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Home My WebLink About12231-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold~ N.Y. Certificate Of Occupancy No..Z.'I.2.210............. Date .. January 24 198~ THIS CERTIFIES th ildi --new dwel.1 ing at the bu ng ............................................... Location of Property 725 Rosewood Drive Mattituqk House No. Street Hamlet County Tax Map No. 1000 Section . . . J .1.3 ...... Block . .0.2. ........... Lot ... 9.0.8. .......... Subdivision...~.o.g.e?.o. 9.d..g.s..~.a.t.e.s. .........Filed Map No. 5.240 .Lot No. .11 conforms substantially to the Application for Building Permit heretofore filed in this office dated March 3 .8.3. p gp 12231 g ...................... 19 ursuant to which Buildin ennit No ..... dated . .4 Pr.L%. 7 .................. 19 .8.3., 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 private one-family dwelli.n~. OREGORY SC .OF .ND The certificate is issued to ........................................................ (owner, levee er-ten, atari. of the aforesaid building. Suffolk County Department of Health Approval 13-S0-11t. . . . .'1/16/84. .! R.ob.t. A. Villa P.E. N 622070. UNDERWRITERS CERTIFICATE NO ................................................. RWol~l Building Inspector TOWN OF 'SOUTHO~D BUILDING DEPARTMI~NT TOWN HitiLL SOUTHOLD, N. Y~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRE/~IS~S UNTIL ULL COMPLET ON OF THE WORK AuTH(~)Riz~D~ ~ ,~ ,. · ..... , ":":',;'""~ ............. , ....... permissio~ is hereby gronted to~ z - ~/ ~ . ......... .~....w~: .......... ~..,..,;: ................ ............. ~.. -;~,~....~ ................. ~,..~ ............... , ~.. ~o.,......~~.~ ~..~~;~~.....~ ...................... .............. ~...XS~ ...... ~.~~ ...: ......... ~...' '.'" . . .~.~=..~ .... ~ ............. ~ ~' " ' ~~ ' " " ~' ~~ ; " ' ~ '~ ...... : ~' 7~ " ~ ' 2 7' ' ' ' ' /' ........ ...... : ......... ~. ....................... , ........ =?~x.~.=..... .:..:..; ....... ~,.~.....: ......... ,:....~..~?., ........ co~,~ ,~ ~p uo. ~ooo s ~ 'o,/~~. ~ ~....~....: ...... j ~t ,o.r. ....................... ...... ~ ~ ~:~ .... Building , spector. Rev.= 6/30Y80 ~>,-; , [ ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 featu res. 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. For existing buildings (prior to April 1957)~, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topograph ic featu 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. Fees: 1. Certificate of occupancy $5,00 / 2, Certificate of occupancy on pre-existing dwelling er land 3. Copy of certificate of occupancy $1.00 / use $/~//$5,00 Date .. Je, nu_?,~ry 17~ 1984 New Building X Old or Pre-existing Building(X) ...... =/Vacant Land ~ 725~ ~osewood Drive, M&ttituck, New York Location of Property. ..................................................... , . , ~-, ......... House No, Street Ham/et Owner or Owners of Property Gregory Schola'nd__ County Tax Map No. 1000 Section 11,3 Block 02 Lot ..... 0.08 Subdivision .... EOS.e.Wqg¢..F~s..l:~.'c.e,s. .......... Filed Map No .... ,5.~?, .0..Lot No. 11 PermitNo,l;~2.3~-~ .... Date,of Permit./.7/'.8.3. .... Applicant INLAND, HONE, S,. INC. Health Dept· Approval 1/16/84 ............ Labor Dept. Approval .,, N6~.2070 Planning Board Approval Underwriters Approval ........................................ ~ ~. ~ Request for Temporary Certificate ..................... Final Certificate ................. - Fee Submitted $ 5.00 Construction on above described building ar~er'm~m~ets all appli, cable~co.d;~u lations. A pp cant .~~ · · ", ..... FIELD IN~oFECTION 1. FOUNDATION ( 1 st) COMMENTS FOUNDATION ( 2nd ) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY G,ODE FINAL ADDITIpL COMMENTS: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~.~.--~. ~.~.'..~.¢.'.. .. ~..././7. ........................ .. ~..~../.5 .~ ~.. ~. ~ ........... ~ ~ PLEASE TAKE NOTICE that your application dated . ~~ ~ ........... 19 ..... ~' for pe~it to const~ct...~...~/.q..~.~~ ...................... at Subdivision~~..~'~ F~ed Map No...~ ~O ...... Lot No .... ~ [ ............ is returned herewith and disapproved on the ~lowing grounds. ~~..~..~f~ ' ~~..~~. ~ ....... z~,~..~3~./~ ~<. ~~ ~..:...::~:..~ :~.: .... ~,~:~N{:~:~. <..:~.:.. :.: ,C~:~t .... ~:.~.. ~::..::~.. ........................ Bulldog Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 E amined .......... 3. Application o../.d . ./ ...... Approved ..... No -;....-f. ..... .... APPLICATION FOR BUILDING PERMIT Date March 3~ 19 83 INSTRUCTIONS a. This application must be co~npletely filled m 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 Per'it~ pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~md other applicable I.~aws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, a'~ herein described. The applicant agrees to coilaply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors~bn premises and in building for necessary inspections. t INLAND HCI~IF..S ~ INC. (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. General Contractor Name of owner of premises Gregory Scholand (as on the tax roll or latest deed) If applicant is a corporation., signature of duly authorized officer. R%.bert E. Hiltz, President (Name and title of corporate officer) ~ Builder's License No .......................... 517-P Plumber's License No ......................... Electrician's License No. 2816 Other Trade's License No ...................... 1. Location of land on which proposed work will be done. Lo~; 11, Rosewood.Estates at Mattituck~lq.¥. ..... 7.~fi. 0~ ~t/~t2~b b~lv'£ /~Tt House Number Street Hamlet 113 02 008 County Tax Map No. 1000 Section .................. Block .................. Lot ................... Subdivision ~1~' b000.j_~ ~7~ 7~-~ Filed Map No. 5240 Lot 11 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................... 1-family dwelling b. Intended use and occupancy . . .' ................................................................. k ( hi h ppli bl ) ildi ICK Additi Alt ati 3. Nature of war check w c a ca e:New Bu ng .......... on .... er on . Repair ............ Remoyal .............. Demolition .............. Other Work ............... 4. Estimated Cost ........................... Fee ../../.. ............................... ' (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ..... ~. ......... Number of dwelling units on each floor ................ If garage, number of cars ..... ~ .................................................................. 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 wi(h alterations or additions: Front Rear Depth ..................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front . .6.11 t Rear 61t ~ Depth Height. ..... .1.8. ..... 1.2~6umber of Stories ........... iii ._ 9. Size of lot: Front ........... i Rear ' ' 'ZO3 ............................... ...................... LJepm ...................... 10. Date of Purchase ........... .................. Name of Former Owner ............................. 11. Zone or use district in which preluises are situated .................................... 12. Does proposed construction v~olate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... .................... Will ex~esa fill be removed from premises: Yes No 14. Name of Owner of premises .9.~.e.~.9.:Y..~.?.n.°.~.~..~?Address .~$g~I~.n~.¥.o..PhoneSo ................ Name of Architect . ~1~!~' !'H(~JI~ ~' llffi~¢ Address Phone No. Name of Contractor AddressBox. J,J,7. ~ ~1t~,~% q[.'l:l&cl*Phone No 1198-9696 PLOT DIAGRAM Locate clearly and distinctly all ibufldings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. : 17'$.O$' // .................... l~obe.:..% ~,..I~.i..~.1:.~. .......... being duly sworn, deposes and says that he is the applicant (Name of individual signlng contract) above named. : He is the (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is dul~ autho~zed to perform or have perfo~ed the said work and to m~e ~d file this application ~at ~1 statements contained ~ this application are true to the best of his knowledge an~ belief; and that the work will be perfomed in the manner set fogh ~ the application filed therewith. Swam to before me this : ............ fi~....dayof ..... ~.., 19 No, 524125850, ;~uHol~ SURVEY FOR SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVIC~5 GREGORY SCHOLAND LOT II, "ROSEWOOD ESTATES" FOR APPROVAL OF CC,!'.I~;T!.'.]JCT~C:,;q ONLY' AT MATTITUCK DATE: JAN. II, 1985 SUFFOLK COUNTY, NEW ~RK NO. 8a-816 ~UTH~IZEO ~LTER~TION OR~DDITION m mis GUARANTEED TO: A~ROV~D SURVEY ~ A VI~ATION ~ECTION 7209 ~ THE HEW YO~K ST&TE [~CATfON LAW CHICAGO TITLE INSURANCE COMPANY NCOPIE$ ~ ~1S $~VE~ NOT ~AR~G THE LAND ~GUARANTEES INDICTED'HEREON ~ALL RUN ~LY m HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT ~E ~ FOR WHOM THE SU~EY IS PREPARED AgO ~ HIS BEHALF ~ THE TITLE C~P~Y~ GOV~N- RIVER~AO, NEW YORK SUBDIVISION MAP FILED IN THE OFFIOE OF THE CLERK OF 5UFFOL K ALDEN W. YOUNG~ PROFESSIONAL ENGINEER COUNTY ON aAN. 24, I.e~ ~ FILE NO. ~240 ANO LAND SURVEYOR N.%S. UCENSE NO. 12845 HOWARO W. YOUNG, LAND SURVEYOR ~ L~T~ ~ ~L(W),~IC TANK(ST)a C[~OL$(~) ~N ~nE~ N.YS. LICENSE N0.45893 ~E ~ FIE~ ~TI~S ~ OR DATA OBTN~D F~ OTHERS B~NDJS & SONS, INC. 1618 I]~37~ I ~ot 9 SUFFO~ COUNTY HEALTH D~F~ ~N~ SURLY FOR DATE J~ ~ C~ H. D. EEF. ~ ',~' l/ ~R~GORY SCHOLAND -- LOT II, "ROSEWOOD ESTATES" SEPT. 7, 1983 The sewa~ disposal and ~ater supply AT MATTITUCK DATE: JAN. II, 1983 factlttfo: for th l~] locatlou have bee~ ~N ~ SOU?HO~D SCALE= 1"=40' inSpec%e,: by th~:~[?rtment.and ~f°un4' suFFOLK. COUNTY, NEW~ ~RK NO. 82-816 SURVEY ~* V ~ATIO~ ~SECTION 7209 ~ THE ~ef of General ~n&t~eerlo~ NEW:YO~K STAT[ E~CATION LAW CHICAGO TITLE INSURANCE COMPA~ acoPIEq ~ m~s s~EY SOT ~aeea TSE Services py ~E '~R~ FOR WHOH~ THE SU~EY IS PREPARED HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT *,o ;~ HIS BEHALF m THE TITLE C~P~Y, GOV~N- HeAREST~ aAIN MI.~ ~SOURCE ~ WAT~R~ ~I~TE~P~IC~ MENTAL AGENCY AND ~ENONG NST TUT ON LISTED · ~EE AK ~ ~(L[l~l WITHIN I00 FEET OF T~S PROPERTY TO A~ITiONAL INSTITUTI~S OR SUBSEQUENT WILL C~F~M ~ THE STAN~I OF THE SU~K CO~TY DEPARTMENT TO EXISTING STRUC~ES ARE F~ A SPECIFIC .L. /[UUIqO IUUI O RIVER~AD. NEW YORK COUNTY ON dAN, LA, 196e A8 FILE No. 5240 :~/ A~D ~ND SURVEYOR N.Y.S. UCENSE NO, 12845 ~ ~/ HQWARD W. YOUNG, LAND SURVEYOR .~L~L(W),~PTICTANK(ST)eCE~OLS(~)~E~ ~ ~) N:Y.S. LICENSE N0,4589~ ~E m~ RE~ ~TI~S ~ OR OATA OITN~ F~ OTHERS 763- 802 9 AM TO 4 PM FOR_TH,~ ~OLLOWING INSPECTIONS: FOUNDATION' - ~WO REQUIRE~ ,'FQR ~O~ED CONCRETE lNG,& PLUMBIN~ ~N , ~ONST~E]CT ON SHALL MEET ~TH[ REOIF~R~AqFNffS OF ~E N. ~. ,' ' ~ATEiCONSTRU~ION & ENERG~ NOT , ~EsPoN~ BLE FOR ~ ~ :: r I Main ' GREENPOWF. N~Y. 1 i944 ~