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Home My WebLink About24275-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25240 Date SEPTEMBER 4, 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 1200 ROSEWOOD DRIVE House NO. Street County Tax Map No. 1000 Section 113 Block 2 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 23 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1997 .pursuant to which Building Permit No. 24275-Z dated JI/LY 28, 1997 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 SCREENPORCH & DECK ADDITION TO EXISTING DECK OF ONE FAMILY DWELLING AB APPLIED FOR. The certificate is issued to DONALD J. WILCENSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-428663 - AUGUST 15, 1997 B~dln~tor Rev. 1/81 FOB~ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24275 z Do,, ........ ~..Z~ ............. , ,,..~ N.o /, Permission is hereby granted it~ .~ // //~ £ . ..... . **~...~...,/.d**~d.~.~ .......... ..../..~...~.~....~.~..., ................... ..... ...... ........................... ~' d~ ~/d~.-, ' ' ....... ..... ~ ....... ~ ........... ..~......~.. .......... ,.......~....~..~.~./.-.~ ......... .~ ~.., - ~.~.?.....=~ .... ........................................................... ~,/.. .............. ~p~p. -:p~;-~ ....;.~.....;~.~ .................... at premises located at .../~).....~~.~.., ........ .~..Z~..~~ ............................. ~o,.~ Tax Mo~ No. ,000 Se~,,o. ...... ~0 ....... ,,oc~ ....... ~...~,Lo_, No...~..~ ............ pursuant ,o application doted ............... ~.~ ......... , 19..~..2~, and approved by the Building~~' // Fee $..7~ ..... Building Inspector/ Rev. 6/30/80 ?his application musc b~ filled ±n by zype,~r±zer OK ink and submzsned :o :ne ouilc±n~ inspector wl:h :he following: for new building or new use: Final sunnet of propercy ~ith acaura:e !oca~ion of al! buildings, property lines, 2. Final Approval from Eem!'.':h Dept. of water supply and se~arage-dlsposa!(S-9 form). 3. Approval of elee~r!cai insua!ia:ion from Board of Fire Unde%~-r-i:ers. less than 2/i0 of !% !cad. 5. Commercial but!din§, industrial build~ng, mu!~iple residences and similar buildings amd iascaliations, a certificate of Code Compliance from architec~ or engineer responsible for the building. 6. Submit Planning Board ipproval of compie%ed si~e plan requirements. For existing bui!d~ngs (prior to April 9, !957) non-conforming uses, or buildings and "pre-~xisting" land uses: !. kccuraze survey of property sho~-ng al! property lines, snree:s, building and unusual natural or ~opographic features. 2. A properly comp!e~ed application and a consenc ~o inspect si=~%-ed by the applicant. if a Certificate of 0ccupancy is denied, the Building inspector shall suana the reasons therefor i~ -zri~ing to the applicant. C. Fees !. Carnlfica~a of Occnpancy - New d~-e!iing $25.00, Addi:!o~s ~o d-~e!!ing $25.00, :~_!:era~ions ~o dwelling $25.00, S~-~ pool S25.00, Accessory budding Additions ~o acaesso~z building $25.00. Businesses ~, 2. Certificate of Occupancy on Pre-~is~ Bui!dinm - S!00.00 3. Copy of Car~ifiagua of Occupancy - .2~ ~. Updated Car~ifica=a of 0ccupancy - S50.00 5. Temporary Certificate of Occupancy - Reslden[iai $15.00, Co~ercia! D~=~ ................ ~~c g~l'" ~ ............... ~ew Construe:ion ........... Old Or ?r~-~i~=in~ ~i!~i=~ ..... ~. ~ .... ' .... ......... ........... ............. Eouse ~o. Screec Ka~eu Onwer or O~ers of ~oper~ ..... ~.' ...... ~ ........................................ co==-¢ := ~ ~o ~0oo, s~=~o. .... B5 ...... ;~o~* ...... ~ ........ ~o~..--2.5 ................ Subdivision.. ~D .... e_ ~ao.. Lo: ==-~-' Dept. A~orova!. .Underliners ........ ... - l=.-ue=c for: - - .... Carz!flzaua. Final Caruiaa:a..~ ..... 2 r UUt~U^'l*l.~NI SUFFOLK COUNTY HEALTH DEPARTMENT N / 0 / F $~I.E~F~I~-Y I~lcl~i ONLY H,D. REF. NO. _ . ~,~-~0:~ N s~A~, ~O"~ ~,~, , 1987., ,~ o~' THE SEWAGE DISPOSAL AND WATER SUPPLY FACILITIES FOR THI~ LOCATION HAVE BEEN INSPECTED BY THIS DEPARTMENT AN[ FOUND TO BE SATISFACTORY, C~ ~er Mana~ent Section " , .... . S. 67033 ~10" W. 167. 05 LOT 18 CERTIFIED TO : AMERICAN TITLE INSURANCE CO. SO~THOLD SAVINGS BANK DQNALD J. WILCENSKI "MAP FILED AT TOWN S,URV E Y OF LOT 20 OF ROSEWOOD ESTATES" JAN, 24~ 1969 FILE NO.§2~O MATTITUCK OF SouTHOLD 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND FRAMING [ ~SULATION [ ~/] FINAL []FIREPLACE&CHIMNEY REMARKS: ~r' ~ · 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG, [~/] IN~ATION [ ~ FINAL DATE~/J ] FIREPLACE & CHIMNEY THE NEW YORK BOARD OF FIRE UNDERWRITERS 1195197 BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK, NY 10038 Da~ AUCUS~' .t~,I997 ~ppl.i~on~o:o~fl~ t44~497/97 N 42a~3 THIS CE~IFIES THAT ~, DON WILCENSKI, 12~ ROSEWOOD DRIVE, MATTITUCK, in the followln~ location; [] B~sement ~ I,t Fl. ~ 2nd FL ,Section BI~R ~s examined on AUGUST 08,1997 and found to be in compliance with the NaMonal Electrical Code. Lot fiXTURE / rI ~ I FIXTURES I RANGES ]cOOKING DECKS I OVENS IDISH WASHERS EXHAUST FANS OUT/~TS ~RECEPTACLES SWITCHES 'NC'NOESCENT FtUO~ESCEI~T OTHER ~T. K W. ~T( ~.W. ~'. KW. ~" / K.W. ~T H P, / 1 2 ~ ' ML DRYERS I ~RNACE ~TORS [ ~TURE A~IANCE NEARS GPECIALREC'PT TIMEcL~KS [ BELt lUNITHEATERS U I.OUT~T DIMMRRS SABAT ELECTRIC tIC. #4204-! PAT LANE MATTITUCK, NY, 11952 COPY FOR BUILDING DEPARTMENT. THIS COPY OF.CERTIFICATE MUST, NOT'BE ALTERED ~N ANY MANNER. ' FORH NO. TO~4N OF ~OUTIIOLD 'I'01,1N Il^lA, · qOllTllOI,D, TEl.: 765- 1802 I N,S'I'I~UC'I' ] ()NS BOARI) OF IIEA1.TII ............... SETS OF PLANS SURVEY ........................ CIIECI( ......................... SEPT1 C FORH ................... a. 'Ibis applieal:i(m ramt Im c(~qdetely fillexl in by tyl~.~riter or in ink m~l sd~nitt~l to the lkdhling lnslmClor ~ilb 3 ~ls of plans, ac{alrate ploc plan to scale. F~ accordi~ to schedule. b. IqoL plal} ~g~ing I~mti~ of lot alii of IxHIdings on presnises, relationship Lo mljoining proMses or ixdHie ~1 r~l:~ or areas, alii givi~g a &el:aihnl descripti~ of layc~t off prol~rty mini; I~ drmm on the diagrml ~Hch is imrt of d. UlXm ailm~al of Ihis a~)lication, the Niilding lnsl~ctor will ira;ua a lkfilding Penuit. Io Ilia applicanL. Such [xmmC ~mll 1~ kepE ~m Ihe pr~ni~s available for hm~cli~ thr~q~t Ihe x~rk. (kX-Ulmm~y ~m[ I have I~n grant~l by I1~ I~d hllng lesl~el;or. I~dhling ~ Ordima~:e of tl~ '1'~ of ~x~Ug~ld, ~ffolk (3~mC?, ~ York, m~ other applicable ]~s, Ordinates or (Sig~mlu~e of applicant, or nme, if a corl~rariou) 8tal'e ~da)ther al~)l ieanl IS ¢~r, lesmm, agenL, ar(:hilecr, eegi~er, gel~ral conLractor, eleel, rieian, i)lt~d~]r or IxH hler. If al,plicm,I is a CmlOration, aig,mture of duly at,,l~/izxj~fff~:%r../~. ~/ ~ 765-1802 9 AM ~ 4 ~ FOR ~E (~.~e ami title of eoqx~rale officer) %~ ~ CONCR~E 2, ROUGH - FRAMING ~ PLUM~ING ,~,il,l,~.. ,,i,:e,,..~ .,, .......................... OCCUPANCY OR ph.,t,~,r.. ~.i,:.,,~ .,, .......................... USE IS UNLAWFUL WITHOUT CERTIFICATE Elecl.rician;~ l,ieense ilo ...................... 3. ;NSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQDIREMENTS OF THE o,n.~ ',.r,.~.,'.. ,.i,:e.~ .,, ..................... OF OCCUPANCY STATE CONSTRUCTION & t~-~,~..___~~ COD~$. N~,.~ONSIBLE FOR ...... .... ......... .... ........ ~,,~,~,,~,,,,, ..~w.~..~..:~ ......... ,.,~,, ~,,,,,..~.~. .... ~ ..... %.e ....... (~e) jVI.OT I) 1 A(~IIA~I