HomeMy WebLinkAbout19933-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26284 Date: 02/16/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1815 CEDARFIELDS DR. GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 40 Block 5 Lot 1.6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 5, 1991 pursuant to which
Building Permit No. 19933-Z dated JUNE 6, 1991
was issued, and conforms to all of the requirements of the applicable
proviaione of the law. The occupancy for which this certificate is isaued
ie ACCESSORY GARAGE IN REAR YARD AS APPLIED FOR.
The certificate ie isaued to WARREN C. & KAREN A. BONDARCHUK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 204893 09/24/91
PLUMBERS CERTIFICATION DATED N/A
l~G~%~Bui ding I ctor
Rev. 1/81
108M NO. /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
0
N _ 19 9 3 3 Z Date <t
.!M:~.... ~ 19.R..t
Permission is hereby grouted to:
.."l~Q.~s.....~.J
v:~:s:~.,,..t~:.y.:...1.i.9..~.~..'
premises located at ..~.,~~a~~ .
.
County Tox Map No. 1000 Section Block Lot No.....~
pursuant to application doted ...........::~:9......x,t:...................., 19.~..~.., and approved by the
Building Inspector.
Fee $..~.5/....
.
uil ng Inspector
Rev. 6/30/80
BUILDING DEPARTMEN'L'
TOWN HALL
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: r ert lines,
1. Final survey of .property with accurate location of all buildings, p op y
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal<S-Q 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 LZ 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 Co 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 $20O 0~25dU0tiAccessory building5525.00,
Alterations to dwelling $25.00, Swimming p ~
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-exist S~Buildine - 5100.00
3. Copy of Certificate of Occupancy - ,
4. Dpdated Certificate of Occupancy -_550.00
5. Temporary Certificate of Occupancy - Residential11$15.00, Commercial 515.00
Date ...7r.1~~ ~g~ .
.v Construction........... Old Or Pre-existing Building
,cation of Property r7A~.~~ • • StreeC ~O ~ Hamlet
House No. u~ w t
rarer or Owners of Property t/: e~Vti~/I'Nd-N"•'•~ - •"•'Qpp,vCC~~~'{u ~
®'1 ~sQ~......Block. 1:C a~ c~0.. ....Lot. ~ 0 10....... .
,arty Tax Map No 1000, Section... Q q
.ti ibdivision.. G~~~~j~rQS ..................Filed Map. S-~ J.~ ....Lot......~P...............
esmit No. ~ ~.1.~;?, • ..Date Of Permit ................Applicant....~~.~C~^ • • •
;alth Dept. Approval ..........................Underwriters Approval........................
.arming Board Approval /
Final Certicate. J//
squest for: Temporary Certificate........
:e Submitted: 5.•2~~°•°•••'••••••""""' .
APPLICANT
6~-~~-' s s $a ~
c o~ o?G~ 8~
f'
THE NSW YORK StD Of !~iltE UND~'RWRITERS ~'"`'F' '
1000174
Ewt~twu p~ pC
SF;P'1'A:MHk:k J4,7997 ~ ST~~•~~197 ~91 u N 104isv.i
Date Apr/icsNion No. ow jIH
THIS CR{RTlls~ TTiAT ~s
owly the ebcteice! p~tlpmsnt p dNeribsd iwrbm and iwtroducad iry the aMBcasit MwtaiF.ew eha aboos app/icaeiaw wumMe hs thepnmisp q/
iihkRF;N hONDARCHUIC, ltsl.5 (:r,1)ARf'7F;L0~ 0R1VF;; GHh,±•;NV(;R'!', Ib.v,
~'-I i,;tiH C+ E
in theJolbuinR beai,;~~orP4e749~ /st Fl. ? Snd fl. Sretion Matrh Let
ores ereminedan and jeuwd to 6e in eoM~Uonce frith the esquirotnents of this fserJ.
AIt11ME ~ ~i1NS
OUitlit ~ >aYtfQIK inGUweKewr . wuormcern t/7tNp ,wr. t. w. iwr. t: w. ,wr. t.w. +twi. t. w. ;wr. n. r.
i 5 7
ERYRRS f11WACR MOTORS IUi11Y htlYAliGt IERRSRS yC' AIIRCWCItf MLL i1111fIM~! OIAAMMf
uer. t. w. at n. r. ors n. r. ,wt. n0. w w. o. cur. ~,wr. cur, cwt, 1RMM. I.wr. n. r. tp• rwr. warts
7RRVICi EM[OtR+NCT NO.q S ! R V 1 C E
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OTMN AfMRATUS:
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35650 COt1N,'ItY HD.4R
PfiCONtC, NY; 11.95fs
MAt MANMII~ t{~
lY
Per• L"
Tint atrrilicaa mutt not ba ohared in mamwr Morn b tAR siika of ~ ~ b?`__M~r.cjMhMiolt•.
coPr fat rws ccrr ~sr;ae~Nt , at~t
O rJ~r~cPcl~ cfclrJ~rJ~rJ~rJ~rJ~rJcPrJ~~PcPcPrlc1'r1rJ@PcPrJ~rJrJ~rJrJ@PrJ~rJ~rJ~cPrJ~rPt:PrJ~rJ'r_PrJ~ cPrJ~rJ~rJ~rJ~cnrJ'rJ'rJ~cPr.PrJ'rJ~r~rJ~rJ~cPrJr1rJ~cP O
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS eS
5 5 ~ t ~ ~ 40 FULTBON STREETF NEWCYORIK,I NY 10038 ? "..I`~ 5
5
CC
b ~ D i PN~ CERTIFIES THAT ~ ¢P~
Upon the application of upon premises owned by
r5j MICHAEL LASTIHENOS MICHAEL LASTIHENOS
5 10 NORMAN CT 1815 CEDARFIELDS DRIVE 5
DIX HILLS NY 11746 GREENPORT, NY 11944
e5 Located at 1815 CEDARFIELUS DRIVE GREENPORT, NY 11944 5
C~ Application Number: 2039916 Certificate Number: 2039916
Section: Block: Lot: Building Permit: BDC: NS11
5 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Second Floor,
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~j
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5
5 authority having jurisdiction, and found to be in compliance therewith on the Day of 5
8th April, 2005.
5 Name QTY Rate Ratine Circuit Tvoe 5
5 Miscellaneous
5 2nd fl-bed room & bathroom 5
5 Alarm and Emergency Equipment 5
5 Sensor 2 0 Smoke 5
rj Appliances and Accessories rj
5 Exhaust Fan 1 0 F.H.P. L P1LLL'~ 5
5 Wiring and Devices Q(,J/~, ~ - 5
5 Outlet 6 0 Fixtwe ~~3~ I'
Fixture 6 0 Incandescent C5,
5 Outlet 11 0 General Purpose ~q~33 5
5 Receptacle 8 0 General Purpose ~/'ro _ 5
5 Switch 4 0 General Purpose '57
5 Paddle Fan 1 0 ~96y~ 'D
5 Dimmers 1 0 ~6 a
5 Lighting track 4 0 ft f?
Lighting track (head) 3 0 tj
Receptacle 1 0 GFCI 5edl
5 I of , 5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 ~~-~'-?~1, 5
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P'GRhi N0. .1
TGi9,N G:~ SOS'iHGLU
BUILDIh'C~ D.?P,zR`.I": F'.~!`1`
C~~;~ice of the Bnilccnc,: 7nspecto~r
Toy-;n nll
Southold,. Y.
G?: F<<'I;'ICRT;~ OI' OCCUt'F
~C3.'
iVoL-196[1 mate---- =i^;~uP.RY i997. _
TI:ZS C~RTIF7135 that the building---i~~'.}a" r'_.;ii~,L':FiG
Location of. Property IS1'_~ G', DA\r{f~'I7~:Id)S Dlli's: _ GF;,3ENPORT~ V.~=__
Howse ??o. St;."~.q,--- :'Iesmlet
Cour.~ty Tax i4ap ho. 1000 Section §Ci iaocic_: Lot 3 , 5
Srlhdivision CI'sDARL'T_ELDS____ Fiied crap tic. _ii~3=,+a~Lot No.__ 6
conforms substant:iallt 1:o the ~pplicaticn fo:~ ;,u~ltii::~~ Parmit heretofore
filed in this of Eicr. dated_JtrLX 1e"i~ 9~?dl - Js>izrsuant te> which
Building Pex-rni't No. 19235-~-_ dated_ ..;1JL`" 2G1__ ~.5~0
was issued, and confoi^rns to a.'~l of the regl;ix~e,Pents ut the ag>plicaDle
prov:is~ons of t.,,.: 1a~~r. 1'he occupanc}r {or i~at,'ich ~i_l,_is certit5caf-e is
issued is------- ~~ONx:.n~'nr,TA.,X I>P7'r'. i~~ _"r -t~;,-"-.^--- .;v
- . r - - -
The cer'tizicate is :issuer3 'o P.OI~I:i.D kills^-_C~iS S DSI:id3's CF:.tF.C:.?~
- ------(ovineA
of the ~~:-cresaid buiJc:inr~,
SUI~P'GLS< COUIVTI DEAfiRT'13!:NT O;? iI'rJ?~L:«. F.PPiiliVru-____u 5`%P,:.C. 2:E,y,_ I990
UNDERSdRIT1:RS ClskIl~'ICATE NO. Pk:I~;DIc;G - ~''~~:i... 20, 299'
PLU}~i73TSRS Cc.R'PTPTCEITZOiV t")Ai'F,^ Jfi7d. s 7931 - ~.•.'1.:'.. i':(1Jk.:~_a'G 4 ?dE7S7'TNG
-,r.._~.i;:<, Inspector
Rev. 1/i31 ~,i ~
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211SULATIOPI PER N. Y, ^3
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STATE ENERGY X
CODE
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSU ATION
( ] FRAMING [ FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: ~
:~Lc='~' _ ~ .
DATE ~ l`S~ INSPECTOR
~c~c~~, u~ulc_ ~
~'1~1; bra
60,\FD OF HE.1LI'F! ,
'ji FORMNO. t ,...J SETS OF PL,~-7S
~I - 5I99~ TOWN OF SOUTHOLD --SUI.VEY _ _
BUILDING DEPARTMENT --CIICCK
13A_r3r;Ss:~.-~._.,_j''.`d$ TOWN HALL SEPTIC FOaa
>,.,.x,,;a. ti p SOUTHOLD, N. Y. 11971
L~ofltd
TEL.:705-7302 t,o~• .f; ~7J /,/pry
°T" / J
\amincd 19 CALL _
~J p' Nn L T0:
Pgroved ?.M!~'!'!i4 19 ! Permit No~.~./ ~3 ~ .
sapprovcd a/c _ .
,
...I~C,.,1o.} .
(But mg Inspector)
APPLICATION FOR BUILDING PERMIT q
Date 19 . {f
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ittk and submitted to the Building Inspector, with 3
.~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
trews, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
on.
c. The work covered by this application may not be commenced before issuance of Building Petmit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
1 be kept on the premises available For inspection throughout the work.
e. A'o building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
1 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
ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
applicant agrecs,.to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
it authorized inspectors on premises and in building for necessary /J'nspectio ~J
(Signature of applicant, or name, ipf a corporation)
(Mailing address of applicant)
c whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...............f1.~tic~!l,-.
c of owner of premises . ~:1~:~~, , , ftNU . ,~AK~rJ /3~;vt~~?
~~.'~f.~.~...... .
(as on the t:rt roll or latest deed)
plicant is a corporation, signature of duly authorized officer. •
(Name and title of corporate officer)
Builder's Liccnsc No.
Plumber's License No. -
Electrician's License No. ~~Q; ,(r,l;~i
(ZiL LO(Z(~- ~ Z~~
ether Trade's License No. , , ,
cation of land on which proposed work will be done . .
.81,5 .~~~~1ZriELD~..~~? .C~r1~..,r~~o2~
tuseNumber Street
p~ r1 Ilanrlct
only Tax 11ap No. 1000 Section .V.7.~r Q0... , Block . Q So
Lot . Q~~<Q.Q~y .
bdivision .L,c~f~RFi~u'S h4T ~?72C-~N~?2 G~!!.....
. Filed h1ag No. b~; Lot 1L~.
(Name) .
~te existing use and occupancy of premises and intended use and occupancy of proposed construction:
:xisting use and occupancy :,.r °a~ t;~
P-..~4c,n.tiV'~Wl+nN
mended use and occupancy ,~~,/~I~,¢G~ ~ . .
•,#1'fksst
r
3. ~'ature of work (check whrRemov rcablc): Ncw f3urWing
P
Repair • • • • • • Addition Alteration
al , Dcrnolition ~a).,....... .
Other Nark' .
7. Estirnated Cost 'f~.~?.~. ' {Dcscnption)
' ...~.U Fce
5• Ifdwclling I (to be paid on f"ilin,r, thisapplicatron)
number of dwelling ur~'ts , .
If garage, number of cars .....Fv,~ ' ' ' ' ' ' • • Number of dwelling units on each floor .
G. If business, commercial or mixed occupancy, specify not 5 and extent of each tytrer of use
7• Dimensions of existing structures,';if any: Front ,3~, S ' • ' ' ' ' ' ' r
Hcit:ht Rear ~ Depth
Number of Stories .
enstons of sa~m~
t~nrc.tur,, with alterations „r additions: Front M~' ' ' ' ' ' ' '
D~ ttt
g Rear . ~1h.14 .
4. Dimensions of e renew constntc Hert'ht 6"f°`F • • , , , ' ' ' ' NuntUcr of Stories .
Hcrgttt •
~ . NumbeTtof.Stories , ,QN~ • • ' ' Rear . 12' ,Depth , , , , , ~ •
9. Size of lot: Front r tS`3 ~ ' '
3.1.x,......... Rear r .
Date of Purchase ! ~g~~/...,'. Depth ; .
I • Zonc or use,district in which premises arc situated . , • a c of Former Owner I~AAlf~~D , (,3(tt1,CKEp(~, t)i/~N4~..C`J}Rf~o.LL
• •~r~i-f`~...... .
Does proposed construction violate', any zoning law, ordinance or regulation: ....~•U..........:''.... .
3. Will lot be regraded ~ , , , , •
" ~E~ • • • • • • Will excess fill be rcrnovcd from premises: Yes Na?
~......~...~AI..~G~~AI~c.,c~lU~ddress 1~15'~ 1 u 2 ~ r
Name of Architect Phone No.: 7~- jy-9'7,~, • , • .
Name of Contracotor remises fl121'I address . . . . Phone No.
• • • • Address • • ' ' ' ' ' '
Is this property within 300' feet of a Cidal wetland? • ~ ~ • • " " " • • Phone No, ~
*If yes, Southold Town Trustees Permit may be required. No...?,,,,,
. PLOT DIAGRAM
Locate clearly and distinctly all bu~ldings, whether existing or proposed, and. indicate ail set-back dimensions from
operty lines. Give street and block number or description according to deed, and show street names and indicate whether
terior or corner lot.
ill
SJ~
i
rr: o r u. Yo
`NTY O~~~C•~i•~ I•\. S.S
W ~ ~ 2i~~ a N g~ gCNv~ • • • • • being duly sworn, deposes and says that he is the applicant
(N:unc of individual si nin corlttract)
named. ~ '
the L~~:.•~.t!L,~.f/.....
(Contractor, agent, corporate officer, etc.)
'd owner or owners, and is duly authprizcd to perform or have pcrfomtcd the said work and to make and file this
'anon; that all statements contained iri this application are true to the best of his knowledge and belief; and [hat the
will be pcrforntcd in the manner set fo~tlt in the application Glcd therewith.
r to before me tftis
C{.....9.
0.~.~~-ay of 19
Y Publi , .
• CWRB L OLEW ' . County ~ J
~~~No
467960bNewY~rk 'i /
GuA1M'led In Suffolk County . • .
panlMlwl0n Etg11rs6 December ts,~it8,,.,,, (Signature of a
ppiicant)
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