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Home My WebLink About14957-zFORi~ ~. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20708 Date MAY 8, 1992 THIS C~RTIFIES that the building. Location of Property 910 VANSTON ROAD House No. County Tax Map No. 1000 Section 104 Subdivision ADDITION CUTCHOGUE~ N.Y. Street Hamlet Block 12 Lot 10.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1986 pursuant to which Building Permit No. 14957-Z dated JUNE 7~ 1986 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A DANIEL & LINDA SARNOWSKI Rev. 1/81 Building Inspector FOBM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING pER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereb/granted to: ..... &.~.~..._~...~ ....... ....~.~.~...~....~.:.....u.~..q...~. .... ~ ..~~...~.~..L~.~.~.....~~.....~ ................ ot premises located ot .....~/...,,~...,..~.~..~~....~ ............ ~~~ ..................... Counb' Tax Map No. 1000 Section ....... L.O....~. ....... Block ........ J....~ ...... Lot No ...... L..~...!...~ pursuant to oppJicotion dated ....... ~.~-~-,..~. ,~ ............... , J9,~,g., ond approved by the Building Inspector, Fee $.., .~......',..,., .~,,., Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from 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 the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ...... ..................... .. ... . New Construction ........... Old Or Pre-existing Building ................. Location of Property. .~). House No. Street Hamlet Onwer or Owners of Property ......... . ............ County Tax Map No 1000, Section.../..~. ~. .... Block .... ./.~{.~ ....... Lot .... .~..~.% ...~. ........... Subdivision ..................... Filed Map Lot ......... Permit No..~.~...~.~...~.'..~. ............................................ Date Of Permit · · Applicant Health Dept. Approval ..................... ... .. Underwriters Approval ........................ . Planning Board Approval .................... . ... Request for: Temporary Certificate ..... Final C[rticate. J Fee Submitted: * ....... 2~,OO APPLICANT TOWN; OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 AuguSt 9, 1990 Robins & Speed, Inc. 625 Second Street Greenport, N.Y. 11966 RE: SARNOWSKI TEL. 765-1802 To Whom This:.May Co¢cern, We are unable ko complete your Certificate of Occupancy because.of the following reasons. / /_~/An application for Certificate of Occupancy is not on file. (ENCLOSED) /Z//No Underwriters Certificate on file. The check is(c~x~k~t~X~/not on file.) $25.00 /~/ No llea~th Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on Thank you for your cooperation'.. Building Permit It I 4 9 5 7 Z Building Dept. ***/--/ No Plumber Solder Certificate on file. ( all permits · 'o ' ln~ lvzng plumbing being issued after April 1,19~4 ) this matter. FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE COMME~JTS FINAL ADDITIONAL COMMENTS: After 15 years-no warping, no splitting, no refinishing; not e,ven a board replaced. And it will last for years more. That s the beauty of redwood. Send 50¢ for deck booklet. ~CALIFORNIA REDWOOD ASSOC.IA~ON 592 P~awoo,,d. Highway · Mill Valley CA 94941 · (415)381-130~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ·..~/4~ak .'! .... , 19 ~.b. Examined Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS MAY ~ 81986 TOWN OF ~OUT~OLD Received ........... ,19... Date ................... ~J~.~./ ~ .~..~ , 19.~.(o. a. Tkis 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. ...& .o. a ~. ~ .x...~-./. c~.~. ~:~./../~.c .......... (Signature of applicant, or name, if a corporation) .. ~. ~.. fi....s.~.c., .~. ~....d'..~, ............. '' (mailing add, ess/of applicant) ..... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ;i' ' i ....................... Name of owner of premises ................................................................. (as on the tax roll or latest deed) If applican;~al~~i~~3officer.~ Builder's License No ...... . .~..~. l ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................... ?/o .~/~ s.r~ .~. ...r..u..%~<.q. ,/ ............. ". ......... House Number Street Hamlet O / ~ o ~ County Tax Map No. 1000 Section ..... ).0...~.. ..... Block ...... ] . .~.....' .....Lot~': .C.~ ........ ' Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended nsc and occupancy of proposed construction: a. Existing use and occupancy....~?..~.~.. ?'.~....~./..~.. ........................... ~.~..~..~ b. Intended use and occupancy .................. ~'' '~ ?';~'~ ,,~ ~,~,',~"~' ~'' 3. Nature of work (check ~v~ich ~ pplicable): New Building .......... Addition. ~.. ...... Alteration .......... Repa~ . .~..~ -..~.- .... Ren oval .............. Demolition .............. Other Work ........ 4. Estimated Cost ..... :-. ..... O. c3. .............. Fee ....................................... (to be paid on filing this application) 5. If dwelling, number of dwellin~ units,..~, t,/.~. ..... Number of dwelling units on each floor ................ If garage, number of cars .... ; .................................................................... 6. If business, commercial or mixed occupancy, specify na, tur. e and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front... ~.~.t..... Rear .... .~./. .... Depth... ~/.~../. ..... Height .... 3..O. !..-~.... Number of Stories .... .~ ./dd.O ............................................. Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... ,... Height ........... : .......... .Number of Stories ....................... 8. Dimensions of etatjre new construction: Fro, nt .... ~.~.t, ...... Rear .... , .,~..,~..r ..... Depth ....'~..~. ( ...... 11. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.O ........................... 13. Will lbt be regraded ....... ~'. .................... Will excess till be removed from premises: . Yes~ No .... 15. Is this property located within 1,~0 feet of a tidal wetl-~.u? ' Ye~ ..... Mo ..... * If yes, Southold Town T~ustees Permit may be required. i , 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COtlNTY OF ................ S.S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the i I . , '. ' ,.~' ,, ' , (Contractor, agent, corporate officer, etc.) of, said, 0w,ner or owners, and,is d~ly authorized to perform or have performed the said work and to make and file this application;that,all statements contai~nec1 in this application are true to,,the best of his.knowledge-and belief; and that the' work will b~ performed in the man: tersef forth in the application filed therewith. Sworn to before me this ....... : ...... ~.~. ...... daybf . ~k/~ ____,19 . .~.~ Notary Public, . ..... ~ .... , ~, :,~..';:d~.',..,,c°untY',, ~_ ~..~.~.~)