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Home My WebLink About15802-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16363 Date November 2, 1987 THIS CERTIFIES that the building ONE FAMILY DWELLING WITH ATTACHED GARAGE & · ATTACRED' DECK .................................. Location of Property 885 Mill Lane Peconic, New York h~s~ ~io: ' ' 's't/e~i .......... ~'~,~/et County Tax Map No. 1000 Section . . .7.4 ........ Block 2 10. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 20, 1987 15802 Z ....................... pursuant to which Building Permit No ...................... dated.................March 28, 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 ......... ONE FAMILY DWELLING WITH ATTACHED GARAGE & ATTACHED DECK The certificate is issued to ... PETER & MARGARET SIENK .................. io Yn ~;, ~&~C~>~CX/ClCx x .................... of the aforesaid building. Suffolk County Department of Health Approval 87-50- 10 UNDERWRITERS'CERTIFICATE NO. N835821 PLUMBERS CERTIFICATION DATED: October 28, 1987 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('FHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15802 Z Permission is hereby granted tO:, ................. ............ at premises located at .~ ~....~..........~. ~ ................. County Tax Map No. 1000 Section ..... .C~..~....~. ....... Block ..... .~ ............. -)~ Lot No. .../...~....q./. ......... pursuant to application dated ...... ..~..~-~...s~..O.. .............. , 19..~.].., and approved by the Building Inspector. Fee $..~ ....... ; ........... Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000123 BUREAU OF ELECTRICITY ~-mg 815 JOHN STREET, NEW YORK, NEW YORK 10038 oato October 5 ~ 1987 ~ppfic.tio./vo. onfi~o 484096/87 N ?~ ~ o~y the eleetr~al equipment ~ &ser$b~ be~w and introduced by t~ eppllcant ~med on the a~e application number in the premises of Peter S~enk, 885 ~ill L~e, Peconic, ~.Y the following location; ~ Basement ~ Ist FI. ~ 2nd FL Section Bilk Lot was examined o. September 2~s 19~7 and f°und to be ia co.tpllance u'ith the reqalre.tents qf this Board. RXFUaa RXTURS$ a&NG$5 OUTLETS FLUORESCENT 48 41 40 FURNACE MOTORS FUTURE A~LIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 3--G. F. C. I, i-.Smoke Detector Hlectrtc RoO~ l~eaters: 2-1.25k~ S E R OF CC, CONO 4/0 I C E NO OF HI-LEG 2/0 275 Town Harbor L~ne $outhold, NoY. 11971 Lic. 2821[ '.~MANAGBR // Per this certificate must not be altered in any manner; return to the office of the Board if incorrect. ,nspectors may be iden~dd b~ their'c/redenfials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIF R. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN t-IALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. {~ 0%'- Owner (please print) P 1 umb e r~l~ [ ~/+t~ / t~'~(~... (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~ ~ v(~ber' s signature) Sworn to before me this 19f~ · Notary Public, ~~__ County Notary Public ANN I'I~RBA Notary Pubhc, State of New York No. 52-6861500, Suffolk County Term Expiret March 30~ ~/~ OUND; (1st) OUNDATION ( 2nd ) OUGH FRAME & PLUMBING ~NSULATION FER N. STATE ENERGY CODE . ADDITIONAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] IN~SULATION [ ] FRAMING [~FFINAL DATE , 76.5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ] INSULATION FRAMING [;~FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. [~-/~OUNDATION ZND [ ] INSULATION FRAMING FINAL BUILDING DEPT. .~/~J ~ INSPECTIONs-- FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~]/~RAMING [ ] FINAL DATE ~///~ ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~ULATION FRAMING FINAL INSPECTO~__~~_~ BUILDING DEPT, INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL i N SPECTOR//~'~ ~:::?~ STEVE G. TSONTAKIS ASSOCIATES Consulting Engineers 1150, 652 ROANOKE AVENUE RIVERHEAD, N.Y. 11901 (516) 727-7411 1751 KING EDWARD DRIVE KISSIMMEE, FL. 32741 (305) 846-0455 Mr. Vito Randazzo RANDAZZO CONSTRUCTION CO., 127 Swan lake Drive Patchogue, New York 11772 INC. April 24, 1987 RE: Sienic Residence Mill Road Peconic, N.Y. Dwg. #87-25 Dear Mr. Randazzo, The hairline crack on the foundation wall at the window is a minor stress crack and in no way effects the bearing capability of the foundation. However, additional care should be taken to seal this crack against water intrusion. A small piece of roofing felt or visqueen, extending 3 inches on either side of the crack, should be mopped in place. SGT/bp Yours Truly, Steve G. Tsontakis, P.E. DONALD BORN Mason Contractor Licensed Sunset ~ayI Southold, N.Y. 1971 [516~765-3443 PROPOSAL AND CONTRACT Proposed The undersigned contractor proposes to furnish all materials and perform all labor necessary to complete the fol- Work lowing: Examined...~.~. ~.~., 19~.'J. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1803 Approved..~rl~ o,a~. ~$., 19~'~. Permit No. [ .~."~ .O.~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH . -~-.. 3 SETS OF PLANS ---/~--.. SURVEY .......... CHECK . S TiC FORM NOTIFY CALL ............. ~-- MAIL a. This application must be completely tilled 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, buliding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections~ ............ t J. ~' · · ~ ~a~c'c'o~a' i '~ .... (Signature of applicant, or name, if a o p t'o ) .... - · (Mailing address of applicant) State whether applicant is.owner, lessee, agent, architect, engineer~~ electrician, plumber or builder. Name of owner of premises ~r~, '~ · · .W i ~ii~/7~'~,' ] ~"~"~,' ,' ~1' ]~..'; ' (as on the tax roll or latest deed) If applicarlt.is ~ c~orpol¢ltion, signature of duly authorized officer. (Name and title of co,ora' ) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No...~,/~J~..~./.[7.(,~...~. · ~..~(..~-' Electrician's License No. 7 · ~) {]~ ./~.-$. · .~..~..~..TLL..tF-''' 1. Location of land on which proposed work will be done ............................... }}~N~u~n~' '~r' ' ' '~' ' ' ' '~' ' ............ ~ir~;i .................. '~a~'a m~.' !t~' ....... ; ............. County Tax Map No. I000 Section ...0.r}.~..: ........ Block . .¢. .............. Lot J>/0.. t¢,l .......... ' Subdivision..O~.'.-- .T'~..~..}/[~,.0.~.~.t~ ........... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~.~..N~?/ ................................................. b. Intended use and occupancy-... 1..~.qY0...~..¥....~.~j~.f~t'f~./~F~....E . .~./JT/~..... :~..0.$~_~ ............. 3. Nature of work (check which applicable): New Building . ' ..... Addition · · · i ...... Alteration .......... pai ' Re r .............. Removal .............. Demolition .......... ,. Other Work ........ ........ .ff. /~qt ~..~. ~ : (Description) 4. Estimated Cost ......................... Fee ...... (to be p~id on filing this application) 5. If dwelling, number of dwelli~nits ............... Number of dwelling units :on each floor ................. If garage nunber of cars . .--'J~...~o. . ! . 6. If business, commercial or mixed occupancy, speclfy nature and extent of each typeiof use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ............................. i .......................... Dimensions of same structure with alterations or additions: Front ............. [... Rear .................. Depth ...................... Iteight .................... Numllo,r of S~ories ......... 8. Dimensions ~o~?ntire new construction: Front..~. .... . ..... Rear..q.~'. .... i ..... Depth . .~.q .......... Height .. ~/~r'. .......... Number of Stories .... ]:. ...................... ~ .......... r ............... 9. Size of lot: Front . .I.~.. ................ Rear..lqff.................. D3pth .¢~"0 ................. [0. Date of Purchase ...~. ......................... Name of Former Owner . .? .......................... [ 1. Zone or use district in which premises are situated .......................... ~ .......................... [2. Does proposed construction violate any zoning law, ordinance or regulation' ~D , . . [3. Will lot be regraded .q~ ....................... Will excess fill be removed from premmes: Yes L4. Name of Owner of premises %t~.. ~.~.~..q.x/. ...... Address ............... ~.. Phone No ................ Name of Architect ~"~/ff~ ..~ M~./~.t..~ ....... Address [?~o~q~, .~q. q<..~.[I/~4~.ttlt'~e No. ~,2,~/, .'~l~[[ ..... Name of Contractor |~O~Of:~'o. ~_n. ~. ~/~,..~ ..... Address~T~. ~'Wfi~ff.t~t~._OR..&~t~"q4~n~_~I~. ~[~-.,.~.~-.t~. ..... [5. Is this property located within 300 feet of a tidal wetland? *Yes.. ..... N~ ..... · If yes, Southold Town Trustees Permit may be required. : PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show Street names and indicate whether nterior or corner lot. TATE OF NEW YORK, S.S 'OUNT OF ....... X3 6" ................... [ .~.~.... '../~ ~ ~/tt'x,.aff.~pp:I.Wk~//.7 . . .)/f~.... being duly sworn, depose:s and says that he is the applicant (Name of individual signing contract) ! bore named. leis the ......................... ~.".' ~ ........................ ~ .......................... ( (Contractor,ffgent, corporate officer, etc.) ~ f said owner or owners, ~d is duly a~hofized to p~orm or have perfo~ed the said work and to m~e and file this pplication; that all statements containe~cati0n are true to the best of his knowledge and belief; and that the ~ork will be perfo~ed in the m~ner set forth in the application filed therewith, i worn to before me this ....................... day o ...... , ~'ommi~Jon Ex~Jre8 April 14, lg~