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HomeMy WebLinkAbout24472-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25595 Date: 03/17/98 THIS CERTIFIES that the building ADDITION Location of Property: 77 REYDON DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 5 Lot 15.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 1997 pursuant to which Building Permit No. 24472-Z dated NOVEMBER 7, 1997 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 ON THE REAR OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK & MELANIE FIEDLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-445074 02/06/98 PLUMBERS CERTIFICATION DATED N/A c Buildi g nspecto Rev. 1/81 i 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) Date NOVEMBER 7 97 24472 ....................................... .................. .. 19....... . Permission is hereby granted to: PETER JOHNSTONE .......................................................................................... PO BOX 91 .......................................................................................... SOUTHOLD,NY 11971 . .............................................. ................................... ....... CONSTRUCT AN ADDITION ON THE REAR OF A SINGLE FAMILY to DWELLING AS APPLIED FOR .. . ....................... ..................................................................................................................................... . ...................................... . .................................................................................................................. ....................... . ............................................................................................................................... ....... ................................................................................................................................. ............................... at premises located at.....................77.....REYDON..D.............................................SOUTHOLD........... ................................................................................................................................................................ 473889 079 0005015.001 County Tax Map No. ..—..................... Section ........................ Block ........................ Lot No. ........................ OCTOBER 11 97 pursuant to application dated ....................................................... .. 19................ and approved by the Building Inspector. Fee $ 75.00 .... ................. v. ... ....... .... ........ Building Inspect Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 location 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 of Fire Undetwriters. 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. 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25r. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 i Date If-9140. . . . . . . . . . . . . . . . . . . . . . . onstruction. . . . . . . . . . . Old Or Pre-existing Building. AA#/77*Al. . . . . . 117 ion of Property. . . .7 . . . . . . . . . . . . . . . . . // iQA��ie. . . . . . . . . . . . . . .Vt: 4y. . . . . . . . . . . . House No. we Street Hamlet or Owners of Property.AVA4�.,W4.�p�'�Ci..9eW. . .�!F��i . . . . . . . . . . . . . . . . . . . . . . . . . . . y Tax Map No 1000, Section. .F7. . . . . . . . . .Block. . . . �. . . . . . . . . . . . . . . . . . . . . . . . vision*aPJ4 . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . t No.R2.12":y7lZ. 2-. . . . .Date Of PermitlKA.t�.Z. IJF9?. . . .Applicant./Ze .M!M.W;V le. . . . . . . . . hDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . ingBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . st for: Temporary Certificate. . . . . . . . . . . Final Certicate. .41-11 ubmitted: $. .cz4r.. . . . . . . . . . . . . . . . . . . . . . . .APPLICANT. . . . . . . . . . . . . . . . . . . . . . . . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001071 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date FEBRUARY 06,1998 Application No. on file 15445398/98 N 445074 THIS CERTIFIES THAT ; only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of FRED FIEDLER, REYDON DRIVE, SOUTHOLD, NY in the following location• ❑ Basement ® 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on FEBRUARY 03,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. I AMT. I K.W. AMT. I K.W. AMT. K.W. I AMT. I H.P. 1 5 2 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC-PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METERO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W NPER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 MOTORS:1-F H.P. G & S CONTRACTOR LIC.#578-E I L BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per 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 COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ L FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �'e,4 �U DATE /b INSPECTOR suauiNc uewr. INSPECTION [�NDATION IST [ ] ROUGH PLBG. [ NDA710N 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS- DATE1111;013P.1'7INSPECTOR � M-102 BUILDING DEPT. INSPECTION [ ] FOUNDg'FION iST 6GH PLBG. [ ] FO DATION 2ND ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: A-6 L��Th�liw�-L, DATE � � INSPECTO I l l�l.11 111lII I:l,11111 ^IIINI illi l 11A 1 l `��' .._,r _ ,rrvn» -.n�-•. .-.. ._ _ . .._.. ___-._.. ,_ •.l.(11111I:1l1 Al �l I�tnnitln'I'tWl ( 111'1•► ' i n x nIn►1:11 r•ttnlu; a -- � `�0V rl.ulln 1 111; -� .. . -«. n.nM«_nn-n_--..- - ............. ,..n.. •......«n---.-..-- -- -.m..•,.,._... ---I_..........n........_......--- - III:i1i1.A'I'lllll I'I�q 11, Y , �J 'v :I'1'ATK I[IIVAtttY 1:1)111! I 1' 1 Ilnl. (��\ ----------------- -------------- -------------------------- - ----------- ------------------------ ----------------------------- ---- -------------- ----------- II II h G ' �j BOARD OF HEALTH . . . . . . . . . . . . FORM NO. 1 3 SETS O"LANS : . . . . . . . . ... . . . . TOWN OF SOUTHOLD SURVEY . . . .. . . . . . . . . . . . BUILDING DEPARTMENT CHECK�:.7,i5. . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . OCT41997 SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.... .... MAIL TO: RrF4 q#fh. W. . . . !� Permit No. .Po.Box Approved... .... ... ...................... /,,�,, .:.., 19 Disapproved/a/c .................................. ..Sod?: .ll�� ►.Me . ...................................... ........ ...... . .ilding.Inspector) ICATION FOR BUILDING PERMIT C Date`!�.`30. . . . . ,19.Q7 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector witt- 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 promises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ,-chis application. 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 issue a Building Permit to the applicant. Stich "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 Occupaney shall have been granted by the Building Inspector. APPLICATION IS HE[E6Y MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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 build' r necessary inspections. ..... . . .................... (Signature applicant, or name, if a corporation) .....o...... . ... ZI (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................................................... Name of owner of premises �.l�iQ�i�/.4'.'.t9A/�. 4CrGe4r1!/ ..../�'�/ •O.Lite................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. .�-�yc 4 7 ,Z.... Pluvbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Locati f land on which proposed work will be done.............................................................. ......:7 .....................!�� 1201�l..4. ' ...............................S.QurNocO.................. House Number Street Hamlet l � i County Tax Map No. 1000 Section ...?........... Block ................ Lot ................ Subdivision ...n. iQQ!� Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...................................... b. Intended use and occupancy ................................................................. ....... �J A 3. Huture of work (check which applicable): New Building .......... Addition ..... Alteration .......... Repair ............ Removal ............. Dewlition ............ Other Work .................................. (Description) 4. Estimated Cost .'%egO................. fee .............................................. (to be paid on filing this application) 5. If d►aeliing, rnnber of dwelling units ... ....... Umber of dwelling units on each floor ..1.............. Ifgarage, 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 ................. 11eig1mt ... .i.................. Nuniher of Stories ../...Z-z...... Dimensions of same structure with alterations or additions: Front .'t✓. �.. ..... Rear ......... Depth ....,5:`�........... lleig)►t ............ Umber of Stories .. ............ , tl. Dimnensiadt q � `entire new construction: Front ..� .......... Rear .� .......... Depth ./y ....... lleiglht ................. Nnber of Stories ...�. ............. 9. Size of lot: Front ..../' 0.I......,. Rear ....�3`O.,........ Depth 7............ 10. Date of Purchase .......... no •........ Naof Former (M� wr ..........Q .......................... H. Zone or use district in whichpremises are situated ..�lQV4�Q.�.f.Zsl.'�lsE�1............................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .,e.Q.................. 13. Will lot be regraded ...ND............. Will excess fill be removed from ^premises: YES Ars 14. Names of Owner of premises i, 0l.44�............ Address .�Eyea�t>QR............... Phone No. .....r'sd . Name of Ardritectz.�..�//d ............... Address .AQ:A?.SP.k7M,t?.... Phone No. !�0 Name of Contractor�. �l1.�"yII &.............. Address ......:.........................Phone No. .. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .. ... *IF YES, SOUII11D M4N 'IRiISMS PERMIT MAY BE REORFM- . PIAT DIAGRAM Locate 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 nares and indicate whether interior or corner lot. OF IN. •% .. ,SS ...... a. ...�.5.1 .........being duly sworn, deposes and says OwL he is Llhe applicant (Nairne of individual signing contract) above named, Ileis the ...... ...... .............................................................................. Corhtractor,'Agent, corporate officer, etc.) of said owner o nd is duly authorized to perform or have performed the said work and to make and file this app]icatiomh; thaL all statements cohtalned in this application are true to the best of his knowledge and belief; arxl that Lhe work will be performed'in the manner set forth in the application filed therewith. Sworn to before me this Off' ....�. of .... ..19..`. Notary 'tmb (Signatu. of Applicant)Can:;; '- � g + ( 1' St( nv.. F I I IN i•i i i o r ►. 3+ ti r, , , -.� I i 8.1 YV/E w 7"<�ver r.' C)r•' S 4 u T l l o L. ii, IV_ Y. ro Gu.a(znn(rl:�'t� Tire. DIVI 5/0N•- AMfR /CAN VITT-C• INJuIXAn/�'G to 1r.:arl PIPE: .AS .liuR_V9VOO S6Pr T7, I96-7. VA PJ .'CI Yl. 0 N 44 '(_ JN.+ry `=L•.a,ry ,. .[,.i .. lJi '�/. fr�I� l•t `:<I�J •�..... . LICH-61,1FO GANb �7!J�L t:'YOl1 S. ,swi' oft Y.i 1. A �./rt'�i��� '` UNK MRITERS CERTIFICATE REQUIRED j, u KI., K -EN1 1 1 -- X02 !x AM TO 4 �� nays W'110N SHALL MEET' & ENERC77 LE F01 OT RESPONSIS -STEPS PF-SIGN OR CONSTRUCTION ERRt) $ - OCCUPANCY OR ASF I S k NN 1.A W FLlL Wi Hit)U R 1F I C AT1- /AfP l'SCALC OF OCCUPA4GY Peter Johnstone CONTRACTING • CUSTOM WOODWORK • BUILDING P.O.Box 91,Southold,New York 11971 (516) 765-5309 4511ST/m toe F 5 i SOUTH VIEW i S , { No,FTN ___-- OECK our 4w IF 1x8 �PAFf&eS I W- 2Y6 e.L"st n { Ex tSti.JC �o cwE /4"oc Sia IQ'/4/A6ULaraJ 1 ©D DDE4 w►� QOLfL�C s 32,t t2 #Ewboe _3•�><I Z ttEw�L i i R•IQ JNSVIA110" WitiomI i 1nJ�nJ001�I �' i si i 4 i a-A& L &LLS lb"OC ` t �12A Oe /v �' C RAI,JL SPACE E _ S[A& - i k i i EYISTfA�G REAP OP" /400SE i ii t i i 3.9'iz nliGe.LAh►L-rRdfbB �c a � r 2'x 2'lc,?"eOAt&AERj3 o Z '�► i c a M � � w .l'l42 /duu/e�.l !0068: t+��oaC 2'iH2 MoouaJ E Ito O n � 4)i kq W U Fk. Ha. : � AY • j TO o u 7'!/o c. �, N_ Y. �;uA�•r3tlrr��v y'o �U�aGc'�1Ny J?:E'[� T/7•x p.. 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