Loading...
HomeMy WebLinkAbout20158-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21051 Date SEPTEMBER 29, 1992 THIS CERTIFIES that the building ADDITION Location of Property 930 NORTH SEA DRIVE SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 5 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 1991 pursuant to which Building Permit No. 20158-Z dated SEPTEMBER 24, 1991 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOANN ZLOKLIKOVITS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i B ding Inspector i Rev. 1/81 IPOElL NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH9~.D, N. Y• BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 2 0 1 5 8 Z Date ....~,f~:~' 19.~,l Permission is hereby granted to: , / .....P..~ tjr..e.....~~.......4~~..'... oS~ 7 to .....:.r........,~...;~~.......... at premises located at ..~..,/~:'..`.:r-:':.....~~~!~.......................................... t?`.:~GLo............................................................................. . County Tox Map No. 1000 Section Block Lot No..../. a r~ pursuant to application doted 19..,r~ and opproved by the Building Inspector. Fee S...r.~i.~ III I c~~~~~ .~'t* Bui ng for Rev. 6/30/80 Form No. 6 ~ ~ ti~ ~w~'i a;~ ~,4:~~'~ TOSN OP SOUTIIOLD I!' ~ BUILDTOIJND iALLTPiENT f H PR ~ 4 a 3~ II j1 ~ p~~ 765-1802 ~ t~~.-~.._ . s APPLICATION POR CCRTIPICATL OF OCCUPAN Y 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 17 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 $15.00, Commercial $15.00 Date _ ~~~/92--_- A'ew Construction... Old Or Prc-existin Building,. Location of Property... q.3,t7 „No~'</ ,SEf/„~.~(//L f . y,~0~~6~_•\... • . House No,' Street " " " " " , Hamlet Onwez or Owners of Property..~/.4/.?N~c,(',,,,, ~GG!~L~'~wl~s County Tax Map No 1000, Section.,,`~~,/, ,,,I,,,,,Block,...,~,,,,,,,Lot.,..~,Z`--....... Subdivision.. ....~pFiled M:ip............Lot......... . Permit No...O.(.Of-S~ZDate OC Permit,.g~~1,!~,,,,.,Applicant„ZG;d~"KG.I/<o.U/.TS'.._ ifcalth Dept. Approval........,~i~,,,,,,,,,,,,,,Undcrwriters Approval....'X/.'.................. Planning Board Approval.......,//~~'(y,' Request Eor: Temporary Certificate,,......... final Certicate.,. gg r, ~ i'ee Submitted; $„o,(,e.5, ~,r~L... o~.a)osr '~~T ln:~. L~.. ~~J Ilan:.. ~l 1.:~'(Vl f.Nr... /i.~l ~ ~ ~ ~ 1 _ I H vU OUIJDATION (1st) ~I ~~i c OUNDATIOIJ (2nd) _ - _ o OUCH FRki1E & o PLUMBING ~o~ N pp . H m IJSULATI0;1 PER N. Y. ~ STATE EPlERGY CODE I T P i FI;IAL ' ADDITIOPIAL COMMEPJTS: ~ x n 1 \ ( ~ . Y ` . ~ n • ~ x~ ^o H A y H \ Fi ^ D 4~~4~`tlUj1 ' _V x - _ 7 r m y ~ Z ' b I m . v H . ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [)FOUNDATION 2ND [)INSULATION ,a [ l FRAMING [-~3'~NAL s~ r' ~ ~ _ DATE INSPECTORS ' f 12 _ ~ r~~ M ~ JV~ y l~t5 ~ i"'-.--.-,.,.. ~ ~y~ $ ~f~ r- fit. d~~ pryfpy' ~I ~ tM..,n............ ~ IJ~~ ~ . ~ M~_, ~ ~ ~ru _ =gin.-:-~_ ~ ' g~ ~ ~ ~ a c , I~ o ~ ~ ~ ~ ~ Q ~ 1 ~ ? ~l/ ~ ~ \ P I ~ ~ 'i t• + ~ ~ ~ o~ ~ a C~ ~o ~~e 5/~r~ ra~is p~ ~ b D 91991 sE~~ - - . ~ ~ y u ~ ct~ lA l t I ~ V _ . _ . i t25 vy~~ IA~Q_ c~. ~c~~v t99~ 4 ~~UAQ1~5t~bb ~Do~ ~fl _ c~1U)DU~ ~ _ - - ~ I ~ ;w51 Later ~ 1 ~~I-, , ~ G ~ct~ tU.l1MC~,.~~v! l~ ~ _ ~ _ _ - _ - _ - _ ti, j3 I~ - ~ _ - - ( - - - . - - . - - - - - - q: . ~ , _ f - fif I ~ ~ J o ro i q, ( ~ ~ 4 0 ~d n 1 1 ~ '1 1~ ~ 1 It 4 ~ I 1 I 1 ~~Q ~ Qom, ~I Ili ~ ~ ,1 ~ ~ ~ i~ ~ M n _ ~ M~~~~? ~ ~ L~ ~ ~ ~ S ~ ~ ir~r D 1~ ~ ~ g ~ ~ ~3 ~ ~ ~ ~ 3 . " _ ~ e ~ ~ ~ ~ 0 ~ ~ ~ Rj O qp~~~ °~Y` r O 17 ~ ~ ~ ' zsrsa ~ 4 /~ggpp ~ ¢¢~M ~ a G1~ ui~, _ ~ L1 ~iut 1 n0 m3 ~ o ~ , / Q ~ .o ~ y . f Bonnie Brae Court Box 129Q Granite Springs, N.Y. 10527 Sept. 19, 1991 Enclosed p]_ease find check in the amount of $b6.50 for permit for deck at 930 North Sea Drive Southhold If you have any questions, please call me at 914/248-8876. John Zloklikovits Y f ~~~~'L "f s SLP 2 ~ I~,91 An- 7~7Var~,i,.;'~4.. ~ 't ~ . , , B0,\RD OF HEALT1i , FORMNO.1 3 SETS OF PL.\:1S TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT C11CGh TOWN HALL SEPTIC FORCI SOUTHOLD, N. Y. 11971 TEL.: 765-1802 t:oTIFY; pQ ~~p/~ ~C~` CALL Examined ,7........ 19 PIA I L TO : • . • • , . • • • . APProved . , 19 ~/Permit No..G`~,9. ~~CJ~ . . Disapproved/a/c rr_~~ (~~C~\~~y l~s t ~ ~ V , SEP • 91991 (Building Inspector) .APPLICATION FOR BUILDING PERMI TDWNLU~S©UTF90LD Date . ,1~pri1 .1.9, 1991 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 .r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. T'he work covered by this application may not 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 hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupancy hall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.eguiations, for the construction of buildings, additions or alterations, or for removal or demoliticn, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code,-and regulations, a d dmit authorized inspectors on premises and in building for necessary inspections. •••Jo~.Zloklikovits : (Signature of applican or name, ' a rporation) Bonnie Brae Court, Box 192 •..Oranite.Springs,.N,Y.•10~27• (Mailing address of applicant) tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner fame of owner of premisu~ ° ' ~JOZ~nn , 7~3ok) ikovits ` ~ (as on the tai Yoll or latest deed) 'applicant is a corporatiop, signaturepp,f,dul}g;authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . ,r r +b, Other Trade's License No . " ~ Location of land on which proposed work will be done . • • , , • 930 North Sea Drive ~ Sow House Number Street Hamlet County Tax Map No. 1000 Section ......054• • • • • • • • • Block ...5 Lot ..1.2 . Subdivision . , None Filed Map No. Lot. r f (Name) • • • State existing use and occupancy of premises and intended use and occupancy of proposed consttuction;~ - a. Existing use and occupancy , • • Deck for singl~• 1=~mi~y•d~a~~.}~~~ ~ - b. Intended use and occupancy . ,Same ~ i.~ ~ ` 1• •1• • ••,.••L•.•..,•• #4 f...'i:ak2 „,R avrwimt ...i~fYP?tvma:} rac, _ r rvw.n&.cc'f~waL ex3ttini.. ~.9 ,..Ma ....a:.ae..e.«zes8:~t'~3 3. Nature of work (check which applicable): New Building Addition , , . Alteration Repair Remobal • , Demolition ..............Other Work wok . , , , , , , 4. Estimated Cost..$8,000;00,..1.•„••...,••.•,..•..... •.•••.•'•••••.••..•••..•(Description)., .Fee . 5. If dwellin number of dwelling u (to be paid on filing this application) g. 'nits .,,..L.....,,., Number of dwelling units on each floor,,,,,,,,,,,,,,,, If garage, number of cars . 6. If business, commercial or mixed 1~'occupancy, specify nature and extent of each type of use . . . . i senstons of existing stru NumU if any; Front ...3& Ft.• • • • • • • Rear . Depth 2b. k't,..... , Hei ht er of Stories . unensions of same structure with alterations or additions: Front .Rear . . epgth Numb.,Height , Number of Stories , . 8. Dimensions of entire new constru Hei ht ction: Front ,46,Et...... Rear ...............Depth 38 Ft erofStories 9. Size of lot: Front t~;;100'.',`++:::>.',........ • • .Rear , ,100 , , • . • • , , , , Depth , ,362. • • . 10. Data of Purchase a 7 977....1...::.. ..Name of Former Owner ...:M~rtirl ,7,'utt;)re , , , , , , , , , , . . 11. Zone or use district in which premises are situated . 12. Does proposed construction Jiolafie.any zoning law, ordinance or regulation: .....No . 13. WIll lot be regraded No.... , L . , , , , , , , , , , , ,Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .,7oAnn. Zloklikovits. Address Fjq~r}l@.$x~$.C~..6~~~~hone No. $x$/.24$-$$7,~ , , , Name of Architect COntiverital~l. $4m~$, , , , , , , , , .Address 63 • Clinton •3treet • • Phone No. 516,!725+1268.. . * Continent• p p ypl Homes , , , , , ,Address E..Hampton,NY.1193'T Phone No . Name of Contractor . • • • • • ' ' ' ' 0 feet of a tidal wetland! eyes, , , , , , , , No, XXX• 15. Is this ro ert within 30, 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 n~jmber or description according to deed, and show street names and indicate whether interior or corner lot. i I I 0 q AS NOi'ED AP F'EE: Y: - NOTIFY H-EPA T NT AT '765.1802 9 AM TO A PM FOR THE FOLLOWING INSPECTIONS: , 7. FOUNDA710N - 'MIO REOUIREO FOR POURED CONCRETE ' 2 ROUGH - FRAMPNG & PLUM9ING 3. PNSULATION 2. FINAL CONSTRUCTION MUSt BE COMPLETE FOR C;O. I ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ' S"fATE CONSTRUCTION ~ ENERGY CODES. NCPf RESPON819LE FOR ~'1 DESIGN OR CONSTRUCTION ERRORS I 1TATE OF NEW YORK, f ;OUNTY O~Fr:~?~.~ ~Ta:h ~t ~ S.S~ • , ~ a?.!~!~s~ , , , ~ ~ ~ 1~, L-/,/1.~•V/'"7""S, , , , , being duly sworn, deposes and says that~e is the applicant (Name of individual signing (contract) bove named. I, [e is the . (Contractor, agent, corporate officer, etc.) ~ ~ ~ • • f said owner or owners, and is duly authorized to perform or have performed the said work and pplication; that all statements contained in this application are true to the best of his knowledge and belief; and thlat the ork will be performed in the manner set forth in the application filed therewith. wom to before me this ..da o , a~,11 ]99/. ota Publ«!, • . \ County JORN p 4tA I ~ %~~Y~f~~ c Notery pNo~ 03.9782810 Aw,Vofk G.r,~.-, ~ "f. ~ r~ , ~ Comm~\ISSIon Explraa May 31 i19~,~? ~ / ~ (Signature of applicant) ,Q,QJNX' ~'lW1 l ` S ~:r-3.;a„@~"'i"i73 ~4 hc'c4m~k~3~957.i°' ~ iu1.SaA='v~t^5..~~>,s,.,a:.,.,,..~d~.~.$1~_1....,,x~b +m~aas~l~S:S~.t. sw .,.,..Pr-d,..cax.,~:,,'~i;~iAa 4s.~ C .T /yam . • ".:+C~+~A~!lSd~~'"Fi 1'~fa$'lFilcSkd~ N. Y loS27 ~-;~=._.l/t-Y~'A6:9-r~is [fir!) ~`~91991 t' 1 D ARM: x,74$ 54.•rr BLDG Cr~.~•-'~• , TO1S4R' r,,. 1.? fin. 9Y. ,o /9 ~ ~ ~ ~ ~ rOwe<°~ 9~ l~ ' r '.,~.o, ( ~ ~ ` o ~ ~ , .1. ~ ' .:E>'.'.r,s6 Drdl'Orf1At dr'Sr'fF'..f _ _ _ _ ° i___ j_.T i.. _ _ 1 3 ~ r_._ _ _ _ _ 1 CF~a` 0 ~ m T f'- e r ~ -aft 1 ' Y,.d.~.~ t' ~ P ~-wel/ :-t.. ~ ~x. a s r ` 1:r. ~ , uB ~C` ~ ~ , ai r j F ~ ' r,i Irt t ~ ~ ~ I ~ . xYr; 1 ~ F'1tJl ~F' ~~r/'ri A11~:7.dI+'~ r. ~ ~ t ~ e:.. ~ 1 113~,~ t t. ~ ~ ex : ~Sfi'.~Z.. ~ y~t,o I ! t t~ fI i ~ 'he' S ti _ ~ t2f~ K r i ? V ^ ~ q y` {frei: he'd fir. s: ~ ~ ~ S ~ E z -b o yQ f BX~tX/tfy Rbt ~OOt} 1 ~ ~ i ~ . r z j n' ' r rte.` iOC.41 _ y. • ` ~ ( +r Yy"~i e y'Ai2r; ~ ~ to tfa nr>< .g t u ' ~YdC•7M~.` eex shs ax a rixsops~..C rneLidrw 1~ ha ?e von o.,x4kytw2ity y A ~ ~ a o(f.. e'v}eh'hi9 FA~,9le.9'~ D` '.:ry Sosernr+lsn'~d8 '~'a' ~fi!UfI6f111jre~IJiAdit 2 Amsx,Ird ~?:~l,F ~ flees aitM fayding in ---I ~riicb.l'gJ .~-rgcilas ge'u6i~repNeft{ s,.: "'^72fJ,/38$;_krltl tl, l8l~~Eb.:rf, _ r ur:cilrtrat9ui6"~ r N. i~° y3. ' AT rft~ TitIY! dberresnfas Go c,F ~,r , yypp A r,' J.W":; P°+Sl°k~-,/r,al~ W+4~F~•-r7 4.aC`Ah T~~ RCOiq{CK V#R~7V~M. N. G. Ctta ' ~ . r_ ~ , , ~9~ ~ * ? .ice, _ "lr n~ ems„ ti~/~y / . ~.TOK ~ ~r MIM~0I7 : ~1~~'sC~ :7Q"C~'. ~1Mf::~i. ~....Gsf' a=.:3'" ~ ~~y{I • ~i a a r s w.drarr !'o?il M'~'ROxAI QF nt~efy~,lOtlgN oetlr r'a'm 74i! MN?!t/It S1N4i.Y IYllw ~x`- 5vu'htI'~ ~ M7la WNOwAi. SMJMI'®Ri lX/R 7'M>~ ~n ks OWQi MYWL. 0000P011M1. 7f1: i '993 w.~s. wsr. No.: $7- So - ,Z g g lRAR9A1ROf W? ruKrouc OA - .iT x t::; 'L • SUFF. CO. HEAL. cit. AIrROVAL K. S- IVO. °.3i'" - • OIMlIER . . ~.'J ~1. BQI'1t /'1I~{E •3 rl~. A~ T, ~ V ~ ~ ~~~,~,~a ~ ~ D r - ors--~~ 9• r~is ou~rr) S~ ~ 91991 ARM: ~a,~'~ S,p..r-r t' - D TO~nr - ~ ®.L 9r rowe~o X99/ f tip.. ; ~ ~G G DF~ . b~-,fr ~-r ~ ~ ' ~6r'o'.i'.e ,e'er-r`"l.S------- . i ~3.~ , I { ~ v ~ ~ v crr4;etto ..'i'fr's7 u.3Sw~~~. -rUca-<, llir r.T G ~ ~i~ lJjy,~~ '~t°{ 1 fir. 1dC ' r t . i'1- ~ i ~ f +il6 ~ 1 r~ff ~ ~ k I` ~ f ~ ~ . ~'1NI.~HEQ Ht7U.s.~ iy{iS'i . r 1'. - ' . - j/~ ~ / I 1 f i t l 1. ~ ~ r. tz~0 K - ~ 5 ~ f t ~ , Qt • V ~ ~ f~ ~i ~-i~i o.' d d • ~1~. f •..1 ~ scAls: z~ $t,~ ~t ~i'fni~h~cd fir.. i ~ ~r , ~ _ ~1 , . • ~ 'J 1 ~ , i ' - - - - - ~ !QU-4' - sQ fr ~c - 5.34 ~ 4jj t'airlc ? .•Pr 80rt :71 +nrhr~if' "f~rteR-;W ~ e:~~=J.. L'M Mt hti r.~`.. ~IT~ F. l~tf1Bl7d44 .l/11V. f ~7: c - '•'i?¢as{ ~T tF,E 'J,r(;ir _ y- ~'t b. r9,1~ .-...,eas tare r ::~Ka h~7ti ~i7,'~J~~.*J~~1,19~~ ~Lf1.l,, i ;'~4 _ : . »64k::(!OM ar su`.sr?:. >fTAiN! % ~ fa(u ..~r-orr fried . ~ g _ ~ RorDS,facK v~?N ruin.. c. + ~ p~'~ COtJ~l7"`r , • ~ 1! Cam-- { i - i ~ r: ; r ~I -y- A~ ~~,,,y~ UC- L~MDfURVEYORS-6RE t, N. Y. 1` , i ..G. •dJC /YrC~ rT 1• Irvl...~'/ . ~7.'Y7~. :'1;'l~' •..i_."f. .-4..~ :4 - ~ ~ iUFf. GO. DEirT'. OF HEALTH stRVlGfI~ lfTATEMBPiT OF INTiNT p• FaR APi'ROVAL OF GONIi7~1{JGTIQ[~1 0(IIf.Y - - ~'a~ THB WATiR SUJ~!'LY ARID stWA~ Lti'eY'~/~ ~ DATE: D18}~ORAL SYirEbts F'QR Tests RE91. ~ DENQE WILL GaiMFORM TO THR H. REF. NO.: ~ ~ - SO - ~ ~ STANDARDS OF sUFFOLK CO. DEI~"'fi. OF HEALTH SERVIGis. Jam' A~ROVICD: (S) 1 T Ai~PLICANT i