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Home My WebLink About13468-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25917 Date: 08/25/98 THIS CERTIFIES that the building ALTERATION Location of Property: 29205 MAIN RO~) CUTCNOGUE (House NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 102 Block 2 Lot 11 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 1984 pursuant to which Building Permit No. 13468-Z dated OCTOBER 11, 1984 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 ENCLOSE EXISTING PORCR ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH J. LIZEWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N 460149 08/25/98 N/A Inspector Rev. 1/81 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (I'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 13468 Z Permission is hereby gronted to:/~ Z~ ' ....... ~'~'~":-~~~~. rO0 ~ ....... ~.:'" ..... .~.~ ..~.. ~... ~ · ...... ~oz~~..~. ~. ~. ...... zz~;~ ~o ...... ~~.....~~ ..... .... ~...~~..~..~~ ~:..~ ~"~ .................. .............. ~ ........ ~ .~a-.~,~ co~ ,o~ ~p ~o. ~00o s,~o~ ..../~ ........ ~k ...OM .......... ~o~ Uo..0~ .............. Building Inspector. Fee $..d~. Rev. 6/30/80 Form No. 6 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildinl inspector with the following: for new building 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 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 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildin and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or ~uildings an ?pre-existing" land uses: · i. 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 sig~ed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - = 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New 0onstrnctio Date ,t~ g g ................ Location of Propert ..~!O~..h · .. ~,~_~ House No. Street ~-~ Hamlet or Owners of Froperty...-n-- k .... ¥ .... : ....... Onwer County Tax Map No t000, Section. [O.~..~-.~.-./.I..Block ................ Lot ........... ~ ........ Subdivision .... ~ ............................... Filed Map ............ Lot ........... :.'"] ....... Permit No.[.~.~.~.~.~.'~...Date Of Permit ................ Applicant ................... ,.~ ....... Health Dept. Approval ....................... · .. Underwriters Approval ........................ Planning Board Approval ........................ Request for: %e Submitted: Temporary Certificate ........... Final Certicate ........... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted I ~ 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p:Coperty 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 $5.00 2, Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O/~ $15.00 Date .......................... New Building ............. V/ Old or Pre-existing Bulling ............ Vacant Land ............. Location of Property .................... .~¢.~ ............ House No. Street Hamlet .L..,' : Owner or Owners of Property ..... ~ ..... "~,.~. .............................. County Tax Map No. 1000 Section .. L.0.~- ........ Block . ~ Lot Subdivision ................................. Filed Map No ........... Lot N,o.f ............. Permit No. [ .~...~.~.~...~. Date of Permit .~0/~/~.~.Applicant . . . . .~..~ ............... Health Dept. Approval ........................ Labor Dept. Al~proval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $... ~,r.?..0~... ................ Construction on above described building and ~ermit meets all appy~ble codes and regulations. Applicant .... ~ .~... ~ .............................. Rev. 10-10-7S THE NEW YORK BOARD OF FIRE UNDERWRITERS Pxo~. 11~?'7 BU.=AU OF E'=C.E,C,TY ~- 40 FULTON STREET, NEW YORK, Ny 10038 Date J~dL'£ 24,1998 Application No. onfile 16341998/98 N 460149 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOSEPH LIZEWSKI, 29205 MAIN ROAD, CUTCHOGUE, NY in the following location; [] Basement [] 1st FI. [] 2nd FI. OUT Section Block Lot was examined on O~L¥ 20 ~ 1998 and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS RECEPTACLES 2 4 DRYERS SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF FEET E S E R I C PER ~ OF CC, COND. NO. OF Hr-LEG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL ROSLAK ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 LIC.#3677 GENERAL MANAGER This certificate must not be altered in any manner; return fo the office of lhe Board if Incorrect. Inspector~ may be Idenfitied by their credentials. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 24, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Joseph Lizewski Main Rd. Cutchogue, New York 11935 Re: Building Permit # 13468-Z ENCLOSE PORCH Premises: 29205 Main Rd., Cutchogue surf. Co. Tax Map #1000-102-2-11 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of $outhold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 April 29, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Richard Lizewski 29205 Main Rd. Cutchogue, New York 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy use of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) ~ XX No Underwriters Certificate on file~.~ XX The check is (not on file.)$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 # 13468-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD IN~?EC~ION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CeDE FINAL ADDITIONAL COMMENTS: 765~1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSU~.AT4ON [//~NAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN,~..~TION [~'~NAL []FIREPLACE&CHIMNEY REMARKS: ,/~ INSPECTOR 765.t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND FRAMING [ ] INS~ULATION [ ~i~NAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined.. (.~/( .~. ...... ,19~..'~ Approved. ....... :, Per it No. Disapproved a/c · .-~ ..... ..T ......... (~ .... .~/ APPLICATION FOR BUILDING PERMIT Date O.~'.T'. -0 ~-~". · INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued 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 Ybrk, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, gs herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and r~gulations, and to admit authorized inspectors on premises and in building for necessary insp~ons. ' ' ' i~i'gn~fi~e,°f o(~,.'~fft 'j~P~ a~m~; if a c°rp°rati°n' ....... State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, pl~dmber or builder. · " <:Zo c,~=,..... ~i~ l ~-.~ .. Oco~ ,.~. ~.~ ....... ~ ....... ,. . .. Name ot ow~¢r of premises 00..~:~..q Ll~-~c-~ ...................... (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.. i. ~.'~..~. · .~.~.~'. Plumber's License No ....... .kCy./~?. ............. Electri0ian's Lice,se No..--~..O. ,~:.....~..--~...~.C. Lr~. ~ Other Trade's License No .... ............. ~. Location of land on which proposed work will be done...G:<..,--~,~m~..O?....~T...Z.:...~..~...'7:~.-.'~..~.7.. · .J¢~....~.. :r~--~; .~ :~~.~.. ~ ............... ~.c:~: ......... ' .............. S ree . Co,ntv Tax Ma'p No.~--o-o-o-o-o-o-o~qSection-'"'2 ~ .... A..O..~.. ...... Block ..... .~. ..... ...... Lot... &L ............ ' ~ Filed Map No. ~ Lot ~ ' Subdivisiqn ..................................... (Name) 2. State existing us~ and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: / a. E~istm use and occupancy. ?..~.: .~.¢.*..,/...~..e. ~ .e..O¢...m~... .L~..?'... b Intended use and occupancy . .. · · · · · -- 3~. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ........ Repair .............. Remgval .............. Demolition .............. Other Work ............... ~ i (Description) 4~ Estimated Cost .......................... Fee ....................................... i *" (to be,paid on filing this application) 5. If dwelling, number of dwelling!units ...... . .-~.., .... Number of dwelling units on each floor .... . .'-:7. ......... ' .'7. If garage, number of cars .... ; ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......... , ......... 7. Dtmenstons of existing structures, if any: Front...I.'~...~, ....... Rear .. l~.../-e ...... Depth ...'/. ......... lteight . ~/.' {a ~' .........Number of Stories . .4 ..................................................... Dimensions of same strncture with alterations or additions: Front .~g:~-'. ...... Rear .. ~ ............. Depth ~ i Height -'- Number of Stories 8. Dimensions of entire new construction: Front ...~.~tE7... Rear . ~ ............ Depth Height .... ~ .......... Number of Stories .... -~.: ................................................ Size of lot: Front ../12.~ ~7.3.; ........... Rear...&..6.,.?.'i ............ Depth ...,2.~.~...~/. ~ ........... Date of Purchase .......... ~ .................. Name of Former Owner .. {4! .L.k,~..-~. ................... Zone or use district in which pr~mises are situated :~ ................ ' ................................... Does proposed construction vioilate any zoning law, ordinance or regulation: ..../,?.o. ......................... Will lot be regraded .. ~ .ca.. ' .................... Will excess fill be removed from premises: Yes Name of Owner of premises ,JO~/4:..[iF-~t¢I, .. Address~t~. ............ Phone No.'2.5~.-.T.'~..-Ib-ff~.... Name of Architect. ~ ~ . . Address ..... ~ ........ Phone No. Name of Contractor ........................ Address ............... Phone No ............ 10. 12. 13. 14. PLOT DIAGRAM Locate .clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocl~ number or description according to deed, and ~how street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................ ................. being duly sworn, deposes and says that he is the applicant : (Name of ln&vldual slg[nng contract) above named. tie is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is ddly 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 he performed in the manner set forth in the application filed therewith. Sworn to b~fore .m.e this ry ruenc., ................... O~ Count, NOIARY PUBI lC, State of New York \\ /'= ~00 ' I CCBPA CY OR APPROVED AS 'NOTF~.~ ~ NOTIFY BUILDING DEPARTMENT ^ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIR~:D FOR POURED CONCRETE 2, ROUGH -FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O, ALL CONSTRUCTION SHALE MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ¸:4