HomeMy WebLinkAbout23300-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24384 Date MAY 29, 1996
THIS CERTIFIES that the building ACCESSORY
Location of Property 725 ROSEWOOD DRIVE MATTITUCK NY
House No. Street Hamlet
County Tax Map No. 1000 Section 113 Block 2 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 6, 1996 pursuant to which
Building Permit No. 23300-Z dated MARCH 14, 1996
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 AN ACCESSORY STORAGE SHED IN THE REAR YARD OF A SINGLE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GREGORY & KATHLEEN SCHOIJM
(owner's)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
it ing Inspector
Rev. 1/81
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)
Date..........:;...`.......611.................
N? 23300 Z
Permisslon Is hereby grante to; n
... .. `~v...J � D..........................
....ev ..� .....f .. ...............................
..........`� �.r....�Y-..�e.........
to .... ..... .......... . ...:.. ..=�� ...................
............. ..... .... � ...... ....................
.............. ..............................................................................I..........
.......................................................................................................................�..................................
at premises located at..................7"-7.�....... f,�C .........��.r..............................
............. ................................... ... ........ ............... ...........
County Tax Map No. 1000 Sectlon ........`/.. .... Block.......�............. Lot No. .�....I.............
pursuant to application dated .............. .. .. ......... 19...0 r,..., and approved by the
Building Inspector.
Fee$... ..���
Bui g p
ldin Ins a or
Rev. 6/30/80
- t0_u. No. b
ToT,� 07 SOU7HOLD
! MAY '. ' �, _SING DE?ART`-.-NTT
2 21996 TowN .
765-1802
BLDG DEPT.
IO�OFSOUT I
aD''T TiON vR C nT_- _CAT= 07 OCCL?ANC--
_. _1'i s a-oDlication must De f_ileC in by t,UeWriter OP inK and SUDmi tteC t0 C_e builCinc
s-oeCtor wiz'_-, the follow-=z: =or new Duildin,o or new use:
1 . F'i.-hal survey Of DrODerty w-_LIl accurate location of all bu=Idinos, 17rOD_ er=y '_=nes,
streets, and unusual natural or toDOg_aDflic features.
"=Hal zDDTOVaI from rlea �ePC. 0= water supply and SeWeT2Qe-Q=SDOsa2. -9 f^'^ilj
3. Approval of alec_rical instaliat.on from Board of _r2 under',r-iters.
4. Sworn statement from nlL'mber certifying that the solder used sysze-- contains
less rnan 2%1O O_ 1;o S-ad. '
l oIIIIIle_Cial bL*ilC�T g, iadus. DU'1 ding, mul dm l e residences and Sim=l ar bull ''
and inst-lations, = certi='_Cate o2 Code ComDliance from architect or engineer
resDonsible. _or the building.
6. Subm== plan=n2 Board AnDroval of completed size Dlan recui_emenLs.
'0r (Drior to _"-_Dril 9, 1957) non-conform inc, uses, or Du=id=Z??s and
IIDre-e�1�J tingll land uses:
i . Accuratesurvev of DroDert-7 sllo,;_ng ali DrODerty lines. streets, DL*rd_ng and
Unusual MatLIral CZ features.
2. p•rope__, completed application and a consent to inspect signed ov. the aDniicant.
l= a of 0=—roanC7. -= denied, the Building _nSDector shall state the
reasons therefor in writ_n2l tb -ne aDL'l=cant.
'_ . Certi=icate of OccuDancv - New dwelling :25.00, Addi_ions to dwelling S2�.00,
?iterations t0 dwelling' S2i-00, swi=lnc 000'_ S25.00, Accessory buLiid=n2 SZ;.00,
Additions to accessory building S25.00. Businesses r-50.00.
_. Carti=_cite o= Occupancy on Pre-a_x_4 sting 3uiIdin; - S 100.00
CODV o2 Carni=irate c- Occuvancv - _25c.
'. uDdated der,.-_irate of Occ.aDanc - S50-00
3. =emDorary Certificate of Occupancy - Residential S1-.00, Commercial S1:.00
Daze . . . .� ��. . . . . . . . . . . . . . . . .
law Cons truct=on._ . . . . . . . . . Old Or ?=e-esist=ng �ll�ld_ag. . . /J_ . . . . . . . . . /
-or of ?ropertv. . . � :�-. . . . . . . . . . . . . . . . ./. 7-S.Gft� .'�. . . . . . . . G�4. . . . .
House No. Street Hamlet
� Q
tnwer or Owners of Propert-. . . ?� 7c�? _ . . .Cf�G ���.e� c�C!� C -�� . . . . . . . . . . .
;ounty Tax MaD No 1000, Section_ . .! [ . . . . . .Blocs.. . . .0,�291. . . . . . .7 ot. . . .� . . 0. . . . . . .
;uDcivision- - . -� � � � �'C�/J!� - - - . . .__'ed �iap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
?ermit :+o. ✓ � Date Of ?e—=t. .�s.�`.i��. . . . .��..i x.'.1. . . . . . . . . . . . . . . .
.Applicant.
:ealtr. Dept. ADDroval. . . . . . . . . . . . . . . . . . . . . . . . . .Under-wr=ters ADnroval. . . . . . . . . . . . . . . . . . . . . . . . .
rant.-r_2 Board ADDroval. . . . . . . . . . . . . . . . . . . . . . . .
.eQuesz :Oroar Certic" e. Tejrpora-_' Cer-_--Cate. . . . . . S' �
ae Submitted: S. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
U00 C-#` P"-)
�a�3�� P? -c N�
FIELD HISPI.CuLod lu'volvi, DATE*
Cut'll-II-All"'i
F-0111111AT(011 I";,r)
FOUNDATION 2UD
HOUG11 FRAME. &
N.Mill I NG
INSULATIOtl PER U. Y . -------
STATE,
0 1)1 T,
---------- ------
FTIIAL
-------------------------
--------------=---------------------
o
ADDITIOIIAL COMIRITUS:
------------
..............
tzi
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND INSULATION
[ ] FRAMING [ AL
[ ] FIREPLACE & CHIMNEY
REMARKS: D��4
ZZ
DATE ��./ INSPECTOR 1%�G1
_ BOARD OF HEALTH . . . . . . . . . . . . . . .
71 �� `� FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
F
TOWN OF SOUTHOLD SURVEY
v�g BUILDING DEPARTMENT — CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
d MR
19096
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
L TEL: 7 6 5-180 2 NOTIFY:
Coo
r `J1/(u 0F /C1�f�'�P0!.T CALF, 4. . . . . . . . . . . .
Examined. G(/.� 19 MAIL TO: . . . . . . . . . . . . . . . . . . . .
A 1-.RA—a rG ., 19 1 Permit No. ®�• ....................................
PPS
Disapproved a/c .................................. ....................................
...................................... ...............
ilding Inspector)
P CATION FOR BUILDING PERMIT
Date. ./.!/•"l�- •� - � 19'- •�
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and sutmitted to the Building Inspector with
i
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 application.
c. The work covered by this application may not be comrnnced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue 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 HEWHY M DE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Tarn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or Pr removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordina es i 'ding code, housing code, and
regulations, and to admit authorized inspectors on premises and in buildi �fo, ssary inspections.
...... '.........................................
(Signs e.of applicant, or name, if a corporation)
(Mailing address of 'applicaut)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.........................................................................................................................
Now of owner of premises .............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nave and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be done..............................................................
� .......................
. ��� ............................/��.....��...................
House Nmber Street{ 2 Hamlet
Canty Tax Map No. 1000 Section .....l./3 ..... Block .....69�..... Loot ...00......
Subdivision .... .�S.l f1? ........... Filed Map No. ... 7.Qn.... Lot .....//.......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..............�5 .............. ...............................
a
I
b. Inte Kled use and occupancy ...................................................... ...
3. N•►lure of cork (d►eck aA►i(Jr applicable): New IAulldirugq ... Addition .......... Alteration ..........
Repair ............ Removal ............. DewliLion ............ Other Work ..................................
(Description)
4. Estinr►ted Cost ...../ 14(/ -:............ fee ........... _ .......................
(to lie paid cx► filing this application)
5. If cka-I l ing, nunber of ckaell ing; units ............ limber of (klel l ing units or) each floor ................
If garage, umber of cars ......................................
G. If lxusiness, comnercial or mixed occupancy, specify nature arxl extent of. eadi type of use.........
...—.7.........
7. Dimensions of existing structures, if any: Front....�! ......_ Rear ....6,. ..... Depth ... .!........
lleight ......................... Umber of Stories ..... �li? ..........
Dimensions of sane structure with alterations or additions: Front ............... Rear ..............>54,yl,=,
Depth .................... Ileigl►C ............... Nu►ber of Stories ...............
g. Dimensions of entire new construction: font ......J ..... Rear ......( .... Depth ...0 ........
lieig;lit ........./0............ NY►ber of Stories .....................
9. Size of lot: Front ......N-P ........ Rear .......(.0........ Depth ....�.�L.........
10. Dave of Purchase ...._. yy......_._. Nave of Former Owner ...1�5��?: ,co�?O SIG...............
II. Zone or use district in whid► premises are situated .............................................................. a
12. Does proposed coustrix tion violate any zoning law, ordinance or regulation: .......:.0.............
13. Will lot lie regraded ...... �......... Will excess fill lie removed from premises: YES NO f
14. Names of Owner of pranises .... .................... Acklress .............................. plxa}e No. ..............
None of Areltitect .................................... A&Iress .............................. 1'1►one No. ..............
Wane of Contractor ................................... Address ...............................II►one No. ..............
15. Is this property within 300 feet of a tidal wetland! * YES .......... NO .. �C.....
*IF Y1,5, SOUIIIO(.D 1llldl nasi Ii.S PI,RMC1' MAY Rl, R, AnRf.D.
PLOT DIAGRAM
I.ocaLe clearly and distinctly all buildings, whether existing or proposed, arxl indicate all set-back dimensions
from► property lines. Give street and block rtnber or description according to deed, and slow street naves and indicate
rig►ether interior or corner lot.
4 A AS NOTED
DATE: VAKID4�� �mY 1,
FEE: .NOTIFY BUILDING D AT
765-1802 9 AM TO MM FOR THE
' i FOLLOWING INSPECTIONS:
' '' � ' �� � a � �9 ' 1. FOUNDATION - TWO REQUIRED
f'rd,-F'n FOR POURED CONCRETE
VK u
G k •'��`� CP
4 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
�cA 4. FINAL - CONSTRUCTION MUST
F ;
F L� ��; BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
SUVI, OF Nlld YORK, DESIGN OR CONSTRUCTION ERRORS
�/ SS
(XXINIY (Ar ..�UFi�I(-�.C.............
............. v.....v_ ..............being, duly sworn, delx)s s auA says that he is lie appl.icant
(N,ryne of. i►divichu<. signing; contract) ;•
alxrve nixie 1,
Ileis Lite ............................ ....................... .......................
(Contractor, agent, corporate officer, etc.)
of: raid cxnter or orw►xrs, arxl is duly authorized to perform or have gx�rforined the said work and to make a►xl file this
application; that al.l. statements contained in this application are true to clue best of his krxxal.edge and IxAief; and
that Lite work will lie performed in Lite nranner set forth in Lite application filed therewith.
worn to before n►e this �f
Notary Public ........... z ��
CARO A. SCHILL (Signature of Applicant)
NOTARY PU LIC, State of New'York
No. 4885960
Qualified in Suffolk County
Commission €xpires 02 7
F
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w Lot 13 /
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srK• N.67"!33'/0 uF /74./O
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ST•Ic. _S.67.33,/OBw /73.0f
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_ MAR - 6 1996ACT
- .13• ' 1
F/LED.NAP +I
• = =
SURVEY FOR
GREGORY SCHOLAND
LOT I I, 'ROSEWOOD ESTATES" SEPT.7, 1983
AT MATTIT.UCK DATE: JAN. 11, 1983
TOWN OF SOUTHOLD -SCALE: I =.40'
SUFFOLK COUNTY, -NEW YORK WIC. 82=81s
-It UNAUTHORIZED -ALTERATION OR ADDITION TO THIS GUARANTEED-TO.-SUR -
NEWVEY a ORKSTATEE CATA VIOLATION ION LA�ON 7209 OF-THE CHICAGOTITLE INSURANCE COMPANY
-*COP 1 ES OF THIS SURVEY NOT BEARING THE.LAND
SURVEYOR'S INKED'SEAL OR EMBOSSED 'SEAL SMALL
NOT BE CONSIDERED TOBEAVALID TRUE COPY '
*GUARANTEES INDICATED HEREON SMALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPRONA4LTD CONSTRUCT THE PERSON fOR WHOM THE'SURVEY IS PREPARED
.AND.ON MIS IBENALF TO THE TITLE COMPANY,GOVERN-
-M•NEAREST'WATER 'MAIN�MI ± aISOURCE OF-WATER: PRI1wTE PUBLIC_ MENTAL -AGENCY AND LENDING INSTITUTION LISTED G' y�
tflSUFF CO.TAXMAP.MST 1000 SECTION�3-BLOCK 02 LOT 008 HEREON,-AND TO THE-ASSIGNEES OF THE LENDING ► � t
.,
:IIFT}IERE :A1IE•MO DWELLIINf-1NtTMIN 100 FEET OF THIS PROPERTY INSTI TUT ION.'GUARANTEES ARE NOT TRANSFERABLE
:OTHER THAN THOSE SHOWN HEREON. TO-ADDITIONAL INSTITUTIONS OR .SUBSEQUENT
+NTME WATER3UPPLY.AIDSEWAQE DISPOSAL SYSTEM FORTHIS RIM IDENCE OWNERS T ._� r �•'•, �t
_*DISTANCESSHOWN HEREON FROM PROPERTY..LINEg 11 o
AIIILL'ZONFORM TO THE STANDARDS OFTHE"SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES -ARE FOR >A SPECIFIC a
*OF+IEAL•TM 3MVICE7. ARE ,•, r,_y'-;:r_ >.�i� '> 44
"PURPOSE AND RE MOT TO-BE USED TO ESTABLISH
.APPLICANT+ PROPERTY LINES OR FOR THE ERECTION#'FENCES
ADDRESS " 'd
.A
AVENUE
�` YOUNG e� YOUNG �►� WYORK
0-MONUMENT
:SUBDIVISION MAP FILED INTHE OFFICE OFTHE CLERK OF SUFFOLK ALDEN-W:YOUNG,PROFESSIONAL ENGINEER
COUNTY ON JAN.24, lase A8 FILE NO. 5240 AND LAND SURVEYOR-N.Y.S.LICENSE NO.1284S
HOWARD-W.YOUNG, LANDSURVEYOR
,*IM•LOCATION CF M MLIW 1,SEPm C TANKIgflB CEggroOLS(CP)SHOWN HEREON N.Y.S.LICENSE id O.4 5893
4AREP1 W TIELD.DpElI MTIONS AND OR DATA OBTAINED FROM OTHERS
:HftRNDlS JE'SONS,.ANC. 2618
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The
The � A-Gable Frame
Qua er _
This is the roomiest shed going. It uses are anything or
from sales office to pool house or even studio - the i �a — - -
possibilities are endl ss:', An excellent addition,to�Yur property. �Grea'ty for
storage space and comesiin a v��: y of,ci es. Window,
is included for that extra special I d - v�996 '
BLDG. DEFT
roWN OF SOUTHOLD
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The The
High Side Barn Dutch Barn
High sides and double dutch doors make this shed This Colonial looking barn has enough space for the
great for storing light equipment and tools of all sorts. modern day homeowner. The usable space includes
room for shelves, a loft, and even a work station. You'll
enjoy the look and get the space.
WE BUY THE BEST MATERIALS,TO BUILD THE BEST PRODUCTS,TO SELL TO THE BEST PEOPLE-OUR CUSTOMERS