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Home My WebLink About15974-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20448 Date JANUARY 6~ 1992 THIS CERTIFIES that the building Location of Property 400 House No. County Tax Map No. 1000 Section Subdivision MARLENE DRIVE ADDITION / DECK ADDITION MATTITUCKr Street 143 Block 2 Filed Map No. Lot 24 Lot No. NY Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27~ 1987 pursuant to which Bulldlng Permit No. I5974-Z dated MAY 8~ 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 & DECK ADDITION TO EXISTING ONE-FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK & CATHERINE STEPNOSKI owners of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N 197711 JULY 30r 1991 DECEMBER 29~ 1991 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~ 15974 Z Permission is hereby granted to: ..~ ...... .~~ ~. ~-~~'"":'"'~T"- ,o . .~~. ~ ~- ~..~...~&i~- .~ ~- .............. : ....... pursuant to clpplJccltion doted ....~}~...~.( .................. , 19.~....L, and approved by the Building Inspector. Fee $,.~--~. .............. Building Ir~pector Rev 6/30/80 TOI~N OF SOUTIIOLD BUILDING O EPART~[ENT TOUN HALL 765-1802 DEl; 3 0 f991 .... APPLICATION FOR CERTIFICATE OF~OCCUPANCY This application must be fille~ in by type~r~tor OR ink and submitted to the building inspector with the following: for new building or now use: 1. Final survey of property w~th 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. Sworn statement from plumber certifying that ~he solder used in sysuem contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bulldings and installations, a certificate of Code C,~pllance from archi.eot or engineer responsible for the bumldlng. 6. Subml~ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) eon-conforming uses, or build,age and "pre-existing" land usns: 1. Accurate survey of property sho~ng all property lines, streets, building and unusual natural or topographic features· 2. A properly completed application and a con,eat to ~nspect signed bv the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall sta~e the reasons thercfor in writing to tho applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dt~elling $25.00, Alterations to d~olllng $25.00, Swimming pool $25·00, Accessory bu~ld~ng $25.00, Additions to accessory building $25.00. Bus~ressc~ $50.00. 2. Certificate of Occupancy on F~e-ex~s~lng Eulld~ng - 3. Copy of Certificate of Occupancy - $5.00 over 5 years - 4. Updated Cartl£1catc of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 =atlonof Property. ~.C~ .... ,~-/.~.~_...&.~.~ ........... .-~:Z~?<:. ...... tlouso No. Street Hamle~ v~er or O~ncrs of ~'rop rty..¢ ............... ~F~.I.~.,.. . ' ............... unty 000, ..... =oc, ....... ..... .......... : ......... adlvislon .......................... Filed Map ......... Lot ............ ,,o ..... Date Of Permit.. *llcant .......... . . .. ~Ith Dcpto Approval .......................... Underwriters Approval/~.~ ............... nnlng Board Approval ................. ' ....... uest for: Temp~/~ary Certificate ..... · Sub=it ~cd: $~ .~..~. ................ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~AG~ .~. ....... BUREAU OF SLIIC'rIqlCITY F--' 88 JOHN STRELrF. NEW YORK, NEW YORK 10038 /~t, JULY 30,~991 ~o.~/i~, 62022~q/89 ?~ - o ..... THIS ~IFIES T~T ~'RANK 8TEP~USKI, 400 ~A~LENE LANE(VEST SIDE), ~OL~:~, ._~'~'~"-~"ur.~ ~,..'~. ~,,e~ JULY 16,199]. ~ RXT~ 8 7 S~OKE DET~C ~OR.-~ STEPNOSKi FRANK T. LIC.~120O-E 42-C 5ITTLE NECK ROAD CUTCHOGUE, NY, 11935 --~ ..... ~' - ~'m~' ,~ ,,-,, ~ r ~' ' ~'--~ ~' i TOWN OF SOUTItOLD OFf'ICE OF BUILDING INSPECTOR P O BOX 728 TOWN 11ALL SOUTIIOLD. N.Y 11971 TEL. 765-I802 To Whom This May Concern, We are unable ~o complete your Certificate of Occupancy because of the follo%~lng reasons. An application for Certificate of Occupancy /~/ No Underwriters Certificate on file. /~/ The check is (o~tz~a~&~d/not on file. ) ,~ 3 5~. (30 /--/ No Health Dept. ?.pproval on f!le. /_--/ No final ]nsp¢,ctlon has been made. Please coHtact our office on this matter. Thank you for your Bul]dinq Permit Jt Bu%ld~ mt Dept. ***/~/Mo Plumber Solder Certificate on file. ( all permits ln~o!ving plumbing being ~ssucd after April 1,1984 ) TOWN OF SOUTE[OLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HA. LL SOUTttOLD, N Y. 11971 TEL. 765-1802 CERTIFICATION (please ~rzn~) I certm~y that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me tkis ~ day of Ilotary PubJ. zC, ~c3~,~-id-- County OUNDATIO:~ 0UNDATIO:~ { 2n~ ) OUGH FRAHE / ?LUMBi~~/ STATE ENERGY CODE Fi~.~AL ADDITIONAL COMMENTS: / 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INFLATION FRAMING [~NAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [~}*"INSULATION DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ~Q~U~_ ATION] 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: / ~. U ~ /. '~ '/'/~/~ ,/ / / , / J / - [~' / '/1 I ,hr ~B ~ AS NOTED ~ ~ 7~1~2 ~ ~ TO '~ ~ EOR THE '/ Approved FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ...... 3 sg s oF LA/F% SURVEY ....... SEPTIC FORM ............. : NOTIFY CALL MAIL TO: Dtsapproved a/c ........................ (Bmldmg Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS B[.gG 0EPT. TOV'JN r.j~c SO ~, HOLO Date a. Tins application must be completely filled m by typewriter or in ink and submitted to the Building Inspector, wit sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing location of lot and of buildings on premises, relatmnsinp to adjmmng premises or pubhc sire or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tins ap cation. c. The work covered by this application may not be commenced before issuance of Bmldmg Permit d Upon approval of this apphcahon, the Building Inspector will issued a Bufldmg Permit to the apphcant Such pet shall be kept on the premises available for mspechon throughout the work. e. No buildmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupm shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Dep~tment for the issuance of a Bmldlng Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance: Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herem descnb The apphcant agrees to comply with all apphcable laws, ordinances, bmldmg code, housing code, and regulations, and admit authorized inspectors on premises and m bmldma for necessary mspectlons.. (Signature of apphcant,~or name, ~f a corporation) (Marling address of apphcant) State whether apphcant m owner, lessee, agent, architect, engineer, general contractor, electnman, plumber or build ~ (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Plumber's L~cense No Electrician's License No .... Other Trade's L~cense No .... Location of land on winch proposed work will be done House Number y~ Street ~p/e~' Hamlet County Tax Map No I000 Section ] ~ Block Subdivision Filed Map No ...... Lot .. (Name) State exmtmg use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ............................. b Intended use and occupancy /?(' £ , d e.~ { ,:~. .La o~cl~}.,/, .c)'.9 ............ 3. Nature of work (check which apphcable) New Bufldlng .. . Addition '/.. Alteration Repa.~r ... Removal .... Demolmon ....... Other Work .......... 4 Estimated Cost ~ ~.C_.)..~ 5. If dwelling, number of dwelling umts . (Descnpt~on) " (to be prod on fihng th~s apphcation) ...... Number of dwelling units on each floor ....... If garage, number of cars ........................................... 6 If busm,ess, commercml or m~xed occupancy, specflTy nature and extent of each type of use ..... 7. Dimenmonsofexlstmgstructures,~fany Front 3.~ ~9~... Rear . ~ ~_~/cp... Depth Q~.'~.'~. Height .... Number of Stones ...................... Dnnenmons of same structure with alterations or addmons Front ........ Rear .......... Depth ........... Height ............ Number of Stones ............... 8 Dimensions of entire new construction. Front .... Rear ............. Depth .......... Height .......... Number of Stones ~ -/ · . . '_~; ................... ,.. -,> .......... 9 Size of lot Front .. J.. ...... Rear. .75 ......... Depth ./.~'.~7..., ........ 10 Date of Purchase .... 6/~' .Y" ...... Name of Fo~mer Owner .hx?.~.... ~gu ] [,,..~ ~..~. .... 11. Zone or ~stnct m4vh~ch-prermsos*re~tuated ~F..~. [.. .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation' ~ O. ..................... 13. Will lot be regraded . ~ ........... Will excess fill be removed from premises' Yes ~ ................x~.. Address ..' ~'.~ ....... Phone No...x. _..}k~< ...... Name of Name of Contractor ....... w4~__._. ~ . Address ...//._' '.~. ........ Phone No. ; ./~.~'' 15. Is this property located 60'fe~ of a tidal wetland? *Yes ..... No .l~.... ' · If yes, Southold Town Trustees Permit maybe requmred. PLOT DIAG ICAM Locate clearly and distinctly a/1 buildings, whether existmg or proposed, and red,cate all set-back dnnenmons from oroperty hnes Give street and block number or descnptmn according to deed, and show street names and indicate whether ntenor or corner lot. gTAT~ OF NEW YORK, 20UI'?FY OF ......... SS {::, 5 be/we, aW .................................. being duly sworn, deposes and says that he is the applicant (Name of individual mgmng contract) ~bove named te xs the ................................................. ~.$~[~, . .~: ..... (Contractor, agent, corporate officer, etc ) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file flus .pphcatxon, that all statements contmned m this apphcatmn are~ true to the best of his knowledge and behef, and that the york will be performed in the manner set forth m the apphcatmn filed therewith ¢worn to before me this ........ 4otary Public, . . ..... 19 £7 County ~ __ of t~gnature apphcant)