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Home My WebLink About22288-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23223 Date SEPTEMBER 15, 1994 THIS CERTIFIES that the building ADDITION Location of Property 2025 REYDON DRIVE SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 2 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1994 pursuant to which Building Permit No. 22288—Z dated AUGUST 29, 1994 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 A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANN O'BRIEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buil in Inspect Rev. 1/81 FORM NO.3 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) Date............. ........................... N2) 22288 Z Permission Is hereby granted to; �oRA) MI.CtfALAK .......................................................................................... ...................................................... to .CC C-( ........... ...........A�-) . /. '?�......... .......,. ...... ..., �... ............bt.4,1411"6"114. ...........�s..........�/�% =�1...........` ....... .................................................................................................................................................................. ........................................................ ...... .. ...... ............................................,. at premises located at.....................� ..... ..... .....:h'l..... ............................................ .��............................................... County Tax Map No. 1000 Section ........o............. Block.......OZ......... Lot No. .....,...........,.......... pursuant to application dated ...........AW .........,1/...................... 19......5;. K., and approved by the Building Inspector. Fee$.....7�`'...... r ............................... Building Inspector Rev. 6/30/80 A. - Form No. 6 7y� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL Sr? 2 1994 ', 1= 765-1802 BLDG.DEFT. y APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OFSOUTHOLD l A. This application must be filled in b t inspector with the following: for newbuildingrorrPnewkused submitted to the building 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 3. Approval of electrical installation from Board of Fire Underwriters. form) . 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 dwellin Alterations to dwellin 8 $25.00, g $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 Buildinsz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . • • , , New Construction. . . . . . . . . . . Old Or Pre-existing Building, , , , , Location of Property. . /� �/ ,,� House No. Street • " " " . / Hamlet Onwer or Owners of Property. . 7el2 � e . . ... . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . , County Tax Map No 1000, Section. . . .Q. . . . . . . .Block. . . . . 2 . . . . , .L .�.�• ..__ . • . . . • • . • . ot. . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. Permit No. . .� f I, , , , ,Date Of Permit. . . .F192y. ... . . . .A •� • . . . ' . . . . . . . . . . . . . . . Applicant. Joh A . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . .. . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . , • • . . Final Certicate, . • , • „ • , , , Fee Submitted: $. , , , OD. . . . . . . . . . . . . . . . . . -'�'y3d pp�ICANT_. . . . . . . . . ;2 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL REMARKS: O'e, DATE lJ IN8PECT0 r I m OUNDATIOI ( 1st) C OUNDATI011 ( 2nd ) • r-+ d o OUGH FRAME & •PLUMBING cn 1 . n AISULATION PER N . Y. ( • • a �O STATE ENERGY CODE I 2 FINAL ADDITIONAL COMMENTS : x x H � ' a m ' BOARD OF IiEl1LTH .. . . . . . . . FORM NO. 1 3 SETS OF PL.INS . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . _ _ _ . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 TEL.. 765-7802 t:aTIFy ; � . . . CALL Examined . . . . . . . . . 19� MAIL T O : ..• Approved . . . . . . .t!. .` . . 19Permit No. . o.� . . . . . . _ . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . . . . .,,.-. . . . . .. . . . . . D U (Bl g Inspector) AUG ' I I9g4 I APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . .. I9(?v TOWN OF SOUTFiOLD INSTRUCTIONS a. ,This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street: 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 ap proval pproval of this application,a lication, the Building Inspector will issued a Building Permit to'the applicant. Such permi-, 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, ho g code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio S. (Signature f a plicant, or name, if a corporation). . . '(Mailing address df applicant) State whether applicant is owner, lessee, 'agent, architect engineer \g , general contractor, electrician, plumber or builder. . . . . . . . .V`�rs�c�.�- . .�' -. .c_ a� . . . . . . . . . . . . . . . . . . . . . . . . : . AP R UQ AS.�IQtRQ. A o � � . . .Name of owner of premises . . ��• . , . . . . . . DAT S.P.# �?��°e ,^ . (as on the tax roll or late BUILDING DEPARTMENT AT . . If applicant is a corporation, signature of duly authorized officer.' 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED (Name and title of corporate officer) FOR POURED CONCRETE ' 2. ROUGH - FRAMING- & PLUMBING Builder's License No. . . . .V�.0 fit 3. INSULATION 4. FINAL - CONSTRUCTION MUST Plumber's License No. . . . . . ... BE COMPLETE FOR C.O. • ALL CONSTRUCTION SHALL MEET. Electrician's License No. . . . . . . �f); , . . THE :REQUIREMENTS OF THE N.Y. STATE .CONSTRUCTION. W ENERGY CODES.- NOT RESPONSIBLE FOR. Other Trade's License No. . . . . . lU�� . • DESIGN OR CONSTRUCTION ERRORS ]. Location of land on which proposed work will be done. �.3-?. . . . . . . . . . . . ��•� ��o�.� House Number Street Hamlet County Tax Ma No. 1000 Section . . . :. . . . . . . . .. . . Block . .:� . . . . , l Lot . . . . . . . . . . . . . . . . Subdivision . . . . . . ` c'�?`Y. .S.�nc . . . . . . . . . . . . ... riled Nlap No. L. — Lot J . . . . . . . . . . . . (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 . . . . . . . . . . . . : . • A./. : , ';"5 ° ;;' .• . . . . . . . . . . . . . . . . -3. Nature of work (check which applicable): New Building Repair . . . . . . . Removal - ' ' ' ' ' ' Addition . . . . . . . . . _ Alteration j. - • . • - • - - •- - . Demolition . . . . . . . . . . . . . Other Work . Cc 4. Estimated Cost . .�!`��,�,� • • : (Description) . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling If garage, number of cars, number of dwelling units . • , ( • • • on of dwelling units o each floor . . . . . . . . 6. If business, commercial or mixed occupancy, s ecif • ' - . • • ' ' • • - ' ' ' ' ' ' ' ' ' ' ' ' ' ' 7. Dimensions of existing structures i specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . Height f any: Front . . . . . . . . . . . . of . . g • • • • • • . • . . . . . . Number of Stories Depth . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front • • • - • • • ' . . . . . . ' ' ' ' ' ' ' Depth . . . . . . . . . . . . . . . . . Height Rear . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: • • - • ' ' ' ' ' . • • . • • Number of Stories . . . . . . . . . . . :`. , , Front . Rear Dc t Height Number of Stories P. •" 9. Size of 1 .Front . . . . . . . Rea .. . . . . . . . . . . . . . . . . 3. :ti. �z.s. �1 •i, 10. Date of Purchase • . . . . . . . ... . . Depth - • • • -: . . . . . 11. Zone or use district in which premises are situated , ' ' Name of Former Owner . . . . . . . . . . . . . . . . . . . • • , . _ 12. Does proposed construction violate any zoning law, ordinance or re - • • • ' ' ' ' ' -13. Will lot be regraded gulation: _ • . � � - • - - • • • • . . Will excess fill be removed f o N 14. Name of Owner of premises . .�1�l�, , � premises: _..•• 'Yes - NN b �'+fit` . . .Address . i .�.7, 0, C�Phone No: ?7.Q :1:66 Name of Architect . . . .Address 0 Name of Contractor • ham, ►.��A`A� �• •q• • . • • • • . Phone No. , , , , , 15. Is this property within • • • • • • Address .Q, . `'"y;t� • , ,Phone No. . �7,;a, 1, 3 P P Y 300 feet of a tidal wetland?' • - *Yes. . . . . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit maybe 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 corner lot. Ur ., ..+�..�'1i1+'4°��a''3 ��.s�i'��l.lS .ti�- •4"'iof'..9t<� • STATE OF NEW 'YORK; MUNT'Y OF ,. r M:! . . . . .• .. •.!� '. _,• • '_;;';r.� :-;.:; ', . . ...... . . . . . . . • . • • . . . . g duly sworn, deposes and says that he is the applicant (Namc'o`fijndivi lud signin�'contract) .bove zi%inned. feis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) . ' ' ' • ' ' f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. :•orn to before me this . . . . . . . ,�1. L . . .day of. . . . . . . . . . . .. 19 . . Mary Public, . . . . . . . ./. V,. 1/ /�ounty JOYCE•M.WILKINS Notary Public,State of New York ' ' ' ' • ' • • • . • . • . • • • . . . . . • No.4952246,Suffolk Counir, Term Expires June I 1 (Signature of applicant) UFFOLK-CD.fiE} LTH DEFT.+�P�P�•ROVAL A '.gyp. 1 THE'WATER-SUPPLY •AfiiD'SEWI�GE'DfiSPOSAL'f ^!t ---- - EAST END.SLOG HO EMS.: FOR THIS RESIDENCE_' WILL 2.9.5 �+ f 1 & coNsrRUCTID}!, I C>`pt�?FOiRtill T "THE NDARDS OF THE I . ' r• - - i' 4465 � i ! /^� --, _ ,;� Wickham '�"�rSUFFOLK DEZ F EA IFI 5ER.VICES.' Moffifiuck, N. Y. 71952 g { 4:) - �,ra;: j �!�, �' _ b T. Contot�; (5.�6) 98- 1~27 t lA&Z IlCAI S"` ' SUFFOLK .COUNT EPT. OF HEALTH- i# Fc. rip i ,. � y" L', SE-R VJC�E`S — FOR APPROVAL O-F -CONSTRUCTION'ONLY - �; H. S. REF_ NO.:. . 'S.�=.12 - ac 4L, '� APPROVED: _ :,Ly: 3` �� •. _ i�� 1 SUFFOLK CO. TAX MAP.DESIGNATIpN: --- i - DtST. SECT.. BLOCK PCL UN I OWNERS ADDRESS: - K, 7 j DEED: L.'o4� l 0-475_,: 2.EF �. ,r a ^• y., ._�...r:.l�ti t_L: •k ez. 1_ vry i-llv .fr i.L Y i1t�`� .:1�•4t1iCC5. I TEST F�pLE STAMF ( ! �.,�e`ti-.:1ti./l�.r,". {c.:,..""�:t�... .1....' 1'1E��1 :.�:,.!�---_E v.��.�----•- � - �y�-�� y.,;..�o-i....a 2}tra E:w�S o-ct'itiM T71%:r,!tAn"l�ler'Ya �J"Ic ;r: r_'tr2art+o •,��' ___— - i k ,� em:sx.;.�'se<;Sr,-l;mt}+�c�+ne}da.'a:3� tebe ve}i^Vw:CL y.._ . -✓it E t_ yl t. `.Jl irssiCn: 'hr'G• _„ t;.o.,h I fiun:oc r� cn!y 1:the;+'-von f-,vTtorn th. yrv. ..•. ore+ers�.en i en NS�a.: 17�, i --gip- tKfr exi ns l'.L^vcrrmmm!'E4.;rt�i • t •�' in^atit:ttion listed"-cm �. a:'t&'aeaigna et tiac Io aCina inaii . --- ' ` �� x+.r r±;+o.cs;tns«cation.or r;ietc ue l; '��-(�'•�j�/�,-, - `SEAL , l Of _- - _ 4�g. _ .. _ _ _ .. ��1!/.��Y.Y_��A..4 Lri"�,.•- --.I:... �.Y-'+W`.i�yI•r'Y .W'$ - �Iti.r �l � O�•5 RODERICK VAf,4! #�.C. er° �T s,,t�'.. _ - ,. �a:�' - - -v'::, ►.1+F•. _ ?%cis' - •! - ••r�. :;xs✓�ra^i- _„-a-. _ ty ;E �} :�� .^:%,�i�,. _ 1'`EfiD:LAi�ID SLY YORS 1r _ 5F GREENPORT NEW YORK �LA14 MYNE POST N6;2T i t J ice---- -- - �i'� r�1�,Z•,'1'k::.,�'-e,\..; —`r"�-._��_. �, �°'t. j j �R >~ a �. ..• � , �1CL .r ;�{ .E ` r, ' 10. :1 CA � r ` - :% f f C to my- 1�i \.�erZ ��{�:x�.r t.�,. •~ }�► �i UNDERWRITERS CERTIFICATE U E UNLAWFUL _ - : l REQUIRED rM WMiOUT CER1'IFICAT OF OCCUPANCY