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Home My WebLink About20195-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPD~C¥ No Z-20686 Date APRIL 28~ 1992 THIS CERTIFIES that the buildin~ ADDITION Location of Property 4600 OAKLAWN AVENUE EXTENSION House No. Street County Tax Map No. 1000 Section 70 Block 9 Subdivision Filed Map No. N.Y. Hamlet Lot 48 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this of Eice dated OCTOBER 3, 1991 pursuant to which Building Permit No. 20195-Z dated OCTOBER 9~ 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 UNHEATED DECK ADDITION WITH ALUMINUM ROOF/GLASS ROOM PATIO ENCLOSURE AS APPLIED FOR. The certificate is issued to PAULINE C. ZISCHKA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N~221958-2/21/92 & N-221956-1/29/92 N/A ~~ Building Inspector Rev. 1/81 fORM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 20195 Z Date .../.~.~.~... ...................................... , i~.~.~.. co,,,,,, Ta~, Mop No. ~000 Sect,a, ........ ~ ......... .~o~k ........... ~ ...... tot No ......... ..~...~ ...... pursuant to application dated Building Inspector. Fee $ ~...~* .~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~PPLICATION FOR CERTIFICATE OF OCCUPAHCY 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 a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $2~.q~ 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 New Construction .......... Old Or Pre-existing Building. ~ .............. ~, Location of Property. i ~.~.~ .(~ ........ .~..~. ~..~..~...~..~...../~.~../~.~.~..~.[~..~....%~.~..~..~../.~.~..~.... House ~..~ .~. Street Hamlet Onwer or Owners of Property...~. .. · ............................... %. County Tax Map No I000, Section ..... ' ..... Block .............. L ............. Subdivision ...................... Filed Map ........... Lot ...................... Permit No...il i''.i...}i~ ~i Permit.../.~./~.. ....... Applicant~..~.~.-~-~-.~..,..~..~... Health Dept. Approval.. g./~..?.~. .................. Underwriters Approval ..................... .... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........ Fee~.q371qSubmitted: $ ............................ THE NEW YORK BOARD OF FIRE UNDERWRITERS /~.,~(~3 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Lot FIXTURE OUTLETS SWITCHES 2 L DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT OTHER OTHER APPARATUS: E R OF CC. COND C NO OF HI-LEG AWG OF HI-LEG GENIEItAL 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 NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS f~'~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~a~e JANUAt~Y 2~, 1992 AprtlcatlonNo. o.~e ~9'(4~92192 ~ ~,2195~ THIS CERTIFIES THAT P,Zto,.,IH, A, ,~.6~]~ OAKLAWI,I AVE, ~!XT, ,SOUtHOLO. N,Y, in the following Iocation~ [] Bo~sement [] Zst Ft. [] 2nd Fl. 0 U T .%ctlort Brock t~sexamlnedon ~{)AI~Y ~, t~ andfoundtobeincompllancewiththerequire.tents~fthisBoard. Lot EIXTURE OUTLETS EWITCNES BXTURES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS :UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEE1 DIMMERS SERVtCE DISCONNECT S E R V I C OTHER APPARATUS: OLO 8EI"tIPAGI! , NY, Per ~ 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 BUILDIIIG DI=PARTMEHT. THIS COPY OF CERTIF!CAT~iMUST~IIO? BE ALTERED ItANV MA"liE", 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 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 1DT1 Fax (516) 765-1823 Telephone (516) 765-1800 ~OVEMBER 13, 1991 REDWIN IND, INC. 577 MIDDLE COUNTRY ROAD ST. JAMES, NY 11780 RE: Pauline C. Zischka 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) ~Xxx No Underwriters Certificate on file. XXX 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 $ 20195-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: PAULINE C. ZISCHKA INSPECTORS Victor Lessard P~incipa[ 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 SCOTT 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD NOI/BMBER 13, 1991 REDWIN IND, INC. 577 MIDDLE COUNTRY ROAD ST. JAMES, NY I 1780 RE: Pauline C. Zlschka 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) xxx No Underwriters Certificate on file. XXX 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 9 20195-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: PAULINE C. ZISCHKA FOUNDATION (1St) FOU~'~ DATI 0:; 2. (2nd) ROUGH FRAME & .FLUMBING I~SULATION PER N. STATE ENERGY CODE Fi;;AL ;%DDITIO~A'L COMMENTS: 765-~L802 BUILDING DEPT. INSPECTION . ~, [.~ ] FOUNDATION 1ST [ ] ROUGH PLBG.' ~ 1 [. ] ION :)ND [ ]INSULATION [~J~FRAMING [ ] FINAL 2'65-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND [ ] INSULATION FRAMING [ ];INAL DATE/(~/,'~/~-~/ INSPECTOR~~ note., roof panel span chart wall criteria chart ' REGULATING CODE AGENCY ,..~/j BOCA ir testing r-~4T structural e~gineer ./oe *' !0 0 UNDERWRITERS CERTIFICATE REQUIRED OCCUPANCY OR USE JS UNLAWFUL W~THOUT CERTIFICATE OF OCCUPANCY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Disapproved alc ..................................... . (J~uildi~qnspector) APPLICATION FOR BUILDING PERI 3 SETS OF PLANS SCI'TIC F 0 RI'I ............ INSTRUCTIONS a. Th.is application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with se~s 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 streel or areas, and giving a detailed description of layout of property must be drawn on the diagrmn which is part of this apph cation. c. The work covered by this application may not be c3mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to t!~e applicant. Such l~erm~ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in p~t for any purpose whatever nntil a Certificate of Oceupanc~ 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 th. Building Zone Ordiqance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 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 co.o.~ and regulations, and t, admit authorized inspectors on premises and in building for neccs~t ~r~/inspections. /~ZCj.y~,, ~ .,y __ .."':::. (Signature of applicant, or na~h'e, if a corporation) + .z?. . . .*:-r.,. . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, geueral contractor, electrician, plumber or builder ......................... - .................. '. ..... : ...... "' ""e' ...... .......................... Name ox owner ol preiBl~ s ............................................... .,, ... (as on the tt~x roll or latest deed) If ~~o £~authorized o f£icer. ' ......... Builder's License No...J.*.~..~...~?.' ............. Plfimber's License No ......................... Electrician's License No ....................... Other Trade s License No ..................... Location of land on which proposed work will be done .............................................. ' .... House Number Street Hamlet County Tax Map No, lO00 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: ................... ¢,~4¢4¢ ~,:; '; ',',' ' ?;'~,,~;/~ ...... b. Intended use and occupancy .................................. ~.,v.~,.',.'.' ..... ~,', ~,., ;i. ~ .' ................. 9. 10. property lines· Give street and block number or interior or corner lot, 3. Natare of work (check which aPt!licablc): New Building .......... Addition .......... AlteraJion ~,.... /.~.. Repair .............. Remoyal .............. Demolition .............. Other Work'?. 4. Estimated Cost ~ .~..~.~ (to be paid on filing this application) 5. If dwelling, number of dwelling ulnits ............... Number of dwelling units on each floor ............ If ,ravage number of cars It · ~mess, con, mercm! orm~xedioecnpancy, specify nature ~d extent of each type oft se 7. Dm~ensomotexstmgstr, cttres fan" Front Height ............... Number of Stories ..................................................... Dimensions of same structure with alterations or additions: Front Rear ' ' Depth ..................... i. Heigl'tt ...................... Number of Stories ................ Dmmns~ons of entire new construction: Front Rear ~ o Del th o. Height ............. Numt~er of Stories ...................................................... Size of lot: Front .......... i..' ........ Rear ...................... Depth .................... Date of Purchase ~: ' I Name of Fenner Owner · one or tls strmt m ch pre ~ses are situate .................................................... 12. Does proposed construction viola!e any zoning law, ordinance or regulation: /?? .............. , ........... 13. Will lot be regrad~,d ...... -'~ ' · w .... ~ ..... Wd excess fill be,rem~ed from premises: CY_p~ N~ Name of Architect ........... [ ................ Address .......... , ......... Phone_No ............... 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 dimensionsifrc... descriptio~ according to deed, and show street names and indicate Wt~ethe FEE: ....... ~-- z ---- .T NOTIFY BU~"'~)~N(~ DEPART 76B-lBO2 9 AM TO ~ PM FOR THE FOLLOW~N ("h !NSPECTIONS: '~. FOUNDAT!ON TWO REQUIRED FOR POURED CONCRETE 2-, ROUGH - FRAMING & PLUMBING 3. iNSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, "STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEWe~f~RK.~;{::>_ fl,," t h (Name of individual signin contract) above named. He is the ......~, o gent, corporate officer, etc.) , of said owner or owners, and is duly mtl~rized~ perform or have perfommd the said work and to m~e and file this appllcation; that all statements contab] ed in this application are true to the best of his knowledge and belief; and that the work w~l be performed in the mmmer ~et forth in the application filed therewith. Sworn to before me this ~ ~ ~ubllc. 8tet~ of N~ .... k · ' ~ · ~ ~'; ' / ......................... Ouelifl~gi2~}~;~ounW ~ / ~'- ~ ~ (Signature of applicant) ~t~n ~ D~m~ ~ le~