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Home My WebLink About22912-zPORM NO. 4 TOm OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~uu~ANCY No Z-24340 Date MAY 7, 1996 THIS CBRTIFIES that the buildin~ A~SSORY Location of Propert~ 900 LESLIE ROAD u~TCHfM~UE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 9 Lot 3 Subdivision Piled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated O~L¥ 11, 1995 pursuant to which Building Permit No. 22912-Z dated J~FLY 28, 1995 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 ACCESSORY INGROUND SWINNING POOL WITH FENCE & DECK AROUND POOL AS APPLIED FOR. The certificate is issued to DAVID J. & DONNA E. SADOWSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-359095 - ~u~ 27, 1995 N/A r+~u '~ di/ng~' I n spect or Rev. 1/81 FORM Ne.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) oo,e .......... ............. Permission Is hereby granted to: ..... /' , /~ . ~..~.. ~~. ~.~.~./.~..~,~,~' ....... ~.~~......~.........'. ....................... ... ......... ......... ~~..../~.~.../. z~,~r~'~ ,o.....~~.........,~.~....~,~~....,~..~:.~..............~--~.~.. a' premises located at ........ ~.......~....~'~.:,,~'~.,~.~......... ~..l~.,~ .................................. CountyTax Map No. 1 ~00 Section ...... . .~....'.~.,. ....... Block ............ .~,...,...,.., Lot No ..... ~ ................ pursuant to application dated ............ .~../. ............... 1 q..2~. ....... and approved by the Building Inspector, Fee $....~.~.....~...... Rev. 6/30/80 BLI:)(~. i) . D APPLICATION FOR CERTIFICATE OF OCCUPANCY TOkrN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to ~he 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 Upre-existing" land uses: 1. 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. ]. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations co 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 Building. - $100.00 3. Copy of Certificate of Occupancy - , .25¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. ..................... Jew Construction ........... 01d Or Pre-existing Building ................. .. - . ..... ....... ~ocation of Property...~.~.~O.. .~.~...I.~. ..... ~P..~.~ .............. House No. Street Hamlet 3nwer or Owners of Property ~ ~ Y '~ ~.Q.~.~.-~-..~ .... -~-~-~O.~--~-~-~ .............. ]ounty Tax Map No 1000, Section ..... ~-[.' ...... Block ........ ~..~ ...... Lot ......... '~. ............ 3ubdivision .................................... Filed Map ............ Lot ...................... Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate..,.~. ...... 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 May 2, 1996 Mr. David Sadowski 900 Leslie's Road Cutchogue, NY 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. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22912-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PA B 1185077 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ' Dat~ JULY 27,1995 Application Mo. on file O7424395/95 N 359095 THIS CERTIFIES THAT only the electrical equipment ~ ~serlb~ be~w a~ int~uced by t~ applicant ~med on the a~ve application number in the presses of DAVE SADOWSKI, 900 LESLIE ROAD, CUTCHOGUE, N. Y, in thefollowl.~ location; [] Basement [] Est FI. [] '~.d FI. OUT Section tvas examined on ~LY 24,1995 and found to be in compliance with the National Electrical Code. Lot FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FAN! DRYERS SYSTEMS NO. OF FEET OTHER APPAR~US: SWIP~ING POOL- 1 FILTER PUMP I H, P,-1 G.F,C.I.-! *(SWIP~ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual ~nvironments it is advisable to have frequent test/and or repairs made by a qualified person. E R V I C bio O~E RCC,~CON V <<< Continued on Page 2 >>> OF CC. COND. NO. OF Hi-LEG AWG. NO, OF NEUTRALS OF NEUTRAL GENERAL MAH~QER Per \ -L, This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE M~$T NOT BE ALTERED THE NEW YORK BOARD OF FIRE UNDERWRITERS 1185077 BUREAU OF ELECTRICITY ~ ES JOHN STREET, NEW YORK. NEW YORK 10038 Date JULY 27,1995 Applicat;on No. o. file 07424395/95 N 359095 THIS CERTIFIES THAT only the olectrlcaI equipment os described below a~d introduced by the applicant tmm~ ed on the above application number in the premises of DAVE SADOWSKI, 9~0 LESLIE ROAD, CUTCHOGUE, N.Y. in the following location; [] Bosement [] tst FI. [] 2nd FI. 00~ Section Block Lot u~s examined on o~L¥ 24,1995 and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OTHER APPARATUS: OF CC. COND, OF NEUTRAL .o. o~c~co.o .o. OF .,-LEO ^ w.O. OF HI-LEG ROSLAK P, IJ~CTRIC P.O. BOX 164 CUTCHOGUE, NY, "11935 LIC. #3677-R GENr~AL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may ~i i~denfifi~d by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF Ci~RTIFICATE MUST NOT BE ~LTERED |~J~AN¥ MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I/,~NSULATION [ ] FRAMING [~,/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,~/~/~ // DATE INSPECTOR FOUNDATION ( IST) ROUGI1 FRAME & PLUMBING INSULATION PER N. ¥. STATE ENERGY CODE DATE COMMENTS ti It FINAL LEWIS E. ~ASTWOOD 62 TOPPING DRIVE RIVERHEAD, NEW YORK 11901 n'On- FORM NO. 1 TOWN OF SOUTHOLD , BUILDING DEPARTMENT TOWN HALL TEL,: 765-1802 Examined ~ ~i Approved : :'~.'~: ~, 19'.-..,Permit No~...~. ?./..... Disapproved a/c ' ~/~/~PLIC~TION FOR BUILDING PERMIT , INSTRUCTIONS BO'(RD 0F HEALTH 3 SI~TS OF PLANS SURVEY ClIECK MAIL TO: a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Bifflding Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of tot and of buildings on premkes, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. . . . c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this,a~pplication, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ' · At'PLICATION IS HEREBY MADE to the Budding D~8~tm, e~t.;~o~the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Coui~ty~ New, York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and re~utations, and to admit authorized inspectors on premises and in building for necessary inspections.. ,/~, ~ / . ~ ' '~,;,.~ ~'~gf~piill~cant, or name, ifa corporation) · . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engzneer, general contractor, electrician, plumber or builder. ' .............. Nam~ of owner of premises'~-~.<~9~¥..,, ~,~ {~. ',o~..~.~. I ............................. (as on the tax roll or latest deed) If applicant is a borporation, signature of duly auth~orized officer. (Name and 'title of corporate officer) Plumber's License No ......................... Electrician's License No ....................... Other Trade's Licev~,e No ...................... ' JUL 11995 1. Location of land on which proposed work will be'done ................................ . .................. ............ ................ .............. . ..... }louse Number Street Hamlet' County Tax Map No. 1000 Section .... ~.~.. ......... Block ... ~..~. ........... Lot...~.....~ ............ Subdivision..~_.. Z-Drk~6,o.3~}~ ............. Filed Map No..,~:./~,~..~ ...... Lot .... ~ ......... (Name) ' State existing use and occupancy of premises and in tended use and occupancy of proposed construction: a. Existing use and occupancy ._~...~r?-{ .... '.~.,m.,,',-r-~ . . ..x~.'~ ............. ~,.. · t,* ...................... b. Intended use and o~cupancy /(. ..... . .;~.~..~-,~'..-?¢~.. ,/~, · ~.~. ~"i(.~.: ',~' ~,~ ~ ~,~x; ,~ 3. t ofw check wh h applicable) ddition .......... .4~ratiOn ..... '... 4. Estimated Cost. ~ (Description) (to be paid on filing this application) 5. If dwelling, number of dwellingiunits Number of dwelling units on each floor ................ · If garage, number of cars .... 2 ........... Height .~. ........... ~un!ber of Stories../.. ~ .......................................... Dimensions of s~ime structur,, with alterations or additions: Front ' ' ' Depth ' Height : .................. Rear ...... , ........... · Number of Stories · lmenmons ofenbre new construction: Front Rear Depth Height .............. ~.~Nun~ber of Stories ..... ........... ',. .......... I0. Date of Purchase ........... e . : .......... : ..... ........... i ......... ' ......... Name of For~aer I 1 Zo di i t i hich p ~mi situat d.'77~rd~r[r.~.( .............. ' .............. " Does proposed constru~ctjon v~ol'ate any zoning law, ordinance or regulation: . .,,f~)~ .................... 13. Will lot be regraded .fi-~./~.... 'i ', .................. Will excess fill be removed from premises: Yes ' amc of Architect , .~. . . Name of Contractor f,7~,.~. ~.~{~..'.'-*~.\. ,5,m/~A.. Address ........... . ........ Phone No ............ ; ... 15. ' Is this property within ~00 feet: o£ a tidal ~etland? *Yes ........ No.~.. '''' *If yes, Sout:hold ~own Trustees ?ertn±t may be required. ''' PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. . UNDERWRITEF~$ CERTIFICATE CERTIFICATE ~TATE OF NEW YORK, -Or r~v ~ S.S ...... ...... ........... (Name of individual signin~ contract) I~OLLOWING IN,~PI~CTIONs: '~, FOIJNDATIOiV TWO RE~IJIRED ~, ROUGH ~ ['~ ,,:.,., :*:' ~; FINAL ('()~w~'~kl(Tt ~O1~ [~UST 8E COMPLFF[' FOR CO. ALL CONSTRUcnoN SHALL MEET THE R~OUIREMENTS OF THE ~ ~NSTRUCTION ~ ENERGy ~, ~T RESPON~a~ ~R being duly sworn, deposes and says that he is the applicant bore named. leis the .. ? ................... I (Contract'r~r ....................... '.' ............................ ' agent corporate officer etc ) f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ?plication; that al/ statements contain'ed in thi~ application are true to the best of his knowledge and belief; and that the · ork will be performed in the manner sbt forth in the application filed therewith· worn to before me this Notary Public, State of NeW Yod( . ~ ~ -- --;~. ~'"~ ...... . No. 4952246, SuffolkCou t~gnature of applicant) Term Expires June 12, 'o SURVEY OF LOT 6 "MAP OF BAY HOMES" A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 97- 09- 03 Sca/e: 1" = 40' June 4, 1993 Area = 46,079 sq. ft. CERTIFIED TOt DA VID SADOPISKI DONNA SADOWSKI ARCS MORTGAGE INC. PECONIC ABSTRACT, INC. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEE YORK (606'S-0556) Prepored in accordonce with the minimum $1ondorSs for lille surveys os esloblished by /he L.I.A.L.S. one approved and aclopted /or such use by The New York Sfole Land Title Associalion. $OUTHOL~I g'i l