Loading...
HomeMy WebLinkAbout22323-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Euilding Inspector Town Hall Southold, N.Y. ~RTIFICATE OF OCCUPANCY No E-23327 Date NO~MBER 3, 1994 THIS CERTIFIES that the building Location of Property 745 WATERSEDGE WAY House No. County Tax Map No. 1000 Section 88 Subdivision ADDITION SOUTHOLD, NY Street Hamlet Block 5 Lot 62 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 24, 1994 _pursuant to which Building Permit No. 22323-Z dated SEPTEMBER 13, 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 FOR A FIREPLACE ADDITION TO AN EXISTING OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RUTH & KLAAS HONIG (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector~ FORM NO.3 Town OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUI'HOLD, N.Y. 22323 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Rev. 6/30/80 pursuant to application dated .............. ~......~.... ,~.. .............19..~....~'... ..... and approved bythe Building Inspector. Fee $ ................. 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 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 "pre-existing" land uses: i. 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, klterations 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-existin~ 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 New Construction ........... Old Or Pre-existing Building...&'Y~. ............ Location of Property..~. ~/~. ............................. House No. Street Hamlet Onwer or Owaers of Pro ert £Ur County Tax M~ap No I000, Section.. ~..~. ....... Bloc ..... ~.~. ~..~ .... . k.. . Y ....... Lot ............ Subdivision .................................... Filed Map ......... . .. Lot ...................... Permit No..~..~.~..~.~. ....... Date Of Permit..~.~/~.~. ...... Applicanto ~.~..7~.. Health Dept. Approval .......................... Underwriters Approval ......................... P1 ' App annmng Board royal ........................ Request for: Temporary Certificate ........... Final Certicate..../.. ..... Fee Submitted: $ ............................. ............. .................... 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 October 27, 1994 Mr. Chester Berry Jr. 3460 Westphalia Road Mattituck, NY 11952 Re: Ruth & Klaas Honig Prem: 745 Watersedge Way, $outhold 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 # 22323-Z Please contact our office on this matter. cooperation. Thank you~for $OUTHOLD TOWN BUILDING DEPT. ;ULATION PER'~. Y. STATE ENERGY .... CODE 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE ~/~///~/g~ INSPE~~ Property 745 Watersedge Way Southold NY 11971-4322 Tax Map no 473889 88.-5-62 Acres o. 49 School district 473805 Property Class 2J--Single Yamily Residence O) wners K, 1~. &R. N, HONIG 516 765 2961 AUG 2. z~ 199a FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL SOUTflOLD, N,Y. 11971 .7Z~./.~,~ .~...~ TEL.: 765-1802 Exanffncd .. ..., 19 Disapproved'a/c . . ' ~ ' ', .... .......... ~ ~ ~ / / . (Building Inspector) ~O~[~J; "~ ' .' INSTRUCTIONg BOARD OF IIEALTtl 3 SETS OF' PLA;.IS ....... SURVEY CIlECK .............. SEPTIC I~OR:I '' CALL o .... TO: Other Tradc's License No. ' ....... 1. Location ofland ' ' . ~ T~g~ ala~taa~ ~ ~ .~ ~/ on which proposed work will be done. .... .......... , .......... ...... llouseNumber . Street '''~'' Hamlet ........... 7''7 ..... ~ CounW Tax Map No. 1000 Section ~. Block : Subdivision ........ . ................... ' Filed Map No. . · Lot (Name} ........................... 2. State existing use and occupancy of premises'and intende~ usc and occupancy of proposed ~onstruction' b IntOned Use and occu anc ' P Y ........ Plumber's License No ...... ' .... Electrician's License No ....................... a. 'Tiffs apl;lication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Hot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'ee or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app. cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such perm 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 Occupanc shall have been granted ~y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of South01d, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations. for the construction of.buildings, additions or alterations, or for removal or demolition, as herein describec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t, admit author/zed inspectors on premises and in building for necessaT~s..., . . (Mailing address of applicant) State whether applicant is owner, lessee, a~ent, architect, engineer, generaJ 'contractor, electrician, plumber or bu}lder. If applicant isa corporation, si°nature ofdu y authorized officer Z .~/'/( ~;/B.R # ~,'" ; tr,/ame and ',,le of cgrporate officer) ~L~8~Ov~ ".AM TO 4(.1~ FOR 5~ Budder s Lmense No .... " ' " · ' ' · ........... ' ..... 1. ~:O U N ~)NA'GBIoN~ Pl~ CTIO-IORNNo~ ~ EQUiR ED Repair .. . r v ,mm): l'~ew umming ..... \ddition Altera~ ~.. ~... .. ~) ' · (D~scri~tion) 4. Estimated Cost ..... ~.:... , ................. Fee .................................... 5. If dwelling, number ofdwellin& .,;,~ (to be paid on filing this application) If ~ ..... Number of dwellifig un,ts on each floor. . garage, number of cars .. i ............... ' .. [f business comm.r. . .... ~ ~ 7. ~m~ensmns ot ex~stmg structures if f ~ occupancy; spec fy nature and extent o use ..........f .......... Height . t xr i ;' _~. _~ ........ r .......... Rear ...... De-th ........... l~ll~ OdF Of Storms ......... v .............. Dimensions of shine structure ~ id~ alterations or additions: Front ............. Rear .......... Depth ....................... Height ........... . ........ : · · Number of Stories ........ ' ". ' ~ ..... 8. Dimensions ofentire new const,mction: Front ': ~ ...... Rear .............. Depth ........ . ..... Height ............... Number of.Stories, ~,, ',, · .......... 9. Size of lot: Front '",~...:, ....... Reh ' ' ................... , .... 10. Date of Purchase ......... Depth .................... Zo ..... ' ........ ... .................. ow= .. :. 12. Does proposed construction vie ate any zoning law, ordina ce or regulation: ... ' '. ' ... '.. 13. Will lot be regraded ....... :~ ........... . . . . . 14. N~e of Owner of premises . ~ ........ Will excess fill be removed from premises: Yes Nc N~e of Architect .. ' '~ ........ , ........ Address ... Phone No .... ........ : ................. Address ................... Phone No ............ ' ' ' ' N~e of Contractor ......... i ..... Address .... Phone No ........ . 300 ............. ... 15.' la this p~oper~y wfehin ~eee of a ZidaZ weCZand% ' *Yes ....... No ...... ~Z~ yes, SouehoZd own Truse'ees Permit may he ~equired. i PLOT DIAG~ Locate dearly ~d distinctly ~libuild~gs, ~heth~r existing or proposed, ~d, indicate fll set-back d~ensions from prope~y Hnes. Give street ~d block humber or description accord~g to deed, and show street nines and indicate whether corner lot. interior or ;TATE OF NEX, V~-'~I~,// // i .(Name 0findividuaI signingicofi~rCact) ........ }ore named. , , being duly sworn, deposes and says that he is the applicant ... County ~ ELIZABET ' -- .... · · , H AN~ NEVILLE ........ .mt~? Pubhc,fi,tat~ .of !.~o_w Yor~: . ~lo, a2-8125850, Suffolk Cou)~,/ e is the . .'~ .......... ontractor, agent, corporate officer, etc.) ....... Said Owner or owners, and is duly aOtborized to perform or bare performed the said work and to make and file this plication; that all statements containe'd in this application are true to the best of his knowledge and belief; and that the >rk will be performed in the manner set forth in the application filed t mrewith .'om to before me this i '