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Home My WebLink About18953-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19140 Date JUNE 13~ i990 THIS CERTIFIES that the buildinq Location of Property 600 ROSEWOOD DRIVE House No. County Tax Map No. 1000 Section 113 Subdivision ACCESSORY MATTITUCK~ N.Y. Street Hamlet Block 2 Lot 18 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 1990 pursuant to which Building Permit No. i8953-Z dated APRIL 16, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancH for which this certificate is issued is ACCESSORY SHED AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM & JANE FLINTER N/A Rev. 1/81 // ~uilding Inspector rOB]dj NO. S TOWN OF SOUTHOLD 0UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18953 Z Date .... ~ ......................................... , 19.,~.,~. Permission is hereby grante,cl to: ,-,,~ , / .......... ...... .......................................... · at premises located at ,~ ............... .)..~...-~. ............................................... · County T,"x ,'V~ap No. 1000 Section ..... ../_./...~... ......... Block ...... ~ ........... Lot No ...... ../.: .~.. ........... pursuant to application dated ...... .~.././..~. ...................................... , 19.~....~., and approved by the Building Inspector. Inspector Rev. 6/30/80 Form No. 6 TO~ OF SOUTHOLD Town 765-1802 , ~ BLDG. DEPT. i APFL[CATZON FOR CERTZP[CATE OP OCCU?A C TOWNOF SO~OL~_., A. Tb±s application'must be filled in by typewriter OR ink and submitted to the building inspector with the following: fo~ new building or new use: 1o Final survey of property with accurate locat±on of all buildings, property lines, streets, and unusuel natural or ~opographic features, 2, 'Final Approval from ~ealth Dept. of water snpply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. ~. Sworn statement Erom plumber certifying that the solder used in system conLains '~ less than 2/[0 of 1Z lead. 5. Commercial building, indus, trial building, multiple residences and similar baildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Submit Planning Board A~proval of completed site nlan 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 amd unusual natural or topographic features. ~ 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy ~ Residential $15.00, Commercial $15.OO New Constructmon..~pld Or P~e-existing~uJ~l~i~g .... 2[[[~2'[.[[ ................. , Location of Property...~.~. ..... ~.~.~.~..~.~...~... ..... Onwer or Owners of Property../~!C..~ ..... /~Z~//.~... ...; .............. County Tax Map Ne i000, Section ......... Block ............. Lot ................... Subdi$ision ............... - ..................... Piled Map ............ Lot ........ .............. Permit No ......... Date Of Permit ......... Applicant. . ~ealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ' Request for: .Temporary Certificate ........... Final Certicate....~...... Fee Suhmitted: / < ' TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECI'OR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 Ray 31, 1990 TEL. 765-1802 William & Jane Flinter Box 1607 Mattituck, N.Y. 11952 TO Whom This May Cogcern, We are unable Eo complete your Certificate of Occupancy because.of the following reasons. /--/'An application for Certificate of Occupancy y not on file. (ENCLOSED) /~/~/~ Underwriters Certificate on file. /~ The check is~A~I~not on file.)$25.00 /5/ No Hea~th Dept. Approval on file. /~/ No final ins,pection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit It ! 8 9 5 3 Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) (1st) FOU!;DATIO:! 2. ROUGH FRAHE & .PLUMBING (2nd) INSULATIOX PER N. STATE ENERGY CODE Fi:IAL ADDITIO~IA'L COMMEI.:TS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION DATE 0 L S.23'16'30' E. ii ~. ~E' 73.00 43.42 wood deck-~ 37.3 1 ~'2 sty. fn dwell. 1 I I , N. 22*56' 50'W, 116.00 ~'"f.c, O.e, S. --. f.c.O.8 S. ROSEWOOD DRIVE The existence of rigfit of ways an~ or easements of record, if any, not shown are not gu. aranteed. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE ,FOR A SPECIFIC PUR- GUARANTEED 0 N L Y ~r,~ WILLIAM J ~' J,.~N,"~ FI~. ~..~[',1~ · TITLE U.S,A. tlA F. TR lC. NO. 048992 . C. NO. 21115-E JOB NO. 159-108 FILE NO. ROSEWOOD EST. SURVEYED FOR WILLIAM J. ,~' JANE N.' FLINTER LOT NO. 10 MAP OF ROSEWOOD ESTATES SITUATED AT MATTITUCK TOWN OF SOUTHOLD, SUFFOLK COUNTY,'N.y. SCALE 1" = 30' DATE 3-10-'39~g 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 FORM NO. 1 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTH~OLD, N.Y. 11971 TEL.; 765-11302 Examined ~'A ...... 19 ~0 - App · · /. ;~. ....... , 19 Permit No. . ~} .... Disapproved a/c ..................................... ~/Build~g Inspector) APPLIGATION FOFI BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS suRv .¥_O1 ......... :22:22::::]: CuECK . ....... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: Date ............ a. Tiffs applicatio~n 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 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 apy purpose whatever unti[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 fluilding 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 ot apphcan½, or name, if a corporanon) ,..:~ ~ (Mailing address of applic~t) State ,vhether~.Oi~5%at,"is. o~her l~s~ee' agent, ~chitect, engineer, general contractor, electrician, plumber or builder. Name of o,vnee~i¢::ise, s .... ~... '~ ................................... -,. ~ ~.~ '~! ,, ' ' (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name anti t~tle of coworate officer) . Plumber s E}c~nse No ......................... Electrician's License No ....................... Otlier Trade's License No ...................... Location ofland on which proooscd work will be done ....... ' ...... '. ......... ttouse Number Street, Hamlet County Tax ,'lap No. 1000 Section ...... J.l .'~'. ....... Block .... ~ ............ Lot..J. ~. .............. S bdi i i ~ Ell dM N u v s on ......... T. .......................... c ap o ............... Lot ...... ". .. (Name) State existing use and occupancy of premises~ld int~d:d t)and occnpancy of proposed construction' a. Ex,,t,ngusean o c pancy .... ......... '. b. Intended use and occupancy ...... 7 - O ' ''' .......... ~: .............. 3. Nature of work (check which,, applicable): New Building .. ~.'... Repair .............. Removal .............. Demolition" Addition .......... Aheration ............. Other Work ....... 4. Estimate'd Cost '/4: · ' , (Description) ~ ( (to be paid on filing this application) $. If dwelling, numberofdwellin~units .. ~.. ~ ' , If garage, number of cars . · · .. ·. Number of dwelling units on each floor·....'T~... ...... 6. Lf. busm.ess, com~ersml or m~x?d occupancy, spccit}y aa,lure and extent of e'~'~h'- ..... ~' .....- .................. 7. wm~enslonsofex~stmgstructures if any Front / ~-'~., "4 ~ , ~%ty.~pe,ot~use ......'-'a'n~,-....~ ....... He ,,hr .... Nu~ lber o ',~ .~..~/,,~, w. ~ .,.'. t~ear .... ./.: ~..~./..'. Depth ~1,.,~... ~ D~menmons of same stru With alto,~*:~-- ~. 7/." ........... ~'~ ~'~: ........................ cture .......... --~,-~ or, uumons Front . O./:/7/ld ~ ,- ' ........ Depth .... ~i 8. D~menmon.~of,.entire new construction. ~ .... ~ ~'4-'"" u~ tones ...................... Height ..... N ber o Size of lot: Front J/.~ ~'7-'~, , ._..,,, '#r~/'"; ........................... '" 10. Date of Purer · · - - ' ' '~1 '~' ~ ................ Name of Former Owner ...... 1 I. ~one or use oistrict in which premises are situated ................ 12. Does proposed Construction violate an ..... : .... ' ...... '~'/~' .......................... 13. Will lot be re-rude , ~ ~w,,-g ~aw, orumance or regular on' fi/G/ o d ..... . ./[/~ · fp .... t' ............ wm excess fill be removed from premises: Yes 14. NarneofOwnero remises .' · : .................. Address .... ' Name of Architect i ............... Pi~one No .......... ..................... Address .. . .. . Phone No.. Name of Contractor , ' ........................... ........ ~ ................. Address .......... Phone No ....... '. .' . 15.Is this property loc ted within300 feet of a tidal wetland? ~YES .... NO .... · If yes, Southold Tow~ Trustees Permit may be required. ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~V YORK, COUNTY OF ................. OF occum c ARPROYED AS NOTED NOTIFY BOlt~ OE.~ 7~-1802 ~ AM ~ 4 ~ FOR ~g ~OLLOWING I~SP~CTIONS: I. FOUNDATION . ~O REOUIRED FCa POUa~D ¢ONCR~E 2. flOUGH - FflAMIN~ & PLUMBIN~ 3. INSU~TION 4, FINAL CONSTRUCT~N MUST BE COMPL~E FOR C.O. ALL CONSTRUC~ON 8HA~ ME~ THE REQUIREMEN~ OF ~E N.~ STATE CONSTRU~ON & ~ERGY N~ RES~NEIB~ FOR DESIGN OR CONSTRU~ ERR~S (Name of individual signi,; contract) being duly sworn, deposes and says that he is the applicant above named. IIe is the ....................... , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly huthorized to perform or have performed the said work and to make and file this ~'Pptication: that all statements contained in this application are true to the best of his knowledge and belief; and that the .*ork will be perfo~ed in the m~ner s~et forth in the application filed therewith. ;worn to before me this ' '.- ........ "' ;ota~ Public ......... ... County , , t . ~. 470787~ Su~lk ~n~f ~ (Signature of applic~t)