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Home My WebLink About22274-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23428 Date DECEMBER 29, 1994 THIS CERTIFIES that the building ADDITION Location of Property 3340 HAYWATERS ROAD CUTCHOGUE NY House No. - Street Hamlet County Tax Map No. 1000 Section 111 Block 11 Lot 11.1 Subdivision Filed Map No. ' Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1, 1994 pursuant to which Building Permit No. 22274-Z dated AUGUST 22, 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 DECK ADDITION WITH ARBOR TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD & MARGARET KREBS (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uil ing Inspector 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) Date AUGUST 22 T 19 N® 22274 Z Permission Is hereby granted to: EDWARD P. KREBS 3340 HAYWATERS RD - P.O. BOK 195 CUTCHOGUE, N.Y. 11935 . WITH ARBOR TO E RISTING ONE FAMILY DWELLING .STRUCT..A.. DECK... . ADDITION...... CON.... . . . to . AS APPLIED FOR. . EDWAR.D 6. M~T.. R-,. RRE,BS at premises located at............ 340...RAXWATERS.. ROAD,,,,,,,,,,,,,,,,,,,,,,,,,,, CUTCHOGUE~.. N.Y. County Tax Map No. 1000 Section ...........M Block Lot No. ...11.1,,.,,,,,,,,,, pursuant to application dated AUGUST.,, 1,T 19..94........., and approved by the Building Inspector. d Fee 5.7.-A..... 74 r...~.T k !.°X Building Inspector Rev. 6/30/80 Form No. 6 "a:F TOWN OF SOUTHOLD I f BUILDING DEPARTMENT TOWN HALL765-1802TOWN OF SOIfTyOLD ~G~-L APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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 Building - $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 ......F//mss. New Construction........... Old Or Pre-existing Building...'! Location of Property... f~ 1~ E.~? 5.~ L.V TC H°.c- m House No. Street Hamlet Onwer or Owners of Property...... ~ Wf4 R17 ~ ale G ~ ~C7 K i(E f,~S County Tax Map No 1000, Section........... Block Lot..... u.'.4 Subdivision.....Filed Map... $06..... Lot...y/. ` Permit No.. Z~ ? ..Date Of Permit. Avc 2 2t. ~fft (App1icant..~~ ~ .~C ~rJ S Health Dept. Approval .................Underwriters Approval Planning Board Approval Request for: Temporary Certificate........... Final Certicate..:/...... Fee Submitted: plc ~lg9SO f?.l •~%tT` ~c~3`fV O APPLICANT FFO('t~oGy o ~ Town Hall, 53095 Main Road y Z Fax (516) 765-1823 P. O. Box 1179 W- • Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 21, 1994 Mr. Edward P. Krebs P.O. Box 195 Cutchogue, NY 11935 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) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22274-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. _ LO 1:;S: cG:_~~? L) A': UcKMENT3 91 ~ H ~ FOUNDATION OUNDATIOM w (2nd) m 2. z ~ o W ROUGH FRAME & Q) PLUMBING ti 3. y x m INSULATION PER N. Y. y STATE ENERGY CODE x a 4. fJ * y FINAL ADDITIONAL COMMENTS: m x 'R M N 9 ~ N y :Z. H O • x M a ~ b c*1 H a jol M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION FRAMING [ FINAL [J REMARKS: / C DATE 6~ /T)~~,NSPECTOR 113 rr C, o°. 4 1- awe NJ~ 00' - 21 ~7 t I T G V j -1 J ~ I _ Y{~ o> A J o- I~ J^I 1, A _ F~ p ~ D i ~ ~ II ~ 1 2Y. Edp~ ~ ~ - I ~ i DgCK ~ f ~'t (VV~11 I I _ ~ I Q '.COI h I ~ J 3 : i ~ ~ yse i TI ~ ~Ir71, :p. m Iwi I ~ %~i Z ~ ~ r CG O al0 ! NM01 AF v Y Y oL 6z j 3 We C° VU or mlr:i I b~ A -h ro -r, \~~9 f ~,yp Z INp `'",'I,Y? IV' U: C', fr•; elf 1/~ y r 'f- L 17, p nay: ~/.CJ Ir`-° N .U O D- 1-47 ca E r i m -t £ D D O m K 2 y m N ~ 0 [I m 0 I!' m ~ C ~ N~ Z ]I T CT 01 i fr` ( 1 A yr pAm ^ OmF 'Dp 6 c~; ~LCC r ~m v Gm A-r r A3a J` T{ D i ~ I r-~ iO m~ C O 7t D 7t Z m -i O p IU D 3 7 j< r o~ x o z n m v n m m r If'I¢p, n O ti~ n rr- - l7' IOIX~ ~n0 2 C: ppoC-Di O O n Z O Z i v= r$ 3 S m .1; f.. D U K A p 0 i In Z "i y v. l" ..C O O D -9i >m z JO to O O O 'A O O y AOD m ~ D - - 3 iN pm 472 tits' M 9 ` ~x/r r 9" Z G 0 7 m -i pm p - 7Rz D CD " Y< r i m r y' Imam I'll oNglimi-p n ' BOARD OF HEALTH _ 97 FORM NO.1 3 SETS OF PLANS 6m TOWN OFSOUTHOLD SURVEY 6 ~qc) BUILDING DEPARTMENT CHECK . . . . - ' . , . TOWN HALL SEPTIC FORA SOUTHOLD, N.Y. 11971 TEL.: 765-1802 r:o^zFY; 73Y_ qO 5Z Examined . 29 G' 19MAIL TO: i' o. Sax rqs Approved ...~7!t0 Ak/Permit No............ Disapproved a/c (Building In ctor) APPLICATION FOR BUILDING PERMIT Date......2 19ff. 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 stieets 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. (Signature of applicant, or name, if a corporation) (Mailing addres of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 10 t . !'fie Q i . (as on the ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No......... N1.+~ Plumber's License No. . Electrician's License No. Other Trade's License No. N`/9 • • • • 1, Location of land on which proposed work will be done. . E House Number Street Hamlet County Tax Map No. 1000 Section Block I Lot ...R,J............ Subdivision , A . /.4-rrt. Filed Map No. I Lot 4(.1 .v a.J!t ~ k,,C.(Nanle) ; State existing use and bccupancy of premises and untended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ' 3. Nature of work check which) Y r Work . e applicable): New Building Addition Other { Repair R~noval Demolition . 4. Estimated Cost 6Se0 (Description) Fee 5. If dwelling (to be paid on filing this application) If number of dwelling units If garage, number of cars Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each t p - • . 7. Dimensions of existing structuires, if any: Front , , Rear °e ..use h . Height ? Z . , , • , , . Number of Stories l .t~7...... , • . Depth .....6....... . Dimensions of same structure with alterations or additions: Front ' ' ' ' . ' • ' Depth i N/11...... Rear Height . . Number of Stories . 8. Dimensions of entire new construction: Front . ' ' ' ' ' ' ' ' ' ' • • • • • Height ........Nu .....!V`f.Y....: Rear Depth jnb7r of Stories . 9. Size of lot: Front if 7.... Rear °(Q. ` . Depth . .$..q.......................... . 10. Date of Purchase i ~ Depth ""••••••••••••••••..•.....Name ofFormer Owner pb 11. Zone or use district in which premises are situated ' ' ' ' ' • • • Does proposed construction violate any zoning law, ordinance or regulation: y . • . 13. Will lot be regraded o ° • • • • • • • • . N • • • • • • • • • Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~ M G. A-? ; 4,00.41n., Address . Name of Architect • • • • • • • • • • • • • Phone No.......... . • • • • • • • • • .Address . .Phone No.. Name of Contractor . Address . • • • ' ' ' ' ' . ' ' 15. Is this property within 1,300 feet of a tidal wetland? *yeS.. " " Phone No *If yes, Southold Town Trustees Permit may be required. No.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. PreeP~RTY LlNC' ~XiST'',,ING ;ta'evc, PEa t<stD IJECk ~9DDlfi~rJ Iq'6 k !L`S ~ I R7 L4 NovS~ r ~ I I 11 iTATE OF NEW YORK S;I :OUNTYOF.. ~UFfoL, 'S W (Name of individual sig ..kt R ~ S ' ' • • • being duly sworn, deposes and says that he is the applicant bove named. $ contract) fe is the 0(4N.E............ (Contractor, agent, corporate officer, etc f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the m er set forth in the application filed therewith. vom to before me this ay o 19 QS~ )tary Public, Sv~ County NOT~Y~ PU Stafe JRof NY No. 472 5utfolk(Signature of applicant) ~aY 31,19 o- ~ I ff f t J. , \ {{t f - L i I ~~I t 1~ 1 ~ 14 OCi C- ~Vt-~QR y ~1° .rt ` O<iJG I : F~,p 04 17 ~S V4QTEflF ii 6-y "0lfl P THE?N 2 7~ -7 V ' r ;a~ OF ~ x~ ,eassrQ ~ • A Ez. ~,1,,. _ try Z5-~RW' N07"! YRE.IVLDlNG iD, °ARTI T ` 16S-1802 SJ AM T64 RN' FOR THE R O LO MNG INSRFCT00ir7S 7 FOi. NOATYiJN" fWt;i REd}i BRED ' l?'.fi X"J I f i r u. OR POURED ['OIYI:RETE M- C d + - 3 } JGH - R NIING M PLUTAMNS j + t d,1NSTFf.U(MON MUST BF COMPLETE FOR G O y ALL CONSTRUCTION SHALL YaIEEi i Y REQUIREMENTS OF THE M .Y d,ONSTRUCTION $ ENERGY 1-57E a>0 [^~^1 T'fiS ~~"F'~'t~1P1QT sR QNSIRLE FOR OR ;'01.'F llCTION ERRORS as . - I' a.-~rt~, Pours s'•~"B~-caW ~ ~ t Mc- rr OW w II A -f XrS'~JtiS kr:5 ~d~ R~ 1N1N.a IN 'S 1 r of r. ~,'r'~l~t~3'TICl7. OR l(s k-R,4o,5 , f - - !-A7J7RC' U-I tbl TOW) 3SIDE mo 11 11 j ~5~. r b.-, l$ - A. K. GALE