HomeMy WebLinkAbout23988-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~RTIFICATE OF OC~JumA.NCY
No E-25252 Date
SEPTEMBER 9, 1997
THIS CERTIFIES that the buildin~
Location of Property 700 HAYSHORE
House NO.
County Tax Map No. 1000 Section 53
Subdivision
ADDITIONS
GREENPORT~ N.Y.
Street Hamlet
Block 4 Lot 38
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 7~ 1997 pursuant to which
Building Permit No. 23988-Z dated MARCH 14~ 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 DECK AND SUNRO~ ADDITION TO EXISTING OWE FAMILY DWELLING
AS ~kPPLIED FOR.
The certificate is issued to
VINCENT & JANICK GADOMSKI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL INSPECTION CERT.
PLUMBERS CERTIFICATION DATED
N/~
~17461 DATED AUGUST 7~ 1997
N/A
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERkAIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 23988 Z
oat,$ / ....
...................... ..................... . ,, tZ
Permission is hereby granted to:
~..f....?.Z...~.~......~o. ....... ~.., .....................
................................................ ~ ...... x... .z.~... ,
,o ..~~..~.-.. ........ ~.. .......... .x~...~......,.~.z,,a~......,,.,,,~/~.,..,.x.,r:.,z.. ...........
...~ ......... ~....~,:.~.¢.....~.~ ...... ~.,.'....4.....l..~.....~./../.-.~ .............
.~...~ ........ ,,,~....~ ......... ~.: ........ .~. ................................ Z. ......................... ~. ............
Tax Ma I e ' n ' ~'.~3 0 30/:>
County p No. 000 S ctm ........................ Block ......... ~ ....... Lot No .........................
pursuant to application dated ........... ~.ff./.Z ................................. , 19..2~,., and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
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-disp'osal(S-9 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 11% lead.
5. Commercial building, industrial building, multiple residences and similar 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 requirements.
B. For existing buildings (prior to April 9, i957) non-conforming uses, or buildings and
"pre-existing" land uses:
i. Accurate survey of property showiag all property lines, streets, building and
unusual natural or topographic features.
g. A properly completed application and a consent to inspect signed by tile applicant.
If a Certificate of Occupancy is deuied, the Building Inspector shall state the
reasons therefor in writing to tile applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00
3. Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00
/ ate .................... ...........
New Construction...V ....... 01d Or Pre-existing Buildi=ng..~ ............. ~
Location of Property...~.~r~' .... /,,'.,~r~-/..O-~J~ ........................ ~. ....................
House No. -- /~Street ; ~ F Hamlet
County Tax Map No 1000, Section .............. B~ock..~~Lo ......................
Subdivision................ ........... . ... .....Filed Map ............ Lot ......................
Permit No.~..~.~.~.Date Of Permit.~.~./.~.~ Applicant
Health Dept. Approval .......................... Underwriters Approval .........................
ApprOval
Planning Board .... ~ ...................
Request for: Temporary Certificate ........... Final Certicate~ ..........
Fee Submitted: $ ............................. ~ ~ ~ ~.. ,
~ ' t 0 APPLLgANT , /
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 11, 1997
Vincent Gadomski,
700 Bayshore Rd.
Southold, N.Y. 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
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.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23988-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
8/7/97
ELECTRICAL INSPECTION SERVICE INC.
375 DUb~TONA VENUE
EA.ST PATCHOGUE, NEW YORK 11772
(516) 286-6642
17461
APPLICATION No. ON FILE
VILLAGE: Greenport
ADDRESS: 700 I~rO? .~ht~re Road
ISSUED TO: Janice Gadomsili
7OWN: Southold
INTRODUCED BY: Lademann Electric Inc.
was e~camined on 8/7/97
LICNo: 414lE
and found to be in compliance with the National Electrical Code
LOCATION: Base.. 1st XX 2nd 3rd Atac
DeL Garage Hot Tub Pool
2 1 I l
I
OTHER
EQUIPMENT
Sunroom
1-Dimmer control
BUILDING P~T No.
oPaan~aL Yr~ktow coPY
p/NK COPY OFFICE
HUGO $. SURDI
PRESIDENT
~IELD ~iNSPECTION REPORT COMMENTS
FOUNDATION ( IST)
FOUNDATION (2ND)
ROUGH FRAME &
PLUMBING
STATE ENERG~f
CODE II
ADDITIONAL COI~MENTS:
FILE;NAME: 97V~166 02/27/97 ~-~') ~ C~ 0 ~, ~.~
CUENr/PROJ. ] PH. ( ) nATE RE~SIONS
GADO~SKI
MEASUR~ BY: DiE: I SCALE: NONE
CLENT/PROJ. I Ph, { ) DATE RE'vISIONS
GADOMSKI
BY: OAVIO CENTORBI CK'O BY:
V
~W
ZXIO
~/4 COA
~fter doi~t
6ROUND
12X6
4X4
8'X~G' Cement Pier
L
i ]F'r
765-1802
BUILDING DEPT.
INSPECTION
[ ~FOUND,ATION 1ST [ ] ROUGH PLBG.
[ ] FOUND'ATION 2ND
[ ] FRAMII~IG
[ ] FIREPLACE & CHIMNEY
REMARKS: ~.~' '~
] INSULATION
] FINAL
DATE~//~
BUILDING DEPT.
INSPECTION
[ ] F~I~ATION 1ST [ ] ROUGH PLBG.
[~J~ FOUNI~ATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
765-/.802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[[ ]] ~ORAUNNilDNAGTION 2ND [[ ]] IFNiNSAULLATION
[RE]MF~ACE & CHIMNEY
~~'~'.,,,. , ~ z~- (/., ,~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[]FRAMING [ ~FINAL~,~ '~~~
[ ] FIREPLACE & CHIMNEY ~.
DATE
INSPECTOR
8LDG. DEP~
,ed ..... ....,
..... ...... , ,,,?.7
Dis~vp, oved a/e ..................................
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORN ...................
NOTIFY:
MAIl. TO: ' '
( BU/14 jl4'ng//[nspec t or )
APPLICATION FOR BUILDING PEP. HIT
INSTRUCTION~
Date...~J.A..~¢.H..7., .... · 1¢.7...
a. This application mast be co~)letely filled in by typ~qriter or in ink and mxbmltted to the Building Inspector
3 sets of plans, accurate plot plan to scale. Fee according to scJ~tule.
b. Plot plan showing location of lot and of buildings on praises, relationship to edjoining premises or public
streets or areas, and giving a detailed deseription of layer of property must be draan on the diagram ~ieh is part of
this application.
c. The ~ork covered by this application may not be conmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. ,Such
permit shall he kept on the Fr~aises available for inspection threngt~Jt the ~ork.
e. No building shall be occupied or used in ~daole or in part for any purpum x~hatever ontil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATIO~I IS ~¥ ~ to the Building Department for the issuance of a Building Permit I~rsuant to the
Building Zone Ordinance of the To~n of 8cothold, Suffolk Camry, l~z York, and other a~plicable Lavm, Ordlna~ees or
Eegulations, for the construction of buildings, eddltims or alterations, or for re,oval or demolition, as herein
described. ~ae applicant agrees to eo~ply with all applicable la~s, ordinances, building code, housing code, and
regulations, and to admit authorized insp~tors on praises and in building for ~ecassm-y insp~tions.
.~..sf. X .L~...?..~.a..s.r. & ! .[..s~.. Z¥.c... ..................
(S!gnature ot~ applicant, or na~. if a corporat|on)
I ~.0. Z. L~. K[. ;AaD...~ Y.[~.~.,..~ ~.~.t~J.& .~Y...7}~
~i (Plailing eddress of applicant)
S~ate whether applicant is miner, lessee, agent, architect, enginser~ g~nocal con~Ua~.or,.glsc~Eigiau~plmber or buitd,
GENERAL CONTACTOR ~ a~ . ' ,
......................................................................... :4~+~-:'' '~//~ '2" ':" -~37¢~ ~ ....
" of r f t,,i GADO~SKI, VINCENT A. JR ~F~fT,~ .~.~.~'
~ o~ae o p' ses ......... ................................. -~ ......J:~£. ~':-~ ........... :.¢,..-~+'.~.~ ....... .
If applicant is a corporation, signature of duly authorized officer.
BRUCE WOHLARS, VICE PRESIDENT
(Ixla~ and title of corpm-ate officer)
Builders License No ......................... ·
Plmabers License No ..........................
Electrlclans Licanse No ......................
Other Tra~' s Lic~mse No. #1062-HI
FOLLO~A/I,~;G y ic;?*~Cl'!O/qS:
1, FOUNDATION - TWO REQUIRED
FOR POU~;ED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3. INSULATION
FINAL - CONSIRUCTtON 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 CONSTRUCTION ERRORS
1. Location of land on ~hich proposed *~ork will be done ............................................................. L
700 BAY SHORE ROAD GREEN?ORT
l~mse N~ber Street ~et ~
.... ...... ..... .... ........
~ivisi~ ...................................... Fil~ ~p ~ ................ ~t ...............
(~)
2. State ~isti~ ~ ~ ~ of ~i~s ~ int~ m ~ ~ of ~ ~stxtim:
~. ~t i~ ~ ~ ~ ....... 5 ~5 9.q 5_ fA ~.! ~.~..~ g."'J ~ ...........................................
b. Intended use ~ occupancy...... ..................................................................... . .
scr i~*t ioo)
(Io be paid oo filing this application)
5. If ~k~elli[~l, ntJd)er of d~elling urdts ............ tlr,al)er of d~l linE. kin(ts im eadl floor ................
Il' §at.ge, i~nl)er oi' cars ......................................
6. If Ilmisess, coranorcia! or mix~ occ~qmocy, specify nature argl extent of eacl~ type of use ......................
7. Binensioos oi' exlsring stn~:tures, if rosy: ffreet..~.
Ileight ......................... Ix~d~er oi' Stories ......................
Dinensioos oi` sam stn~cture ~iti~ alterations or midi(Joes: Front .... ~..5 ......... R~ar .... 4..6 .........
8. Dimensioos oi' entire r~ coostructioo: l,'toot ................ l~ar ............... Bepth ...............
I00 100 125
1960 MYSLBORSKI
lO. l~t:e o~ ~rcJlase ..................... ~ of
~ I. ~o~e o~ use district i~ ~dch ~ise.s a~ s~Luated
~2. l~x~s proposed ~stmctloo rio!ate any ~z~i~
~o~Cx~t:r~o~ REDWIN INDUSTRIES, INC,&~iress 1603 LAKELAND AVE -- - 567 557
15. ls this property within ~00 feet of a tidal metla~xl? * YES .......... NO ...~(~ ....
I'I.OT DIAGRAM
ltmate clearly and distinctly all Ixiildings, ~t~ether existiog or proposed, mv.l itxlicate all sot-I~k dimensions
fr~n propert-ff lines. Give street and block a~al~r or description according to deed, m~d sho~ street m,nes taxi indicate
~hetber interior or corner lot.
................................... , ...................... l~!i~; duly ~q~rn, delx~_s a[KI ~ys that he is Lhe appl :; ~.
(l~m? o(' i~livid~ml slgnil~g c(a~tract)
is ,,e ...... C.O.e.P. OX .~Z L. Of. LI .C.l L~. ............................................. : ....................
(Cxmtractor, ag~nt~ COrl~rate off{cer, etc.)
said (~mr {~r ~mrs, mKI is (lilly m~il~)r{~l to ix~rfona or have [~rfo~n~ the (mid turk mKl to rake a~xl file this
atq~licati{m; that all stall.nfs c<mtah~l in lids alq~licatirnl are ins to the l~st or his k,~l~e a~ I~lief; a:xl
IhaL lile ~rk will I~ perfom~l iQ the zm,ser ~t forth i~ the ajq}l icnti(nt fiI~ tlmr~iOi.
CLAtRE L. GLEW
Not. aW Public, Stete of IVew'Cork
N~. 4879505 ,~5)
Qualified in Suffolk County tff,
Commission Expires Deceml~er 8, 19(,_.?
(S i};~mt 9r,e of Appl [canL)
Torino [ac.
,I
Torr2o ~nc.