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Home My WebLink About31307-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31081 THIS CERTIFIES that the building ADDITION Date: 08/03/05 Location of Property: 1075 HAYWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 2005 pursuant to which Building Permit No_ 31307-Z dated JULY 26, 2005 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL L & WENDY L. ROPER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 . 0. 1.3�s�1 1eQ • Form No. 6 &S TOWN OF SOUTHOLD Ro ibbi, Cn q BUILDING DEPARTMENT fs P } TOWN HAL802 L Aj CCUPAN APPLICATION FOR CERTIFICATE OF O S AUG 2 LUU9 This application must be filled in by typewriter or ink and submitted to the Building Depa ment}�k4.th� €j%�viIItm_ A. For new building 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 from 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 the solder used in system contains less than 2; l0 of 1°a lead. 5. Conunercial building, industrial building, multiple residences and 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 "pre-existing" land uses: 1. Accurate surrey of property showing all property lines, streets, building and unusual natural or topographic features 2. A properly completed application and consent to inspect sighed by the applicant. If a Certificate of 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, Stt inuning 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. Cop), of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $511.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cornrnercial $15.01) New Construction: Location of Property: )075 4 House No. Owner or Owners of Property: Date. 2S' 1— 0S– dcC-k ivat puto't Old or Pre-existing Building: y __ _ (check one) pr -to/ -fo oti. /1poe�i �4X Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Appro� al: Planning Board Approval: Date of Pennit. Request for: Temporary Certificate Fee Submitted: S 2 b:2 c. Vi 6 33 C0 -z 316$1 Street , I Hamlet JAnneS %4 (- CgI4), Block Filed Nlap. Applicant:__ Underwriters Approval Lot Lot: Final Certificate: t/ (check one) FORM NO. 3 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) PERMIT NO. 31307 Z Date JULY 26, 2005 Permission is hereby granted to: DANIEL L ROEPER 9 FAIRMOUNT BOULEVARD GARDEN CITY,NY 11530 for : CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 16399. at premises located at 1075 HAYWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0004 Lot No. 004 pursuant to application dated JULY 26, 2005 and approved by the Building Inspector to expire on JANUARY 26, 2007. Fee $ 150.00 //, -1; - -- C� Authorized Signature ORIGINAL Rev. 5/8/02 3 13 0 7 ,7, 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING K FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: J DATE / P-7. �� INSPECTOR �� FORM NO. f 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) ^7 N° 16399 z Date ...�,s, .�....lu............ 19.9..1. Permission is hereby granted to, ... V.6(� - r'.....0 . ................... ..,........... to ...Q':u4 at premises located at .. /.1?.7.wZ' .7.... a .. F ........4�4�X .......-r,... ................................................................................................................................................................ County Tax Mop No. 1000 Section .......11.1.......... Block ...... PA...... Lot No......Q... pursuant to application dated .... ...........1 191J., and approved by the Building Inspector. Fee ;..1�?..'............. Rev. 6/30/80 Y:"'� �-':`:`.'.... .. .................. Building Inspector FIFL'. I.. ScL k _ FOUNDATION (1st) FOUNDATION (2nd) � 6 i c 2. ROUGH FRAME & PLUMBING 0 a v, 3. INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL m H� m y z a 3 – 0 ADDITIONAL COMMENTS: z� � — • X x -a H a -r 0 x � m a r H Z d m ION 1 00 1 NOMMEN Odin 1 NON= I so El 0 IN NOMINEE! ME ml P -W KENN Elso No EME lommil OEM IME 0 IMEMIN m lapirmE NON! ION 1010 0 ONE IN Emim 0 IN MIN ol ME MEN I Ellmom 0 on NON No ON =NNEEEMM MEN Imol IMEMEN11 mil MMl 0 MEN INS ME 0 ommom NON m 11MEME IN ONE MINE ON INN NOE INNE �ommoommmmo OMEN ONE 0 NEON= IN 0 m mm� MEN lomm m BMW --- I ., �. N a, � U '' / Ca hi G r'l tf tT' Eri 7t SL'F•-.,'b'c-Y'yL:.' r`""OJz Guarc�a's��c� '#'� ��r&:•-�t.s�r''s]r �"�ett �: v e ,. T' T' E�. A U, T iJr v . ,I � I' All� C, _ UN �';}l :D t .a tj,�� u. c;> � p.� e, � C4 N_.>--+,0' _.> -+-� - i -VA',i'7 UYZ. ' �cCd/�:5::�=!" "� Li�.�r7:,�� •Larhd �tafv��r� - I 4 R je -4'is G took- �D oe I I - 17-1 _ ,Id W -- i 11/ Jf -pKG- -- 1 -- - - � - __ L. 1 , / iC.IUM hk'tNO i 7C" " T I 114 JV INI Q'' 0.S ..F- _ 9 8 TB a� 6 l - - — -x°45 �- x� iO � Ty T- tafy,, MIG !? U -- 1 - " f h BOARD OF HEALTH I! 3 SETS OF PLANS FORM NO. t SURVEY - A-6. , , , . AUG 18 i`.�di TOWN OF SOUTHOLD CHECK - - - - • .. • . . BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL n 1�iJ MAIL Examined �.dLth�49r..��...., 19 � � 11 pq 3 i30� ApprovedQlt-? 4�O.., 1911. Permit Disapproved a/c................................... .................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS TO : G 5 21"_� a -If r Date ..... r?. 1'? ......... 191 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 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 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 f removal or dem 'tion, as herein described. The applicant agrees to comply with allapplicable laws, ordinances, buildin code, ho sing ode and egul�ntions, and to admit authorized inspectors on premises and in building for necessary inspecti ns. �I .....per-...aZrr .......... fCian crt�� a ni.a nnliranf'inr Hama if�nin(era tinnl (Mailing laddressofapplicant) LL0C) State whether applican owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. l Name of owner of premise ...'......' SI.....?rtll � _e: ............... (as on the or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) ALL CONTRACTOR'S HST BE SUFFOLK COUNTY LICENSED Builder's License No. ..b.1 p r-S),`v........... . Plumber's License No . ........................ Electrician's License No . ...................... Other Trade's License No . ..................... q C 1. Location of land on which proposed work will be done. L�? .1... .......... .............. ....................................................... I........ . ................ House Number Street Hamlet County Tax Map No. 1000 Section ...kh............. Block ................. Lot .... .............. Subdivision ..................................... Filed Map No. .............. Lot............... (Name) �. State existing use and occupancy of premise and intended us id occupancy of prop ed con traction: a. Existing use and occupancy ........`.. :..�. , f? �\�i�s r . ........... . b. Intended use and occupancy ........�%.�.... • • • • . • • . • . • •). • ... :":��J......................... L 3. Nature of work (check which applicable): New Building .......... Addition .......... AlteraT' .. .... . Repair Removal .............. Demolition Other Work (Description) 4. Estimated Cost .... .5..Q. ....................... Fee ........................ . (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... 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 existing structures, if any: Front ............... Rear ............... Depth ............... Height ............... Number ofStories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... S. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number ofStories ........................................................ 9. Size of lot: Front ...................... Rear...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No. ............... Name of Architect ........................... Address ................... Phone No............... . Name of Contractor .......................... Address ................... Phone No... ............ 15. Is this property located within 300 feet of a nidal wetland? *Yes ..... No �.. *If yes, Southold Town Trustees PermitPLOmay bereAuDIAGRAM ed. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate 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. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained 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 therewith. Sworn to before me this day of .... ! `� ...........I 19 Notary Public, ..... !1.-.....4 .4!qe,- ... County VOE......,_,4_ ...`�a re.�! ......... . NofitRYKKK20attN"ywk / (Signature of applicant) Term Expireees kgere 1w9 ��