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Home My WebLink About22323-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23327 Date NOVEMBER 3, 1994 THIS CERTIFIES that the building ADDITION Location of Property 745 WATERSEDGE WAY SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 5 Lot 62 Subdivision Filed Map No. Lot No. - conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 24, 1994 pursuant to which Building Permit No. 22323-Z dated SEPTEMBER 13, 1994 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 FOR A FIREPLACE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RUTH & KLAAS HONIG (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building 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) N_° 22323 Z Date ........... ... ........................................, 19 Permission Is hereby granted ./,e, �'� /l • /tip ......... ............ ..... /.,...... ?`�... lam. ................ a ! ....... .-.................. (-�c`�...... ................... . . r .........��..... ...... ...... a,..�`%o. .....�' J . .......... ....../`�.5 �2,....... . ... -s........... ..��.. ... . .rL............................................................................... ....................................................................................................................................................I............. .................................................................................................................................................................. at premises located at.............7.1V1 .... .......................................... . .1�.�...I/.......!...... .r.................................... County Tax Map No. 1000 Section ........:r�rA......... Block.....5................. Lot No. ... ....................... CC/!pursuant to application dated .............. ....2.7............... 19.9.T:..r� ..... and approved by the Building Inspector. Fee$..�--.....-........ .......... ... ... ................. Buildin Ins a or Rev. 6/30/80 Form No. 6 s.� TOWN OF SOUTHOLD �. YI BUILDING DEPARTMENT _V TOWN HALL 34LPO (,L7A 765-1802 APPLICATION FOR-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building^ inspector with the following: 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 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer r 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 survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .-V..... . . . . . . . . . . . Location of Property. .?.`/�� . . . . . . . . . . . . . . . . . . . . . . . . . �!TjOGtJ. . . . . . . . . . . . . House No./� -.. _.. _.. Street -Hamlet - - Onwer or Owners of Property. . .v'.�.H.� ��✓sr , , �,�0411 Lam. . . . o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s County Tax Map No 1000, Section. . .gg. . . . . . . .Block. . . . :-). . . . . . . . . .Lot. .# .;P A . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. aa . ;. , , , , , , ,Date Of Permit. ./.1�3/�y. . . . . .Applicant. �y .� � �:J. . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .____. Fee Submitted: $, . .4 L?. . . . . . . . . . . . . . . �� I etc-*- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLIC . • . gVFFO(��oG . y� Town Hall,53095 Main Road y Z Fax(516)765-1823 P. 0. Box 1179 W Telephone(516)765-1802 Southold, New York 11971 oij� O! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 27, 1994 Mr. Chester Berry Jr. 3460 Westphalia Road Mattituck, NY 11952 Re: Ruth & Klaas Honig Prem: 745 Watersedge Way, Southold To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22323-Z Please contact our office on this matter. Thank you ' for cooperation. SOUTHOLD TOWN BUILDING DEPT. 3 2�S 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [QFJ�4L REMARKS• !21� Zk Al DATE l 1 INSP VZC _ ...• •III r-. •' ., ...--..--s��:: �"r� �L,7 i:... _ �.:_U:I C:OMMENTZ 1 s t) UIIDATION _ •_ � ( JTJDATIOII (2nd ) rg JGH FRAME N H :ULATION PER N. Y. II • • .j (� STATE ENERGY CODE ti •FINAL - • ADDITIONAL COMMENTS : CTI ' x •� ry ..+Jai-�_/.""�diN�-Y'L'L'•i.LdAsl'!�4�.Y...r•l lv�� r+ r .. • .. .. .. � • BOARD OF HEALTH . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . . . . TOWN HALL SEPTIC rom _ _ . . . . . . . . - SOUTfCOLD, N.Y. 11971 . . CALL TE L.. 7G5-1 F302 t:o<< F'f - Examined . // . . , 19 HAIL TO : a �� Approved . . . . . . �6. . . ., 19i Permit No. . 3-z . . . . . _ . . . . . . . . . . . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . ; - . . . . . _ . . . . . . . . . . / - '�` r . . / (Building Inspector) . . . . . ` Z 4 M4 P ICATION FOR BUILDING PERMIT s .y...-.:.:_ Date INSTRUCTIONS a. 'This application must be completely filled in by typewriter Or in 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 detailed description of layout of property must be drawn on the diagram which is part of this app: 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 perm 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 Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of.buildings, additions or alterations, or for removal or demolition, as herein describes The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessar,� it ectior �s. . . . . . . . . . . . . . . . . . . . . . . (Signature of appli�a , or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'a ent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . : .��. C � . . .. . . . . . . . .p. A,5�W. . . . ... . . . . . . . . .. . . . . . . . . . . . �. \'ame of owner of premises . . . , , . , . � Qf7/ •Y(as on the tax roll or latest deed) 0 D AS NOTED If applicant is a corporation, signature of duly authorized officer.' DATE: �`a g;p#a2323 NOTIFY eu LDING DE AT (Name and title of corporate officer) • ' f� 765-1802 AM TO 4 FOR THi . a V FOLLOWING INSPECTIONS: - Builder's License No. . . . . . . . . . . . . , , , , 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Plumber's License No. (/" 2. R,—)UGH - FRAt?NJING a PLU&qqIpjG Electrician's License No. . . . . . . . �� . . . . . '4, � l��I r+ Other Trade's License N AL F ti Oa1i`3f a n; Tgii-- M?+3 'fib u4T'L'a RbSCr" W Aory i Location of land on which proposed work will be done. � '`•w� _ ,� /,-p(/A//�/� ,' +ei�< y-�•u+^ sus I • •�• • • . . • • • . • . • . • . . • • . • V> •C/�:1.-,,•�.�Y`r�. • • • . • . • • Id Ilouse Number Street / ��anilet .. . . . . ... . . . . . . . . . • Hamlet County Tax Map No. 1000 Section 47._368% . , 97. , AABlock . . . . . . . . . . . . .. . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . ... . . . . . . . Filed Map No. �N:ImC) � . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . •��. . , - �1 �!�!�S.(�C� . . . . . . . . . . . . . . . . . . . . ... b. Intended use and occupancy . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . •3. Nature of work (check which applicable): New Building Repair . . . . . . . . . . . . . . Removal ' ' ' ' ' ' • • • - :addition . . . . . . . . . . Alteration , • Demolition � Other Work . 4. Estimated Cost . SJ, �d • • •. . - • . . • . • • • • (D scription) S. If • . . . . . . . . . . . . . . . . . . . . . . . . . Fee • • • ' (to be paid on filing•this a . . . . . . . . . . . dwelling, number of dwelling units PPlication) • • • . . . . Numbcr of dw`clli'[ig units on each floor . . . . If garage, number of cars . . . . 6. IT.busincss, commercial or mixed• • . . • . • • . • . • • . . " " " . . • ' `'•' • • • • • • • . . . . • • occupancy;,specify nature and extent of each type of:use. • . , 7. Dimensions of existing structures, if any: Fro'nt:'. ' ' ' ' ' • • • • • - Height . . . . . Y . . . . . . . . . Number of Stories . . . . . . . . . . . Rear . . . . . . . . . . . . Depth . . . . . . . . . . . . Dimensions of same structure with alterations or add' ' ' ' ' ' ' ' ' 'l ' ' ' • ' Depth . itions: front . . . . . . . . . . . . . . . . . Rear . . . . . . . 8• Dimensions of entire new construction:Height . . . . . . : . . Number of Stories . . . . . . . . . .Height . . . . . . . . . . . . . . . Nu Front . . .�\.. . . . . . . . Rear . . . . . . . . . . . . . . . P •. . . . , , • ' • . . 9. Size Number of Storics,.. �� .:a.�. . . . .1: . . . . . . ._. . . . . Depth of lot: Front . . . . . . . . Rear . Depth . . . . . • 11. Zone or use district in which. • • • ' . ' ' • ' • • Name of Former Owner . �• , , , • • • • • • • • • ' ' 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: • • • 14. Name of Owner of premises . . . . . . . • . . . • . • Yes. • • NC Name of Architect , . • , , ' ' ' ' ' ' ' • • • • Address . . . . . . . . . . . . . . . . . . . Phone No. , , • , Address ' ' ' ' • • Name of Contractor . . . . . . . . . . :. . . . . . . . . . . Phone No. . . . . . . . . . . _ 15.' Is this propertywithin " " ' • • • • • Address . . . . . . . . . . . :. . . . . . Phone No. . . . . . . . . . . . . . . . . . . 300 feet of a tidal wetland? ,� • • • • • - *If yes, Southold Town Trustees Permit may be required. � • �.• ' No. . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing b 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. "TATE OF NEtiV YO I :OUNTY OF S.S • • • • • ' ' ' ' • • • • • . . . . being duly.sworn, (Name of individual signing c ract) deposes and says that he is the applicant • rove named. eis1he . ... . . . . . . . . . . . . . . . . .—. .-: (Contractor, agent, corporate officer, etc.) • • • ' • ' ' ' ' ' ' ' ' s51d"owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be Performed in the manner set forth in the application tiled therewith. ••orn to before me this . day of at 19 tary Pu is County 'a ELIZABEI'IiAN NEVILLE . . . . . . . . . . .� Kota t'ublic, . . /i. . . . . . . . . . . . . Stat ff lk fork . (Si • ature of applicant) No. 52 S12b850,Suffolk CoCu � . i'?i.7er+ B,.'�: 1. - 7 q6 0�`CU PANCY OR us�F ��E. Is Uik-�'1fi5Pl-!FUL Fl CATE )PCOMWO 1he6- iQOX .3' 930" Id