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: $...~], .~..~.. .......... i ......
Qq o ?9
39 .... --'-,.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
iii!i,]t ,~J%, 3 1995
L~_TOWN OF ~OUT~IO
CERTIFICATION
(please print)
Plumber: Qober% O. C9{~O~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
/ 7---- day of 19
Notary Public, ~/~_ County
ALBERT R. 8UMMERVILLE
FOUllDATION " (1st)
~OUI~DATIO~! ' (2nd)
~,OUGH FRAME &.,
:NSULATiON
STATE ENERGy
.' CODE
'FI;;AL
· ·
ADDITIONA'L COMe, El. ITS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [~INAL
REMARKS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION IST [ ] ROUGH, PLBG.
FOUNDATION 2ND [ ] I~LATION
FRAMING ' [~'~J~ FINAL
INS ECTOR .~~/~
765-t802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ '1 IN/SULATION
FRAMING [//j/FINAL
DATE //c~/~.(/-V/ I NSPECT~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ ] FINAL
DATE ~ INSPEcToR //~~~4~
SURVEY FOR AUG. H, 1994
dULY 14 1994
PETER GATZ MAY 24, 994
JUL 8,1991
LOT NO. 18," HONEYSUCKLE HILLS" dUN. I0 i99~
AT MATTITUCK DA?~' APR 18, 1991
TOWN OF SOUTHOLD SCAL~: I" = 30'
SUFFOLK COUNTY, NEW YORK NO. 9~ '0Z68
~,_ YOUNG 8~YOUNG
RIVERHEAO~ NEW YORK
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(.moffjo o:mzoclaoo jo OlLC~ pu~ otU~N)
.zoo[jjo poz!.~oq:m~ Ainp jo oin~,.eu$!s 'uo!lezodioo ~ s! luealldde JI
(poop lsaleI
.............................................. ....
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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
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'~o~ o~1 lno~no~$ uoBoods~ goj oiq~*a~ soslmoad o~l uo ldo~ oq i~s
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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
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SNOI£DfI~3LSNI
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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 '