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HomeMy WebLinkAbout22190-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23487 Date FEBRUARY 9, 1995 THIS CERTIFIES that the building Location of Propert~ 3115 REEVE ROAD House No. County Tax Map No. 1000 Section 99 Subdivision NEW DWELLING Street Block 3 Filed Map No. MATTITUCK N~ Hamlet Lot Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 1994 pursuant to which Building Permit No. 22190-Z dated JULY 15, 1994 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 A ONE FAMILY DWELLING WITH ATTAc~D TWO CAR GAPu%GE AS APPLIED FOR. The certificate is issued to of the aforesaid building. PETER & JENNIFER GATZ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0056 12/6/94 UNDERWRITERS CERTIFICATE NO. N337126 DECEMBER 20, 1994 PLUMBERS CERTIFICATION DATED DECEMBER 17, 1994 ROBERT J. CUI~D~%N Rev. 1/81 FOI~M NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N-° 22190 Z BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Co,.,,~T,:,,~",',:,~,o. ~000 S~o,,on ....... ..¢...~. ....... ,,oo,~ ........ ~.....' ....... Lo,,,,o..'/.'..Z...'E... .......... pursuont to oppllcofion dofe,d .......... ...~,..~/..,./~......~.. ....... ....c~.....~.,.., ]9...~,..~....., ond opproved bythe Building Inspector, Rev. 6/30/80 TOWN HALL 765-1802 t BLDG. D . ~ 'row~ OF SOUTHOLO.~__3 : . APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filied in by typewriter OR inl and submitted to the buil'ding inspector with the following: for new building or new use: 1. Final survey of property with accurate location o~ all b~ildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply ~nd sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board or'Fire Underwriters. · 4. Sworn statement from plumber certifying that the Jolder 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 '£rom architect or engineer responsible for the building· 6.Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) nonvc6nforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building arid 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 i. 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 . y Date ........... . New Construction... ~. ...... Old Or~ Fre-exist~ng Building.. .... ......... House No. Street Hamlet )nwer or Owners of Property.. . .... :ounty T~x Map No 1000, Section....~...~ ...... Block. Z ........... Lot...".~..~.!..~.. ....... · ~"~-~'"q'~'~-'.'~l-..-~-..-$1li~.'.~..,.Filed Map ....... Lot ..... · · . ......... hppizcant..]...~. :-.~., .,,,_/ik.,l i..~.~_, ........ --<~ t|pp .~. ......... Underwriters Approval ..... aalth Dept. A rove ...~..~.-~ tanning Board Approwzl ........................ quest for: Temporary Certificate .......... Final Certicate..f.~.... Submitted: $...~], .~..~.. .......... i ...... Qq o ?9 39 .... --'-,. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD iii!i,]t ,~J%, 3 1995 L~_TOWN OF ~OUT~IO CERTIFICATION (please print) Plumber: Qober% O. C9{~O~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this / 7---- day of 19 Notary Public, ~/~_ County ALBERT R. 8UMMERVILLE FOUllDATION " (1st) ~OUI~DATIO~! ' (2nd) ~,OUGH FRAME &., :NSULATiON STATE ENERGy .' CODE 'FI;;AL · · ADDITIONA'L COMe, El. ITS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~INAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH, PLBG. FOUNDATION 2ND [ ] I~LATION FRAMING ' [~'~J~ FINAL INS ECTOR .~~/~ 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ '1 IN/SULATION FRAMING [//j/FINAL DATE //c~/~.(/-V/ I NSPECT~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ ] FINAL DATE ~ INSPEcToR //~~~4~ SURVEY FOR AUG. H, 1994 dULY 14 1994 PETER GATZ MAY 24, 994 JUL 8,1991 LOT NO. 18," HONEYSUCKLE HILLS" dUN. I0 i99~ AT MATTITUCK DA?~' APR 18, 1991 TOWN OF SOUTHOLD SCAL~: I" = 30' SUFFOLK COUNTY, NEW YORK NO. 9~ '0Z68 ~,_ YOUNG 8~YOUNG RIVERHEAO~ NEW YORK · ·; ......... ~' (~(5'C.' x~,' 'oN~suoaFI sjoqtunld (.moffjo o:mzoclaoo jo OlLC~ pu~ otU~N) .zoo[jjo poz!.~oq:m~ Ainp jo oin~,.eu$!s 'uo!lezodioo ~ s! luealldde JI (poop lsaleI .............................................. .... ............................................................................ :, ..... uopffnq ~o ~oq~nld 'u~o~OOlO '~o~a~uoo Ou~o~ldd~ jo sso~pp~ ~uIl~) (uotlmod~oo ~ J[ 'om~u ~o %u~o~Idd~ jo o~nl~u~[s) _ ol puu 'suoBu[n~o~ puu 'opoo ~u~sno~ '~poo ~p~nq 'soouuu[p~o 's~[ olquo~dd* · poqgosop ~oaog su 'uoBffomop ~o iuaomo~ aoj ao 'suoBu~ol[u ~o suoB[ppu 's~pBnq jo uogomlsuoo oql ~oj 'suoBuIn~o~ ao soo~pao 's~ olq~o~ddu ~oqlo p~ '~ox ~q~ ol lu~ns~nd l[~od ~u[pl~ ~ jo oou~nss[ oql zoj luom~doQ ~pI[nff oql o~ ~V~ X~H SI NOI&VDI~dSV · ~oloods~ ~ulpl~n~ o~ iq poluu~g uooq oa*~ iN~s io~dnooo Jo ol~o~[~*D u iBun ~oaol~m osod~nd au~ ~oj ~d ~ ~o oIO~m ul posn io poldnooo oq iie~s ~ulpffnq ON 'o '~o~ o~1 lno~no~$ uoBoods~ goj oiq~*a~ soslmoad o~l uo ldo~ oq i~s ~lmad ~ons 'lu~o~dd~ o~1 ol ll~o8 ~pBnfl ~ ponss[ i~a IoloodsuI ~ulpllnfl o~1 'uoB*olldd~ slql jo Naoaddu uodfl 'p · 11~o8 Su[p~n~ jo oou~nss[ aaojoq poauoamoo oq lou 'UO!l*o -~dd~ slql jo ~d si ~olqa mm~lp oql uo sloo~ls o~qnd ~o soslmo~d tululofpu ol dlqsuog~IO~ 'sosl~o~d uo s~pllnq jo pu~ loi jo uoB~ooI tulao~s u*Id loI~ 'q 'olnp*Ros ~ qll~ 'IoloodsuI g~pI~n~ °ql ol poll[~qns p~ SNOI£DfI~3LSNI ·" 6[ ' .................. .LI ~H::ld DNI(]-I Irl~] ~OdNOl~ddV ./ ..... ..... ..................................... o/u po^o.tddus!(I /~S/~"~C°N :Lmu°cI~~6I,"..' '~/~/2>'bv~ ' ' P°'X° zddv ', gO8 Pq9L: "F:I.L LL61, 1. 'A'N 'a-IOH.I. FIOS 'I'IYH NNIO.L .LNiIINAEI~'dEIG DNla-IIFI8 a']OHiflOS 40 N~Oi [ 'Obi [NklOg ;( SURVEY FOR AUG. II, 1994 JULY 14 1994 PETER GATZ MAY 24, 994 JUL. 8,1991 LOT NO. 18," HONEYSUCKLE HILLS" JUN. I0 199t AT MATTITUCK DATE= APR. 18, 1991 TOWN OF SOUTHOLD SCALE, I' = $0' SUFFOLK COUNTY, NEW YORK NO. 91 -0268 #UN&UTHOR1ZEO ALTERATION OR ADDITION TO TNIS CERTIFIED TO; SURVEY I~ A VIO~.ATION OP SECTION 7209 OF THE PETER GAT~Z . NEW YONK STATE EDUCATION LAW SUFFOLK CO NCOPIES OF THIS SURVEY NOT KARI~G THE LAND SURVEYOR'S INKED SEAL OR EMDOSSED SEAL SHALL NGUARANTEE$ INDICATED HEREON ~'IALL RUN ONLY TO *~lE I~N~ON FOR WHOM THE SURVEY IS PREPARED HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ANO ~N HIE BEHALF TO THE TITLE COt4PANY, YOUNG YOUNG NOTE: ~1= MONUMENT FOUND &= STAKE FOUND ALDEN W. YOUNG~PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK AND LAND SURVEYORN,Y.S, UCENSE N0.12845 OF SUFFOLK COUNTY ON 0CT,16~1981 AS F]LE NO. 7019. HOWARD W. YOUNG! LAND SURVEYOR M*INE LOCATION OF WELL(W),~EPTIC TANK(ET)~,CE~eOOL$(CP) ~H(W/N I~RE~ N.Y.S. LICENSE N0.4§S95 ~UFF~K COUNTY D~T~T ~ NEAL3~ SERV~ JUL. 8,1991 ~ AT ~ATT~TUCK DATE: APR ~8, I~l FOR  ~N ~ SOUTHOLD SCALe: ~": ~0' STAT[ E~CATI~LAW SUFFOLK COUNTY NAT~ ' , ~GUAnANTEES INDICTED HEREON ~A~L ~UN ~LY ~ HE~ DEPARTMENT-DATA F~ A ~ C~STRUCT ~ KRG FO~ WHOM THE SU~EY IS PREPARED " Yp. UNG s YOUNG ......... ;~ ~VER~AD, NEW YORK NOTE: ~ = STAKE ~ = MONUMENT ROFE~IONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ~ND ~ND ' N*Y.S. UCENSE N0.12845 OF SUFFOLK COUNTY ON OCT, 16,1981 AS RLE NO, 7019. SURVEYOR HOWARD W, YOUNG, LANO SURVEYOR ~ ~ ~ ~L(W),MK~C TAK(S~S CE~(~) ~ ~E~ N,Y. S, LICENS~ NO. 45893 SRANDIS & SONS OCT 4,~994 SU~Y FO~ AUG. H, 1994 JULY 14~ ~994 PETEE GATZ ~AY Z4,~94 JUL, 8,~991 LOT NO. 18," HONEYSUCKLE HILLS'" JUN. ~0 ~99~ ~ MATTITUCK D~TE: APR. ~8, ~991 ~WN ~ SOUTHOLD ~CALE: I" = 30' ~UFFOLK COUNTY~ NEW ~K NO. 91 -o26~ M~UTH~)ZEO ~T[RATION OR AOO~TION ~ ~1~ ~RTIFI~ TO: H(W YORK STAT[ E~CATIOH LAI SUFFOLK COUNTY NATIONAL BANK NCOPIES ~ ~IS S~VEY NOT ~AR~G THE LAND HE~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT A~O ~ HIS eEHALF m THE ~TLE C~Y, OOV~- J.l }YOUNG ~L. RIVER~AD~ NEW ~RK NOTE: ~= MONUMENT FOUND ~= STAKE FOUND ALDEN W. YOUNO~ PROFE~IONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ~/ AND ~ND SURVEYOR N.Y.S. UCENSE N0.1~845 OF SUFFOLK COUNTY ON OCT. 16,1981 AS RLE NO. 7019. ~/m~~tlt HOWARDW. YOUNG, LAND SURVEYOR '