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Home My WebLink About22245-zFOPS4 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z-23270 Date OCTOBER 7, 1994 THIS CERTIFIES that the building ADDITION Location of Property. 1000 $O~ B~A~ DRIV~ House No. Street County Tax Map No. 1000 Section 99 Block 1 Subdivision Filed Map No. Hamlet Lot 5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~LY 19, 1994 pursuant to which Building Permit No. 22245-Z dated AUGUST 9, 1994 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 PATIO ROOF (:OVER TO AN EXISTING ONE FAMILY DWELLING A~ A~PLIED FOR. The certificate is issued to DONALD G. WITBCHI~m~N of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/~ /~ ~ding InspeCtor Rev. 1/81 FOgM TOWN OF $OUTHOLD BUILDING DEP~TMENT TOWN HALL $OUTHOLD, N,Y. BUILDING PEI~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ,~ ~4~z ~'~ ...... ~~:'"~ ........................ ~"~ Permission Is hereby granted tg~ ........ ~ . . ....... ~~......~ ...... ~.~..,~ ...... ~~...E.~..~: ................ ......... r~ ......... ~..r.c....~.~...~ ............. ~ ........ ~.~¢...~.~.~ ........ .~,.~..., ............... ....................................................... ~.~..~.,.L,~.~,,C,,, ,/< .............. &~,~ .......................... CounlyTax Map No. 1000 Section ........ ..~....~'.. ....... Block .......... .~.. ............ LotNo. ~ pu;suant to application dated ............... .,.~.....~i?...~. ....... ~i.?...., 19....~....~.. ..... Building Inspector. Fee $......'~...~.., .......... Rev, 6/30/80 and approved by the Building Inspector ': '"-~ [rF'' II ,-r Form No. 6 TOWN OF SOUTHOLD 0g, Y - 6 BUiLD,NC DEP r r. TOWN HALL .....~ ~ 765-1802 EcDG. D~PI. TOW~ OF SOUTHO[.~_~ ~PLICATION 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,, L - ~--f°rm)" 3. Approval of electrical installation from Board of Fire Underwri~ers.o~l~¢~7~3 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 "pre-existing" land uses: 1. Accurate survey of property showing ali 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. B. ................ New Construction... ....... Old Or Pre-existing Building ................. Location of Property.. ~.P.~...~ ~[.~. ~... ~ ~J~ ~.~...~ g[~.~. ..... ~ ~T. ~.~. ~.~ ............ House No. Street Hamlet Onwer or Owners of Property.. .~. ~ ~t~J~.. . ~-~. .I~P(~ ~.. .~ 8.~.~?. .................. .. ... . .. County Tax blap No 1000, Section..?.? ........ Block...~ . . .Lot...~. ...... Subdivision ................................. .. . Filed Map ..... . ......Lot .................. . Health Dept. Approval .................. Underwriters Approval ............. Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate....~...... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 23, 1994 Mr. Donald B. Witschieben 1000 Sound Beach Drive Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22245-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 7, "'~_- ]UIIDATION · ( 1 s t_~) ~UI,IDATIOI! (2nd) · ' · '".'.";i:.'.. UGH FRAHE & .. COM~I~UTS · ' " SULATION PER'~. STATE ENERGY .' CODE c~ 765J.802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION· FRAMING [ ~I~NAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;~ND [ ]~TION FRAMING [~'FINAL DATE ~/~/~$ INSPECTOR __~~~ 76S-~.802 UILDING DEPT. ..N. PECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ]/~DATION ZND [ ] INSULATION [/,,,']~ FRAMING [ ] FINAL REMARKS: ~ SUI~VE¥ FOR ~';[~¢~ , FILED: ,tA~, 19~19,49 'M~P NO, I~ ~her Trode's c~cen~ ~ ........... ., . ..... ~*~ N~.; ~ ...... ~.~.:4 ....................... ' on which proposed wor~ . ' ,,' ........ ~_. -~, =.~slti,; use ~,u ~c~,cy ......... b.tntended use ~na cccu~ncy ............. ~/.~ ~/A.~ ..................................................... ~11111 ,: t 9 199~, ~I' i BUILDING DEPARTMENT i'"'~J , l"-" · TOWN HALL I{ I , II ' SOUTHOLD, N,Y, 11971 ' BLDG. EPT, :I t TOWN~F ~OLD-.~.L ~' TEL.. 765'180;3 - Approved .... ~/./. ...... , 19C/. Permit No ~.~...~ . . . / DisapprovedI a/~ ................................ 2 .... ' ...... . · . ~,,....~<~ i ~Inspector) APPLI~/TION FOR BUILDING PERMIT INSTRUCTIONS ~ a. Tkis 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 stkeets 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 Certificat~ of Occupancy shall have been granted by the ~B.uilding 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 South01d, 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. . , . -- '~ q,t~ ..... -~ 7 (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. .... ~...w.~.4 ,.~ ......... b ~',9~ L't;' '~': 'ye ','Ts' e; ~/? ~-t~',-~¥ ' ' ~ fir Off' 'q ti'*? t~'/'?'/t~ b" '- .... ' ....... Nane of owner of premises ~.,..~/q3.' t? /',[ .tS.g,...V/.g~$.l~. K~t. re~: ...'Tfi'//.~.7.'. ........... ~ ..................... (as on the tax roll or latest deed) If ai~plicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's LicenseNo ......................... Electrician s Lxcense No ....................... Other Trade s Lmense No ...................... Location of land on whic roposed work will be done .............. .. ~.....,., .... : ...... ~, .................. .i ..... (,. . . .re. tL . House Number Street Hamlet Connty Tax Map Nmi 000 Section . .~:~'.g .......... Block .l ' Lot..~. ............... Subdivision...;. , .......... .., .................... '. Filed Map No ............... Lot ~.;,. . .(Name) State existing.use' and occu'paney of premises and intended use and occupancy of p'roPosed construc~iog: a, Existing use and occupanqy.. ~..~..:5'. }. 0 ~ .~. ~..~..'..'...~'..~. ~.../~..~...~../.~..Y. 7 ........................ '" P~T/O ' b l~tendea use and occu3ancy · 3,Nature of work (check which applicable): New Building .......... Addition . .' ~.. ,~PY.}.qAlteration . ' Rep*ir .............. Removal .............. Demolition .... ; ......... Other Work .............. . ,~ (Description) 4. Estimated Cost .................................... Fee 7) ' (to be paid on filing thiaapplication) 5. If dwelling, number of dwelling units ...... /. ........ 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 .~.~.~. ?.~?.1.. ?fl.~..8 Rear .............. Depth ............... Height ............... Num bet of Stories ...0 P{~ ................................................. Dimensions of s~me structurz with alterations or additions: Front ................. Rear .................. Depth .O.h'A, .F. ,~.~.. ,~..k~ I~/... Height ........... ' ........... Number of Stories . P.¥~ ...... : .......... 8. Dimensions of entire new construction: Front .../.~1.1. ....... Rear .~.~j~.T.{K .6,.../.~! Depth ...I.'~.f,~,.8 ...... Height .... 8./. ........ Number of Stories .... .t:?./y/.~ ............................... ; ............... 9. Size of lot: Front .... ].~.~. ! ......... :.. Rear ...... [~..~..~ .......... Depth .~.~1...~.~..1~..~ ......... 10. Date of Purchase . ..,f~ .~.'~. i...t.~. 7~ ........... Name of Former Owner ~..Pti. (~....~.~..~.~b( ............ 11. Zone or use district in which premises are situated .O..~.~...~.~..;/.J. 4 ~.. ~.~SJt~.. .... ~-./-*~,..~ - P~ ................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . ./~ ............... ~ ............ 13. Will lot be regraded ....... ;/~0 ................. Will excess fill be removed from premises:t~t~Yes N~ Name of Architect .................... ~ ?.~.'.-} Address ................... Phone No ............. Name of Contractor .......................... Address ................... Phony ~o ................ · I.s this property within 300 feet of a tidal wetland? *Yes ........ No....w' ..... . · If yes, Southold Town Trustees Permit may be required. PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from properly lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 15. APP, m)I/ED Al N01~ ,- DAre e.P. # NOTIFY RUILDING DEPA,R'.~MENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 ~:OLINDAT{O6.' 1X~O R[~O[IIRED FATE OF NEW YORK, S.S ~UNTY OF ................. ~ 07].t9.1, ~...1~,....'¥/. I'J'.~'. t~ (4. ~.T .~.~ being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) .ye named. . o - is the ........~.- ~ ....... ~. .... ~. -, (Contractor, agent, corporate officer, etc.) said owner or owners. ~d is duly anthohzed to perfom or have perfomed the said work and to m~e ~d file this lication; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the 'k will be perfo~ed in the m~ner se~ forth ~ the application filed therewith· m to before me this ~ANL~S~ESKI ~ . N~aw Publi~ S~ ~ New ........... ....... y. -z .................... · (Signature of applic~t)