HomeMy WebLinkAbout15804-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
No. %16747
Certificate
Of Occupancy
Date March 30, 1988
THIS CERTIFIES that the building. 9.n.e.. f..a.m.i.!Y...dEe. ! .1 .i.n.~ .. .......................
CUTCHOGUE
Location of
Property.ou~e"" 7. .2No.9. 7?..~ .~7.w.q 9 P. ?.q .Ap ...... '~'t/e~i ....................... h~rhiel
County Tax Map No. 1000 Section 137 .Block 5 .Lot 4
MAP OF
S . .. Ravatone Realty Corp.
ubdlvlmon ............................... Filed Map No. 539 .Lot No.
conforms substantially to the Application for Building Permit heretofore fried in this office dated
March 20, 1987
pnrsuant to which Building Permit No..1.5. 8..0.4.Z ..............
dated ...H...a.r.c.h...2.8 .... ! .9.8.7 .......... 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, porch, deck and attached garage.
The certificate is issued to STANLEY AND CLARE SLEDZ
(owner, ~X>K l~l~E/X X X XX X
of the aforesaid building.
Suffolk County Department of Health Approval 86-S0-145 March 22, 1988
UNDERWR[TERS CERTIFICATE NO ..... 1,1853566 Feb. 16, 1998
PLUMBERS CERTIFICATION DATED: John Finger 2/3/88
Building Inspector
Rev. 1/81
~OEM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NE 15804~ Z
Permission is hereby granted to:
...~:... ~. ..... ,.
......
at prem.ses located at ..../..~...~. ....... .~.~~....., ,.~-.. ............ ~~.~ ......
County Tax Map No. 1000 Section ...... l...~:~...~. ...... Block .....~ .......... Lot No...i.~. .................
pursuant to application doted ............ ~......0. ............. , 19..~...'7.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- t802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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 features.
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 comp{eted site plan requirements where applicable,
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate mrvey of p~'~perty showing all property lines, streets, buildings and unusual natural or
topographic features.
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.
C, Fees: Additions $25,00 POOLS $25.0OALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10,00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5. Updated C. O. $ 50.00 Date ... March. 3,. 19~ ..........
NewConstpucti°n .... ~.%O~ld or Pre-existing Building ............ Vacant Land .............
-C/C Fleetwood Road Cutchogue
Location of Property ...................................................................
House No. Street Nam/et
Stanley and Clare Sledz
Owner or Owners of Property ...........................................................
5 4
County Tax Map No. 1000 Section 137 Block .~ ..... Lot ..... ~,
, 539
Subdivision . MoD .qf, .R.a.v,a.t,o.n.e..R.e.a.l.t)'..C.o..r~......Filed Map mo ...........Lot No ..............
Permit No..],5.8.Q4, .... Date of Permit 3/28/87 .Applicant Rodick Construction Com.p,any Inc, .~
Health Dept Approval 86-SO-145 Labor Dept Approval
Underwriters Approval ... N.853566 Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .25,QQ .......................
Construction on above described building an~it meets all applicable codes and regulations.
Apo cant ......... 2 ...............
Rev. i0o10-7a
OUNDATION q'
OUNDATION
OUGH FRAME
PLUMBI~
iNSULATION FERN. Y.
STATE ENERGY
CODE
FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
r~FINAL
INSPECTOR~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [/,/]~INAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[]FOUNDATION 1ST []ROUGH PLBG.
[]FOUNDATION 2ND []INSULATION
[]FRAMING []FINAL
DATE
7GS-XS02
BUILDING DEPT.
INSPECTION
[ ] ~UNDATION 15T [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
DATE: ~/~/~//~ INSPECTOR, ~~,~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION :~ND [/~ULATION
FRAMING
FINAL
INSPECTOR~,~/~.~
7GS-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST []/..................ROUGH PLBG.
/
[ ] FOUNDATION 2ND [~ INSULATION
[ ] FRAMING
[ ] FINAL
'NSPECTO"~,~. ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
~/~MING [ ] FINAL
~ ~ 76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
]~ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[~MING [ ] FINAL
REMARK: ~.~ ~
DATE
INSPECTO~
765-1802
BUILDING DEPT.
INSPECTION
[ UNDATION xST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
765-1802
BUILDING DEPT.*
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
FINAL
REMARKs:
TOWN OF SOUTLIOLD
OlqqCE OF BUILDING INSPECTOR
P.O. BOX
TOWN IIALL
SOUTIIOLD, N.Y. 11971
February 23, 1988
TEL. 765-1802
Rodlck Construction Co. Inc.
428 Route 25A
Rocky Point, New York 11754
To Whom This
May Concer~,
Re BP #15804 Z
STANLEY & CLARE SLEDZ
We are unable r.o complete your Certificate
of Occupancy because .of the following reasons.
/_~/ An application for Certificate of Occupancy
is ilot on fi].o. (ENCLOSED)
/_--X/ bio Underwriters Certificate on file.
/~ Tho check i:;(~K~Xnot on file.) $25.00
/_]~ No lie:al, th Dept. Approval on file.
/-'/ No final inspection has been made.
Please contact our office on hhis matter.
Thank you for your cooperation.
ih~.[ldir',g Permit II I 5 8 0 4 Z
Building Dept.
**~Y/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
in the followlng Ioca£~onl [] Basement
~eloruary 11,
zoooesa. THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
8D JOHN STREET, NEW YORK, NEW YORK 1OO38' ~'
Ihg Februaz~ 16~ [988 503730/87 ~ ;"
THIS CERTIFIES THAT
Cutcho~te, NY
~lst FI. ~2~d Fl. Section Bl~k Lot and found to be a coo pliance a'ith the req~ire~ teats qf ~his Board.
48 43
1988
FUTURE APPLIANCE FEEDERS,
RANGES
DRYERS FURNACE MOTORS
COOKING~~tSH WASHERS
S v I C E
1-348
OTN~ ';a
~ ppliance feeders: 1~2~12,
Motors: 1- lhp.,
3-G.F0C.I.
2-Smoke detectors
EXHAUST FANS
DIMMERS
AW, G.
North Electric Co.
121 Acacia Road
Rocky Point~ NY 11778
Lic~a90E
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by
COPY, FOR ~BUILDING~ DEPARTMENT. THIS, COPY OF CERTIFICATE~ MU,~T~. NOT~BE,; ALTERED~ N ANY MANNER
TOWN OF SOUTttOLD
· OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
· TOWN IIALL
SOUTHOED, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date 2/3/88
Building Permit No. 15804
Owner STANLEY arld CLARE SLEDZ
(please print)
Plumber JOHN FINGER
(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
I7 . ay ,
Notary Public, r-J~/~~ County
42B ROUTE 2SA · MILLER PLAr"E~ N. Y. 11764
Hatch 25, 1985
Town of Southold, Building Dept.
Town Hall- P.O. Box 1179
Southold, NY 11971
Dear Sirs:
Re: BP #15804
S/S Fleetwood Road~ Cutchogue
NAR $1988 I
TOWN OF $OUTHOLD
Enclosed please find Final Survey of the above property along
with Final Board of Health approval, NY Board of Fire Underwriters,
Plumbing Affidavit, Application for Certificate of Occupancy
and our check #3564 in the amount of $25.00, C/O fee.
Kindly mail this Certificate of Occupancy to our office at the
above address.
Thank you very much for your cooperation.
RODICK CONSTRUCTION COMPANY INC.
Encl.
DESlGN ER~: BU I LD ER~
42B ROUTE 25A · MILLER PLACE, N. Y. 11764
July 21, 1987
Southold Town Hall
Building Dept.
P.O. Box 1179
Southold, NY 11971
Dear Sirs:
Re: BP #15804
S/S Fleetwood Road~
Oatchogu~
Enclosed please find Under Construction Survey of the above
new construction.
Sine, ely yours,
Suzan~ Sonsky
RODICK CONSTRUCTION COMPANY INC.
Encl.
428 ROUTE: :~sa · MILLER PLAOE, N. Y. 11764
February 5, 1988
Southold Building Dept.
P.O. Box 1179
Southold, NY 11971
Att: Mr. Gary Fish
Re: B.P. #15804
Sledz Job at Fleetwood Rdo~ Cutchogue
PER YOUR REQUEST, WE HEREBY CERTIFY THAT THE GLASS IN ALL
THE PELIA WINDOWS AND DOORS USED AT %HE ABOVE JOB DOES NOT
EXCEED THE MAXIMUM ALLOWABLE "U" FACTOR OF 0.69 AS SPECIFIED
ON "HEAT lOSS OF COMFORT ENVELOPE" ENERGY SHEET PREPARED
BY THOMAS E. TULLY, P.E.
~rd H.
CK CON~
FRUCTION COMPANY INC.
/ 0
.(
v
9~' "\.'x '"x /
//q? ' :'""x "
x,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
COUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved . .~...~.. ,~..~.., 198 7 Permit No./..~7 <~ 0~} '~ ~g,O~ (~..~
........... q
Disapproved a/c ..................................... 3~r-cc ~'~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .... .~OrCh. ;I-8, ....., 1987.
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 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 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.
· .R. od. $c. k.. C. o.n. ~ t. r. u. c. l;. J~or). ¢QrOpOBy. IBC .............
(Signature of applicant, or name, if a corporation)
Ro~t.q 2.5A
· .4.2.8. ..................................
Miller Place,...NX...lj~7.6.4. .................
........ ~giifng address of applicant);uil~e~.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or
Builder
Name of owner of premises .... S taaley .&. Clare. Sledz .................................................
(as on the tax roil or latest deed)
If~t is~a corporation, signature~duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No....1.5.8.P ..................
Electrician's License No .... .8.9.0.E ...............
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
S/.S..F.1 .e .e .t .w99 .d..R9 .ad.,' 2.4.8.: 5.5. '...E/O.. kI .ar0. $.1 t. o.n.. A.v.e.n.u.e. .............. C.u.t.c.h.o. gu. e. .........................
House Number Street Hamlet
5 4
County Tax Map No. 1000 Section ...... .1.37 ......... Block .... ~ ........... Lot.. ~ .............
Subdivision ........ .d .e .s .c .r .~ .b ~ .d .................... 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 vacant land
b. Intended use an.d occupancy .... .tg. 99.n.s.t.r.ug.t.o.n.d..1.n.h.a.b.i.t..a. 9.n.e?.f.ar9. ~..ly..dye..1.1.i .ng ..................
3. Nature of work (check which applicable): New Building ...x ...... Addition.. 'i ....... Alteration ..........
Repair .............. Removal .............. Demolition ............ ,.. Other Work ........ .......
(Description)
4. Estimated Cost..<~0.Tv.~.., ........................... Fee ..... 1
(to be p~id on filing this application)
5. If dwelling, number of dwelling units ......... o. rlq... Number of dwelling unitsI on each floor ................
If garage, number of cars ............ 2. ................................ i ...........................
6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear ........ ! ...... Depth ...............
Height ............... Number of Stories ............................. : ...........................
Dimensions of same structure with alterations or additions: Front ............. i .... Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front ........ 31..4... Rear .... 7.5....! ...... Depth . .%6. ...........
Height ............... Number of Stories ..... ~ ....................... i ...........................
9. Size of lot: Front ..... 50 ............... Rear ...... 50 .............. Depth ...2OQ ................
10. Date of Purchase ............................. Name of Former Owner . .i ...........................
11. Zone or use district in which premises are situated .......................... i ........................... '
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... !.rlQ ........................
13. Will lot be regraded ..................... ....... Will excess fill be removed !from premises: Yes No
14. Name of Owner of premises .~ar~ley..& .~l~re~lec]ZAddress .i~J, clclla..V.~.l.l.a, ge. i, Phone No 2.12n916-5003 .
· Name of Architect Thqm~s E. Tully. Address 91 Robin. son Av¢~'trod ~o~ct ,,' g~5-'~JfJ .....
' ' '1~ ;' ' ........... ' ...................... · ..... °P~_ne N .................
Name of Contractor oa~,ck Construct~.on Eo. Inc~-~428-Rte 25A, M~,ller,l~l. ~ ~^ 928-5440 '
15. Is this property located within 1.00 feet of a tidal wetland? * '/es ..... No .X....
· If yes, Southold Town Trustees Permit may be required. ~
PLOT DIAGRAM i
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show indicate whether
interior or corner lot.
See Survey
~TATE OF NEW YORK,
20UNTY OF . $~ffolk ........ S,S
..... Richard. H.. Lucchese ~ ........................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing Contract)
tbove named. ~
te is the .................. Contractor .................................. ...........................
(Contractor, agent, corporate officer, etc.) i
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
tpplication; that all statements contained in this application are true to the best of his kn6wledge and belief; and that the
York will be performed in the manner set forth in the application filed therewith. '
lworn to before me this : ;~ : ~. ': :'
.................. day of .............
.... . .............. County
~ola~ ~bllo ~ata of Hew Yo~ ................... ~ ...................
~. ~2~54237 Suffolk Cou~ q q (Signature of applicant)
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