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Home My WebLink About145-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-25441 Date DECEMBER 18, 1997 THIS CERTIFIES that the buildin~ Location of Propert~ 2145 HAYWATERS RD. House No. County Tax Map No. 1000 Section 111 Subdivision DWELLING CUTCHOGUE, N.Y2 Street Hamlet Block 7 Lot 3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office datedlO/17/57,11/5/58&9/12/74 pursuant to which Z145, Z511 & Building Permit Nos.7535z dated 10/17/57,11/5/58 &9/12/74 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 OWE FAMILY DWELLING WITH ATTACHED GARAGE & 14' x 22' BREEZEWAY & AN ADDITION TO EXISTING DWELLING The certificate is issued to RITA M. BOSS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 THIS CERTIFICATE OF OCCUPANCY UPDATES CO Z--163 DATED 7/29/1958 co z-765 ATED 11/5/5S, CO Z-6354 DATED/ /i2 75. /, //~U ~ing Inspector FOI~M NO, 4 TOWN OF SOUTHOLD BUILDING D£PARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ............ ~" ';~' 6' ',~ · Date ............................. ~TV,];..~r.. '~9 ............ 1,9 ..~8... THIS CERTIFIES that the building located at ..J[,~.]~,r~-~¢G~.~...~Gad. ............................. i Street Map No. i~.a~.cl~.~..D~ .............. Block No ................ ~:~. ............. , Lot No. ,~.~...~.~t~z~e~e~t~... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... fj.~.~6c, be.z~..~"/:~ ....... 19..~.., pursuant to which Building Permit No ...i.,~...~.Lk.~ ........... , dated ...................... D~.t,~....EL~ ..........19....,';~?, 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 ............ ................................................. '~-~¢'J) v'~'L~J~~'''''~'~¥d'''~ :E:~:~¢C~ .................................................... i ................. This certificate is issued to ...~..~.]?]-~.D,~.~¢,~, *; ~ r~:Z~ ) · ........ ~owner, lessee or tenant) ' of the aforesaid building. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES }i/~,Q~[~,~F A~-¢~x~/~.~[t~j~~¥~S UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ..... Z.....1.)~ ..... Date ................... Oe.to~)e~'..' '].'~' .............. 19~.~. .... Permission is hereby granted to: Paul....Ehlenber. ger. ........... : ................................ ................. .270 - .t[ous. tom· · · · Ave ~ ...................... ..................... ~ine~la~...-..N...~,~ ......................... to ......... Butld..~e~..d.~etlt.ng ........................................................................................................ at premises located at .E/D.-..Ha.y~a.t~ers..-Road ........... ('"'1ot,"#'376"') ..................................... ................................................. .................................................................................. ......................................................... Ctltcho~tle. t.....l~,..~., .................................................................. pursuant to application dated .......................... 0C.~1~ ....... .'1.7 .......... 19..~.~..., and approved b~, the Building Inspector. Fee $!.0..,~..0...0. ............ lO~rN OF SOUTHOLD BUiLDiNG 765-!802 FOR C Ao This application must be filled in by =ypewri=er OR ink and submltred to the building inspector wi=n the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual naEura! or topographic features. 2. Final Approval from Eealth Dept. of water supply and sewerage-dlsposa!(S-9 fo---m). 3. Approva!~of electrical instal!etlon from Board of Fire Under~-~iters. 4. Sworn statement from plumber certifying that the solder used L~. system contains less than 2/I0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compiia~ce from architect or engineer responsible for the building. 6. Submit Planning Board Approval of c6mpleted alta plan requirements. For exisuing buildings (prior ~o April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: !. Accurate survey of property showing al! property lines, streeEs, building and unusual ua~ursl or topographic features. 2. A properly completed application and a oonsemc to inspect signed by the applicant. if a Certificate of Occupancy is denied, the 3ui!dln~ ~nspecnor shall state the reasons therefor in ~itlng to the applicant. C. Fees !. Carmificaze of Occupancy - New dwelling 225.00, Addi:ions ~ dwelling $25.00, Alterations to dwelling 225.00, Sw~nrn~ng pool 225.00, Accessory building 225.00, Addimions ~o accessory building 225.00. Businesses 250.00. 2. Certificate of Occupancy on Pre-existing Bui!din~ - $!00.00 3. Copy of Certificate of Occupancy - ~ .25¢ 4. Updated Certificate of Occupancy - 250.00 5. Temporary Certificate of Occupancy - Rasiden[ial S!5.00, Cc-_meraia! 215.00 Date .... P.~gg~..!~. A 77 ................ New Construction ........... 01d Or Pre-~xistimg Bui!ding...x ............. noe tion ................................. ~ouse No. Street Hamlet Onwer or Owners of Property ..... ~.~.'..~ .............................................. County Tax .Map No i000, Section...!~.'.Q~ .... ~!oek...P.Z~O9 ....... 5or ..... P.q~,OD.Q ........ Subdivision. ~ .9~..~g~%9~..P ¢. ~q · ~!, ed M. ap ............ lot .... ~7.~ .............. Club Properties, Inc., Map No. 806 .Permi~ No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Unde_~ritars Approval ......................... Planning Board Approval ........................ Updated Reouest for: Temporary Ce ..... cate. ~nal CercLca%e. x ... Fee Submltted: $ 50.00 by BARBARA A. ERVIN, Atto~ney_iffZFact9'~ 516 727-00~0 516 283-7775 WILLIAM F. BA~i'ES AT~POllNE¥ A~t~ LA~V December 16, 1997 FAX: 516 369-4080 Town of Southold Building Department Town Hall P.O. Box 1179 Southold, NY 11971 Re: 2145 Haywaters Road, Cutchogue, NY 11935 BOSS, Rita M. Dear Sir or Madame: Enclosed please find the following regarding the above real estate: 1. Check #1589 to Town of Southold for $50.00; 2. Application for Updated Certificate of Occupancy; 3. Consent to Inspection. and I also enclose for your information copies of Certificate of Occupancy No. Z 163 dated 7/29/58, Building Permit NO. 511 Z dated 11/21/58 to build an attached garage to an existing dwelling, Action of the Zoning Board of Appeals dated 12/4/58, and Application for Building Permit dated 9/12/74. We would like an updated Certificate of Occupancy listing the private single family dwelling with attached garage to existing dwelling with 14' x 22' breezeway and addition. If you have any questions, please give my office a call immediately. To gain access to the premises, kindly contact Kerry Janis at Marion R. King Realty at 734-5657. Thanking you in advance for your anticipated prompt attention to this matter. Very truly yours, WFB:cg Encs. HAND DELIVERED CONSENT TO INSPECTION _ RITA M. BOSS ' , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 2145 Haywaters Road, Cutchogue, NY 11935 · which is shown and designated on the Suffolk County tax map as District 1000, Section lll.0Q Block 07.0,0Lot 003.000. That the undersigned (has) ~ filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: .__ Updated Certificate of Occupancy for Private Single Family D-~&~i-lin9 with attached '~arag-~ t'0"~Xistlng awe±£ing With 14' x 22' breezeway and addition That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary witb respect ~o the aforesaid application, including inspeciions to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding ti]at any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: December 15, 1997 (siinatur e)/~7/~//~ / RITA M. BOSS (urint nal~e) by BARBARAA. ERVIN, Attorney-in- Fact (siRnature) (print name) FORI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. xam' a ........................................ 19 Application No.....'l .)+.~ ................ Approved ........................................ 19 ........ Permit No ................................. Disapproved a/c ................ 7~....~.. ............................ '.~'z:, .............. ;'z::. ............ ................................. . ........... ¥'..i ........ 'ii ................. .............. . ....... ....... (Building inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or !n ink and submitted in duplicate to the Building Inspector. 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 location. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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 and regulations. ....... .................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ............................................. .C~W lirE,, .'It .................................................................................................................................... Name of owner of premises......P.a,~b%....Eh[l.~r~be.1-.ge.~.....&..W., ........................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No...~.~.~.~...a:.U....~..~.~.,.?.?..°l~q~ck Street and Number .H...~.y.~.a...~..e.~'~ ,RO.~¢] g.ll.~.ho, gll~ .......................... 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ................ ~.aD'l~..~.l'ld. ....................................................................................... b. Intended use and occupancy ................. pl'.:i.va.t~..d.weJL.13I_rlg ......................................................................... 3. Nature of work (check which applicable): New Building ....... ]C .......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................. i.Other Work (Describe) .................... 4. Estimated Cost ...$...~..~.~.Q.0., ............................... Fee..1Q~O,O ............................................................ (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ...... O~ ............... Number of dwelling units on each floor ............................ If §oroge, number of cars ........................................................................................................................................ 6. If business, commericol or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories .............................................................................................................. Dimensions of some structure with alterations or additions; Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front.......)4.~, ................. Rear ..... J+.~. .................. Depth .....~.J'k .................. Height ............................ Number of Stories _.OZ~e .................. 9. Size of lot: Front ...... .].O,O .............. Rear ..... 'J.OO ................ Depth '"2'20 .................. 10. Zone or use district in which premises are situated ........ !.~.!!...~.~t~ ....................................................................... 11. Does proposed construction violate any zoning Iow, ordinance or regulation? ....... ~ ........................................ 12. Name of Owner of premises~.c~l~,],..~,~t~Ler~be:r.ge.~..Address .~..O..~ogl.sJ:,o~....8.t;;. .......~q~i~olJ~J) ..................... Name of Architect...~.1,],g;r.J.m...I-I(;xtttecg .................. Address ............................................ Phone NO ..................... Name of Contractor..~.~l;L§~..:Lr~..iJ~e.~ .................. Address ..1~;L].I:Ls.I;.Qt~...P. lf. ............. Phone NO ..................... 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot.._ STATE OF NEW YORK, . )S cou 7" ~'~</~¢:~[~,~,~---. being sworn, deposes and says that he is the applicant ....... ~.~...:.~ ........................... 'duly ~/~ (Name of individual signingj~licafion) above named. He is the ........................................ ~ ............................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 set forth in the application filed therewith, Sworn to before me this ....... J.;7. ............ day of ............. ~:. ............... 19..~..Z.,. t~o~ I~OWD~g ~O~R Public, State of New Yeti( esld[n~ m Suffolk County - No. 52-0~67890 IV[v Comrn~s e .... ~ ;:~ (£fngature of appficant) FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. /7 Examined....~....m......... ................... 19 ........ ,, ,, . No.?..z.?L... ..... Approved ........................................ 1 9 ........ Permit Disapproved a/e ................. 7 ..... ~ ; : : ' ........... ~.;>'~" ......... ~- - ' " ................ ................... ....... Application No.....]..l+.~ ................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink on'd submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a dftailed description of layout of property must be drawn on the diagram which is part of this location. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations· (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contraclor, electrican, plumber or bcd[der. Name of owner of premises ....... P'a~'.....E~'~'~I~.,..&"~ ....................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.....~..~...~..~,..~..~....P..~..*,,....~'..°~ck ....~.t..~...~.~.6 ......... Street and Number ...... ~.~l~.~.~...~¢~f~.a, ................... (~.tol~U~ ........................................ ' ............................. 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................. b. Intended use and occupancy ............................................................................................................................. 3. Nature of work (check which ap~plicable): New Building ...... 1~' ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolltion . ................... Other Work (Describe) .................... 4. Estimated Cost ...~...~..~..~.~..0~.~ .................................... Fee .110~.(~ ............................................................................. (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units......Ol~l ...............Number of dwelling units on each floor ............................ If garage, number of cars ....................................................................................... 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories .............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front......~, ................. Rear ......li.~ .................. Depth ......~..~.. .................. Height ............................ Number of Stories ..alia .................. 9. Size of lot: Front ...... 10.0 .............. Rear ....100 ................ Depth ..~¢0 .................. 10. Zone or use district in which premises are situated ........ .~.~.~.~.~...~'.~.II ....................................................................... 11. Does proposed constructic~n violate any zoning law, ordinance or regulation? ....... ~ ........................................ 12. Name of Owner of premises~.~lfl~..~ll~l~l~e2~f)~..Address .~..0...l~Ol.l~.~l~.l~,...8~ ........ [~I~l~!~4~ .................... Name of Architect....,~.~],~'.J, la..}lO~e,il .................. Address ............................................ Phone NO ..................... Name of Contractor...~.l,~i~;l'.:l. ll~...~Olll~,~ .................. Address ...~.;l,.~.]...:l,k.¢..~..~....~.~ ........... Phone NO ..................... 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWnYORK, ~ ) cou , ss.. ,~.~,, ........................................................ ~.'..~ ........ 7. ................. oemg duly sworn, deposes and says that he is the applicant (Name of individual signing~dpplication) above named. He is rne ..................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 set forth in the application filed therewith. Sworn to before me this ......... /..'~.. .......... day of ..... .~.'.~-..~..... ....................... 19...~.~.Z.. Notary P~t~t[lt'~"~ ....... ~ I~s PUblic State of New York d ng in Suffork County Nc*. 52-0367800