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.