HomeMy WebLinkAbout16414-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18631 Date DECEMBER 8~ 1989
THIS CERTIFIES that the building ADDITION
Location of Property 1547 VINEYARD VIEW DR. CUTCHOGUE~ NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 01 Lot 19.9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 28, 1987 pursuant to which
Building Permit No. 16414-Z dated SEPTEMBER 1, 1987
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
PERMIT AMENDED TO INCLUDE DECKS.
The certificate is issued to BENNETT & JOSEPHINE ORLOWSKI~ JR
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWEITERS CERTIFICATE NO. H-013074 - DECEMBF~R 4, 1989
PLUMBERS CERTIFICATION DATED
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~_ 16414 z
Date.....'~t~l.<..:J~'~t..~. ~ ................... ,
Permission is hereby granted to:
.....c~.~.~_...~.:~., ....... t.~ .......
.......
.....................................................................................
at premises I~at~d at ..~.~....~ ~..~.. ~ .~....~~. ~...~ ~
County Tax Map No. 1000 Section (,.~J...~...~ ........ Block ....... .~l.J ......... Lot No ..... .'~..~..:..~. ........
pursuant to application dated ....... ~.N~...~.....~t...~.. ............ , 19~..~..., and approved by the
Building Inspector.
Fee $..3.....: ..............
..... ..~:.....~.. ....................
Building Inspector
Rev. 6/30/80
TO~N OF $OUT~OLD
~UILDI~G D~PART~T
TO~N ~ALL
SOUTDOLD~ NB~ ¥0RK
765 -- 1802
11971
APPLICATION FO~ CErTiFICATE OF OCCUPANCY
NEW CONSTRUCTION ---~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Property. ,~
HOUSE NO. STREET HAMLET --
O eer or O ers of
Cou~ty T~ ~ap ~o. ,000 Seetloo lm.~.. Block ..'~d... Lot' .~ ....
Subdivision ....................... Filed Map ........ Lot ..........
........ D~
Healnh Dept Approval
· * ................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate
Fee Submitted: $. ,~,~"--""---'-"
rev. 10/14/88
FORM NO. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN IIALL
76:5- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
This application must be filed in typewriter OR ink and submitted
Inspector with the following; for new buildings or new use:
to the Building
i. Final survey of property with accurate location of all buildlogs, property limes,
streets, and unusual natural or topographic features. ~
2. Final approval of 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 solder used ~n system contains less'
than 2/lO of I~ lead.
5. Co~ercial buildings, industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code complidsce from the Architec~
or Engineer responsible for the buil'ding. I
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (Prior to April 9, 1957] non-conforming uses, or bnildiogs
and "pre-existing" laud: uses:
[. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or t~pographic features.
2. A properly completed, application, a consent to inspect signed by the applicant
and a certified abst:ract of title issued by a title company which shall
show single and sepqrate ownership of the entir~ lot prio~ to April 9, 1957.
· If a Certificate of Occupancy is denied, the Buzlding Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildingS or premises, or other
pertinent information required to prepare a certificate.
For Vacant Laud'Certificate of Occupancy: ;
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership or,the entire lbt prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writlug to the appllchnt.
FEES: ,
I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00.iAccessory building $25.00
Addition to Accessory buildings, $25.00 -'Businessesi$50.O0.
~. Certificate of Occupancy on pre-existing dwelling - $]I00.00.
3. Copy of Certificate of Occupancy - $5~00 - over ~ years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00 :
- Residential
6. Temporary Certificate of Occupancy $15.0,0 Co~mnerci~l
{o/14/85
FIELD INSPECTION
FOUNDATION (1st
FOUNDATION (2nd
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-I823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 14, 1989
Bennett &
Box 297
Cutchogue,
Josephine Orlowski,
N.Y. 11935
Jr.
Re:
B.P. #16414Z
1547 Vineyard View Dr.,
Cutchogue, N.Y. ]1935
Cutchogue, N.Y.
Dear Mr. & Mrs. Orlowski:
According to the Code of the Town of Southold
Article XXVIII Section 100-284 A(1) it is unlawful
to occupy or use a building until a Certificate of
Occupancy has been issued by the Building Inspector.
In addition, your Building Permit has expired.
In order to avoid any legal action you must cor-
rect these violations immediately.
Thank you for your cooperation in resolving this
matter.
VRW:hdv
Very truly yours,
Southold Town Building Dept.
Vincent R. Wieczorek
Ordinance Inspector
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~'- B5 JOHN STREET, NEW YORK,
NEW
YORK
10038
Date Application No. on file
THIS CERTIFIES THAT
only the electrical ~uipment ~ ~serlb~ be~w and i~tr~uced by the applicant ~med o~ t~ ~ve ~pl~c~t~on nu m~r in the premises of
in the following Ioca~ oni~, ~, Basemp~{, ~ ~ Ist FI. ~ 2nd ~], ~ A~/~ [ 'F Section Bilk Lot
FIXTURE FIXTURES RANGES OVENS OI~,H WASHERS EXHAUST FANS
SYSTEMS
NO. OF FEET
E
E R ¥ I C
NO. OF HI-LEG
AW, G
OF NEUTRAL
~ ~ ~ '0 ~ ~ GENERAL MANAGER
Thi~ certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified ~y thmr credenhols.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL,: 765-1802
Examined .~.~.3~,.~... l.., 19
Approved~g. ~.N[~ .[., 19 ~..q. Permit No. ]..(q..t{ ! .q..~..
Disapproved a/c ................................. /..)
(Building Inspector)
APPLICATION FOR BUILDING PERIVlfr
Received ........... ,19...
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 ~ 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 regulatigas, any1 to
admit authorized inspectors on premises and in building for necessary inspirits. /~.,~-//~ / ~ /
(Signature of applicant, or name, if a corpo//lti0n)
ilin t
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..... ~. ¢d.,~2 ~, [.'. ..............................................................................
Name of owner of premises...~. ,a. ,~.~... ~. d. q(...~.a?, f' .~.z5/-~q-- ·..~../-' .~ z,/~ .~.~./..'. ~ ............ (as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
............. .,Z-f.-..~. .... ~.a,~.~.~...
(Name and title of corporate officer) --
Builder's License No.../.~..z/. t~..~..Z~. · .-~. .....
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which.proposed work will be done ..................................................
x~ ..... ~.e..,/~c ...... '.ee. ............... ~.~,,. :.d.c..%.. ..........................
Hodse Number Street Hamlet /?, ~'
County Tax ~4ap ~o. 1000 Seotion .... ./. D.. 3 ...... Blook .... /. ............ Lot. ~../. ~ .4'.../..9. ....
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises..Knd intended use and occupancy of proposed construction:
/ ~ /
a. ,n seandocc panc ' ' ........ .........................................
b. Intended use and occupancy ....................................................................
3. Nature of work (check which applicable): New Building ' Addition . ~ Alteration ..........
Repair ............ Removal ............ Demolition ............. Other Work ...............
~f~ ~ f~C~.~. (Descfil~tion)
4. Estimated Cost ................................. Fee ...................................
' ~ (to be paid on filing this application)
5. If dwelling, number of dwelling units .! .............. Number of dwelling units on each floor ................
If garage, number of cars ..... ~k-..' ..............................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......... ~ ...........
7. Dimensions of existing structures, iif ar~y: Front .... ~ ¢ ........ Rear .. ,.F ~ ......... Depth. & ."M'. ..........
Height ..... J~dP.~. t~ .... Number o~Stories .. ~ ...................................................
Dimensions of same structure with alterations or additions: Front ...... ~. ~ ...... Rear ....~. ~ ....
Depth ...... ,~. t2.......'., ..... Helght ... ,,,~5 ............... Number of Stones ......................
8. Dimensions of entire new constru~tin~ Front . ~c,-e~r-~.C~.. Rear ............. Depth ...............
Height ............... Nu~_b~r of Stories ......................................... ,~ .............
9. Sizeoflot: Front ....... /.6../,.. t ...... Rear ....... ~.7.~ .......... Depth . .~.ff.f. ...............
11. Zone or use district in which pre~iseslare situated .... ~t-..R- ......................
12. Does proposed construction violat~ any zoning law, ordinance or regulation: . .-~/..q .........................
13. Will lot be regraded ....... ~ ~2 .............. : ..,:~Will excess fill beremt)ved from premises: Yes '~
Nmne of Architect .......................... Address ~ Phone No.
Nm'ne of Contractor ........... ( .r ............ Address .......... .r .r ....... Phone No ...... t. r. ........
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block n, umber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.iS
COUNTY OF ........ : ......... .'
being duly sworn deposes and says that he is the applicant
(Name .....
of ~ndw~duai s~gnmg contract)
tbove named.
He is the
(Contractor, agent, corporate officer, ere.)
)f said owner or owners, and is duly lauthorized to perform or have performed the said work and to make and file this
~pplication; that all statements contaiged in this application are true to the best of his knowledge and belief; and that the
~vork will be performed in the manner Oct forth in the application filed therewith.
~worn to before me this
~ i ~ 19~?..
............. ......... day of.1 ......//~ ~ ........ ,
· I ............... Count
NOTAk'~m~JSL (;, State ot New York t-'-
· Term Fa~lm~ [larch )0. ~_z~t (Signa~ltt'~f applicant)
LICENSED LAND SURVL~ORS
GREENPORT NEW YORK
SUFFOLK CO. HEALTH DEPT. APPROVAL
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM 'TO THE STANDARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
APPLICANT
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES -- FOR APPROVAL OF
CONSTRUCTION ONLY
DATE:
H. S. REF. NO.: /~ '~ '~ "~' ~
APPROVED:
SUFFOLK CO. TAX MAp DESIGNATION: .
DIST. SECT.
OWNERS ADDRESS:
DEED: L.
TrEST HOLE
BLOCK PcL.
p.
STAMP I
SEAL
I] EA',~
COV~P.~D
./,.-.-- 4" P,c, '~Ca*
°, FLO02 PLAN
OF P r2 0 P OS :r-.2O
A O D I TI (L) kl o
/
NOTI~ ~ILDING ~ep~.~*r~ENT AT
765-1~02 9 AM TO 4 ~.~ ~3~ THE
FOUNDA'r~Oi~ TWO ~QUI~ED
i-
~ FI20 NT
6. C)~L~''''''' ''' ~
' LJYV ~F. ~
CuTcNoQu~
LO FT!'t
SUN P.:O0~ ~OOF
~£ '/~N OF LOFT
++
I~. OI:?LOWSK!
6. O~LOW5~