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Home My WebLink About9430-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: ~-25694 Date: 05/01/98 THIS CERTIFIES that the building DWELLING CUTCHOGUE Location of Property: 745 HAYWATERS ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 4 Lot 2.2 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 1977 pursuant to which Building Permit No. 9430-Z dated AUGUST 26, 1977 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 ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to JAMES E. & EVELYN M. REBMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 7-SO-113 ELECTRICAL CERTIFICATE NO. N-391316 PLUMBERS CERTIFICATION DATED N/A 06/01/78 06/21/78 Rev. 1/81 BUILDING TOWN N:. Y.' BUILDING ;PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 94 3'0 Z Permission is hereby granted to: Ja,:,:;.~.:..;~,..~..~a~.;~;~ ............................................ .... ~r~ok:,~o~d...~,~ ~l.~a.E ¢...A~t;,~ .....1..~,1,0~[ ..... ................... Qld ...~o.~m...iqo~d..... ~.a :~:'a~... · ~. ,.~., to ..... ;~LL~:~,..!~:~:L..o.,~..~.~,,,:!:~,~:$.~..?.~:~.~.?.-.L~.',.~ ................................................................................. pursuant to application dated ............................... Z,.~,[.D.....:2.(~ ........ , 19..Y/.~.., and approved by the Building Inspector. Fee $..; · · .. ~..'?, · ,~, ,~,.~ · .. FOF~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office, Southold, N. Y, Certificate Of Occupancy No... Z91~190 .... Date ..... Jnne.. · 29 ............ ,19..7.8 THIS CERTIFIES that the building located at . .?/~5. H~Y~te~'~. t~cl, ...... Street Map No .... '[56 ...... Block No ........... Lot No ..... ~.~.0. ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. Augu~.'c. 26 ......... , 19.7.7.. pursuant to which Building Permit No .... dated .. Augu~.'~ .26 .......... , 19..7.7., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... PRI~VATE. ONE. FAlvE[LY. DIq~LL~[Nfl .............................. The certificate is issued to .............. O'ttule~. E,. R.e.b~arl ........................ (owner ~ of the aforesaid building. Suffolk County Department of Health Approval ....... 6/.1,/.78 ...................... UNDERWRITERS CERTIFICATE No ....... P~d,ix~lg .............................. HOUSE NUMBER .... 7~5 ...... Street .......... HaYR,~'~rz..Ro~.4 ............... ................................................ C. u . hogu.e. . .¥or ......... Building Inspector FOI~M NO. S TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector 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 installations, 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 property showing all property lines, streets, buildings and unusual natural or topographic features. 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 in- formation required to prepare o certificate. C. Fees: i. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 // Date ......~'Z.. ................................. New Building ......~...' ....... Addition ................ Old or Pre-existing_Building ................ Vacant Land Location Of Property ...7...~..~..:.....~../-~./.~.J/~../~..r~--~Z~......../..C-~.~-).') ..... L~..~...~C~.(~J~ ..o~.~.., ~ ~ ......-7" ~--* .~__ ' ......... ~r ......~' ....... 2' ' Owner Or Owners Of Property ...... ~.~,~.~.....4~..%..~./~./..~:~/~.. ................................................... -- Subdivision t~.~.~.~.~.~.....~.Z.~.~Z.'~.(~-.~..~)~.z..Lot No.~..~..~...... Block No~ .......... House No..7....~.,~ Permit No...~..~.0...~. Dat,/Of Permi~./~...~...Applicant J"~.,~J~.~.;..~"Z.~....~. ......... Health Dept. Approval~_~.~ r~?~/~Z°/~*'*-?/~'~'""Lab°r ...................... Dept. A[proval ..... ..~..//'~////.~ .............................. / Request For Temporary Certificate .~.....~., ..... F.naJ Cerhflcote . . Fee Submitted $ ,.~.-~...; ...................... Construction on above described building one, permit meets all applj~,.,gble p, ocles and regulations. Sworn to before me this / / ................ day of~ ........................... (stamp or seal) Notary Public, State o~ New York /t~ No. 52-4667259, Suffolk County ~,~ ~....,,,..~.~ Commission Expires t~s~c~ 30~ ~.~ ~d Form BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. F%nal 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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 t. 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-existinR Buitdinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ew construction../.?.~.~... Old Or ~re-exis~ing ~nilding.~.~ZV.~.Z.~f. Location of Property..~ ..... ~J~-f~-~'~-~- · ' Rou~e No. ~ Street /Hamlet Onwer or Owners of Property..~..~.~ County Tax Map No , ection. . ock ................ Lot ...................... Subdivision. .. . ...... .. . Filed Map Lot ................. Permit No ............. .. . Date Of Permit ............. . ..Applicant. ............................ Health Dept. Approval..~....~.~. o~. ............. Underwriters Approval.. ~..~..~./.~-/-~ ....... Planning Board Approval.. .................. . ... Request for: Fee Submitted: $ .... -~./~-.~--~..-.~-' ~ ~ ~ .... Temporary Certificate ............ Final Certicate ........... APPLICANT GARY FLANNER OLSEN COUNSELLOR AT LAW BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-734--7666 FAX 516-734-7712 April 16, 1998 Re: REBMAN to Crawfo~d Our File # 6436 Dear Mr. Rebman: Thank you for delivering the temporary Certificate of Occupancy for the residence along with a copy of your building permit for the enclosure of the patio. However, it will be necessary for you to obtain a final Certificate of Occupancy for the house since the existing certificate is designated as "temporary". It appears that the town was waiting for a Fire Underwriters Certificate from you. Also there is no Certificate of Occupancy issued for the building permit to construct a screened-enclosed patio to the existing structure. Although you obtained a building permit to do the work you must follow-up and obtain a Certificate of Occupancy. If you wish to discuss these matters with me please do not hesitate to call and make an appointment. Very truly yours, GARY FLANNER OLSEN GFO:ijg Mr. James Rebman 745 Haywaters Road Cutchogue NY 11935 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]~LATION [ ~ FINAL DATE GRAD DIA. TYPICAL PRECAST SEPTIC TANK T - NAIL O - PipE: NO SCALE 28~ 284 285 286 # u p EN'I 3O9 GRADE ~ . CONCRETE 8' TYPICAL PRECAST LEACHING POOL I ' COUNTY DEPT. OF HEALTH SERVICES SUFFOLK FOR APPROVAL OF CONSTRUCTION ONLY m m AP ~ f~ V~F.~.vv ! ~e ~ge disposal and water supply ~ae~l~%les for this loca%ion have been [~%e~ by %his depar%mun% and found ~%f G6neral 287 JIJ~l 310 FILED AUGUST 16, 1922 FILE: NO. 15~ ZONEO RI~SIDENC~[ AR~A OF PLOT PRO~ I~ FLOOR PRO~. 2a~ FLOO~ ~ B~SE'MENT ~ GARAGE DATUM a zee 298 ~.~sETW~TER SUPPLY A~ SEWAGE DIS~L E~ ~ ~S ~S~ ~LL ~ ~ ~E ~A~ OF THE SU~ ~Y ~P~T~NT ~ HE~TH ~ERVICE~ GUARANTEED TO MAPOF LAND LOCATED AT CUTCHOGUE TOWN OF SOUTHOLD COUNTY OF SUFFOLK SURVEYED FOR JAMES E REBMAN 285 [ ~'~ 284 .285 286 287 ' %4~XZ:AN T FILED AUGUST 16, 1922 FILE N0.156 :510 AR~A O~ Pt.OT 44J00 SGFT. ,~ RRO~. I'* FL0~R ~41~ ~ACAN T FL°OR ' - SQ. FT. :i, 0./, ~GAR,e~E *579 SQ.....F'T. '~/0 DATUM 4SS U~ED ' [ WELL ' ci~, -' - I ~ ~' ' ?~.~' ;re Y AND A / TO THE STANOAJ~S OF THE' ~UFII~t.K 309 / ~ DEPARTMENT OF HEAJ..TH /,SERVICES. I' ~4JFFOLK COUN~ DEPT. OF "mTN SERVICESI ~:~7 7,-~,~ .~.:L, ~ i ~or &PP~ROVAL OF ~/'~ONSTI~ICTION 0{~.¥~l MAP OF LAND LOCATED AT ~. · APPROVED CUTCHOGUE ~:"× 4" TOWN OF $OU'THOLD COUNTY O~ ,~JFr-,OLK SURVEYED FOR ! · ~^'-', I" = 40'G · r - .^,,. o - ,.,,.. NO SCALE TYPICAL PRECAST AP~I. IC, ATION FOR BUILDING PERMIT ......... ........................... a. ~is ~c~i~ mu~ ~ c~ple~ly fil~ ~n ~ ~writ~ ~ in i~ a~ ~i~ in tr p i~te ~ ~e Bui~i~ b. PI~ plon shying I~afiOn o~ lot a~.of buildi~s ~ premi.s, ~lat ~S~p to ~j~ining premi~s or public stree~ oJ ar~s, and givi~ a d~oil~ ~ripfi~ of I~ of~ must ~ d~n ~ tM di~m~ ~ich is ~ of this ~licati~. c. ~e,~e~ c~er~ ~ ~ ~l~at~ ~ n~ ~ c~~fore i~uonce of ~ilding Permit. d. u~n of ~is amhc ion, ~ Buildl~ I~tor will i~ a Building ~it to the ~licant. Such permit shall be ~t ~ ~e pmmi~ ~ilable ~r i~ ~~ ~ " shalle' ~veN° building~en OmntedShall ~ ~e~Buildi~°r ~l~r.in ~ole ~ in ~ ~r any pu~ wh~er until a Ce~ificote of ~cu~n~ APPLI~TI~ IS HEREBY ~DE ~ the Bui dl~ ~nt ~r ~e i~uance of ~ Bui~ing Pe~it pu~u?t ~ ~e ~uJldi~ Zme Ordinance of the T~ of ~hold, Su~k C~n~, N~ Yo~, and ~er ~lic~le ~, O~ or ~urati~ns, for the c~st~im ~f ~ildi~, ~lti~ or al~mfi~s, or for ~1 or d~liti~, as he,in d~ri~. · app.cant ag~ to c~ly with all a~licable I~, o~i~, ~ldl~ c~, h~i~ c~, a~ ~lati~s, a~ ~ admit au~z~ i~tom ~ p~mi~s ~ in ~1~1~ ~ ~e~ I~ions. ~ .......................... (A~m~ of ~plicant) '" State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................... ...................................................................................................................................................... Name of owner of premises ..... /~,~e~. ,~//.~.~,...l~'...~.~v~,~.J~ ........................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ............. Plumber's License No ............... ~..~..~..~..~... ................ Electrician's License No .......... 2..~,.?,,.~....,~. ............... [-/_~). 7~~--- -~ - 5 0 - //~_~ 'Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ........... ~' ~... ....... ~..~. L~iN~x~..~.../....~..-.--..-ii .................... ................ .... Street and Number ............ [ ~.,~.~. "Municipality State existing use and occupancy of premises and intended use and o~cupancy of proposed construction: a. Exisiting use and occupancy ................................................................................... b. Intended use and occupancy ................... ~.~.~.~ ........... ~ ................................................................................... 3. Nature of work (check which applicable): New Building . ........ Addition .................. Alteration ................. Demolition,;..., ............ Other Work ..................................................... Repair .................. Removal .................. ~ C ~-' (Description) - 4. Estimated Cost .............. ?.....~..!.?.....O...O.. ~.~... ........ Fei ....-~....-~.-.....~-...'. ................................................................... (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 c~rs ................... ~ ..................................................................................................................... 6. If business, commercial 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 ............................ Denth ................ Height .... Number of Stories ................................ r ................ 0/' 8. Dimensions of entire new construction: Front ........... ~. ...................... Rear ........ ~.t~ .............. Depth ..~..~...~. ......... Height ......~..~... ....... Number of Stories .................~ ............................;~ ................................... ~" ....... '~'c' ...... / 9. Size of lot: Front ............... /.~..~. ................. i ............. Rear .................. /..~..~. .............. Depth ..~.~..~...~'./. ........... 10~ Date of Purchase ..~/.2..A.~....-r.../....~...../.~'..~...~. ............. Name of Former ] 1. Zone or use district in which premises are situated ..................................................................................................... !2. Does proposed construction violate any zoning law, ordinance or regulation: ......... ~.~. ........................................ 13. Will lot be regraded . ....V.~;~ ........... Will excess fill be removed frompre.rnises:_[~'"~ ( ) No Name of Owner of premises~),~/~::~.~-~--~xv/~kt .............. Name of Architect /~./-~.~,2~...aJ,~./Z/~ -~,/..~..7.~~4~. .............. Address ,~._.~:.,17,~.~_W.x~',/~,~/....~.'.~/',~'Phon, No..~..~...m,j,. ~ . Name of Contractor ~...~/~. ....... ~ ........... A~ress 0~.~.. ho~ N .~ ..... PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set~k dimensions from prope~ lines. Give street and block number or description according to d~, ~nd show street n~mes and indicate whether interior or corner lot STATE OF NEW YORK, ~c c COUNTY OF .... ~uf. folk ..........f~"~ ....................... .J...a..m...e.S.....E..:....R...e..b....m~....n. ..................................... being duly sworn, deposes and says that he is the applicam (Nome of individual signing contractO above named. owner 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 ore 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 ..... .~.t,h ......... day of ......Au~s.t ....................... , 197.']. .... 0/.//~~ ~~~/'~ ~-~/ II'/ ........ County ...~/, 'i~ignature of applicant) .................... ' A,~PHA L.T WOOD -- L. ~. FT APPROVED ~TED ALL ,t=I!~D~.RAL_~ 57AT~ .AMD LOCAL COD~52ORDIM,AWc~5= g~dLATIO'M5 ~,UlL~IM~ AMD ~HALL TA~ P~~Mc~ OVeR AWYTHIMq 5HoWM~. D~c~IDED ~0 I'" .Iq ~ 5 5 A,L.J ~Oik3T PLAN Pwr4. ~ 6cAL'~: '/4"= AU8 1 1977 -701- 0" ,FT,OU~ D AT IO'M PLAk. J, ,PU:A'N TYP. ¢~c4 ~TdOg ~iLL l I ~A% PeL~T l T~f~ DISPOSAL ~L U k/l~ I l'q G D I A C~ I:Q A k,4 TyF9 ["x4" -'tC~" O, c ~ ~CTiOM A-A ~}D~h,JG, FELT T¥'PICAL Auc~o~ PLAN :, )CAL~ : NoTaD