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Home My WebLink About20769-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z~22430 Date JULY id 199~ THIS CERTIFIES that the buildin~ ADDITION Location of Property 17915 SOUNDVIEW AVENUE House No. Street County Tax Map No. 1000 Section 51 Block 1 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27~ 1992 _pursuant to which Building Permit No. 20769-Z dated JUNE 26~ 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ALFRED & JOAN BARTOSIEWICZ Rev. 1781 4~uilding Inspector FO~' NO. ~ TOWN OP $OUT~OLD 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~NY 2076~Z Permission is hereby granted to: ......................... ~. ...... L~.~.....~....~ ....... ~;.~ ~ ........ ;~ ....... m ............. .~ .................................. ,o ...... ~~c ........ ~ ...... ~.... ~f~.zJ;z~'~ ....... d~ ...... ~.~4 ...... ............. ~.~...~ ......... :~:~ ..... ~4~/~ .............. ,, ,,.~,, ~,,,d ., .............. ~.~Z.~ ......... ~..U4~.~....~(~ .................................. ................................... ~ ..... ~7~oz.z) ~ ~. I/~/ ....................................... ............. ~...~'-'~ ..................................... ~j/~. ~ 2~, -. ]'~:~ ~.~.~ .......................................... >] ........................ .............................. CounW Tax Map No, I000 Section ~/ ......... Bilk ~/ Lof No ......... ~ ............ pumuant to application dat~ ............ ~.~ .......................... 19..~ and approv~ by the Building Inspector. Fee $ .................... Building Inspector Rev. 6/30/80 TRUSTEES · John M, Bredcmcycr, III, President Albert J. IC~upski, Jr., Vice Presidcm Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Junr 25, 1992 Chet Orlowski Pequash Avenue Cutchogue NY 11935 RE: Alfred & Joa~Bartosiewicz SCTM ~ 51-1-6 SUPER¥ISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 Dear Mr. Orlowski: After an on site inspection the South61d Town Trustees found that the proposed activity is non-jurisdictional, as per map submitted June 12, 1992. -' If you have any questions, please do not hesitate to contact this office truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jmt cc: Building Dept. ~ ~L ~g~-- Consultant Project Name SCTM ~1000- Date The Southold Town Trustee office has determine~ that your application for a~_oasta~--erosi'~w~tland ~kmii is ~urJ. s~lctlon~~ please consider the following infor~a~i~ ~is ~ard fo~ any required re~urn s~ml~s~on. , ~ve cc: Building Dept. Zoning Board of Appeals ~on~crvati~n Advisory Council This notice makes no claim with respect to other jurisdictions within or outside the Town of Southold with respect to permits, permission required. 4/92 CHESTER OR LOWS KI Builder Remodeler P EQUAS H AVENUE CUTCHOGUE, N. Y.C4~5 Phones: Res: 734-6693 Bus: 734-6782 BIFID &SON n FOUNDATION (1st). FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING INSULATION PER N, Y. STATE ENERGY CODE FINAL ADDITIO~A'L COMME~;TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ]~FINAL REMARKS: DATE INSPECTOR ? FORM NO. 1 ~ .~, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ,, TEL.: 765-1802 Examined . . . &/~.~ ........ 19~.~ Approved . .(¢#]1~. ...... 19 ~.~. Permit No....¢~..?.~.¢..~. Disapproved a/c ..................................... IIOARD OF HEALTlt ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL ................... HAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date..~...~.. ~ ~] 19727- 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 cbmmenced before issuance of Building Permit. d. Upon approval of this application, tlie Building Inspector wilt 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 Ord;nance 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 appl/cable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. -- (Signature of applicant, or name, if a corporation) ........... 7.'.' ~.~ ~D ........ '- (Mailtng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ~~" '~": .................. : ...................... ' kPPROV D ~' NOTED ....... <~ NOTIFY BUILDING DEPARTI~ENT AT [f applicant is a corporation, ~ionature of duly authorized officer. · 765-1802 9 AM TO 4 PM FOR THE FOLLOWING~ INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C..O. ALI. CONSTRUCTION SHALL MEET THE REQUIREMFNTS OF THE NY, STATE CONSTRUCTION 8~ ENERGY (;,.')DES NO7 RESPONSIBLE FOR (Name and title of corporate officer) 0CC~PJ[NC~ OR Plumber's License No. ~}, re, Wll'HOUI' CERTIFICATE Electrician's License No. ~ ' ~ O[ OCCUPANCY ' · N Other Trade s License o ...................... ~...~.,~N OR CON;~TRUCTfON ERROR~ Location of land on which proposed work will be done ......................... ; ....................... '. .......... ........... House Number Street Hamlet ,000 ...... ....... ............ ..... ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occunan~v b. Intended use and occunancv 3. Nature of work (check which applicable): New Building .......... Additionr, : Alte, Repair .............. Remdval .. Demolition .. ' ........ Fee ' If dwelling, number of dwelling (to be~p~id On~ fll.ifi~/.t-hi~,a.pp!!~ation) 5. ~nits "~ Numberofdwellin umtsone If garage number ofc~ ~ ' ........ g ' ach floor 6. If business, commercia) ~---[ ............. . ............................................. .... · ..... ,~cu: occupancy, specify nature and extent of eac 7. o~mensmns et existing stmcture~ h type of use .w .............. Height ,ifany'Front .*~ . Rear X ~ .... DepthZ~g~ ...... ~ ....... Number of Stores .. i..~ .................................................. D~ensions of same structure wi(h alterations or additions Front ~ ~ Depth ....... T... . ................... ear ........... ..... ~. He~t ........ x .............Number of Stones 7 ..... ' ...... 8. Dimensions of entire ' . . ...... new constmctmn: Front ............... Rear ............... Depth ............... ~eigh[.. .............. Number of Stories . . . 11. ' ...... ''" .. 12. Zone or use district in which prm~ises are situated ........ ............................. 13. Does proposed Construction violate any zoning law, ordinance or regulation: ~ - ' ......... Will lot be regraded ~ '~ Will .... 14. ~ .~;~ Address..~ D.'.~:.. Phone No .......... ',~ ..... N~e of Owner ofpr;~'is~s ' '; ........ ""1 .... excess mi oe removea irom premises: Yes No N~e of Architect .~..~ . . ', ......... Address ................... Phone No ................ N~eofContractor ~ ...Address ~~ ~:~ PhoneNo.~,~.~g.~.. 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ........ · If yes, Southold T6wn Trustees Permit may be required. ' PLOT DIAG~ Locate clearly ~d dJsfincfiy ~1 ~ufld~gs, whether existing or proposed, ~d. indicate ~I set-back d~enslon prope~y Hnes. Give street ~d block n,,mber or des~`~x ............ ' s from interior or corner lot. ' ~ ~,wuu, a~ommg ~o aeea, ana snow street n~es and indicate whether ;TATEOF N~O~,~ r~ . ~ (Name of individual signing ]contract) .......... being duly sworn, deposes and says that he is the applicant bore named. ' · . ............. . .}. ..:. ......... .............. . . said Owner or owners, ~d is duly adthor~form or have perfo~ed the said work and to m~e and file this )plication; that all statements contained M this application are true to the best of his knowledge and belief; and that 'ork w~l be perfo~ed in the m~ner sei forth in the application filed therewith. worn to before me this