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Home My WebLink About19955-zFORM NO. 4 T. OWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z~20981 Date AUGUST 27~ 1992 THIS CERTIFIES that the building. REPAIR & ALTERATION Location of Property 710 (a/k/a #28) SOUND ROAD GREENPORT, N.Y. House No. Street ~amlet County Tax Map No. 1000 Section 35 Block i Lot I2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17¢ 1991 pursuant to which Building Permit No. 19955-Z dated JUNE 19, 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 REPAIR & ALTERATION TO FRONT STOOP OF EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to JOHN C. & EDWINA G. SKREZEC (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 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- 19955 Z Permission Is hereby granted to: ........ ~~....~..~.; .................. . / ' ; (// _ , at p,m,,, ,oco,ed o,....~Z~. ....... ~~.~./.'.. ........................................................... County Tax Mop No. 1000 Section '~-~' Block /' Lot No. ~ pursuant to application dated ...~...././.,~.. ........................................ , 19.~../.., and approved by the Building Inspector. Re~ 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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: 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. Subm%t Planning Board Approval of completed site plan requirements. Bo 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 applicJtion 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 ~'~"~. f.'..~..~. ~ New Construction ........... Old Or Pre-existing Building ....... Location of Property .... ..'~..~.. .......... ~.~//~f...~.~."~;.~..i. ., House No~ Street Hamlet Onwer or Owners of Prmnmr~ ~C ~C__ ~/p/ ~_.. County Tax Map No 1000, Section .............. Block ............... Lot ................. Subdivision ~ Filed Map Lot Permit No, f.?.9.~....~r..Date Of Permit...~. .Applicant. ~.~..~.~..~..z~...~..~ ~ tlealth Dept. Approval ....................... · . . Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..~'.~ i~. .... Colloq.~ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or 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 S0uthold Town Hall P.O. Box 1179, 53095 Ma~n Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD AUGUST 10~ 1992 JACK SKREZEC 710 SOUNI) ROAD GREE~ORT~ ~ 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~x~ An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is~r~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 $ 19955-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOU~;DATION 1st) FOUNDATION (2nd ROUGH FRAME & ,PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL I ADDITIONA'L COMMENTS: BUILDING DEPT. INSPECTION REMARKS: DATE ~/~/~/ I. S P ECTO R {/b/,~.~/~/.~,/<~- FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.¥. 11971 TEL.: 7G5-11102 pproved .............. i9. Permit No ............ isapproved a/c ..................................... ...... APPR0'VED AS NOTED .~ ~ FOR POURED CONCRETE 2. ROUGH - FRA~iNG ~ PLUMBING 3. INSULAT~ON I~T~T~O~ BOAF, D OF H£ALTII SETS OF PLANS SURVEY ................... CIlCCK : ..... :. c,~ . .V.22: 0~..$. ....... i'IA ;[ ~ TO: .............. y ~yp or ~n in~ ana submitted to the Build'rig Inspector, with 3 ; of plan~Fr.4~l~k~_ ~_.~..s.c.ale~..E.e~ according to schedule b. p4kkkp~l~l~l~.J'l~a~l~a, lrk£~:~d of buildia s " I g on premises, relationsLii * · ' ~aS,~TT~1 ~[I~Q~-I~F'~,~I~-,~..~'~.~- ....... p to adjoining prerr ises or bubLic streets ,TE C(i[~f~l~[ll~~ ~ayuu[ o~ property must be drawn on the diagram which is part'of this appl/- c. T~Cgl~. ~9~r~.~P~l,~.~q_R_ .. .. -- ,~-,~,~,.,,~..~-~ ~ ay not be commenced before issuance of d. . , Buildin Permit ,~ ~~q~c'~l~mldmg Inspector will issues a Bu-~:-, .... %. : uum~ rernur to tile applicant Such permit · ;°e ,; ction throughout work. ' · '~o~_¥~Lt~p2 ~ ~/2~ ~jt~dpi~j.Rmjo~in whole or in part for any purpose whatever until a Certificate of Occupancy 7. o - .r~nq,~I~1~,~ t~Pl~t~e Bmldmg Department for the issuance of a Buildi - · mn. Z. on~Pjr~lzn, a-llc~e~ th ld n~ Permzt pursuant to the ulation~~tt~V~o..~[gP'l~a,?ddaa o, Suffolk County, New York, and other applicable Law ., ~' ..........~U~tnl~tl~n'"of ~drf~h~, additions or a ....... s Ordinances or [uJatzons, or Ior removal or d ' ' · applic~l~ht~.l~l~b~,.~ ..... i~h .,n "-~'cable laws -' . . emoht)on, as hereto describ.~d. ' l - ' , oramances, DUllUln~r code hob ' It authSr/{:..l~'~httsr>ack.~glk~'¢I~l~a~.~r~ build..~, ~.__ . ..~ , sm~ c/~de, and regulations, and to 8E COMPLETE FOffC':O:'"~ -~ ~ur necessary mspecnjT~s...~ ~ // ALL CONSTRUCrrlON 8HALL MEEt .. (7'/LF/t.-, ~_': CODES. NOT RESPONSIBL8 DESIGN OR CON$1BUCI'ION ERRORS .............................................. (Mailing address of applicant) ~e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' u (as on the t~,t roi or latest deed) ...................... :plicant is a corp6ration, signature of duly authorized officer. (Name and title of corporate officer) Builder's.License No. ~)Cz)gJ~..~ Plumber's License No ........... : ............. Electrician s License No 3tber Trade's License No ...................... OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY )cation ofland on which proposed work w/Il be douc ....... ................. · ........ .... )use Number .... Street ................ Hamlet unty Tax Map No. 1000 Section ..... '.~..~. ........ Block · ' ............. Lot .... .]...~. bdiv/sion ..................................... Filed Map No. (Name) .............. Lot ............... tc existing use and OCCupancy of premises and intended use and occupancy of proposed construction: ~xisting use and occupancy . . . .~../~.~. ~..~/bC~ ~./.. ---~-,,cy ......... ,.~. '..t,' .... 4- ~-< ..... 4/~. t.~ L.,/ [ / - / ..... t .... Other Work ............... 4. Estimated Cost . ...~.. ~ ,~ 0 (Description) If dwelling, number of dwelling ' fihng this application ' (to be paid on ) 5. Units ............... Nqmberxff dwelling umts on each floor ............... 6. If business, commercial or mixed[ 'd · lfgarage, number of cars ... i ..... ~.~'"' . . . 7. Dm~ens~ons ot'exis ;-,,,-* ...... I .- ' e. tent pi each ty ~c o£ use ... ' ...... occnpaney., specify 'nature an - < t...e, o,4u,~ures, it any: Front ............... Rear · · . - Depth ...... Height ............... Nu Ii ....... Dimens mis of same structure ~vit ....... er of Stories ....................................... Depth .... h alterations or additions: Front .... ' · ........... . i He,,* ............. Rear ..... 8. Dimensions entire new construction: Front .. ' ............... Number of Stories ..... ................ Rear ...... ' '" 7. ' Height ....... ~ ..... :.. Num b!er of Stor/es Depth ........... 9. Size oflot: Front' " 0. Date of Purchase · : .... Rear ,.. ' .............. Dc:pth ' .......... 1. Zone or use dmtnct in which t~o,,~;~,¢ .~ .. · · Name of Former Owner ................... -, Does-proposed construction violate any zomng law, ord;nance or ' '"' '"" ............. -~. Will lot be regraded ..... i ................. Will excess fill be removed fromm'premises: 4. Name of Owner of premises .... ~ Yes No Name of Architect Address Phone No " Name of Contractor Address Plrbne No ~. Is thi~i~roperty within 30 et' o'f .... Address ................... PhOne No" ... '... yes, Southold Town Trustees · . ..... ' ao.",'. ..... - Perra~t may be required. , , ,~ ~ ,' PLOT DIAGRAM ' ' ~ocate clearly and distinctly ali bfildings, whether existing or roo ed · ~ " ' .op~rty hnes. G~ve street and block number or descri~,tioh acc~-~· ,,P~ .P s, , and,~ndlc;lte.all,,~et,back,,dimensions from :tenor or comer lot. , u,umo m aeeu, and show street names and indicate whether, TE OF NEW YOR~, ', , (Name of indivktual signing cdntract) .... being duly sworn, deposes and says that he is the applicant 'e named. i on rac r agent, cot a ccr, e . id owner or owners, and is duly autb'orized to perform or bare performed the sakt work and to make and file this cation; that all statements contained ih this application are true to the best of his knowledge and belicf;antl that the will be performed in thc manner set forth in the application filed therewith. a to before me this '