The URL can be used to link to this page

Home My WebLink About27400-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27854 Date: 08/03/01 THIS CERTIFIES that the building ADDITION Location of Property: 930 SEBASTIANS COVE RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 3 Lot 11.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2001 pursuant to which Building Permit No. 27400-Z dated JUNE 13, 2001 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ALFRED & MARY SKRZYPECKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 07/26/01 PLUMBERS CERTIFICATION DATED N/A uthized ignature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27855 Date: 08/03/01 THIS CERTIFIES that the building ADDITION Location of Property: 930 SEBASTIANS COVE RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 3 Lot 11.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2001 pursuant to which Building Permit No. 27400-Z dated JUNE 13, 2001 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 ALFRED & MARY SKRZYPECKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 07/26/01 PLUMBERS CERTIFICATION DATED N/A ut rize Signature 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. 27400 Z Date JUNE 13 , 2001 Permission is hereby granted to: ALFRED & MARY SKRZYPECKI PO BOX 900 MATTITUCK,NY 11952 for AS BUILT DECK ADDITION WITH ABOVE GROUND POOL AS APPLIED FOR. at premises located at 930 SEBASTIANS COVE RD MATTITUCK County Tax Map No. 473889 Section 100 Block 0003 Lot No. 011 . 005 pursuant to application dated MAY 16, 2001 and approved by the Building Inspector. Fee $ 789 . 60 Authoriz Signature ORIGINAL Rev. 2/19/98 i + 1 Form No. 6 q TOWN OF SOUTHOLD BUILDING DEPARTMENT �� I TOWN HALL 765-1.802 APPLICATION FOR:CERTIFICATE OF OCCUPANCY I �. This. application must be filled in by typewriter OR ink and submitted 'to the,�u;+ding inspector with the following: for new building or new use: 1. Final survey of ,property with accurate location of all buildings; pr:pVL#p�ty l nes, 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, multipie. residences and similar buildin; and -installations, a certificate of Code Comp..lianoe from architect or engineer responsible for the building. ' 6. Submit Planning Board Approval of completed site plan requirements. i B. For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings .an( -pre-existing land uses: I. Accutate survey of property showing all property lines, streets, building and d unusual natural or topographic features. ' 2. A properly completed application and a,consent to inspect signed by the applicant. If :a Certificate of Occgpancy is denied, ,the Building Inspector, state the reasons therefor 'in writing'to the applicant. C. Fees 1. 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, Additiono to accessory building $25.,00. Businesses $50.00. - , . 2. Certificate of Occupancy on Pre-•ex-isting Buildinn - $100.00 3. Copy of Certificate of Occupancy - 4 ZSNA 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... . .. 7.1.3.0 /... . . . .. . .. . . .. .. . New Construction. . . .... . Old Or Pyre- istin $uilding. . . .fes.. • . . Location of Property. .. . .v��... ..J ... .: . House No. Street Hamlet Onwer or. Owners of Property !`t / ,:� 3 .--- County Tarp No 000, Stection. . 1G .0. . .Block. Lot.�l `S. . . . .. . Subdivision... . . .�•7.. Filed Map. .l.Q• . l. . .Lot. . .�`''. �. • . . . . . Permit No. . . . . .Date Of Permit. ..^l.l�i. ..... .A licant. . . . Health Dept, Approval. .. . . . .. . . . . . .. .. .. . . . .. . ..Underwriters Approval l. :.:S. . . .. ... . . . . . . Planning Board Approval. , . . .:.. . . •. . . . Request for: Temporary Certificate. .. .. . . . . . . Final Certic te. . . . . . . . . . . tee Submitted: a� suauiNa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] 1TION [ J FRAMING FINAL [ J FIREPLACE & CHIMNEY REMARKS: 60 0 7 DATE 16/ INSPECTORlo� -F.tD INSPECTION REPORT DATE COMMENTS 114 )UNDATION ( IST) IIS ---- " 1 y )UNDATIO (2ND) — ii nl —ii o ..p +UGH FRAME & I ---� PLUMBING jj j U 11 p II � H----II- — 7d e►� SULATION PER N. Y. 411 STATE ENERGY II n CODE H II p Ii The Cr1 New York Board of Fire Underwriters IIH Bureau of Electricity --� is in the process of issuing a certificate of Ij compliance for the electrical installation FINAL 1I -- ii as provided for in the application for n inspection ADDITI( f7d �3✓�541 <7T, New York Board of Fire Underwriters Bureau of Electricity Inspection activity pursuant to Ap ' tion # - 4 r` has been completed and a certificate of compliance setting forth the detail of the H (� elec s s being prepared. x r ZG df Inspector Date r Foran 00(Rcv.06/00) C� ro H 1VWiv Vr JVU1 $ IfLI r7 i4 U?- r bU1L01-NU PhXMII AeeUCA1'ION CHECK-LIS BUILDING DEP . TMENT Do you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 ----, Survey hERMIT NO. o279�)V Z! Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact:. Approved a ,200 k Mail to: Disapproved a/c Phone: )L— Building ector APPLICATION FOR BUILDING PERMIT Date A�Y`t ( �0 , 200/ 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 waterways. 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 issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No buildtng shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued 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. ignature of appl' f name, if a corporation) P0. /OXJ06 mail, GIC ) &252 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder o uJ n e�- Name of owner of premises-Jq I_ y �' 3 if r Y y A e_ ! l' (as . n the tax roll 61 latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: E3v S Ed#S - I1/s CO r��/¢ r TaCA� x) House Number Street Hamlet County Tax Map No. 1000 Section 100 Block__ O3 Lot Subdivision S 0 L o- s+I ca n s eo c1 e Filed Map No. 7 gO 7 Lot � (Name) Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy R ,�Pj�tttzs�`-� 3. Nature of work (check which applicable): New Building Addition r Alteration Repair Removal Demolition Other Work 4) 0/ 9 . �oC,( J 1. Estimated Cost Fee740 �(Descnption)� ;g 400 . 0 U 7S".DO 3 aZD (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth 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 Rear Depth Height Number of Stories Size of lot: Front_ oZ $`C Rear _22LDepth n2a 5 0. Date of Purchase { y �'�— 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: Xi 3. Will lot be re-graded Will excess fill be removed from premises: YES NO 4. Names of Owner of premises Sk'd-zyP eC,9 Address__ tS'Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: 'OUNTY OF pp ) J x'^Z �^ being duly sworn, deposes and says that(s)he is the applicant (Name of individual sigrArig contract) above named, 3)He is the e ea e j"- (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. word tofore me this �( day of /200 Notary%#AE D.HOIRNE ignature of Notary Pubo 95te 01"0*York Qualified in Suffolk Courltyr,�G� Commission Expires May 22, o��C r�rcE ao. f/o6•s:aaae Kr�Paki f°rmarY MOO/ 0. 20"�. T InnR 01 T3• V 3 `�t tet+• �' /.. 15- o Lot d. 1 • } y 4 0 L 8 rlta� oar .s Al i A!�� I U¢E ACCegs o x0eavf'fro uf� 1 ' IgD.19� 034�50 ti N,70 034 Z- �,r, Z) S b2.D 94 1 p W Z. ' bN Th 04A'40"% • g.SapO.1 MILL r20AD SURVEY FOR JUNE AVRED SKRIYPECKI - : JOLT '/� N� :/,,,list /S0/sea LOr no.d, SASASrfAAPS COVE,SEC r, 2 ' ✓4N. 9,1965 AT M4rrlruce DATE- Dec 12/96} TOWN OF So(IrNOGD SCALE, q�y 9if42. SUFFOLK COUNTY, NEW YORK NO. 9i:E1 1jw/ BuwuTHaltte AMPAT1o"0114001110" To Twit 61WgANME0 TO+ — su9V[Y r A VIOLATION Ort`eT1oN 7209 a INC "(W TORI,STA►( 9SUCA►IJ A• Sf/ffOLN COvNTr'NATlONAL BAN11(` MtoP1p 1 11018 99AL wet (09018 $CA ,ANO F/T6rlAACA/CANr/.TLE./NS CO,Of/UY, W910[roOO IDEF 10L A VALI 0609118 RAL fNAll 1109 It to"eie[Rte ro to A v4uo TR10t eo/r r';.1 ^1 •�,. CALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT MtVA94M►t[t WOICARO N[RCON[HALL RV"ONLY 10 IN(►tn"N'FOR WHOM INC IVM(T It►RL►ARte [(��1 AMO ON 911 14MAL/TO INC TIR[COMPANY,OOV2R"- �T'r 11 h• , 1'. "f co.TAXRP P 10 i�i t[CT1ow2u—UNC9 OF WjL*N%y,_LOT.,a& _ HMo 90TAt MO f•0 AN Two L1114104 4[INSTITUTION O►I UTTIOHE N Little lH9tT •' ��A ' NL RiM AN THOSAM NO E SHO'WIMt WJTVA 1R OM,too Past 0/ Two 1090/t9TY I.TA10TWy110a11•A L" rl.iYt MOR UOf(OVtNOAOI[ fill WAY 1 "41.1 ANO at gIPOtAL BYt T[AI no MIs ROIo["4 OWNtRi O 114 CONFORM TO THE tTAMOAROO OF TWO/IM►OLM COWIV 0(►A9TM(N► M O18TAMCtt $HOW" "CARO" FROM PROP[RTY LING 1�• 1 NtALTH t2/1V1C48, To INItTWO 4TRutruntt AMC►OR A tPCCVIC NN .PLICA"►, /1041008[ ANO ARL"OT TO et 10210 to t2►AOL18N ►"PgftTY Link$ OR ION•►Nt lR[CTIo"OF/["CC8 • 1!I TIL. YOUNG YOUNG RIERRHE03fAAONNEW YORKE STSG+ ■ MOA/UMG -A/T � STAKE 5Ue01ViSiOA/A44PnLL'D/Al rl/EOf,riCS 0r rye ALDEN W.YOUNO,►ROFESSIONAL ENGINEER !.PAW Of SU,-, CO.OA/NO%JO,14114 AS 47GL AAT.X07 AND LAND SURVEYOR N.Y.S.UCENSE NO.12045 1119 LOCATION O/OULI101,91PTlt TAwleflO C[eWOOLtlesl/NOIFN NtNteN HOWARD.W.YOUNG, LAND SURVEYOR 'l FROM F1lle O82I(RMTHIMt AMOReATA OOTAIMteFA'011 0/NCAt KY.S.LICENSE NO.494113 "IMMEDIATELY" AP VED AS NOTED ENCLOSE POOL TO CODE PATE: UPON COMPLETION BEFORE 'WATER" FEE: BY: NOTIFY BUI ING DE ART ENT AT �, 765-1802 9 AM TO 4 PM FOR THE i� ��i i c FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED °F ULAWFUL FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING / /1 X / /,b3. INSULATION "') ('J /'� �'g i ^ TOUT CERT111CAA � 4 BE COMPLETE FOR C O. MUST 1 t CONSTRUCTION EET 2 X 2 PICKr�'S IN/ � A Y THE REQUIREMENTS OF THEALL CONSTRUCTION SHALL N.Y. k �a STATE GbNSTRUCTION & ENERGY 2-112' ' - 2-�/ 411 GABSCODES. NOT RESPONSIBLE FOR c.a bum . - 2 XA PACKING ON 121A6- 0NAL 2 - 20 _t 2 x8J015-"5@ 16 O,C , 2 - 2X10P�AM G� 4 X 6 P05f 5�CTION r Q 5KF-,ZYP CKl POO� WARAEfV A.GAMBACH . 12.01 CONSULTING ENGINEERS BOX 1033 COX LAN 4 CUTCHOGUE,NY 119 ; 616-754.740e , ? lam`• N � 2-2 X 10 PMS. c� 4 X 6 P055-2 X 6 CRO55 i3TZACING 'I 2-2X10PM5. ii it ? ! 2-2X12PM5 ?! 4 X 6 P0515 ? t` 2-2X12 & 1-2XIOM M ? , t ? 4 X 6 P01f5-N011OW, ♦♦'' . i i? 'iV fgV(t JWI -WVl1�VlA l/i(l1Y 2 X.4 CAP ON 46" Hal WIM Ft MAX,2 X 2 OPPNW 5fMf OF WOOMN f r;NCING� StfVz(OF WIC MWN6 X 6 P05(5 t0 Ma A)3OW A& ARREN A.SAMBACH SULTING ENGINEERS BOX 1033 COX LANE z UE,NY 1194 '�- 23770- 516-734-7402