . . .3 Q 1 . . . . . . . . . Rear . . .3 P.'. . . . . . . . . Depth . . . . . . . . . . . . . . .
'. . . . . . . . . . .
Height . . .16 . . . . . . . . . .Number of Stories . . . .1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . SEE, ,SURVEY , , , , , , , , Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which premises are situated . .RESIDENTIAL. . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . NO, , , , , , , , , , , , , , , , , , , , , , , , , , ,
13. Will lot be regraded No . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises MIKE REUTER. , , , , , Address9075 Main Bayvieuphone No. 765-
Name of Architect JIM RICH , , , , , . Address PENNY LUMBER phone No. 477-0400
Name of Contractor ,CRAIG. RICHTER . , , , Address PO ,13OA ,555,,Greenphone No. 477-�§. , , , , ,
15. Is this property located within 300 feet of• a nidal wetland? *Yes . . . . . No .X. . . .
*If yes, Southold Town Trustees Permit may be DIAGRAMed.
PLOTLocate clearly and distinctly all 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.
SEE SURVEY:
NOTE: INTERIOR LOT
STATE OF NEW O S.S
COUNTY OF . . . . . . .
. . . . . . . . . . . . . .0. . . . . . )q(C 2-.-. . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G } . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 befgreCme this
. . . .4. . . . . . . . d o . � ;.�. . . . . . . ., 1w.�0
J_Notary Public, . . . . . . . . . . . . . . . . . . . . . . . . . . . . County
JANET E.STAPLES
Notary Public.State of New Yoik . . . . . . . . . . . . . . . . . . . . .
No."Eas.Suff°y31' y2j (Signature of applicant)
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NOTIFY BUILDING ARTM AT
766-1902 9 AM TO 4 PM FOR THE a
FOLLOWING INSPECTIONS: `
1, FOUNDATION - TWO REOUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. TION 1
4. FINAL- CONSTRUCTION MUST
ALLECOMPLETE FOR CONSTRUCTIONCSHALL MEETTHE REQUIREMENTS OF
STATE CONSTRUCTION &TENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
UNpERWRREQ�REDtIfICA(E
OCCUPANCYUNLAWFUL
USE
C�JITHUU
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CERTIFICATE
OF OCCUPANCY
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