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Home My WebLink About21810-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No g-23264 Date OCTOBER 6, 1994 THIS CERTIFIES that the buildin~ ADDITION Location of Property 355 EASTWOOD DRIVE EXT. CHTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 14 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 1993 pursuant to which Building Permit No. 21810-Z dated DECEMBER 3, 1993 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 ABOYE ~RO~ND SWIPING POOL & DECK ADDITIOH TO EXISTIN~ ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY & LYNN RIENECKER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-324491 - AUG. 22, 1994 N/A // Building,inspector Rev. 1/81 FO~M NO.3 TOWN OF SOUTHOLD BU~LDSNG DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N~ 21810 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ~ .................. ~.~.~....~ ......... ...~ ................................. _- ...~.o.~.~...~,....~...y:..=.../..L~..~ ~ ............ to ...... ~ .~ ~......~L.....~~'-". L...~......~ ~..v..~.......~..~,~...Z. ........ .... ~..L........~ ....... .~.....~ ....... ~.~.L'.,.~ ......... '~ ........ ~. ......... ~..~ ............ ............ .......... Z2...P~z~.~......~ / at premises located at ........... ~...,~....d~... ...... ~.?......¢:~/..¢..¢2...~. ....... ,~...~.:........--~....~.../.~ .......................... .............. : ................................................ ~(.¢...¢~.....~..~ ........................................................... Co,nb/Tax Map No. lO00 Section ..../.~..~. ......... Block .......... /..'~...i ...... Lot No ..... /...~... .............. pursuant to application dated .................. ../...~.//....~.. ................... ...l g;....~....~....., and approved byfhe Building Inspector. Fee $,. ~ :....~.. ...... ~ ~ r Building Inspector Rev. 6/30/80 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 qproperty 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 less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from rch~tect or engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. tf 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. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3.Copy of C rtlflcate of Occupancy $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.Q0, C~ommercial $15.00 Date ..... ? ././?' ./.~..~./.. New Construction ........... ~O_~ld Or Pre-existing Building ...... .'.~.~..~'ii...i ................ House No. Street Handler Onwer or O%rners of Property ..... .~.....~ County Map 000, Section.. Z .......... Block ............. Lot ................. Subdivision g~r~ ~ ~ '~ ~ V><O ................................. Filed Map ....... Lo~ Permit No ......... Date 0f Pe~it ............ Applicant ......... ~ .................. Health Dept. Approval ....... ~/~ ............. Underwriters ADoroval~ Planning Board Approval ....... ~ ........... Request for: Temporary Certificate ....... Final Certi ate .....~... Fee Submitted: ~ ...................... 7 ..... ': '" · ...... THE NEW YORK BOARD OF FIRE UNDERWRITERS X~0~29~ fBUREAU OF ELECTRICITY ~- 8S JOHN STREET, NEW YORK, NEW YORK 10038 ~ ~ V.t~ AUGUST 22,1994 Application Mo. o. fi~ 06295294/94 N 324491 THIS cERTIFIES THAT o~y the electrical ~uipment ~ ~scribed be~w a~ intr~uced by t~ ap~icaflt ~med on the a~e application number in the p~m~es of HENRY RIEN~.CKBR~ P. ASTWOOD DRIVE, CUTCHOGU~, N.Y. t~as examined on AUGUST 1~ t ~99~ and foumd to be in compliance with the National Electrical Code. Lot DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS A,'~T. K,W. OIL H,P. ! GAS H.P, .~T NO. A.W.G. SERVIC~ DISCONNECT I 2(~ CB OTHER APPARATUS: O.~F X ND. OF CC, COND. PER ~ RANGES )ECIAL REC'PT R COOKING DECKS OVENS I DISH WASHERS TIMECLOCKS BELL IUNITHEATERSUNITHEATER$ MULTI.OUTLET I I V I C E EXHAUST FANS H P DIMMERS AMT, WATTS OF CC. COND. 3/O OF HI-LEG NO~OF NEUTRAL! A. WG OF NEUTRAL 3/0 T~D CHESHIRE JR. CO. P.O. BOX 255A 9280 SOUND AV~. MAT~ITUCK, NY, 11952 LIC.#953-E GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOq BU LO NG DEPARTMENT THIS COPY 0~R'~IFICATE MUST NOT BE ALTERED IN ANY MANNER 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION ~.ST [ ]ROUGH PLBG. [JFOUNDATION 2ND [ ]Jl/NSULATION []FRAMING [~ FINAL REMARKS, E)~/TT)"~ (/ P · DATE /O/~)A/~ ,NSPECTOR~~/,,~ FOU~;DATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & ,PLUMBING INSULATION FERN. STATE ENERGY CO'DE FINAL ^DDITIO~;~L COM~ENT~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]~.ATION [ ] FRAMING [ ~]'FINAL REMARKS~ ~ DATE ~,/!~)"//~/ INSPECTOR '"//~~F~ / 1 / Approverfl ......... 19 Permit No. O ~_, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF tlEALTII 3 SETS OF PLANS .......... SURVEY ................... CllI~cK .................... SEPT'i~ C FORtl Disapproved ale ' APPLICATION FOR BUILDING PERMIT ' T ~t i9 7.4 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets of plans, aeeurgte plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram wtiich is part of this appli- :ation. c. The work covered by this application miry not be cbmmeneed before issuance of Building Permit. id. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ,hall be kept on the premises available for inspection throughout the work. s e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ,ball have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or {egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe applicant a,,r, ees to comply with ali app, hcable laws, ordinances, building ~'d-~J~g code, and regulations, and to ldmit authorized respecters on premises and m building for necessary lnspbctions.~ ~ / " (Signature of applicant, or name, if a corporation) (M~iling address of applicant) State wheth'er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner o£ premises .... t · · ~' ............... (as on the t,.~x roll or latest deed) Il' applicant is a corporation, signature authorized officer. (Name and title of corporate officer) Builder's License No ...... ~..~. ~.~. ............. Plumber's Licens~ No ' Electrician's License No ...... ?..~.~..~. .......... Other Trade's License No ' Location of land on which proposed work will be done..' ...................................... .' ......... ....... .,c-. ........... ?. .......... .'ce .,,.-< .................... ilouse Number Street Hamlet County Tax Map No. 1000 Section ..... Z .0...~. ....... Block ..... /. ~ ......... ~ Lot .... ./..~. ....... Subdivision ~.r..vj~.. 0...~.~...rflyL~..' . .~...¢K_~Sf.oQ..,27. ..... Filed Map No ..... % .2,-.( .o.... Lot .... ~ ....... (Name)' · State existing use and occupancy ofpremlses and intended use and occupancy of propos;d construction: a. Ex/stin_~ use and occunancv ~//U~4~, ~A"~tt~,"f /~.~.-~/.~,4-~'e-~z~_ , ,~ ,.~ , · b. Intended usc and occunancv . ,f.~.~.~....e~.e..v~. A-~o~_, ~'lr~b ~'C.~ :, IX 3. Nature of work (check, which applicable): New Building Addition Repair Remov~l .......... ' ......... Alteration .............. · ............. Demolition .... .......... Other Work ............... 4. Estimated Cost ...... , ese on I (to be paid on filing this applicatio ) $ If dwelling number of dwelling u~its /. Number of dwelling ./. n · ' .............. units on each floor · If garage, number of cars ...... ~ ...... /. ........ . ............. 6. If busin.ess, co.mmercial or mixed ~ceupancy spec/fy nature, and extent of each type f use ..... 7. Dimenstons o! existing structures !if an,,' Fron*.. . -~ ,~,, , ~. ,,9 ......... ~ ...... .... ~' ........~-" ........ Number of Stories... / //'~ " ................ ?mens~ons of same structure wlth alterat:ons or additions: Frnnt n o t . -' ...... ',~33 ~ ...... ' · ~.. p . .... ~..i~, .......... Height ..... ~.o. ...... ~,,-,~.,~ ,~r ~*...~.~ ~ ~' ........ 8. t~mlenslons of entire new constru~4t~nn. ~'-~..* .~ ,~.. t. · · · ,_ ......... ~,,.. _.~, ,.,po,,,., ........ :. ~..'r' nelgll~ ..... .~.~. ~ ....... Number of St,~,-~,~ ~ fA. ...... ~ ........... v ....... .-, .-- ........ 9. size oflot: ront ......... Z:'7 ',iii; .... ......................... ./..= ..... ...,A. ~'.61~.. ............... Name of Former Owner 7=c-~--~''-- I I. z. one or use mst.,qct m wluch premises are situated ..... .~..t.~ t Or~.r/~r-.. ............... '"'"": ~' ....... Does proposed construction violat~ any zoning law, ordinance or re ' · o 13. Will lot be reeraded ., A/lo ...... gulaQon ..... .~. ....................... .--,.. 14, Name O "e fnrem'[~;,',~/~-'''' ~g'~;~,~.~.~,< ...... ve.u excess fill b%,removed from prem'ses Yes No of wnr o .............. ... ., Name or Archit-ct *- ' i ' ' ~,'" ' ~-~ "-'""~' "^ouress ~'~..'-?r~. ~ .'O?,..~, .... Phone No..?$,~..".~...o?...7~'~7.. .............. ~ ............... Address ....... ,: ......... ph,,,,~ ~,~,, ,~ ' Name of Contractor. .. l ............ Address .... · ' ' · ............ Phone NO ...... ':..... 15. I~ tht~ property ~:tthtn 30,0 £eet o.f n tidal ~etland? '~'Yes ........ Ro....~..... ' .... · :l:f ye.s, Soul:hold 'roan Trustees Perm~.t may be requtr,ed. PLOT DIAGRAM Locate clearly and distinctly all b.i~ildings, whethe.r existing or proposed, and. indicate all set-back dimensions fro/'n property lines. Give street and block ndmber or deseriptmh according to deed, and show street names and indicate whether interior or comer lot. .ri TATE OF NEW YORK. Si~ ' ' OU~y ~F.. ~ ..... (Name of individual signin~ ' ' ' g~i~a~55 .......... being duly sworn, deposes and says that mve named. I , (Contractor agent eorporat~ officer cfc ) ' s~id owner or own,rs, and is duly ~ut~oriz~d to perform or have p~rfo~ed th~ said Work and to m~ and ~ this '~cation; that all statements contained m this application arc true to th~ b~st orhis knowledg~ and bcli~r; and flint.the will be perfo~ed in th~ m~ncr s~t forth in th~ application filed therewith. ,'om to before me this ' he Is the applicant'