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Home My WebLink About16868-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildm§ Inspector Town Hall Southold, N.Y Certificate Of Occupancy No Z-16755 Date March 31, 1988 THIS CERTIFIES that the building DECK ADDITION Locatmn of Property 3600..P e.qua, sh. A.v e .n.u.e .... Cut .c.h. qg .u.e ,..N .e~y..Y.o .r .k .... House No Street Hamlet County Tax Map No 1000 Section 103. .Block . .I 4 ......... Lot .02. ...... Subdivision ........... .Filed Map No ...... Lot No ............. conforms substantially to the Application for Building Permit heretofore fried in this office dated March 29, 1988 pursuant to which Braiding Permit No 16868 Z dated Iqa r c h 3...1, 1,..988.. .. was issued, and conforms to all of the reqmrements of the applicable provisions of the law The occupancy for which this certificate is issued is ..... DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to of the aforesaid bmld~ng Suffolk County Department of Health Approval . . N / A UNDERWRITERS CERTIFICATE NO.. N/A DAVID & PATRICIA ROMLEIN ....... tt tif, al9 .............. PLUMBERS CERTIFICATION DATED: N/A · ' ' B ~n~ 'Inspector 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) NO- 16868 Z Perm,ss~on Is hereby granted to. ..... ~:"'~':' .......... i ................... ...~~_.,...~, ~,....ll.~. .... . ct p~,~e~ ~ocot~ at ..~.~.~ .......~F~.~..~..h....~.,. ........ ....c~'.~~_ ....... ....%.~.&..~."~ ~.~,.~ .................................................... County Tax Mop No 1000 Section ...... I ,0.~. .... Block ....... L~. .......... Lot No .~ ~ ...... pursuant ,o opphcation doted .. ~ ~P,~..~.....~ ...... , 19.~'~, and approved by the Budding Inspector. Building Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southo[d, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Th~s apphcat~on must be filled in typewriter OR ink, and submitted i~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property w~th 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 forrn or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercml buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tfons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5 Submit Planning Board approval of completed s~te plan requirements where applicable. For existing buildings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-ex~stmg" land uses: 1. Accurate survey of property showing aH property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3, Date of any housing code or safety inspection of buiIdings or premises, or other pertinent informa- tion required to prepare a certihcate. 1. Certihcate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3 Copy of certificate of occupancy $1.00 4.Vacan~: Land C.O. $5.00 $15.00 Date March 28, 19~8 New Build~ng x Old or Pre-existing Building ........ Vacant Land ......... 3600 Pequash Avenue, Cutchogue, New York 11935 Location of Property .................................................................... House No, Street Hamlet Owner or Owners of Property DAVID Ro and PATRICIA G. ROMLEIN CountyTax Map No. 1000 Section 103. Block 14 2 Subdiv,ston n/.a Filed Map No .n,/a. Lot No n/a DAVID R. & PATRICIA G. ROMLEIN Permit No ........... Date of Permit .......... Applicant ................................. Health Dept. Approval .... .n/.a. ................ Labor Dept.'Approva] n/a n/a n/a Underwriters Approval ........................ Planning Board Approval ..................... n/a X Request for Temporaw Certificate ..................... Final Certificate ...................... 5, oO Fee Submitted $ ........................... Construction on above described building and permit meets all apphcable codes and regulations. ..n,--'?'l App ~cant .........../, /./~. ....... .~'., ~ ................... MARK S. K~SAK, Attorney for: R~v ~0-~0-78 DAVID R. & PATRICIA ROMLEIN Disapproved a/c .................................................................. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Apphcation No ........................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date March 28, 19~...8. ...... INSTRUCTIONS a This apphcahon must be completely hlled in by typewnter or ~n mk and submitted ~n tnphcate to the Buddir Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing Iocahon of lot and of buddings on premises, relationship to odlommg premises or pubhc streets, areas, and g~wng a detoded descnpt~on of layout ofproperty must be drawn on the diagram which ~s part of th~s apphcatior c The work covered by th~s apphcot~on may not be commenced before ~ssuance of Building Permit d Upon approval of this apphcat~on, the Building Inspector will msue a Budding Permit to the apphcant Such perm shall be kept on the premmes avadoble for inspection throughout the work. e No budding shall be occupied or used m whole or m part for any purpose whatever unhl a Certificate of Occupanc shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Bulidmg Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the construction of buildings, addmons or alterations, or for removal or demolition, as harem describe. The apphcant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premmes and in buildings for necessary inspections. (SignatUre ~f apphcont, or'name, if a corporation) Mark S. Kosak, Attorney for owners .......... (_';~.d r'e~'; ' o~"~pi,;~'~fi ..................... PO Box 953, ~u%cnogue, NY 11935 State whether apphcant ~s owner, lessee, agent, architect, eng,neer, general contractor, electncmn, plumber or buHde attorney for owners Name of owner of premises . .D.~.V;~.~..~,,' ..aD¢~..P.~r3. g%~. C~, .tLQ~e~.~p ............................. If apphcant ,s a corporate, s~gnature of duly authorized officer. N/A (Nome and t~tle of corporate officer) Builder's L~cense No . .~ .......................... Plumber's L~cense No ...................................... Electrician's L~cense No .................................... Other Trode's L,cense No .................................. Location of land on which proposed work will be done Mop No .... Lot No ........ Street and Number 369..0. .P.e.ci.u..a..9.n.....A..v...e.n...u..e,.. C.u.tqh_o..cjue.., ~.e...w .Y.o. rk ....1.1.9.3...5. .................... Municipality State existing use and occupancy of premises and m'ended use and occupancy of proposed construction residence a Ex~s~tlng use and occupancy ................... b Intended use and occupancy .. ~.,e. ........ ~ ........................................................................ 3 Nature of work (check which opphcable) New Braiding Repmr ..... Removal Demolmor 4 Est,mated Cost . ..~..~..d..~ ....... 5 If dwelling, number of dwelhng umts If garage, number of cars n/.a Add,hen × Alterahon Other Work ....... (Descnphon) Fee .......................... (to be pa~d on fdmg thru apphcabon) Number of dwelhng umts on each floor . n/a If business, commercml or m~xed occupancy, specify nature and extent of each type of use ....n/.a. D~mens~ons of ex~stmg structures, ,f any Front 60.10' .... Rear ..6..0.4.1..0..'. ........... Depth 82.2' Hmght Number of Stones i .............. Rear .60.10' Dimens,ons of same structure w~th alterations or. addmons Front 60..:..1.0' Depth .. 42.2 .......... Height ~kj, O"- I~umber of Stones 8 D~mens~ons of enbre new construcbon Front n/a. Rear ..n./a . Depth. n/a Hmght . n../.a. . Number of Stones n/a .......... 9 S~ze of lot Front10.0'00' ... Rear 109.'00' ... Depth ..... 1.50.00' 10 Date of Purchase July. 11, 1981 Name of Former Owner .Ch.a.r.1..o..t.,t,.,e.....H..a..r...v..e...y.. , . 11 Zone or use district in wh,ch premises are s~tuated re. si.dent.iai../a~r, igu. lt. ural 12 Does proposed construct,on wolate any zoning Iow, or&nonce or regular,on no ........ 13 Wdl lot be regraded .~ O Wdl excess fdl be removed from premmes ( ) Yes (X) No Davzd R. Romlezn --., 3600 Pequash Ave. No.(516) 14 Nome of Owner of premises ................ naares~f~'~/~b'fi~5~JtJ%'~''''NY'''' I~n°ne "~'~"'~ ~2J 2 Patrzc~a Romlein Name of Architect Address ............................ Phone No ............... Name of Contractor . Address ........................ Phone No ..... PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether ex~st~ng or proposed, and mdmate all set-b~ck d~mens~ons fror, property hnes Gwe street and block number or descnpt,on according to deed, and show street names and ,n&cat whether ,ntenor or corner lot See surve~dzagram attached OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEW' YORK. }S S COUNTY OFSUFFOLK MARK S. KOSAK ................................ being duly sworn, deposes and says that he ,s the opphco~ (Name of individual signing contract) above named He is the attorney, fo.r. ow_n.er (Contractor, agent, corporate officer, etc ) of sold owner or owners, and IS duly authorized to perform or hove performed the sold work and to make and fil th~s apphcat,on, that all statements canto,ned m th~s apphcot,on are true to the best of h~s knowledge and behef, an that the work wdl be performed ,n the manner set forth m the apphcat~on filed therew,th , 19 88 .... County Sworn to before me th~s · ~..~ .~. day of March Notary Pubhc, Suf fo.l.k HELE# K. DE VOE NOTARY P~BLIC, State ~f New Yo~k 470?$?8, Suffelk Ce~ntl~, ~