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Home My WebLink About19520-zFOI:~ EO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-2627S Date: 02/09/98 THIS CERTIFIES that the building ACCESSORY Location of Property: ll00 TRACK AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 12 Lot 6 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 1990 pursuant to which Building Permit No. 19520-Z dated NOVEMBER 13, 1990 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to WILLIAM A. & KATHLEEN D. KOTZKY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 H/A N330216 10/17/94 N/A Bullding I n~t~r TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERN~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 19520 Z Permission is hereby granted to: .--, ........ ~.:~..:....U..~..~..~. ...... ,o...~..,r......~...~-3~......~.~... ......... ~.~.~ ........................ ot p~omis, ,oco~ed ~...~.t..~...~.~.....~ ....... ~~~ ............................. · O-''--~J ~-- o County Tox Map No. 1000 Sect,on ..... .~......~ ........ Block .....~. ............... L t No.....~. .................. pursuant to application doted ....... J~..~ ................. , 19.~...0...., and approved by the Building Inspector· Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildinl inspector with the following: for new building or new use: /1. Final survey of property with accurate location of ali buildings, property lines streets, and unusual natural or topographic features. ~. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 'z3. 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 i% lead. ._5 .... Commercial building, industrial building, multiple residences and similar buildip and installations, a certificate of Code Compliance from architect or engineer responsible for the building. ~r'~'-'Submit Planning Board Approval ef completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an -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 hy 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - _ .25~. 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ate ...~.Z.l.~.~.%~ ....... New Construction ....... Old Or Pre-existing Building.. Location of Property..%l~ ~'- rta-~ ~u · i ............. ~ .................. ........................ ..~.., House No. Street~ Hamlet ~- ~'~ ~ ~- . Onwer or Ovmers of Property...)~ ................... ~!~.~...~....l~ ... County Tax Map No 1000, Section ............ Block ........... Lot... P. .% ..,5... ~ Subdivision.. .¢.~.~.%g . C ~. ......... Filed ~ap ....... ~...~ot ......... = ......... Permit ~o..~.~.Z..O ..... Date O~ Pe~it*!l~./~V ....... Applicant.~,.~,.t~.¥.+~ ....... Planning Board Approval ............. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ........... ~.~,~o} ...~...~~.. ........ CO % ~?J A~ICA~ ........ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~.~JLATION [ ] FRAMING [,~J FINAL [ ] FIREPLACE & CHIMNEY i.? THE NEW YORK BOARD OF FIRE UNDERWRITERS 1185077 BUREAU OF ELECTRICITY ~--- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date ~TOBER ].7,1994 ~pplication No. on fil~ THIS CERTIFIES THAT only the e~ctrlcal equipment ~ ~scribed below and int~uc~ by t~ applicant ~m~ on the a~ve applieagion nu tuber in the premises of W~LL~ KOTZ~, 11~ TRACK A~NUE, in the following I.eation; ~ Basement ~ Ist Fl. ~ 2nd FL OUT Section Bilk Lot . , OCTOBER 13 ~ 1994 and found to be in compliance with the NaMonal Elect~cal Code. FIXTURE OUTLETS 3 DRYERS IECEPTACLES SWITCHES 2 3 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTHER SYSTEMS E R V I C E OTHER APPARATUS: SWIMMING POOL .-1 TI~'~ CLOCKS 40 AMPul BATH HOUSE- 1 PANELBOARDS, 1-~4 CIR. 60 * (SWIMMING POOL) This certificate -Covers compliance at the date of inspection only. Because of unusual environments it is advisable to <<< Contint~ed en Page A, W. G, NO, OF NEUTRALS A.W G, OF HI-LEG OF NEUTRAL GENERAL MANASER 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 BU LD NG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK only t~ e~ctr~ ~u~pment ~ ~serib~ below end intr~uc~ by t~ ap~Jcant ~med on the a~ve application number in the p~m~es of WILLI~ K~Z~, 11~ TRACK AV~N~, CUT~OGUE, ~. ~heloHew~.gloc.t/on' ~ ~.~e~e.t ~ 1~ FL ~ 2.d FL OUT Section Bilk Lot ~s examlned on O~TOB~R ~99~ and found to be in compliance ~ith the Na~onal Elect~cal Code. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISHWASHERS EXHAUST FANS FLUORESCENT MULTI-OUTLET SYSTEMS NO. OF FEET E R V I C AW.G OF HI-LEG OTHER APPARATUS: have frequent test/and or reLalr,~ made by a ~la].if. ied person. ROSL~J< EI~CTRIC P.O.BOX 164 CUTCROG[~, knf, 1193~ 1,IC.#3677--~ GENERAL MANAGER This certificate must ~ot be altered in on)' manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING~ DEPARTMENT. THIS COPY OF CERTIFICATr:. MUST NOT~ BE ALTERED IN ANY ~ANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ .] I~,ATION [ c]-~FINAL [ ] FIREPLACE & CHIMNEY DATE INSPEC~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITION~ COMM~ ~TS: /: ,.., / I/V/,:-.. z_,:a..'w/:-I. A,~o A'/~ ?:z. ,AT t- BLDG. DEPT, · TOWN OF SOUI'HO~ D BOARD OF HEALTH ...... 3 SETS OF PLANS ....... , FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILD, lNG DEPARTMENT SEPTIC FORN ............. : TOWN HALL $OUTHOLD, N.Y. 11971 NO?~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date This application must be completely filled in by typewriter or in ink and submitted to the Building Iri'spect0r, with 3 ~ets ot plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and o£ buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout o£ property must be drawn on the diagram which is part o£ this appli- cation. c. The work covered by this application may not be commenced be/ore issuance ot Building Permit. d. Upon approval o£ 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. c. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate o£ Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance o£ a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable La~vs, Ordinances or Regulations, for the construction o£ 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 reguiations, and to admit authorized inspectors on premises and in building for necessary inspections. · .~..~...~.~7./<( ~ .c..~.a..~..s.,.....w~..~. ~ ............ (Signature of applicant, or name, it' a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Same of owner of premises ...... ~../..~.C. rg. ..... .......... (as on the tax roll or latest deed) It' app/~&t is a corporationvs/~na~r~e.of d/}aly authorized officer. · .............. / (Name and title of corp~at~ bfficer) ALL CONTRACTOR'S MUS~'~.~SUFFOLK COUNTY LICENSED Builder's License No .......~' ~-~.~J..; .fi-.-/o~.. ...... Plumber's License No ......................... Electrician's License No. J~/.~.r'd~."o~....~..~.~..~-..~ Other Trade's License No ...................... Location of land on which proposed work will be done~ ' C House Numbcr Street Handet Subdivision ....... ~. ............. Filed Map No .......... Lot ........... (Name) Slate exisUng use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ...... . .. ..................... . ....................... b. Intended use and occupancy ........ · ~ r f~d~~/~ .~ ~ ~ ~.~. 3. Nature of work (check which applicable): New Bt lding ..... ' ..... Addition .......... Alt Repair .............. Removal ........... 4 Estimated Cost ,: · (to be paid on filing this application) 5. I£dweliing, number o£dweliing umts ............... Number o£dwelling units on each floor ................ If gara-e number of cars j 6. If business, commercial or mixed ~ccupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, jf any: Front ............... Rear .............. Depth .............. Height ............... Numbdr of Stories ............................................ Dimensions of same structure withi alterations or additions: Front Rear .......... ' Depth ~ Height Number of Stories 8. Dimensions of entire new construc:tion: Front ' Rear De.[th ~ii[i~[ Height ...... ; ........ Numbdr of Stories .............................. 9. Size of lot: Front ............. i ......... Rear ...................... Depth ...................... ' 0. Date of Purchase .............. ................ Name of Former Owner ............................. ' 1, Zone or use district in which premises are situated ........ ~4-ff(t-J.d-~..~/~.% ............................. 2. Does proposed construction violate any zoning law ordinance or regulation: .~.O. 3. WiU lot be regraded ....... fif.O.! ................. ~Vill excess fill be removed from premises: ~ No 4. Name of Owner of, premises .6A).c.qt.~Y~... tg?~..Z/~. ~.. Address . .~776.gPQ&..ex4'.~ ..... Pi~one No ................ Name of Architect ....... :. .... : ............... Address ............ ~]~nn; No. :~ff?:~]~'~¢2{9~. ' ' ' .5. Is this property located wilthin 300 fee~ of a tidal wetland? ~Yes ..... No ..... '~ ~If yes, Southold Town Trustlees Permit may be required. , PLOT DIAGKAM Locate clearly and distinctly all b~ildings, whether existing or proposed, and. indicate all set-back dimensions from ,roperty lines. Give street and block nu :lterior or corner lot, nber or description according to deed, and show street names and indicate whether r,'kTE OF NEW..YOR, K~ o ,x-rY or. .... .... ~O~.~. (Name of indMdual signing]contract) ~ovc named, h thc ............. ~ ~ ~ .- ~ (Contractor, agent, corporate officer, etc.) said owner or owners, plication; that ail statements contained ~ this application are true to the best of his knowledge and belief; and that the 9rk will be perfomed in the m~ner se~'t forth in the application filed therewith. yom to before me tlus.~ ......... ................. )ta Pub c ..... C ~ ........... ~ ~ ~ , ............. ounty . ~.~..vr. ,., .~m' .... ~.:O.~.~.~~./]. . ~ .,. ~.. .... ~ ::, ,,.~/,[ ' ~ature of apphcant) SUP-.VET OF LOT ~ 6 PIAP OF "Pt=QUASH AORES" hlLEE) HARCH 50, Iqq2 AS FILE ~ 56q4 51~A~,' CUTOHO~UE TO~N OF BOUTHOLD 5UFFOLK OOUN~, NY 5UPPOL~ OOLINT'¢ TAX # I000- 109- 12- 6 / OlEP. TIPIEE) TO, I~ilLLIAM A. KOTZt~Y Ir-ATHLEEN Z~. NOT~5, · IqONUP1ENT POUND 0 PIPE POUND AREA = 45,600 5P 0~. 1.05 ACRS ®RAPHIO 5OALIE I"= 40' o ~ \% \ o o sA5o \eO'O0' JOHN _ ~~ 6 EAST RIVERHEAD. N.Y ~t90~ 369 8288 Fax 369-8287 N ¥ '~. LiC NO 50202