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Home My WebLink About22288-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23223 Date SE~r~a~BER 15, 1994 THIS CERTIFIES that the buildin~ Location of Property 2025 REYDON DRIVE House NO. County Tax Map No. 1000 Section 80 Subdivision ADDITION Street Hamlet Block 2 Lot 21 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11~ 1994 pursuant to which Building Permit No. 22288-Z dated AUGUST 29, 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 DECK ADDITION TO A SINGLE FAMIL~ DWELLING A~ APPLIED FOR. The certificate is issued to ANN O'~IEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A FORM NO.3 1OWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..................................................... 1 9,...~./ 22288 Z ~'~" Permission is hereby granted to: ,,..-J,.o..~.~,,,,.~.~.~d.~ ........................................... ..P....o...~...~...~ ...................................................... :~-'-~"~: ~y. ~,..Y.. ....... . .... .................................................................................. .'.~~.~ .............................................. Coun~yToxMapNo. ~000 Sec,on.,...'Po. ............. B~oc~ ........ ..O..~ ......... LotNo ..... ~.../. ............... pursuant to application dated ........... ~.~...:....././.. ..................... 19......~...~....., and approved by the Building Inspector. Fee $.....,,~',~,,~,~,.,~,, ...... /~/' Building Inspector Rev, 6130/80 Form No. 6 TOICN OF SOUTHOLD BUILDING DEPARTMENT TOIfN HALL 765-1802 BLDG. DEPT. j TOW,~ OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 lihes, 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 !ess 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. .B.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ? '.'pre-existing" land uses: i. 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 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.O0 Date ..... ~/./~ ............. New Construction ........... Old Or Pre-existing Building ........ ~ ........ Location of Property....~.~.~.. ............ ~ouse No. Street Hamlet .... Onwer or Owners of Property....~f~'l~...~.~.~.[~,g .......................................... County Tax Map No 1000, Section.....~.. .... Block. ~ ...... Lot...~.f ............... Subdivision ................................. Filed Map ............ Lot ................... Permit No ........ Date Of Permit ........... Applicant.. .~. ~.~.~. ......... Health Dept. Approval .................... Underwriters Approval. .. Planning Board Approval ..................... Request for: Temporary Certificate .......... Final Certicate .... Fee Submitted: $ ....... ; ..................... 765-1802 BUILDING DEPT. INSPECTION INSPECT~ OUI~DATION I lstl OUNDATIO|! (2nd~ OUGH FRAME & .PLUMBING ]IISULATION PER N. Y. STATE ENERGY CODE F][;IAL ADDITIONA'L COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ........ Permit No ......... Disapproved a/c ..................................... BOAKD OF HEALTH 3 SETS OF PLANS ........ SUKVE¥ ................. ClICCK ....... CALL ................. HAIL TO: House Number Sereet Hamlet ....................... .......... ........ ............... St bd v s on ................ (~'a;~) ....... Filed Map No. . . . Lo ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: · .~ ........ ?...,...7 ;..:...~ ......................... b. Intended use and occupancy ...... "' ..... .. ~.,?~¢:>?~,~. ;'.,.,~ .'. ;~..;~ ..................... I. Location of land on which proposed work will be done. · (Name and title of corporate officer) . Plumber s Lmense No .................. Electrician's License No ....... /~./~. ........... Other Trade's License No ...... ~./'.~.... FOLLOWING INSPECTIONS: 1. FOUNDATION'- TWO REQUIRED FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTR{JcTION MUSTr BE COMPLETE FOR: C.O. ALL CONSTRUCTION SHALL 'THE REQUIREMENTS OF THE N~Y. STATE CONSTRUCTION. &'~ ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR8 TM --hl . (B~'l~figlnspcctor) l~]l ~ ~ ;99/,~L' :[,,.i ' APPLICATION, FOR BUILDING'PERMIT. Date ............ ' ~/~ (... , ' BLDG, DEPT~- . ~WN OF SOUTHOI D ~ INSTRUCTIONS a. T~s application must be completely filled iff by ~pewfiter or in ink and submitted to the Bulldog Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show~g location of lot and of bulldogs on premises, relationship to adjoining premises or public street: or areas, and giv~g a detfiled description of layout of property mufit be drawn on the diagram which is pa~ of this appl/ cation. ... c. ' The work covered by t~s application may not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will igsued a Bulldog Pe~it to:the appScant. Such pemi~ sh~ be kept on thc premises avaQable for ~spection throughout the work. e. No bulldog shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate'of Occupy% shall have been granted by the Building Inspector. . . - APPLICATION IS HEREBY MADE to the Build~g Dep~ment fo~ the issuance of a B~lding Pemit pu~uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other appRcable ~ws, Ord~ces or Regulations, for the construction of.bufld~gs, additions or alterations, or for removal or demolition, as here~ described. The app~cant agrees to comply with all app~cable taws, ordinances, b~fld~g code, h~g code, and regulations, and to admit authorized ~specto~ on premises and ~ bulldog for necessa~ inspection. ~ ~. ~ ~ ' . . (Signatur~~Af~'~~a corporation) . .. -' . ( "= State whether applicant is owner, lesse~, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... .............. ' ......... ' ..... ., ....... ................... ~SUILDING DEPAR~ENT -AT If applicant is a corporation, signature of duly authorized officer.' 7~-18~ 9 AM TO 4 PM ~R THE .3. Nature ofwork (check which Pplicable): New Buildi Rep'air ...... ~.. Addition ..... Alterat)on , ....... .............. Removal .......... Demol~tio ..... ,~ ~, I ..... . ...: ..... OthcrWork..~..~.c[<,... ~O ~i ' ' - (Description) 4. Estimated Cost .. '~ ........ · ............. Fee ......................... If dwelling, ~ (to be paid on filing this application) 5. number of dwellin~ units ..... { ......... Number of dwelling units on each floor ..... · If garage, number of cars ..., ..................................... . .............. · ......... 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use ...... ' ............. 7. Dimensions of existing structu(es, if any: Front .............. ' ............. Hmght ............... Nu~nber of Stories ..... Rear .... De . ~ pth .............. Dimensions of shine structure with alteratious or additions: Front . ' ........ Rear ................. Depth .... ; ....... ...... ~. · · Height ........... . ......... ... Number of Stories ......... '..~' . ..... 8. Dimensions of entire new construction Front .. . · · · ........... ............... ..... Height ............... Nu er of tori s ......... 9. Size octet: Front ......... ,I ....... : . fi;~; ...... ' ......... ' ........... :3~' ~I ..... 10. Date of Purchase I ............... Depth ;':: ..... ~ · ' ' 'i ................... Name of Former Owner ................... i. o 11. Zone or uk'e district in winch premises are situated .......... ; .... ~: ~ 12. Does proposed construction vidlate any ~cminc, ).nut r, ,t' ' ' , wm ~-:. ~.~ ~ ~ ! ~, ~, ~ ....... o .~--, ~r,..lnance or regulation: ...................... , ,j ..... .13. l~,:;?;~:~;;a:f%r;~i;is....~,., h.:..: ........ Will excess fill be removed *ora premise~:'.' .:7~y'~e; . 14. v · .u ..... .u.~ .c., ¢c,. .... Address .. ~ ."7.'). J;/o.f(~tp-~.O.q~CPhon'e NO .' .'~l.t~.5' ~:7.~ .~9~-~ Name of Architect .... i ·" ·" ,-? .............. ^Duress ............ Phoneme ..... · '~* "d '&'d ~ .. 15. · ..~9-._ ~c~.'.../... Phone No.. ~.7.7....: .... ! PLOT DIAGRAM Locate clearly an~ distinctlyaliibuildings, ~heth'er existing or proposed, and. indicate all set-back dimensions property l/nes Give street and block !number or description according to deed, and show street names and indicate whethe, interior or corner lot. ;TATE OF NEW YORK ' ' ;' ~'~tv,' ct. q¢~ j . ,. . , . ' 7' L.', .... ' ....... being duly sworn, deposes =d says that he is the applicant (Contractor .......................... ' .............. agent porate officer etc ) f said owner or owners, ~d ~s duly guthorizcd to perform or have perfo~ed the said work and to m~e and ale this )plication: that all statements contalnjed ~ flHs application arc true to the best of]tis knowledge and belial; and that ork w~l be perfo~cd in the manner s~t $ortb h: thc application filed therewith. ' · yom to before me this No. 49522~,Suff~k~u~ ~ ' ~ X ' (Signature of applic~t) C') FT:I