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~.