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HomeMy WebLinkAbout11844-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y., Certificate Of Occupancy No. Zl1777 Date Ju3_~~ 13 9~.~. THIS CERTIFIES that the building . .1777...I~. ?.2:3:..~.n.~. ................................ Location of Property 565 2Pine iXleck Rd, Southold House No. Street Hamlet County Tax Map No. 1000 Section ...0.?.0 ...... Block .... ~. .......... Lot ??.~.~...o.:f.. ~..o.~..~..0 Subdivision .... .X .......................... Filed Map No..X. ...... Lot No...X. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... J..u..3.~..2.7 ....... , 19 .~.~. pursuant to which Building Permit No. ~1 q ~3zl47, dated ....A.u.~. s..~..6. ............... 19 .~.2., 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 ......... .... .4..~.o..n.e. ?.~.~.~.z.7...d.~.e.x.z. $.~ ............................................. The certificate is issued to . .R.Q.]3.E.R.?..K.O.h/.A..IJ.S.K.I. ....................................... (owner, de~see-oc-te~n~) of the aforesaid building. Suffolk County Department of Health Approval .. ?. 2..-.~.q-.~. 9 .............................. UNDERWRITERS CERTIFICATE NO.. ~1..~q)59.~.6. ...................................... Rev. 1/81 Building Inspector BUILD!NG; i~!~PART~i~N~ TOWN HALL sou,,Old, ~. (THIS PERMIT MUST BE KEPT ON: ~H.E P~EMISI ~o. 11~44 Z ermlss~on is hereby granted to:. , /,,- , at Premise~ located cou,t~ Ta~ Map ~o. ~000 Sec.o~ ,'"O,'7'-~'..~- p~?s~ant {o application :dated .... ~/'.~..~..~.:...~.~..:......~..~ ....... ~.~ '19 and ;~pproved by the Build, lng Icspector. Rev. 6/30/~80 ~ - , !! ! : FORM NO, 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic featu res. 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 Fire Underwriters. 4. Commercial buildings, ~ndustrial 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, For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy 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: 1. Certificate of occupancy $5.00 /' 2. Certificate of occupancy on pre-existing dwelling c/r land use ~( 5.00 3, Copy of certificate of occupancy $1.00 / Date . ,l~/~,, ,~ ~ ;~ .. New Building ............. Old or Pre-existing Building(:~) ........ ~ ZVacant Land Location of Property .~,',,~.~...~..~.~...~-~, ~,.~,..(~.., .~.'~,~ ~ House No. Street Ham/et Owner or Owners of Property..~..O...~7~.'~ ,~,{~'o. ,~. ............................... County Tax Map No. 1000 Section ...~. ~..(~. ...... BIo;k'.....~-"-"~ ......... Lot . .~.~...~...~..'~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~.~.~..~..~ .~,, D~te of Permit .~:~.~.~..~ .~..Applic-~nt%'O~,., .~.¢~,~t~2~.~'..~, ........ Health Dept. Approval ~'' ~ - ~ ~ .Labor Dept. Approval .... Unde~riters Approval .................. Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate' .. Fee ;ubmitted $. ,~ .'¢.~. .................. Rev, 10-10-78 Construction on above described building and perm[t'mee~s al.I app~cable~,codeS and regulations. Applicant . TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF .BUILDING, INsPECFOR. TOWN }IALL $OUTItOLD, N. Y. 11971 MEMORANDUM FROM: Sout~hold Town Building Department DATED: Sep'terffber 1 ~ 1978 SUBJECT: Inspection Schedule The foil.owing inspection sched~zle shall be followed as outlined herewith. All construction sha].l be performed, as regulated by the New York State Building and Constr~mtion Code. Construction shall conform to plans and specifications on the basis of which bull. ding permit was issued. Inspection request shall state the bui]..diug pe~nit number and give location and owner of premises. Plumbing and electrical contractors names and license numbers shall be furnished on or before request for inspection of frame plumbing roughing° - FOUNmtAO_N (Setback & 1~aterproof) CEMENT BLOCK .POURED CONCRE, TE 2nd. GENERAL REqUIREMEnTS 2 - FRAME & PLUMBING ROUGHING _One i~s_s~t.~: - waterp~ oo£ completed ..T_wo ~ions : - Ties broken off on two 2-~geq -~_i~~.~E holes mad expos, ed aggregate to be patched ~ith cement or equal material - ali. plumbing under' slabs completed - (Sleeve all risers through concrete) - In- striation of perimeter of £ouudation on slab constz~ction ~ Waterproof completed. All footings to be formed ~nd left e~msed for inspection - All footings to bear on virgin soil (This includes footing for attached decks) wate~roofing to be approve~ for below grade~ trowel on type~ Framing sheat}~ing - fla~h~mg of (windows~ chi~e[s, m~sonry, concrete stoops and patmos) - windows- housing for e~must f8ms ducted to exterior - insulation of water pipes where necessary i.e. (exterior wal~ s, unheated areas, ~ttics etc.). 3 - INSUI,ATION Per N.Y. Stats' Ane. gM Code For Certificate of Occupancy all interior arid exteribr construction completed - all correction cpmpleted and approved ~om previous inspections - Rough grading to carry drainaEe away from structure~ window wglls wher~ Fequired. F I I~D ~i~SPECTION COMMENTS FOUNDATION (]st) FOUNDATION (2nd) o ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL f Southold Lumber Co., Inc. YOUNGS AVENUE SOUTHOLD, L. I., N. Y. 11971 June 22, 1983 Southold Town Building Department Main Road $outhold , NY 11971 Dear Building Inspecter: This is to inform you that three aluminum storm doors are on order for Mr. Robert Kowalski and his new home on Pine Neck Road. The Sconzo Company of Bayport, NY has promised delivery within three weeks. Thank you for your attention in this matter. Sincerely, Franke 76S-1802 BUILDING DEPT. INSPECTION~, ROUGH P~BG. [ ]FOUNDATION IST ] Su ~ [ ] FOUNDATION 2ND [ ] IN LATIO~ ~_] FRAMING /~ ...-..---[-"~]'-FINA~ ..... i ~ REMARKS: 7G5-1802 BUlL,DING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2N'D [ ] INSULATION [ ] FRAMING FINAL DATE INSPECTOR 76~-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH pLBG. FOUNDATION ZN'D [ ] INSULATION DATE INSPECTOR~~~/~--~ TOWN OF SOX;TtIOLD, NEW ¥O~K Appeal No. 2417 Dated May 3, 1978 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. Robert Kowalski, as agent for Stefania Zazecki Pine Neck Road Southold, New York 11971 (George C. Stankevich, Esq.) DATE .....J_.u..n._e.....1..5, 1978 AppeLlant at a meeting of the Zoning Board of Appeals on June 1, 1978 was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception ~nder the Zoning Ordinance ~[ ) Request for a variance to the Zoning Ordinance ( ) the appeal 1. SPECIAL EXCEPTION. By resolution of the Board it was determined ~ a speci~ exception ( ) be granted ( ) be de.ed pursuant to Article .................... Section .................... Subsection .................... para~aph .................... of Re Zoning Ordinance and the decision of the Building I~pector ( ) be reversed ( ) be co~irmed b~ause 7 ~ 40 P.M. (D. S .T. ~ ~ Upon application of Robert Kowalski, Pine Neck Road, Southold, New York, as agent for Stefania Zazecki, (George C. Stankevich, Attorney) for a variance in accordance with the Zoning Ordinance,~Article III, Section 100-31 and Bulk Schedule for permission to divide property with insufficient road frontage. Location of property: Pine Neck Road, Southold, New York, bounded on the north by ~lrich and Lademan; east by Smith; south by Pine Neck Road; and west by Smith and Trunce. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical hardship because difficulties SEE REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (C) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (would not) SEE P. EVE RS E and therefore, it was further determined that the requested variaffce ( ) be granted that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. SEE REVERSE FORNI ZB4 APPROVED ) be denied and After investigation and inspection, the Board finds that the applicant requests:approval ~o subd.~$,de an excessively large parcel of land ~n%o threelparcels. The findings of the Board are that it is an excessive hardship to have a parcel of land with this size and footage and frontage in the Town of Southold and that this will not change the character of the neighboring district. The Board find~ that the public convenience and welfare and justice will be served andi the legally established or permitted use of neighbor- boos property and adJoin~ng use districts will not be permanently or substantially injured and the spirit of the ordinance will be observed. On motion by Mi. G~ll~sp~e, seconded by Mr. Bergen, it was ~ RESOLVED that Robert Kowalski, Pine Neck Road, Southold, New York, as agent for Stefanla Zazecki, be GRANTED permission to divide property with insufficient road frontage. Location of property: Pine Neck Road, Southold, New York., subject to the following condition: ~he.applicant ?eceive the approva~ of t ~T~anning Board to divide parcel ~nto three parcels, each of ~hlch will have more than 40,000 square f~e~. The westerly parcel w~ll have 120 feet road frontage and the ~ema~n~ng parc:els w~ll have 119 feet. ~ote of the Board: Ayes: Messrs: Gillispie, Bergen, Grigonis, and oyen. ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ,,~_ ,., TEL.: 765-1803 Examined ,4~7..~ ..... , 19c~q Disapproved a?c ..... ~... APPLICATION FOR BUILDING PERMIT Date .......... ~ .].'~r]., 19~..;),' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted.i~4:~vai-s~W 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 appli- 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 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 necessg~y inspections· (Signature of applicant, or name, if a corporation) . .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..(D ..................................................................................... Nmne of owner of premises '. !.~.O..~.c .~ .... ~ .O. ?:?..O-.~.~..~. ............................ ................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~..O.T'~.. :...<o. ~ ~..~... Plumber's License No. ~-2~..'~ ................. Electrician's License No ....................... (~,_~o,2c~ Other Trade's License No..~...¥'X~.. ............... Location of land on which proposed work will be done .................................................. ttouse Number Street Hamlet County Tax Map No. 1000 Section .... ~ ........ Block .... ~ ............ Lot~ 9~ .~..~.... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......C~q~ ~. (L.l,) 1.3(..t4(.Q~.~.- .~..~...~.~..~.T).~. .. } .Ok.~ ............................... b. Intended use and occupancy ).x~.-~.q4~..~.x.\Pr. ~ ...... ~.A4P .lh~...k.dM~d.?~.~.~ .............. '~. .......... Repair .............. Removal .............. Demolitiono~~ '1~ .......... 'Otherw°rk''ll'''llF :~ ....... 4. Estimated Cost .... ~ ~ .>~., ....................... Fe .................... I (to be paid on filing this application) 5. If dwelling, number of dwelling~ units ............... Number o f 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. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ D~ensions of same structure ~th alteratmns or additions: Front ................. Rear .................. Depth ...................... HeiSt ............ . .......... Numbqr of Stories .......... , ............ 8. D~ensions of~ntire new construction: Front ...... ~' ...... Rear . .~k .......... Depth %~' ............ Hei ht ~. Nu ' bet f Stories ~ ~ ~ 9. Size of lot: Front ......... D~ ....... Rear .. }~9.' ............... Depth .~ ................... 10. Date of Purchase ~.~.~.~.~ ............... Name of Fomer Owner .~5'~P~..~ ....... i 1. Zone or use district in which promises are situated .... ~.~ ............................................ 12. Does proposed construction violate any zoning law, ordinance or re~lation: . .~. ....................... 13. Will lot be regraded ..... ~ ............. ~ .... Will excess fill be removed from premises: Yes ~N~ 14. Nme of Owner ofpr~ises ~~~. Address ~~ ........ Phone No. Name~ofArchitect . .~*~ .~~. Address ............. Phone No.~6~ .~... Nme of Contractor~_ ~~ ...... Address .~r~e~r~. ,~ ..... Phone N0. . PLOT DIAGRAM Locate clearly ~d distinctly ~1 bufld~gs, whe~er existing or proposed, and, indicate ~1 set-back d~ensions from property lines. Give street ~d block number or description according to deed, and show street nines and indicate wheiher intefiororcornerlot. ~ ~ ~. ~ ~~~~~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigcmg contract) above named. He is the ......... O.~.~gC.~ .................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly authorized to perform or have perfomed the said work and to m~e and file ~is application; that all statements con~ained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the manner set forth in the application filed therewith. Sworn to be~e me this No. 52-2162~00' ~ Qua i ied in Suffolk C0u~ ~ (Signature of applicant) FOR TH~ R~I~NCE WILL't TO THE ~ANDAR~ OF THE ,it water supplF ~,cati~n have bee~ '\ : I ,, ! pij , i x , x, J ABPROVF, D AS, NOTE[/, [ NOTIFY BUILDING'DEPARtMENT Al' ~ 763:~802 9 AM,TO q PM FOR THE ,: FOLLOWING INSPECTIONS, : 1.'FOUN~,a, xlON - TWO REQUIRED ! FOR POURED CONCRETE , 2. ROIJGH - FRAMING,& PLUMBING 4:"FI~,L~E - CON'STRUCTION .MUST ALL CONSTRUCTIQN, SHALL MEET THE,, ~EQUIREMENT,S ,ldF T~E N ~. STATE CONSTRUCTION &"ENER~ CODES; NOT , RESPONSI'BLE 'FOR ~ES~GN OR CONSTRUCT ON ERRORS ,I PO,e CH ~'~ C '-i L I I I I H $-EET- ~ ?oTAL--~ ~ TEt-EPHONEI , !: r~ II, ~ALL © . FI..OOM TOTAL-- L ~7-,4 / L ¥ , th .. .,,,,, .,, ,,.,,: ¥, ,,,,~ ,, ,,-~ ,,.,.~. ,,,... ,.,.,..,..,.. .,: "' ' I I t it"," ~ ~ :',.--,,i-~,. "'~. . J ? I I 7~ -0 FtLL-~M. 7 FOdkl DAT~O ki s~-~c~- /4-"= r-o" PLA rr 4