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HomeMy WebLinkAbout19978-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23858 Date SEPTEMBER 7, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 49450 COUNTRY ROAD #48 SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 1991 pursuant to which Building Permit No. 19978-Z dated JUNE 26, 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 AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AND DECK SURROUND AS APPLIED FOR. The certificate is issued to HOWARD & MARIANNE SAWICKI (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N197665 JULY 26, 1991 PLUMBERS CERTIFICATION DATED N/A J~ ~ . uil ing Inspector Rev. 1/81 1'OBa[ NO. f 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) N° 19978 Z Date ..............~.,~.-n~..a:.~.........., 19.9..E Permission is hereby granted to: y3'~ to ........Q!:x.1....r!^.: !)~~::^:':~4~....... ?7c7~Y,...44~..,... Q.:~:rX.... a:~~. I ! at premises located at .....~°~.7:~..~.....~~....~r?^.:Y!:5:.....~~....~ ....~/.....~I.~:~:d..~..~... ~ County Tox Map No. 1000 Section ......6.J.~..~...: Block Lot No...Sa~~............ pursuant to opplieatlon dated ........~r.~!:Mpz.....a:~ 19.9,..., and approved by the Building Inspector. ee s ..I.:~ Building Inspector Rev.6J30/80 Form No. 6 >F ~ 1'7 ~ ' I°. 'i'OiJN OF SOU'ff10hD IlU1LD1NG llPPARTMENT SFp •rowN IIALL ~ 199,5 76s-ISOz APPLICA'i'7.ON POR C);RTIPICA'PIi OI' OCCUPANCY A. This application must be filled in by typewriter OP, ink and submitted to the building inspector wiCh the following: for new bui.ldiag or new use: Pina1 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-di_sposal.(S-9 Lonn). 3. Approval. of electrical installation from Board of Pire 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, nwltipl.e residences and similar buildings and installaC].ons, a certificate of Code Compliance from architecC or engineer responsible for the building. , 6. Submit Planning Board Approval oC 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 naCUral or topographic features. 2. A properly completed appllication and a consent to inspect signed by the applicant. If a Certificate of Occupancy i.s denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Pees Certi.ficaCe of Occupancy - New dwelling 425.00, Additions to dwelling 425.00, Alterations to dwelling $25.00, Swimming pool $25.0(1, Accessory building $25.00, Additions to accessory building 425.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing L'ui]di.ne - $100.00 3. Copy of Certificate of: Occupancy - $ZO,pO 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - ResidentiAapl~ 415.00., Commercial 415.00 Dace New Construction..........: Old Or Pr.e-exi Oh7~ I3ui.~ding..?~........... .`v Location of Property...... .................!t }louse /N/~+/p. y~n Strc\e-e-utq/~ ~ Hamlet Onwer or Owners of Property.~UW/IRI~..~. [l.rlt.~`:Y`.u~~ v 0 1 wj c ~I County 'fax Map No 1000, Section..'~~..`~.......L'Iock....~.,........LoC.. ~ Subdivision ....................................Pilqed Pi;qt............LoC...................... Pe nniC No. J. ~~Z~.~,~,.DaCe Of PermiC. ~ ~ ~..!.....Applicant IlealUt DepC. Approval ..........................UnderwriCCrs Approval......................... Planning Board Approva] Request f.or; Temporary Certificate........... Final Certicate........... 2 S'va Inn'ee SubmiCtQed: 4 ~y ~'0 3 05~ APPI,ICAPIT - THE NEW YORK BOARD OF FIRE UNDERWRITERS PAi:r: - lonl38i r BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 dNLY ~6,1.4~7i I:'951391fg7 N 1976ti5 Date Application No. dwfile THIS CERTIFIES THAT only the dectricd squfpmlent w deecrihed 6doto and introduced by the spplkant rtensed on eha aftwe application numlNtr in the premlrs Q/ H3~i,i, SaWTf.{T, NORTH ROAD, POT.E X1.05; yOUTtiOJ,D, N.Y. - ~},I' in thefdlowinR loco nt ? lAt Fl. ? Ynd FI. Sertion Block Lut - 3ipr~ , ~ f~r~ sees examined un and found to 6e in awmplianer frith the reyuirementt of thu Baord. = NXTURE R%T tAF10K COpXINO DECKS OVENS fMSH WASHERS E%NAUST FANS OtnIETS TACIES fW1TCNES INCANDFECENi FlV01tEEtEM OTNEn AMT. t. W. AMT. t. W. AMf, t. W. AMT. t. W. AMT. M. P. I ~ DRYERS FURNACE MIOTORS IuTW! AMIIANC! IEEONS SNK7Al tlC'fi TIME 40CKS ~ UtgT tNATERf Muth-ounRr DIAAMERS AMT. K. W. Oll N. P. GA] N. P. AMT. No. A. W. G. AMT. AMP. AMT. AMn. TRANS. MAT. N. P. SYSTEMS AMT. WARS FID.OF RET ~ 1 .0 SERVIC7 DISCONNECT NO. W S C E R V I C E AMT. AA1v. in4 ~ 1 / ]`I/ 1 / ]W ] R ]W ] / IW KIfCA' C~~' Oi CC. COND. Na. OF H4LEG Of W.l 0 Na.OF NEUTMlS Oi NEU1GRAl i OTHER APPMATUS: - :~GT:P4.FIYNG POf)L~-1 ~ SPF;C'Hl. RECEP.20ANP.-1JG.F.f„1.-?-? "4SOd'rMMING POOt,) This cer.[ifi.ratF covers compliance at the date of inspection only. Because of unusual. environments it is advisable To h.Twi:, fceguent test and/or repairs made by a qualified person. ~ °l ,IODY PUM'[I,t,O t• fc'. ~?,-100-F: VAT I,ANN - OYIRAt EEANAORR NATTTTU('IS , NY r i 195?. Peii This certificaN must Tqt be olterod in any manlar; return to tM effia of tM Fktard if incortsct. InspMOrs may M identified by tMir redanNols. COPY fOR NUILONIG DEPARTMENT. TINS C OF CERTIFIGTE MIDST NOT EE ALTERED IN ANIf MANNER. ~~~OSOFFO(k~0 o Gym H x Town Hall, 53095 Main Road p • ~ Fax (516) 765-1823 SoutholdONew York 911971 y~Ql ~ ~.a~~ Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 31, 1995 Mr. & Mrs. Howard Sawicki North Road Southold, NY 11971 SECOND NOTICE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. 525.00 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 # 19978-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS Victor Lessard v' >"J ~i7(,~ Principal Building Inspector i'~--~ ° ~3 ,x, `-"p Curtis Horton nl~ i..° U~~i SCOTT L. HARRIS, Supervisor Senior Building Inspector i{ 1 Thomas Fisher "a ~ ~ ~ ~ " Southold Town Hall l '''•rtx ~ : ~ P.O. Box 1179, 53095 Main Road Buildin,G Inspector ~ ~ rte'' ` ' ~ Southold, New York 11971 Building [Fspector - ? Fax (516) 765-1823 - Telephone (516) 765-1800 Vincent R. Wieczorek " Ordinance Inspector Robert Fisher Assistant Fire Inspectrn OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD MAY 28, 1993 A. RHILLY S SON, INC. BOR 434 MATTITUCR, NY 11952 RE: HOWARD 5 MARIA SAWICRI To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xBx 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 # 19978-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: H. 6. M. SAWICKI =IydLLL i;:SPEC.i0t7 ~~DA.E ~ OMMENTS -1.0 1 . ~ .b J H~ FOUI7DATION (1st) -i c FOUNDATIOIJ (2nd) ~ ~ 2. z 0 P,OUGH FRAME & ~ ~ .PLUMBING u•` N y 3. ~ ca ~ m ~ It1SULATION PER N. Y. y ~ STATE ENERGY ' CODE x /r r 4. .may FI;JAL rf, • ~ ~ o z ADDITIOttAL COMMENTS: m x~ . 2 ' ~ ~ SY 1 ro ~ ~ ' ~ O H H ~ O ~r m a r ~3 ' x d;~ ~ m - ,c ` ~ H _ ~ _ - - a.- , r w.... _ .ten . .e,2'r.vaxa.v...sn~.w~aamus.:-,saes?..~a'«..~.1+.rd6.~~:..• ..~aix.~°-s 7~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION [ ]FRAMING [ FINAL REMARKS DATE INSPECTO~ 765•i802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ~ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: i DATE INSPECTOR ~ BOARD OF HEALTH 3 SETS OF PLANS i ~FORMN0.1 SURVEY i ~ ~TOWV OF SOUTHOLD CHECK • - • • BUIL"D.INGDEPARTMENT SEPTIC FORPI ,,,,,,,,,,,,,r TOWN HALL NOT Y EOUTHOLD,N.Y.11971 CALL J~~~ ' TEL.: 7G5~1802 ~ " T0: Examined ..~.M'!M.~•.4.. . 19 g.~. . ~ .,..m" Approved ~4;u'~ .:~.(4.., 19 Permit No ~ ='u:~ „ . p r Disapproved a/c i ~1{~\ ~~N 2 Q ; • i.dL~.X. F1i tJ -.f _~~Y • . r Win.... ~..rv.m ~.~yn ~aE7Y' ~.5 ~ , (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ....h~.~f.~ 19.1 INSTRUCTIONS a. This app]ication must be completely filled in by typewriter or in 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, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLIG~TION IS HEREBY Iv1ADE 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 the construction of buildings, additions or alterations, or for removal, or demolition, as herein described. The applicant a;rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessaryq inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, -engineer, general contractor, electrician, plumber or builder. },~ow~~z.r~ ~ vy{ . . Name of owner of premises ~t (as on the tax roll or latest deed) If app'ca 's a corporation e of my authorized officer. i (Name and title of core officer) ' ALBuilder75 L ce sOR~'os MUS,~ ,(S$ SU~~LK COUNTY LICENSED Plumber's Liccnsc No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done. C44~:/~r, . L/,$~ , , ,.S'd?,~~G~ /U . ~ q u~~ ...........~...r~o-~--~:.. Y:~ ..........:s~-~4~.. ~ ~-y-.. - . House IJumbcr SS-t°reet Hamlet ~ • • " County Tax Atap No. 1000 Section , , , , , , , , , Block Lot ,~l.~ . . . . . . . . . . Subdivision Filed \fap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~~f r l~~ b. Intended use and occupancy , , ?;~!_P 7J' , /~Ot?t-:. • • • • • , , _ • . I 3. Nature of work (check which ap'plicable): Nets Building .Addition Alteration .;l , Repair Removal Demolition .Other 55'ork . .i4,. ~ • • • Swfr... vs,w. /+J04~i ~O~cH^ •6' ©4cG/G 4. Estimated Cost w~,,,QZ~Q; ~O • , . , • • . , . • • • • • . , ~ ~ Ption) Fee g I ~ (to be paid on filing this application) 5. If dwelling, number of dwellin {rnits Number of dwelling units on each floor , If garage,numbcrofcars 6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structure, if any: Front .Rear Depth . Height Number of Stories • • • • • . • • Dimensions of same structure tvi~h alterations or additions: Front Rear . ~ ~ ~ ~ ~ ~ • Depth . .Height . . Number of Stories . • • • . 8. Dimensions of entire new construction: Front Rear . ,Depth Height Number of Stories • 9. Size of lot: Front ...........F.......... Rear ................Depth........................ 0, Date of Purchase . + .................Name f Former Owner • ~ ~ • ~ • l . Zorte or use district in which premises are situated . ,~Q~"/~J(~?t~7fj~., • • • ~ • ~ • • ~ • • ~ • ~ ~ • • • • • ' ' • Does proposed construction violate any zoning law, ordinance or regulation: . 3, 55'ill lot be regraded ~,/w , , , , ; , , , 5Vi11 excess fill be removed fr m premises: • • . • • es • • 4. Name of Owner of.premises i ~,f/,~;W/ e K,f• , • , • ,Address ,~(~,,~"¢te• Phone No... Name of Architect .Address , .Phone No.. ~y c7 • Name of Contractor , A:.~.t~G,ayt,f,'tt~..,~ , , , , ,Address , ~,"!;'~j.~'(~Q/-~ ,phone No. •a:-/,~ 5. Is this property located w If yes, Southold Town Trusithin 300 feet of a tidal wetland? *Yes No ~ * tees Permit may be reqgu~ired. I PLO"I' DIAG1tAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty tines. Give street and block number or description according to deed, and show street names and indicate whether aezior or corner lot. , III • . "ATE Of' KER' 1 O ~L~, , , , S.5 • • • • • /.~Qt~~t.!9'w• • • •'4E~7Gt~y • • • • being duly sworn, deposes and says that he is the applicant (tiamc otindividual si nin' contract) ove named. Contractor, agent, corporate officer, tae.) said owner or owners, and is duly quthorizcd to perform or have performed the said work and to make and file this olication: that all statements containfd in this application are true to the best oC his knowledge and belief; and that the uk will be performed in the manner set forth in the application Glcd therewith. orn to before me this ~ day of . 19 tart' Public, I~~. ~~~~~~=.1!!!'~~County PATRICIA G. L N NOTARY PUBLIC, to o'r ~PJV #M1790982, 8uf ofk Caun~y~ Comm. Eupires 30, ~9 / (Signal applicant) ' , 111 l 1 v1l •r ~r ni •uw rx}DWI tlU,M WYI Y•I/x1y lA Wl llx\MI>Yy wO\IY VIw MIn, YLI LXIVYtl n•11r 11 vl tln•nIe 111.r.,M {r~Y.11 n1., 1 Wll:r.•.aY••tlLL{rtn.lliy lrL lVpn Vlvx }lYttl Jx x, tl.x \I.w?. .,.Itln•, xr kW Yl4wr'.Yf1Yy baflLa'LAY:YLIIW MWx I\Yr 1v YY tf, IIW I,W Wfsrr lLx w, n,•r•11W M?.Y• eMMw•,al tl•n1,I .nlw gal L~l.a t•tu•i.XrYw ry, M"•tl+YVrw M1M tlyv. • Y.tl x•yl rytY,.lxv•~\LWIrW WY11.M41 w.YlYMW MYI IYK IrVW1aYw LM1 M1NXYw vWlx.,twv4 tv •wl•Xa}•an ••nrwn I OCCUPANCY OR • ~ r.~xcor USE IS UNLAWFUL , ~ WITI~OUT CERTIFICATE ~ OF OCCUPANCY ~pe1r ~o V fsO. To A,~ °",vrt ~ ~ t,,,w . 4 .r V i .use ~ tiR C, AA°~ O ~r r. 1 N.rfo ~ "pro 1'~.fl ~ ~ iio: n n)Q ry ~ ;~~f ,,tom .sir<M,'e.L,is l~r..YO .ry, .1 Q; ,,L CAD& :a • s ''1 ~ ` I' Ei31ATELY'° i ' +y I ENt:Up8E1'OOLT000DE ~ a ~ ~ P O O E d ~p7 ~j~r a ~ p MPi gPPRUVED Aa 4~~a7~q, ' . ePi~ Y~ pP DATE' / .R.P t~tJL`i.9.J`J ~ + ~ F FEE: L'•-` _ 8Y Y-~._~vI_ ~ 11'x/ NOTIFY f3U6LC]IN{1 DFC'f.4RTPIRc?^]~ ~ „ ~~Q ~ ~ ~TJ~ 765-1802 5 AM 7Q Ja FtV9 ~tipr ;:di~ laQ ~ FOLLOWING INt>PEC~fI;)!u:; ~ ~jG 7. FQUNS)A7{ON TWOhEQLseIjtE~ S•1 rr'IX L07 FOR POURED CONCRETE p 2. ROUGH • FRAMING & PLUMRIN(a Y PdT~ 6. / 3. INSULATION ~ FtE 4. FINAL - CON5TRUCTION MIDST BE COMPLETE FOR C.O. ALL CONSTRUCTION S1iALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY p~IFA CODES. NOT RESPONSBLE FOR DESIGN OR CONSTRUCTION ERRORS ' Oia•o yF. L• I ~~°•/2.f 6 V ISIONS uNru , I l n n otL a nt I I I In nLIN un OH~1T ~c BONACCI, P.C. n,„~".. IN IU II1,:~ ~Lp1yLY I., v,Ul nI,I lIV Itl :,1 Gl,l IN /:-JLJ:J I rl IIM1 NLW TIHIK blAll l lull A CONSULTANTS • SURVEYORfi • PLANNERS I,. .u r 72 E OI IJ CL]UIVfRV F7U SEL:ON.)SlFitkT MwE lxA. N V, 11501 +;I; ~~k HOL.BROLIC, N.V. 11 / bt6 >42 4DU/~8 ~ 516 •821.2211 ~ S BIK. J 'I ul ~ T~ :.,In~~ r.lnl. > Uf: SUFFOLK COUN/y LAND AND TAX NAP "'I I" r" I1+~. Lnl'al :,all ]AT~'~nT SOUINOLD NfW YORK ~ 5 ~'I+NAIUNL nl•JIJ Lls S"UCCEr' ,UF7S TU 1u C.bl a &l nL e>YIn LL Nut III U LfUFfdLA' CO NO, la,nrwuell v.,nrca ' SAfEC_O_r/TL E /NSURANCf CO. .<I'tJO., nu xY L L+~.I[x-lau n vnutJ n n m eel>v GfOIt6E NA.Y!/L TON N.L4M>•i'PkHV es-6si Jl lF IEC) 1 G. y ..1:cx., a elnl uw+Y `~EJ N0. • I. e ,.>wn.{»al GATE 4 70 B6 Wll MMIIGWnLIUIiyT ' ~'ri?i '