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HomeMy WebLinkAbout14528-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z- 16627 Date February 2, 1988 THIS CERTIFIES that the building CONSTRUCT ONE FAMILY DWELLING Location of Property 3650 Bayshore Road Greenport, New York io2 ........................................................ street Hem et County Tax Map No. 1000 Section . .5.3 ......... Block .... 6 ........... Lot ..... 3.5 ........... Snhdlvi~ic, n M/o Peconic Bay Estates Amd.Map~.iA, A ........................................... t,e,, Map No...1.1 .2.4...Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 18, 1985 pursuant to which Building Permit No. 14528 Z dated . . F. .e b. r. .u .a r. y. . .6 ., . .1.9 .8 .6 .......... 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 The certificate is issued to FRANK ZOVICH ..................... ?o¥,,'o;, ' g,;r ggg ..................... of the aforesaid building. Suffolk County Department of Health Approval 85-S0-209 - Jan. 22, 1988 UNDERWRITERS CERTIFICATE NO. N771455 - Sept. 26, 1986 Feb. 2, 1987 - Mattituck Plumbing & Heating Corp. PLUMBERS CERTIFICATION DATED: Rev. 1/81 TOWN OF $OUTHOLD 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) N? 1~528 Z Permission is hereb/granted to: ....... ....... ...................... /.z..~.-.~..9. ........... ~....~ ~ ~ ....... ~o .... ~ 6~.~c¢~c'Z~.....c~Z~,~......~.~ ~.c..~.........,. ~~.~ ................................... at premises located at ...... ~...Z~.~,~..,(~., ........ ~'~'"~"'"'~" '~'""~'"'~."'~-~...r ............................... ............................................................................................................... .~.~~.~. L-.,.~...~. County Tax Map No. 1000 Section 0~' Block 0 C Lot No ........ ~ ..... pursuont to oppiicotion doted ...~,.~...../,.,...~.... ..................... , ] .~,...~.~--and approved by the Building Inspector. Building I~tor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ 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 featu res. 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 completed 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 survey of property 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. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $~0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C on s t r uc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. LocationofProperty $('~,~L"P g/Cz -.~/o1'~1~. I~ House No, Street Ham/et ~Owner or Owners of Property ..../~./.~ ....................................................... County Tax Map No, 1000 Section O~-_~ Block t~l ~ Lot ~ Subdivision ?..~.q.O..~.( ~../'.~.~...~;,.~.T?. ?.(~ ..... Filed Map No. L/. & .... Lot No. ZV. Permit No .... ~. Date of Permit .Applicant ~/( '~' O Health Dept. Approval ~,~ o~--'. ~ /, .Labor Dept. Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations, Rev. 10-10-78 FIELD INSPECTION ~'~ ~ DATE COMMENTS ADDITIONAL COMMENTS: FORM NO. 11 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, ~M DE~ELOPMENT PERMIT Permission is hereby g~oanted to: Cowry Tax Map No. 1000 Section O~% Block O~ Lot O ~ -~. pursuit to application dated ~~__, 19~-- and approved by the Building Inspector. Building Permit No. Building Inspector 4/80 Memorandum from .... BUILDINO INSPECTOR'S OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUTliOLD, N. Y. 11971 765-1802 June 3, 1987 Dear Mr. Zovich, I am returning Your Check Number 1412 in the amount of $125~00, because the amount for a Certificate of Occupancy is o~y $25.00. I am also returning your copy of your Un~=r-- writers, we now have a copy of our own. Also The final Board of Health approval is stamped in green and can be obtained from the Dept. of Health, located in the Riverhead County Center Building-Telephone #548-3322. Very truly yours, Robin Martin Clerk, Building Dept. FRANK ZOVICH A~~ ~ ~ 0 O0 LLARS :22&O?OS? 10 O[ ohqhO[ml' h[2 TOWN OF SOUTH'OLD OFFICE OF BUILDING INsPECToR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the followinq reasons. /~An application for Certificate of Occupancy -./~, No Underwriters Certificate on file. The check is(~/not on file.)~a~CO O /~ /~__ NO Health Dept. Approval on file, ~(~ ~/ /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. -Building Permit # ./ ~ ~ _~ Z Buildin~ Dept. ~,',~f.~4-O~/3,~,~e. ~0./ ~-£¢~)~zL~ ***/--_/No Plumber Solder Certificate on file. C~3c /a seA.) all permits involvin~ pl~m~i~ ~eing ,~ C/~/~r 7 issued after April 1,1984 ) TOWN OF SOUTIIOLD OFFICF, OF BUILDING INSPECTOR P,O. BOX 728 TOWN IIALL SOU'I'IIOI.D, N,Y, 11971 December 2, 1987 TEL. 765-1802 Mr. Frank Zovich 125-09 13th Ave. College Point, N.Y. 11356 3rd notification To Whom ' ' Rhls May Concern~ We are unable to complete your Certificate of Occupancy because .of the following reasons. An application for Certificate of Occupancy ].~: not on fi].c. .lo Undcr,e/riters Certificate on file. I h_, ch(~ck is (outdated/~x~x{{~ $25. O0 PLEASE SUBMIT WITH IIealth Dept. Approval o~L~.B-OOARD O__F .HEALT.~H APPROVAL final inspection has been made. P]ea:;o contact: ()ur office on this matter. Thank you for your cooperation, Building Permit ~ .._~ ~ ~ ~, ~. Z Bui]djnff Dept. ***/~/ NO Plumbe'r Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ~ Occupancy or use is unlawful without a C'ertif~cate of Occupancy. Clear up this matter as soon as possible so that legal action does not have to be taken. Thank yon. ~/~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION /FRAMING [ ] FINAL REMARKS: DATE~ ~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E RTI F I C AT I ON~ TEL. 765-1802 Building Permit No. /~--c~Z Owner I~a ~ I~ ~O ~[ c~k (please print) Plumber ~'~ (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 19 . Notary Public, ~/< County (plumber s sig~'~e) Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 1~8~ JOHN STREET. NEW YORK. NEW YORK 10038 ~ September 26, 406872/86 ..,~ ~,,..,,o.~....~,,. N 771455 THIS CERTIFIES THAT in the fotlowlng locatio~n; . ~.Base.A~t ~st FI. ~2nd FI, Sectlo. Block ryes examined on ~epcemo~r ~t ~ attd found to be in compliance tt'ith the req.lretnent s qf this Board. FIXTUEE OUTLETS 24 FtXTUEES SWITCHES DRYERS RANGES 1 12. /cOOKINO DECKS J OVENS ~[~ISH WASHERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET · ' NO. OF FEET ~G.F,C.I. ]~-~noke D~tector EXHAUST FANS DIMMERS NO, OF CC, CONO pER ~ 8/0 I ¢ E NO, OF HI-LEG 310 Three "~' Electric Inc. R~.#1 Box 45M Sound Avenue River Bo~d, N.Y. 11gOl Lie. 3327E Per This certificate must not be altered in any manner; return to the office of the Board if incorrect Inspectors may be identified by their credentials. COPY FOR BL)ILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST. NOT BE ALTERED IN ANY,~NNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING [~FINAL DATE ,, INSPECTOR ./ ~. /*-~...~BUILDING DEPT. FOUNDATION XST ~ ROUGH PLBG. ~ FOUNDATION 2ND ~ INSULATION [ ] FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ]~ROUGH PLBG. FFRAUNDATION 2ND [ ] INSULATION MING [ ] FINAL 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [.~]/~JGH PLBG. [ ] FOUNDATION 2ND [~]~INSULATION FRAMING [ ] FINAL REMARKS: 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~U..I, ATION FRAMING ~'~INAL DATE .~/~../~'? ,NSPECTO~__~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y, 11971 TEL.: 76541802 Examined...~./~. ......... , 19~ Disapproved a/c ........ T'.... ~.. '. ........ ~, .... ;. ·. ~' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..... 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 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 Y6rk, 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 in~ctio¥. . . (Signature of al~lSlicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~. Name of owner of premises F ~ Pt ix/I( ~_~ o V C 14 (as on the tax roll or latest deed) If applicant is a corporation, signature of duiy authorized officer. (Name and title of corporate officer) Builder's License No ................. ~ ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. 13 Ar House Num bet Street Hamlet County Tax Map No. 1000 Section .... .~..¥.3. ........ Block .... ..~. ........... Lot... ~.:~'~.'. Subdivision ..................................... Filed Map No ............... Lot . (Name) ; 2. S~ate existing use and ~ccupancy ~f premises and intended use and ~ccup~ncy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy .................................... ' ' '11. 12. 13. ~14. Nature of work (check which applicable): New Building .......... Addition ......... Alteration ........ :. Repair - Removal . Demolition ~ Other Work Estimated Cos .................................. Fee .......................... "" (to be paid on filing this application) ,I If dwelling, number of dwelling units ............... Number of dwelling uniB on each floor ................ If garage, number of cars ................ ! ........................... .! ......................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .................. .... if any: Front Rear : Depth Dimensions of existing structures, ...................... ~ ................... Height Number of Stories Dimensions of same structure with alterations or additions: Front ' Rear Depth Height ' Number of Stories Dimensions of entire new construction: Front . .. ,q'O t R ~.-.O1~ D pth ~ 2.J .... ............ ear ............ e ...... Height .... ~.~.3. ~ .......Number of Stories Size of lot: Front .... .t c; o I. 'Rear .......................... l t> 2~' ~ no,,eh ......................... Date of Purchase . .~...~.P.~. ~..~...I.q..g.~.. ....... Name of Former Owner ~..~.s.~.A. Sl.o$.. hp -- .r>. ~'T' ooo Zone or use district inwhic remises are situated ..... ~.. ~ ..... .,................. ~ ....~ .... Does proposed construction violate any zoning law, ordinance or regulation: ... i..~..o. .......... Will lot be regraded ........ ./v. o .... · ' ·.. Will excess fill be removed from premises: Yes eo w ' ~ 'kll<'~'cJ~'i' ' ' .Address lz..~?.~../~.~/.~..c.O!~.W.~..Phone No. ~../.g,).~./.-.o./~. Nam f O ncr of premises .... /~ .............. Name of Architect ...... ~ ...... ~. ............. Address .N.A.. ~.~ .~.o.~.q~.~..~q-qq.~.~[Phone No..(~./~) ,q.?..~. ~ Name of Contractor .O.Tfi. R...q~..v~..~o.~.~..~.~7...~.~..~:. Address fi. {~.-.S..~. Yq.~fC. i .... Phone No..C/~.s), y.~.~ 2 .~.g.gp. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing o~ proposed, and. indicate all set-back dimensions from property fines. Give street and block number or description according to deed, and shew street names and indicate whether interior or corner lot. i BAYSNO~[_ _ STATE OF NEW YORK, S.S COUNTY OF ................. ............................................... being duly sworn, de] ~oses and says that he is the applicant (Name of individual signing contract) above named. Itc is the .......................................................... ~ ............................ (Contractor, agent, corporate officer, etg.) of said owner or owners, and is duly authorized to perform or have performed th6 said work and to make and file this application; that .~11 statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith· Sworn to before me this : Disapproval Issued FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD 1. Type'of Development Proposed: Addition and/or.Alteration_~ New Structure (including storage tanks Flood Proof Below Base Flood Elevation-- Other (specify) 2. Elevation Data in relation to above mean sea level Of: (a) Lowest floor elevation, including basement lO feet (b) In a V Zone, bottom of lowest structural me~r 3. FIRM--Flood Insurance Rate Map, Zone designations 4. Owner of Premises ZOVIC~/ F~ , 5. Location of Property: House # Street Hamlet County Tax Map No., Dist. 1000, Section 53 Block Subdivision ~.-CO~%tc- ~1 ~T~ h Filed Map# 6. Permission to be granted: V~Owner as above New Owner Under Contract __ Lessee Name if not given above O inches feet inches Z~N~,A ~LV 8 Let(s) 35 Lot(s)~ e~' Contractor Phone Ma~ling address 7. Approval from other(s) before Permit is DEC ~ ~ Wetlands Health Services ~5 -S0 ~ 209 ZBA Building Permit ~ 8. I, V~ ,~O~C ~ issued: (Town Board) Planning Board , the applicant, am the Owner ~, Co-Owner New Owner , Under Contract__, Lessee __, Agent __, Contractor and a~ree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contained in this application are true to the best of my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. STATE 'OF NEW ~YORI% cOU T OF SS Signature SWORN TO THIS Notary Public Applicant's mailing · address and phone # if not given above ~1/85 P.O. BOX 728 Southold, N.Y. ~ORM NO. 10 ' ' TOWN OF SOUTHOLD BUILDING DEPARTMENT 11971 (516) 765-1802 Town Hall Main Road Southold,N.Y. ADD/.TCAmT~ Fr~ nWVW. T.OPME~T PERMIT Instructions: The ap~licatio~n to the Building Inspector includes' (each :Ln duplicate) 1. Form No. 10 filled out in ink or typewritten, 2.. Sur- vey of premises withielevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the "~" od Code of the Town of Southold known as ~'lo Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as :required in Section 46-17 of the law to minimize flood damage: ~ - ~ . A. Anchorin~ of~structures, including tanks and mobile homes B. Use of construction material ~and methods C. Design and l~cation of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations Specl a.c Standards as required in Section 46-18: A. Residential Construction B. Non-residential construction C. Mobile homes~ The applicant must s~bmit plans and specifications as well as any other information requeste~ by the Building Inspector to substantiate the facts · that the structure h~s or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, ~hat: 1. such structure is flood.proofed'in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of~buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-!8B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazard-~'area (V'Zone) 46-19. Applicant shall submit plans, specifications incluSing the required certifications and such other in- formation %~ the Bu~!d~ng Inspec'tor may require in that the provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural me~ers of the lowest floor~cannot.be lower than the base flood elevation~ with all space below open except breakaway walls. Sand Dunes. If sand~ dunes exist on the p~emises and the ap?l.icant.pro- ~s ~lter 'same,: plans and specificatl6n must be shown nature of any alteration submitted. Buildin~ Permit. A Building~Permit is also required for any structure. Both a DeVelopment ahd a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued within ten (10) working days. During construction,~ the inspector shall be notified in tame s0 he may make the required inspections. Upon completion, the~ r.equired certification of the final elev~i0ns and work must be submitted before the approval to use or occupy,~can~be approved. out the (Fill' form on the back of this sheet) SU~O~ ~U~ DD~ ~ ~ FRANK ZOVICH SINGLE FAMILY DWE~NG ~ Io~ation haw been inspected by Department a~/~ SUFFOLK ~OUNTY~ NEW ~RK NO. o~her a~es~Bnd fo~ to Chie Bureau of Wastewater Manageme~ ,[w YORK STATE E~CATION LaW ,. SURVE~R'S INKED SEAL OR [MBOSSEO SEAL SIIALL HEALTH OEPARTMENT-DATA F~ APPRO~L TO C~STRUCT THE ~ FOR WHOM THE SU~EY IS YOUNG YOUNG Yo. NOTE: B = MONUMENT LOT NUMBERS ~FER TO SUBDIVISION MAP "MAP OF PECONIC ALDEN W. YOUNG~ PROFESSIONAL ENGINEER BAY ESTATES-AMENDED MAP A" FILED IN THE OFFICE OF THE AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 CLERK OF SUFE CO. ON MAY J9,19~ AS MAP NO. 1124. HOWARO W. YOUNG~ LAND SURVEYOR ~ L~T~ ~ ~L(W),~IC T~NK~T)a CE~OLS(~) ~q ~E~ N.Y.S. LICENSE N0.45893 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT OF Hb~TH NOTEI · = MONUMENT LOT NUMBERS REFER TO SUBDIVISION MAP "MAP OF PECONIC BAY ESTATES-AMENDED MAP A' FILED IN THE OFFICE OF THE CLERK OF SUFE CO. ON MAY t9,1933 AS MAP NO, 1124. SURLY FOR FRANK ZOVICH AT ARSHAMOMAQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK YOUNG a YOUNG ALDEN W, YOUNG, PROFESSJONAL ENGINEER AND LAND SURVEYOR N.Y.S, UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y,S. LICENSE N0.45893 DATE: APR, 2~., 1986 SCALE: I"= 30' NO. 86 -:558 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. -NO, PLrJMBEI~ CERtIFICATiON,' ON LEAD CONTENT BEFORE" CERTIFICATE OF OCCUPANCY OCCUPANg { NO~I~ BUILDING D~TMENT AT 765~1802 9 AM ~O 4 PM FOR THE FOLEOWING INSPECTIONS: J. FOUNDATION - TWO REQUirED FOR POURED CONCR~E 2, ROUGH ~ F~MING & PLUMBING 3. INSULATION CODES. NOT RESPONSIBLE FOR ~t~N OR CON.RUCTION E~RORS, X, 5,R u ,. Fi T~_ST t.\! r j Phone 47%0400 Main Road Phone ~,77-0400 Main Road GREFNPORT, N y 1 19~4 Phone 477 0400 'Z~ V tC H OWG. ~OL~t~A''t ~ ~i ~L~ ~! r