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Home My WebLink About23273-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF No E-24198 Date MARCH 8r 1996 THIS CERTIFIES that the building Location of Property 775 REYDON DR. House No. County Tax Hap No. 1000 Section 79 Subdivision ACCESSORY EOuTnOLD, NEW YORK Street Hamlet Block 5 Lot 15.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 16, 1996 .pursuant to which Building Permit No. 23273-Z dated MARCH 1, 1996 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 IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 F~EDERICE & ~LANIE FIEDLER N/A N/A Bullding ~nsp~ctor FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~O BUILDING PEI~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............... ~..'./~. · ................................ 19.. ,~..~.., 23273 Z Permission Is hereby granted to: ........................... ..... ~z~.~.~. ........ ~...,.y...,......././.~.z/. ...... to.....~.~ .......... ~ ............ ~~-'y ............. ~ ............. z~ ................... ..~ ...... ~..4...~ ............ ~,J.'i ......... .~,...,~..~¢~ ....... ~.~ .................................... .................... .................... ii,'(.~.~ ..................................................... County Tax Map No. 1000 Section ....... 2~.. ........... Block ...... .,~,,,,,"~,,. .......... Lot No ..... ~?.. ........... pursuant ,o application dated ....... ~. .......... ,,~.~. ..................... 19......~..&.., and approved bythe Building Inspector. /~' B(~ilding Insp Rev. 6/30180 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY MAR - 1996 This application must be filled in by typewriter OR ink and submmtted-~i~Su-%~dm, ng inspector with the following: for new building or new use: 1. Final survey of.property with accurate location of ail 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 lees than 2/10 of i% 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. FSr 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20~00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... .V..g. ...................... New Construction ........... Old Or Pre-existing Building ................. Location of Property. House No. Street Hamlet Onwer or Owners of Property..-..-.,.g~...~J~...~.~...~.~..'.~....w.].~.~. ........... County Tax Map No i000, Section .... 7.9 ...... Block ....... ~. ....... Lot .... /.~././ ........... Subdivision .................................... Filed Map ........... . Lot ..................... . Permit No.Z. ~ ~.~.~.~.Date Of Permit..g..//,/~.~. .... Applicant.F..~.~. P..~. .~. ~f~.~.i .~..~. ~PL~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .................. Request for: Temporary Certificate ........... Final Certicate.. ]../~...J... Fee Submitted: *... ~¢:~.~. Q .~. .............. °' F(EI,I) ItlSI'I£CL'LOtl I~ICI'ORT FOIII'II)AT I Oil (I,qT) FOUtlI)AT loll (2HD) ROIJ{;II FI{AHI~ & PI,IIHB IN.qIII.AT[O~I Iq~,R il. ¥. $'I'ATI~ Ir, rH/AH'~ Y ^Ill)IT I O1{^1. COHHI~N't*S: - I 7-0 W~7 ' ' ' .Jr 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] INS~J~ON ] FRAMING ~ FINAL [ ] FIREPLAC~ ~/~ ~__._._, REMARKS: . ~ FOlOt IlO. I TO!~N OF SOUTHOLD BUILDING DEPARTHENT TOhIN HALL SOUTHOLD, N.Y. 1197 I TEL.' 765-1802 Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SHRVEY ........................ CHECK .~ ....................... SEPTIC FOR[I ................... NOTIFY: cAu. 2~'~ ~ ~0..$ ..... HAIL TO: .................... APPLICATION FOR BUILDING PERHIT 'Date 19 INSTRUCTIONS a. 3his al~licatien mint b~ c~mpletely filled in ~ t~miter ~ in ink ~ ~itt~ to file ~ildi~ Ins~tor ~tl 3 mrs of pl~s, ~ate plot pl~ to ~ale. F~ ~en~ing to s~le. b. Plot pl~ ~i~ l~ti~ of lot ~ of hdldi~s m ~s, ~lati~shlp to ~jolni~ pr~i~s or ~blic struts or are~, ~l 8ivi~ a ~tail~ ~ripti~ of l~t of ~r~ mst ~ dr~ ~ the di~ ~d~ is ~rt of this ~lleati~. c. ~ ~rk ~ I~ fids ~licati~ ~ ~t %~ c~ ~fore isle of Mildi~ Pemlt. a. ~ ~al of ~is ~li~ti~, t~ ~ildi~ In~ctor will is~ a ~ilding ~t to the ~lic~t. ~ch ~mit ~mll ~ kept ~ tim ~s ~ailable ~r in~ti~ that ~e ~rk. e. ~ ~ildi~ ~all ~ ~i~ or ~ in ~le ~ in ~rt f~ ~ ~ ~at~r m]tll a ~rtiflcate of ~,I~ IS ~Y ~ to tim ~ildi~ ~r~t for ~e isle of a ~ildi~ Pemit ~nt to the ~ildi~ ~ ~i~e of t~ ~ of ~ld, ~ffolk ~W, ~¢ York, ~ o~r a~lic~le l~, ~i~es or ~latlms, f~ t~ ~st~tlm of Mildi~s, ~iti~s ~ Mteratims, ~ for ~al or ~liti~, as I~reiu ~ri~. ~ a~lic~t ~s to ~]y with all ~li~ble 1~, o~i~es, ~ilding ~, ~si~ ~e, a~ ~lati~s, ~ to ~it ~rir~ in--tots ~ ~i~s ~ in ~ildi~ for ~en~ in~ti~s. (~ili~ ~mss of ~hcmt) It ~> 7/ State ~H~r a~li~t is ~r, les~, a~nt, ard}it~t, e{Mi~r, ~ral c~tractor, electrician, plier ~ lmilder. ~ o~ ~ o~ ~,. ~.~. ~ .......................................................... (as ~ tim t~ roll or latest d~) I[ a~lic~t is a ~rati~, si~t~ of ~ly ~O~rlr~ officer. (Na~e and title of corporate officer) Plumbers License No ............ Electricians License No ................. . . ... Other Trnde's License No ..................... ~...-~ ~,C<%d ~ -~.'~-- ~tlen of I~ en ,t,i~ ~o0o~ ,~ wili ~ ,~..7. ....... ~Z... . [louse limber Steer llaalet ~,~ T~,~ No. ,~ ~,~ ..... 7~ ...... ~,~ ...... ~. ..... ~ .... z~..<.L.. ~Mivisi~ ...................................... FiI~ ~p ~ ................ ~t ............... (~) 2. State ~isti~ ~ ~ <~ of ~i~s ~ int~ um ~1 ~ of ~ c~stmcti~: ,. ....................... ..... , ......... . b. t.t~ ~ ~ <~ ............ ~--, .............. aUYi(~d ......................... I~m,re ol~ uo~k (d~eck ~hidl al~fli~ahle): khu I~ihling .......... ~licion .......... Mteracion .......... (to I~ ~id en filing fids a~licari~) If garase, ;tiller of cars ........ .............................. Dia~aM~m of s~m sCn~;~e withialreratl~m or ~lcions: Fron~ ............... l~ar ............... Siz~ of loC: I~C ............. ~ ...... ~ar .................... ~ptll .................... lht'e of ~lrcha~ ............ ' ... .... ~. ~e of Forner ~r ........................................ ~ or u~ district in ~dd~ pr~q~a a~ si~mc~ .............................................................. ~s propel c~mrn~ri~ violaC& any ~in8 lt~, onli~e or regulaci~: ........................ · ~e of C~tractor i PI.OT DI'ACRAH locate clearly and distinctly alllbulhhngs, ~lmtlmr existing or proposed, m~l indicate ail ~t-I~k dl~esiona fron prolmrry li~s. Gt~ at~t a~ bl~k n~lmr or t~scripti~ acco~ing to {~, a~ d~ street ~ma a~l inlicare ~dmtlmr interior or corer lot. APPROVED AS NOTED DATE: '~//,//q~' B.P.# NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION * TWO REQUIRED FOR POURED CONCRETE ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE, OF OCCUF'ANCY ,~)rn Ia Imfore im this /-) ~o. 47~0B9, ~ulfolP.. CoupJY, 31, (SiBnature n~ ^pplicam:) Sf^'IE OF Nl~ ¥()t~, , CODES. NOT RESPONSIBLE FOR (~ll. IN' (X' .,~.~.~ SS ' DESIGN OR CONSTRUCTIONERaORS (Nmx~ nf i[Mivith~l signing c(mtrac~) apl)licatinn; thai: all statamnLs contaiimd in Lifts al~)lication are t'r~m LO the trust of his kix~l~ge Iha~ tl~e ~rk witl Im Imrfon~l in the sure,mr ~E forl.h in the applical:ion l'tl~