HomeMy WebLinkAbout13336-z1~ I E h~%j I~PECTION
FOUNDATION
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
COMMENTS
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
I'.O, BOX 728
TOWN IIALL
SOUTHOLD, N.Y. 11971
TEL. 765-18fl2
This in to advise you that the job under ~buildlng
permit no. 13336Z issued to Steve Doroski
on .~8/84__ .... for Addition is completed
;i final inspect{on has ~ ) has not ( x ) been done.
and
[n order to complete this file, it is necessary that
c, Certificate of Occupancy be issued. Pleas~ fill out the
enclosed form, return same to the above office with a cheek
for $25.00 paynblc to the Town of Southold. Please indicate
tu Whom the Certificate of Occupancy ia to be mailed, and
arranBe with this office for an inspection date
Occupancy or use ia unlawful without a Certificate of
Occupancy. l'lea~e, help tls to clear up th~a matter so ti:nc
legal action does not have to be taken.
Thnnk ynu for yot~r prompt arrant[on.
Very truly~,
Victor Les~ard
Executive Administrator
VL:gar
ei~c ]
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765~1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 24, 1998
Stephen Doroski
North Rd.
Southold, New York
11971
Re: Building Permit # 13336 -Z BEDROOM ADDITION
Premises: 250 C.R. 48 (2765 Ackerly Pond La.)Southold
Surf. Co. Tax Map #1000-69-4-11
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 Southold, 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.
FEE: ~:
NOTIFY [~UIL~I .... THE
765-1802 9 AM TO 4 PM FOR
iNfi?ECT~OMS:
FOLLOWING
,.!, FOUNDATION - TWO ~ REO'd~'RED
p~UR~D cONCRETE
FOR - ~.,~ ~. ~ pLUt~BING
4. FINAL ,..'
BE COMPIFTE FOR C.O.
~LL CONSTRUCTION sHALL MEET
~HE ~EQu~REMENTS OF ~HE. N.Y.
STATE coNSTRUCTION ~ ENERGY
coDES. ~ NOT RESPOnSIbLE FO~
i~l~ ~ CO~ST~UCT:tO~ [~o~.
~q
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
I~'.~ B~ JUN. ET.RET, NEW ¥O.K, .EW ¥O.K ,OO3e
Date ~C~ 07 ~ [984 ~pplicat~on ~o. o.f~l~ 304285/84
THIS CE.TIFIES THAT N 670452
only the electrical equipment ~ described be~ and i~troduced by the applicant named on the able application number in the premises of
Doro~ki ~uz'sery, Corner Ackerly Pond ~ne · 01~ ~or~ ~. ~ Southol~ ~Y~
in ~he fotlo~ing location; ~ Basement ~ 1st FI. ~ 2nd Ft. Section Block Lot
was examined on a~d found to ~e in compliance ~ith the r~quirements of this Board.
De~er 03~ 1984
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FURNACE
MOTORS
NO. OF FEET AMT WATTS
SERVICE DISCONNECT NO. OF S E R V I C E
METER
I 100 C~ Z ~ 2 1 2
OTHER APPARATUS:
Panelboards: 1-12cir.,125amps.,
Thisc t'" . Per~x 'L ~-~
~&~:;~g:, r~r~ ~e~e of the Board ,f incorrect. Inspecto(s may b~
IN ANY MANNER.
'FORM NO· 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined~...~.. ..... ,19q~>. -~ - -~
Approve~ ~1 ~.. Permit//No..//.~. ~.. ~.~.
Disapproved a/c. ,;- ..................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
...... ,
INSTRUCTIONS
Received ...... ,t
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 diagmm 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 througllout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of ~ccupancy
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 building for necessary inspections.
· g, aO. .' R.././g.
(Mailing aa~ss of applicant)
is owner, lessee, agent, architect, engineer, general contmctor,,(~lectrician, plumber or builder.
State
whether
applicant
....... .............................................................................
Nmne of owner of premises ... ~. 7~'. ~'~t. ~.-...~';...~.,~:.O..~..~..~.1~' .......................................
(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 ..... .~.~.(....~.'. ............
Plumber's License No ............... ~ .......
Electricians License No./. O....~.
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
........
lfouse Nun~r/~9~ .......... i'"i' Street '.'~,~;~:'-"' ..... 2'h~n'le; ....... Y .....
County Tax Map No. 1000 Section' . ........ Block ....~_.... ......... Lo*.O/~__.... ............
Subdivision ..................................... Filed Map No ..... ~ ......... Lot ... :-7 ..........
(Name)
State existing use and occupancy of premises and intended use and occupancy of. proposed construction:
a. Existing use and occupancy .... ~..'~fi..fin..g~. · · -/~/~-~..~....-~JJ~:~,(-~ t ~-~....: .,.,. · ~ ............... ..
b. Intended use and occupancy . .~t~../,<t..~.. ~//..~fffi.. )~X:~O...~..../O..g~. ?. ~ t~ JA.~.~'
3. Nature of work (check which applicable):. New Building ..... ' .....'Addition ... ~ .. Alteration ..........
Repair Rem6val Demolition Other Work'
4 F, stimated Cost ~"" .
(to be paid on filing th.is application)
5.If dwelling, number of dwelling units ............... Number of dwelling units on each floc/ ................
If garage, number of cars '
6.If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7 Dimensions .... Front '" Rear Depth
of ex~st~ng structures, ff any:
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth .................... :.. Height ...................... Number of Stories ~. ....................
8. .Dimensions of entire new construction: Front Rear Depth
Height Num~ber of Stories
9 Size of lot: Front ' Rear Depth
10 Date of Purchase ' Name of Former Owner '
11. Zone or use district in which promises are situated '
J2. Does proposed construction violgte any zoning law, ordinance or regulation:
13. Willlot be regraded
......... , ................... Will excess fill be removed from premises: Yes No
14 Name of Owner of premises." Address Phone No
Name of Architect .......... ................. Address ................... Phone No ................
Name of Contractor ......... I ................. Address ................... Phone No
PLOT DIAGRAM
Locate clearly and distinctly 0111buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether
mtenororcomerlot./t ~ ' ( t: l/ / /' I/~'~X.-(~
STATE OF NEW YORK,
county OF ......... S.S
......... ~.. T.~-V..~L~. · · q~., · ~.~.~'O..fi ~/-~. ........... l~eing duly sworn, deposes and says that he is the applicant
(Name of individual signihg contract)
above named.
He is the ~ .
i (Contractor, agent, corporate officer, etc.)
of said owner or owne~, md is duly authorized to perfom or have perfo~ed the said work and to m~e ~d file this
application; that all statements cohtatned ~ this application are true to the best of his ~owledge and belief; and that the
work w~l be perfo~ed in the manner~set forth ~ the application filed therewith.
Sworn to before me this
............. .,...dayof .....
~ARY PUBtIC, 8la~ at New Y~rk , * ' ' ' ') ~ .... ,"* ' ~ ...........................
: R~, 4707818, Suffolk County ~ (Signature of applic~t)
1~ [x~res Mar. ch 30. 19~