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Home My WebLink About19393-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20248 Date SEPTEMBER 26~ 1991 THIS CERTIFIES that the building Location of Property 2615 PLATT ROAD House No. County Tax Map No. 1000 Section 27 Subdivision REPAIR & ADDITION ORIENT~ N.Y. Street Block 2 Lot Filed Map No. Lot No. Hamlet 2.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 10, 1990 pursuant to which Building Permit No. 19393-Z dated SEPTEMBER 13~ 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 REPAIR & ADDITION TO .EXISTING ACCESSORY BUILDING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A YAN & FRANCOISE A. RIEGER / ~uilding InspecTor Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING pERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TIlE wORK AUTHORIZED) N~' 19~9'~ Z Date ...... ..-~wn~. ......... County Tax Mop No. 1000 Section ......(~....,~..~. ....... Block ..... .,~......'~... ...... Lot No........~....'..] ......... pursuant to application dated c~,~c>~~....../..~ ..... 19.~..D..., and approved W the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN IL~LL 765-1802 1 TION FOR CERTIFICATE OF.IOCCUPANCY ~' application must be filled in by typewriter OR ~nk and SUbmitted to tho building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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 C~pliance from archiuect 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 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. · . Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildiug $25.00, Additions to accessory building $25.00. Businesses $50.00. ' 2. Certificate of Occupancy on Pre-existing Building - $1OO.OO 3. Copy of Certificate of Occupancy _ $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy _ $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date eW Construction ........... Old Or Pre-existing Buildin ocation of Property ..... ~f~-- /~J~7-- House No. ' ............ Street ........... Hamlet ~wcr or Owners of Property... ~/,3 ~ ~-fR'~4~_~D$~-- runty Ta~ Map No 1000, Section .... ~7 .Block.. ~-.j ...... Lot... .. bdivision ........ ~-~.~.~. ~/// '' ' ............... Filed Nap ............ Lot ...... ~ ........ ....... rmit No.. Z .Date Of Permit...~/~.f.~.,~.Applicant .... · ...... '. · . ndorwriters ^ r ............ aith Dep~. Ap vol ..... . .... PP oval ..................... arming Board Approval .......... ~.. ~uest for: Temporary Certificate... Final Curticate ' ? LIC^NT ................... TOWN OF SOUTHOLD OFFICE OF BUILDING IN~PECrOR P.O. BOX 728 TOWN HALL SOUTtIOLD, N.Y. 11971 SEPTF~BER 20, 1991 TEL.,,,765-1802 YANH. RIEGER 15 HARBOR ROAD ORIEItT, NY 11957 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/An application for Certificate of Occupancy is not on file.(ENULOSED) /--/ No Underwriters Certificate on file. /~ The check is~/not on file.) $25.00 /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this maLter. Thank you for your cooperation. Building Permit It I 9 3 ' 9 3 Z Buildinq Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving' plumbing being issued after April 1,1984 ) FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND ~, ~ ~LATION FRAMING ~'~INAL REMARKS: DATE Alteration ' 3. Nature of work (check which appticable): New Building ........ .. Addition ........... · · -''' .-. · Repair ............. '. R~movai .............. Demolition ............... v ............... Tennis Court ........ Accessory Building ........ '- Fence ...... Other Work ............ '~ ~::X~ ?p Fee '' 4 Estimated Cost .............................. (to be paid on filing this application) $. If dwelling, numberofdwellingunits.......--....-' Nnmber of dwelling units on each floor ................. If garage,, number of cars ....................................................................... 6. If bus ness commercia or mixed occupancy, specify nature and extent of each type of use ...................... · ' ' " o'-o ' · 7. Dimensmns of ex st ng structures, if any: Front .?:'l:~..~.O. ........ Rear .~. ............ Depth ..... Hmght .. lq'. ~ ........ Number of Stones .. J .................. ,...,; ...................... Dimensions of same structure with alterations or additions: Front . .~.(P.':.Q ......... Rear.. ~/.2.o.f... Depth .2~.et ['?. ~J .............. tlmght .. J ~...'~ i ............. Number of Stories..I. ......... t ........ 8. Dimensions of entire new construction: Front ...~.Q.-..O.".. ~-~'~" O" . Depth · .17~-.~. j..Of.... .... Rear.. s-,'.: ......... Height . .l(e.': .O.~.".: .... Number of Stories ..... / ....... : ...... ' ...................... ' ........... 9. Size of lot: Front . .~.q.~;) ............... Rear .'.3.2-'.~/...'~ ........... Depth ~;ff. ................. 10. Date of Purchase ./.q. ~.~ ....................... Name of Former Owner ...~..e.q.~. !T.~-. ............... 1 I. Zone or use district in which premises are situated.. J~.,~: ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .. /~.rp......................... .. 13. Will lot be regraded ...i~. ...................... Wiilexcessfillberemoye~d~.~h.h.remises: Yea .... No.-.-.-.-.-.-.-.-.-.)(. 14. Name of Owner of premises ~'.~?. fie.'{:, g.~.~. ~ql~.~.'g/-~..'-e:JWrd~ess · .~-'41~. -c~9. .t~- . .Rf/....O.,..'.X-~mne No. ~.~.. -~'.'.g .~-?. ? ..... Name of Architect Address Phone No ..... Name of Contractor ............... i ..... Address ................... Phone No ................. 15.Is this property located within 300 feet of a tidal wetland? eYES .... NO.~. ~If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property Lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. [ /~--o¢/4. ~ , ' ~ .... /-o7' ~, / STATE OF NEW YORK, S.S COUNTY OF ................. ...... (Name of individual signing contract) above named. being dnly s~vorn, deposes and says that he is the applicant He is the ...................................................................................... i.. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or Liave performed the said work and to make and file this application; that alt statements contained in this apptication are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..........., Notary Public .................... Co n y ant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765.1802 ^pproved 19 Permit No ............ Disapproved a/c .................................... ............ ' (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH j..~ ..... SURVEY ~ ............ c.gc .... " ' SEPTIC FORM ................ NOTIFY~ CALL MAIL L ...... ..... BLDG. DEPT, TOWN OF SOUTHOLD Date ' 19 INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, with 3 sets 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 or areas, and -' ' ,, d ' otvmo a etailed description of l~yout of property must be drawn on the diagram which is part of this appli- cation. ' c. The work covered by this appiication may not be commenced before issuance of Building Permit. d. Upon approval of this applicaiion, the Building Inspector will issued a Building Permit to the applicant. Such permit sEall be kept on the premises availabl~ 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 sh{tll 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 Building Zone Ordinance of the Towh of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the Construction of;buildings, additions or alterations, or for iemoval or demolition, as herein described. The applicant agrees to comply witt~ all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections~/. , . . (Signature oft~pplicant, or namo~, if a corporatlc~n')' ' ' (Mailing address of applicant) State whether applicant is owner, lelssee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ (as.on the tax roll orlatest deed) If applicant m a corporation, signature' of duly authorized officer. aMi; Jtitie co o cer Plumber's License No , .A//,~ Electrician's License No ..... ~/A .............. Otl rTr de' Li N ~/~ 1. Location of land on which proposed work will be done: Hou Number ~ ' St ...... se ~ reet, Ha/nlet County Tax Map No 1000 S~ctioff Lot ' u vision .............. ~ ................... ed Map No. · ~ .... L . (Name) ........ ot ............. 2. State existing use and occupancy o~ premises and intended use asd oCCUpancy of proposed construction: A. Existing use and occu ancy ..................................... B. Intended use and occupancy .............. ~,, ~ ~ ...... NI H. M. DEMAREST S. 53° §3'IO"E. o LOT I AREA PLATT CERTIFIED ,TO: TICOR TITLE GUARANTEE S'OUTHOLD SAVINGS BANK YAN H. REIGER FRANCOISE A. REIGER Prepared in aCCordance with the minimum ~tandards for title surveys as established by the L I. A. L S. and approved and adopted for such use by The New York State Land Title A~sociation. PECO~T'C- SURVEYORS & (516) 765 - §020 P.O. BOX 909 MAIN RoAD $OUTHOLD, N.Y, il971 ,0 N,Y.S. LIC. NO. 49618 ENGINEERS , P. C. & SONS 323.93 ' = 5.110 ACRES 344.53 ROAD *LOT 2 57. SURVEY OF LOT I SUBDIVISION MAP OF SETTUERS AT OYSTER PONDS FILED MAY 4. 1984 FILE NO. 7729, AT ORIENT TOWN OF SOUTHOLD SUFFOLK 'GOUNTY, N.Y I000 - 27 02 - 2, I SCALE I" = I00' MAR. 14 , ~986 " _~-- - _ __ OAPPROVEO AS NOTED ~~~.~ = - 2. RO~H - FRAMING & PLUMBING 3. INS0~TION 8E~MPLETE FOR C,O. ALL ~NSTRUCTION SHAL~ MEET STATEUCONSTRU~ION & EN~GY COOE~J N~ RESPONSIBLE ~R II 'interior spac~e consultant 14a" n,~,q~r i ,c_ J hater mad, orient, n.y. 1~95~ ' project location