The URL can be used to link to this page

Home My WebLink About26973-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27469 Date: 12/15/00 THIS CERTIFIES that the building RENOVATION Location of Property: 10305 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 8 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 14, 2000 pursuant to which Building Permit No. 26973-Z dated DECEMBER 15, 2000 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 RENOVATE EXISTING ONE FAMILY DWELLING FOR HEATING SYSTEM, CHIMNEY, ENCLOSURE OF FRONT & REAR PORCHES, & OUTSIDE SHOWER ENCLOSURE AS APPLIED FOR "AS BUILT" . The certificate is issued to ALFRED GESZCZYNSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-317734 06/20/94 PLUMBERS CERTIFICATION DATED N/A A hori ed 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. 26973 Z Date DECEMBER 15, 2000 Permission is hereby granted to : ALFRED GESZCZYNSKI 10305 SOUNDVIEW AVE SOUTHOLD,NY 11971 for TO RENOVATE AN EXISTING ONE FAMILY DWELLING FOR HEATING SYSTEM & CHIMNEY, AS APPLIED FOR "AS BUILT" at premises located at 10305 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473889 Section 054 Block 0008 Lot No. 008 pursuant to application dated DECEMBER 14, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Aut ri d Signature ORIGINAL Rev. 2/19/98 i Form No. 6 TOWN OF SOUTHOLD Q(; 2 3 BUILDING DEPARTMENT TOWN HALL ...,. .,.. 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 o� 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. B. 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 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, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25xp 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date OCTyo(�C�, AS-�.Qoa. . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. !?. . . . . . . . . . . . . . Location of Property. . tA.qE . . . . . . . . . . . . Sc7 �7OL() House No. /� Street Hamlet Onwer or Owners of Property.. F RED. . . E S ZGZY tj S County Tax Map No 1000, Section. ; . . '. . . . . . .Block. . o . . . . . . . . . . . .Lot. .a. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit NO.QI3 3. A . . . . .Date Of Permit. !.d. l!s.(.Q.Q. . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . _ . . . . SS 6-8 . . . . . . . . . . . . / Q�ec-5868 �� APPLI N��!1✓�!'/"'y . . . . . . . . . . co �a�y6� BOARD OF HEALTH . . . . . . . . . . .FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . ` TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . I Vq BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . ... . . . . . . . . . . . . . . . D T' ' SOUTHOLD, N.Y. 11971 04 r.. (,(lli:;;'! _ ..• - TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.....r,,�///� .r� 20!°: MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....] fY /.e ...... Ad' Permit No. Q 4 9.7.3. . ................................... Disapproveda/((!((!c .................................. ................................... ................................................... . (Building tor) APPLICATION FOR BUILDING PERMIT / Date. . `. .Z.Lpp . . . . . . , 20. INSTRUCTION$ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 application. c. The work covered by this application may not be camuenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERESY 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 alterati or f r® 1 or demolition, as herein described. The applicant agrees to amply with all applicable laws, o i s buildi code, housing code, and regulations, and to admit authorized inspectors on premises and in buil i r ssary i tiotr� JOSEPH FISOHMI, JR. PROFESSIONAL ENGINEER. ••.. .....•. ........................ Hobart Road (Sr e,of 1 cant, nane, if a corporation) Sou fholdn NA L O 8271, ................ ...................,............... (Mailing,address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plruber or builder !_f ...........Q..........................:.C....n S ............................................. Name of owner of premises ......Y. I ... e..z.... .. ... .................................................. (as on the tax roll or latest ) l 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 berldone '.............................................................. .....�.v�.OS...............Swwwt¢�.7.!iso:-:�.........................Sdv7ytl7 �C .................... House Number Street Hamlet County Tax Map No. 1000 Section ................ Block ................ Lot ................. Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and �ntended use ant occupancy of proposed construction: l a. Existing use and occupancy .......... %...l..................................................... b. Intended use and occupancy .................... .................................................... Mature of work (check which applicable)-.!• cable): New Building .......... Addition ... ..... Alt ra�t' n ... ...... . Repair ............ Removal 1........ Demolition ............ Other Work .PI7r�..47........ ...... (Description) Estihiated CosA..! �� t....... fee ... .... ............... (to be paid on filing this application) If dwelling, number of dwelling ilmits ............ Narber of dwelling units on each floor .... ............ If garage, cumber of cars ...... If business, commercial or mixedllacclhpancy, specify nature and extent of each type of use....... ............... Dimensions of existing structure g, if any: Front................ Rear ............... Depth ... .............. Dimensions of sem structure art[I Number of Stories ...................... Height ... .... halterations or additions: Front ............... Rear ............... Depth .................... Heigh .................... Number of Stories ............... Dimensions of entire new const tion: Front ................ Rear ............... Depth ... ........... Ileight ......................... Number of Stories ..................... Size of lot: Front ............+....... Rear .................... Depth .................... 0. Date of Purchase ...............1..... Pare of Forner Owner ................................... .... . I. Zane or use district in which pn rises are situated .............................................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ................... ..... 3. Will lot be regraded ........... ....... Will excess fill be removed from premises: YES NO r 4. Names of Owner of premises .....f..................... Address .............................. Pone No. .............. Nameof Architect ..............i^..................... Address .............................. flan No. ......... ..... Name of Contractor .............I�..................... Address ...............................Nan No. ............. 5. Is this property within 300 feetlof a tidal wetland? * YES .......... NO .......... *rF YES, SOI MD TOWN Tl3 TMS PMMT MAY BE REQUIRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ram property lines. Give street and block number or description according to deed, and show street names and indicate hether interior or corner lot. �i5 ►�► �- y s ,c U'j1s4Wr - ��as IMNeu LVA IIIEDFtawY?'K rc S JIINIY OC ...................... � p�..•........•:••,'...................being, duly sworn, deposes and says that be is the applicant Vane of individual signing contract) ave reared, is the ........ ContracCor,'agentcorporate officer, etc.) f, said owner or owners, and is duly authorized to perform or have performed the said work and to make and file Uii9 pplicatioh; that all statements contained in this application are true to the best of his knowledge and belief; and Ihat the work will be' perfonrecl in themannerset forth in the application filed therewith. worn to befnra me this .�`..........day of Notary Public .�s� Sl. .... ....... . HELENE D. HORNI ........ ......... ......... ...... Notary Public,State of New York (Signal of Applicant) No.4951364I 1 Qualified in Suffolk Coin Commission Expires May 2,!, THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 F BUREAU OF ELECTRICITY t 40 FULTON STREET, NEW YORK, NY 10038 Date NOVEMBER 08,2000 Application No. on file 11256800/00 H 069850 THIS CERTIFIES.THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ALFRED GESZCZYNSKI, 10305 SOUNDVIEW AVENUE, SOUTHOLD, NY in the following location; R Basement ® it FL ❑ 2nd FL OUT Section Block Lot was examined on NOVEMBER 02,2000 and found to be in compliance with the National Electrical Code., FIXTUREFIXTURES I RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCEIA FLUORESCENT OTHER I AMT. K.W. AMT. I K.W. AMT. I K.W. AMT. K.W. DRYERSFURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL X.P. GAS H.P. AM. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. X,P- SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF, S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A W.G. AMT• AMP- TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER R. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF HEDTQALS OF NEUTQAL OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical. eauipment in the premises indicated. "- "No obvious unsatisfactory condition was found. ALFRED}' F.' GESZCZYNSKI _, 10305 .SOUNDVIEW,AVENUE SOOUTHOLD� NY-';, 1197171 GENERAL MANAC R � . .'Th4 cerliflcafe mud not be altered In any manner,return to�the office oftfie Board If incorrect.Inapedors may be We tined by their oredentidla.= THE NEW YORK B"OPLRD OF FIRE .UNDERWRITERS PAGE 1 1175003 ,, __ ., : -- BUREAU"OF E•LECTRLCITY' ` BS JOHN STREET, NEW YORK; NEW YORK 10038 Date 11M '20,1994 ApplkationNo..oriflle, 06007294/94 N 317734 THfS CERTtFIES-THAT "t only the elect nculequilunent as described below and introduced by the applicant named on the above application number in the premises of MR. A. GESZEZYNSXI, ' 16,30,5, ;SQUND VIkW- VVEfNUE, SO=, OLD,, ,N.Y.:' in.thefallouin'g locati Z_r ," K'Baeema ii :X lst f'L_ L F2rd [r..", d Section Block Lot NR13 1994 u�apxxantine.d fo JU _ i " • 'and fgTand to,, a to compliance Xdth the National Electrical Code.. FIXTUREECEPTACIEf SWI7CHE5 RXT.URES :"�. RANGES ICOOKINGDECKS .OVENS DISKWASHERS EXHAUST.FANS gttTteTS .. INc1NDESCET+r'PPuotEscEtdT O`?NE@ . .AMI W g .Md' s.w- AMT ^ KW. :"I.' ."K:W: AMT. - 'H.s."' DRYERS I J,!JA"ACE MOTORS FUTURE APPLIANCE-FEEDERS 01i RECPT TIME CLOCKS gEu' UNIT HEATERS MULTLOUTLET DIMMERS �_-x.,.. ." _. " .. MV =-GF3- H.P. AMT.;,' PioPS. TRANS.' 'AMZ k.P: SCSTEMS M1T. WAIIS OF FEET 'SERVICE DISCONNECT"" NO.OF'" 5 E: ' k `:V i : C E ER; NO OF GC CON[s �..Wi G:. A W.G. A. E G:" 'AMT. PMP.' "TYPE EQUIP. iRSW I,F''W 303W 3X'�W - ,. PER+9:., Oh CG.COND. NO.OF XLIEG .OF HI-LEG MO. NEUTRAIW Of NEUTRAL .-. . .. ..x<. X 1 r 2 " 1 W...r .. ....._ . ,.. �.. --� .- .. - OTNER`A17A1t'ATUS . PANELBOARDS:1-9 CIR. 100 Q.C. ELECTRIC INC. LIC.#3823-E , P.O.BOX 518 LAUREL, NY, 11948 GENERAL MANAGER 11 Per This,certificate must not be altered in any manner; return to the office of the.Bgard,if incorrect. In;pedors may be identified.by t it credentials. i ! MIKE JACOBI 765-1643 Estimating �..... � PIun,Gurg h ll,ihng Southold, N. Y. 11971 nct-.nher 2..$ 19�� mr_ Fred Gaszenski Soundview Rd . Southold,N.Y . -Proposed installation _ 4install following One Weil McLain cagi-. iron with hurner . controlq I �– land circulator. _ C Heating ne D One 275 oil i_ �— by I Russell 477 2876 Total T,�hnr And mat -1 - 10Q50 a '. NOTE: All invoices are due upon receipt. Invoices exceeding 30 days are subject to a 1'/a%o late charge. Proposal OWL INSULATION 170 Mechanic Southold, NY 11971 516/765-2787 Proposal Submitted to: Phone: Date: l7-58 Street: Job Name: 6 Cit State Zip Job Location Job Phone: 311-M P We hereby submit specifications and.estimates for: Insulation: All insulation to be kraft faced.. // _R Installed in exterior house walls. 3D__R Installed in exterior ceilings. f"g mR/�/I —R Installed in basement ceiling. 2 (( ) PRICE: NOTES: f� '61 uwn if) Gtll� It CAU; '�'e'6k0c -30 /rJ5 WIJ i`e) G`ei tj✓ 4.5//"P0 sj :m; ;� lova b-( e_ res o(- be�wn sr,U � Gto l� A 6e- tn-5 4 l� �XAm�/1�gai #( o/►, 1 l // in �1w JC � �CGt°55 � � Cul 56tJ1� /�tJ� �� _k 170r+k t4- �A- 4 k"?'I X 0.541le-d- ori G-cicvf �Jern _1y iv) spite) ACCEPTANCE PROPOSAL: Signature: Date: The above prices, specifications and conditions are /77, 7�J2 '; satisfactory and are hereby accepted. *41 4T_9, 4 0'E. at line � 3"South j 4 South `Fenea 0 L.lt4 East B+ � x LLJ x , x j Y Q _ x J Qa F QO� � I Z L� 0 O N 0 x VO 0j y x _N I 6Q tit Scale : 20. = 1„ N ,tit �- �, Vey t3 � Monumant Z \0 �� O = Lyon Pipe. 5 ,2�6t2 U� SO C�ueranteed to the Lhter- County I\/1AP OF LAND TLtte Geuaranty 4 Mo-rtga," Co. SURVEYED FOR as Survayad Novembar 24, 1971 ALFRED GESZCZYNSKAT VANTuVL SoN = rSOUTH0LO Licangad land Survayo S SUFFOLK COUNTY„ N.Y. Green Port New Yotl. , NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE Building Address: 103050 Soundview Avenue Per: Inspection Fred Geszczynski Dated: 11/28/00 Design Criteria: Non Electric Heat 6,000 Degree Days O.A. 10 Degrees F I.A. 70 Degrees F One or two family dwelling SUBSYSTEM AREA DESIGN THERMAL REMARKS s.f. "U" RATING Exterior Walls 832 .09 +58 R- 11 Insulation Glazing 60 .33 -13 DH windows w/ storms Doors 42 .40 -8 Doors w/storms Porch windows w/storms 92 .49 -32 R- 2.04 Ceiling(flat) 640 .033 +9 R- 30 Insulation Skylights .33 Andersen HP or Equal Floor 640 .0625 -9 R-16 Insulation Foundation Walls R- Insulation Slab Insulation R- Insulation OFNE y Total: +5 TQC �p%SctyFT�9 NOTES: CO 5251° To the best of my knowledge, and belief SSI &professional judgement,this building is in Signed compliance with the code. Date ! v� 1 / �a I tri TA�M( IoM su r, OV. 24 1q'7I KKD G ill l)Z" 150) Pra v t JX,2' CC* FLY 1.1 b0 40,ay n I I� i u III I�jt�1�t M�t, Jr�ttLJr�c? G.iw-,,'z.crz'Y�I�I. I �I OF NEW I D�i0:5 �jDU IJT� 4IW _ J00r-PH t -15cHFTrf Pt,. N0. 0525�� t42� 9p sslo 1,12.5 Hof%j?-r RD 0CUTH0LV IMI