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HomeMy WebLinkAbout23491-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26234 Date: 01/26/99 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 425 SKUNK LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 4 Lot 1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1996 pursuant to which Building Permit No. 23491-Z dated JUNE 11, 1996 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 ALTER KITCHEN & OPEN PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GREGG M KONARSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N469331 10/23/98 PLUMBERS CERTIFICATION DATED 01/11/99 J.ZEES PLUMBING & HEATING Rev. 1/81 · 0~ NO. TOWN OF BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISE$ UNTIL FULL COMPL£TION OF THE WORK AUTHORIZED) N.° 23491 Z Date ....~...~. ................................. , 19.~.~ Permission is hereby granted to , // -- / ..... ~,,.~_:_~ ........ ___.._ ,~ ~,.~ ~..~~....~~..~~ .......... .~~.~...~,...~~~....- ~ ~~/~..~~...~ rem~ses J~ate at / ~,~ ~ .~~~~ .......................................................................... ....... ~.....~ ~.~: ...................................................................................... ~,,~ ~.~ ~ ~o. ,000 ~.~,,~ ..... ~.2. ......... ,,~ ...... ~ .......... ~, No....Z ................ pu~uant to application dat~ ..... ~ .................................... , 19..~a.d app,ov~ by ~e Building Inspector. Fee $.~.~.~... Rev. 6/30/80 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-disposal(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 1% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ypre-existing" land uses: · . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw{~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Bueinesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - = 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00 ~w Construction...~ ...... Old Or Pre-existing Building ................. tion of roperty .... Vi¥ ........................................ ....... House No. Street O ers of Property. ...... ,n~ty Tax Map No 1000, Section .... .~.2 ...... B!ock...~. .......... Lot...~ .................. '", ~bdivision . Filed Map Lot ................ lalth Dept. Approval....... ......... . ....... .. Underwriters Approval ..................... .. .. .arming Board Approval ........................ / :guest for: Temporary Certificate ....... Final Certicate... Submit~ed: $ ~ ~PP. · · Town Hall, 53095 Main Road P. O. Box ! 179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-I 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T,I F'I C A T I O N Building Permit NO. '2.3 (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~l~Sl ~nnatU~re~ ~% ' ( 'g ) Sworn to before me this II day of Notary Public, JAYNE P. MARTIN Notary Public, State of New York No. 7738285 Quah~ied in Su££olk Cow~;y Commission Expires Jan. 31, 19 Q County THE NEW YORK BOARD OF FIRE UNDERWRITERS 1195197 BUREAU OF ELECTRICITY -- 40 FULTON STREET~ NEW YORK~ NY 10038 Date OCTOBER 23,1998 Applicatlo. No. o. ~le 13393097/97 N 469331 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named oft the above application number is in the premises of GREG KONARSKI, 425 SKUNK ~, CUTCHOGUE, NY in the following location; [] Basement [] fst Fl. [] 2nd FI. OUT Section Block Lot was examined on OCTO]~EI~ 20,1998 and found to be in compliance with the National Electrical Code. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES OUTLETS NCANDESCEN' FLUORESCENT OTHER AMT. R.W. ANT, K,W. ANT, K.W, AMT. K.W, AMT. H.P. 14 29 20 13 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL I UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AlVa. K.W. OiL H.P. GAS H.P. AI~IT. NO. A. W, G. AMT. AMP. AMT. AMPS. TRANS, ANT, H.P, NO, OF PEET ANT, WATrS 2 - 2 6~ SERVICE DISCONNECT NO. OI S E R V I C E METER AMT. AMP. TYPE EQUIP. 1~2W 1~3W 3;tSW S~4W NO. OFCCCOND A.W.G. NO A.W,G. AW, G, OTHER APPARATUS: PADDLE G.F~C.I:-5 SMOK~ DETECTOR: -4 SA. BAT ELECTRIC LIC, #4204- 50 PAT LANE MATTITUCK, NY, 11952 ~ llGENER L MANAGER Per This certificate must not be altered in any manner; return to the office of the Board If Incorrect. Inspectors may be identified by their credentlal..~.~ COPY FOR,BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANN Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 28, 1998 Mr. & Mrs. Gregg Konarski 425 Skunk Lane Cutchogue, New York 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 # 23491-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ROUGII FRAHE & PLUblBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS~ULATION [-~NAL [ ] FIREPLACE & CHIMNEY RrMARKS: /~ ~ ~ N765.1802 UILDING DEPT. SPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] I NS~JL-.A*'r~ON [//~NAL [ ] FIREPLACE &~C~JIMNEY REMARKS: DATE INSPECTOR 765-~.802 BUILDING DEPT. [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE & CHIMNEY REMARKS: INSPECTION [ R~~OUGH PLBG. [ ] INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [. ]//.~GH PLBG. [ ] FOUNDATION 2ND [//J INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE ~/~CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECT N [ ] FOUNDATION I ST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,~Y.~--~ ~ ~ ~ DATE INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ~ROUGH PLBG. INSULATION FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F/J)U~DATION2ND [ ] INSULATION [y/J FRAMING [ ] FINAL []FIREPLACE&CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION / [ ~//OUNDATION 1ST [ ] ROUGH PLBG. / [ ~/~ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ~~//~/?~ ' NSPECTOR //~ ~//~ OCCU[ USE IS WITHOUI' BLDG DEPT. TOWN QF SOUTHOLD~,,~j~ TE~T NG PLUMBER CERTIFICATE' EXCEED 2/; ;( CANNOT ON;LEAD BLD'G. DEP~ b ,.~TOWN OF SOUTHOLD t :-~.~/~ 1 ~- .......... ~ ...... ~WAS~ ~. NEEO I FORt4 NO. I 3 SETS OF PLANS ............... TONN OF SOUTHOLD SURVEY' ........................ BUILDING DEPAR'I~ENT CI1ECK ......................... TOh'N UA1,L SEPTIC FORbl ................... SOUT, OLO. N.Y. ~LI~hTIO~ FOR B~ILDI~G PgR~IT INSTRUCTIONS 3 ~ts of p~ans, ac~ra~e plot pl~ to ~ale. F~ accordi~ ~o struts or areas, ~1 8iv~ a (~ta{]M ~r~pCi~ o~ l~t of ~r~ mst ~ dr~ ~ the di~ ~id~ d. U~ a~al of ~fis a~[~cati~, t~ ~ildi~ ]ns~ctor will is~ a ~ilding ~t to the ~lJcanC. ~iC shall ~ kept ~ tl~ ~s ~ailable f~ {ns~cti~ th~t the ~rk. A~3~FI~ IS I~BY ~ to~]tlm ~ildlng ~lmrt~nt for the issue of a ~ildi~ Pe~[t ~rmmnt to the (Si~[e of a~l~cant, or n~, ~f a corl~ra~l~) (~i[i~ ~rees of ~licanO .~.~E~ . . .................. (~ ~ tl~ t~ mi1 or latest d~l) If a~licant is a ~atim, si~t~m of ~ly ~tlmrir~l officer. (~ aM title of co--ate officer) I0;~lure o~ m~k (dwck ~,4dch al~licahle): I~ lk, ildi~g .......... /~klidon ..~. ..... Alter~Hgn (~ripti~) l!stl.u~t~l Cost ..ff~/~ ................. f~ (Io Im ~id ~m filing this al~lic~ti~O. I~i~t ......................... ~dmr o~ Storie~ ...................... l)inen~i~s o~ ~mG stnmture ~ith nlter~ti~ or ~ition~: l~ont ............... l~nr ............... ~pll* .................... I~i~t .................... ~dmr of Stories ............... l)i,ensi~s of entire ~ ~lst~l-J~: ]~lt ................ I~nr ............... ~pth .............. I~ilO~t ......................... K~Imr d Slorie, ..................... si~ o~ ~o~: t~ ../~.~.,~ ........ ~ ..lg.~.,.~ ........ ~,,~ .~.~zT.. ?~m or u~ diet:riot in ~dd~ pmni~e~ ~ ~it~t~l . J~9.~ ...................................................... ~ propel emstnmd~ violnte a~y ~fing 1~. or(li[m~me or regul~ri~: ...~.~. ................. ~ill lot Im regr~ ...~ ............ ~ill exee~ eill Im r~] ~(xn pr~ni~8: YES PI.OT I)I'AGRAH locate clearly and distinctly all buildings, ~etlmr existing or proposetl, a~l iMicare all aetqmck dimnaiona property lites. Give stn°.et and block n~Imr or &scription according I:o deed, and Mso~ atreet ha,es a~xl ip~licate DAT FEE: ~ BY: ~ NOTIFY BUIL~G OEPAR~T 765d802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~O REQUIRED FOR POURED CONCRETE Z ROUGH ~ FRAMING & PLUMBING 3. INSULATDN FINAL CONSTRUCT{ON MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL THE REODREMEN~ OF THE N.Y, ~TATE CONSTRUCTION & ENERGY CO,ES. N~ RESPONSIBLE FOR OES!GN OB CONS'rRUCT~ON EnRORS ....... ....................... ,,,,,, (~ ef indivi~udsigni,g corltract) ,~ i,, ,,,~ ............. ~.~.(. ...................................................................... (Cz~nlracter. nl~enl:~ corlx~rate officer, etc.) of ~mld (~.~r er ~rn. a~d is duly mllll()rizc~l Io ix~rfon, or have i~rl'o[u[~d Ihe ~;aid ~rk a~,l Io nnke a~xl file Ihis appli(:~tio,; that all statements centair~l in Ibis nHfl icat io, are t n~i to Ihe Imst o[ his k~x~lc~ge IhaL the ~rk ,itl I~ Imrfon~l ie Ihe ,[ll,~r ~t forth in the al~plical, io, fil~l tl~r~ith. ~[-n, delx)r,e.,~ aM say~; that he is the appl i(~n~l. ~)rn to beg~re.t, I.his J /] _ CLAIRE L. GLEW Notary Public, Stare of New York No 4879505 Qualified in ~uflolk Coun~ Commission Expires {)~cember 8, ~ 9 (8ig.at:ff[ff'of ^pl)l ica.t) 103.00' SKUNK LANE ( BAY AVE. )