HomeMy WebLinkAbout20929-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMF~NT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22037
Date DECEMBER 16~ 1992
THIS CERTIFIES that the buildinq.
Location of Property 27585 MAIN ROAD
House No.
County Tax Map No. 1000 Section 102
Subdivision
ADDITION
Street
Block
Filed Map No.
CUTCHOGUE~ N.Y.
Hamlet
Lot i5
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 31, 1992 pursuant to which
Building Permit No. 20929-Z dated AUGUST 31, 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 BATHROOM ADDITION WITH ENTRY FOYER & PORCH TO AN EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to STANLEY M. RAKOWICZ
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-258086 - NOVEMBER 23, 1992
PLUMBERS CERTIFICATION DATED DECEMBER 7~ 1992 - HARDY PLUMB.
Rev. 1/81
& HEATING
/~Buiraing Inspector
~)R~M[ NO. O
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)
N°-N,° 2092'Z ~ate ............ ...'~/~./. ............................. ,,9..~...~.
Permission is hereby granted to: / /~ ,
. ..~.....:~....~....~~ ......
.~z~./.....~..._~..~~.~.. ........
...... ~~~ ....... ~.~ ......... :
at ~)remises ~ocated at .......... ..,~'...../..~/~ ....... ~.:/.**, .............. ~.~......~ ................................... ~' ''
............................... - ....... ~/-7 .....................
................................... ........ ...................................
County Tax Map No 1000 Section ./..ff...~.~- Block . ~../. ......... Lot No ........ ./..~ ......
pursuant to application dated ............... ...~./....~..../., ......................... , 19.Z.~..., and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ·
765-1802
DEC II 1992
~'OWM O[~ SOU'THOLD
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/I0 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
'¥re-existing" land uses:
i. 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 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 $15.00, Commercial $15.00
Date .... ! .~.:/. z 2 ~ ........................
New Construction...........~ Old Or Pre-existing Building .................
Location of Property.......~-~- ..................................
House No. Street Hamlet
Onwer or Owners of Propgrty ........'~/~.(.~.t.~./.~.~ ...................................................
County Tax Map No 1000, Section.~.q~. ........ Block...~..' .......... Lot/.~. ..................
Subdivision ................................ .f~j.T.?..~..'..Filed MaPA ........... lzcant ~g'/L°t ...................... ~ ~
Permit No.~.~..~.~.~.-...~..Date Of Permit. ~ .... pp ' ~ ..,.~ ..... ¢. ............
Health Dept. Approval .......................... / Underwriters Approval...~..~ ................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate.....~......
Fee Submitt ed: $ .~..~.....O.~. .................
. ..' ,, - ...............
C o ~ ~1~ O~ 7 AFF~CA~ u
THE NEW YORK BOARD OF FIRE UNDERWRITERS
[(~0 t 2 [ BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date ~]OV~MB~[~ 23~1~)92 Application No. onfile e3~3899~/~ ~ 258086
THJ~ CERTIFIES THAT
only the electrical equipment ~ ~scrlbed below and introduc~ ~y t~ applicant ~med on the o~ve application nu tuber in the premises of
in thefollowlng h,catlon~ ~ B~sement ~ Ist Fl. ~ 2nd ~3. ()ll~' Section Bilk Lot
~s examined on ~ 0 ~ ~ ~(~ ~ ~ 1~ ~ ~ ~ ~ ~ and found to be in compliance u, lt h the require~nents ~f this Board.
FIXTURE FIXTURES RANGES OVENS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT OTHER
5 9 5
DRYERS FURNACE MOTORS TIMECLOCKS UNIT HEATERS MULTI-OUTLRT DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
NO'O E COND OF ~C, COND OF HI-LEO
275 ~'OWN }IARBOR LAN~
SOUTHO[,O, NY., 11971.
GENERAL MANAGER
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 NOY BE ALTERED IN ANY MANNER.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
£OUTHOLD, N.Y. 11971
CERTIFICATION
TEL. 765-1802
Buildi__n_g. Permit No
' '(please priht) --
I certify that ~h- solder used kn the water supply system
contains less than 2/10 of 1% lead.
(plumber' s signature)
.~w~n to before me this
Notary Public, ,~'1,/~t¢'0/-,-'~/~- County
Notary/Public
N~. 4~08712
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
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTr 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
NOVlRamRR 23, 1992
STANLEY M. RAKOWICZ
27585 HAIN ROAD
CIITCHOG'UE, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
/ ~ An application for Certificate of Occupancy is
not on file. (Enclosed)
~ x~x No Underwriters Certificate on file.
v ~ The check is ~not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
~, ~ax No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 20929-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 [ ] INS~JE. ATION
FRAMING [ ,~/~FI NAL
DATE
INSPECTOR
765-:i802
BUILDING DEPT.
INSPECTION
,,[ ]FOUNDATION IST [ ]~JG. PLBG.'
[, ] FOUNDATION 2ND ~NsuLATIoN
FRAMING [ ] FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ R~~OUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[p,]'~MING [ ] FINAL
DATE
,INSPECTOR
'OUNDATION (2nd)
ID~?E
~OUGH FRAME &
.PLUMBING
[1;SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONA~L COMMENTS
TOWN Or SOBXaOLO, NEW ¥OXK
AC~IO~ OF WnE ZON~NO no~um OF
Appeal No. 2394 Dated February 3, 1978
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To Stanley & Barbara Rakowicz (Gary Olsen, Esq.)
Main Road
Cutchogue, NY 11935
DATE ..M...a...r..~ _h.....2., 1978
AppeHant
at a meeting of the Zoning Board of Appeals on . March 2,
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
{X ) Request for a variance to the Zoning Ordinance
( )
1978 the appeal
I. SPECIAL EXCEPTION. By res~ution of Me Board it was determ~ed ~ a ~ecial except~n ( ) be
~a~ed ( ) be de.ed pursuant to Artic~ .................... Section .................... Subsection .................... para.apb
.................... of the Zon~g Ordnance and ~e decision ~ the Building I~p~tor ( ) be reversed ( ) be
co~med b~au~ 9:05 P.M. (E.S.T.) upon application of Stanle~ and
Barbara Rakowioz, Main Road, Cutchogue, New York for ~ variance
in accordance with the Zoning Ordinance, Article III, Section
· 100-31 and Bulk Schedule for permission to construct addition
with insufficient side yard setback. Location of property:
North side Main Road, Cutchogue, New York, bounded on the north
by Sacred Heart'Church; east by Sacred Heart Church; south by
Main Road; west by H. Sarnowski.
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce
hardship because
SEE REVERSE
practical difficulties or urmecessary
(b) The hardship created (is) (is not) unlque and (would) (would not) be shared by all properties
alike in the immediate vicinity ot this property and in the same use district because
SEE REVERSE
(c) The variance (does) (does not) observe the splrii o~ the OrdLuanco and (would)
change the character o~ the district because
(would not)
SEE REVERSE
and therefore, it was f~xlher determined that the requested variance ( ) be granted
that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed.
) be denied and
SEE REVERSE
FORM ZB4
ZONING BOARD OF APPEALS
After investigation and inspection, the Board finds that the
applicants request permission to construct addition with insuffi-
cient side yard ~etback, north side Main Road, Cutchogue, New York.
The findings of ~he Board are that the Board is in agreement with
the reasoning of ithe applicant.
The Board ~inds that strict application of the Ordinance
would produce practical idifficulties or unnecessary hardship;
the hardship cre~ted is unique and would not be shared by all
properties alike !in the immediate vicinity of this property and ·
in the same use district; and the variance will not change the
character of the ineighborhood, and will observe the spirit of
the Ordinance. :
· THEREFORE ~T WAS RESOLVED, Stanley and Barbara Rakowicz,
Main Road, CutchQgue, New York be GRANTED permission to construct
addition with insufficient side yard setback, north side Main Road,
Cutchogue, New Y~rk, as applied for, subject to the condition that
th? applicants m~ke every effort to avoid backing out onto the
Ma~n R6ad.
Vote of th~ Board: Ayes:
Maimone.
- Messrs: Gillispie, Grigonis,
Doyen,
TOWN OF SOUTHOLD, NEW YORK
ACTIO~ OF THE
Appeal No. 2;~94 ~i Dated February 3, 1978
Ac~o~ OF Tm~ ZONING BO~RD OF APPEALS O~ THE TOWN OF sOU~HOLD
To S%aniey & Barbai!ra Rakowicz (Gary Olsen, Esq.)
Main Road
Cutcho~ue, NY i11935
Appellant
! March 2, 1978
at a meeting of the Zoning Boa~d of Appeals on ~
WaS considered and the action indicated below was taken on your
( ) Reque:d: £or variance due !to lack of access to property
( ) Request for a special exce~tion
the
Zoning
Ordinance
~ ) Request for a variance to ~he Zoning Ordinance
( )
the appeal
I. SPECIAL EXCEPTION. Byl'resolution of the Board it was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph
.................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be rever~ed ( ) be
confirmed because 9:05 P.M. (E.S.T.) upon applicatign of Stanle~ and
Barbara Rakcwicz, Main Road, Cutchogue, New York for a' variance
in accordance w~thI the Zoning Ordinance, Article III, Section
100-31 and Bulk Schedule for permission to .construct addition
with insufficient bide yard setback. Locatlon of property:
North side Main Ro~d, Cutchogue, New York, bounded on the north
by Sacred Heart' Ch%rch; east by Sacred Heart Church; south by
Main Road; west bY H. Sarnowski.
2. VARIANCE. By resolution[ of the Board it was determined that
(a) Strict application of the ~rdinance (would) (would not) produce practical
hardship because '
SEE REVERSE
difficulties or urmeces~ary
alike in the immediate vlcm~ly
SEE REVERSE
The hardship created (~s) (is not) unique and (would) (would not) be shared by all properties
of this property and in the same use district because
(does not) obse~'ve the spirit of the Ordinance and (would)
(c) The variance (does)
change the character of the ~Iistrlct because
(would not)
SEE REVERSE
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Building Inspector ) be confirmed ( ) be reversed.
SEE REVERSE
FOR~ ZBi
ZONING BOARD OF APPEALS
~' ! TOWN OF$OUTHOLO
\pprovcd ........".~..~-~ ...... 19 .~.~T Permit No ...... ..~,~.~.~
)isapproved a/c .....................................
FORM NO. 1
~)WN OF SOUTHOLD
LDING DEPARTMENT
TOWN HALL
UTHOLD, N.Y. 11971
TEL.: 765-180;]
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH .........
SETS OF PLANS ..........
SURVEY ...................
CI1ECK ........
t,O~ ~ py:
CALL ...................
HAIL TO:
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
:ts 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
: areas, and=~vmoo' ' o a detailed description of layout of property must be drawn on the diagram which is part of this appli-
~tion.
c. The work covered by this application may no~ be commenced 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 w6rk,
¢. No building shall be occupied or, used in whole or in part 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
]ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
zgulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
~e 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 necessary inspections. /3 ., ,
, ..........
-- (Signaturo'of applicant, or name, if a~'cr}poratinn)
(Mailing address of applicant)
: 'ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....................................................... AP, P. ROttED AS. NOTED .....
~me of owner of premises .~ . .~..gfZg: q- ~5-r~i~L~',/ (~ k{,o~o t~"~. OATE2~B.R #
, (as on the tax roli or la e t d
. t s eNOTIFY BUILDING OEPARTfilENT 'AT
applicant is a corporation, signature of duly auth~orized officer. 765-1802 9 AM TO 4. PM FOR THE
FOLLOWING INSPECTIONS:
.................................... x~', ,v~. } 0 R 1. FOgNDA'flON TWO REQUIRED
( a,ne and tit, c o. eo orate of cer CCUPANC¥ .OR POU. O 0NC.ETE
Builder's License No. .~.~.-~..O. !~.'.~.., ~,I;~, ~ 2. ROUGH - FRAMING & PLUMBING
. ~.,¢'~,~, ~'t¢¢ t!,J~0~.~,/F%~¥~,~.~ 4. FINAL - CONSTR~CTIONMUST
Plumber's License No ...... ~,.'~ .a:'¢ .... BE COMPLETE FO
!OUT CERTIF CAt'= MEET
~ ~' ~£L CO~STRUCTONTSHALL
Electrician's License N~ ................ TH6 REOUIREMENT~ OF THE N.Y.
Oilier Trade's License No ..... "" *~ ~;~ ~ 2~ ~ CODES, Ne RESPONSIBLE FOR
. I3FS~GN OR CONSTRUCTION ERRORS
Location ofland on which proposed work will be'done ~/~ !~/~ ~
..... ~ .............. .~ .~ ...,.... ~__
/louse Number Street Hamlet
County Tax MapNo, 1000 Section.~.............. Block { Lot..l~ ...........
~ubdivision ..................................... Filed Map No ............... Lot ...............
(Name)
;late existing use and occupancy of premises and intended use and occupancy of proposed construction:
, xisting use and occupancy ,. t , ..
, Intended use and occupancy , t ¢.. .
'.", ~(, ~ .
3. Nature of work (check which applic lble): New Building .......... Addition ,. , -~;~teratmn ..........
Repair .............. Removal ............. Demolition ,..; ............. O. ther t~4tk ...............
'606 :" ,, . ....~ ..... ,, csc on
4. Estimated Cost... j..a ............................... Fe~ ......... ,.
· (to be paid bn.,filing this application)
5. If dwelling, number 6f dwelling units ............... ~ber of dwelling units on each floor ......
If garage, number of c~s ....... 4 .......... ' .........
If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions ofexistingstmctures i~ang: Front .~ fft. t . Rear ~' ~" .....................
........ Depth .~('. &'~ ......
Height Numbed'of Stories
Dimensions of same structure with filterations or additions: Front ............. i. Rear ...............
Depth H i~t '
...................... e .... Nu b fSt fi
. ~ens OhS re new constmct3on: Front Re D pth I ........
Hight N mb ,~ · · .... ar .............. e
· · u of Sro ...............
9. Size of lot: Front ......... ~ ........ Rear .................. Depth
S~~ ~5~ ~ , ~ e~i~' ............
10. Date of Purchase Name of Fomer Owner ..
1,1. Zone or use district in wluc remz~es are situated ................... ' ..........
12. Does proposed construction Wolate any zonmv law nr~i~ ...... ~ ~ ~'
13. Will Iot be regraded ........... ,~ ................. Will excess fill be removes from premise~'
14. N~eofOwnerofpremises~.~ ~c;~ ..Add .... ~ ~o~,~~-
Nme of Architect .... · ....
........ , ............... Address ................... Phone No ................
N~e of Contractor ........... j ............. Address ..... ~ ............. Pho~ No .........
tS. ~a Ch~a proper~y w~ch~n 300 feet of ~' t~dal wetland? Yes ........ No.~ ..... ' ......
· If yes, Southold To~n Trustees Permit may bo required.
... ; PLOT DIAG~
Locate clearly ~d distinctly fll b~ild~gs, whether existing or proposed, ~d, indicate ~1 set-back fl~ensions from
property ~nes. Give street ~d block number or description accord~g to deed, and show street nines and indicate whether
~tefior or comer lot.
(Namffof indiGdual signinrg cont~ being duly sworn, deposes and says that he is the applicant
~bove named. , .
is the ....................... ~ ...................................................
. (Contractor agent corporate officer etc )
said owner or owners, ~d is dulyfauthorized to perform or have performed the said Work hnd to m~e and file this
~pplication; tbat all statements contaihed ~ this application are true to the best of his knowledge and belief; and that the
york will be perfo~ed m the manner ~ct forth in the application filed therewith.
;worn Io before me this ,
NO ~79505 j ~ ' Z (Sign tU~applicant)
STANLEY ~ BARBARA RAKOWICZ