The URL can be used to link to this page

Home My WebLink About24724-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25650 Date: 04/16/98 THIS CERTIFIES that the building ADDITION Location of Property: 4002 OLD NORTH RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 2 Lot 4.2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 20, 1998 pursuant to which Building Permit No. 24724-Z dated FEBRUARY 27, 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 JOSEPH SAWICKI, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building Inspecto~ FORM NO. 3 TOWN OF $OUTHOLD 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. 24724 Z Date FEBRUARY 27, 1998 Permission is hereby granted to: JOSEPH JR SAWICKI OLD NORTH RD SOUTHOLD~NY 11971 for : DECK ADDITION ON THE REAR OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 4002 County Tax Map No. 473889 Section 055 pursuant to application dated FEBRUARY Building Inspector. OLD NORTH RD SOUTHOLD Block 0002 Lot No. 004.002 20 1998 and approved by the Fee $ 75.00 Building pector ORIGINAL Rev. 2/19/98 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD FAX COVER LETTER DATE: TO: FROM: April 16, 1998 Suffolk County National Bank Cathy Rogers Southold Town Building Dept RE: CO Z-25650 - JOSEPH SAWICKI, JR. TOTAL NUMBER OF PAGES INCLUDING THIS ONE - 2 If all are not received, please contact the above at 765-1802. $ ' 1ttll Tow OF SOUTHOLD .- 11111[ BUILDING DEPARTMENT ~ APR I 6 I~ [[.~ I ~o~ mmL 8LOG D~ ~ I ~N OF ~O~HOLD '~r I --. .. . ~ICATION ~R CERTIFICATE OF OCCUP~CY This application must be filled in by t~ewriter OR ink and submitted to the building inspector 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 fo~). 3. Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber certifying that the solder used in syst~ contains less than 2/10 of 1% lead. 5. Co~ercial build,g, ~dustrial building, multiple residences and s~ilar 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 requir~ents- For existing build~gs (prior to April 9, 1957) non-confo~ing uses, or build~gs and '3pre-~ist~g" land uses: 1. Accurate su~ey of property show~g all property lines, streets, budding ~d unusual natural or topographic features. 2. A properly completed application and a consent to inspect si~ed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~iting to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~un, ing pool $25.00, Accessory building $25.00, ~' Additions to accessory building $25.00. Businesses $50.00. 2. Certificate. of Occupancy on Pre-existing Buildlnm - $100.00 3. Copy of Certificate of Occupancy - = .~5~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 -¢o · Date ....... New Construction ........... Old Or Pre-existing Buildiqg ............ ~oeat~on of Froperty .... .~..~..~. ................................. House No. Street Hamlet Ouwer or Owners of Property ............................................. ..~..~.o...~. .. ~.~.~,¢~ .~.. Couuty Tax Map No 1000, Section....~..~-' ....... Block ...... Lot ............ Filed Map Lot -- · - -' Subdivision ............................................................... · Permit No ..... Date Of Permit ............ Applicant ....................... Health Dept. Approval.......... ............. ... Underwriters Approval ......................... Planning Board Approval .... Request for: Temporary Certificate ............ Final Certicate'....~- ...... (~..~c. $ cf~ O ~/ ...... ~ .~.~ . .. ....................... Co ~5~SO 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS/ULATION [ ] FRAMING [/_/]"FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/ / ./~ ~,~ ,~ FOUNDATION (1st) FOUNDATION (2nd) o ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 0 ~0 FORH NO. TOI4N OF SOUTtlOLD BUILI)[NG DEPARTHENT TOWN ItALL SOUTIIOLD, N.Y. 11971 TEL: 765-1802 FLxanined ................. , 19 .... Approved ................. , 19 .... Pen, dr Ho. ~.~..~.~..~. ..... D isapprovc~l a/c .................................. INSTRUCTIONS BOARD OF tlEALTII 3 SETS OF PLANS .' SURVEY ......................... c.Ec~: ~.. ~.~/t~. SEPTIC FOILH ................... NOTIFY: CALl ................... HAIl, TO: .................... a. 'lhis application must be cor~letely filled in by tTp~riter or in ink and ~fl~nltted to the Buildiag Inspector wire 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sl~ing location of lot aM of Ixdldiags on premises, relationship to adjoining pranlses or Ix~blic streets or areas~ ~ giving a detailed description of laycut of property must be dra*m on the diagram Ohich is ixart of *th't i s appllcation. c. 'lhe'~ork covered by this apiflication Day ant be cenra~aced before issuance of lluilding Permit. d. Upon approval of this appl. ieeticn, the Buildlag Inspector will issue a Building Permit to the applicant. Such I~rmit shall be Impt on tim premises available for inspection throu~lout the l,ark. e. 14o Imilding *lmll bo nccupied or used in O~le or in part for any purpose ~4mte~er until a C~rtifieate of Occupancy aball have been granted by tim lluildit~ Inspector. APPLICATICI4 IS ItEFa~BY ~ to tim Building Department for the issuance of a Building Permit pursuant to the Building 7~no Otxlirmsee of.tho To~n of Southold, Suffolk County, ~ York, aM other applicable I.a~s, Ordlmmees or Regulations, for th~ eonstrnction of boildlngs, a&litions or alterations, or for r~no~al or demolition, a.s herein described, lt~e applicant agrees to eo~)ly with all appllc~able la~s, ordlmanees, Imildlng ende, hcusing cede, and regulations, ~ld to at;Trait anthorlzed iilspeetors GU premises and la [rdil~.fo~.nc .' ........... r'::'· (Sx~-._~-_--- apphcant, or na~e, ~f a corporatmn) .. e.z. ~ (Hailing address of applicant) //~71' ( State ~hether applicant is o~er, lessee, agent, arcldtect, eagioeer, geeeral contractor, electrician, pltld)er or lmilder. of of em,ses .......... ........................ (as on the tax roll or latest deed) If appticunt is a corporation, signature of duly autlvorirxM officer. APPROVED AS N01tD DATE: ,, B.~ (Nan~ and title of corporate officer) FEE: ....... NOTIFY BUILDING FOLLOWING INSPECTIONS: Builders License No .......................... ~, FOUNDATION - TWO REQUIRED Plumbers License Ro .......................... FOP POURED CONCRi-I~. 2. ROUGH - FRAMING & PLUMBING Electricians License No ...................... 3. :NSULA~ION Od~r 'rrade's Lice.se ~o ..................... ~., _,4.~c~aa~ gt~n~0~ :~//~F~IAL ,. (~Q,N_Sl~IJClION MUS~-- ...... TH~ .mumaean~O~; N.Y. .... .~. ~.~..~. ............... ~..~. ,~.....4(...~....*~.....(..~....~,. .................. STA~' ~p~ucnow ~"~a~o¥ ..... llonse Nunt~er . Street --.~ o CODE$~ RESPONSIBLE FOR c~,,,ty Tax mp HO. I~XX~ s~t,on ....... .~...~..... mack .....~ ........ PASLqt~qlORSlltlJCTION BtROR$ ~xlivision ...................................... Filed l,t~p No ................ let ............... (-Nam) 2. State exisl:[ng use at~l occupancy o~ premises a[v.l iu~ended use and occuparmy of proposed constructioa: a. ,stiag = oc y .......... ......................................... I0. II. 12. ~ or uae district in ~hldl praniaes are slCuated .............................................................. l~a proposed construction viol~ ~e any ~ing 1~, ordh~e or re.latin: ........................ .... ~ ...................... ~klresa ............................................ ~ o[ Arddt~t .................................... ~klreas .............................. ~ ~ ............... ~,~ of C~traeCor 15. la this pm~rty within ~ f~t of a ti~[ ~tlaM? ~ ~ .......... ~ ....... PLOT ~ran pro[~rty li~8. ~i~ ~t~r m~lbl~k ~l~r or ~acripti~ acco~ing to ~, a~ ~ ~treet ~8 ar~l i~ieare ~dmtl~r interior or co~r lot. ~I. .............. bein§ duly ~orn, delXlSes an4 rays Lha lie is the applicaat of s,ald (x,nmr~o~lo~mors, a[xl IS (lilly ~thorl~ Co ~rfonn or h~e l~rron~ the ~id ~k taxi Co ~ke ami file this applmatie, th~lLal'[ state.rite 6~t~t~l in this al~iieatinn are tn~ u) tim Imnt of his kl~l~ that the ~]rk ~t{l I~ ~rfon~ ~r[m~mr ~t forth in the al~l. ical:icx~ fi/mi ~m to I~fore ne thi8 / . ..... / / ROBERT ~C~J~JR. / / ~Pubt~ ~st~6~ew Yor~ NzRt,re ef ~ork (dmck Mdch appllicable): ~ I~lihling .......... Addition . I ( fro Im lmid (m filing ti If garage, i~l~r of cars ... i ....................... I}i,en~i~m of ~iating atu~mr~a, if any: l~t ................ ~ar ............... ~pth ................. I)in~nsi~m of sa~ stricture ~it'h alterations or ~ition8: Front ............... ~ar ............... l~pth .................... l~i~{t .................... ~mt~r of Stories ............... Dilmasiam of eetire ~ ~st~tia:: l~a~t ................ I~ar ............... ~pth .............. I~itOlt ......................... [ ~Rmr of Btories ~i~ ef lot: l~C ............ : ........ ~ar .................... ~pth .................... l~:l:e of hlrdm~ ......... ] ~ of Fon~r ~mr