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Home My WebLink About26554-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27201 Date: 07/17/00 THIS CERTIFIES that the building ADDITION Location of Property: 755 MOORES LANE NORTH GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 2 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2000 pursuant to which Building Permit No. 26554-Z dated JUNE 7, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANDREW WOJTAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Si ature 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. 26554 Z Date JUNE 7, 2000 Permission is hereby granted to: ANDREW WOJTAS 153 BERKELEY PLACE BROOKLYN,NY 11217 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 755 MOORES LA GREENPORT County Tax Map No. 473889 Section 033 Block 0002 Lot No. 035 pursuant to application dated APRIL 19, 2000 and approved by the Building Inspector. Fee $ 75 .00 Authori a Signature ORIGINAL Rev. 2/19/98 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND ( ] SOLATION [ ] FRAMING /�j FINAL [ ] FIREPL HIMNEY REpNARKS: DATE INSPECTOR TOWN OF SOUTHOLD 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 buildin 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-0 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 12 lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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 4, 1957) non- arming uses, or buildings a. '.`pre-existing" land uses: ` "; 1. Accurate survey of property showing all property lratte ., .streets, Building and unusual natural or topographic features. f. 1, 2. A properly completed application and a consent .a t i$�ed by the applicant If a Certificate of Occupancy is denied, the B "ldtng rcis�e�ltkWhall state the reasons therefor in writing to the applicant. _ ;y C. Fees 0 J 1. Certificate of Occupancy - New dwelling $25.00, Additions to in $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buil ing $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 - .25q_ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . .� '�. L .C!�. . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . .MPJ. .. .N1,�. . . �. . . . . . . . . .Gz w':v . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . . .."w� . . . 1^" LJ 5 . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . .J. . . . .Block. . . . . . . 2 . . . . . .Lot. . . . . 5. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . .. .,. . . . . Permit No. . . .4`5"1. . . . .Date Of Permit. . . . .b .:: . .Applicant. . . � . . NA(.�F�9 y�1 • • - Health Dept. Approval. . . . . . . . Y(A . . . . . . . . . . .Underwriters Approval. . . . . . (�- - - - - - - - - - Planning Board Approval. . . . . . u LY' . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . cJ: `� a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLIC o�OgpFFO(,�c � Town Hall,53095 Main Road < n C2 Fax(516)765-1823 P.O. Box 1179 Telephone(516)765.1802 Southold,New York 11971-0959 Oy �� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 3, 2000 Doug McGahan P.O. Box 602 Cutchogue, NY 11935 RE: Andrew Wojtas, 755 Moore's Lane, Greenport. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26554Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i 9 ar QG *SD LAvo LE1` !a _. _. 2 afrd.ey F.w.� �SfNis.b' -- — cu Zd.dt i tV� Y r'c.✓ee� �.e►�-ter• G�.°�'K/ /f�0✓T.9� �'' ��• i to r• 43 �,�re�,•e�r!3.�'or�•9, �'c. 3 •��°'��",`�,,,; I rev• � .ter, �' o .v. /'�°'r/ 1X�tr•/'�4w ' BAY CREEK BUILDERS AFPR VED AS NOTED D. W. MCGAHAN DATE; 61, to 0 B.P. Q("c)54 FEE; —BY: RESIDENTIAL DESIGN CONSTRUCTION NOTIFY' BUILDING D ART NT AT AND CUSTOM RENOVATIONS 7651802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: TELEPHONE 1 FOUNDATION - TWO REQUIRED (316) 734.6270 FOR POUR==602 2. ROUGH - AING 3. INSULATION 4. FINFl - CONSTRUCTION MUST t I BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. L STATE CONSTRUCTION & ENERGY I gi�l I CODESI. NOT RESPONSIBLE FOR jl DESIGY OR CONSTRUCTION ERROVIS - — USE", IS UI 'LAWFU OF 0CCUd ANTY ch a tl 12n�-5� - - -. --- - ry r_ 4' - -� - 10 ---4- r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ t, FINAL [ ] FIREPLACE A/CHIMNEY EMARKS:: ' I/ DATE (,I�P3 e9V INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ------------------------- --- ----------- B u H ^� FOUNDATION ( 1ST) �I 0 C3 FOUNDATION (2ND) ---------- --- -------------------------------------- ---------------- i if �I O 11 ROUGH FRAME & Iri —moi J� PLUMBING II INSULATION PER N. Y. ii n STATE ENERGY CODE II ii u u u IH -li FINAL _______________—_______ O ADDITIONAL COMMENTS: A ---—----________---=__--__=__________________--=______ - r ,rte � J i O -- z r � b H BOARD OF UEALT11 ... . . . . . .:. .. . . •FORM N0. 1 3 SETS OF P1,08..... .... ...... .. TOWN OF SOUTIIOLD SURVEY .. .... . .,. ..,. ..,<,. . . . . .. . . UUILDING DLTPARtKBHT CHECK .. ..... .. I.. .. .. . . . ... . . . TOWN HALL SEPTIC FORM .... ... . . . . . . . . . . . . SOUTROLD, N.Y. 11971 TEL% 765-1802 NOTIFY% CALL lamnined.. ..... . . ...... 19.... _ C� M&II. TOi .... . . . . . . . .. . . . . . . . Approvc-d...1(01.1.........40R 0 Penolt Na. .�. �?. .C.. ... I.................I........ Disapproved a/c .................................. j APPC.ICATION POR BUILDING PERMIT 01920 , 19 INSTRUCTIONS ,• aunt Ue caapletely filled in by typewriter or in ink and adluitted to the Duilding Inspector 3 sets of plans,, accurate plot plan to scale. Fee according to adwble. h. Piot plan shoving location of lot and of buildings on praises, relationship to adjoining premises br public streets or areas, and giving a detailed description of layout of property oust be drawn on Cha disgroa dnidn In part 01 Chia ar4A icatiah. c. '{lie work covered by this application hey not be ccarmoced beforp issuance of Building Permit. d. Upon approval of Urfa application, titre !funding Inspector will: ismue a Building Pemdt to the applicant. Sud permit shall be kept on the premises available for inspection throughout the work. e. No building siwll be occupied or used in %dhole or in part for any purpose ahateaer until a Certificate of Occupancy shall have been granted by tine iluilditia Inspector. APPIACK1710N IS IFA= MADE to the Buildina Department for Clio issuance of a iiuilding Permit pursuant to the building Zone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable Lwa, Ordinances or Regulations, for tike construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lavas, ordinance 1 code, housing cede, and regulations,taid to adult authorized inspectors on premises and in building inspection*. ............ .... .....I........I.................. (Signature of a {cant, or now, if a corporation; (Mailing address of applicant) State whether applicant is owrher, lessee, agent, architect, engineer,*general contractor, electrician, plurber or Nil �a1 � Q.................................................................. Nom of *mer of premises .....Ad ''`C ...":ff m, .'3.�."R415,'l�T... . ............................ (as on the tax roll or latest deal) If applicant is a corporation, signature of duly autimhrized officer. ......................................................... (Naze and title of corporate officer) builders License Pb. Plurbers License No. I........................ Electricians License No. ..................... Other Trade's License No. .................... 1. Incat'iioo of land on wiiich proposed work will be do m......................................................... 1 a.%.......{��: .. .... � ................W. �7:7T ::Z...................... A.Ihouse Ikmber Street aa 21Sanlet County Tax lisp Nn. 1000 Section ....3.1........ Block .....2.... .... .att d ......... Sulxiivision ...................................... Filed Map U0. :� cr P.m... Iot ............... (Naze) 2. State existing use and occupancy of premises and Inte a : ixscdii3acscy"cif proposed construction? W.1 r1 a a. rxi.ecing telae and ac«may .........s.J.�4 ...lk+:.�....4 1 ...................... n Cr .................... � .:: .........::......... b. Intended use arc] occupancy �....... thture of cork (dxck Widt applicable)i New Wilding .......... Audition ....... Alteration ...... Repair ............ Rancval ............. Dewlition ,............ Other Nbrk .... . R ...... '(Tkacr S p[ton) Eatlmatel Coat ........... fen. ....o.b.n..p.a.ido..n.f.1.1.1n.g..th..la.......ic.st.lo.n.). If dwelling, nutter of dwelling units ............ Nailer of ch+elling units oa each floor ... ..... .... .... Itgurage, owber of care ...................................... If boalthees, commrcial or mixedroccupency, specify naturo and extent of each type of use...................... Dimensions of existing structures, if any: Front................. Rear ............... Rkp[h ...... ........... IkhlghC ..... ... ....... Nunter of Stories ................... . .. ....... ... Ulnensloos of was stmctura with alterations or'ndditionat Front ............... Rear ......... ... ... Depth .................... Daigit .................... N,nter of Stories .......I...... . I. Ohaenalons of entire new aonatructiont Pont ................ Rear ............... Depth ... ....... .... 11eijo+t ...............I......... Ndnter of Stories ..................... I. Sire of 'lott Pront ..................... Rear .................... Depth .................... 10. twice of Eurdhase ..................... Nam of lronter Ownter ................ .................... .. . 11. Zona or use district In t.hich premises are situated ..........J&.ti ........ ..... .. . 12. Does proposed construction violate any zoring Im, ordinance or regulation: ..................... . 13. will lot be regraded .................... Will excess fill be removed from promisee: YES M 14. Noma of Owner of premises ........................... Address ......... ......:.............. None No. ............ Nme of Architect ......................r............. Address ............................I. i'inone lo. ............ Ndme of Contractor .............•.:.................... Wresa ...............................I'hone lb. ............ 15. is this property within 300 feet of a tidal wetland? * YRS .......... N3 .......... *1t+ YL+S, Samm 40I,IN 4Rtf'1LRS mmrr NAY in mwnI z. PLOT DIAGRAM Locate clearly and distinctly all buildings, Gttethar existing or proposed, and Indicate all set-balk dimensions from property linea. Give street and block nervier or description according to deed, and ahow street nacres arxi indicate +d+etl+nr interior or comer lot. NW99SQ • l � 3 • SrNIU W Nld YCRK, SS (XI NIY (Jin DUV^h�c�,,,,,(� Y......................baing duly shorn, delx>ses atxl says that be is We aj+pl.icrmt. (Nma of hxlivichinl signing contract) alxrve rutted, Ile is the ...... ......I...................... ....... ....................................... .. ... .... (contractor, agent,-corpornte officer, etc.) , of said owner or owners, and. is duly authorized to perform or have performed Lhe said work and to make arxl file Lbis alqul(cntionl Lhnt all statements contained In this nppl.icaticrth are the to the hest of lite kdxnvledge ntxl b61let; mxi that the vurk will be peribnmed In Lite nnnner set forth In Lite nppitention filed therewith. 9aorn to before me Lite 1 1.`j t.....d e1 1JrJ .14.r Q�0 NnLary Public �• ! LYNOA M. BOHN """' ' NOTARY PUBLIC, State atNeWYbtk (Signu+lmnre f 1pplicnnt) No.01B06020932 Oualified In SdJffolk Cougly, ,Term Expires March 8,•20 J�