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Home My WebLink About11512-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail $outhold, N.Y, Certificate Of Occupancy No. Z-15998 Date July 28, 1987 THIS CERTIFIES that the building ONE FAMILY DWELLING WITH ATTACHED GARAGE 200 Willow Point Birve $outhold, New York Location of Property ......................... House No. ' .... '8'ttJe~i ....................... h~r~/ei County Tax Map No. 1000 Section 056 .Block 05 .... Lot 032 S ..... M/o Willow Point uomvls,on ............................... Filed Map No..6.6.5.2 .... Lot No. 28 conforms substantially to the Application for Building Permit heretofore filed in this office dated December 3, 1981 pursuant to which Building Permit No. 11512 g dated.............,.,,,,,,,De c emb e r I 1 , 198 1 ...... 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 ATTACHED GARAGE The certificate is issued to STEVE & MARICA DONADIC ..................... x .................... of the aforesaid building. Suffolk County Department of Health Approval I 1 - S O- 130 UNDERWRITERS CERTIFICATE NO ......... N 574 278 N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 Permissior FOBM ~O. 2 TOWN ~OF BUILDING D~ P,~R~r/~I~Nt TOWN ~rH.~LL SOUTHOLD, BUILDING COMPL~ION OF THE WoRK AUTHORIZED) ~ULL is hereby granted to: ............. ~~.~.. , . .... .,~L.4z,.,..,e~_.~...~:.~,.....,..., ~.z~,a~....:, to ..... G.~.....~x.~4.~x ....... ~.~.,..~.~.c~...,.~ ,.Z~.,..~ .... ' . ~.r~ .~...~ ~g2~.....~.~ .............. Cou~W T~ Mop No. 1000 S~ction ...~:. ...... ~. glock ~:~ ~.,.~ ........ ~Lot No. ~ .......... pumhont t~o ~pplicofion dated ~ ............. ~ 19 ~, ond ~pprov~ by the. Rev. 16/30A80 , !;' il [ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUP/ %OWN OF 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 natura~ 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 Fire 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 p=operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 New Dwelling $25.Q0, Accessory.iS 10.00 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 5.Updated C.O. $ 50.00 Date ......... .~ ...... New C o n s t r uc t i on ...... Old or Pre-existing Bui)ding ............ Vacant Land ............. Location of Property ............. ,~..'t.,~.. ~ ~ .-~..~.~..~#. O.~p ....................................... County Tax Map NO, 1000 Section ' , ,4~.~. Block ?,~.. Lot. ~ . . Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. . . ate of Permit ..., ...... app cant Health Dept. Approval ....................... Labor Dept. Approval ........................ Underwriters Approval ~ ,~74~- 7~ Plannin oard royal ..................... ........................ g B App . Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable code~regu~s:.~o . Rev. 10-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 March 6, 1987 TEL. 765-1802 Mr. & Mrs. Steve Donadic 189 25 45th Drive Flushing, New York 11358 Dear Mr. & Mrs. Bonadic: This is to advise you that job under building permit no. |15|2Z issued to E.Z. Construction on December 11, 198~ for a one family dwelling for Steve & Marcia Donadic has expired and a final inspection has not been done. We also do not have your final board of health approval. Also on May 2, I984 building permit no. ]3080Z was issued to Steve Donadic to construct a patio and deck addition to existing one family dwelling. This building permit expired on November 2, |985 and no final inspection has been made. In order to complete these files, it is necessary that Certificate of Occupancies be issued. Please fill out the enclosed forms, return same to the above office with a check for $50.00 payable to the Town of Southold. Please indicate to whom the Certificate of Occupancies are to be mailed, and arrange with this office for an inspection date. We are also enclosing building permit application and one set of plans along with your check #2539. Mrs. Donadic submitted this application and was to send us two more sets of plans that we never received. Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly yours, Victor Lessard Executive Administrator VL:gar 1000805 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY A~'~ ,~, ~9~ 85 .JOHN STREET, NEW YORK, NEW YORK 1OO3~ N 574278 THIS CERTIFIES THAT only the e~c trlcaI equipment ~ described below and introduced bX the ~p~li[ant~a~d on~e ab~e. appli~atio~ n~ber~o ~e premises of in the following location; ~ Basement ~ lstFL ~ 2nd FI. Section Block Lot 28 was examined on A~t 23~ 1~ and found to be in compliance with the r~quirements of this Board. FIXTURE OUTLETS ~8 DRYERS RECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT SYSTEMS E OTHER APPARATUS: 1-G.F.I. E R V I C NO, OF CC. COND PER ,~ OF CC. COND NO. OF HI-LEG OF HI-LEG NO',~NEUTRALS Warren ~cot~; P.O, Box 907 Lake Ron~onk,:~tR N.Y. 11779 GENERAL MANAGER Memorandum from .... BUILDINO INSPECTOR'S OFFICE TOWN OF $OIJTHOLD Town H^LL, SOUTnOLD, N. Y. 11971 765-1802 FIELD INSPECTION CO,MMENTS , , ~ ,{ ~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL -- ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [/~NAL ~-~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION JST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: FINAL DATE /'~/~.~/..~ ~'. INSP~OR . _ . / / 'I FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, r. LY. 11971 TEL.: 765-1202 Exa,n ned C../../ ..... ,19 Disapproved a/c (Building Inspector) ' '! APPLICATION FOR BUILDING PERMIT Application No~/. ff.. ?..*~.. ...... Date/.v. --. ). .......... ,)Z INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and subm'itted in triplicate to the Build, 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 sire or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this cation. c. The work covered by this appIication may not be commenced before issuance of Building Permit. d. Upon apprc','al of this application, tile Building Inspector will issue a Building Permit to the applicant. Such pen shall be kept on the premises available for inspection throughout the work. e. No buildiag shalI be occupied or nsed in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Bnildiog Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Bailding Zone Ordinance of the Town ~f 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, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for nece.s, sa.ry 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 build (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No................--~ o .,'-5'~' ,, .~./'.~..~. ,"~'~ Electrician's License No.' /' Other Trade's License No ...................... 1. Location of land oil which propose.d, work will be done ................. , .............................. House Number Street Hamlet County Tax Map No. !900 Section C9-5-~ Block . .~)..S'~.... Lot Subdivision. ~/z'//..c~ ~ Filed Map No. ~ Lot . .~.q~., . ~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing nsc and occupancy Repair Rcinoval D,:moli;iotl Oti~er Work i (to be paid on filing this application) If dwelling, nmnber of dwelli~)g units..~............ Number of dwelling units on each floor . ............. Ifgarage, number of cars ...~ .................................................................. If business, commercial or mi~ed occupancy, spec~y ~atura and extent of each type of use .................. Dimensions of existing stmctt res, any: Front .... ,.. a ................... Heigl~t ................ N~m~ber of Stories .............................. Dimensions of same structure iwitb alterations or additions: Front ................. Rear ............... Depth .................. ~ ....He~t .......... ~ ........... Number of Stories ........... ~ ...... Dimensions of entire new con~trnction: Front . .~ ........ Rear . ~ ' Depth . Height ............... ~mb~r of Sto~as ............. ~p. [ j ~ ~ [ ................. ~.~ ........... Siz~ of lot: Front .... 9~,... ...... · ..........Rear. ~e~., ......... Depth ~' .............. Date ~fPurchase ......... ! .................... Name of Former Owner ............................ Zone or use district in which ~remises are situated ' ' ' : Does proposed construction violate any zoning law ordinance or regnlation: Will lot be regraded ....... I~.~ .................. Will excess fill be removed from premises: _ Yes, N~ Name of Owner of p~mlses~. ~.We........... Phone N~4~ ~A. ~8~.I Name of Architect g.~..~~ ..... '.. Address~. ~ ..... Phone No .......... ..... PLOT DIAGRAM Locate clearly ~d distinctly ~1 buiklings, whether existing or proposed, and. indicate M1 set-back d~ension; fron roperty Hnes. Give street and blodk number or descdption according to deed, and shoxv street n~es and indicate whethe ~mSor or corner lot. rATE OF NEkV YORK. , "S ' ' .. ~...A~. iC~... '.~. '~ ~. ,~ tjt,~ d ................ being duly s,vorn, deposes and says that he is the applican (Nanie of indMdual signing contract) )ove named. e is the , (Contractor, agent, corporate officer, etc.) r said owner or ownem, ~plication; fl~at all statements contained in this application are true to the bcst of his knowledge and belief; and that th 'ork w~l be performed in the mancer set forth h~ the application filed therewith. ~om to before me this ....................... dayof.. . ~ ~.,19.~/ L~ 39.27 ' - ,- ,,~; been ~hiof Of Ooneeal Engineerin~ Services HEALTH DEPARTMEN'~- DATA FOR APPROVAL TO CONSTRUCT ~ NEAREST WATE~ MAiN Mt.-~ ~SOURSE OF WATER, PRIVATE__PUBLiC ~.~,SUFF. CO. TAX M~P O s~To~oSECT ON O~,BLOCK O~ LOT '~ ~'THERE ARE NO DWELLINGS WITHIN I00 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. SURVEY FOR : STEVE DONADIC 8~ MARICA DONADIC LOT 28 "~/ILLOW POINT" AT ARSH,~MoMAQuE TOWN OF SOUTHOLD SUFFOLiK COUNTY, NEW YORK ',~ UNAUTHORIZED ALTE'RATIO~i OR ADDITION TO THIS SURVEY IS A VIOLATION OF S~CT~ON 7209 OF THE NEW YORK STATE EDUCATION LAW ~-COPIEB OF TI;US SURVEY NOT OEAmNG THE LAND SURVE¥OR*~ J~KEC SEAL OR EMBOSSED SEAL SHALL NOT I~E CONSIDERED TO BEAVALID TRUE COPY ~GUARANT~ES'INDICA~ED HE~EON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS pREPARED, AND ON Ht~ SE.HALF TO THE T~iTLE COMRANY, GOVERN- MENTAL /~ENCYAND LENDI'GN INSTITUTION LISTED HEREON,AND TO THE ASSIGN~ES OF TH[ LENOING INSTITUTION. G~UARANTEES A~RE NOT TRANSFERABLE TO ADDITg~NAC NST TUT Oi~]? OR SUBSEQUENT N-THE WATER SUf~PLYAND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE WILL CONFORM ~OTHESTANDARDSOFTHE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. APPL{CANT~ AODRESS ~: ~oNu~¢N1 Fou.O SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON dUNE 16~ 1966 AS FILE NO. 4652. ~-THE LOCATION O~ WELL (W)i$EPTIC TANK(ST}~ CESSPOOL3 (CP)SHOWN HEREON FROM F IL,LC OB~RVATIONS AND OR DATA OBTAIN E D FROM OTI~I E R%~ ! DATE : OCT. 26,1978 SCALE: I": 60' NO. : 78-648 GUARANTEED AMERICAN TITLE INSURANCE CO. *DISTANCES ~HOWN HEREO~ FROM PROPERTY LINES TO EXISTi 'G S'TRUCTURE$ RE FOR A SPECIFIC PURPOSE ~ND~ARE NOT TO'IL USED TO ESTABLISH [11 ' : ' I-YO UNG YOUNG A,OL OSURV YORNY. 400 OS 'RANDER AVENUE RIVERHEAD,NEW YORK t ........... ~TII~I_I~_ E~ON SURVEY FOR ~ STEVE DONADIC ~ NARIClA DONADIC SUFFOLK COUNTY DEPARTMENT OF H~ALTH SERVIC~S .... ~ LOT ~8 "WILLOW POINT" ~- AT ARSMANONAQUE FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF 8OU~HOLD DATE : OCT. 28~1978. SCALE: t" = 60' APPROVED~ OTHER THAN THOSE ~HOWN HEREON* SUFFOLK COUNTY, NEW YORK NO. : 78-648 OWNERS ~ DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC GUARANTEED TO: AMERICAN TITL ..... I[ll]'YOUNG aYOUNG ?~ w~z =~"~ ~-~ ao~ ~er avenue " ' RIVERHEAD, NEw YORK ~LDEN W. YOU~G~PROFESSIONAL ENGINEER SUFFOLK COUNTY ON dUNE 16~ 1966 ~5 FILE NO. AND LAND SURVEYO~ NXS. LICENSE