HomeMy WebLinkAbout25442-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27364
Date: 10/23/00
THIS CERTIFIES that the building ADDITION
Location of Property: 3200 EUGENES RD CUTCHOGUE
(HOUSE NO.} (STREET} (HAMLET)
County Tax ~ap No. 473889 Section 97 Block 8 Lot 7
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 12, 1998 pursuant to which
Building Permit No. 25442-Z dated DECEMBER 28~ 1998
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 PAUL A & INGRID KAPUSTKA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF ~IEALT}I APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
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. 25442 Z Date DECEMBER 28, 1998
Permission is hereby granted to:
PAUL A KAPUSTKA
875 ALVAH'S LANE
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN ACCESSORY DECK IN THE REAR YARD AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 097
pursuant to application dated AUGUST
Building Inspector.
3200 EUGENES RD
CUTCHOGUE
Block 0008 Lot No. 007
12 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
i'~ ~ ~ [~ ~J~'t ~ ~! TOWN OF SOUTHOLD
........................... , u BUILDING DE ARTMENT
}~ L~CL D~J~:~PLICAT~ON ~R CERTIFICATE OF OCCUP~CY
This application must be filled in by typewriter OR ink and submitted to the building
~spector with the following: for new building or new use:
1. Final su~ey 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 fom) .
3. Approval of electrical installation from Board of Fire Unde~iters.
4. Sworn statement from plumber certify~g that the solder ~sed in syst~ contains
less than 2/10 of 1% lead.
5. Co~ercial building, ~dustrial build,g, multiple residences and s~ilar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the buildtmg.
6. Submit Planm~g Board Approv~ of completed site plan requir~ents.
For ~isting bulldogs (prior to ~ril 9, 1957) non-confo~ing uses, or bulldogs and
'~pre-~ist~g" land uses:
1. Accurate su~ey of property sho~g ~1 property lines, streets, budding and
unusu~ natural or topographic features.
2. A properly co~leted application and a consent to ~spect si~ed by the applicant.
If a Certificate of Occupancy is denied, ~he Building Inspector shall state the
reasons therefor in ~iting to the applicant.
Fees
· 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swi~,,~ng pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - : -25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00
Date " -
:w Construction...~.. .... Old Or Pre-existing Building.. 'A ', .......
House No. Street
~r or O*mers of Property ............. . ......................
lo . c.g. ...... ¢.7. .
,unty Tax Map No 1000, Section .............. B ck ......... Lot ...............
~bdivisiou ............................. .. . ... . Filed Map ............ Lot ......................
:trait ho ........... Date Of Permit ..... Applicant ..............
~ Underwriters Approval -J/.f .....
Approval ..............
:alth Dept --
.anning Board Approval ........................
~quest for: Temporary Certificate ........... Final Certicate..'
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
September 5, 2000
Mr. & Mrs. Paul Kapustka
875 Alvah's Lane
Cutchogue, NY 11935
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.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25442-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] INS~ULATION
[///]~INAL
REMARKS:
] FIREPLACE & CHIMNEY
765-~.802
BUILDING DEPT.
/ INSPECTION
[//FOUNDATION 1ST [ ] ROUGH PLBG.
~//] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA/~CHIMNEY
DATE
INSPECTO
~UNDATION (2nd)
)UGH FRAME &
.FLUMBING'
COMMSNTS
Z
NSULATION PER N.
STATE ENERGY
CODE
'FINAL
ADDITIONAL :NTS:
PLAN ¥1£~
CUf~TOMER -- ING~RID
DATE 08/ll./gB RE;
KAPUBKAEU~ENE$ ROAD
LOAD AND SUPPORT: Yom ded~ ~l[ euppert ~ 95 FSF ~ve I~d,
RB$C
ROUIE 26
GEEENPOFI'T. NY
NOTIFY BUILDING DEPARTMENT AT
'/65-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REGUIRED
FOR POUREO CONCRETE
2, ROUGH - FRAMING & Iq.UMBINI~
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRU~CTION ERRORS
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE,
OF OCCUPANCY
Pe~te here 36'
DEI)K Alii POST FEIGHT:
The ~p of t~ d~
con provi~ infe~di~ far ~ or el~ gro~
JOISTI~ get jdst~
NOTE= The design may feqt, lm knee bre~es ami bddgi~,between ~i~4s. Year rnde~id,~ [st i~s
t~ n~ss~y it~ ~e s~s~d &si~ is n~ a fe[~d bu~ng ~ Y~ ate r~pon~ for-,
t~t ~ m~e] ~e~ dl local bu~g ~s and reqdre~Ms. Te vm~ that t~ ~t~ d~g~
md my ~ti~tJ~e u mMi~tb~, ~ c~sie~nt ~th c~i~s at tM tmsU~nn
Be ~ure te follow the ~ttt ceeetl'kl~Or, detail ewil~[~te fl'om y~r stere
BEAM LAYOUT
CUSTOMER -- INGRID
DATE 0 [~/11/98 ~EF
EB$C
ROUTE 25
QREENPORT. NY
GUI LIST
OLISTOMEI:I -- INC, RID
DATE 08/11/~,8 REF
ROUTE 2G
~flEENPORT, NY
cop
cop
cop
.~=c"l'.ron
col:)
COp
COP
FO
r~5
F,~5
F45 ~
CUSTOMER -- IH(~RID
DATE 08/11.]9E~
KAPUSKAEUGEHES ROAD
ROUTE 2~
GREENPORT. NY
AND 8~T: ¥~L~ {led~ '~11 e~>[~f~C 0 ~ PSF ~ I~( Po~to hov~ ~' b~ro~
preyi~ ~nfo~i~ fa~ ~ or ~1~
JOIST~ 9et jc4;t~ ~ ~p ef ieer~. I~' c~t~r t~.
NOTE: The design may require knit bret. s ami b~gin~ befween ~s. Yem ~ids Est
tb n~ssmy it~ ~e s~s~d ~si~ is n~ a fAi~ bu~g ~ Y~ are r~pon~b for',
t~t y~ m~e] ~e~ dl local bu~g ~ an~ reqdre~s. Te vm~ that ~ ~t~
revHW t~ d~ with ~ arc~te~ Meo ~ ~ erc~t~ [~ prQ~f C~S~ ~4
Be ~ure to [olow lhe 4e¢~ ¢~net~uctieh 4etail a~oil~l~te fr~ y~jr etere e~le~ree~,
,CU~TOMEH -- INQFIID
KAPUSKAEUGENES ROAD
RB$O
ROUTE 26
GREENPORT. NY
5' 7 1/4'
5' 7 1/4'
BEAU BEAU PO:5'T POST
LABEL LEITH COL,I~ gPAC,,~K;
A 24' 3' 6 B' II
C 24' 3' ~i ~.' II ~'..~1"
D ~4' ~
Pest spacing i~ r~easaed ~entes-~o-~entes.
Depth et ce~rete to,cass --- 3~ inches
GI,i l' LlJJ'T
OUSTOME~ -- INGRID
D~TE 05/11/88
AOUT£ 2~
GflEENPOflT. NY
Lc] L~ Ecl It] lc] Ici Ecl [c Icl Icl :] :] :] Ici Icl Ici :3 [c
L/d~Et. L~k~l BE~I.S ~
.A ,i~'s~ <~5) 5' 1 ie~ 19'
B J~t q]~ 7' 5 J/E' J cop 5 J/~
C,I~ 5' 3/4' ~ ~P
g ¢osdo 5' L cop
F f~CTr~ 20' H ~ti~ ~ ~ ~16~
F J~' ]' b ],"E" N COP
W ~o~¢, E'5' 0 cop
FO
F.45 $.~5
r~15 ~.~5
F4~ ~
Z
TO~/N OF SOU'FIIOI.D
BUILDING DEPARTHENT
TOI~N IlALI.
SOUTI1OLD, N.Y. 1197 I
TEl,: 765- IR02
Iklildiog Insl~:tor)
ION FOR BUIL!)TNC P[RMT'r
TNSTRUCTIONS
BOARD OF HEALTII ...............
/3 SET8 OF PLANS ...............
SURVEY ........................
CIIECK .........................
SF. PT]C FOEH ...................
HAIl, TO: ....................
Date ....... , 19
n. 'lhi~ fipplic~Lion mint be eot~)letely filled in by tyl~riter or in ink otxl
3 ~t9 of plans,'acosrate plot plan to ~ale. F~ according to ~*~de.
b. Plot plan ~t~ l~att~ off lot n~ si Ixdldlngs ~ pr~[~s, rel~tlon~dp to ~jotnlng
struts or nreos, o~l givi~ a ~tall~l ~riptim~ of lny~]~ o~ pro~rty mint I~ (Ir~ ~ the (lis~n ~ich {. i~rt of
this nlq)l icnt io~.
(I. Ui~ a~al of this a~llc~t~), tl~ IkJtldi~ lns~ctor xdll. ts~ a ~ilding Pe~lt to the ~ppllcant. ~c'h
I~rm]~ d~all ~ kept ~ U~ ~t~s available Eot tns~t~ th~t O~e
e. ~ ~tldl~ droll I~ ~pi~l or ~1 tn d~le or in ~rt for m~ ~]~
~[cy MlalI h~e I~n grant~ by O~ Ikdldi[~
~.w~'r[~ IS I~ ~ to tl~ Ikfildln~ ~rt~nC for the issue of ~ ~ilding ~lt ~]rmmnt to the
~dati~s, Eot tie ~st~tt~ oE ~tldt~s, aMtct~s or altera:f~s, or for r~al or
(hscrt~. ~I~ a~li~nt ~ to ~ly ~t~ ~1[ a~lteable l~s, ordinates, ~lldtng
(Sigmture Of a~hcant, or
(~iliag ~ss
State *~etber applicant ia o~n~r, lea~e, agent, architect, engi~eer,'general contractor, electrtcfan, pl~r or
..,-. ................................
(ss m tie tax tx)Il or latest ~)
If apl)llcant ts a corporation, signature of duly autt~)rlz~l officer.
(Na.~ ar~ tltle of eorForate of ~cer)
3. P;~t..'e iff ~ork (d~.k ~Atid~ applicable); I,~ Iklilding .......... ~i¢i~ ,,,~ .... &l~eration ..........
~ (~rip~i~)
I~, Es~i.~l C~s~ .... ~.'.~ .... ~ ..............................................
~ (Co ~ ~id Im filin~ this al~ticacl~)
If aur~e, ~,,{~r of car~ ............. ~/~ ...................
If Ix~ilm~, ~mercial or mi~"~q~y, s~ci~ ~[ure a~ ~tenC of eadl ty~ of u~ ........ ~ ........
,~i,,~,,~,~ o~ ~,,~i~o ~ ~,~,:l~,,: ~,~......~......
{0. {klle iff l~lrdm~ ............ · .. . .. . . . ~ of For,~r ~r ........................................
I I. ~ o~ u~ district in ~id~ pr~l~ n~ s~l ..............................................................
{2. ~ propel ~m~i~ violate nny ~flnB I~, o~ir~e or reBlll~i~; ........ ~ ...........
13. Hill {o~ I~ regrm~ .......... ~. ..... gill ~:ess fill I~ r~
.................................. ~{res~ .............................. H~ ~ ..............
· m~ of Ardliiec~ . .
{'J. {s lids pmler~y within ~ t~.oi a tilhl ~l~{ * YI~ ..........
PI.OT D~'AOIIAH
I~ate clearly taxi diatinctly all I~aihlln~a, ~t~ether ~lacl~ or pro~. ~ hxllcate all ~t-I~k dl~naions
fr(~. prol~rty li~a. Oi~ at~t m~ bl~k ~mimr or Ihacriptl~ acco~ing to i~, a~ ~ atreet ~tes a~{ i~licate
~mti~r h~terior or cor~r lot.
S,q
:... / . , · .. ...... .............. ,,.,..,,,,,
~ '
Ih i~ ~he ........... ~ ......................................................................
((k~tr~ctor~ ~gen~cor~ra~e officer, e~c.)
o~ ~ahl i~r or ~rs~ mgl is duly ~lg)rJ~l to i~rform or Imve i~rl:onm~l Lhe mild ~k m~l ~o n~ke ~1 f{l~ thi~
appl ica~ilm; tlm~ .Il ~t~n~ c~tal~l in I;h/s ~l~)lic~thm are t.~ to the I~C of his k~l~ge
tha~ tt~ ~ik ~itl 1~ ~rfon~l in I.he n~m~mr ~t ~orth in the appl'cation gil~
............. y ' ~ ...... 19. ~,.~ ~,
LITTLE
NECK ROAD
LITTLE NECK ROAD
N ,oo' ~' ~o',',,'W
~' '