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Home My WebLink About16774-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS CERTIFICATION DATED: No. Z-]6869 Date May 17, 1988 TItlS CERTIFIES that the building ACCESSORY BUILDING Location of Pro erty 1300 Reydon Drive Southold, New York P h3,;s~ X/o: ....................... 's't/e3i ....................... h~d,i~i County Tax Map No. 1000 Section 080 .Block .4 ............ Lot 14 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 16776 z , .F.e.b.r.u..a.r.y..2..2:..1.9..8.8 pursuant to which Building Permit No .... : ................. dated . . . .~.a.r.c..h..8'. ,.. ! .9.8.8. .......... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... DETACHED ACCESSORY BUILDING AS APPLIED FOR The certificate is issued toFRANK & MARY LEKICH ..................... ?o¥.'o'r~i~kig iVg:~'~'~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ............... N./..A ........................ UNDERWRITERS CERTIFICATE NO ....................... N./..-5 ........................ N/A Building Inspector Rev. 1/81 FOR~ NO. B TOWN O~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_1~74 z hereby granted : ~/~ Permission is .~ .................................................. .,.../..~.~...,~~....~./...~. .......... ~'~ ~'~, ~-- ...... ~..~..~/..~,,.,.--~.......,....~ .... .~ , ,o..~~.. ~, ~ ,~_~ ....... ~~~..~ ....... ~~ ................. ...... ~/~--~'Z%"~'"';'""~ .... '? ...... '~'"'"% ..................................................... at premises I~ated at ...... ~..~.~ ......... ~~....~ ...................................................... ........................................... ~~~; ............... , ................................................................... co,.~ T.x M.~ No. ~000 S.~io. ....... ~e ...... .,~ .......... ~ ..... Lo~ No ........ Z~ ........ Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted -. ~ to the Building Inspec- tor with the following; for new buildings 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 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-existing" land uses: 1. Accurate survey of p,~operty showing all property lines, streets, buildings and unusual natural or topographic rfeatu res. 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.OOALTERATION $25.00 1. Certificateofoceupanc¥ New Dwelling.$25.O0, Accessory.,$~0.O0 Business $50.00 2, Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .... ; .J.Q .......... NewC°nstPucti°n ...... Old or Pre-existing Building ............ Vacant Land ............. .le. 'd Location of Property . .~.'O.Q ~. .... 'i- o Hou,. No. ,.,." ....... Owner or Owners of Property . .'~,-~.v; 3-.%.,,M ),.%....~ ..... ~.v./..c; C~)...[:.~.~.. !~ 3. f./".';', .............. County Tax Map No. 1000 Section ...(~.~x, .~ ...... Block ............. Lot ............ Subdivision ................................. Filed Map No ........... Lot No ............. Permit No..[ (~.'.(.~.t.~.. Date of Permit ."~l~l~..Applicant... HeaJth Dept. Approval ........................ Labor Dept. Approval ..................... ~, Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Cer~:ificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Con struction o n above described build lng and ?/firm it m~ts/a~pplic~l~code~a nd regu lation s. Applicant 7.~QV~/~/~.. (~...~~ .................. Rev. 10-10-78 3g$ 3 '7 FOU~DATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & ,FLUMBING INSULATION PER N. Y. STATE ENERGY .CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~F~NAL DATE Disapproved a/c ..................................... (B~uildin~kfspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTI-t ...... , 3 SETS OF PLANS .¢'./~.~..- ro.M o., sUrVEY WN OF SOUTHOLD CHECK ~ ] - DING DEPARTMENT SEPTIC t~0RM ............. ; TOWN HALL NOTIFY THOLD, N,Y, 11971 TEL,: 765-1803 CALL .... MAIL TO: }~f;'~ ~/0.~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 shall 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 shall 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 Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regula~tions, and to inspectors on premises and .... .......... admit authorized in building for necessary ins~p~? ons. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ....................................................... ' Name of owner of premises ../.~..,.~..A~./.(,: '~ .. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 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 .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ..... .0..~..(-~. ....... Block ....... /.~. ......... Lot ..... ./.qJ/ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .... !- {I.rOJ ~ ....' '[~.~0~ ?[~r. ; ..... ?.D ..................... 3. Nature of work (check which appiicable): New Building ...~. .... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work .... , ........... . ' , (Descrigtion) 4. Estimated Cost.. .' · · ~ ...................... Fee ....... :,..., ........................... · (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ...... i .................................................................. If business, commercial or mixed ~ccupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures~ if any: Front ............... Rear .............. Depth ............... Height ............... NumBer of Stories ........................................................ Dimensions'of same structure witlt alterations or additions: Front ................. Rear .................. Depth ..................... i. Height ...................... Number of S~ories .............. ~ ....... Dimensions of, entire new construlction: Front ~_~, .... Rear .... ~ ..... Depth .. ,Zr~7~..:. ...... Height' ~' i '' ...... Number of Stories .... /. Size of lot: Front ....................... Rear ...................... ~' Depth ...................... Date of Purchase ............ ~ ................. Name of Former Owner ............................. Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: .... t/U. O. ....................... Will lot be regraded ....... .A)..~ ............ ; ..... Will excess fill be~removed from premises: , Yes Name of Owner of preinises . fi./4d~y~...Z,.e ~ ~. ¢ t,.. Address .).'~o.. j.d-.~?2o.,9..O&Phone No 2.6 5.-.~.~3./. Name of Architect ........... , ................ Address ................... Phone No ................ Nmne of Contractor .......... i ................ Address .... : .............. Phone No ................ Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No .~... ets Permit maybe required. PLOW DIAGRAM 10. 11. 12. 13. 14. 15. *If yes, Southold Town Trus Locate clearly and distinctly all property 1/nes. Give street and block interior or corner lot. ,uildings, whether existing or proposed, and, indicate all set-back dimensions from ~mber or description according to deed, and show street names and indicate whether OCCUPANCY ,OR USE IS UNLAWFUL WITHOUT cERTiFICATE OF OCCUPANCY lNG FOLLOW ROUGB 4, Pn~k,2& e~ ~OR C.O .... STATE OF NEW YORK, S.S COUNTY, J)F ................. : , / ...... ~. ~.~. (~.0['. .... J~ ..... ./'.'~.~.~.~ .~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ... ~. ~*.). ,~. ~/~. ......... i .................................................................. : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner iset forth in the application filed therewith. Sworn to before me this ~ ................ d,~o~..day of., . 19...~ Notary Public ........... ty ..... pETE~ ~,'t. NONA~D! .... NOTARY pUi]LIC, Stere of N~u/Yo?I~ (Signature of hpplicant) Eo. 52.03,~,~575, Suffolk C0untg To m Expires ~11~, 1~