HomeMy WebLinkAbout24902-zFOBM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25733 Date: 05/26/98
THIS CERTIFIES that the building ADDITION
Location of Property: 1356 GRAND AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 3 Lot 11.2
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 11, 1998 pursuant to which
Building Permit No. 24902-Z dated MAY 21, 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 RELOCATION OF EXISTING HEATING SYSTEM AND WOOD ROOF ON GREENHOUSE AS
APPLIED FOR AS BUILT.
The certificate is issued to SYLVIA PAFENYK
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH 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. 24902 Z Date MAY 21t 1998
Permission is hereby granted to:
SYLVIA PAFENYK
PO BOX 1040
MATTITUCKtNY 11952
for :
RELOCATION OF EXISTING HEATING SYSTEM AND CONSTRUCT A WOODEN ROOF
ON GREENHOUSE AS APPLIED FOR "AS BUILT."
at premises located at 1356
County Tax Map No. 473889 Section 107
pursuant to application dated MAY
Building Inspector.
GRAND AVE MATTITUCK
Block 0003 Lot No. 011.002
11 1998 and approved by the
Fee $ 75.00
Bu i lding ~/s~e~c~ o r~
ORIGINAL
Rev. 2/19/98
FORM NO. 6
TOWN OF SOUTHOLD
· Building Department
" Town Hall
Southuld, N.Y. 11971
765 - lB02
APPLICATION FOR CERTIFICATE OF OCCUPANCY
· Instructions
A. This application must be filled in typewriter OR ink, and submitted m ~ .... ::- to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all, build!ngs, property lines, streets, and unusual
natural or topographic features.
2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable. '
B. *For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pz30perty showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Co Fees:
.1. Certificate of occupancv $25200 -- BUS[NKSS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0
3. Copy of certificate of occupancy $'5;'00. over 5 years $10o00
4.Vacant Land C.O. $.'20.00
5. Updated C. 0. $"50.00 Date ... ~[~y..L],,..1.9.9.8. ..........
Newc°nstvucfr'i°n X Old orPte existing Building * Vacant Land
Location of ProperW13.55 (;rand ~¥em~e Ma~;'~i~uc, k ·
House No, Street Ham/et
Owner or Owners of Property Sylvia, Pafenyk
C tyT M pN 1000S cti 107 3. .1.i.2
gun ax a o. e on ............... Block .............. Lot
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No Date of Permit Applicant
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate Final C rtificate for alterations co
greenhouse.
Fee Submitted $ .2.5: .00. .
Construction on above describedA buildinghcan- and perrp~t~. ~.,meots~all?_ app, l~ablc~ ~, codes~and regulations.
· ~0 ~~flev' 10.10.78~
765-1802
BUILDING DEPT.
' INSPECTION
[ ] FOUNDATION 1ST
ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ~NAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ ] ROUGHPLBG.
[ ] FOUNDATION 2ND [ ] IN. SULATION
[ ] FRAMING [~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~ ~ -~~*,
GARY FLANNER OLSEN
COUNSELLOR AT LA~/
RO. BOX 706
MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 · PHONE 516-734-7666
FAX 516-734-7712
May 22, 1998
Re:
Pafenyk to Knox &
Zaloom
Prop: Grand Ave.
Mattituck, NY
1000-107-3-11.2 and
11.3
Our File 6460
Dear Georgia:
On May 11, 1998 we sent you application for a Building
Permit. Enclosed please find the Electrical Inspection
Report as per your request.
Very truly yours,
GFO:lmk
Enclosure
Southold Town Building Dept.
Main Road Town Hall
Southold, NY 11971
Attn: Building Dept. - Georgia
G,~RY FLANNER OLSEN
COUNSELLOR A~ LA~'
RO. BOX 706
MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEk)(/ YORK 11935
PHONE 516-734-7666
FAX 516-734-7712
May 11, 1998
Re: PAFENYK to Knox & Zaloom
Our File # 6460
To Whom It May Concern:
I am enclosing herewith the following:
Application for building permit to construct a
wooden roof in place of a plastic roof on an
existing greenhouse and to move a heating system,
water pump and water tank from the basement up
into the greenhouse room.
Application for Certificate of Occupancy for said
alterations.
Check payable to the Southold Town Building
Department in the sum of $35.00 representing the
Building Permit Application fee.
Check payable to the Southold Town Building
Department in the sum of $25.00 representing the
application fee for the Certificate of Occupancy
for said alterations.
The greenhouse was constructed pursuant to a building permit #8273Z issued
on October 30, 1975 for which a Certificate of Occupancy has been issued.
Ail of the work was done by licensed contractors and Sylvia Pafenyk was
advised by the carpenter that no building permit was required. The
plumbing work was performed by Mattituck Plumbing, the electrical by
Latterman Electric, and the masonry work by Fred Taylor of Mattituck. The
carpenter was Eugene Davidson Construction. The existing plastic roof which
was on the greenhouse was replaced with a wood roof constructed of one-half
inch sheathing and shingles.
Let this confirm that the building department will be making an inspection
at the subject premises tomorrow, May 12, 1998 in connection with my
application for a pre-existing C O for two accessory buildings. I would
appreciate the building department inspector also making an inspection for
these alterations to the greenhouse at the same time.
Southold Building Department
May 11, 1998
Page 2
We are hoping to schedule a closing by the end of May, 1998 and in order to
close we will need a Certificate of Occupancy for the greenhouse
alterations and accordingly I would appreciate anything that the building
department can do in order to help expedite this matter.
Very truly yours,
GFO:ljg
Enclosures
Southold Town Building Department
Main Road
Southold NY 11971
DAI~'
Fd, t'JCTR/CAL INSt'ECSt'iON SERVICE INC.
3 75 D ~[ON A ~iN (JE
EA,~'PATCHOGUKNEW YORK 11772
(516) 2B~-5642
21442
lPcTRODUCFD BY' Lademann Electric Inc LICNo: 4141E
AIR, COND
3dOTOl~ t~d~L TRAN.
SA;R~TC~ DISCONN£(;3
I- I "2 hp ~l,ater pump - 1 switch
';,./"mi I;orner - ] 4witch
13UILDING P~2?MJT tVo.
PORH NO. I
TOWH OF SOUTIIOI,D
BUILDING DF, PAR1YI~NT
'fO~N UAl,l,
SOUTIIOLD ~ N.Y. 11971
TEL: 765- 1~02
BOARD OF HEALTII ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SKPTIC PORN ...................
NOTIFY:
CALL ..................
NAIl. TO: ....................
APPI, ICAT1ON FOR BUILDING PERNT'f
'Date ................ ,19 ....
INSTRUCTIONS
a. 'fids application must be conpletely filled in by t~ypewriter or in ink ami m,~,itted to tile Ik~ihling Inspector w
3 sets of plans, accurate plot plan to scale. Fee accordirg to ad~e(hde.
b. Plot plan aiming location of lot oed of lx~tldings on premises, relationship to Mjoiotng premises or ix~blic
xtreeCa or areas, and giving a detailed dem:ripttc~ of layont of property mist lie drmm on tile dingra, ~hld* ia )tort of
this application.
c. 'lhe ~ork covered by this application may (~ot lie ccrareoced before issuance of I~utldfng Permit.
· d. Upo~ approval of this applicatio~, tile Building Inspector wili issue a lkiildtng Permit to the applicant.
pemi.t simll be.kept oil IJ~e prendses available for inspection thro~hcuC the ~rk.
e. 1~o buildir~ slmll be occupied or used in ~ole or in part for any purpose ~lmtever until a Certificate of
O~cupancy ~mll trove been granted by tlie I~ltldlng Inspector.
~ APPI.ICATI(~I IS ti~I~BY ~ to tile l~ilding Del~ar[raent for the issuance of a guildtng Permit pursuant to the
I~Jildlng Zone Ordinance of the ~b~ of ~csithold. Suffolk County. Ne~ York. and otlier appticable l~z~s. Ordi~tm~eee or
Regulations. for tl~ constructto~ of I~ildtnos. additions or afteraCionst or for ro~val or demolition, as herein
descril~l, lira applicant ~ree.s.tu conpty with all applicabl~ laws, ordinm~ces, b~tldtn~ code, housing code,
(8t~tuO of a~ltmt~or ~. if a co,ration)
S~a~e ~mOmr o~lJc~n[ Js ~r, lee~, ~en~, archit~[, engt~r,'ge~raI c~[rnctor, electrician, plier or
Sylvia Pafenyk
~ ~ ~ENT~r
If applicant is a corporation, signature of duly autl~)rlzexl officer.
UNDERWRITERS CERTIFICATE
REQUIRED
(Nome and title of eerpurate officer)
l~ilders License 1~ ..... .1.3.!8..9.H.I..' .E.u. gt~pA .l~avidson Contractor
2366P Mat tituck Plumbing
Pl~r~bera License I~o ...........
~ 0 ~dd ~ 4, PM fOR TilE
E~ectrlc~ana LJcen~ No ...................... d. F~ . ~~ON MU~T
~~~C.O,
Odmr ~'s Lice~ ~ ..................... ~ ~ION SHALL MEMT
I~ati~ of la~ ~ ~id~ pr~l ~rk will ~ (~ ........................ ~. ~E~EM~T~ .OF. ,IMf ,N.Y ....
1356 Grand Avenue, Mattituck ~,~TRUCTION & ENERGY
~t~ T.x~p ~. I~ ~tt~ 107 Bl.~k 3 l~t 11.2
~ivisi~ ... . . ... . Fi]~ ~p ~ l~t ....
2. State existing ~ a~ ~f of i~,i~s a~ inte~ ~e ~ ~ of pm~ c~stnmtlee:
a. F~,ti~ ~ ~ ~y construct wooden ~.oof in place of plastic roof 9n "gree~o.q~'
and move heating unit and water pump and ~ank from basement of same to "greenhouse". Roof
b. lnte~ u~ a~ ~ comst~.uet~ ,wi.~h..1./-2U- ~hea~hin~ .an~ -a~t~a: ~ ~ If .................
3. I~at.re of ~rk (check ~liich applicable): ~ l~lldin8 .......... ~lri~ .........
I~fmir ............ ~al ............. l~mi itl~ ............. Odxer I~
(to ~ i~id ~m filing
1~ garage~ Igm~r O[ care ......................................
~. If I~mh~ess, commrcial or mixed ocoqmncy, specify ~l:ura m~ ~CenC o~ e8dt ty~ of u~ ......................
7. IH,~ml~s o[ ~l~ing ztn~ture~, if any: ~(~t ................ ~ar ............... ~p[h .................
I~i~c ......................... ~d~r of 8[orles
Blnenst~m o[ ~m ~tn~re ~lth alteratl~mz or ~ltione~ Front ...............
B. I)l.enai~m of entire ~ ~str~tt~: t~: ................ I~ar ............... ~p~h ..............
I~i$1~ ......................... Rml~r of SCoriea .....................
9. ~l~ ~f Io~: ~......................~ ~ar · ................... )d~ . ...................
I0. I~ffe of ~r:Jla~ .............. .. .. ... ~ of For,er ~r .. ................................ ......
Il. ~m or u~ dlz~rlc~ In ~id~ pr~l~a am at~ ..............................................................
12. ~a propel ~m~l~ violate a~ ~log I~. ordi~e or regularly: ........................
13. ~lll la~ I~ r~r~ , ................... ~tll ~eas fill Im r~
14. ~ma of ~r oE p~l~a ....................... . . . . ~klress .............................. l~m ~ ...............
· s of Ar~tit~t ' ~lres9
· J~ of C~tr~tor ................................... ~glreaa ............................... I~ ~ ...............
15. la this p~rty ~ithin ~ f~t. afa tirol ~Cla~? a ~3 .......... ~ ..........
PLOT DIAORAH.
l~cate clearly and dJal:lnct:ly all buildings. ~betlmr exlauinit or proposed, mx{ hxlicate all ~et-lmt~k dlmenslone
frcxn itroparl:y linea. (live st:reel: mxt bl~:k utmixer or description according to deed, and al~ etreet nares arxl irxlica~e
~A~tber Interior ar corner loC,
~i:~. tl,~ ;~ .~..~ ~Xe~ ~ .......................................................................
~ ~ ,~ L~f~;~;O(~a~, ~or~)rate officer e~c.)
said (~r or ~r8, mKI is (~tty mtl~rJ~ to I~rfonn or htwe [~rForn~l Lhe ~id ~rk clx] Lo n~ke afxl file this
alq)llcatio.; tirol: ail state.nra c(x~ta{.~ tn t:h[~ al~d, icati(n~ are trim Lo ti~e
Sylvia Paf enyk