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Home My WebLink About22767-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23777 Date JULY 17, 1995 THIS CERTIFIES that the building Location of Property 545 REEVE AVENUE House No. County Tax Map No. 1000 Section 114 Subdivision ADDITION MATTITUCK, NEW YORE Street Hamlet Block 9 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 1995 ~ursuant to which Building Permit No. 22767-Z dated MAY 16, 1995 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 DBCKADDITION TO EXISTING ORE FAMILY DWELLING AROUND INGROUND SWI~A~ING POOL "AD BUILT". The certificate is issued to of the aforesaid building. BTEVEN TESTA (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N.Y. N~ 22767 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CounlyToxMopNo. 1000 Seotlon...~/~,,~,.. .......... Block,, .~... ................... Lot No. ..~... ....................... pursuant to application dated ........~.../..;2-~... .................................. 19,~ .~,.I..'~.. .... Building Insp.ec(~ Fee and approved by the / ~/' Building Inspector Rev. 6/30/80 TOWN IIAL[. APPLI. CATiON FOR CERTIPICATE OP OCCUPANCY A. This application must be filled in by ~ypewriter OR iuk ami submitted ~o the beilding iuspector with tim following: for .aw buJJ. ding or uew ese: 1. Fiaai survey of property with accurate location of all buildings, property lines, streets, aed unusual natural or topographic features. 2. Final Approval from II¢hit~ Dept. of water supply and sewerage-disposal(s_9 form). 3. Approval of electric~ul installation from Board of Pire Underwriters. 4. Sworu statement fr°mfpiumber certifying tha~ the solder used iu system contairs less than 2/IO of 1% lead. 5. Commercial building, industrial building, multiple resideuc ' · · and installations,Ia certificate of Cod~ c~, ~' ~ ey aud similar buildings responszbie for the bu~.ll g. 6. Submit Plannieg Board Approval of completed site plan requirements. B. For existing u~.ld~ngs (prior to April 9, 1957) eon-conforming uses, or buildings and ' "pre-exzst ~.ng land uses: ':~ 1. Accurate survey of property showiug ali property lines, streets, building and unusual natural or topographic features. ' 2. A properly completed application and a consent to inspect, sigaed by the applicaat. If a Certific~ te of Occapaucy is deuied, the Building Inspector shall state the reasons therefor in writieg to the applicant. C, Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swi,m~ing pool $25.00, Accessory building $25.00, Additious to accessory building $25.00. Busiuesses $50.00. 2. Certificate of Occupancy on Pre-ex/sting Buildiae - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupaecy - Residential $15.00, Commercial $15.00 , l)a te ............. ~ . New Construction ........ Old Or Pre-existi.g Building ................. llouse Mo, ' Street llamlet ...... oubdzviszon .................. [~ermit No - ~ . ................ oare Of Permit ............ .... q~licant ............... Heaith Dept Approval ' ' ......................... Underwriters Approval ......................... "laanlng Board Approval ................ request for: Temporary Certificate ........... Final Certicate .... ~ ..... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION / [ ] FRAMING [ ~/~'FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 24, 1995 A. Reilly & Sons, Inc. P.O. Box 98 Mattituck, NY 11952 RE: PREM: Stehpen Testa - TM#1000-114-9-9 545 Reeve Avenue, Mattituck NY 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 (outdated/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 # 22767-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 3 SETS Or PLAtes ........ SURVEY ................. SEPTIC ....... · ' CALL . . · · · Approved ............. ermit No. ~,~. ' ................. Disapproved a/c ' .................. JJ[J~, ~281995 ';' ' APPLICATION FOR BUILDING'PERMIT ' Date ' ~.~ ........ 19 .~ ~WN O~- $OU'~F~ot ~ . INSTRUCTIONS a. T~s application must be completely filled in by ~pewfiter or in ink and submitted to the Build~g Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showMg location of lot and of build~gs on premises, relationship to adjoining premises or public sffeet~ or areas, and givMg a det~led description of layout of property must be drawn on the diagram which is pa~ of this appH. cation. c. The work covered by t~s application may not be commenced before issuance of Budding Pemit. d. Upon approval of this application, the Building Inspector will i~sued a BuHdMg Pemit to the applicant. Such pe~it shM1 be kept on the premises available for Mspection throughout the work. e. No building shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~c5 shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a BMlding Pemit pursuant to the Building Zone Ordinance of the Town of South01d, .Suffolk County, New York, ~d other applicable Laws,.OrdM~ces or Regulations, for the construction of bufld~gs, additions or alterations, or for removal or demolition, as hereM deschb~d. The applicant agrees to comply with all applicable laws, ordinances, bufdMg code, housing code, and regulations, and to admit authorized ~spectom on premises and ~ buildMg for necessa~ inspections. · · .A,.. ~.~.4¢.?.. ~...&~. ] ~ ........ -- (Signatur~ of applicant, or name, if a corporation) (Mailing address of applicant) State wMther appIicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder, Name of owner of premises ........... ~~...~ ......................................... (as on the tax roil or latest deed) Builder's License No .... .~./..~.. S.~..~..{~ .~. ..... Plumber's License No ......................... Electrician's License No ......... '7.5. .......... t Other Trade's License No ...................... i. ocat,on of,a d on hichproposed wor wiI, be done ..... .... .... . .~.s. ......... . ............... ~..~. ~....~..~% ....... ~..~..~../.q..' ............... . ltouse Number Street Hamlet Cotmty Tax Map No. 1000 Section .... '. ~./..~ ........ Block ...... .~.. ' Lot Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) , State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ .~.~.~./..~..z~/....7.././..~.. ' .~ t /~/ /~O.Q C ...... '~-'-'. ~' ~,r .~?' ?T~ .................. b, Intended use and occupancy .......... ~ ' , k ( ppli ) Additi ' ' · 3. Nature ofwor check which a cable: New Building .......... on ......... Alteration ....... Repair .............. Rem6val 2.. , .............. Demolition ..... : ....... Other Work .~..Lcd../~ .... 4. Estimated Cost ................. , ..... escr on (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. Number of dwelling units on each floor. · If garage, number of cars " .............. 6 If business commercial or m~xed occupancy specify natur; and ext'en} o'flc'a~;~ .... 7 Dimensions o! existing struct'ures if any: Front Height Numit~er of Stories ............... Rear .............. Depth .............. Dimensions of shine structure with alterations or additions: Front Depth ' Height .................. Rear .............. ..................... : ........... .: Number of Stories ' ' ' ' · ~menslons of entire new construction: Front ...................... ' Rear Depth Height Number of Stories ............................................... 9. Size of lot' Front . ' 10. · ...... . ......... ~qear .............. Depth ..... Date of Purchase .................... . ......... Name of Former Owner ................... ~t~ ...... 11. Zone or use district in which premises are situated ................................... : ............ 12. Does proposed .construction violate any zoning law, ordinaries or regulation ~ . . ' '13· Willlot be regraded . ,AJO ' ,, : ............ . , · ' ....... ~,.:-.:~ ..~.-:~. .......... wm excess fill be removed from premises: Yes o 14. p~ame of Owner of premises .... :/..6--J...~..dgt; ...... Address .~.~ ~7~,_.CL( ,,~ - ~-~ Name of Architect ..... ~. ................. ". · · · Address .................. [5.' I,s this property within 300 feet of a tidal 'wetlan'd? '*v~o .PhoneNo..,~...~..~.~.. · *If yes, Southold T~wn Trustees Permit may be req~i~'''''' No ......... · ". i PLOT DIAGRAM Locate clearly and distinctly all buildings, ~heth~r existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether interior or corner lot. TATE OF NEW Y~R~ . ........ A..... (Name of individual signing Contract) ·. being duly sworn, depose5 and says is the applicant i ontractor, agent, corporate officer, etc.) said owner or owners, and is duly au'tl{orized to perform or have performed the said work and to make and file this plication; that all statements containe~ in this'applicat on are true to the best of his knowledge and belief; and that the irk will be performed in the manner setlforth in the application filed therewith. ' ~om to before me tl~s~/J i ~ .-_ ~ ~mission Expires De.m~r 8. 1.~ ' ~~ , No. 4879~0~ ~ . (S' ure ofapplic~t) Qualified In 8uffo k COunW