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Home My WebLink About5145-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17102 Date July 20~ 1988 THIS CERTIFIES that the building Location of Property 2555 KENNYS ROAD House No. County Tax Map No. 1000 Section 59 Block 7 Subdivision M/O KENNEWOOD Filed Map No. 2180Lot No. ONE FAMILY DWELLING SOUTHOLD~ NEW YORK Street Hamlet Lot 4 24 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4~ 1971 pursuant to which Building Permit No. 5145Z dated MARCH 2r 1971 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 FAMILY DWELLING WITH ATTACME. D WOOD DECK UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED The certificate is issued to ARTHUR BURK & RONALD BURK (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL JUNE 1~ 1972-ROBERT VILLA N57248- NOVEMBER 27r 1972 Building Inspector Rev. 1/81 I~OR~ NO. ~ TOWN OF $O~THOLD 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) 5145 z Permission is hereby granted to: ............... · irtls~'d"~'-'~':' ........................... ............. ~.~_ .......... I-~:~'.~- ....................... ........................................... i~l,a, ......... 1.:~, ............................................ : ................... ~ ............ pursuon~c to application dated .......................... ~ ......... ~t' ............. , 19...~ and approved by the Building Inspector. Fee $..~,e,O~. .......... FORM NO. 4 ~OWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No../~.~.21:... Date ........ ~.ul.y . THIS CERTIFIES that the building located at Xenny .Road... Map No. Kolll. kv~oo~[ Block No... ;l~ .... Lot No. 2be. Street conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .l~ab 1~.., 19 ~ pursuant to which Building Permit No. 51b~ dated .... Ma~..2 .... , 19'13.., 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 ...P~i~l~e- o~e. family, dwe~.l-ing ............................... The certificate is issued to A]~;hu~ .&. Ronal~l..:Bln'k .... Owne~,s ........ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Szlne. ~. ~..~.972..b.7. ]~.,. ¥$1~a ..... UNDERWRITERS CERTIFICATE No ..... Pending ........................... HOUSE NUMBER ~,~ . .Street . K-e~O,~' ~40at¢~ ................. Budding Inspector FORM NO 6 J! To.. oF SOUTHOLO ,:,., Building Department l,'jt Southold, N.Y. 11971 J ~PLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of F ~re Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occl3pancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 .?./f,?/..F.'/''/~ 5.Updated C.O. $ 50.00 Date ........................ NewConstructzon ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... ~q-.~, .~. ~ ........ . .~".~../?../~?."~. ...... .~..J? ....... . .~. ?..T~...r'~..D..../~.' House No. Street Nam/et Owner or Owners of Property ... ~.0.' .~..J?...~.'.../~.~,~.. .... .~..~.~..?~......~...~..~..J~. ....... County Tax Map No. 1000 Section ...... ?...~. .... Block ........... Lot Subdiwsion ............. ......................... : .... ,...Fried Map No ........... Lot No. Permit No. f.~.~, .~..~.. Date of Permit ......... Applicant ..... ~ .................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...[,~,~,, .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... .2~..~"...~.....~/.--~,....~.~..~.... Construction on above described building and perm~p~gulations. Applicant ~ ........... Rev. 10-10-78 TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTIIOLD, N.Y. 11971 July 12, 1988 TEL. 765-18(32 Mr. Arthur J. Burk 50 Breeze Avenue Ronkonkoma, New York 11779 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /x_-~ An application for Certificate of Occupancy is not on file. (ENCLOSED) /Z/ No Underwriters Certificate on file. /~/ 'Pile check i:;~gt~[~;~/not on file.) $25.00 /~/ No Health Dept. Approval on file. /_/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. iluilding Perh/~.t t~ 5 1 4 5 Z Building Dept. Plumber ,'3older Certificate on file. all permits involving plumbing being issued after April 1,1984 ) 25 February 1971 Town of Southold Building Dep~rtment Town Clerk's Office Southold~ New York Gentlemen; As per my recent conversation with Mr, George Fisher~ I am enclosing copies of the floor plans s~d elevation plans for my proposed dwelling for your perusal, As shown in the plans the ~oft area provides ~20 sq, ft. of living ~rea. This plus the 768 sq. ft. of the m~in floor provides a tatal of 888 sq, ft. living area w~ich exceeds the 850 sq.ft, minimEn. ~ also modified Item 8 of the permit application to indicate a i 1/2 story dwelling, I would appreciate it if you would mend me copies of the moning and building codes applicable to my property, I ~m enclosing my check for 1.25 dollars to caver the cost of these, ~ you have ~ other question regarding the dwelling please let me know. V~ery truly yours, FORM ~0~ 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. NOTICE OF DISAPPROVAL ............. · .~0.. B~.eeze. ~,ve ...... ................. Ro.p~enk~ma ~ .N ~Y., _1.1779 ..... PLEASE T~ NOTI~ that your application dated ....... ~.~, ....... .~. ........ 19.~.. for permit to const~ct .e~...f.~.. ~W~ .... at thc premises located at ........ ~8~ ...~ ..... .... Ke~...~ad ................................... Street S outh~ld ~. Y, Map ~o~ ...... Block . .~ .............. Lot .........2~ ............................... is returned herewith ~d disapproved on the followin~ ground~ ........................................... ......... ~s~ d~ell&~.~o~s.~e%..meet ~e 8.~0 .sq f.t. Building Inspecto~ ~ . ~ * FOR~f NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE S~pUTHOLD, N. Y. ORDE~. TO REMEDY VIOLATION (address of owne~/:)r authorized agent of owner) PLEASE TAKE NOTICE there exists a violahon of//) Zoning Ord,nance ~-'~f /'~-~:~ ~-~'-~-~'/~ Other Apphcable Laws, Ordlnances/~ Regulot,o?s .......................... / (state choroct, ec, of violation) ..... .... in violation of ...~...../.~. ~..~....Z'~.../.../~.... ~ ..J~... /.(~'(./'...-Z..../..~...?'.....~.."~.,. ....... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply.cwjth the low and to r~e~edy the condlt,ons above mentioned forthwith on or before the . . ...~.(../Z~_~. ~. ..... ~o~ o~ ..... ~~ ............ , The prem,ses to which this ORDER eTa REMEDJ¢ VIOLATION refers ore s~tuated at Failure to remedy the conditions aforesaid and to comply w~th the apphcable prows~ons of law may conshtute an offense punishable by fine or impnsonment or both. TOWN OF SDUTHDLD OFFICE OF BUILDINI~ INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N, Y, 11971 TEL. April 11, 1977 Arthur J. Burk 50 Breeze Avenue Ronkonkoma, NY 11779 Re: Building Permit #5145z. Dear Mr. Burk: An inspection of dwelling constructed under this permit number was made today. Except for cellar windows that will require a pitched sill for water drainage, it appears that construction on exterior is complete. This permit has expired again and renewal will be required if all the construction is not finished. Please contacC our office and advise accordingly. An inspection of the interior will be necessary for a final Certificate of Occupancy. Yours truly, EH:med Edward Hindermann Building Inspector Iii THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY JOHN ~TREET, NEW YORK, NEW YORK 10038 ~ {,, n. ~ ~-~ ~. outside '9 This certificate must not be aJtered in ari~ ~dr~ner~ return to th~ office of fh~ ~,oard If Incorrect Inspectors may be "t Y S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH ~UN ~ l§7Z Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed ideation) J have been inspected by this department and found to be satisfactory. Chief of General Engineering Services JUN 1_ 1972 FoILM ~ ~0. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFI¢,E SOUTHOLD, N. Y. Examined ~ -'~, ................................. ' ....... , 19.,,,/.., Application No .......... Approved ............................... ~. ..... , 19.~'~..1. Permit No ......~.../.../;,~..~:,. ~_~ Disapproved a/c .........t~. ............................. : ........ ~; ......................................... ................................................. : ..... :;~;"~"'~m~"'"'~'"~ ............. -"' O//~ /"- .................. ....................................... (Bt~ilding Inspector) APPLICATION FOR BUILDING PERMIT ............... ...... ................... .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Buildi Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appllcati. 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 per, 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 Occupa, 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 i Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or .demolition, as herein describ; The applicant agrees to comply with all applicable laws, ordinonce~s, building code, housing code, on~d regulations. . ..... ....... .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Nome of owner of premises ~.~.~ ....................................................... ~ ...... ~ .................................................... If applicant is a corporate, signature of duly authorized officer. (Name and tltle'of corporate officer) I, Location of land on which proposed work will be done, Map No.:....~'./,~'..............,,......... ~) ...,..,,.. Lot No,: ,, .~,. ............. ~..... Street and Number ........................................ /...~...~...~,..~.~.~.Z. 2 ........... :..~..rT... .................. ~..y....7~,,,?,,~,.,D,, ...................... Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................................................................... b. Intended use and occupanc,~ .......................................... .~. ........................................................................ 3. Nature of wink (check which applicable): New Building ........ ~ ......Addition .................. Alterahon ... Repair .................. Remova~ .................. Demolition .................. Other Work (Describe) ....................... 4. Estimated Cost ...... ~...?..~....O.~..O. ................................ Fee ........... ..~..J..O .................................................. (to be pa~d on fi'lng th~s application) 5. If dwelling, number of dwelhng umts .... .......,............J~ .... Number of dwelling units on each floor ......... '~. .................. If garage, number of cars .......................................................................................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ............................ 7. D~mensions of existing structures, if any: F~on! .....~/..z?..t~/.~ ........... Rear ................................ Depth .......... ~ ......... Height ........................ Number of Stones ................................................................................................................. Dimensions of same structure with alterot~ons or additions: Front ....................................Rear ...................... Depth ................................ Height ............................ Number of Stories . ....... .......... .......... Y 8. D~mensions of enhre new construction: Front ...~....~..~..~. .................... Rear ........ .'~..~.. ............ Depth ....~..~. .......... Height ...... /...~..~ ..... Number of Stories ......... · .................... S,,e o ,ot: Front .... ......... eor ii ii15.1 3.1 .'i'. ZC 10. Date of Purch:se ..... l..~...~.~.c..../..~.(¢J. .................... Name of Former Owner ~:~.../~.£~f?...~.~...Z¢..~...~...~T.~.../7....C?'.~/'> 11. Zone or use district in ~hich premises are s~tuated ...................,,fit/. .......................................................................... 12 Does proposed construct,on ~iolate any zomng law, ordinance or regulahon~ ....... ..~....f,D... .................................... 13 Name of Owner of premises .~..g£/fP.~... ;T (~ucc/¢ Address,F~ ~_-~'~ /¢'v (~,~. Phone No ~.:..~.~'..~;[ Name of Architect ...................................................... Address ..................................... Phone No .................. Name of Contractor .................................................... Address ........................................... Phone No ................. PLOT DIAGRAM Locate clearly ond dishnctly oil buildings, whether existing or proposed, and indmate all set-back d~mensmns from property lines. Give street and block number or descnphon according to deed, and show street names and ind~cme whether interior or corner Jot. t< N/v Y's /oT' 75 ,g,~'t STATE OF NEW yORK, · t S S COUNTY OF~ ~-%/'~(~~~ ....... ,f ' ' , ................. ~..~.....:~/.../.~..~ ................................ being duly sworn, deposes and says that he ,s the appncant (Name of inc[fwdual signing apphc~a~ above named. He ms the ...... ~..~.~...~--~.j.~~ ................................................................................. / ~ " (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa~d wbrk and to make and file th,s application; that all statements contained m thru application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth ~n the applicatiorj, filed therewith. Sworn to before me this _/ / // // .~ .,.'~ // ........... ........ .... ............ tar Pu Ii ~ No y b C, . ................................ : .......................... County ~' ....... ~($~gpoj~r~'of ap hcant) -- ' R G SU~r-'~'';' P · ' · ~--- -- ~ 'TOWN OF SOUTHOLD -' BUILDING DEPARTMENT TOWN CLERK'S OFFICl SOUTHOLD, N. Yo INSTRUCTIONS a, This application must be completely filled In by typewriter or in Ink ar~l submitted In duplicate to the Bullding~ Inspector, b. Plot plan showing location of lot and of buildings on premises, ralatlonshll~tO adjolnlna pmmlial or public streets areas, and giving a detailed description of layout of property must be drawn on the~llagram whlch II part of mia appllcatic~ c. The work covered bY this application may not be commenced before issu~ of Building Permit. · · Upon approval of this application, the Building Inspector will I#ue o Building PePmlt to the applicant Such permit shall be kept on the premises available for inspection throughout the progre~ of t...l~t work. e. No building shall be occupied or used In whole or In port for any purpoee dihatever until o Certificate of Oocupanc~T shall have been granted by the Building Inspector.. APPLICATIO~N,!S HEREBY.MADE to the Building De rtment for the Jssuonce of a B ~Build!ng Zone. urainonce of the Town of Southold, Suf~k County. New York ..~d ,~.. u.~lld_?g~L~P??~._Pu.reu~nt to ~egulotl..ons, .tar the co. nstruc~tl,on of buildings, additions or alterations, or for remOVal or demolition, al heroin clmcribed. ' ne app"cant agrees t° c°mp'y ,with all applicable laws' °rdinances,~d;~de' h~9~/°~', ondpulatlofl,.. ........ ......... {~'anct ...... t ~,'~gnature o? a~tl~nt, o~armma, If o corporation) (Addmsl of applicant) State whether applicant ls owner, levee, agent, architect, engineer, general contractor.electrician, plumber ar builder. ..~ Nome of owner of rems, ......... .~..~.~...~...~.~ ~ ¢ ~o~/~ a. ~'~/~ ~ P ................. ;....~. ................................. .T. ......... .~m..~.:.r.~.~ .............................. ..~ If applicant Is a corporate, signature of duly authorized officer. ' ,~ ........ :::::::::::::::::::::::::::::::::::::: ................... . 1. Location of land on Which proposed work will be done. Map No.: ~2/~:~ 0 - "¢ ~.. ~ No ........... Street and Number ............................... ~, ¢.:.~T.~..,LW... . .,~.... >o o re o t b MunicIpalItY ,-- 2. State exl~Ing use and occupancy of premlse~ and Intended use'and occupancy of prepaled construction: a. Existing use ond occ_u~ancy ........... ~...~...z~..~.6..~..P..~..~ ........................................................................ b. 'ntend.duseo,doc u on:;,' ........... ....... J. ......... ........................................ 3. Nature of work (check which applicable): New Building ~ ...... ~ ......Addition .................. Alteration ......... Repair .................. .~,moval .................. Demolition .................. Other Work (Describe) ...................................... Est mated Cost ~..~., ~ 4 ............ x ......................................... Fee .................... .~ ........................................... (to be paid on fi!lng this application) 5. If dwelling, number of dwelling units ........... Z .............. Number of dwelling units on each floqr ....... ~ ................ 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 .......Z/..O...,~'....~.. ......... Rear ................................ Depth .................... Height ........................ Number of S~ories ............................................................................................... Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ...... ~ ........................ 8. Dimensions of entire new construction' Front .~. ~.. Rear .~..~. Depth ~ ~' Height ...../.~'. .......... Number of Stories ........ Z .......... ~ '~,'" '~ .......................... 7 .................. '~ .......................... 9. Size of lot: Front ........7...~.~ ....... Rear..?...~.o~... Denth /~/'~'~'~ 10. Date of Purchase ....~..~....D~....(;.....L~..~'../. ....................... Name of FT3/~ Owner .~.?'~,'0 j)F_ur'=..Z.?...j~../?...~/c,7' ~...~...~j~, ~ 1. Zone or use distrJct in which premises are situated ..................... ~ .................................. 12. Does proposed cot{struction violate any zon na law ordinance or re u at n> " 13. Name of Owner.jof premises ~/~..,.~.~..~.:...~-~..~.~..~....Addres, ~......~...~.~ ..~.. ~,~,, ~P~one No .,,<~...-3~'~ ~o~,~.~o ~,~ /~ ¢ ~. ~,,*~,,- s~ ~ ~'~;~; ........................ · 2.77 Name of Architect ...................................................... Address ............................................ Phone mo ................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-Ix~k dimensions from PrOPerty lines. Give street and block number or description according to deed, and show street names and indicai-e whether interior or corner lot. STATE OF NEW--~ORK, ! ee ..................... ~' ..... -~". ~'~ · being duly sworn, deposes and sa s that he is the r - (~'q'ame of indivi~J~'~}-~i~ning opplic~;~c~ ......... ~ Y app,'canr above named He s the ..... ~ ~~ ~, '~ .... ~-~'~;~ctor, ag~t, co~ra[~ officer, etc.) ........ of said owner or owners, and is duly authorized to pedorm or have perfo~ed t~ said work and to ~ke ~ file this application; that all statements contained in this application are true to the ~st of his ~owledge and belief; and ~hat th~ ~o~ will ~erfo~e~ in the manner set fodh in the application filed ther~ith. · ..........~....,worn m ~ore me m.s~ ' ~~ ........ ~~ ~~ .............. ~.:~ ..... C~n~ WALTER ~ SUMM~n~ ~'~ii~ant) ........................ ~ No. 3~39015~ Qualff~d in Nas~u ~un~. ~erm ~pir~ Mamh ~0~ 1~ BUILDING DEPT. INSPECTION [ ] FOUNDATION SST [ ] ROUGH PL,BG. [ ] FOUNDATION ZND [ ] IN/SULATION [ ] FRAMING ~FINAL REMARKS: ~ DATE ~//~/// INSPECTOR~~ 7G5.'1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~'~NAL DATE INSPECTO~ 76S.'1B02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~FINAL ,:5t o 75, 5'O ~o7- 24' 0 2.~' SO~ 75~ , [ '/2 LIl' /~I V/IV ~ ~L~" .K I- s~A~, "~/2~;i~- o'' --- 'N 'i :J -"-<' ~cC - ¥4" = 1'--0" t-O SCALa--i/7_' = ~ ,,