The URL can be used to link to this page

Home My WebLink About20836-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22876 Date FEBRUARY 17~ 199~ THIS CERTIFIES that the buildin~ ADDITION Location of Property 1855 ALBERTSON tS~NE GREENPORT~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 52 Block 5 Lot 59.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1992 pursuant to which Building Permit No. 20836-Z dated JULY 17~ 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 FIREPLACE & CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & JANE BARSZCEWSKI of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / B~ding Inspector Rev. 1/81 FOBM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No ¥. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N? 2083$Z Permission is hereby granted to: ~..~....~. ....................................................... ..... .......... . .............. . . ~ ~:~. ~. ~. ~ ~. . . . ~ . . , . .~ ~.~ .~.~ . . . . . ~ . C~'. ~ ~. .~ . . ...... ,,, ~,~. ~ .~.~ ~ ....... ~. . ~ .............. to .... ,r~. .~.(//~...~.~.: ......................................................... / : .......... at premises located at ........................................................................... ; ................................... ................................... ~ ......... . ~~.....¥...~ ........... .~/..~.~ ........................ / County Tax Map No. lO00 Section ......~'....'~.. ........... Block ..... .~,.J~. ........Lot No......~...~:.....~:.. ..... pursuant to application dated ................. ?/./...-~.. ........................... , 19.~...~.., and approved by the Building Inspector. Fee $ ........................ //' Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN F~ALL 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 "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 ~ 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 - Residentia~$1~.00, Commercial $15.00 Date ........................... · Mew Construction ........... Old 0~ ~r~-existing Butild~n~...~. ...... ,~_ .... · House No. Street ........ ~2~{e'~ ............ Onwer or Owners of Property.~.~....~../~./.~.~.~..~..~/.'..?.~.~. ....................... County Tax Map No 1000, Section..~..'.~. ...... Block .... ~... ....... Lot...5.~.~.. ........... .................... ,...F$1ed Map ............ Lot ...................... PermitSubdivi~i.~.' ~ ~.'~.' ~i~i .Date Of Permit..~.~.~.~....~ ·Applicant .~. ?.~..~.~. %~..~..~. '.2~. ?..~FF.~F J//~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... ~.~ MIKE MC GINNESS ?o BOX 653 GREENPORT N.Y. II944 THE~FIREPLACE I BUILT FOR JOE B~RSZOZEWSKI-IS TO N.Y. STATE COD . THEiF00TING IS I2'' THICK AND IS 42'' BELOW GRADE TO VIRG~ SOIl. THEiFOOTING IS ALSO 4" WIDER THAN THE MASONARY ON TOP OF IT. BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ]INSULATION FRAMING [ ] FINAL~ ~ 1_ . --Z-...,4/l FOUNDATION FOUNDATION 2. ROUGH FRAME & ®. (1st). (2nd) .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI;;AL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..... ~ ~. ..... ,19~../~. Approved ............ 19 Permit p~o ............ Disapproved a/c ..................................... ., /' ~uildmg Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF ItEALTII ......... 3 SETS OF PLANS .......... SURVEY ................... ClIECK ................ sEpTic ;; ~,", .............. t;OT I FY; 922-..lSs CALL .... ~.. ....... · I'Zs..~. ~.-~,.. Date ................. 19. a. This application must be completely filled in by typewriter erin 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, rela'tionship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be dfii~vn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commen~d before issuance of Building Permit. d. 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 w6rk. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy 5hall have been granted by the Building Inspector. A:PPLICATION 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 tile 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 necessa .ry inspections. \ ltgb,,~t,'k,J(Signature of applicant, or nlIm~,, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber 6r builder. ..... ,... d (as on the tax roll or latest eed) if applicant isa corporation, signature of duly auth~orized officer. NOTIFY BUILDING OEPARTMENT AT , -o "-" ~k~U~Y~'%~b~ Ut~ 7~s-mo~ 9 A~ TO 4 P~ FOR TH~ Builder s License No ~/~. - ~.~. ~' '/'~ FOLLOWING INSPECTIONS: '" ...... 'USE' S'UNLAWFUL 1. FOUNDAT,ON Plumber's License No. ,, FOR POURED CONi~RETE ....................... 4. FINAL CONSTRUCTION MUST'l OCCUPANCY .CO PL.TEFO. C.O. Other Trade's License No ......... 8.. ~ ALL CONSTRucTIoN SHALL MEET L f land on which proposed work will be' done ...................... STAT. E .CONSSRU~.TION. &. E~EI~GY ........ ~_~. ,_ COOES. NOT RESPONSIBLE FOR. House Number Street Hamlet County Tax ~ap No. 1000 Section ...5..~. .......... mock ....~. ............ Lot Subdivision Filed Map No. (Name) .............. Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy 15. Locate clearly and distinctly all property rsnes. Give street and block interior or corner lot. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition Work ..~.~..~./~?-.,~. ~ .............. Other . . 4. Estimated Cost ' (Description). · ~/..~r-: ..... i ........................ Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of al'welling units ............... Number of dwelling units on each floor . · If garage, number of cars ............... 6 If business ' · ' ' .................................................. 7' Dimension'sc°mmercml or mined occupancy, specify nature and extent of each type of use ..................... · of existing stmcture~ if afiy: Front , ................ Rear .............. Depth ............... Height ............... Numlber of Stories ........................................................ Dimensions of same structure wi, th alterations or additions: Front Rear Depth ; Height ................................. .................... I' · · ..................... Number of Stories · mlenslons of entire new construction: Front Rear .............................. Depth ............... 9 Height ............... Num?r of Stories ........................................................ · Size of lot: Fr6nt ........... , ........... Rear ..................... 10. Date of Purchase , , Depth ...................... 11 ............ i .................. Name of Former Owner ............................. · Zone or use district in which premises are situated 12 Does proposed construction violate zoning law ..................................................... · any ordinance egulation: 13 Will lot be regraded , or r . ................... Will excess fill be removed from premises: ......... 14' Name of Owner ......................... Yes · of premises ................... Address ................... Phone No ................ Name of Architect ........................ .~i ' Address .......... Phone No..~ ........ Name of Contractor. 4~.?q'.~.'4~ ~..]~.c,.$~.~.,~.~.,~ · Address ?.(~'~' ~~7~ ~ .............. Phone No .... k~2~... ~.. Is this property within 3~0 feet of a tidal wetland? *Yes ........ No.~'~ ..... · If yes, Southold TOwn Trustees Permit may be ~required. PLOT DIAGRAM buildings, whetl~dr,, existing or proposed, and, indicate all set-back dimensions from umber or descriptio'n according to deed, and show street names and indicate whether TATE OF NEW YO~K-~ i ~~ ~.~ ~' '" '~ .......... being duly sworn, deposes and says that he is the applicant t amc oimmvinuatsignin contract) rove named. ~is the '~ ' ~ (Contractor agent corporate officer etc ) ........................... md owner or owners, ~d ~s duly a~t ~orized to perform or have performed the said work and to m~e ~d file this plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ~rk will be performed in thinner se~t forth in th~ application filcd therewith. ~om to before me this ff~/ ~ 43,14 ,4 3.~w, N,'O/F ALBERTSON LANE s. 82° 35'~. ,oo.oo' ~ 306' N.82°55'W. CONC. FOUNDATION I00.00' LAND OF DOCK HOLLOW' CORP. URANCE COMPANY ;AGE COl:~. WSKI O21 >repared in accordance with the minimum ~tandards for lille surveys as established by he LI.A.L$. and approved and adopted :or such use by The New York Slate Land rifle Association. 1000 SURVEY OF PROPERTY AT ARSHAMOMAQUE TOWN OF SOUTHOLD SUFFOLK. COUNTY, N.Y. - 052 - 05 SCALE 1" = 40' MAR. 13, 1988 59.2 cOLON'( A"~243.14 ' PIPE AREA = 29,996 SQ. FT. NfO/F CERTYFIED TO' AMERICAN TITLE INSURANCE COMPANY LONG ISLAND MORTGAGE CORP, dOSEPH F, BARZCZEWSKI JANE M. BARZCZEWSKI TITLE NO. 07 ~ 113, O~1 Prepared in accordance with the minimum standards for, title surveys as established by the LLA. LS. and approved and adopted for such use by The New York State Land Title Association. 496l 8 ALBERTSON LANE S. 82° 55 'E I CONC. N. 82 o 55 'W. I00.00' LAND OF DOCK HOLLOW CORP. 1000 SURVEYOF PROPERTY AT ARSHAMOMAQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. - 052 - 05 - SCALE 1" = 40' MAR. 13, 1988 59.2 88 - 196