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Home My WebLink About24943-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Euildin~ Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25846 Date: 07/24/98 THIS CERTIFIES that the building ~LTERAT/ON Location of Property: 1060 ROSEWOOD DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 113 Block 2 Lot 22 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 1998 pursuant to which Building Permit No. 24943-Z dated JUNE 8, 1998 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 ALTERATION TO AN EXISTING SECOND FLOOR OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & PATRICIA STRZEPEK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 491730 09/03/80 PLUMBERS CERTIFICATION DATED 05/28/98 RICHARD 8TRZEPEK Buildin~ctor f Rev. 1/81 FORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25845 Date: 07/24/98 THIS CERTIFIES that the building ADDITION Location of Property: 1060 ROSEWOOD DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 113 Block 2 subdivision Filed Map No. __ Lot 22 Lot No. MATTITUCK (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 27, 1998 pursuant to which Building Permit No. 24943-Z dated JUNE 8, 1998 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 REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & PATRICIA STRZEPEK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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) PERMIT NO. 24943 Z Date JUNE 8~ 1998 Permission is hereby granted to: RICHARD E & WF STRZEPEK PO BOX 1073 MATTITUCK~NY 11952 for : ALTERATION TO EXISTING 2ND FLOOR & CONSTRUCTION OF DECK ADDITION AS'APPLIED FOR. at premises located at 1060 County Tax Map No. 473889 Section 113 pursuant to application dated MAY Building Inspector. ROSEWOOD DR MATTITUCK Block 0002 Lot No. 022 27 1998 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD 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. 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 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing ail 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 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-existinK Buildin~ - $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 Date ...... .~./~. './.~f ...................... II New Construction ........... Old Or Pre-existing Building. ......../ " ' Location of Property ..... /.~.~.~. .......... .% k..~-~..,~/~,_.· · ~..~ . .~...~.~ .... Onwer or Owners of Property ..... ' ,~...~?~....~. .... ' ................... ; ......... County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision . . Filed Map Lot Permit No.~..~.~.~. P ...... Date Of Permit ................ Applicant ............................. Health Dept. Approval ........................ .. Unde~riters Approval ......................... Planning Board Approval .................. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: Form No. 6 TOWN OF SOUTHOLD 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. 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 form). 3. Approva% 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 i% 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 · 1. 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-existing Buildinm - $i00.00 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 Date .......... .................. New Construction ....... Old Or Pre-existingJ~uilding ................. /~ House No. Street , Hamlet Onwer or Owners of Property ............. County 000, Section...l/>. ....... loc .. Subdivision .................................... Filed Map ........ .... Lot ...................... Permit No.~.~.~.~.~. ..... Date Of Permit ................ Applicant .......................... .. . Health Dept. Approval .......................... Underwriters Approval .................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ~k~/,~,// 5¥8 ....... Town Hatl, 53095 Main Road P.O. Box ~179 Southold, New York 11971 Fax (516) 765-1823 Telephone (556) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. (please print) / (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. day of , 197~ EUZABETH A ~'TATHI$ NOTARY PUBUC. ~ate of New Yod; Term Expires June 8. ~ BUILDING DEP~RT/~ENT ~' TOWN GLERK'S'OFFICE ' ,, SOUTHOLD, N~ y. BUILDING PERMIT i , (THIS PERMIT MUST BE 'KEPT ON'.THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTFIORIZED) No. 10z155 Z Permission is hereby granted to: Duilding Inspector. ' nspector* ' FIELD COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME& PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL C0MMENT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~INAL [ ] FIREPLACE & CHIMNEY ~ 76.~-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~ILATION []FRAMING [ ~FINA~.~ [ ] FIREPLACE & CHIMNEY DATE-~//~~ INSPECTOR FORN NO. TOWN OF $OUTIIOLD gUII.DING DIT P AR'IltBNT TOWN IIALL 80UTIIOI,O, N.Y. 1197 I TEL: 765-1802 APPLICATION FOR BUILI)INO PIll(HIT ITIS'I'RTICTI ONS ~']'tl ............... -,/'~TS OF PLANS ............... ~,,~v~uNv~¥ ......... -/CIIIICK ......................... l~'c I~()I~ ................... NOTIFY ~ HAll, TO: .................... a. 'll~is applicatioo'nust be conpletely [iiled in 1)y L~rlter or in I~ and md~ltt~ to fl~ ~dlding Tns~ctor ~i 3 ~ts of pl~, at.rate plot plan to ~ale. F~ ac~i~ to ~lle. b. PIo~ pl~ ~i~ l~ti~ of lot ~ of ~{ldi~s ~ ~i~s, ~laCJ~tip Co ~jo~ni~ ~i~s or ~a)lic str~ts or areas, a~ 8tvt~ a ~ta[l~ ~:ripti~ of laya~t of pro~rty mint ~ dr~ ~ tim dta~an d~td~ Is ~rt of this a~)l icati~. c. '~e ~ ~r~ I~ fids awlicati~ my ~ot be c~l ~fore issue of ~ildi~ Pemit. d. U~ a~al of fids a~],icati~, tie ]~ildi~ lns~ctor ~ill is~ a ~lldi~ ~mit to the appllc~t. ~mlt gmll ~,~p~ ~ fl~ ~s ~ail~le for ins~tt~ theft tl~ ~rk. e. ~ ~ildi~ ~mll ~ ~i~l or ~ in d~le or in ~rt for ~ ~ ~at~er ~til a ~rtiflcate of ~n.l~'rI~ lS IE~ ~ to tbe l~tldi~ ~rt~nt for tl~ issue of a ~ildi~ ~mit ~r~t I~ildi~ ~ ~i~ oi ~ ~ of ~ltbeld, ~ffolk ~n~, ~ York, ~ oOer a~li~le l~a, ~db~ea or ~lati~s, for tbe ~st~ti~ oi h~ildi~s, ~iti~s or alterati~s, or for ~al or ~litl~, as ~in ~ril~. ~ appli~C ~s to ~ly wi~ all a~licable l~s, ordinals, ~{ldl~ ~, ~i~ c~, and " ~ 't~(Sig~ture o (~ili~ ~aa o[ a~llc' "ant) / . 5CaCe d~Oer a~licanC ts ~r, lee~, ~ent, archit~t, engi~r,'geseral c~tr~tor, electrician, plier or .... ............................. ............... ............................. (as ~ tie tax roll or latest d~) . 1~ aH)titan: is a co.ratio, si~e of duly mid~)rlv~l oE~icer. co;;;rati okteeO .............. l~dldera License No .......................... Plumbers License No .......................... ~, ,.. Electricians l,lcerme No ...................... Ocl~r Trade'a License No ........... ..,,...... Ilc~se Nunber Street ilam~et 2. State existing use and occupancy of pr~ntses a~d tnten~] ,use and ~c~q)ancy o[ proposed conatn~ct~o~. b. Interv3ed nse and occupancy ...' ................................................................... 3. F~tm'e iff ~rork (cl~ck ~liidl applicable)~ ~ l~iiding ........... ~ici~ ,,,~,.'. Al~eratio~ ......... :..~ , (~ripti~O .... 4, Ea~i,atml ~at ............. ~ .............................................. (to ~ i~id ~n, filing this nl~lica~i~) If garage, ~at~Imr ot cara ...................................... 6. 1~ Inml~maa, ~rclal or ml~f~mqm~, a~cl~ ~l.ure m~ ~teat of ead~ ty~ o~ u~ ...................... 7. I)h,~a~al~a o~ ~lating strictures, if any: .... I)it~aal~m of ~m stn~re ~lth al~eratt~me or ~Jtiona: Fret .... ~.~ ..... ~ar . ~ ~ ........ I)l.enai~m of entire ~ Ihi~ ...... ~. .................. ~d~r of Stories ....... ~ ............ II. ~ or u~ district in Mddl pml~ a~ ~t~t~ .............................................................. , 12. ~s propel mmt~ti~ 13. ~lll lot I~ r~r~ ~ ...... · ,,, o~ ~,~,~ ....... '.~ ...... L..' ........ ~,~,,, ................. ~ ~' . '. ....... 15. 18 thl~ p~rty ~lthln PI,OT t)I AC~U. At, I Ix~cata clearly and distinctly all ~ildl~s, d~tlmr ~d~tlmr JaterJor or co~r loc. ,~IWlI'~ (X: I'l~ YORK, (X~INIY (Jl~ ....................... " , . ........... '..* .... ~ .............. I~,,,~ duly ~,r,~, delx)~s atxl ~y~ that he ia the appl. Jc~,nL (~ of i~xllvtd~l ~lgning c~ract) ,~ ~, ~,,~ .... ~~ ............................................................................. (C~ltractor, aget~t ~ cora)rate officer, etc.) o~ aai(I c~r or ~ra~ tlfgl J~ (~l[y ~tl~rJ~ to al~l {caCi(m; tim{: ~tt[ state.rte ccm~a[~ in this alq)l,~ca~hm are tn~ Lo the I~ o~ l)[a k=~l~ge a~ I~LJef~ tl~l that th~ ~rk will I~ ~rion~l tu the n~m[er ~C forth in the application fil~ tler~LU~. ~)rn to I~fore .e title N~aW Publl~, State of NewYo~ No. 49~2246, Suffolk Term Expir~ June 12, bot ~0 ~ L.Ot TITLE i THE LOCATION OF WELLS AND .CESSPOOLS SHOWN HEREON ARE FROM FIELD APPLICANT: - ADDRESS TEL NO rE: SUSDIVI$10N M4P F/LEO IN r~E O~CE ~ THE CLE~ OFS~K ~N~ ON JAN. ~ I~ A$ ~IL~ ~. ffg~O W4rER SERVICE · PRIVA~ W~LL N,~6~ $15. DF?/VE " REVISIONS MAR ~8,19,Z7 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR SURVEY FOR~ R/CHARD. STRZEPEK L~ PATRICIA STRZEPEK LOT NO. 18 " ROSEWOOD ESTATES AT MA TTI TUCK TOWN Of S O U THOLD SUFFOLK CO., N.Y. SCALE: I" = 40' [ DATE: ,1 o