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Home My WebLink About20505-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20774 Date JUNE 5, 1992 THIS CERTIFIES that the building ADDITION Location of Property 25 EAST SIDE AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 17, 1992 pursuant to which Building Permit No. 20505-Z dated MARCH 26, 1992 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 DECKING & OPEN PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK & PATRICIA REILLY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-235188 - MAY 13, 1992 PLUMBERS CERTIFICATION DATED N/A Buildi In ector Rev. 1/81 FORM X0.2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N2M 20505Z Date .........1.1.1. 192 Permission is hereby granted to: 1 ......C.. 91.i.......... ~ ~ - ..a~...... Q.-,.....~. . f y. T....eu......u uu...... eu.......uu.L.uue......u• \J'''.~},..oo.o. .uyeuu.......y.. a-/JL~ at premises located at ...r~?., ' L . w t j County Tax Map No. 1000 Section Block .....Z..1 Lot No..l..A i pursuant to application dated .......1..~\..D.r~:J...... ...1 I A4--' and approved by the Building Inspector. \ r r ( Fee 5....~2...... i ...CL. . Building Inspector i E Rev. 6/30/80 - Form No. 6 r er., TOWN OF SOUTHOLD BUILDING DEPARTMENT JUN j lCfCl? TOWN HALL „pit v 765-1802 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 lines, 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 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: 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. If a Certificate of occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date - .Z . pi.? New Construction.41)9.6. Old Or Pre-existing Builsd~ing~ ~ Location of Property... . rte..... R tl~v t , House No..~ Street Hamlet Onwcr or Owners of Property. pp ,,,,,..........p.O wj__~A County Tax Map No 1000, Section.O.Y.l..... ,.B1ock..Q..3..........Lot...................... Subdivision _y&I_sled map. ~Lt..`......1/ ol% tl~ Permit No.~fl 59,~`, „Date Of ~5,7~ Health,-Dept. Approval A 14 .................Underwriters Approval......................... Planning Board Approval PI A Request for: Temporary Certificate........... Final~Certicate.?~ Fee Submitted: $„arj 6,, qy0/ b 4gKa ,.4 5 ~./~./A _ Co -2- 0? 0 77 y APPLICANT- Memorandum from BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 June 8, 1992 Mr. Frank R. Reilly 828 William Street Baltimore, Md. 21230 Re: Co application for BP 820505Z Dear Mr. Reilly: Enclosed is your check 81380 in the amount of $25.00 for the GO fee. Please be advised that Mr. Williams had applied for the GO and it was mailed to him. If you have any questions, please do not hesitate to call this office. Thank you, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 " 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 lines, 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 FRANK R. REILLY - and similar buildings PATRICIA A. REILLY 138 0 tect or engineer e5 Z~ 19 /Y 1.l602ea I ents. 520 PAY TO THE ORDER OF >/CuCc~ $ ?fev I es, or buildings and s, building and iW/R0TUN0A0FFfCE DOLLARS ' 11 MARY NATICINALBAW ed by the applicant. t • BAL,TIMO E, MARYLAND 21211 Zosq/'iz or shall state the x:05 001 618 1 80 000516 502))' _ it dwelling $25.00, ry building $25.00, Additions to accessory building $25.00. Businesses $50.00, 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date /g L lew Construction........... Old Or Pre-existing Building _ Location of Property.....?5....... House No.~y Street Hamlet )nwer or Owners of Property...,QQ, . !1~ / :ounty Tax Map No 1000, Section ~9!.....Block q`t......... Lot...... ~.f ubdivision .................................~.~~...FF/iled Map............ Lot................. 'ermit No.. o1oSoSZ G!JGd,.... ..Date Of Permit. .....Applicant.. tealth Dept, Approval........ .Underwriters Approval Tanning Board Approval..... fequest for: Temporary Certificate........... Final Certicate....~ 'cc Submitted: $ „ ??J.................... APPLICANT THE NEW YORK BOARD OF FIRE UNDER7RA F PAGE 1 1000505 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date HAY 13,1992 Application No. on file 769@12';9"1.192 THIS CERTIFIES THAT low and introduced by the applicant named on the above ae premises of only the electrical equipment as described be FRANK REILLY2TI HA,iT 3104 AVE; RATT7:VICK, N2 Y in thefollowing l:cation; ? Basement Ist Fl. ? 2nd PT. SeLot was examined on HAY 09 , 19 92 and found to be in coinpliance with the requiFIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER bNT K.W. AMi. N.W AMT. KW AMi. K.W WT. H P. 1 2 1. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PY TIME CU)CKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS Amt N. W. On H. P. GAS H. P. AMT NO. A W. G AMT. AMP PMT. AMPS TRANS. AMT H P. NO. OF FEET WT WAITS c SERVICE DISCONNECT NO1 OF S E R V 1 C E METER NO.OF CC. COND A. W. G. A. W G A. W G. j~ AMT, AMP. TYPE EGUIP, 1A'2W 103W 3,e 3W 3.04W PER0 OF CC. COND NO OF FIT LEG OF III LEG NO OF NEUTRALS OF NEUTRAL 1= OTHER APPARATUS: I G j LADNHANN JOHN L7:L',# 141-E BOX 190 CIITCHocuz, BY, 1193(3 GENERAL MANAGER 11 Per 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 FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE'MUST, NOT BE ALTERED IN ANY MANNER. INSPECTORS Victor Lessard ~x F Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector s '''"?}fi CO a Southold Town Hall Thomas Fisher s P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gary Fish Fax (516) 765-1823 Building Inspector „ Vincent R. WieczorekTelephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JUNE 1, 1992 EDWARD s ELLEN WILLIAMS 150 SEAWOOD DRIVE SOUTHOLD, NY 11971 RE: MR. s. MRS. FRANK REILLY 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. xK The check is 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 # 20505-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: MR. s MRS. FRANK REILLY c'].'£Ll RL:.S: G a 1ON IID ~0 FOUNDATION , (1st) - ytfi FOUNDATION (2nd) ti g 2. ROUGH FRAME & jp L OD? .PLUMBING g 3, ti H x INSULATION PER N. Y. STATE ENERGY CODE - 4. DL ~ y f FINAL ADDITIONAL COMMENTS: mV IA e <z ;2 Jfjd _ x (k - u l, ' x H / H O ~ z ro • x ~s m - ro M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ ) INSULATION [ ] FRAMING NAL REMARKS: DATE 2 ~ ~2 INSPECT BOARD OF HEALTH Ell l FORM N0.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY 1!y MAR 171992 BUILDING DEPARTMENT C11CCK TOWN HALL SEPTIC FORK (J v r w ui S„~ SOUTHOLD, N.Y. 11971 TEL.: 7651802 t:0; I FY ; TO Cv S U'f'NOrd) , ry p CALL Cxa P. 19 L?. MAIL T0: ' PP ' \ roved 191L• Pe r mit No.-;~ . . ,~J G Disapproved a/c (Buil mg Inspector) APPLICATION FOR BUILDING PERMIT Date4-1 1922 INSTRUCTIONS ' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts of plans, accurate 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 which is part of this appli- ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit call be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy tall 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 wilding 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. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Imit authorized inspectors on premises and in building for necessary inspections. A: (Signature of applicant, or name, if a corporation) (Mailing address of applicant) :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ame of owner of premises 1?V (as on the tax or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . . Other Trade's License No . Location of land on which proposed work will be done. as . . . . . . p ! Ilouse Number Street Hamlet County Tax Map No. 1000 Section ..0 .73.. , . • , , , , • Block Lot A~ Subdivision Filed hlap No. . (Name) Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: I. Existing use and occupancy . • i !`d7vn e2 3. Intended use and occupancy ..SU • Q,o. /L 0...... , • . • • • ' - 3. Nature of wort, (check which VO!licable. . . Ncw Building , , , , , Repair Addition Mteration al . Demolition Other Work 4. Estimated Cost t l~ vot (Description) Fee...................................... 5. If dwelling (to be paid on filing this application) o, number of dwelling units . . . . . Number of dwelling units on each floor i If garage, num bcr of cars , 6. If business, commercial or mixed ',occupancy, specify nature and extent of each type of use . . fexisti 7, ~Dimenstons of ame stntctureuwf 1,t if any: Front alterations or additi.42.`ons: Front . Rear ?/7.......... Rear . erofStorics,,,If , , y ? ' . • . ..ear Depth . . • • • I. Height Numb• er. of. , S. tori. . es. 4 . 8. Dimensions of yntire new constnmotion: Front , . , • • • • • • • • • Height 5.7 Rear . •~7 Depth ~~•••••••...Number ofStories I „ 9. Size of lot: Front„ ~ 10. Date of Purchase ' ' • • • • • Rear Depth ~•••••••'••••.••..NamcofFonner Owner 11. Zone or use district in which premises are situated . . • . 12, Does proposed construction violate any zoning law, ordinance or regulation: b , . , 13. Will lot be regraded , , ' ' • • • • Will execs fil be removed from premises: Yes 14, Name of Owner of premiscs~/~ t FjZlih~( Name of Architect • Address ..7yp{ty~ , , ,phone No.al,-53.~-3$d . Name of Contractor p, , Le?!tii5 ' ' ' ' ' • ' • • • • Address Phone No l5. Is this p y of • Address n 1 , , , , , , , Phone * pro ert within 30 If yes, Southold Tow feet tidal wetland? d? (!!!h No wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all setback dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or comer lot. ~ ~C S UrZ~ ~ ~T a 'ATE OF NEW )UNTY~O-F...~ S.S 1. 40 (Nam . • • ~i' d duly sworn, deposes aiid says that he is the applicant c of individual si nin c' • ' ' • • ' • • • • being )ve named. g g on tract) is the.......... C tk , (Contractor, anent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the k will be performed in the manner set forth in the application filed therewith. )m to before me tk-d 7~ oary Public, • County N ROBERT L SCOT, li NOTARY PUBLIC' Ali NY. No. 4725089, j46-1k C-q • Term Expires Mrty $1.19 (signature of applicant) y .oi~ n po O,P~ pT ~ ~ =moo F 'Y,Q a Cvy/CO~O~ y ry ~7 T ~ A BQ .9 1 1 ? " ~ .9 1 1 1 p b 1 1 O~ y / 253. 01 "E. Ai 5404.7115 52' C C o41 b it C~ 035 4.41 \ \ ? "~:0~ .C. 8 42~ 1 O i , 1 '1 s , it 4 coo, mt 1 a •1 z 00 ~ At 55002' W" ~N._a`~ / a C . r p Soo , - _ ~ o A, /yam` , ti / a , All icy` ' lnti ~ a"' 1 , ac / 10 4seF/yC SqS \ C6-1 44 pyUFSC r 3' 67 °/O 00 • I , n0' ~1 ~ OyFQoFO/y/ to o w. 255. k Ne. 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