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Home My WebLink About18090-z FORM N0. 4 t TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18089 Date NNE 6, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1055 ROSEWOOD DR. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 2 Lot O5 Subdivision Filed Map No. Lot No. conforms substantially to the Applicata.on for Build~.nq Permit heretofore filed in this office dated MAY 2, 1989 pursuant to which Building Permit No. 18090-Z dated MAY 2, 1989 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 EXISTING ONE FAMIZY DWELLING AS APPLIED FOR The certificate is issued tc THOMAS S. & ANNE H. TARMEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /L Building Inspector Rev. 1/81 sosat rta 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) .sago Z ~ate .....:.>.~..........z ~9~~ Permission is hereby pronto ~...v"""".......... L.~ . at premises located at ..~.~•......~..4~5......... . County Tox Map No 1000 Section Block .....0 Z...... Lot No. ...~.i~...... pursuant to application dated 1' 19.~~.., and approved by the Buddf ng -•I~n, Spector. v Fee S• ~•y•:• ~ Bui p Inspector Rev 6130!80 TOWN OF SOUTIIOLD M BUILDING DEPART2IENT IK ~ U I5 Q u Cis', TOWN HALL SOUTIIOLD, NEW YOE:K 11971 ~ _ 765 - 1802 BLDG DEPT TOWN OF SOUTMOLD APPLICATION FOR CERTIFICATE OF OCCUPANCX DATE..~~ J 1.~..... ~,r NEW CONSTRUCTION ....1//.~.OLD,{~O'jR PRE-E%ISTGING BUILDING......VACANT LAND...._... Location of Property./~~~..~Sr'GJGD~,~I~J~'~_ fff,C~C..:~~__... HOUSE NO. STREET HAMLET Ovaer or Ovners of Pzoperty.ltl~/~.1,y',~. V.'. ~913N1~~!flti.l2.~~'e~1.E.//,../J{~1~J~.~C....... County Taz Map No. 1000 Section Block Lot / Subdivision Filedq M~~ayyp ........Lot.....././'._.p'(~~ Permit No. „/1aL:~~..~•Date of PermiC ~~~`,~ZI~..Applicaat~+`C~~~}j:~)J1~!~s.~~,cv~.SrO~ l Health Dept. Approval Underwriters Approval._._.._.____.. Planning Board Approval Request For Temporary Certificate Final Certificate Fee Submitted: ~~c~ I APPLICAN'C= :ti.,t~'kir~:ts-~~ c_!~-v , 'f ~b(E f}I~~t-Jc/~ i tonlt, C'ovE~S $cP~A~~M'Ent,' aF A ~+-'~aD .D~cx ~ i R~i~R c fed ~5~. ~ct~ ~c`cK u.'f15 /~'S~cCi ~1~ '~3~/ ~~°i~L~~•u~. ~NSPrcT01 GA~y Fish ono 6ff~gf. Fs,~ ,~~~,~,y~nt~cD /ss~An~'c~ c C~0 aJtT// 7~ttc ~,'o-.g r"fo~~ /U~~l ~L~C . rev. 10/14/88 cn 18og~ z ~ rs -r VI FORM NO. 6 TOWN OF SOUT130LD BIIILDING DEPARTMENT TOWN AALL 765 - 1802 C~• . APPLICATIOFOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A_ This application, st be filed in typewriter OR ink and submitted to the Building Inspector with [he following; for new buildings 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 of 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 solder used in system contains less than 2/10 of IZ Iead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For eaisting 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall shoe single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Dale of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: S. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior [o April 9, 1957 shall also accompany Lhe application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D_ FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial APPLICATION ON BACK rev. IO/14 /58 :.LD 11. J: Ili .i IIUniG ~ ~.~MMCNT~ y H _ y ?OUtIDATI0;1 ( 1st ) c ti . FOUNDATIO;1 (pnd) m ~ - - z 0 ~OUGH FRAME & PLUMBING H 3. a m a~ It1SULATI0t1 PER t7. Y. ^3 STATE Et1ERGY ~ CODE c^ r 4, m H FI;lAL - l l s y ADDITIOPIAL COMMEPJTS: x ` ~1 5 _ 4 ~F x v H , 7] 1+ H H O [i7 c > ~ c^ H Cl m -a H ('1 S ``+ii r~ RR nn M l~ t~ ~ 3~,,,~~ rn QFFIC~ ~ ~ ~ L5 It V ~ tr, : r NlCKSVILLE, NY 11uD2 ~ MAY ? 7 ~g$g ~ J, BLDG DEPT. PENALN FOR PRIVATE TOWN OF SOUTHOLp USE TO AVOID PAYMENT OF POSTAGE, 53W OFFICIAL BUSINESS EP•433 a CLAIMS & INQUIRY SECPION U. S. fYl6TAL SFRVIC$ HICF6VILLE, NY 11805-9506 The enclosed article was fpund loose in the mails. We were unable to effect delivery as the article was separated from its wrapper. We regret any difficulty you may have been caused. Fogey Nienaber NLSC Manager/Postmaster L_ ~EJ-~' jgo9a~ af~-~~~y ~~C~(AiCAL-L.J ~ GCC-N J~A-mac. ~~zo~n.~/~7.~iL .G~~ u(C- /G~(~~ I,~LC,t~ ~-e-~... 0 ~Ll7Y.~ adz / 'Z o`L~i c~~ ~J t' ~ 9 ~ r~-iso2 BUILDING DEPT. INSi~ECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: C.O 0 DATE CP / INSPECTOR !285026 /U/3o~= ~ • a O • ~ rb ~M` tr c' Its` N ~t 1 p $ , \ \ p ~ 1 ~ ~ w,~N" pI r E •o, ~u! ~ N 61sl3s 1D ~ \41. yy.t~ Qtw ~ ~t cs v•-~ ~ ~ ayN ~ sr ' r O cell _6 ~w s ~7, ~ w T '`L w l e~ ` r'~ e z • S. Z ~ IT~ v ~ 3 ~ SNP C ~ 61 ~ ~ ` < •B,p~ b •/QUO+NB6el1'W,, Z ` ~D tZ13.00' 'C Q.A ~rt~~'a~' ve Q Y . V W k Q v Unauthorised altemtbn or addition to this wrvsy b q vfdatiqu of +eclwn 7409 of the New York Stuta Educohon Low. ' Copies of this survey map not bmrnnp the land tune ' e ~ ~ wal or embossed saol shall not bu conuderod to be a ~d cop ~ r S~ Gua~~ n e, evrtdicotions mdr~ui d person {hall run only to tF,~ perm, n• wpom the serve Alt distance to wells and cau y is pr.,,arod, and on his behalf fo the Pools aro tills comcnny, povernmsNal aCem by location From house owner and flsld hereon, or,d to the qs{tQnws of th„~Iund n0 Instnu hon'rlGuamnJeaas observohons, since most wells and uu. or eertdreui~ons on not trons(eraLl~ to oddtlional Inshtutwns w Poole aro not visible Ihsse dimanuom wbspumi owners, tonnot ba ceodied. SURVEY ?FQR ~ REFERENCE FRANK SWOT~{,~'kVI~ 'ROSawgoo EsrArFS' ?T MaTTlTUCK F1t.E0 !-?469 ASMArNO, 6240 TOWM Of SOfITHOtA • • WARANTEEO TD+ RIVERNEAD SAVlNG8 BANK $NFiQLK COUMtY! NIX,, ~ ~ ~ THE T1TCE Bt1ARANT,Et€ COMPANY SCALf < 1"~ i0' ~ ~ , T .,fRAryx sworxuwlcz , r APRlL 9, 19Tt{ ~ ' , ' ~ ~ ~ ' /1 JUNE !O, l974~ ~ - ~,e~Cl.~" : . AuGUSTZp,IFT~ ~ n " ~ ~ , ' SAND •uavcroR . • ~ ~ ~ N.xs. uc.Na:ins • ~ ~ /V RN[A N. Y. ,e 3 Nature of work (check which applicable) New Budd+ng Add+t+on xrxx..... glteratwn , Repair Removal Demolit+or .Other Work (Descnpt+on) d Est+mated Cost ~~9....i' ..Fee .1,x.00... ~ (to be paid on filing this application) 5 If dwelling, number of dwelling units „o11e~ .Number of dwelling units on each floor If garage, number of cars b If business, commerc+ol or m+xed occupancy, ecify nature and extent of each type of use 7 Dimensions of exist+ng structures, if any Front ~ Rear Depth . . Height . Number of Stores . Dimensions of same structure w+th alterations or add+tions Front .Rear , Cepth Height Number of Stones 8 Dimensions of ent+re new construction Front .....19 . Rear ~ ~ Depth 1~ . Height .Number of Stones QI].e.... 9 Size of lot Front Rear .Depth . 10 Date of Purchase ...Name of Former Owner . . 11 Zone or use d+strict in which premises are situated t'A" disc . 12 Dces proposed construction violate any zoning law, ordinance or regulat+on P~Q 13 Will lot be regraded ..I1Q Will excess fill be removed from premises ( )Yes ( ) No 14 Name of Owner of premises : >~1dAte1%e.Wa,~7+. Address t'~:ttl............ Phony No Name of Architect Address Phone No Nome of Contractor E. .HfJ.xto11 ~..,SSJ71S d.p.(: Address ..~J.•..rS.ll~f4~..... Phone No PLOT DIAGRAM Locate clearly and d+st+nctly all build+ngs, whether ex+st+ng or proposed, and +nd+cate all set-back dimensions from property lines Give street and block number or descr+ption accord+ng to deed, and show street names and indicate whether +nter+or or corner lot t - - ~ Lug F ~ \ ~ C STATE OF NEW YORK, t COUNTY OF .5~41~;~'P~G 1S5 „ ,Gex;ry,,,Ho~to~,,,, , „ being duly sworn, deposes and says that he +s the applicant (Name of indrndual signing contract? above named. He is the ..bU1.1deT (Contractor, agent, corporate off+cer, etc ) of so+d owner or owners, and is duly author+zed to perform or have performed the sa+d work and to make and f+le this applicat+on, that ali statements conta+ned in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therew+th Sworn to before me th+s 24 .day of June , 19 75 Notary Public, County ignature of applicant) BOARD OF HE.\LTH yy~~ 3 SETS OF PLANS Y.......... FORM NO.1 $URV EY TOWN OF SOUTHOLD CkIECK ~ . BUILDING DEPARTMENT SEPTIC roam • T04VN HALL EOUTHOLD, N Y 11rJ71 NOTIFY • TEL.. 765 1802 CALL E~ami ~ 3'' 19g ! MAIL T0: ~ ~ za v0-?tix~' _ 'I Approved 190. i Permit No o a ! u.`` ~ ~ ~ r ,-3 Disapproved ale y ~ i ,i ' ~ 1 `k~ . ~ . TOWN OF SOUTFiOLD1.f~11 (Building inspector) APPLICATION FOR BUILDING PER~A17 Date 15 INSTRUCTIONS a. This app[rcatron must be completely filled in by typewriter or m ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of [lus appl cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Bwldmg Inspector will issued a Building Permtt to the applicant. Such perm shalt be kept on the premises available for inspection throu;liout the work. e. No building shall be occupied or used rn whole or rn part for any purpose whatever until a Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY hfADE to the Burldmg Department for the rssuance of a Budding Permtt pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New Yark, and other applicable Laws, Ordinances c Re;ulations, for the construction of buildings, additions or alterauons, or For removal or demolition, as herein describe, Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in budding for necessary m~ ecttons (Signature of applicant, or name, if a corporation) • (Mailing address of applicant) 11`t~' State whether applicant rs owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buIlde, ...............i. Name of owner of premises t'~. ~ ~~L'f'i'~~ (as on the ta~Jroll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~o - Buildcr'sLicenscNo ..~y~~? ~~f)>•'i•'~''~rJAvhe. !-)1~~,4~0~ L,.Qr1j~T~~~'~ J Plumber's License Iv'o . Electrician's License No . . Ot}icr Trade's License No . . 1. Location of land on which proposed work will be done . . House Number ~ Street Hamlet County Tn ,11ap No 1000 Sccuon r.`. Block Lot . . Subdivision Filed tap No Lo[ . (Name) = State e~is[ing use and occupancy of premises and uitcndcd use and occupancy of proposed construction. a. Erisring use and occupancy . b Intended use and occupancy • • • • • •"•'~•~"C'VE~.~~c';f 1 3. Nature of work (check «h+ch applicable) Ne v i3u+lding Addrt+on .Utcrauon Repair Removal , , , , , , Other lVork S~ei~;,;t~ F Dcmoh[ton . 4 EsIrrnatcdCost...~~~~.-1 .1.•.tl." Feex~•~... . (to he patd on filing thu apphcatton) 5. If dwell+n„ nutnbcr of d~ve[l+ng untts N[tmbcr of dwcll+ng un+ts on each Eloor , , . , . Ifgaracc,numbcrofcars 6. If business, commercial or m+~ed occupancy, specify nature and c~ctent of each type of use . 7. Dimensions of extst+ng structures, tf any Front .Rcar Depth . Heteht ...............NumberofStoncs...................... D+mensions of same structure with alterations or additions, Front Rcar . Depth . , . Hctgftt ......................Number of Stones , 8. Dimensionsni~ r1F v'consttvcuon. Front . Rear , , • Depth Hcigftt ...............NumbcrofStones..............,....... 9. Size of lot. Front Rcar............ Depth 10. Date of Purchase . .............Name of Focmcr Owner . . 11. Zone or use district in whtcit premises are situated . . . . 1~. Does proposed construction violate any zoning law, ordinance or regulation 13. Wd( lot be regraded ........L.~ .......will excess fil~ltybe removed from prcm+ses: Ycs 14 Name of Owner of premises~.Nti~S.:~"'~!i}°,S }!.Address l~s.`>..~5'?S~wc.~s~.i„1(ir . Phone No. ct:~;~- ~Ity. . Name of Architect ...A . r.f. ` . - ,Address ................Phone No. Name of Contractor~~`.11 L ,~gr~.~; , , AG.f-~~^~, ~ , £~F; , ~ J'3 .....Address 43...... Phone No . IS.Is this property located with in~00 feet of a tidal wetland? *YES....NO *If yes, Southold Town Trustees Permit may be required. _ PLOT D1AGPulhi Locate clearly and dtstittctiy ail buddtngs, whether existing or proposed, and indicate alI set-back dunenstons fro property fines. G[ve street and block number or descnption according to decd, and show street names and indicate wheth tntenor or corner lot. , STATE OF \ N k,OR S.S COU:.T OF ' ~s7^ ~'r"~ f ! • • • • • • • bang duly sworn, deposes and says that he is ilia applica+ (Name of individual signing contract) above named. tic is the . ~1'.'Z~~$'.."-s~:'?..~rAr~e4.~-~'"er~:..~nC~'!~>~ ..4-~n.~~V~.~i~'~ (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duty authorized to perform or have performed the said worn and to make and f31e th =PPhca[tan, that a[i statements contained m tlus appLcauon are true to the best of lus }.nowledge and belief, and that ti work will be performed in the manner set forth m the application filed thcrowith. 'worn to before me tlus :..day of .~4'r ~ 19 County rotary Public . ~ ~ , . f- , 4f^~ (Signature of applican i ~ DAVi-Ib AWN Z.n C7 ~ .r m 0 x r a~ m ~F, r7mm r^zNOOC" - m ,~n O~CpzOr~ipo?ate a OSCHO I i, 61~.U ~ i i r, ~~N~~m OTA~-"°F N ~ L'~Cr-C7 t ~ I~ ~i.~ x G! i ~~C~A2 ~ m OL D O O C7 '~HC ~ l,;J~ ~ i i ~ ~ mym0 DAZ~~~ T rJ~+yC"Ot I ~r~• ~ n~~ ppyyONZ~z G2in -'aCmm -o vai 'O Z7t~x ~ 4„ i~ . ~ ~ K'~ 220WAC flom~0~v~ xt 2 y'~~"~ ' ; S:~ q~ ~ I ~V~NIiM'~Dp-~ .am~os~-xi. ~ O~~O ~ f' nCy ~ I ~u~y~~~ Z ~ A Om~ 0 ° ~b -1 ~ ~ ~ ~ ~ ~ ~ ~ I 1 ~ I ~ ! =--t-- - - _ , ' s ~ 1~_-___ r ~ j ~ I I ! ~ i ~ -~I ~j ~ ~ I 1~ I - ~ ~ ~ t - ~ ~ ; ~ ~ . - : ~ ~ ~ h ~ ~ I~ ~ ~ ~ I ` ~ 1 ~ ~ - ~ ~ A f'ii ~ it _ ~ ~ ~ - - t ~ ~ - --1- ,J j~ i ! ! , i , I r ~ ~ I`~ , a~ i ! ! ` t i st ~ ~ k~' ~ o ~ ~ ! I ix i~ ~ y!~ I ~ x ' I~% ~ n ~ '.c ~ ~ ~ I A ~ t i ~ ~ t. ~ ~ ~ tr ~I ~ i ' i 4 r i i i ~w ~ t3 ~ I ~ s ~ ~ I ` ' T T .--1 ~ it " ~ I ~ I ' i i ~ I - - Ij 1! I I