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Home My WebLink About20361-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20509 Date JANUARY 29, 1992 THIS CERTIFIES that the buildin~ Location of Property 745 WATERSEDGE WAY House No. County Tax Map No. 1000 Section 88 Subdivision ADDITION SQUTEOLD, NEW YORK 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 JANUARY 2, 1992 pursuant to which Building Permit No. 20361-Z dated JANUARY 2, 1992 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 FOUNDATION ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KLAAS HONIG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ding Inspector Rev. 1/81 TOWH 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) No 20~361 Z Permission is hereby granted to: .... ..~.~£......£: ....... .~..~.o...~. ......... ..... ~L ....... ~...q...***.~ ........................................... ~~.~.~......~.~~..~.., ......... ~ .... ~-:~-~ .............. O, premises ,~ated o, ................. ~.~~..~.....~ ........................... ..... ~.....~......~ ....................................................................................................... Court Tax Ma No 100 tion . ~ ~ . ~ p . 0 ~c ........ .3 ........ e~k ..... ~..~ ........ Lot No...~ ............. pu,uant to application dat~ ...~.~....~ ................ , 19.~.~ and appr~ ~ the Building I~pector. Fee ¢ '7 ~. ~ Re~ 6/30/80 Form No. 6 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN flAiL 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 f~om 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. Fees I. 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 ].. Copy of Certificate of Occupancy - $5.00 over 5 ~cara - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $~5.00, Commercial $15.00 Date ......,F~.h..¢.~/f Z Z ~ /f. ~.~. :Jew Construction ...........Old Or Pre-existing Building ................. . Itousc No. ~treet Hamlet / ' ,s~er or O~ners of Property ~ ~' ~05' ..... '~-~ ~& ;uunty Tax Map No 1000, Section ......... Block ............. Lot ...... ~,~. ............. :ubd~vlsion .... ~...~h?. ~. ~/ ~.~.~.~i.. · '' · ...... Filed Nap ..... L ermit No .... ~'~f..Date Of Permit. 0'~7~ ~¢'~2, ealth Dept. Approval ......................... · Underwriters Approval .............. !unning Board Approval .......... equest for: Temporary Certificate ........... Final Certicate ........... Submitted: $ ..................... o..<. . . ..! 7. . . £..lZ. ..g .......... :.. . ,~-?-~ O~ 0 ~ .... ' ~ ..... APPLICANT FOUNDATION (1st) FOU~{DATIOI4 ( 2nd ) 2. ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUT;IOLD, N.Y. 11971 TEL.: 765 1802 Exan,incd ': ,'~0~-,~4~t~..~... l9 .~.~ . kpproved .~~.~.. 19~.%Pcru, itNo Disapproved a c . ~' ' ..... . (B~ng Inspector) APPLICATION FOR BUILDING PERMI' INSTRUCTIONS BOARD OF HE,,%LTII SETS OF PLANS .......... SURVEY ................... CIIECK CALL ......... HAIL TO: BLDG. DEPT. TOWN OF $OUTHOLD a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 ,'ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion. c. Tile work covered by this application may not be Cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector w~ll issued a Building Permit to the applicant. Such permit tall be kept on the premises available for inspection throughout the work. e. No building shall be occunied or used in whole or in part for any purpose whatever until a Certificate of Occupancy :all have been granted by the Bui'Iding Inspector. APPLICATION IS HEREBY MADE to the Buildinz Department for the issuance of a Building Permit pursuant to the ailding Zone Ordinance of the Town of Southold, Surf folk County, New York, and other applicable Laws, Ordinances or ?gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees to comply with all app icable laws. ordinances, buiiding code, housing code, and regulati6ns, and to :mit authorized inspectors on premises and in building for necessary inspecnons/~/ · :..., ....... ............. " , (S.gnature ~'.t, or n:~corporation) ,,,,, , '. , .... · . ' ~Ia,in~ ad,ired ~,i-'~i,i,i~kdn?5' "* ...... ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrici~an, plumber or builder. .... .c~..~y.g ~. ~. ~..¢~. ~nte oro,,,,0r ofprem~ses · .K. fas on t tax roil orq~at~st deed) ............... applicant is a corporation, signature of duly authorized officer. (Name and title of corporate o£fi.&r) ........ Builder's License No ' Plumber's License No ........ ,. ................ Electrician's License No ....................... Other ~,ade's ~icense No ..... t4X.q../~I. .... " Location of land on which proposed work will be done.../4/'.~./.-'.gff~.' .L~. ~..Zv. )~..~.q .~,~ ~/. ~..ff. ~.~. 7Y6- ' ............................ ~P'~'~' ..... ./.14 ~..z..~. llouse Nmn bcr Street Hantlqt Co,,nty r=., .,,,,, No. ,000 Sec,on ...... g,g'. ........ ,Ioc~ . .3' .............. Lot... ;.::Z ........ ..-- Subdi,'i~ion ...'/~.l>.~. 1~,~...W.g&~.'...~.'f.L B.~...#'~ :i~ed ,~ap ~o. (Name) Lot ' 5Iate existing use and occupancy o£premJses and intended use and occupancy of proposed conitruction: t.E ~. Intended use and occupancy 3. Nature of Work (check which[ applicable): New Budding . Repa/r .............. Rqmova . ' ......... \ddition ........... \]teranon , ............. Demohtion ........ I 0 her Work ......... E ti dC '' 4. s mate est .... escn · . . , .... 7aC ..-T 5. Ifdv/ellin- .i (to be paid on filing this application) ,e o, number of dwelh0g units ...... 6.' -garage, number of cars .. 4' · · . ......... Number of dwelling ti,nits on each floor ............... 7. If business, COmmercial or mi,',;ed occupancy s cc £ ~ .' ................... ;,. Du!lensmnsotex~stmgsinctdres f . ~ P yratureandextentofcachtypeofuse t - , any Iront . , ,.,, ........... .... ~aalUII~ msame structure ky tb , * .... : - ..' ...................... ' ' Depth.. , - · -.,~,auons Or aool/lons: Front .............. u ,. ,, i~*j~' '}~' ~prl~e }~e?cdhslta ction. Fro ~t ............. aumbcr of Stories '' ~ '~ =&'*,.,; ........ ~ Nt ..... Rear .. 9. Size of ~ F?ont ~mberofStones ....... . ........ Depth ............ 10. Da · ~ , ~ .' ............. Rear ........................ teq~ chase ~ ........... De>~ ''' 1 I. Zone 4~,I d~strict in wh ch pfc n scs ~ ~ *-' ~ ' J .... Name of Foyer Ow~ er ............... ~ocs p{op~,ep~s~rgct ofi'9~late any zm t o a~v ' ' '. ....... 13. ~dl lo~be r~roded.. ' ' ~a ~ , ordinance or regulatmn .... 14. ' ..... . ' ' '~ .............. ' ........................ N~e df Owner ofprem scs ~ t~ 8~ .v,~ *& · ·. ~Vfll exc~fl!~iLbe removed from nro,~;.~. ~ ' . ' N=, e of Contractor . ~ ~.~ ~Wg.. ~ .e./~.. j ~ Address . ~ ~. ~. ~ho N~e of Architect ......... [ ................. Address ................. hone No ................ 15. *If yes, Southold ~own ~- ~ a ~aaz wetland? *Yes. Is this property within ~300 feet of '- · ne No.. 2~ · .,. ~ PLOT DIAG~M Locate clearly and distinctly ~I~ buildings, xvhether existing or proposed, ~d, indicate fil set-back d~ensions from property Hnes. Give street ~d block ~umber or description accordNg to deed, and show street names and indicate whether inte~or or comer lot. OCC P . CY APF OVED AS ~ ~ FEE: .~~' NOTIFY BUILDING DEPARTMENT AT 765~1802 9 AM ~O 4, PM FOR THE FOR POURED CONCRE [: 2.ROUGH . [BAAING & PLUMBING 3.INSU[ AT'ON gE COMPLETE FO[~ C 0 ALL CONSTRUCTION SHALL ariET OESIGN OR CONSTRLICTiON ERROHS $ATEOF NE~OR~ /// [ . . 5 ............... being duly sworn, deposes and says that he is the applicant .(Nhme of mdwMual s~gning O~e named. . is Ibc ; .... , gent, corporate officer, etc ) .......... q/cation: that all statemeets containedi in this application are true to the best of xt Hi be I~efformed in the manner set forth ~ dm application filed diercwidt, his knowledge and belief; )m to before me riffs and that the ........ '3 ' · .. ~./~V... County · v . ' ¢/ //// Nmaw Pub,o, State of N~,Y~ ~ ~. 1 J//~ ~ / . ...... Commmslon Expires D~mber 8, 1 [~ .......... ' ~ , ~ ~ (~ignaf~f; f applicant)