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HomeMy WebLinkAbout10583-zFORM NO. 4 TOWN OF SOUTHOLD BUfLDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21116 Date QCTOBER 28, 1992 THIS CERTIFIES that the building. Location of Property 3980 BAYSHORE RD House No. County Tax Map No. 1000 Section 53 Subdivision NEW DWELLING GREENPORT, NEW YORK Street Block 6 Lot Filed Map No. Lot No. Hamlet 32 conforms substantially to the Applicatmon for Building Permit heretofore filed in this office dated MARCH 11, 1980 pursuant to which Building Permit No. 10583-Z dated MARCH 13~ 1980 was mssued, 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 ATTACHED GARAGE The certificate is issued to ANTON & ANTOINETTE 'MRAKOVCIC (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 10-S0-19 - MARCH 2, 1992 UNDERWRITERS CERTIFICATE NO. H-026153 - SEPTEMBER 29~ 1992 PLUMBERS CERTIFICATION DATED JULY It 1991 - PECONIC PLUMB & HEAT. INC. Rev. 1/81 ~OI~M NO. ~ TOWN OF $OUTHOLD 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? 10583 Z Permission ~s hereby granted to: . .A.~;Z~.:.,../ ........... ~. (.~ ~..8.. ~:,£..u:.C. :..¢ ...... ....... :~...:..Z.~ ........... .~./.~,.,~...5.z ............... '/h~ ~ ,'~ ,,_~ -el,~/ l>, v ~ ~,~ ...... /:~.r:.?.~s...'~ ........... ~)..o4.~..4 ~...,Y.(..~.. ......... [0 ....... '~..,... -..a .......................................... ~...7..~w.. at premises located at . ..,?.~..c~..O. ............ :~...A...7...~QZt.0...,5:,/¢7 ......... '~5'.0.?.{.../~.. .................................. ................................................................. ~Z'~::~?'"~'"~? " ' . l l~ ~ ~:.:(..~x ~'/ ;,.?.. (.t(~ ~ /.Z.Z....:....Mcc~ ~v .0:?.~%. ~&~ L~.~..~ .... pursuant to application dated ............................. ~..(~ ........ ~.J., 19~?.., and approved by the Building Inspector. ~/R Fee $....~..Z...~]. Building Inspector Form No. 6 TOWN OF $0UTIIOLD BUILDING DEPARTMENT TOWN 1L~LL 765-1802 JAN 2 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 liaes, 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 uf 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~plzance from archi:act or engineer responsible for the building. ,6.Subml~ Planning Board Approval of completed site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and , 'pre-exist~ng 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 Buzlding. Inspector shall state the reasons therefor in writing to the applzcant. ;. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~mmzng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ew Construction .... ..-/.... Old Or Pre-eXisting Building ................ ocation of Property.~. ~O ~o, FSHo~~ .~..9~.~7_.0' .~.~A~.~.~..~.~.~.~ ......... House No. Street Hamlet ~wer or Owners of Promertv /~/VT-O..~z ~.~f~ /~/,//~-~z,v~_-7~7_~-- ~ . ' ~ ................................... .~.<e.~..~.o 1000, .Bloc- -- -- '" ~r3 ~ ~ ...... ~ ................ Lot .... ~bdivision..,z,~c~,~, ~ /~. ~ ~z~ /, ~ /~ ' ........... ........ -; ...... ~ .~..~ . .~ ~_ ~ o _~ -~ ................ F~led m,p..//..~.~ ./~7... ~o t. ~Z/~ ........... vale Of Permit q~ ~{J ..... J' ' '/' ..... Applicant .Z~.,~'5'..%'~Z/~. alth ept. Approval .......................... ' Underwriters Approval. . ............... anning Board Approval ........ quest for: Temporary Certificate. Final ~ .......... Certicate... mo ~ Submitted: S. Co t: INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD September 28, 1992 Andrew Mrakovcic 23-17 144th Street Whitestone, N.Y. 11357 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is on file. XX Underwriters Certificate has ~rong a~dr~ss on it. Please submit new one with Correct iaddress. The check is (outdated)$25.00~ETURNE~ ~EREWITH PLEASE SUBMIT NEW CRECK IN ~MOD/FU OF $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 ~ 10583-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. *NOTE: PLEASE SUBMIT A DRAWING AND :CHECK i'I~ THE A~DUNT OF $25.00FOR THE BUILDING PERMIT FOR THE S~D~ 'THE SHED I$ TO cLosE TO THE REAR~ PROPERTY LINE. SHED H~S !!T0 BE M~VED' OR TAKEN TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HA. LL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~-~.~ ~_ (please print) Plumber/~/~ ,~/~'//V/~/~//y~ (please print) / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. THE NEW YORK BOARD OF FIRE UNDERWRITERS paG; 1 ~gsse .UREAU O~ ELECT.,Cm, B, JOHN STREET, NEW YORK, NEW YORK IOO3S /)a~ SEP~H~R 29,19. ~ ~ppl~otionNo. onfile ~2445~9~/9~ H ~26153 THIS CE~IFIES THAT o~y t~ e~ tr~M ~u~ment ~ ~c~ ~ a~ int~ by t~ a~t ~m~ on the a~ ~pl~at~ numar ~ t~ p~m~s of RXTUI~ LECE~TA I WIT HE I FIXTURES I RANGES I¢OOKING DLr~KS I OVENS I DISH WASHERS DRYERS FURNACE MOTORS IqJTUil AI~LIAHC~ FEED~IIS SPECIAL REC PT TIME CLO~KS ~ELL ~ MULTI, OUTLET SMOgE DET~C?OR:-I survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. EXHAUST FANS raMMERS SERVICE DISCONNECT NO. Of S E R V I C 23-17 144 TH MHI~E 8TO~, NY, 11357 This cefifica~ m~, not ~ altered in any manner; ~urn ,o the office of the ~ard if incorre~. Ins,~ors ma~'~ identified b~ credentials. ~U~Y F~ BUILDI~ DE~ARTM~T. ~IS CO~ QF CERTIFI~TE ~ST N~ BE ALTERED IN ANY ~ER. MAYOR WILLIAM R PELL Ill TRUSTEES WILLIAM D ALLEN STEPlt£N L CLARKE JOHN A COST£LLO GAlL F HORTON 236 THIRD STREET GREENPORT, NEW YORK 11944 UTILITY OFFICE (bib) 477-174B POWER PLAN F 1516) 477-0172 January 2, 1992 Mr. Robert Petritsch Suffolk County Health Department Suffolk County Center Riverhead, N.Y. 11901 Dear Mr. Petritsoh, The following water service line was connected to the Public Water Supply by the Village of Greenport. The installation was done according to our Rules and Regulations and, to the best of our knowledge, meets with the Suffolk County Health Department Standards. The location of the work and the date that the job was completed is shown below: Anton Mrakovcic Lot No.: 145, 146, 147 3980 Bayshore Road Job No.: 1980 - 72 Arshamomaque, Greenport Date Complete: 11/07/1980 Town of Southold, N.Y. 11944 Water District: West Contractor: Peconic Plumbing & Heating If I can be of further assistance, please contact me. Very truly yours, Gerald W. Hickson Assistant Superintendent of Public utilities GWE:cr 100 Years of Commumty Service ,: ! . ~ , ARTCO DRAINAGE CORP. P.O. BOX 1132 MATTITUCK, NEW YORK 11952 (516) 298-9660 Ilealth Department Rcf. No. Name of Applicant Anton Mrakovcic Phone 477-0932 Address 2317 144th Street, Whitestone, NY ~1357 Property location 3980 Bayshore Road, Greenport, NY 1[c~3+ Hamlet Subdivision Type of system installed: TownsMp. Lot No Septic Tank (a) Volume ~)0 ~ . (b) Ty[)o (~re cquivalent, block) Leaching pools (a) Number and size of pools (b) Type (~~ block) I hereby Certify that the private ~dbsurface sewage disposal system described above has been installed according to current criteria of the Suffolk County Department of Health. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] I~OUGH PLBG. [ J FOUNDATION :)ND [ ] IN/SULATiON [ ] FRAMING [/] FINAL DATE INSPECTO~ ~//~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ....... ?/(--~.., 19..'~. Approved ...... lSpe lt No../0.?.3.. -- Disapproved a/c ..... . . .'~...~ ................. (Building Inspector) APPLICATION FOR BUILDING PERMIT ApplicationNo. ./..6). ~77.'.'.~.~' ....~.. Date . .MAr. qb..%%, ....... 19.8.Q 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 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 necessary inspections. · .G.r..e.e.n. p9 .r.t' .L.u..m.b.e.r...C9..' ,...I.n.c.: ............. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engdneer, general contractor, electrician, plumber or builder. .59. e..n.t ................................................................ Name of owner of premises . ...A.n.t.o..n..M.r. akp.v, qi. 9 ..................................................... (as on the tax roll or latest deed) If applicant is a corff~atlon, signature of duly authorized officer. · ¢ ;;a e go o. orate officer) Builder's License No ........................ Plumber's License No .................... Electrician's License No .................... Other Trade's License No ..................... 1. Location of land on which proposed work will be done ................................................. ~' O Bay. shore. Road ..... G;r.e. eOp.o, rt. House Number Street Hamlet County Tax Map N,9.,lOOO,Se.ctio~5.3..., ..... , ........ Block .... .6 .... , ......... Lot ..... $.2 ............ ~ubdivision .... .'- ............ .x ................ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....V.a,c~la.t ........................................................... b. Intended use and occupancy . O. ri.e. ~£%y..dwel~in9 ........................................... 3. Nature of work (check which a~plicable): New Building X Addition Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... ' (Description) ' ' ~ ' . ~26.24 4. EsQmated Cost ...~2.Q.~.O. QQ. ,[ ......................... Fee ..................................... (to be paid on filing this application) 5. If dweiling, number of dwelling ~nits .... I, .......... Number of dwelling units on each floor ................ If garage, number of cars .. 1. ,~ ................................................................... 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 ............... Height ............... Nuraber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ! .................... I. · Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front . .5.2.: .......... Rear ..... 5.2. ! ....... Depth .2.4. '. ........... Height ............... Number of Stories .... .1 ................................................... 9. Size of lot: Front ... J..2.5. ~. I Rear 125t ,, .... Depth 125~ 10. Date of Purchase ' Name of Former Owner ............................. 11. Zone or use district in which premises are situated....R.e..s.J..d.e.n.t..:[.a.1. .................................... 12. Does proposed construction v,o!ate any zoning law, ordinance or regulation: N. ........... 13. Will lot be regraded ...Y.e.s..... ................... Will excess fill be removed from premises: Yes 14. Name 9f Owner of prem~sesA, D.~or~. ~z;*~:. ¥.c&9.. Address .2..5r.5.6...4~'.t.h.. $.%r.~¢lglione No 2~-278-9536 . Name of Architect .......... I ................. Address .A..s.t.o.r.i..a~...N~. .....Phone No ................ Name of Contractor ........................... Address ........ Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all~ buildings, whether existing or proposed, and, indicate ail 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. STATE OF NEW YORK, COUNTY OF...S.u.f..f9)-.k. ...... S.S ...... G.ep.r. 9 .e' .L.....P.e.n.n.y...I.V..i .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Ckc ¢.o " He is the ............ . ................................................................... (Contractor, agent, corporate officer, etc.) of saki 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 b~ performed in the manner set forth in the application f~ed therewith. Sworn to before me this ........ · /~..~. ........... day of..d~.(~Jh0~ ......... , 19 Notary Public, . . . County NOTARY pUBLIC, State of New York ,i .............. i ~o. 4693093, Sulfolk County [ ~_~ ~ (Sigflature of applicant) Commission Expffos March 30, 1981 refer 4o 0,o crt' ord. t..o'/' /-47 ~ v 1o ~vaC. a~t0 el~,v~l,'t'~"ts r~r ~e~ ,~,~ a~r ord. ~i~/h wat'l~' mat'dc, ~¢~ie LAWREhJI~E M. TUTHILL Residence of Mr.& Mrs. Tony Mrakovcic Design temperature Inside 70°F Outside 1OoP Design degree days 6,000 R-11 .07 912 3,830 2,980 Floor ~-19 .06 826 ~alling .08 912 4,390 ceiling ~-19 134 5,540 ~th storm .69 ~indo~s w~adows & ~reen~.40 32 ~60 ~=r code 7,890 Doors ~vol~e) .018 7,296 Infiltration 23,390 GlaSs 14% of wall area Doors As per code %}indows to have storm windows and screens as p~r code westherstripping all windows and doors Caulking as o~r code Heatir~5 and Service ~.~ter lines to b~ insulated as per code Furnac~ to be 7~ minimum efficient Thermostat as per c~de PENNY LUMBER Phone 477-0400 GREENPORT, N.Y. 11944 Main Road ' 02 '9 AM TO 4 PM FOR THE WING INSPECTIONS: INDATION - TWO REQUIRED ', POURED CONCRETE JGH - FRAM~]NG & pLUMBING ULATION AL - CONSTRUCTION MUST' COMPLETE FOR. C O. ~ONSTRUCTION SIqALL MEET :EQUIREMENTS OF THE N.Y- CONSTRUCTION & ENERGY NOT RESF~i~SIBLE FOl~.