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Home My WebLink About2469-zFORM NO. 4 TOWN OF SOUTHOLD BU'ILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20434 Date DECEMBER 30~ 1991 THIS CERTIFIES that the building DWELLING Location of Property 62254 COUNTY ROAD #48 (NORTH RD.) House No. Street County Tax Map No. 1000 Section 40 Block 1 Subdivision Filed Map No. GREENPORT~ NY Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1964 pursuant to which Building Permit No. 2469-Z dated JULY 27, 1964 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 ONE FB/~ILY DWELLING The certificate is issued to STEFAN & NORMA GRZESIK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL JUNE 29, 1966- R. VILLA UNDERWRITERS CERTIFICATE NO. N-763469 - OCTOBER 7, 1967 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector FOEM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No..Z..~.~.0 ..... Date ............O~..l;.. ?.6 ......... , 19..~.~. THIS CERTIFIES that the building located at R:.0.*.I~..*. .N./$..N.o.~..t~....Rd.. !... eet Map No...z~. ......... Block No....x$. ...... Lot No....~......G.~.e..e.nl~.q .~.....N.,.Y. ,. ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .........~r~e. 3.0. .... , 19 .(~r. pursuant to which Building Permit No. ~I~gZ.. dated ..........J.u~..y. .... 2.7...., 19..6~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Pri.v. ate. ~ue. family..dwelling ...................................... The certificate is issued to ~.o.r~..&.. $.t.e.J~e~...StSc. alit ....... ~r~er$ .............. (owner, lessee or tenant) of the aforesaid buildi,mg. Suffolk County Department of Health Approval . .J.~u.e... 29 .... $ 9.6.6. ................ UNDERWRITERS CERTIFICATE No. ....... 0 t.7... 967. .............. HOUSE NUMBER . .6.22~. ....... Street ...C.o.u~ty..tid. 2.7... [.~.!.o.~;b.'.i~(;~.,Cl.) ......... ~l~uilding~ inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2 69 z Permission is hereby granted to: Iox'm~ . & . S t,~ ar~ ... .arz u $.k ......................... ~.%...~...~..St ............................................... . ~lJ~cl~t ~...L, Z,.w ..~l,.g, ...... , ................ to ... ~tli. t~ ../~. el~e...~all~.l~,.. ~% .1.4~1~ ................................................................................... at premises located at ...~l~'~.....]l~F.~h...~,o~,d.....{O~A..) ................................................................. ....................................................... O~een~or.t ~ .... 4'4 ~ .~., ...................................................................... pursuant to application doted ................................ evlAl~l~.....~.0 .......... 19.6~.., and approved by the Building Inspector NOTEI Approved by Bd/Appeal~l ALS01 SubJeot to County Hlghwa~ Dep~ Aoaes~ permit Fee $.~,O,.OO.....~J. a~ required. ' - Building Inspector SUFFOLK COUNTY DEPAEFMENT OF HEALTH Date TO WHOM 1T MAY CONCERN.. The sewage disposal facilities for a structure located at 'i~iVe deed location) / have been inspected by this Department and found to be satisfactory, District ~ineeP ' · "' ....... bi'str~6~ Eng eP 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~/~NAL REMARKS: INSPECTOR~ / Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN IIALL 765-1502 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 Nealth 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 i% lead. 5. Commercial 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pro-exlstzng land uses: i. 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. 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 Building - $I00.O0 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ................................ .~ew Constructzon ........... Old Or~Pre-exisping Building.. . ...... . Location of Property .... , ' ...... I' Oswe~ or Owners of Property. Oounty Tax Map No 1000, Section ..... ~O ...... Block .... ~ ........... Lot ..... % ............... '.;ubd ivlsion ..... ............................... Filed Map ............ Lot .... .................. Permit No...l ..... Date Of Permit ................ Applicant ........................... :{calth Dept. Approval .......................... Underwriters Approval ......................... ?laoning Board Approval .................. ~{equest for: Temporary Certificate ........... Final Certicate ....~ .... ',, ............... APPLICANT Mr. E. F, Bishop Commissioner of Public Works Suffolk County Yapbank Ave., Yophank, N. Y. Dear Sir: in accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...................................... N.~rma...Gr~e~.lk._.[.~, .~.ta..~...e;y: Grzesik) ....... .................. has applied to the Town of Southold for o permit to cqnstrucf o building on A/S... Nor. t,h. AC..,.....L,...Z.... ......... as shown on the attached plot plan, submitted in triplicate, da,ted ................ ,]' .al~....u...~..~.~....~.~,~_..~..~.~'.~ .......... and titled .M..a...P...,°,_~.,...L...a~....d:...~.°.~..~,°.,r.m..a....~..r...zesik We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. 7/21/64 Approved to the Town of Southo~.~kry truly yours, pursuant to Sec. 239K of the Gen~l Munic~ pal Law; before building access drive $o/ the County Road~ a p?~t under Sec. 1~ ~ ~ of the Highway Law wzll be required. /~/~_~ ~/? ~/ ~_~ St/FFOLK COUNTY DEPT PUBLIC WORKS / ~~ ' Building Inspector H. F. Bzshop, ommissioner c5~ FOEM~ .NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×amined ........ Approved ............................... ~. ...... , 19 ........ erm't No ................................. Disapproved a/c ...... .J.Z..~..:.....-:. ......... i~f~....~......'~ L...L ff...;...: ................ ........ ...... ........ ................................. ............................... APPLICATION FOR BUILDING PERMIT Date June 30, 1964 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 la.your of propertymust be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and r~e, gulations. .............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ...... ~.°.r..~.~...~g.~...~..e.~..~.~....O.~.~.e..~.~ .................................................................................... if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... 309 North Road, Greenport, L. ii. Street and Number ....................................................................................................................................................... Municipality 2. State existing use ~nd occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ¢~a~,l...8.t~lt~.e.~..~p.~.e. ................................................................................. b. intended use and occupancy ..... 8.L~...?..e...~.....~.~.~......~..e..e...~..,.,~.~. ............................................................................ 3. Nature of work (check which applicable): New Building ........ .X. ........ Addition .................. Alteration .................. Repair .................... Removal .................... Dem, ~lit[on .................... Other Work (Describe) ...................................... (to be paid on filing this' application) 1 u 5. If dwelling, number of dwelllng units .........................N tuber 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 ............................ He oht Number of Stones ........... Dimensions of same structure with alterations Ior additions: Front ................................ Rear ................................ Depth .............................. Height ........................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ..~.].?..t~ .......... Rear 36t4" and Depth 32t10" Height ..~.~.?...o.~.:...~.~.!. Number of Stories .......... .], ................ 14! b~eezeway 9. Size of Jot: Front 90 ! Rear lO01 Depth ..~.O ....................... 10. Date of Purchase ............J...n..'g...qM,V..y...~..g...~ ................ Name of Former Owner ........................................................ + ^,~ homes and farms ] ]. Zone or use district in which premises are s ....................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulaHon? no 13. Name of Owner of premises ...~.:....~....~..,....C}.?.~9.~.,~.k. Address Linde ur t. PLOT DIAGRAM l_ocote clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. /-., O W ~ I ~ L I¢i,~]) 500N~::~ STATE OF NEW YORK, COUNTY__,OF .................... .... ~' ...................... ~worn, deposes and says that he ,s the apphcant above named He s the t.~.x~-~.~.l .................................... ~ (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 b~fore me this x; .j , ~ ~ ,~ Notary P~~~~ (Sign~ure of applicant) TOWN CLERK'S OFFICE PP --.- ........................... t.. ...... 19 ........ Permit No ................................. - ' ................... ~uilding InspectOr) ~ ' INSTRUCTIONS ~. This applicotion mu*t be completely filled in by typewriter or in ink ond submitted in duplic~to ~o me ~ui~dinfl I nspoctor. a. Plot plan showin~:{~tion o{ lot *nd of buildinos on premise% relotionship ro od~oinin~ premises or public streets or ~reos, ond ~ivih~ ~ de~ddo*cription o{ Ioyout of propertym ~st be drown on lhe dio~rom which is pa~ of this application. c. The work covered by ~hi~ opplic*tion mog not be commenced before ~ssuonce o{ Buildin~ Permit ~f ~his opplicotion, tho Buildin~ Inspector wi issue o ~uildin~ Permit to lhe oppliconl Such~ d. Upon permit shall be kept on the premises available for inspection throughout the progress of the work· e. No building shall be occupied or used in whole or ~n part for any purpose whatever until a Ce~ificate of Occupancy shall have been granted by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the ssuance of a Building Permit pursu~nl to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appl~able Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolitidn, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building c~e and ~gulations. ~Signature of applicont, o~me, if a corporation) ('Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owne]~ .......................................................................................................................... ............ ; ........................... Name of owner of premises ...... .~...°.?...~..~....§~....~.~.?..Z..~...~....?.~.~.e..?-z.R ....................... ~.?' .."~- ................................................. If applicant is a corporate, signature of duly authorized officer· (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... 309 North Road, Greenport, L. I. Street end Number .................................................................................................................................................... Municipality 2. State existing use and occupancy of premmes and intended use and occupancy of proposed construchon: a. Existing use and occupancy ...... ~,~n]l...~,4~?..e.~...~.9.~.e. ................................................................................. SUW~er snd week ends b intended use ond occuponcy ................................................................................................................................. '" 3: Natur, e of work (check which applicable): New Building X Addition., , (~ Akefatic~n i q~, · ~Repair .................... Removal .................... Demolition .................... Other Work (Describe) ......... i!.~.'., ................. : .... Estimated Cost ao~.,z~ox. ~5~000.00 Fee ~.10.00" ~'~ , (to be paid on filing this applicat!on) 1 5. If dwelling, number of dwelling units ............................ Number of dwelling units on ebch floor ......................... If garage, number of cars ................................................................. : ..................... 6. If business, commer?,i,al or mixed occupancy, specify nature and extent of each type of,use .............................. 7. Dimensions of existing:structures, if any: Front .......................... Rear .......................... Depth ........................... Height ........... : ................ Number of Stories ................................................................................. : ............................. Dimensions of same structure with alterations or additions: Front ............... . ................. Rear ................................ Depth .............................. Height ...... i ....................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front 3G t :itt Rear 2614' 8i3.(] Depth 32, Height ...A.~.~..°.~.*.....Z..~.t. Number of Stories .......... ,1. ................ 14t 9. Size of lot: Front 90 ~ Rear 100~ Depth ..~..O.Q ....................... 10. Date of Purchase ........... .~...e;..n...u,~..z'.7..,i.]:.9....5.?5. ................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are s tuated ........... .~...o..m...e.~...~,n.,c]....~.z.,...~.8. .................................................. 12. Does proposed construction'violate any zoning law, ordinance or regulation? no ' N. & S~ Gl~ ~s~. r ~ r, , Llnde~ t3. Name of Owner of premises .......................... ~ ....... Add ess ...~.9.....$.Q...~..t;.b,..~q.~ ............. N'ame of Architect ....W..1..].-.,Z.~.~..m.....G..:..,.C~.~.1.,~P~..o.~.l...s....Address .$.~..z'...1. Dg~,~,~.e.l.(~,,...N,,.~,,.. Phone No. 'Name of Contractor ........... ::Address ...~...) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate property lines. Give street and block numbers or description according to deed, and whether interior or corner lot. ~, 0 l,v G I ~/~/¢J~']~ .~ O~ F- STATE OF NEW YORK, ) -- ~- ' ' COUNTY OF ............. : .................. / S.S. ~Oi~rT'~ ~o~t~ , , ' ~ ~d~ning applicati~), ~' , , above ~med He s the. ............................. ~...Cv~7~....; ................................................................ . -: .;, ','- ', ~ "' ' , " ~ '(Contractor, agent, corporate officer, etc,) of said'owner or owner% and is duly authorized to perform or have performed the said work and to make and file this &ppli~ation; th&t all sta~emehts contained in thi~ 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 t0 b~fore'rme this ~, '~ : ' ~-~ . ' , , ' ' ' ............ ............................................ Not0~ Pu~~~{:~,}~y ~ , (SignOre of applicant) : , ', ' ' ,t ~.~ i~'~ ~ "-' ~