HomeMy WebLinkAbout19874-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21065 Date OCTOBER 7, 1992
THIS CERTIFIES that the building ADDITION
Location of Property 600 ROSEWOOD DRIVE MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 113 Block 2 Lot 1S
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 15, 1991 pursuant to which
Building Permit No. 19874-Z dated MAY 17, 1991
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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to WILLIAM & JANE FLINTER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
Bu'ldin~ Spector
Rev. 1/81
roses xa s
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)
N~ 19 8 7 4 Z Date ....~~1...7 I9..<....
Permission is hsroby granted to:
w'~.~...:~..°~ w~
...f.~.o...., ..l~.a.~
to ..~~..~r:.. ,G~~..... ~~~~~;ffna........~.
of premises located at
.
County Tox Map No. 1000 Section Block `..~..........ppLot No..~~
pursuant to applleation dated ......:T~t~ 19../~, and approved by the
Building Inspector.
Fee i...~~..
.......:41.`.........
`ii~~ Buildl I~nspeetor
Rev. 6/30/80
~ L L ~(T tv ~ ~ ~
~ a ~ was ce~e o ~ D ~
VLI. Vt-~' L''(' ~ ~ 1,
/ADD-l13-0~- ~S' 'sS-i802
BUILDING DEPT.
1 NSPECTION
. u~'
[ OUND [ UG LBG.
] F ATION 2ND [ ] 1 ULATION
[ FRAMI FI L
REMARKS: 1~- U l L~ l ~ P
C~ i~.®~ C Co ~ i ~ ~ u.
DATE / 9 ~ INSPECTOR~~~ ~
/ jd
765-1802
BUILDING DEPT.
1 NSPECTIt~N
[)FOUNDATION i5T (j ROUGH PLBG.
[ J FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
'REMARKS:
DATE ~O INSPECTOR ~j
s
1'lELD i~:3:'IC:iUN ~~UATE ~ i;OMMENT°
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FOUtdDATION , (1st)
FOUNDATIOIJ (2nd) - ~
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P.OUGH FRAME & ~
PLUMBING
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IIJSULATIOP7 PER N. Y. y
STATE ENERGY ~;L`
CODE O~
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FTidAL
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ADDITIONAL COMMENTS: x~
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765-1802
BUILDING DEPT.
INSPECTION
[ OUNDATION 1ST ( ] ROUGH PLBG.
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[ RAMING [ ]FINAL
REMARKS: ~L-~"~~-
DATE ~ INSPECTOR
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NOW OR WRMERLY
SLEDZIE SK1
5.23°16'30"E.` 5.16°76'30"E,
43.42 73.00 /-1.c.0.8 S.
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N. 22°56' S0"W. 116.00
N ROSEWOOD DRIVE
The existence of right of ways and or easements
of record, if any, not shown are not guaranteed.
THE OFFSETS (OR DIMENSIONS) GUARANTEES INDICATED HER€ON JOB NO. 89.108 FILE N0. ROSEWOOD EST,
SHOWN HEREON FROM THE SHALL RUN ONLY TO THE PERSON
STRUCTURES TO THE PROPERTY FOR WHOM THE su°vev Is vRE- SURVEYED FOR WILLIAM J. £ JANE N. FLINTER
LINES ARE FOR A SPECIFIC PUR- PARED, AND ON HIS BEHALF TO
ARE ENOT DINTENDEO NO GUEDEFOTHE iAL AGENCYO AND YLENDINGRNNST- LOT NO. 10
'ERECTION OF fENCES, RETAINING TUTION LISTED HEREON, AND 70 MAP OF ROSEWOOD ESTATES
WALLS, POOLS, PATIOS, PIANTiNG THE ASSIGNEES OF THE LENDING
AREAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARE
ORANYOTNERCONSTRUCTION. NOT TRANSFERABLE TO ADDITIONAL
INSTITUilONS OR suasEOUENr ~ SITUATED AT MATTITUCK
UNAUTHORIZED AITERA710N OR OWNERS.
ADDI710N TO THIS SURVEY IS A
VIOLATION OF SECTION ]109 OF COPIES OF THIS SURVEY MAP NOT TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y•
THE NEW YORK STATE EDUCATION BEARING THE LAND SURVEYOR'S
LAW oR EMBOSSED SEAL SCALE i" 30~ DATE 3.10.1969
Q Ellidi CONSIDERED TO BE
GUARANTEED O L~` TRA 'P,F. FILED MAP NO. 5240 DATE 1.24.1969
WILLIAM J £ AN O~• Fl•~ TAX MAP 1000.113.2-18 DISK 49 ~
TITLE U.S,A. ~ 2•
AMERICAN M rQ°~AG 63y, INS 'y} T.D. HAROLD F. TRANCHON JR. P.C.
x ~ P
LAND SURVEYOR
~~o h'o ~ 92 0~ SUCCESSOR TO WILLIAM G. METER
F 048• JQ'' NORTH GOUNTRY ROAD - WADING RIVER
SAND ~ NEW YORK 11792
JA OLD F, TRANCHON 1R. Y. LTC. No. oa6ss2 - ,
PENN. LTC. NO. 21115-E (516) 929-4695
` 60AR0 OF HEALTH
~ LI ~~y FORMNO.t 3 SETS OF E'L.\:JS
TOWN OFSOUTHOLD SUItvEY
MAY ~ 5I99I ; 88' BUILDING DEPARTMENT C11CC!` _ _ _ _
~f~,~p TOWN HALL SEPTIC COR:F
Bi.CG.~~6J2°_~~;..~,..~,11,~., ~ SOUTHOLD, N. Y. 11971
TOWN F;;4U~fB-OB3L~7 G} TEL.:765~1II02 "O:IFY; ~®y~_ ~U~~
:xamincd ,~19 CALL ..../r/ _ .
/ PlA L 'I'O:
approved . , , , 19 ~Pemtit No. ~9.~~~~ ' . " ' .
lisapproved a/cam .....333. _ _ .
•(Bui ing.In. • .ctor) '
APPLICATION FOR BUILDING PERPAIT
Date . 1. ~ ~ 19 [l .
INSTRUCTIONS
'a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
s 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
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:ion.
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 t}te applicant. Such permit
ill 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
:11 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
ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
culations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
e applicant agrees. to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
nit authorized inspectors on premises and in building for necessary inspec io s~j',Q~~~
(Signature of applican , or name, if a corporation)
t. . ,
. Pa.. ~a~.. l.6 d :?....~.~.a........ .
(Mailing address of applicant)
de whether appliF~nt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
acusv e2
me of owner of premise~':...~1~ f)~ ....2a5E.4U.4.E?!? r?..R.' ~i4 ~NG .
' (as on the tat roll or latest deed)
pplicant is a corporation, signature of duly authorized officer. '
(Name and title of corporate officer)
Builder's License No. ~GcJ. ~~/.C-. , ,
Plumber's License No . .
Electrician's License No . .
/j~
Other Trade's,License No . . Gi ~U jC D S~(,.t/ pia 7j
Location of land on which proposed work will be done. .4-. ,Ib ,?U/~;1~?~~,pS~'.~~ ~y ~ J'~7FC_,
~~o~ ~o.S~.~9a~. ~2.'. ~T~t7~cl
Mouse Number
Street jZanilet
/D d tl ~ v
'ounty Tax Map No. 1000 Section Block
Lot...................
subdivision Filed hlap No.
(Name) Lot...............
Mate existing use and occupancy of((~~premises and int~ded use and occupancy of proposed construction:
. Existing use and occupancy /.t.~ M.fi..::. l~ Y.~ 1 (~.~y~ C ~ 9P!' .1 .,r `k°"" s,~
.Intended use and occupancy t4 Q.~U:S ~~.......~c`~~; ~ ~ '
~+>Ea1d'S +f6~;vi3
3. Mature of work (check which a
Pplicable): New [3uilding , Addition . Alteration .
Repair • • • • • • • • • • • • • . Removal Demolition Other Work . . ,
,
4. Estimated Cost ~ p ~C~ . • • • • ~ ~ ~ (D'c'~cription)
Fcc
5. If dwellim• I~I . (to be paid on filing this application)
ou
e, number of dwellin^ ntts • , , , , , , , , , • , , , , 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 existin structures if any: Front , , • , , . , • ~ ~ ~ • ~ ' ' ' • ' ' ' ' ' ' ' ' '
g Rear
Height ~ Depth...............
m
cr of Stories .
Dimenstons of same structure with
Depth Height. Rear..................
8. Dimenstons of enttrc new constru alterations or additions: Front ~ ~ ~ ~ • ~ '
. • • Nttrttbcr of Stories .
~tion: Front , , , , d
Haight ~ 2.......... Rear Depth 25/.~.........
+r of Stories
9. Size of lot: Front • • .
f 0. Date of Purchase ' ' ' • • • • • • Rear Depth .
' 1. Zone or use, district in which prcnt • • • ' ' ' ' ' • • • Name of Former Owner
.~,ises arc situated .
an zoning
3. \Vill lot be r~~raded G y b law, ordinance or regulation: >
oes ro osed construction violat • • • • • , . • • • . • .Will excess fill be removed from premises: Yes No
4 Name of Architect premises .....il , , , , , , , , , , , , , , ,Address Phone No.
, ...............Address ...................Phone No.
NanteofContractor........
S. Is this Y ' ' ' ' ' • • • • • • • • • • Address .Phone No.
P Y
IEroesrtSouthold Toe) feet of a tidal wetland? ~
} n Trustees Permit may be required.~•• " No......,,
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dunensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
ttetior or corner lot. ~
I
• AP~~ AS NOi'~n
DATE: ~ B.P. q / i A-1-~-,~"
FEE: BY:
NOTIFY IL DEPARTM AT
765-1802 9 AM TO 4 P OR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION TWO pEQUIREp
FAR POURED CONCRETE
~I 2. ROUGH -FRAMING & PLUMBING
'i 3. INSULATION .
4. FINAL - CONSTRUCTION MUST
BE CAMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES: NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
II
1TG OP NG YO13~r' S.S ~I~
• • •~lt '~~t • • ~ • • • • • • • • • • , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
ve named. ~ •
sthc O 'Gt~,~ N'-
.r•
I (Con tractor, agent, corporate officer, etc.) ~ • ~ • ~ ' ' • ' ' ' ' ' ' ' '
aid owner or owners, and is duly autlorizcd to perform or have perfornted the said work and to make and file this
'ication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
< will be performed in the manner set fprth in the application Gled therewith.
nt to before me this~~~
• • • R.d~ayQof I~ 19~ l
rY Public, ~~^,'~,!i,e ,G`, yy~~ ~ '
• • • •
•,~~C<~~~/ County
' CLAIRBt«OLEW I, ~ . /rf , ~~"~K,LGC;
Noary Pubtia 8tete of New York 4~•
• No.48796A8
QualHledinSuNolkC~ ~7/ (Signature of applicant)
Commieabn Expires Decem 8,18...