HomeMy WebLinkAbout45300-Z �4�S�FF°lac°G Town of Southold 2/28/2021
P.O.Box 1179
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co
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41861 Date: 2/28/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 2200 Boisseau Ave.,Southold
SCTM#: 473889 Sec/Block/Lot: 55.-6-39
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/1/1976 pursuant to which Building Permit No. 45300 dated 10/7/2020
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:
additions and alterations, including kitchen, two bathrooms and landing, to existing single family dwelling as applied for.
The certificate is issued to Zaneski, Georgine&Krukowski Jr, George
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45300 1/17/2021
PLUMBERS CERTIFICATION DATED
r
tho d Signature
��o�oSu�Fnc
00,
TOWN OF SOUTHOLD
oy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
{ SOUTHOLD NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 45300 Date: 10/7/2020
Permission is hereby granted to:
Zaneski, Georgine
2200 Boisseau Ave
Southold, NY 11971
To: no road file (original file missing) alterations and addition to existing dwelling.
Replaces BP# 8828
At premises located at:
2200 Boisseau Ave.,Southold
SCTM # 473889
Sec/Block/Lot# 55.-6-39
Pursuant to application dated 10/7/2020 and approved by the Building Inspector.
To expire on 4/8/2022.
Fees:
PERMIT RENEWAL $57.50
Total: $57.50
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERIC'S OFFICE
SOUTH'OLD, N,. V.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
M2 Z Date ...........................-.fan �...........:�..........
Permission is hereby granted to:
llar 'cgn1j KruEio ski
...................... ........................................................
Soutnala
................................................................................
................................................................................
toVi ..................................... ........................
.....................................................:..:.......................................................................................................
at premises located at ....::�w..i/oisseaAve.................................................................................
...................................................Saz.... d........1.a.tr®..........................................................................
.................................................................................................................................................................
pursuant to application dated ......................... ................ 19...? ., and approved by the
Building Inspector.
Fee $,7 i o OC........... \\
.........I...� .�...... ... ..............
F I Building Inspector
i �I
oF so���®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959 �®
COW,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To* Georgine Zaneski
Address: 2200 Boisseau Ave city,Southold st: NY zip: 11971
Building Permit#: 45300 Section: 55 Block- 6 Lot 39
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Wllcenski Electric License No: 4723ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 9 Ceding Fixtures 2 Bath Exhaust Fan 2
Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 1 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan 1 Combo Smoke/CO
Transformer UC Lights Dryer Recpt 30A Track Lt 4' Time Clocks
Disconnect Switches p 4'LED Exit Fixtures Pump
Other Equipment: Mini Fridge, DW, W/D
Notes: AS BUILT NO VISUAL DEFECTS " Kitchen and Two Baths
r
Inspector Signature: Date: January 17, 2021
S Devlin-Cert Electrical Compliance Form As
-------------
OF SOUIyp� z V /sZ54 ` u
` # # TOWN-OF SOUTHOLD BUILDING DEPT.
765-1802
r INSPECTION
[ ] FOUNDATION 1ST [ ]-ROUGH PLBG.
[ ] FOUNDATION_2ND- [° ] INSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY ' [ ] -FIRE SAFETY'INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION - [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
�zut Sol,
h�
* # TOWN OF SOUTHOLD.BUILDING DEPT.
��ro„rmi� 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING/STRAPPING [ FINAL*9• Ih «l
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
i�Kr �mv,>
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS,
CA
FOUNDATION(IST)
-----------------------
C
FOUNDATION(ZND) �
ROUGH FRAMING&
PLUMBING H
l
I "
INSULATION PER N.Y. y
STATE ENERGY CODE
7
FINAL
ADp .10L C£� MEN5
-�— 12c4 # l
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FORM NO. Y
TOWN OF SOUTHOLD
BUILDING: DEPARTMENT
TOWN CLERICS OFFICE
I SOUTHOLD, N. Y.
Examined .......9��...1............. 19 Application No. ..Ff -C ......
Approved ................��........ .I•........... 19.2 6 Permit No. ...�., :....
Disapproved a/c ...... .............. .................. ........... .....
1'
........ ......................(Building Inspector)...... .......................
APPLICATION FOR BUILDING, PERMIT
Date ................... ........./..............., 19...........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 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, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
.................................................................................................
(Signature of applicant, or name, if a corporation)
................................................. ..... ......
........... ..... . ..................................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.................... ................................................................................................................................................
Nameof owner of premises ... .......I ...... ......................................................................
If applicant is a corporate, signature of duly authorized officer.
........................................................................................
(Name and title of corporate officer)
Builder's License No. .........:n MIS.....................t..........
Plumber's License No. ...............................................'
Electrician's License No.
::...:1...............................
Other Trade's License No. .... 1A?.........................
1. Location of land on which pr,?Posed work will be dong. Map No.: .......1.$�l.�.�?.1............... Lot No. ........................
Streetand Number ............b.101 s.(MtAL ........ ............................................... .........................
Municipality
2. State existing use and occupancy of premises and intended use arid occupancy of proposed construction:
a. Exisiting use and occupancy t25I p�� 0.L l401/V\ ' Q&' k .( 1. rviC vl��eYS .
..................................... . .................... ............... ..... ..........................................
b. Intended use and occupancy ....ti` .V1�oDLL1���?......... ........C.1. .. �� ....�` ......
�.. .� �i... �a
/^ ,^ ��
3. kJ
` Nature of work hack which applicable): New Building
� ------ �/~ouitk�n -_'.^--. /\harotk�n -'�-.— � �
Repair . .. �en�ovo| ------. Demolition Other Work ---------_-_____ .
' ---- ' - (Descrb�ion}
�z� '
4
Estimated Cost ---y�����------------.�ae -�~�-.--_-------_----_--__________.' -' do be paid on filing this application)
5. If dwelling, number of dwelling units ---..(�................Number ofdwelling units on each fkoor.--...------..
'
If garage, number of cars --------_-----------.-----_------_.------_----------.
d. If business commercial or rnbeed occupancy, specify nature and extent of each type of use ............................
7. Dimensions ofexisting structures, ifony: Front ------.---- Rear ................................ Depth ------'
Height ........................ Number of Stories ---.-.--.---_--.-----__------__-_-_________
Dimensions of uonna structure with alterations or additions: Front .................................... Rear ............................
-
Depth . ~---------' Height ---------�Nun`ber of,Stories ---..L-.----. . /
- , , �
8. Dimensions of entire new construction: Front ---_---,-_---. Rear ............................ Depth -:�O�-0----
Height .................... Number Stories ----_--.................................................................................................
9 Size of lot: Front -----.���.---------- Reor ---.{7 ........................ Depth ................................
'
lODate of Punchosb ..........1.9'32i-.............................. of Former Owner hA/^wx -^ K~9 ........
..
ll. Zona or use district in which promises are situated ........ -..............................................................
kl
12. Does construction violate any zoning law, ordinance or regulation: --..^.����
.........................................
'
13. Will lot be regraded .....kl.0.............. Will excess fill be removed f mpremises: ( ) YesNko
T-
14. NonnoofOwner ofpnarniseo .ykl.�t�6��'.��'|..!.�..T}����x�}�.��ddreos Phone No.
Nome of Architect --------------------- Address ................................ .Phone No. ......................
'
Nome of Contractor ............................................................ Address ................................ Phone No ......................
PLOT DIAGRAM
Locate doony and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions' from
�
property lines. Give street and block number m description according to deed, and show street names and i�i��
whether interior orcorner lot.
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STATE OFNEW YORK ISS
COUNTY OF --�-1Xf�mIJc........./ '
...........................Geox Kxz*Owsk,L................................being duly sworn, deposes and says that ho is the applicant
<Nonna of individual signing contract)
above named. '
Hoixthe ...............................................---���!���...........''-----..-..-.--_..---------_---_-....-................
� (Contnzctor, 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
+horthe work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
Ist t:eeb.e ...._' l9......?6 `
/���`HJ�� ., County .. � ��'-------'' '
T(Signature ". "pp"`="/
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�ODING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
F EB 4 202own Hall Annex
+ 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Pe
lephone (631)765-1802 - FAX (631) 765-9502
err& o' wtholdtownny.nov seand(o)southoldtownny.gov
APPI ICATION FOR-ELECTRI Q- AL,1'N8PECT10t4
ELECTRICIAN INFORMATION (All Information Required) Date: Z-
Company Name: W1 \ (—
Name:
License No.: email: W% cc s v-,Ile-c,-A-n L,*,t C-
Phone No: (,71-Z36-- 2A kl request an email copy of Certificate of Compliance
Address.: , A D, LY '9-9
JOB SITE INFORMATION (All-Information Required)
Name: 6 F026E ---T KQ-i-kt<o o5k/
Address: -2-72-,nz>v o 15<," C— A c-s AV e--
Cross Street L I <,A `b Q,i U-E,
Phone No.: 6;3 ( Z> I? '7'T
Oldg.Permit k. rn A i L < C-6 ky)
Tax Map District: 1000 Section: Block: Lot:
-BRIEF DESCRIPTION OF WO5RKnnt Clearly
4PIease P
Check AH That Apply:
Is job ready for inspection?- NO Rough In final
Do you need a Temp Certificate?: YES Issued On
Temg1nfbn'nat1lon (All,information,required)
S e-
ct
Servi Size 'I Ph 3 Size: A -"eters 01 e
e
New ervicEe Service Re Size:
Underground erhed
u Wo NJ-
1#Undergroun aterals 1 2 H me Pole Work e on Service?
Additional Inform on:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
03 FEBRUARY 20201
Tn- Snuthnlrl Rldo. DPnt.
FR:George J Krukowski
RE: 77nn Rr,irr^,ss A-
Please find enclosed check for$90.00 per your request. Kindly arrangement an
annnintmPnt fnr the PlPrtrira) incnPrtinn of the additinn at vnijr PnrliPet rnrivaniPnrp
Best regards,
G1 VruLnu.rLi
.,. ............,...
E31 i c4 899
•SIC
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SURVEY OF PROPERTY
N A T SO UTHOLD
TOWN. OF •SO UTHOLD
SUFFOLK COUNTY, N. Y.
1000-55-06-39
LISA DRIVE ' SCALE: 12=30
DECEMBER 5, 2020
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VUMBERS REFER TO "MAP OF HIGHPOINT MEADOWS, SEC77ON 2" + `�
IN THE SUFFOLK COUNTY CLERK'S OFFICE AS FILE NO. 8911.
- AREA= 17,200 SQ. FT. ' b•�''� •`• LIC. No. 49618
AL1FRARON OR ADDITION TO THIS SURVEY IS A VI0LA77ON OF SEC77ON 5 P.C.
OF THE NEW YORK STA 7F EDUCA 77ON LAW. EXCEPT AS PER SEC77ON (663111)) 020"FAX (631) 765-1797
VIRMIA.VnN 2- All CFR77F7CA770NS HEREON ARE VALID FOR THIS MAP P.O. BOOXX 9 909