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Home My WebLink About21056-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22340 Date MAY 19~ 1993 THIS CERTIFIES that the building. Location of Property 64290 NORTH ROAD House No. County Tax Map No. 1000 Section 40 Subdivision ADDITION Street Block 3 Filed Map No. GREENPORT~ NEW YORK Hamlet Lot 10.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 8, 1992 pursuant to which Building Permit No. 2105B-Z dated OCTOBER 29~ 1992 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR CHARLES & JUDY KOZORA The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FOB, B~ NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 21056Z . .~. ~~~ ..... /~.~ ,~ ot p.e.~,ses ~,..., .~..~.~...~~ ............ J ................................................ ~?/-~ CounW Tax Map No. 1000 Section ........ ~ ....... Bilk .....~ ...........Lot No....~e.~... pu.uant to application dat~ ...... ~ .................................... , 19~nd approv~ by the Building Inspector. ......... 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 Ppre-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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . New Construction.~9~...'. Old Or Pre-existing Building ................. Location of Property....~.~.~.~Z ............. ~p~.~....~ ........ .~..~.~.~F-. ..... House No. Street Hamlet O~r or Owners of Proporty ..... ~,~.~..~...f~... . ................................. . ... County Tax Map No 1000, Section .............. Block ......... .. .... Lot· ................... . . Subdivision . .. Filed Map Lot . Permit No..2~.~f.~ .... Date Of Permit .... ~. ....... Applicant..~Y. ~.~.~....~.~... Health Dept Approval o Underwriters Approval . Planning Board Approval ...... .~. .............. Request for: Temporary Certificate ........... Final Certicat~.~..~.~.. .... Fee Submitted: $ .... 2~.~.... INSPECYORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Superviscn' Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 10, 1993 CHARLES & JUDY KOZORA 64290 NORTH ROAD GREENPORT, NY I 1944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 21056-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE oF BUILDING INSPECTOR TOVqN OF SOUTHOLD May I0, 1993 CHARLES & JUDY KOZORA 64290 NORTH ROAD GI~ENPORT, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is~m~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 ~ 21056-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING [~FINAL DATE ~/~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~'I~MING [ ] FINAL DATE TRUSTEES John M. Bredemeyer, III, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 22, 1992 Charles & Judy Kozora 64290 County Road 48 Greenport NY 11944 Re: SCTM #1000-40u3-10o3 Dear Mr. Kozora: SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 The following action was taken by the Board of Trustees at their regular meeting of'October 22, 1992. Resolved that the Southold Town Board of Trustees grant a waiver to construct a 14' X 24' deck attached to existing dwelling and a 20' X 24' shed as shown on survey. If you have any questions, please call us at our office. John M. Bredemeyer, III President, Board of Trustees JMB: djh cc. Building Dept. PLOT PLAN FOR DIJ-- I000 SECT- .40 PROPOSEI) ~LOCK- 3 KOZORA, /4 x ~ bECK PR~PARFP. ~y Z TRUSTEES John M. Bredemeyer, III, President Albert J. IQ'upski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 October 22, 1992 Charles & Judy Kozora 64290 County Road 48 Greenport NY 11944 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Ma~n Road EO, Box 1179 Southold, New York 11971 Re: SCTM #1000-40-3-10.3 'Dear Mr. Kozora: The following action was taken by the Board of Trustees at their regular meeting of~October 22, 1992. -Resolved that the Southold Town Board of Trustees grant a Waiver to construct a 14' X 24' deck attached to existing dwelling and a 20' X 24' shed as shown on survey. If you have any questions, please call us at our office. John M. Bredemeyer, III President, Board of Trustees JMB:djh cc. Building Dept. N~ew York State Department of Environmental Conservation Building 4Q--SUNY, Stony Brook, New York 11790-2356 ($16) 75 1-q389 Thomas C. Jorling Commissioner Charles Kozora ~4290 North Rd. Greenport, NY 11944 Sept. 25, 1992 RE: Permit #1-4738-00380/0000]-0 Dear Mr. Kozora: In conformance with =he requirements of ~he State Uniform Procedures Act (Article 70,ECL) and its implementing regulations (6NYCRR, Part 62]) we are enclosing your permit. Please read all conditions carefully. If you are unable ~o comply with any conditions, please contac~ us at ~he above address. Also enclosed is a permit sign which is to be conspicuously posted at ~he project site and protected from the weacher. Very ~ruly yours, Roger Evans Sr, Environmental Analyst RE/rw enclosure · 20-6 (10/90)-- 25C 1-4738-00380/00001-0 F^CIL~TY"PROGRA*,I NUMnt PERMIT Under the Environmental Conservation Law ~'J New L~ Renewal ~ Mod,ttCatlOl~ [ FF~CTIVr [)ATE Sept, 25, 1992 'r XPIRATION DATE Sept. 25, 1995 [----~ Article 15, Title 5: Protection of Water ~-"~ Article 15, Title 15: Water Supply ~ Article 15, Title 15: Water Transport [---q Article 15, Title 15: Long Island Wells ~ Artio,e 15, Tit,e 27; b------] Wild, Scenic and Recreational Rivers ~ 6NYCRR 608: Water Quality Certification PERMIT ISSUED TO Charles Kozora ADDRESS OF 'PERMITT[~ .... 64290 North Rd,~ ~reenport:,~ NY CONTACT PERSON FOR PERMITTED WORK Article t7, Titles 7, 8: SPDES Article 19: Air Pollution Control Article 23, Title 27; Mined Land Reclamation Article 24: Freshwater Wetlands Article 25: Tidal Wetlands Article 27, Title 7; 6NYCRR 360: Solid Waste Management Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management L--~ Article 34: Coastal Erosion Management Article 36: Floodplain Management ~ Articles 1, 3, 17, 19. 27. 37, 6NYORR 380: Radiation Control ~ Other: I 1944 TELFPHONE NUMBER TELEPHONE NUMBER ~ greenpor: Southold £:~s:rac: a dec~. end out building as per the plans prepared by Charles Kozora 9/1]/92 and stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions Includ~ed as part of this permit, Deputy Regional g~vi~ DeRiddcj~___ ...... Z.~ AUTHORIZJ'D 5K]NATURE , ) , // ~? ' , ,.,_..,S o,~:, E! ,~-~h-~r, Page I of 6 9/25/92 U'--'~; 'i "'" "~" '~' '~ '~ ..... o,o ~0UNDATION (2nd~ ~OUGH FRAME & -PLUMBING [NSULATI0,~! FERN. STATE ENERGY CODE FINAL ADDIT%O~;A'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DI:PARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BO,\KD OF ~!EALTt{ ......... 3 SETS OF PLANS .......... SURVEY ................... CII££K ...: ................ S£pTIc roR'H .............. HAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~1~-o- g plans, accurate plot plan to scale. Fee according to schedule. ~ib. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~f.areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- tion. c. The work covered by this application may not be c})mmenced before issuance of Building Permit. .d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant· Such permit all be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in p~t for any purpose whatever until a Certificate of Occupancy ' all 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 tilding Zone Ordinance of the Town of Southold, Suffolk County, Nea, York, and other applicable Laws, Ordinances or :-'gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as liere:m described. ze applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ,mit authorized inspectors on premises and in building for necess_ary !_ns__p.~ ~.~ (Signature of applicantVor name, if a corporation) (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... 4. ~me of owner of premises . . .~/(Y~b.~. ........ Z.~.$ ....~..o.~.o..~t~. ......................................... (as on the ta¢ roll or latest deed) applicant is a corporation, signature of duly authorized officer. ,' ' (Name and title of corporate officer) Bu'lder s License No ....... ~..~ ........ Plumber's License No E1 i Jan's Li No -- ectr c cense ....................... Other Trade's License No ~ ' Location of land on which proposed work will be done ................ House Number Street '" County Tax Map No. I000 Section ..... ,~../? ......... Block ..... ,~ ........... Lot /19, .~. .~ . Subdivision ..................................... Filed Map No. Lot (Name) ...................... ~' ..... State emstmg use and occupancy of premises and intended use and occupancy ,. ana . . r x Intended use and OCCun~-~,, ~ .~/0~ t~, ,8~ ,~ k ( pplli 3. Nature ofwor check which a cable): New Building .......... Addition .... r~.... Alteration .......... Repair .............. Removal .............. Demolition Other Work $ ~OO ?..~i (Description) 4. Estimated Cost ............... i.' ....................... Fee ................................. i (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ........ .O ...... Number of dwelling units on each floor .... ,O. .......... · If garage, number of ears ..... l .... ."77 .... . ... . 6. If business, commercial or mix--' ! - ' ' ' .- ' ........... ~ ............................ ....... ct, 9ccupancy, specay nature and extent ot~each t,me of use .Unnenstons oI ex~st~ng structures if any Front .~t ..... Height .... .~$' ....... Numbbr of Stories . ~,.. - .............. ep ........,., ......... Dimensions of same structure with alterations or additions: Front .... .~£ ......... Rear ... ,.~.4.,~., ......... .............. . taeigat ... ~;~,,{6 .............. Number of Stories ..... ~,. .............. 8. Dimensions of entire new construction: Front .... .~ ........ Rear ../.ff...................~,~.~ Depth . .~.. ~.~ . He/ght ...d~:: ........ Number &Stories ...... Zone or use district in which premises are situated .............. 12. Does proposed construction violate, any ~,~nln, 1 .' ' ' ' ' ........ ;,'-': ......................... 13. Will lot be regraded -r ....... ,~ .aw, orumance or regulation. .,'~.q ..... , ................. Will excess fill be removed from premises: Yes No Name of Archltect . .,Wo~. Phone No .... ........................ Address ...... ~ .......... Phone No... ~ ......... Name of Contractor ..... .,~.~,.,.'.,f .i ............... Address ....... . .--r':w.. ........ Phone No ..... .--77.. ....... [5. ls this property within 300 feet of a tidal wetland? *Yes ........ No..~. ' *If yes, Southold To~n Trustees Permit may be required. '''' '". I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines· Give street and block number or descriptioh according to deed, and show street names and indicate whether interior or coruer lot. ?ATE OF NEW YORK, 3UNTY OF S.S ! CA/,qR ................ ......... (Name of individual signing (ontract eve named. , being duly sworn, deposes and says ' '' ......... that h8 is the applicant is the .. ............... · ..... i ...... ........................................................ i (Contractor, agent, corporate officer, etc.) ' said OWner or owners, and is duly auihorized to perform or have perforumd the said work and to make and file this ~lication; that all statements containedl' in this application are trne to the best of his knmvledge and belief; and that tile rk will be performed in the manner set iforth in the application filed therewith. Om to before~e this [ .... :" .... yof .... 0/.%' 191 rary Pubh ounty CC~t,.hcLI ki INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1992 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Charles & Judy Kozora 64290 County Road ~48 Greenport, New York 11944 Re: Premises at 64920 County Road, 948, Greenport, NY Suff. Co. Tax Map ~1000-40-3-10.3 Dear Mr. & Mrs. Kozora: We return herewith your building permit application, plans for a deck addition, and outdated check 90128 in the amount of $50.00 dated July 12, 1990. When you have the necessary permit or waiver from the DEC,and Board of Trustees, please resubmit your application. Thank you. Very truly yours, SO~TH'~I2D ~T~ ~J~.N~ DEPT. Victor Lessard, Principal Building Inspector VL:gar encl.