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Home My WebLink About21073-z R FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF,OCCUPANCY No Z-22136 Date FEBRUARY 4 1993 THIS CERTIFIES that the building ADDITION Location of Property 1355 LAKE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 5 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 3 1992 pursuant to which Building Permit No. 21073-Z dated NOVEMBER 9, 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 The certificate is issued to PAULINE DWYER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 FORM NO. $ 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) N2NN9 21073 Z Date ..9......................., 19...%2 Permission is hereby granted to: C~~r~ ~........lvl:......~Si ?K~ wiC- /195...... to EGa.A!sr',e u Gi o,rJ /o .4 S:,d ................/`3....................................................................... " X ass 2 at premises located at S5 ~oZJ 9ct dE w . ...y, . { County Tax Map No. 1000 Section `5.9........... Block 2.......... Lot No.....~1 pursuant to application dated ..............ll..........................., 19..9, and approved by the Building Inspector. Fee us~~ GrAIC140e- OC =z9 199E uild g Inspector Rev. 6/30/80 i ! TOWN OF SOUTHOLD v _ J BUILDING DEPARTMENT yL/ z~?~ O ° j TOWN HALL ; 765-1802 ~z t FEB - II9~,i APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. 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 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15 0 , Commercial $15.00 Date cz. n New Construction........... Old Or Pre-exist/' BB ilding~ .s.......... . Ch !uyi.." fr a~ Location of Property House No. Street Hamlet Onwer or Owners of Property .....FgV:'•~~•••• County Tax Map No 1000, Section.... .......Block..... 0 ......Lot.....!./ Subdivision ......rry~ .............................Filed Map............ Lot...................... Permit No.....~ G. U .ate Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary ~C'ertificate........... Final Certicate..Cf....... Fee Submitted: . Qom, tf y r . • LICANT ~I INSPECTORS Victor Lessard ~~UPF!}( Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector o W Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector Gary Fish Southold, New Fax (5. 6) 765-1823971 Building Inspector Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JANUARY 29, 1993 GERARD M. STANREWICZ P. O. BOX 354 PECONIC, NY 11958 RE: PAULINE L. DWYER To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: RSR 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 # 21073-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: PAULINE L. DWYER H ~*OUI7DATION (1st) =OUNDATION (2nd ) I e / _ Ri r o SOUGH FRAME & w I ~ -PLUMBING I H m INSULATION PER N. Y. I, STATE ENERGY II CODE y FINAL ADDITIONAL COMMENTS: m \o ' s • X ro 37 • S •o H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [Vf FRAMING [ FINAL REMARKS: DATE / ~r INSPECTOR S . ~ TRUSTEES O~pSUfF014 co SUPERVISOR John M. Bredemeyer, III, President Gyp SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President H Henry P Smith Town Hall John B. Tuthill 53095 Main Road William G. Albertson P.O. Box 1179 , Rlephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 29, 1992 Rod Stankewicz P.O. Box 354 Peconic NY 11958 Re: SCTM #59-5-11 Dear Mr. Stankewicz: After an office review of the above referenced property, the removal of the porch and re-construction of a structure no closer to Great Pond than that of the existing structure is non-jurisdictional under the Town Wetland Ordinance. If you have any questions, please call us at our office. S,i.ncerely, John M. Bredemeyer, III President, Board of Trustees JMB:djh i 1 j { t F FIN t U~ + i * i Y 57 r ~ A z o i r cti b - - is?p q E,zo w {~q t O OnYY r i IyS i i ~1 1 kl ? u ~ c5 ~n 1.... ` r t D ' r ILA tot a ~ I ru 1 U o~l~v Uj ~0lV_--I 0A-78 ~ tq 1 Ip ~63 ~ i!'- BOARD OF HEALTH y,ft"'i~ PORMN0.1 ---B SETS OF~PL.AYS SURVEY 1"~'~~ NOU-J1 ~~°i' TOWN OFSOUTNOLD ~CHECR @i' BUILDING DEPARTMENT fC%~t .~w.ua.,.a...- TOWNHALL SEPTIC r•oarl d:i, .','114,.(.,, ~ ~ : SOUTHOLD, N.Y. 11977 " TEL.: 765-1802 NOCALL :.7.11: Examined....~~//,,,,,, 19q,/Z MAIL TO: Approved , 19 Permit No. 3 Z? Disapproved a/c O~ ding Inspector) APPLICATION FOR BUILDING PERMIT {Q~ Date ~ 1 19 p INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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. Upon 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 regulations, and to admit authorized inspectors on premises and in building for necessar (.n- spec`ttiiyons. - (Signature of a/p~pli ant, ar,n~!ame, if b. c~orrporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....................madcY................................................................ Name of owner of premises !.Q.U,I! QE. L .~1V % . (as on the tax roll or latest deed) If applica//ntt is a corporation, signature of duly authorized officer. (Name and title of c/o~rpor to officer) Builder's License No. . Jp ~J/ /-/_7- . Plumber's License No . . Electrician's License No . . Other Trade's License No . II 1. Location of land on which proposed work wilpl be done. 4t 6Cj ~ . l.3 S 5 Lahr r r--IIX ......................,~oAdd...................... house Number p Street Hamlet County Tax Map No. 1000 Section • Block Lot . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existin use and occu anc _ X+r ti W0°~ bep1n, b. Intended use and occupancy (~~~~,(d ?t . ACA x1LQ..~ 4,jwfi! -f s1 i,. ;r~ s~ 3. Nature of work (check which applicable): New Building Addition Alteration . % Repair . Removal Demolition Other Work Q0N1 oU e cx Ar,~ Qce~; j A L""Id Jr ou, A"mtnr+^n! (Description) 4. Estimated Cost Fee...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars V. . commercial or ix occupancy, specify nature and extent of each type_ of use . 6. Ibusiness, b 7. Dimensions of existing structures,if any: Front Rear Depth . g FrofStories...- Dimensions of same structure with alterations or additions: Front Rear Depth ht . . . . .Height Number of Stories . of entire new construction: um Front Rear............... Depth 9. Se ht lot: F of Stories . Rear............ . Depth 10. Date of Purchase ' Name of Former Owner 11. Zone or use district in which premises are situated . . 12. Does proposed construction violate anv zoning law ordinance or . ~ regulation : 13. Will lot be regraded Will excess fill be removed from premises: Yes No 14. NName of ame of OOwne o premises Address Phone No............... . Architect . . • • • • Address Phone No............... . Name of Contractor . . Address . Phone No........ . 15. Is this property within 300 feet of a tidal wetland? *Yes........ No......... If yes, Southold Town Trustees Permit may be required. 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 description according to deed, and show street names and indicate whether interior or corner lot. f P~ 9' pt (/e 1~ tA)1 2)l l P lhi~p Ut %t( C~ l if ~rc~~ STATE OF NE ~K n~ S,S COUNTY OF ~~r.. 1: . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. p He is the ...........L ru (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the„application filed therewith. Sworn to before me this .day of . .Y.. V 19 . Notary Public, V(aIVRL , aunty ~ Notary P 48795051 York No .48795051 M~.r: / Qualified in Suffolk County G~ ..(Signature of applicant) Commission Expires December 0, 10 aa:' a 97.7 - N.43°6 G'_30'E. -.3 C? Sq, 14 - - 1169".16 t4 Kcr+..e is read s f i ' Z ~l'a :~r6 d 4r 3, ~1 C IV ~.i. /=ouSP Y Y ' > pA.-c1, ~yl ~ ~l / if FDu ` iFiF tp h IM 1'l~lt~ Q°, }G ; J` y !U i ^nJ ~Ip V. 4: q r Iui;U,• TO AD. ~~.I ~ a• ~ ~WtrfR I U. J. L ife -riOlc //7;x61 w."YJ7 dv+y Gi mac; /a i f f f, 7 200 E k: iCl' ~%&V 7-D Y4- - - (~.fC:~+rlgitt'~ 1b:~'1rFW'[ dUa'Vi"1~" rA. W~o 3v' T T u i I Px -~~mcds i MvVil OR !,E ® SAS ba@F SYP - - - ° iku F~3+rr~r~-nrrj -s=4'-8ec~~,~ r q pp~~,r^°,.y, 'Fn.irv[ Fi aPoN - - 'T~' rE,' v~r N aaYyy i ,v16' 7:d+~N ~~g64 4~ ~.iA `S~ I o1 ~ I I ~ ~ ~ APPROVED AS NOTED DATE. 1'1919Y B.P.# 07327 I'o.00 i NOTIFY BUILDING DEPARTMENT AT .L 766-7802 9 AM TO 4 PM FOR THE j 1;1334 i'+ - ~ e u_ _ r -Y _ FOLLOWING INSPECTIONS: F t I ~ t r 1. FOUNDATION - TWO REQUIRED i FOR POURED CONCRETE Gi- S+~_$._ is w - 7a=H~ 2. ROUGH - FRAMING R PLUNKING I~~(.-f~~y ^V • \ ~Ihj'iV C/V 3 LA7101J q. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Phone 477-0400 ~ t Main Rued _ _ I` ~ zaaix. K Wc=nT?23~ r~__ i L_N. THE REQUIREMENTS OF THE N Y. _aY-~1-a-_ _ _ STATE CONSTRUCTION & ENERGY GREENPORT, N.Y. H 944 CODES. NOT RESPONSIBLE FOR -'1.~~-077 D-' DESIGN OR CONSTRUCTION ERRORS = LIAf4b 5r-Art -pocrUENCC inn, awe DJECK PLA J JT+el<n L PI AN NU-~1-S 11 Sf,ALE AS.SHaWN- Z- ePr ct 7-