Loading...
HomeMy WebLinkAbout19360-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19449 Date OCTOBER 16~ 1990 THIS CERTIFIES that the building Location of Property 2355 REYDON DRIVE House No. County Tax Map No. 1000 Section 80 subdivision ACCESSORY SQUTHOLD, N.Y. Street Block 3 Lot Filed Map No. Lot No. H~let 7.2 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 1990 pursuant to which Building Permit No. 19360-Z dated AUGUST 28~ 1990 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 ACCESSORY STEPS & LANDING FOR ACCESS TO ROAD AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. pLUMBERS CERTIFICATION DATED Rev. 1/81 AUDREY REINHARDT N~A I~OR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT fi'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ';~3~© Z Permission is hereby, granted to: .................................... .~........~: ....... ~.:.~.~..:.. ........ ~./ ............................... at premises Iocoted at ,.., ,~,..,..~,.,.~.~..:../..~,-~.~~:~:?......~..~ .............................. County Tax Mop No. 1000 Section ....... ~...~. .........Block ........... ~ ...... Lot No ..... ~..~....~... pursuant tO application dated ............. ~..~..~..~... ......................, 19..~..~,r'~'~ and / Building Inspector, approved by the Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Dapartment Town Hall Southold, N.Y. 11971 i' ! 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building ~nspec- tor with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and 'pre-existi~g' [and uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featuros. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ ]0.00 Business $50.00 2. Certificate of ~ccupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10;00, ,, o.oo 5.Updated C.O.: $ 50.00 Date .................... New C ohs t Puc t ~ on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property.. ~ .~..~..~.. .............. ~. ~_~ .L~.~ .~.~..( %V.'G- ....... ~.q~..~.~.o.1.~.,.. "' House No. ~ Street Ham/et Owner or Owners of Property . .~. ~C...e~ . . . ~..~.~. ~ .~ ..................... ' ........ County Tax Map No. 1000 Section .. J~).~'~'. ...... Block ... ~...~ ....... Lot ................ Subdivision ................................ Filed Map No .......... . .Lot No... ~:..~...... Perm,, No. /.~'~.~..ODate of Permit .~/~..)./C~o..Applicant..l .c~.~g..C..O..A~. ?.~.~......~-~...... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval .. ~.~ .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ I..0. Applicant .~"~-.-J~'~. · · ."'~..'-Y .~...'Yh/.'"'r'. ....................... Rev, 10-10-78 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hail, 53095 Main Road P.O. Box 1 179 Southold, New York 1 1971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 10, 1990 Horton Construction Co., P.O.~Box 1442 Mattituck, NY 11952 Inc. Re: BP 19360Z for Reinhardt Dear Sir: We have received your check ~1645 and application for a Certificate of Occupancy. The cost of a Certificate of Occupancy is $25.00 and you sent us a check for $10.00. Please forward another check in the amount of $15.00 and we will process the Certificate of Occupancy as soon as possible. Thank you for your cooperation in this matter. Sincerely, Victor G. Lessard Principal Building Inspector VGL:lmr VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1g02 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 10, 1990 Horton Construction Co., P.O. Box 1442 Mattituck, NY 11952 Inc. Re: BP 19360Z for Reinhardt Dear Sir: We have received your check 91645 and application for a Certificate of Occupancy. The cost of a Certificate of Occupancy is $25.00 and you sent us a check for $10.00. Please forward another check in the amount of $15.00 and we will process the Certificate of Occupancy as soon as possible. Thank ~ou for your cooperation in this matter. Sincerely, Victor G. Lessard Principal Building Inspector VGL:lmr FOUNDATION FOUNDATION 2. ROUGH FRAME & .PLUMBING (1st) (2nd) INSULATION PER N. STATE ENERGY CODE FILIAL ADDIT!ONA'L COMMENTS: BLDG, DEPT. TOWN OF SOUTHOLD FORM NO. 1 TOWN OF SOUTHOLD BUILISING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765.1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... GHECK ...................... SEPTIC FORbl ................ NOTIFY: CALL ............... MAIL TO: Approved .........]. [~.D. .,19Permit No t/f~g' ~ ~;/~ .......... Disapproved ale .__~ As,on,, ......... ............. . N~5:IFY ?,UIL~)ING DEPAI~MEf~T-~A~ ' '//'~' q: '~':~4~'.-' */5..~A .'~."~-~ ....... 76.~1802 9 A,M. TO 4 PM FOR THE ' /(Bu~j~n'specfor) FOLLOWING INSPECTIONS: APPLICATION -- ', 1. FOUNDATION - TWO REQUIRED r ~ ur, l i-OR BUILDING PERMIT FOR POURED CONCRET~ 2, ROUGH - FRAMING & PLUMBING 3. INSULATION INSTRUCTIONS 4. FINAL CONSTRUCTION MUST Date ................... 19.. Location of land on which proposed work will be done: tlouse Number St reef Hamlet " C ty T M p N I000 S ti .t~.~.. ' "~' 9 Dun ax a o. ec on ........... Block ...... / ....... Lot Subdivision Eiled Map No Lot (Name) State e" x sting t se and occupancy of premises and intended use and Occnpancy of proposed construction: a. Existing usc and occupancy ..... . .V~.~ .6.6.~. ............. .~ l~d~,.j~.~!' Z.' i .................. b. Intended us .. ~'~~..... e and occupancy . ' ' ' ' ' ,,~t;.~' ........... If appJic~{~t is a corporation, signature of duly authorized officer. ..... (Naml~ and title of corporate officer) ' Builder's License No ..... t.&.~q.q. ~. ~ ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... OCCU?^NC¥ OR USE tS UNLAWF'UL WITF OUT CERTITiCATE OCCUPANCY STATE CONSTRUCTION & ENERGY DESIGN OR C~STRUCTION ERRORS (Mailing address of applicmqt) ...... State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises. ~.~{.. ~}%~ ~ &~ ~ (as on the tax roll or latest deed) a. BffD. N~l~El~{itrr~tflt be completely filled in by Wpewfiter or in ink and submitted to the Building l~spector, with 3 set~p~8~l~oO~hk~. Fee according to schedule. ~E ~~g ~ca~ ~ot and of build~gs on premises, relationship to adjoining prem~ or pubic streets or ~l~a~~l~on of layout of property must be drawn on the diagram w~ich is pan of tNs appfi- ca~OES. MOT-'~PON~IBLE' FOR ~~~~ion may not be commenced before issuance of Budding Permit. d'FE.~P.~.aEP.~gyal~fi[~l~cation, the Building Inspector will issued a Building Pc~it to the appear. Such pe~it shall ~'B~I ~e~I~inspection throu~out the work. e. 7~o~ ~Ofld~g~h~b~ ~ ~Fmsed in whole or iff part for any purpose whatever until a Ce~ificate of Occup~cy shall ~l~l~~uild~g Inspector. ' A~P~T~~~o the Build~g Dep~ment for the issuance of a B~lding Pe~it ursuant to the ~~~~dL~;thff~t~f~ffo~ gun ty, New York =d other applicable ~s~ Ord,=ecs or -. ~ ~. ~UL~l~ ' ' g , . ' ' erations, or for removal or demolition, as h~e~ descr/bed. 2~~ a[re~fl~,~pplicable laws, ordinances, bufldMg code, housing code, and ~gelations, and to 't ~~~prem~ses and ~ build~g for necessa~ inspections. ~ ~ ~ ALL CONSTRUCTION ~H~LL ME~ . ~D~D c)~'~x.~C~ ~ ~OC~.. THE REQUIREMENTS OF THE N.Y. ' . ' '(Si~nat~re'~{L~31ic~fit, or n;~,[~o~fit;~) ' 3. Nature of work (check wh,ch apphcable). New Building .......... Addm '" i']][~.~ ,~il~ir_a~ :, ,{ · ,- . RZmov~l , .. Demolition ....... ] ~n~~.-5 '~' .... Tennis Court ......... Accessory ~ng.._D'[~.~II~..~.. Fence .... t · .~tl-o~r ~ork_.~,... } ...... ~ ; (to be pa}d"on'Y~hni~ this applicatmn} ,5 If dwelling nmnber of dwelling units ............... Number of dwelling units on each floor. ,~ ............... If garage, number of cars ...... , .................................................... ' ............. 6. If business, commercial or mixed bccupancy, specify nature and extent o£ each type of use .................... Front Rear ~ Depth 7 Dimensions of existing structures I if any: ..... Height Numb:er of Stones ..... Dimensions of same structure wit~ alterations or additions: Front ................. ~egr~..~ ......... ~, ........ · Depth ..................... ]. Height ...................... Number of Stories'. ............ r ....... new constm!ction: Front Rear iD~pth 8. Dimensions of entire , .............................. · ............. '.'- ". ....' · Height ' Number of Stories ' Size of lot: Front i ' Rear *..~ Depth 10. DateofPurchase ............ i ................. Name of Former Owner 1...?t...z..,'..V.,, ;;',.~.~i!~, . ..... 11. Zone or use district in which premises are situated .................................. ; ................. 12 Does proposed construction violalte any zoning law ordinance or regulation: Will I b d ' Will excess fill be removed from premises: ~Y~s .... No 13. et e regrade ......... ; .................. , ' . ,' .... Address Phone No 14. Name of Owner of premises ... ~ ............................................ ' Address , Phone No Name of Architect .......................................................... Name of Contractor ......... i ....... i ........ Address ................... Phone No ..... ,~ ..... ~ :. · 15.Is this property located within lO0 feet of a .tidal .wetland.* ~YE$ .... NO.. ~If yes, Southold Towni Trustees Permit may be required. I PLOT DIAGRAM , Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block fiumber or description according to d~ee~, and show street names and indicate whether, interior or corner lot. {~)~ ,"5 '? STATE OF NEJ¢--YOR~ ! I/ i~ ~ being duly s~vorn, deposes and says that he is the applicant (Name bf individual si=~in~, contract) above named. ' t-~ is the ............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty authorized to pe,rform or bare performed the said work and to make and file this application; that all statements contained in this applies, lion are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in tim application filed therewith. Sworn to before me this