The URL can be used to link to this page

Home My WebLink About13093-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..33.4.3.9.5 ......... Date....M.a.7. 14, 19 86 THIS CERTIFIES that the building ...... O..n.c..f.a..m.i.]:.~..d.w.e. lling. Location of Property/t3tJsi ~/o'4'3' Q 9. Bergen Avenue Mattituck · ' ................'s'~ie31 ....................... h3,~bl County Tax Map No. 1000 Section . .1.~. 3. ....... Block ...q 7. .......... Lot .p/.o.. ~ ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~aT. ~l ............ 19 .SA pursuant to which Building Permit No..1..3.0.9.3. g. ............. dated ....M.ay..7. ................... 19 .8.4., 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. .~.a.m..i.ly. dwelling, The certificate is issued to ....... ,WI~,]~i~[yI..C.H.U.D..I.A.K. ................................. (owner~,~!~l~,Tf~X of the aforesaid building. 14 SO ?3 ' Suffolk County Department of Health Approval - - N657973 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATE Feb. 20, 1986 Building Inspector Rev. 1/81 F~BM NO. I~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13093 Z Permission is hereby granted go: ~- ~ : ~ ~., ,o ................ ........... at premises I~at~ at ........ ; ..................................... ......... ~/~ ................ ~.....:.:,~ ........... ~ f~?' ............... : ............................................................................................ .... ....................... ~....~ ...................... L ........................................................................... co~ ~ ~ ~o. ~000 s~.o. ....... [.!..~ ........ ~=~ ......... ~3 .......... ~ot No. .....~..../~ .......... Building Insp~tor. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLO 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 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 natural or topographic featu res. 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~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. 1. Certificate of occupancy, $5.00, 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ...Y.e.b..~.u.a.~.y.. ,2,3. ,...~.9.8.6.... New Building × . Old or Pre-existing Building Vacant Land Location of Property .... , ...... ~.e. Tg.e.q.. ~.g~ ....... Matt±tuck House No. Street Hamlet Owner or Owners of Property Wil 1 iam Chudiak County Tax Map No. 1000 Section ..... !~..3 ....... Block . .0.7. ........... Lot..~)/.o..];. ........ Subdivision ................................. Filed Map No ........... Lot No .............. 5.~'17'--/,,/,t~. Emil Y. DePetris, attorney for Permit No. /,~. ,0.~,~, .~,, , Date of Permit' . .Applicant ....F. ilI ¢R .gb .A%eF ............ Health Dept. Approval ..... ~J]./.~ ............ Labor Dept. Approval ........................ Unde~riters Approval ..................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. 5.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant .~t~g~orney for William Chudiak .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS ].00~L375 BUREAU OF ELECTRICITY ~]. 85 JOHN STREET, NEW YORK, NEW YORK 1OO,38 "ateAuEust 31, ,l, 984 ,~p.,c,,tioaNo, o. yile 273675-8e' N 657973 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abo~e application ~umber i~ the premises of William Chudiak~ Bergen Ave, ~a~i~uck,NoY. in ~he followlng loc. tlon; X~ Baseme.~ X~ 1st Fi. [] 2nd FI. Section Block Lot was examined on A ~ ~0 20 ~ ]. 984 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 22 ~ECEPTACLES SWITCHES 39 30 DRYERS FURNACE MOTORS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 22 FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET. SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E AWG OF NEUTRAL I. GFX~ i smoke detector-~. Dennis D. Ctaire~ Jr. P.Oo Box 284 Laurel~N.Y.. 11948 lic. 2342E ll ' Per This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. COPY?OR BI DEPARTMENT. THIS COPY OF, IFI~CATE I f MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. / ~ O 9 ~.._~_ Owner ~..O,~/l~n~ C..Hod,~k (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this County Notary Public FIELD I,~S~ECTi N FOUNDATION (1st) COMMENTS 2. ( 2 n d ) ROUGH FR^ME & ?LUMBING ItlSU[,ATION PER N, STATE ENERGY C,ODE SHEPARD M, SCHEINBERG HURRAY B, SCHNEPS EMIL F, DE PETRIS SC~E~NB~RO, SCHNEPS, DE P~TR~S & DE P:EI February 21, FEB 2 1986 )lLJ] 1986 Town of Southold Building Department Town Hall Southold, New York 11971 Re: William Chudiak, Permit No. 13093Z Application for Certificate of OccuPancy Gentlemen: Enclosed herewith is application for certificate of occupancy together with our check for $5.00 application fee and a copy of the map bearing the stamp of the Suffolk County Health Department. Bill Chudiak will arrange with the Building Inspector for a final inspection. Very truly yours, Emf~F. DePetris EFD:bgm Encls. cc: William Chudiak KONTOKOSTA ASSOCIATES ® ENGINEERS/ARCHITECTS 43 west 54th street / new york city, new york 10019 / 212-582-6100 e,m. kontokosta p.e. gary rogers r.a. February 5, 1986 Mr. Victor Lessard, Building Inspector. Town of Southold Building Department Town Hall Southold, New York 11971 Re: Gardiners Bay Condos. Permit No. 13198Z Development Permit No.76F Dear Mr. Lessard: Please be advised that the undersigned had inspected the soil conditions prior to the pouring of the footings and found the soil to be a well graded sand with a presumptive bearing value of a minimum of two (2) tons per square foot. The footings were poured on virgin ground and were of the size 8" deep by 1'-4" wide continuously supporting the foundation wall., The size of the footings were proportioned to provide a minimum of absolute and differential settlement. The above conditions represent full compliance with the State Buildi.ng Code a~_p~flect standard practice in the industry. You! EMK/ck 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-18011 Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date d'~' {Z . .... / .......... , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Build/ng 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 York, and ot¢¢r applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remov~l~6i demolition, as herein described. The applicant agrees to comply with an applicable laws, ordinances, building cod,9/A/ofising code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins .p~~ (Sign~'~uffp't~f apph'cant, or name, if a corporation) . (~wainng aaa pp ) State whether applicant is owner, lessee, agent, architect, engneer, general contractor, electrician, plumber or builder. ......................... Name of owner of premises . Cud,l[ o.~, j~.? (as on the tax roll or latest deed) If aevlica~ corporation, signature of duly authorized officer. .................. // ~N~ ~d title of coworate officer) Plumber's License No.. ~}!~. · ~¢~ .......... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .............. ......... . . ...............r. . ................... House Number Street Hamlet County Tax Map No. 1000 Section .. [/~. ............ Block . ..O.? ............. Lot....fi2.../ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy ~/~ ~- b. Intended use and occupancy ~e~ .... .. Addition...' i . ......... 3. Natur of work (check whlch apphcable): New Building ......... Alteration Repa/ .............. Removal .............. Demolition .............. Other Work ............... (Description) 4 £' tim ted C .~ ~.°.9 F · ',s ost ...... ~ ......................... ee ...................................... 4, (to be paid on filing this application) / $. Ifdw~ ling, number of dwelling u~nits ............... Number ofdwelling units on each floor . . . ./ ............ If gan ge, number of cars ..... i,~2. .............. 6. If bus ness, commercial or mixed occupancy, specify ......... '-~ ' ...... nature and extent of each type of use ..................... ?. Dime~sions of existingstructurds, ifany: Front .,:..: ...... .... Rear .............. Depth .. ........... .. Heigh. ' ............... er of Stones ......................... Dime~ sions of same structure with alterations or additions: Front -..-%-~.. ............ Rear Depth .................... ,.. Height ...... Number of Stories 8. r)imei slons of entire new construction: Front . . .~ ...... Rear ,. ~ .. Depth -~ 5/'/ Heigh: . ../.~./f. Nun)bet of Stories .... /. 10. [)ate ~ f Purchase ........... ! .................. Name of Former Owner Depth . .G.). 11. Zone >r use district in which ' ' are . . prqmlses situated ..................................................... 12. Does Croposed construction violate any zoning law, ordinance or regulation: . ~q.O. ............................ 13. Will 1, ~t be regraded ......... : · .[ ................. Will excess fill be removed from premises: Yes _ 14. Name of Owner of premises .. f~ d.. C]~ .o c,~ ~..6~.. Address . ~ct~ ~.q~.../y.~#:?.o .~, Phone No..c°~. ~..~/?. ..... Name of Architect .... ~ ............. Address ....... ~ ....... ..~... Phone No. Name of Contractor .d~.q,~ .r.~ .ad..?--.ct. ........... Address~. ........./k~x ta V~a~. ~ ....... Phone No. ? ~" q / d i PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property Ii ~aes. Give street and block number or description according to deed, and show street names and indicate whether interior or :orner lot. STATE O[ ~EWYORK, i S.S COUNTY ~ )F ................. .................................................. being duly sworn, deposes and says that he is the applicant (Name of md~wdual slgq~ng contract) above nar ~d. (Contractor agent corporate officer ere ) of said o' ~er or owners, and is duly authorized to perform or have performed the said work and to make and file this applicatioi; that all statements cont~'ained in this application are true to the best of his knowledge and belief; and that the work will 1,e performed in the manner set forth in the application filed therewith. Sworu to ,~fore me this ........... , ..... day o ..... y .......... 19 $otaryPu Ii: ..... ~...~ .... ~0.e-..~'/.~-~... County ~ '~~~;~'T, located in an agricultural v --~ ~ __ ~ou - ~8~" area, the possibili~ exists t~t t~ ~ ~ "~ C // .~ fO water supply may contan trace '0( amounts o~ pesticides a~or nitrate~ Special analysis ~/~ r~uir~ FO~ J~FOLK COUNTY DEPArTMeNT OF HEAL~ .~ICES W/LLIA~ CHUDI4K · T M4~I~UC~ 0ATE: 4P~I~ ~O~ I~ FO~ APP~OVA~ OP CONS~m~CT~ON ONLY ~N ~ ~OU~HO~D ~¢~LE: /' · lO0 ' N~U~H~IZE0 ALTER4TtON OR AODITION ~ SURgE~ · A VI~ATION ~ IECTION 7~O~ ~ THE~ ~ ~ ~=~L.~ ..WYO,KSTATE E~CAT~ONLAW ~OVE~_ NCOPI~S ~ mis S~VEy NOT ~AHWG THE LANO ~OT I~ CO~l~E~ TOiE 4 V~L~O T~UE COrY HEA~ DEPArTMeNT-DATA F~ APP~O~ TO C~STRUCT ~TA 4~CY AN~ LE~ I~ IN~TITUTIO~ LIS~D OF H~LTH I~ICEI.' ~UN~OSE ANO ARK NOT~O B~ USED TO ~STABLISH ~~~ ~LICMT, P~PERTY ~LINES OR FoR; THE ERECTION ~ FENCES ,: YOUNG a YOUNG RI V~A~NEw Y~K NO~: I = MONUM~N~ ~ : ~AK~ ALDEN W.~UNG, P~OFESSIONAL ENGINEER ~ ANO ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HO~EO W. YoUNG, LAND SURVEYOR ~ L~ ~LIW).~IC TANKISTJa CE~S(~) ~ ~RE~ N.Y.~, LICENSE N0.4589~ ME ~ FI[~ W~TI~S ~ OR DATA OITMMO F~ OTHENS ~ O0~ ~ .... NO~ 22, 1984 ~he sewage d~po.~n] nu~ ~,t~L~ supply AT MATTITUC~ D~TE: APRIL ~0, 1984 faci'litio~ fc~ th~s ]~>or~r,]<~ >~ve bee~ ~WN ~ SOUTHO~D SCALE: I '= I00 ' lnspeobod ~'; this d~tart~nL c.~d found SUFFO~ COUNTy, NEW ~RK NO. S4-350 to bo satJ,%l'aatoz'Y, i , · N~UTH~IZE$ AkTE~TIOH OR ADDITION ~ ~IS NEW YONK STATE E~CAT(~ CAW ~E~ OEPARTMENT-DATA F~ APPR~ ~ C~STRUCT A~D ~ HiS M~LF ~ THE TiT~E C~Y, GOV~N- ......_ .,,._.,., ,...,, ..,,,, .,.,. ~,~,._ ...,........._.,.,.,,.,,o.~,.~ ~2 "~ ff~FC~T~MAPMSTT~SECTI~(/~ ~K ~ i,OTP/oI H~[~. AND /O ~E ASSIGN~S OF /HE LENDING j ~EJ W ~ WgLLJ~S WITHIN I00 FEET OF TWl PROPERTY e ~STITUTI~. GUARANTEES ARE ~t TWSFERABLE OTHER Tfl~ THOSE IHOWH HEnEOH. TO ~ITiOHAL IHSTITUTI~S OR SUBSEQUENT ~. J~ ~ ~ ~NDER AVE~E YOUNG YOUNG ~,~.~ ~o~ NOTE: I ~MONUMENT &~STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER ANO ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR M ~ L~ ~ ~L(W),~IC TA~IST) e C[~OLS(~) I~N ~E~ N.~ S. LICENSE NO. 4589~ BRANDIS & SONS INC, 1046