Loading...
HomeMy WebLinkAbout24309-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25594 Date: 03/17/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 2000 REYDON DR SOUTHOLD (HOUSE NO.} (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 3 Lot 11 Subdivision Filed Map Ne. Lot Ho. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4~ 1997 pursuant to which Building Permit No. 24309-Z dated AUGUST 13, 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 ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to WHITEHALL REVOCABLE TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM TOWN OF BUILOING DEPARTMENT TOWN $OUTHOLD, N.Y. Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE ~/~DRK AUTHORIZED) Date,,,, .~ ,L), ,G, ,LI,, .S,,T. ........... .J.,~ ............................ 19...~..7. ..... Permission is hereby granted to: ....... .R...E..V...q.c. ~_L..E....T...R..U...S.T.....u...H .z..T.~..H~.L...L. ..................... ....... 7...5.....U..H...Z.T...E..H..~ .L...L.....B..L..V.p. ......................................... ....... .~ B. p.~,...¢..i..T..Y.....N..Y.....k ~ .~.~..O. ~ ............................... to.....~ LJ,:[.k,~... ,9~...~:.r,4F~.C~I~Y....~H~D... ~fL..f~P..P.I~/, l~.l~., .Eg.~ ........................................................... at premises located at ............... .~..o..q.q,.....,R.J~.y.p..q.N....D..~ .......................................... .~..O..U..T.H...O..k...q ............ County Tax Map No......4..7..3;..~.~.~ ...... Section ..g..B.,.O.. ............. Block .....O~.O.~ ......... Lot No. O.J,.$. ................ pursuant to application dated ...~..u.~..U..S..T. ............. ~ ......................... 19......?..-7. ...... and approved bythe Building Inspector. Fee $ ....... .~ .5.....g, .O. ..... ........... ................... 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 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. 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, 3. 4. 5. Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existinR Buildin~ - $100.00 Copy of Certificate of Occupancy - . .25~ Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date zg/ ee . ..................... onstruction ........... Old Or Pre-existi~ Building....~.~Z~f~'~ ion of Property..~.~. ................ .~i..~/.~.~, ...... .~.~f.~..~..~. ~/~) ...... House No. Street Hamlet or Owners of Property .T ~¢~.~... .~//~Z~.~. ............. y Tax Map No 1000, Section..~.~. ......... Block....~. ........... Lot.../~. ................ vision ................................ .... Filed Map ............ Lot ...................... t No~.~.g ...... Date Of Permit ~q~l,~.;~.~..Applicant .~4/~.~. ............ h Dept. Approval ........................ .. Underwriters Approval ......................... lng Board Approval ........................ st for: Temporary Certificate ........... Final Certicate.....~...... ubmitted: $ ~'~' . APPLICANT Town Hall, 53095 Main Road P.O. Box1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 3, 1998 Peter K. Johnston P.O. Box 91 Southold, N.Y. 11971 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) 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 ~ 24309-Z (KENNY) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. [ ~SULATION [~/'J FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR FORH NO. I ~ ~: !i. ~: i! I k TOI~N OF SOUTHOLD BUILDING DEPARTHENT ~ i:. ! TONN ttALL SOUTHOLD, N.Y. I ~97 I ................ ~ TEL: 765-1802 9i~ a/c ................................., APPLICATION FOR BUILDING PE~IT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... HAIL TO: ................... 'Date ................ ,19 .... a. ~hia application most be c~letely f/lied in by type~iter or in ink and stflnitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee sccordin~ to set~lule. b. Plot plan sho~ing leeation of lot and of buildings on premises, relationship to adjoining premises or l~blic streets or areas, and giving a detailed description of layrmt of property mast be dram on the diagram dnich is part of this application. c. Iht ~ark covered by this agplication nay not be cu~,,eoced before issuance, of Building Permit. d. Upon approval of this application, the Building, Inspector will issue a Building Permit to the applicant. SUch permit shall be kept on the premises available for inspection thronghout the e. No building shall be eec~ied or used in ~nole or in part for any l~arpase ~/~atever until a Certificate Occupancy shall have been granted by the Building Inspector. APPLICATKi~ IS I~.~B¥ HAEE to the Building Departr~nt for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Toga of Suuthold, Suffolk County, lq~ York, and other applicable La~s, Ordimmees or Regulaticos, for the eonstraetion of buildings, additions or alterations, or for ra~oval or danolltion, as }~erels described. Tnt applicant agrees to ca, ply ~rlth all applicable l~r~s, ordinances, buildlng code, housing code, and regulatior~% and to adair authorized ir~spactors on praises and in buildli}l~-[;oK necesaary_inspec. J~jms. .... ............... (Signature of' applti~nt, or nam, if a corporatim) (Hailing address of applicant) State ~/~ether applie~t is o~aer, lessee, agent, architect, engineer, general cantraetoluml/trd~/;~,~kll/~r or built ..... :~/~ ~ ................................................................. ~ · applicant is a corporatian, aiDaature of' duly anthori?~.~d offieer. (Name and title of corporate officer) 4. FIIML. CQNBlllUL'IIQ~ MUST ~1~ CCMIqJET! I~W ~0. ALL CONSTRUellON IHAU. Mmrr THE RIQWREMENTI OS THE N.Y. Ph~nbers Licer~se Ro .......................... Electricians License No ...................... Other Trade's License No ..................... I. Location of land on ~ich tm~osed ~ork w111 be done ............................................................. .... ..................... ................. a ......... ttouse Nt~ber Street Ugulet / / a~ty T~ No. ,ooo s~io....~..o. ........ ~lo~ ....3. ........... ~t .~ Subdivision ...................................... ¥iled Hap No ................ Lot ............... (~u~) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................. 3. Nnture of trark (d~ck tdlidJ applicable): ~ lkJihling .......... Addition ..... ~... Alteration ......... I~lair ............ I~al ............. 1~ol iti~ .. Other ~,~ ..~ Ea~.~]~ ......... ~rip~i~) 4. Es~imet~ C~st~ ~OO ~' (to Im ~id ~ fili~ this a~li~ti~) 5. If &~lling, ~x~Imr o~ ~llhg units ............ tinder o~ &~lling t~ks a~ ead~ ~r ................ If garage, ~mtmr of ~rs ...................................... 6. Iff bmimss, ~mrcial or m[~ ~al[~, s~cify ~ture a~ ~tent of each ty~ ot ~ ...................... ~. Diaensi~s o[ ~isting stn~lmrea, if any: ~¢mk ................ ~ar ............... ~pth ................. Ibi~t ......................... ~r of Stories ...................... Di~nsia~s of ~m stricture with alterati~m or ~kions: Front ............... ~ar ............... I~pth .................... lkd~lt .................... ~i~r o~ Stories ............... 8. Di,,e,si~6~ entire ~ ~st~ti~u Fr~t ..~.t. ........ l~ar .~ ........... ~pa, .~ .......... I~i~r ...~ .................. ~r of Stories ...~ ................. II. ~ or u~ distric~ in ~id~ pr~i~s a~ si~t~ .......................... '~'T~ ............................. 12. ~s propel ~mt~ti~ v~olate any ~fing 1~, ordi~me ot regula~i~: ........................ 13. ~11' lo~ Im ~rm~ ..~ O .............. ~lll' ~eaa fill' Im ~,.~,~ o~ ~ o~ ~,~.,.-~, .... 'r ~ ~~.~ ~5. is tibia p~rty ~ithin ~ t~t of a ti&l ~tlml? ~ ~ .......... ~ .......... P1,OT DIAGRAH l~cate clearly and distinctly all buildings, d~ether existing or proposed, and indicate all set-lmck dimensions fraa i~ropetty lima. Give st~t ired block nudger or descriptioa according to deed, and sho~ street t~ms and ialieate ~Amther interior or corner lot. 0Ct;OFh v'l USE IS UNLAWFUL NITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CFJ~TIRCATE REQUIRED S r.,','[1~~1~ 'A :--..~.~~..~.y~ ................... I~i~l duly ~rn, depoms a~l ~ays that I~ is the aln,l ,~ ~-~-----,, }k~ is the ................................................................................ ({ku~tractor; age,t, corN~rate officer, etc.) of said ¢~r or ¢~r8, md is duly ~thori~M to I~rfonn or have [x?rfon~ I1~ ~i¢1 ~rk ad to rake a~xl file this arid {eakiCm; thaL al 1 stata~nts centair~l in lids al~l leal'ion are the to the trust of his k~x~l~ m~ l~lief~ mxl that the ~rk will I~ ~rfon~l in the ~m~,mr ~t forth in the applicatltm fil~ t~mr~ith.