The URL can be used to link to this page

Home My WebLink About29684-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29695 Date: 09/09/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 1065 LEEWARD DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) Cou/lty Ts~x Map No. 473889 Section 79 Block 7 Lot 23 Sut)division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 29, 2003 pursuant to which Building Pez~t No. 29684 Z dated AUGUST 29, 2003 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to MICHELLE S KRAKOWKA (OWNER) of the aforesaid building. SI/FI~DI~KCO~DEPAI~ OF~kPPRO%r~J~ N/A ELEC~IC3%L C~TIFIC_~TE NO. N 149433 09/14/90 pLUMBERS CERTIFICATION D2~mu N/A /~//d~ig at e Rev. 1/81 FORM NO. 3 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) PERMIT NO. 29684 Z Date AUGUST 29, 2003 Permission is hereby granted to: MICHELLE S KRAKOWKA 1065 LEEWARD DRIVE SOUTHOLD,NY 11971 for : CONSTRUCT AN INGROUND SWIMMING POOL WITH FENCE AS APPLIED FOR. THIS PERMIT REPI~ACES BP#16207. at premises located at 1065 LEEWARD DR County Tax Map NO. 473889 Section 079 Block pursuant to application dated AUGUST 29, 2003 SOUTHOLD 0007 Lot No. 023 and approved by the Building Inspector to expire on FEBRUARY 29~_2~05. Fee S 150.00 ~~f__/.__.~_~. Auth~ize~ Signature - ORIGINAL Rev. 5/8/02 FOB~f NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT No_ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE W~)RK AUTHORIZED) 16 2 0 7 Z Dote ......... / ........................... Permission is hereby granted to: .~'~ , ·; ~'~ / ...... ........... ......~.o..~.~..~ ............................................... ,o county Tax Mop No. 1000 section ..... .0....~...~ ....... Block ......'~.....I .......... Lot No......~......~.. ............ Building Inspector. Fee $.1...~..~..:...~ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 2 8 , This application must bc filled in by typewriter or ink and submitted to the Building Department with the foltoWfng-~--- A. For new building or new use: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Ilealth Dept. of water supply and sewerage-disposal (S-9 fbrm). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that tim solder used in system contains less than 2/10 of 1% lead. 5. Commercial buildiag, industrial building, multiple resideoccs and similar boildings and installations, a certificate of Code Compliance from architect or engineer respoasible fur thc 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: Accurate suD'ey ofprope~y shewing all property lines, streets, buihling and dnosual natural or topographic feat utes. C. Fees Ceiliticatc of( )ccupancy - New dwdling $25.00, Additions 1o dwelling $25.00, Alterations lo dwelling $2%00, Swimming puol $2500, Accessory building $25.00, Additions h~ acccSsoly Imilding S25 00, Businesses $50.00. 2. CcrtificaleofOccupancyonPre-exislingBuilding SI0000 3 Copy of Cerlificale of Oecupancy - 525 New Construction: ~ Old or Pre-cxisling Building: Locationofl'rop .y: }0 5 House No. Street Suffolk County Tax Map No 1000, Section ~ ~ Subdivision F~ ~ a ·, ~ / . Permit No. ~ ~¢ ~ Date ofeermit.~O~ (check one) Hamlet Filed Map. Lot: Applicant: Health Dept. Approval: Plam~ing Board Approval: Request for: Temporary' Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) THE NEW YORK BOARD OF FIRE UNDERWRITERS P~C-~ ~ 0~0~ ~ BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK I003B Date SEPTENBER 14,!990 ~pplicatlonNo. onfile 70353890/90 N 149413 THIS CERTIFIES THAT ~ly the e~trlcal ~uipment ~ ~scri~d b~low end int~uced by the applicant ~med on the o~ve oppBcatlon n~mber in ~he prem~es of IOHN KRAKONKA, t065 LEEWARD DRIVE, POLE#9, SOUTHOLD, in the following location~ ~ Basement ~ Ist FI. ~ 2nd FI. OUT .%ctlo, Bilk u~s exa,nined on AUGUST 30,]990 a,td fou,~d to be in complia,tct' u'ith the req,irements qf this Board. Lot fiXTURE FIXTURES RANGES OVENS DISH WASHER EXHAUST FANS 1 1 1 DRYERS SYSTEMS NO, OF FEET OTHER APPARATUS= S E R NO. OFpERCC.,w CON{)'I C NO. OF Hb(EG G.F.C.I:-i *(S~INMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have ~requent test and/or repairs made by a qualified person. LPAT LANE ' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING DATE INSPECTOR UNDATIO.U (1st) UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N STATE ENERGY CODE BOARD OF HEALTII 3 SETS OF PLANS SURVEY ......... CHECK .......... FORM ............. TO: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 C^t,L MAIL ., 19'~.~. Permit No..J. Approved · ..~.l .~-.. l)isapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCFIONS JUL - 2 1987 Date ............. , 19~.~ 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 buildh~gs 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 Pemfit 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 Connty, New York, and other applicable Laws, OrdNances 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. · ./.)... (~-/..~ ~/:. c.. ::..4:%.. ~'~:,. ......... (Signature of applicant, or name, if a corporation) [~. ~.:~. . . 9'.? :/..>.../:.?'z t't. ~ :/. M< {'K.. ,:.': .'::' ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engiucer, general contractor, electrician, plumber or builder. ................. .C..z-.~.~:~. ne .... CO.~...r~..~?. ,.??~ .............................................. Name of owner of premises .... (as on the tax roll or latest deed) if appli/ea~.~ corporation, signa~tfl.Jre of duly atjthorized officer. C ALL CONTRACI!OR S "lIST BE ~UFFOLK COUNTY LI:GENSF,,D Builder's License No ........ 2 .~.'g .c. flqe:.~. -. .... Plumber's License No ......................... Electrician's License Other Trade's License No ...................... -. 5zp~T/~.,0 Location of land on wifich proposed work will be ,tone .... d?'.?rT~?,2.~..~.lfl. ..... ff)f.,):/.~.'.~2 :. .... :.'.. 7..: ..... ..... /0. .............. z . . . ........ .... zK. : ............ House Number Street llamlet :o,,ty ........ 2.?. ...... ................ '2 ..... ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy ..... ~..~-..~.. (./~..&..."~7.././e/].t~ ............................................. b, Intended use and occur ................................................. -...-.--: .............. 3. Nature'of work (check which applicable): New Building .......... Addition ......... Alteration . '. · r. ..... Repair .............. Removal .............. Demolition .............. Other Work .............. (Description) '4. Estimated Cost ......... ~..~.~..~.(3.....C.q~. .............. Fee ..................................... " (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... If garage, number of cars ...................................................................... 6. It' business, commercial or mixed occnpancy, specify nature arid extent of each type of use ..... ............... 7. Dhnensions of existing structures, if any: Front ............... Rear .............. Depth .............. tteight ............... Number of Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ........... :.; ........ tteight ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Nmnber of Stories ....................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Former Owner ............................ 1 1. Zone or usc district in which premises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..................... ~ ...... 13. Will lot be regraded ........ ~.~5) ................ Will excess fill be removed from premises: 14. Name of Owner of premises . . . ~./~.C2.~. ¢'. ¢.°t .... Address . . ~..~T./././././././.C~..~0 .c .~.... Phone No ............... Name of Architect . . . Name of Contractor ~i'i ~.. ~?L:~. ?. i'( ~i~5.' i i i Address ................... Phone No ............... Address .... F~.<'~..?-f(-q(~/.~ Phone No.. ~. ~.-. 15. Is th±s property located wlth±n 300 feet ot~ a t±dal wetland? *Yes ..... No .~'x ,~I.f yes, Southold Town Trustees Perm±t_ raa~ be requ±red. PLOT DI AG ILA. M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dh'nensions fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applican (Name of individual signing contract) above hauled. He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file application; that all statements contained in this application are true to the best of his knowledge and belief; and that th work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. ......... day ............. ..... H[L[H ~ ~[. V0E ........... ~TARY P BLIG. S~a~e of New Y~ applicant SUFFOLK CO. HEALTH DEPT. APPROVAL 'I,AF" '~"- _ . F?F20 P EI !'1"Y' ,. s. NO. ~A~VI ~W TH~ WATE~ SU~ OF ~UTUE~L~ CONFORM TO THE STANDARDS OF THE ~ SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT S~F~KCOUN~HEALTH'~"~' DEPA~MENT SU~=OLK COUNT~ DE.T. OF HEALTH ~.-.81NGIE FAMILY DWELLING ONLY SE VICES -- FOR APPROVAL OF I ' ~O,~ , arT~ _/v~~ ~. COl ,TEUCTIOH ONLY H,D, REF, ~n' E: DATE ~FP' ~ [ '~ H. ~ eLF. NO.: 85'~' ~ APF' {OVED: THE S~AGE D t~SAL AND WATER SUPPLY FACILITIES Fl )R 1 HIS LOCATION HA~ BEEN INSPECTED BY THIS DEPARTMEIIT FOUND TO BE S iTISEAC[ORY, s! JFFOLK CO. TAX MAP DESIGNATION: i ~ a. ~.", DIST. SECT BLOCK ~L. " Chlefj ~f Wa~t~ater Management Section I, ~-~ ~9 .[ OWF ERS ADDRESS: ;o'.iBQ~ PIPE DEED: L~A P. TE~ HOLE STAMP ' "~K V~UyL~T' ......... LICENSED LAND gURVEYOEg ~EEN~ET NEW YORK