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HomeMy WebLinkAbout19757-z u~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22542 Date AUGUST 23, 1993 THIS CERTIFIES that the building ALTERATIONS Location of Property 445 PEQUASH AVENUE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section I03 Block 7 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29 1991 pursuant to which Building Permit No. 19757-Z dated APRIL 3, 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 & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STANLEY & PATRICIA PLOMINSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-280561 - JUNE 22, 1993 PLUMBERS CERTIFICATION DATED SEPT, 1, 1992-BEDELL, INC. PLUMB.&HEATING d~ Building Inspector Rev. 1/81 S~ A'08M NO. >t TOWN OF SOUTHOLD bU1LDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiNO PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na 19 7 5 7 Z gate / 19~,/ Permission is hore y granted to: G~~ 3v ..Z/r' ~ ~ ,p ~ . l/ $y2G.......L~~'Ol.Y:~...........':° .::............~:'7r~............................. ......e%~. f` of premises IoenteCdC//nt .......7..1~.".~..... .....G? . . County lax Map No. 1000 Section ......1..<~..:,~..... Block ........Gy.,~...... Lot No.......a~:.~........ pursuant to application doted ..........~~...c~~.~~~ 19.®..., and approved by the Building Inspector. ~~~~~y ~ oa 1, Fee S.:S~ :.~~z._............ . /~~%GZ~ G~~~~~~""p ding lnspeeto U Rev. 6/30/80 i Form No. 6 ~~'~~q~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 S. Temporary Certificate of Occupancy - Residential $15.00qq, Commercial $15.00 Date ~ ~ ~s~.~..4a New Construction.......u.... OldoOr Pre-existting Building.............. Location of Property....l:'~,~....C>;~~4A:~.J~'.+~`?~~L'~.~....~4LY.'4~lt~K~:44~ ~ House No. Street Q Hamlet Onwer or Owners of Property...~~/°$'~L!<:~..~"..Pfk7~li-J~(}:..!.J,-~~I.;1~~~~0.,,,,,,,,, County Tax Map No 1000, Section ..............Block................Lot...................... Subdivision....- ................................Filed Map............Lot....... Permit No.,l.`.1.-a`~,7::z.Date Of Permit..l~~~.~L.......Applicant....2~I.N~/. .V '..~LOM!~5.~:... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..V a~ Fee Submitted: ~y , c,~-cc,, ~G 6 7 fj . ~ . ~j CU ~ r~^ C,1 ~ /J APPLICANT z3edeee ~`tc. PLUMBING & HEATING JOHN H. BEDELL 24 CROTY COURT LAKE RONKONKOMA, NEW YORK 11779 (516) 588-5050 981-4150 DATE: 9/1/92 T0: MR. STAN PLUMINSKI FROM : JOHN H. BIDELL SUBJECT: 445 PEQUASH AVE. CUTCHOGUE~ NY This statement is to certify that "lead-free" soldier was used on all domestic plumbing joints for the installations at the above address. / ~ ~j.Ri~~L~G SIGNED: V~...'(„_'_" ~,J JOHN BEDELL SUFFOLK COUNTY LIC.#1352P ~ , INSPECTORS Victor Lessard ,~;;~JFFDj,~-' Principal Building Inspector C' Curtis Horton h@o , t~(' ~ ©r SCOTT L. HARRIS p Senior Building Inspector ~ , Su ervisor Thomas Fisher E'=l r's~`'' _ ~ Southold Town Hall Building Inspector t9 i ~ - ~ ~ P.O. Box 1179, 53095 Main Road Gar Fish '~9'G Southold, New York 11971 Building Inspector Ydl a~ a~ Fax (516) '765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher ~ I Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR ~ / Telephone (516) 765-1802 TOWN OF SOUTHOLD AIIGUST 13, 1992 STANLEY S PATRICL9 PLOMINSRI 30 IVY WAY PORT WASHINGTON, NY 11050 PREMISES @ 445 PEQUASA AVENUE, CUTCHOGUE, NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: %x8 An application for Certificate of Occupancy is not on file. (Enclosed) ffi No Underwriters Certificate on file. ffi The check is not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. 7~K No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19757-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000891 OUREAU OF ELECTRICITY 86 JOHN STREET. NEW YORK. NEW YORK f008H Date JUNR 22,1993 gpplicationNo.onfile 73118691/91 N 280561 THIS CERTIFIES THAT only the a7ectried equipment w described 6eloro end introduced 6y the appl7cortt named on the show application number In the premises of t STANLBY PLONINS&I, 445 PBQUASH AVBNUN, CUTCHOGUN, N. Y. in tkefdloteing location; ®Basement ~ /At Fl. ? Ynd FI. DUT .Sertion Black Lot aNrs examined un JUN 6.17 , 19 9 3 and found to 6e in rompliancr with the reyuiremenG of this Board. IIXIYI! ACYS SNIITCNlS RXTUl6 RAFIOlS CfIOKIN6 DICKS OVlNS aSN WASINFS lXNAUST FANS OIItYTS INCANpESGENT rIUGeEECENT OTNER AMT. K. W. AMT. K. W. AMT. R.W. AMT. K. W. AMT. N. r. 3 2 3 amRS FulNAC! Aarols ttirwE AFFl1ANC! I~ERS AE IMCFT TINE ctocRS stn wAnRS Nan.ourtEr assh+ERs AMT. K. W. pl N. r. OAS N. r. AMT. NO. A. W. G. AMi. AAV. NAT. AAVS. TEAKS. AMT. N. r. ~ ~T AMT. WAITS 6 1 30 ¦¦1 fNVICS aSCOEMiECT NO.OF S E R V 1 C E AMT. AMr. TrrE t / rM , w aW S w SW S w AW NO. o~R `COND. Or c~ t°oi+b. No. a N4;EG a NO. Oi NEUTKAIS or 'NEVTGMN 1 100 CB 1 S 1 4 1 OTHER AP?AEAT115: r PAN&LBOARD8s1-13 CIR. G.F.C.II-1 - - / TRI-BONN BL6CTRIC,CORP. LIC.125316 , 3510 PARK AYB. ! 3 MANlAGN, NY, 11793 OWBAt lEANI?OEt 3 11 r } Per L ~ ~ 3 t Thit certificttH ttwst not ba ahsred in any Nannar; Morn to the office of tFla Board i7 incorrM. Inspaeton:tnay ba identified their cndmNuk. } A IN ANY '1cLD T ~:I^,TiiJ;i ~~UATE ~0`4MGNr° w ca G _ - - - = `'tom FOUt7DATI0N ( 1st ) H~~t c FOUNDATIOtd (2nd) ~ 2. ~ / o ROUGH FRAME & 1 ~ . ~ PLUMBING H l~ ~ 3. ~ ~ m ca y I1ISULATIOPI PER N. Y. STATE ENERGY ryi~, CODE 'v x 4. Z- m. 2 t~, c _ FIiJAL ADDITIONAL COMMENTS: ~x fia ~pp - "1 nd~ ~ ; - ~ a~~ ' x H ~ A y H 2 qe ' - x c*i a -p • r H S d m y ~..,a .w„..,.... e~.a rss-ssoZ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION (~RAMING [ ]FINAL REMARKS: i 4 1 i 't DATE INSPECTOR~~ LPL- f L~~S i _ b h'Eh~ poorZ ~wb-tr OPEN lu I:~ S~t~ti RS Ersr~No- Wr~na~J. w,w t~t2 S'hME (~'6h9r:. ~(-1-tK ~1~6ST~N(r IUCn)-Q~..9RIN(.- ~q~rl ncn ~E-SAS'" CZoLL". powl+~ srA(r~ 31tl~i~lia39 SN311N~, 83aNf1 G¢~ ~ Lyj~`i-e~7 ~ , tm G~`~ D rEN Po 2 c rt N ~ Gs~~t ,,c4~ <<~,~~ n ~ _ ~0 ~ g ~ _ _ _ W A 'I /f~/ ~LC K f1i)~ t ~ r~N ~oR 19SA ~EG~~~nsr~ AvEN~.c .S CC7roN I~~. or.~ 13~ocK o7,0o t.a-r pig, ooo CA V R V~'_ ~ ~ N h v ; ~ 2,y 2~~~`,~lo r To,.r,. ~>s 55~ ~ a i Zo~ ° o o ` Zo t! ! ` u` y Ne„~ l ~ li• l_ * IV "i' 1{ K I~ ( ~"Wn ~z ros~ /J ~y ~j q Z % Gj j) r r` I~. I r7 ~ 2 X l ~ ~ ~ , f n I I~ ~ rtrnq< ~ A ~Z ~ Iwo i d ~:s `~r ~ ~ FORM NO. J TOIVN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE , SOUTHOLD, N.Y. NOTICE OF DISAPPROV'A/L Date . 19 . PLEASE TAKE NOTICE that your application dated , , , , , , , , , , , , , „ 19 . for permit to ~"~4! 1, , ,G~+., , , ~-G; Ct, , .~J~~~~~ "X' . 1~.f at Location of Property .1~. ~ ~..5/-~~Q~`~~~ G U i ~L ~ House No. Street Ham/eG% County Tax Map No. 1000 Section 3 Block , . , ; , . , , , , .Lot ...°Z~ Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds !I~=.G~ ~ Gl , .Q-~. Wiz.. i~~,^~,~.s%,~.... ~ i , G~~ ,BUa.ld' Inspector / RV 1/80 FORM N0.3 TON/N OF SOUTHOLD BUILDING DEPART,IIGNT TOWN CLERK'S OFFICE i SOUTHOLD, N.Y. NOTICE OF DISAPPROV~ALy~ Date G7 19 ~ .E,y,LC_~ /y~ PLEASE TAKE N-O/T_ICE that your application dated ,i , , , ,®lL, , „ 19 ~.l for permit to ~L~! ..4 /J~,~/l, „~,~-,Lys~'~ , at Location of Property House No. / ~ ~ ~ ~ Sheet L'~( -4-. Hamlet County Tax Map No. 1000 Section Block ....0. Lot ..~.o~L.~.. Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the followin; grounds . ~ l . ~ IIuildi~ specto~~. . . RV 1/80 FORM NO, a TOWN OF SOUTHOLD BUILDING DEPARTbiENT • TOtiVN CLERK'S OFFICE , SOUTHOLD, N.Y. NOTICE OF DISAPPROVJAIL Date . T~ 19 ~i~ C~ PLEASE TAKE NOTICE that your applicat" ion dated . ?.7 19 . for permit to /.~4G ?'j .....................at ~2J/.r~....,r.~.~~..... a~,1~~,./~. _.,G Location of Property ,Y, n~ .GC~~._ House No. Street • . Hamle County Tax Map No. 1000 Section Block Lot ...~5....... Subdivision Filed Map No. , Lot No. . is retur~ne~d herewith and disapproved on the following grounds .~(!i?~~~L< ...~Z"'~ •G-C':Z~ uild'~~ Inspector RV 1/80 a ~~7s7 165.1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: F DATE INSPECTOR I 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ) ROUGH PLBG. [ j FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL ~ REMARKS: .A..~t` ~~c ~ DAT ~ INSPE~~ I_~i~C,~U,o~~„m-, BOdFD OF HEALTH ..er..... ~ FORM NO. 1 3 SETS OF ELdYS • • • y~ ~arv~l~w TOWN OFSOUTHOLD CIECI:Y:~%~l~_-•••••••... ,~u~ BUILDING DEPARTMENT • • • • • • . TOWN HALL SEPTIC roaM _ 0!•Dr, P)LhT, SOUTHOLD, N.Y. 11971 T~~r~o~SOJTP-ItaGt1, TEL.: 765-1802 t:aTIF~; X16 3yry 330p10 ~y CALL .4. Examined; ~ 19 / MAIL T0: • • • • Approved ...~f/~ , 19 ,~~Permit No../..~~.~~s7~ ~ . . Disapproved a/c ~ t S ~~p~ .A L ~.~.1r~-.~~ f.. ....g.... ...j.. ' (B din ector APPLICATION FOR BUILDING PERMIT Date ~/a.?........., 19 ~ INSTkUC T INNS a. This application 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- catio~.. 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 pazt for any purpose whatever until a Certificate of Occupancy 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 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 agrees to comply with all applicable laws, ordinances, building code, housing code and regulations, and to admit authorized inspectors on premises and in building for necessary ins ectipns. ~~////J ' S~4:. J.I.,Gt~f's~vS . . - (Signature of 2pplicant, or name, if a corporation) 3D ZU~ Nike , • .I,o!Lr 1+U.ksif~~g~yy, N; •I )CS°a (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. QaJN~2 .......................p...........................'1.................................. Name of owner of premises .`yrgNt¢Y. ,Y. loM1NSK~ dh~ ~,47p ~G~f~ I~~NU NS KI (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title ofrrcorplofrate officer)!p Builder's License No. .t~.~ . 1-}~e~.s..'.':~. W4 9 Plumber's License No. . I. n'.D . Electrician's License No. ~ J~~.• . Other Trade's License No . . 1. Location of land on which proposed work will be done . . House N:~ Street Hamlet County Tax Map No. 1000 Section V p 3" p ~ Block ..CI.7. ~,U, , , , , , , Lot . U . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy f: (!~..G%~.~... . b. Intended use and occupancy ~a-/.tee,. ~L!'~ "v~,~ 3. Nature of work (check which a I' , Re air Rem Iplicable): New Building Ad` ditY"ori'. Alteration 1~.... . p oval Demolition Other ~(~°~§Gription) 4. Estimated Cost .......~Px ~~~~D©~ Fee . ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars , 6. If business commercial or mixe ~ ~ ~ • • • • d occupancy, specify nature and extent of each type of use ...N~~ . 7. Dimensions of existing structures, if any: Front ...............Rear Depth . Height ...............Num~~berofStories........................................................ Dimensions of same structure with alterations or additions: Front Rear . 8. Dimensions of entire new const ' 'Height Number of Stories . ruction: Front Rear............... Depth g Num ~ berofStories 9. Stze of lot: Front ~...~~p..i........... Rear .....?4.~ Depth . ~4°................. ei ht Name of Former Owner .F:.(t'lA,I}Od~y,,,,,,,,,,,,,,,. 12. Does ro osed construction violmises are situated . 101. Zonep r up a distract m which pr ate any zoning law, ordinance or regulation : . 13. Will lot be re raded ..........'.........Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~:re'w.wy .P~m~r~K~.... Address 3° :fvy .WA.•7 , pmr. In~s~, .Phone No..:~?h~.:?s~.l, . Name of Architect Address ...................Phone No............... . .................Address ...................Phone No. 15. IIs~this property within 3,00 feet of a tidal wetland? eyes„ , , , , , . No..~.... . *If yes, Southold 'Down 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 number or description according to deed, and show street names and indicate whether interior or corner lot. Spy ~j~(ThcFf;:Ij Surcu6~ I, App 0, p AS NUiip NOVIFY f3UIL.D NG DEPART A 7t~5- a fSOi q AM TO 4 PM FOR THE FOLLOWBNfa tlNSPECTIONS: I 1. FOR POURED CONCRET~EOUIRED 'I~ 2 ROUGFt - FtiAM9NG & PLUMBING IN~uLAnr,N FINiAL - CONSTRUCTION MUST CAE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET I THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY DESIGN OR CONSTRUCTION ERRORS i STATE OF NEW YORK, S.S COUNTY OF . being duly sworn, deposes and says that he is the applicant (Name of individual signigg contract) above named. He is the .......................IL... I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyiiauthorized to perform or have performed the said work and to make and file this application; that all statements contai~ted in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary Public, ? l•...^!?:.~~...... County /I \ ~ ~m,~..,s~ S HELEN K. DE VOE I NOTARY PU8U0, State of New York (Signature of applicant) Na. 47018)8, Suttolk Coun Term EKpirex Marck 30,18..E-•{