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Home My WebLink About15781-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-16448 November 30, 1987 No .................. Date ................................ · THIS CERTIFIES that the building CONSTRUCT UNHEATED SUN ROOM & DECK Location of Property 570 Jernick Lane Southold, New York House No. Street Hem/et County Tax Map No. 1000 Section 0 70 .Block 0 3 . .Lot I 9 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated March 17, 1987 15781 Z ....................... . pursuant to which Building Permit No ...................... dated Ma r ¢ h 20, 1987 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 ......... CONSTRUCT UNHEATED SUN ROOM & DECKING AS APPLIED FOR The certificate is issued to HENRY & ANNE WASSMER ..................... ?oYn'oi'rC dl o'X' 'x'X ................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..... N 839086 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/111 TOWH OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N~ 15781 Z Permission is hereby granted to: ....... .............. ....~.~.~......1 ....... .~.~ .................................. ~....~.:~..,...J.L..?...?.J ...... to ~/' ' ~ ~ ......... .;..;..~ ~"~"~ ............... at premises located at ...~../..~.....~.....(:;~.~ ......................................... County Tax Map No, I000 Section ....... ..(~,...'7.,.~, ..... Block ..... .~..:~1~ ....... Lot No....]..~ ............... pursuant to application dated ..... ..~.~.....L..'~ ................ , 19.'~..~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 i, TOWh o ~OU~OLO ~ Instructions ~ ~ ,-<{o ~ This application must be filled in typewriter OR ink, and submitted m ~ 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 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-existing" land uses: 1. Accurate survey of p~operty 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 informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.0,0, Accessory,,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 7ears $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C,O. $ 50.00 Date .......................... NewConstruction Old or Pre-existing Building Vacant Land Location of Property . ,5.7.0 ............ Jer~ick. La ............... SQu~bo/,4 .................. House No, Street Ham/et Owner or Owners of Property ~.e.n.ry & Anne Wassmer County Tax Map No. 1000 Section ..... 20 ........ Block . 3 ............. Lot...~.9, ........... Subdivision..~,a.r.v.e.s.t. }].ozr~e..E,s,ta,ts,s ............ Filed M~p No, ~79 ...... Lot No, .g$ .......... Permit No15,7,8.], ...... Date of Permit .3,/.2,0 ...... Applicant,.. ~99~ .$ ,]~ug~; ................. Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval . y.~.u.1. Dl~rP~ ............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~,, ......... Fee Submitted $..Z5...0.0 ....................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ... ~¢prge. S.. Bauer .................................. Rev. 10-10-78 Co -?- TOWN OF SOUTItOLD OFFICH OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 October 21, 1987 TEL. 765-I 802 Mr. George S. Bauer Box 1084 Southold, New York 11971 Re: Henry & Anne Wassmer To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_.~<? An application for Certificate of Occupancy is not on fi].(~. /2/ 71o Underwriters Certificate on file. /~/ The check is(outdated/n~qp_ot__qlon fi_i~)~, ~T) /~/ l,!o H~?alth Dept. Approval on file. /~/ ~k.~ final inspection has been made. P]e,~:;e conkact ()ur office on this matter. Thank you for your cooperation.: I]ul] .lzng Permit l{ ~__ .~_ ~_ _~ ~_ Z Building Dept. ~**/~/ No Plumbe'r solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [] ROUGH PLBG. FOUNDATION ZND [~~'i~ION [~MING [ ] FINAL REMARKS: ~ ,/ DATE INSPECTOR/~/~ 765-1802 EIUILDING DEPT. ~/~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ~-~I~NDATION ZND ~ ] INSULATION FRAMING FINAL REMARKS: OUNDATIO.U (1st) OUNDATION OUGH FRAME & ?LUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI~JAL - ADDITIONA'L COMMENTS: LOT AREA 22,080 SQ..FT. TAX MAP DISTRICT 1000 SECTION 700 ESLOCK 3 LO T 19 WATER MAIN IN STREET DWELLINGS - PUFSLIC WATER O d (21.7) JERNICK (20.0) N. 65' I[S'O0" E. 130.61 ' [ I sty. fr. 26.8 LANE fd. pipe 0.1'N 12 5o0 24, NOW OR FORMERLY GRiGONIS~he se~n.~,c di.~pof;a[ an4 ..,n,er suppl~ VACANT f~c[l[t,i~ f~' thL5 ~ .... ',.-; ~3ve been [~pcct'"~[ b,r l':t'; d~lw.-V''c:'t and fo~. ~ ~ [ ~, ~t s~wn are no~ ,rantS. to be sari FINAL SURVEY 9- 19- 1983 SEPTIC TANK, CESSPOOL ~ SUFFOLK COUNTY DEPT, OF HEALTH SERVICES ~OR APPROVAL OF CONST. ONLY WAT£1~ SERVICE LOCATIONS I~Y OTHERS THE WATER SUPPLY & SEWAGE NAME DISPOSAL FOR THIS RESIDENCE ~EAD CUSTOM HOMES WILL CONFORM TO THE STAND- ADDRESS DATE H.S. REF. NO. APPROVED BY ARDS OF.~ DEPT. ~ GUARANTEED ONLY TO HENRY E~. ~ ANNE WASSMER USLIFE TITLE INSURANCE C0.~82-52- 40953 N.Y. LIC. NO. 048992 HJ~ROLD F. TRANCHON JR. PENN. LIC. NO. 21115-E PO. ESOX 990 SHELTER ISLAND N.Y TELEPHONE 749- 2333 JOB NO. 83~43 FILE NO. HARVEST HOMES EST SURVEYED FOR HENRY I~ ~. ANNE WASSMER LOT NQ 25 MAP OF HARVEST HOMES ESTATES SITUATED AT SOUTHOLD TOWN OF SOUTHOLD - SUFFOLK COUNTY N Y. SCALE 1'" = 40' DATE 2- 28 - 1983 FILED MAP NO. 6379 DATE 7- 18- 1969 BOOK NO. L L PAGE HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR SUCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD - WADING RIVER NEW YORK 11792 (516) 929-4695 ALT. 473-3626 FORM NO. 1 SURVEY ...... TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SE?TIC FORM ............. TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .%(}Q O-/kc~q...g~..~.., 19~ 7. Permit No.)..~.~.~../.~... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT CALL ................ MAIL TO: TOWN Date . ~r.c.h..i.6./.8y ...... ,19... INSTRUCTIONS a. This application must be completely filled in 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .... qe:qz:ge..S....B.&u.e.r .......................... (Signature of applicant, or name, if a corporation) .... P...Q ..Aax .t0.&4 . .S.o. tkt&o.l.d, iq.e.w..Yr)rk .... 1.1~9.72... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder ............................................................. Name of owner of premises Henry B and Anne Wassmer (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co.orate officer) , ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No.l~97~vU! .................. Plumber's License No ......................... Electrician's License No. P.a.u!..B .u.rn..s ............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done[ .. 217. .Jennick .La...Squ%haLct .Rex .Y.c,r& .............. .... .2.~7 .......................... 4e.r.n.~.qk..~.a. ..................... S.o.u.t.h.o).d..~.e.w..Yp.r.k ............. House Number Street Hamlet County Tax Map No. 1000 Section .... .'7.0 ........... Block . . .43 .............. Lot...}.~. .............. Subdivision...H.a.r¥.e.s.~..Hg.m.e' .E.s.~.at.e.s. ............... Filed Map No..~37.9 ......... Lot . .2.5 ............ (Name) 2. State existing use and occupancy of pre~nises and intended use and occupancy of proposed construction: a. Existing use and occupancy Private Home b. lntended use and occupancy ..... Same...Wilh.Ad4itio~ ........................................... 3. Nature of work (check which applicable): New Building ' Addition 'i' '~; ...... Alteration .......... Repair .............. Removal .............. Demolition ........ Other Work ........ ~ (DeScription) ~9 900 * - Fee 4. Estimated Cost ......... 0 .... or ......................... i. · · .......................... (to b? paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling ugits on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent'of each type of use .................... Front Rear ~ Depth 7 Dimensions of existing structures if any: ' Iteight Number of Stories Dimensions of same structure with alterations or additions: Front ' Rear Depth ...................... Height ...................... Number 9f Stories .................... ~'-8. Dimensions of entire new construction: Front .......... . ..... Rear ....... . ........ Depth ............. . Height ............... Number of Stories ........................... i ........................... 9 Size of lot: Front Rear ~ Depth .................... 10. Date of Purchase ............................. Name of Former Owner ! ........................... 11 Zone or use district in which premises are situated 12 D sp p d ti i I oningl rdi eg lati · oe ro ose construc on v o ate any z aw, o hence or r u on: ................................ 13. Will lot be regraded ............................ Will excess fill be remo')ed from premises: Yes No 14. Name of Owner of premises [Icrtr¥. I~,. ~r~ql. bvr~.~.C, qah~ss .. J. e.a;r~gg .L.a..S.o.u.~hqll~hone No. 7.65..~13.3. ....... Name of Architect ........................... Address .............. ~ ..... Phone No ................ Name of Contractor ........... Address ...: ....... ~ . Phone No. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. PLOW 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 sh )w street names and indicate whether interior or corner lot. See Nap Survey And Plans STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract). above named. He is the ........................................................... ~ ............................. (Con. tractor, agent, corporate officer, et~.)gl~f T of said owner or owners, and is duly authorized to perform or have performed theI said workand to make and file this application; that ail 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... ~f~ . , 19~.~./f Notary Public, ~i 2../.~..~'..~.' .... i.. i ;J~Jt, "'// .~ iD - lit'tEll & ~ ~ (Signature of ap~J~in~