HomeMy WebLinkAboutZ-28353 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
DPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28353 Date: 04/23/02
THIS CERTIFIES that the building DWELLING & ACCESSORY
Location of Property 2165 REYDON DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 080 Block 0002 Lot 024.001
Subdivision Filed Map No_ Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NOMBER Z- 28353 dated APRIL 23, 2002
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 ONE FAMILY DWELLING WITH 1 1/2 CAR GARAGE.*
The certificate is issued to STEVEN T KOLYER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
This Certificate of Occupancy replaces COi Z-9921
`
Auth rized Sig ture
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2165 REYDON DR SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNHR (S): STEVEN T KOLYER
OCCUPANCY: R-1 STEVEN T KOLYER
ADMITTED BY: MRS. WELSCH ACCOMPANIED BY. WM. SMITH
REY AVAILABLE: SUPF_ CO. TA% MAP NO.: 80.-2-24.1
SOURCE OP REQUEST: WILLIAM B SMITH DATH: 04/07 80
DWELLING:
TYPE OF CONSTRUCTION: WOOD # STORIES: 1.5 # E%ITS: 0
FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: X
TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 1 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 DTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZENAY: FIREPLACE: 1 GARAGH:
DOMHSTIC HOTWATSR: X TYPE HEATER: TANKLESS AIRCONDITIONING:
TYPH HEAT: OIL WARM AIR: HOTWATSR: X
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPH OF CONST_: 1 1/2 CAR WOOD STORAGE, TYPH CONST.:
SWI141ING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ~ ART. ~ SEC.
CELLAR ~ CELLAR STEPS II ~ 52-27-A
GARAGE SIDING BROKEN IN PLACES III ~ 52-31-B
RRNLRRC;
INSPECTED BY: DATH ON INSPECTION: 04/10 BO
CURTIS HORTON TIME START: 1:40 END: 2:15
_
Form No. 6 ~ I
TO~'VN OF SOUTIIOLD % r ~ ~ iI {
BUILDING DEPARTMENT ~ , ~ ~ $ 20Q2
TORN HALL '
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APPLICATION FOR CERTIFICATE OF OCCUP
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 Apri19, 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
Photocopy of Certificate of Occupancy - $ 0.25
4~ Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. ~ l~ 1
New Construction: Old or Pre-existing Building: ~ (check one)
Location of Pro ~ f
~p'~i V F' _~C~ G `
House No. Stree/t Hamlet
Owner or Owners of Property: ~~C' films Yl / r Ted ! ~
Suffolk County Tax Map No 1000, Section `T ~ ~ Block °~2 Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ _
C~~ ~ ~~~5~
1 ~ ~ A plicanl Signature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No... 29921......... Date April . 1.~ 19 $0
THIS CERTIFIES that the building .
Location of Property ....216.5 .Rey$On• Ixrive• • • • • • • • • • • • • • • • • • • • • •^.~OUthOld,• •~•Y~.•
House No. Street am et
County Tax Map No. 1000 Section 80 .......Block .....2 .........Lot 23 • 24 • • • • •
Subdivision ReydOn •3horea• • • • • • • • • • • .Filed Map No. fj39 ...Lot No. g.... .
requirement, for a one Yatnily dwelling built prior to
conforms substantially to the i
• • •Apri,]. •23• • • • • • • • • , 19~~. pursruan~t
£~o
wiluoht~~cy.....29929......... .
dated ...ppr~.y .91 • • • • • . • . • . • • . • • • 1980. ,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 .
.................One .Family. I1wel13ng. w./.9 .1 /2 .Car .Garage .
The certificate is issued to ........Ann .WS18Ch .
(owner,~9~1
of the aforesaid building.
Suffolk County Department of Health Approval ........D1/R .
UNDERWRITERS CERTIFICATE NO ................N/R .
Building Inspector
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