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Home My WebLink About20989-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAi{TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21061 Date SEPTEMBER 30, 1992 THIS CERTIFIES that the building Location of Property 600 RosEWOOD DRIVE House No. County Tax Map No. 1000 Section 113 Subdivision ADDITION ~L~TTITUCK, N.Y. Street Hamlet Block 2 Lot I8 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 28, 1992 pursuant to which Building Permit No. 20989-Z dated SEPT. 28, 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 EXTERIOR SHOWER STALL ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A WILLIAM & JANE FLINTER / ~ Bui ding Inspector Rev. 1/81 FOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_N'°. 2098 Z Permission is hereby granted to: .... at-"prem,ses located at ....Lq.~..~........~..,....~.. ...... ~.~.~ ....... Counb/ Tax Map No. 1000 Section ....... L]....'~.. ........ Block ..... ~).m~.. ...... Lot No .....J..~ .............. pursuon, to opplicotion doted .~...~~...~..........~...~........~:'"" -- ]9.~.~. and approved by the Building Inspector. Fee $..~-~ .............. Building In~ector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 : 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: l. Final survey of property with accurate location of ail 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 f~om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder Dsed in system contains less than 2/10 of 1% lead. · 5. Commercial building, industrial b~ilding, multiple residences an~ 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 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 applicJtion an~'~ 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,. Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.~ CeKtificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate.of Occupancy - $5.00 over 5 years - $10.00 · 4. Updated Certificate of Occupancy - $50.00 5. T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Ol~ o ' ew Con truction ........... r Pre-existing Building.. · . .... House No. Street Hamlet ewer or Owners of Property.. I ~ . :unty Tax Map No 1000. Section.../[3 ....... Block ....... % ........ Lot..~.~. ........ .................................... Filed Map ............ Lot ..... !rmit No ................ Da Of Permit ................ Applicant.. 'alth Dept Approval · · ......................... Underwriters Approval ......................... arming Board Approval ........................ quest fo~: Temporary Certificate ........... Final Certicate ........... ....... OUNDA~ION OUNDATION (1st) (2nd) OUGH FRAME & .PLUMBING I~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Ex~amined .~,~., 19c~ .~-. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Approved ~%~, .~..~., 19c~.~. Permit No. a~..~ ~..~.. Disapproved a/c .... . ........................... :Z:~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... ~./3 SETS OF PLANS .......... /.-SURVEY ................... /CI1ECK~ ........... HAIL TO: · 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 streets 6r 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. . ~ ~. ' -- (Signatule~ "~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. Name of owner of premises. ¢ l~.C.J~41.~ .... .~. .... '3 .j~.~..~: .... .~..~..t' .M...7'..~ .~. ....... :.. ................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly auth~orized officer. (Name and title of corporate officer) Builder's License No. ' ~ Plumber's License No. ~ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work wiil be' done. ~Or3 ~O~ (j,) o e, ~ ~j~. .... ........................... 7./. llouse Nmnber Street Hamlet 'lt3 County Tax Map No. 1000 Section ........ Block ~2~ Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ' ~ P?.T.~ e3~-' .~.. ~. ~ OJ~ ~' ~! .... ;"'~'i" J: ................................. ":'V':'"'"'"' ............ i X Addition .......... Alteration .......... 3. Nature of work (check which applicable): New Building .......... Repair .............. Rem6val .............. Demolition .............. Other Work ............... .. o 0 ese on 4. Estimated Cost ........... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ Ifg ' · arage, number of cars ...... . ............ 6. If business, commercial or mixe occupancy, specify n.a$pre a~/nd extent of each type of use ......... iou off t ;4-¥A ........ 7. Dimens s existingstructure~ ifanv' Fron ' . ~ ,~- ~u u~:~, /2 ~aT- ,, ,, " . ............................. LJep,. ,~....,~. .......... ~:tbit[ .~ ............. INum,oer of StOl'les ........................................................ Dimensions of~.~sa~m~e~structure with alteration~oLadditiOns: Front ~..'~ '/ ~, ' pm ..... ...a...~ ......... Height 1o. F.L ... Numb~- ,-f et~-,4~0 ' ' ' ' ......... 8. Dimensions, of entire new construction. Front ~ -9'/ ~, .... <F ~ ~' ~. . ' ........... · ? ~u ............... tJeptn ..... Height .. .F'. ......Number of Stories .............. - ......... 9 Si eofl Front ' Rea · z or: ....................... r ................ Depth ...... I0 Date of Purchase . ............ :. Name of Former Owner 1 1. Zone or use district in which premises are situated ..................... 12. Does proposed construction viol~t~ any zoning law, ordinance or regulation: .tq:)..o. ........................... 13. ,W, ill lot be regrade~d .......A; !"-' '. ..... .z ......... Will ex~cess ~I be removed from premises: _ Yes No 14. v~ameofOwnero~premises .~.,.a.c/.~..~, t-t, ty..T.£~ AddressO~O go~.o~> ))t~h^-~*~ oq~31 ~t-. Name of Architect i ~-~.~ ........ ' .... Name of Contractor ......... [ ............... Address ................... Phone No ................ 15. Is this property within 3'00 feel: of a t:tdat wetland'?. ~Yes ........ No ......... ~It~ yes, Soul:hold Tiown Trust:ecs Permit may be required. PLOT DIAGRAM : Locate clearly and distinctly all buildings, whether existing or proposed, andAndicate all set-back dimensions from property lines· Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~oo ~o~g Wo*_h ~)P-- t~Ft?OC~ tv,?, STATE OF NEW YORK, "--'~ COUNTY OF S.S .7 .......... ' ..................... ~ .................. being duly sworn, deposes and says that he is the applicant (Name of individual ' ' ' s~gnmg contract) above named. He is the ' i (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ~pplication; that all statements contalnbd in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner s~t forth in the application filed therewith. gwom to before me this .......... . .~..~. · ' . .... day of. ., 19..~.~%- JOYCE M. WILKIN8 Notary Publlo, State of Ne~v yel~ No. 4982246, 8uffo~ Term Explre~ June 1~, (Signature of applicant) S. 23' 16'30" E.43.42 wood deck-~ 37.3 -----3¢,7 .... N, 22*56' 50'W. 116.O0 ~-{'.c. 0.8 S. -~ f.c.O.8 S. ,/ ROSEWOOD DRIVE ,The existence of right of ways an~ br easements of record, if any, not shown are not guaranteed. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM~ THE STRUCTURES TO THE PROPERTY ILINES ARE FOR A SPECIFIC PUR- GUARANTEED ONL~ WILLIAM J ~ J,~,! 'rrLE U.S.A. ~L.T.D. JOB NO. B9-108 FILE NO. ROSEWOOD EST. SURVEYED FOR WILLIAM J. £ JANE N.' FLINTER LOT NO. 10 MAP OF ROSEWOOD ESTATES SITUATED AT J~A.TTITUCK TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. SCALE 1" = 30' DATE 3-10-19~ FILED MAP NO. 5240 DATE 1 '24-1969 TAX MAP 1000-113-2-18. DISK 49 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR SUCCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD - WADING RIVER NEW YORK 11792 (516) 929-4695