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Home My WebLink About22381-zFORM NO. 4 TOWqq OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town }{all Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z24725 Date November 6, 1996 THIS CERTIFIES that the building Location of Property 255 Knapp Pl. House No. Street County Tax Map No. 1000 Section 34 Block 2 Subdivision Filed Map No. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 27, 1994 pursuant to which addition and alteration Greenport H~u~llet Lot 16 Lot No. Building Permit No. 22381Z dated October 14, 1994 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 addition and enclosing front porch of existinq one ~mily ~welling, as applied for. The~certificate is issued to Adriene and Annette ciupryk (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H048933 March 4, 1996 PLUMBERS CERTIFICATION DATED N/A /Build~Inspec for Rev. '[/81 FORM NO.;3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 22381 Z Date ....................... .O.g~ ,O. ,B.~,R....! ~.~ ................. 19.?~ ....... Permission is hereby granted to: ADRIENE & ~dNN~TTE ClUPRYK 324 KNAPP PLACE GREENPORT , NY 15944 to CONSTRUCT, ADDITION,. TO EXISTING ONE FA~II.Y DNELLING AS, API~LIED FOR. at premises located at.....;~.,~..Jg~/~'~'...~AC.~ ~ ......................................................................................... GP,]~I~NPO~,T NE CountyTax Map No. 1000 Section ......... .3.~ ............ Block ........... .2. ............. Lot No ............ !~ .............. pursuarlt to application dated ........................ .S..~.~...2~ .......... 19....~ ........ and approved bythe Building Inspector. Fee $.,. 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-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 I% 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 "pre-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. C. Fees I. 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~ - $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 ....................................... . . New Construction Old Or Pre-existing Building ~ Location of Property...~..~..~ .............. .~I..~.e.~...fl.~'.6. ~.-. ......... ~.~,.e.~ .~.~)-'.'.'.'.'.'.'.'.'.~ .~..-. House No. Street Hamlet Eft. do. h/: ' Fx .......... County Tax Map No 1000, Section...~.~..~" ...... Block....°~..'~ .......... Lot...'' -./..~. ............... Subdivision ............................... .. ... Filed Map ............ Lot ...................... ~ ~?.1~. Appli Permit No .......... Date Of Permit ................ cant ............................. Health Dept Approval Underwriters Approval Planning Board Approval ........................ RequesC for: Temporary Certificate ........... Final Certicate ......... ~PLIC~NT FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & ~?LUMBING' 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL ~ENTS: 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 October 9, 1996 Annette & Adriene Ciupryk 324 Knapp Place Greenport, N.Y. 11944 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) XX 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 # 22381-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. d UIRED o,,{o' 0 76~-J,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION [~J"~MING [ ]FINAL 765-1802 BUILDING DEPT. INSPECTION / [~ F~NDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMA/~~ 0-/~ * '~ *~ DATE INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [.].~H PLBG. [ ] FOUNDATION 2ND [//]"INSULATION, [ ]FRAMIT~,,.~]FINAL REMARKS~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [,~NAL DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS :~E :t 8(}62999 BUREAU OF ELECTRICITY -- 85 JOHN STREET, NEW YORK, NY 10038 ~ .I)~E~ OCTOBER 29, ~996 Applie.tio. No.o.fil~ 12746696/96 H ~52~96 THIS CE~IFIES THAT o~y t~e e~tric~ equipment ~ ~cri~ ~e~ a~ int~uc~ ~y t~ appllc~nt ~m~ on t~e a~ applicat~n num6er in t~ p~m~es of ANNETTE CIUPRYK, 324 KNAPP PLACE, GREENPORT, ~s examlned on OCTOBER 24,1996 and found to be in compliance with the National Electt~cal Code. DRYERS FURNACE MOTORS I FUTURE APr'.lANCE F~ED~RS SERVICE DISCONNECT ND.O, I s OTHER APPARATUS: RANGES SPECIAL REC'PT R COOKING DECKS OVENS DISH WASHERS TIME CLOCKS BILL UNIT HEATERS MULTI-OUTLET I ¢ E OF CC. COND. EXHAUST FANE DIMMERS ANNETTE CIUPRYK 324 KNAPP PLACE GR~ENPORT, NY, 11944 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 DEPARTHENT. THIS COPY OF CERTIFICATE MUST NOT ,BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS 8052152 BUREAU OF ELECTRICITY ~ 8S JOHN STREET, NEW YORK, NEW YORK 10038 Date ~RC]~ 04,1996 Application No. on/ire 87113295/95 H 048933 THIS CERTIFIES THAT or~y the electrical equipment es described below a~d introduced by the applicant framed on the above apptieetion number in the premises of ANNETTE CIUPRYK, 324 KNAPP PLACE, GREENPORT, N~ Y. in the following location; [] Basement [] Ist FI. [] 2nd I"l, OUT Section Block Lot ~s examlned on ]~E~I:~UARY 29,1996 and found to be in compliance with the National Electrical Code. 3 5 6 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SERVIC~E DISCONNECT NO. OF S E R V I C E PADDLE FAN'- I MOTORS ~ I-F ~'t. P. G.F,C.I:-I SMOKE DETECTOR: -1 324 KNAPP PI~C~ P, O. BOX 564 G~NBRAL MANAGER GREENPORT, NY, 11944 11 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 credentials. COPY FOR BUILDING,, DEPARTMENT. THIS. COPY OF CERTIFICATE MUST~'NoT,,~ ~ __,~.BE A~.~ERED .... "ANY.~. MANNER SEP 2 ? 1994 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM,ENT TOWN HALL SOUTHOLD, N.Y. 11971 : ~"' TEL.: 765-1802 Disapproved a/c ..................................... ~ (Building ~y(pector) APPLICATION FOR BUILDING PERMIT Date September 27, 19 94 INSTRUCTIONS : a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 s~zts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, 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. Upgn approval of this application, 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, 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 regulations1 and to admit authorized inspectors on. premises and in building for necessary inspections. ,~. /~ - / - . (Signature of applicant, or name, if~ corlCbratio ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... o..wne, r. ................................................................................. Name of owner of premises An. ri.c.i.t,e. .M...C.i.up.ryk .&. &d r ;i .e .n .e . .M.. . .C ii .u p F y .k ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · /t o' Plumber's License No ........ : ................ Electrician's License No ....................... Other Trade's License No .... cf 1. Location ofland on which proposed work will be done .................................................. · .3.2~4. .... ?.J?.J.Pq...........~55 ..... KB.app. ~;1.a.c¢ .................... g~ggP9~ .~¢'4 .%q'~k,. ............ House Number Street Hamlet 16 County Tax Map No. 1000 Section 034 Block 2 Lot ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: RES ' a. Existing use .and occupancy .................................... :4:;';;'4,,';'. '¢-:~ ',?'2.' ~',%',;* ;,;~q;~ ........... RES ;"'~:" ''"': b. Intended use and occupancy ................................... 10. 11. 12. 13, 14. Nature of work (check which applicable): New Building .......... Addition Repair .............. Removal .............. Demolition Estimated Cost 10,000.00 If dwelling, number of dwelling hnits ...... ....... Alteration .......... . . Other ~q~;k;,.,., ............ ., [;~ 't;t((Description) property lines. Give street and block nhmber interior or corner lot. (to be paid on filing this application) ....... Number of dwelling units on each floor ............... · If garage, number of cars ..... I ..................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... Dimensions of ex~stmg structure~ ~f any: Front i/2 Rear .16 Depth Height Number of Stories 2 ' ' ' Dimensions o~same structure wi h alterations o~r additions: Front 2:~ .... Rear ./,6.. Depth .... 4/4 ~ ., · 2/4 ........................ .................. ne~gnt .................... Number of Stories... g ............... Dimensions of entire new construction: Front J_.6 ........... Rear .... .1.6 ........ Depth ... 2.'0.' ......... Height ..... 1.6 ......... Number of Stories 1. Size of lot: Front ./40 I Rear ' }~ .............................................. .......... . ............................... Depth . J-?0 .................. Date of Purchase ...1.9.7t5 ..... i ......... ....... Name of Former Owner ............. Zone or use district in which premises are situated R ................ Does proposed construction violate 'any zoning law ordinance or regulation: Will lot be regraded .... .N.0... i · ................. Will excess fill be removed from premises: Yes No Name of Owner of premises A.. iCiu.pryk A e 324 Kna Pi G t NY 516-477-0079 ~ .............. ddt ss ...... PP ...... P .... Phone No. Name of Architect .... A. ,q~.ul'.rY.k ..... Address324 Knapp Pl, Gpt NY~h,,,,~ w,, '5ig'/~}-66~5' ', Name of Contractor . ?.e.t.e.r..I).o~r.n~a.n. .... Address P.OB 189 Cutchogue N'~h,,,,~ w,, 516-298-2278 Is this property within 300 feet of' a tidal wetland? t{Yes ........ No ......... ·If yes, Southold Tiwn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing.or proposed, and. indicate ail set-back dimensions from or description according to deed, and show street names and indicate whether STATE OF NEW Y...OKI~ ,'], . cou ¥ .......... . (Name of individual signin~ contrac~ / ' ' adore named. He is the ~ ~.~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly 6uthorized to perform or have perfomed the said work and to m~e ~d file this application; that alt statements contain d ~ h' e t ~s application are tru~to the best of his knowledge and belief; and that the work will be perfomed in the m~ner sdt forth in the application filedtherewith. Sworn to before me this ............ ,ota~ Public~, ,~~. County ~ . .' No. ~79505 ~ ~ ./ ~U .~, .~~ , being duly sworn, deposes and says that he is the applicant m/'L" ~DY, PL¥1,dooD FP,~Iqi~,,I~, <o RE.,rlmN No'F6.: E,,x I sl'n',vi B~ LIl-I. HE~Rq'E.O. J bhl. d. Lo.~6O -"IJH HISATE~Da ~ B~,hRl~/a 5'F~OS ~., FL ~H