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Home My WebLink About18688-z y9~-~/Sl FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold; N.Y. CERTIFICATE OF OCCUPANCY No Z-18642 Date DECEMBER 13, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1980 DELMAR DRIVE LAUREL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section I27 Block 4 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1989 pursuant to which Building Permit No. 18688-Z dated DECEMBER 8, 1984 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 NON-HEATED (SCREEN ROOM) ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WALTER & KATHRYNE KOSIANOWSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A w Bu' ing In ec or Rev. 1/81 voans xo. s 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~ x.8688 Z Date ..[!~/Q 1°3 Permission is hereby granted to• ~ 9~o...:~-~~,..~.....,~~e at premises located of ....~9..~a.. ~ .........~i.A%~V..............................................,........... ..........................................%~.7//~.... y2~~?~~..................................................... .............................................lI.G~GI~ Caunty Tox Map No. 1000 Section ........~r~~...7... Block ..............T...... Lot No...........~'~ pursuant to application dated ..l~~y'~~..../ 19...~>..., and approved by the building Inspector. ~L~i ~ ~/~l~/~ Da Fee $..4I.~~. r ..~/.l..r"........... Buil ng nspectr Rev. 6/30/80 TOWN OP SOUTQOLD ~ 'j,; ~tl ` BUILDING DEPART?LENT ~ a TOWN HALL ~`tl} 3 ~ ~ SOUTIIOLD, NEW YORK 1 197 1 84DG. DEPT. 765 - 1802 TOWN OF 5OUTHOLD APPLICATION FOR CERTIFICATE OF OCCIIPANCY / DATE . ~~~~~.~.1..... . NEW CONSTRUCTION .......pOLD OR PRE-EgISTINpG EU2LDIpNGp......VAC[ANT LALN,D....._.. Location of Propertq..~~,U,D ~~~1!'I°~~i`I~ct......_.r\~rt?~L!~:....... NOUSE NO. ~J STREET UAMLET ~fl~T~~ 7Cf1TN(L; ~1~- ~451K~ 01aJSIL.~. Owner or Owners of Propertq... .N County Taa Map No. 1000 Section ~~J.. 81ock Lot'..._. Subdivision File~d /Magp~........Lot........__ PermiC No. ~~~ate of Pe~~//rmit ~"~.~LI..Applicaat~.^~1:.~~Jf/........ Health Dept. Approva/l ......~/.~Jr'_.._.../. Underwriters Approval..JY..~ Planning IIoard Approval RequesC for Temporary CertiFicate Final Certificate Pee SubmiC[ed: _ 1 APPLICANTS 02~~_ 51 rev, 10/14/88 ~~,e3g~va coy )gtoN~ . - ~ ^ 1 L~ 4 F' FORM NO. 6 TOWN OF SOUTUOLD _ BIIILDING DEPARTMENT .i TOWN HALL 765 - 1802 i APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A.~ 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of 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 solder used in system contains less than 2110 of IZ lead.', 5. Commercial buildings,'', industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsibXe for the building. 6. Submit Planning Board'', Approval of completed site plan requirements. B. For existing buildings (}'rior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all propertp lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstr8ct of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing cede or safety inspection of buildings or premises, or other pertinent informationjrequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstr~ct of title issued by a title company showing single and separate ownership of ',the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. _ FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteratipn to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2, Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over S years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ev. 10(14/88 ,...w, ~T.. _ - TOWN OF SOUTDOLD -i BUILDING DEPART?[ENT -.i',~. TOWN UALL o' 4 ~ t~' ~l f'. SOUTIIOLD, NEW YORK 11971 BLDG. DEPT. 765 - 1802 TOWN OPSOUTNOLD APPLICATION FOR CERTIFICATE OF OCCIIPANCY r~ / ~ DATE. ~~~~~P ~ HEW CONSTRUCTION .......OLD OR PRE-E%ISTINC BUILDINC......VAC`ANT LACCN~~D....._,. Location of Property..~.~.~ ......:.....:~:~:~m~~~(IVF......_.,`~J~t~-....... IIOUSE NO.\~,(/ STREET,~.~ IIAMLET Owner or Owners of Property. ~'v~~T~'~~"~~Hi•L._'f.)~-_;\CSIHNC~S~-~-,._„_._,,,_„ County Taa Hap No. 1000 Section ~~.7. Block Lot'.. Subdivision FileZd~,MQ'a/rpm ........Lot.......... PermiC No. /~(O.~~~ate of Permit ./"~.~rl/1..Applicant,.~~~~:.~//__...... Health Dept. Approves/1 ......7/'./'P:.......//. /Undcrvriters Approval...~Y..~ Plaaning Board Approval Request For Temporary Certificate Final Certificate Fee SubmiCted: $.`~`,~J`._t5~ APPLICANT a~~~ ~1 ~ 1 rev. 10/!4/88 I~ CO ) ~G - BOARD OF HEALTH . _ 3 SETS OF PLANS "-~'""1 L"~/ FORMN0.7 SURVEY ~(,~/iyl~gt(/-~ TOWV OF SOUTHOLD CHECK • • • • '~L~ BUIL"D.INGDEPARTMENT SEPTIC FORit TOWN HALL NOTIFY ~y,` 1~ EOUTHOLD, N.Y. 11~J71 CALL TEL..7G5~1802 MAIL T0: •-••••••`••••-"'g" Examined ~.r~'. 19~5.~ ~ \~v~,-z.., ~~.4 Approved . • , , , , 19 0./. Permit No.. ~~5°. a,~~ € ~ p / ~ ~-4~ ~ ~I~ Disapproved a/c , 4R !'Pl ~iR A$.NQIELI BLDG. OEPT. L-? • ' " " ' " " ' TOWN OF SOUTNOLO ' DATE: a` 0 B.P. M t.ll.l2p. ~ ~'/i • FEE' ~ (Bwldin nspector) . NOTIFY B IL G DEPART TAT q ' 765.1$02 B AM TO A pM FOR TI•IEPPLICATION FOR BUILDING PERMIT Date ./G~:P!1~.°.??., 19'~. FOLLOWING INSPECTIONS; ' 1. FOUNOATION TWO REQUIRED FOR POUREp CONCRETE 2. ROUGH -FRAMING & PLUMBING INSTRUCTIONS 3. INSULATION a.4.'~l}~pplicaCt®lUSATfiM1QEICd151t1uItyS3lriy filled in by typewriter or iri ink and submitted to the Building Inspector, with 3 sets of pPs`rr~QfiiT~~'{0R{41~d. to scale. Fee according to schedule. ` b:~tklof~~I~tT~HHai?dIp~J1oBM4#~.h d~@IffEA'and of buildin;s on premises, relationship to adjoinin; premises or public streets or areT.~l~at~€el~l#ii~~d~TSild'r]Fd~9dEipNdtr of layout of property must be drawn on the diagram which is part of this appli- catiottS.TATE CONSTRUCTION & ENERGY c~eSwo )rrENSion may not be commenced before issuance of Building Permit. d!''~4S':~5~ # OBFS, the Building Inspector will issued a Building Permit to the applicant. Such permit shall beUt@j$:n~ rh_-~nrr~icB~f7, ihita l~ for ~spection throughout the work. e. ~ building shall b~~~pccuoied or used in whole or in part for any purpose whatever until a Certificate of Occunanc}• shall have be"en grh{li~ , the .~~ector. k APP'LIC.'~TION 1`51s,;~I~~B`Y''slv4-.~k~3ET~ the Building Department for the issuance of a Building Permit pursuant to the Buildin+% d~te'~r 'a'ri'Ce b tt`$'~`fiown of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re_ulat~or~s't b~?~1Ll~nstru~fib~rtR~~~{fl~cRngs, additions or alterations, or fot removal, or demolition, as herein described. The a li ~ ~~a~>'e~ot'~i~lr'T~vith all~~~~a~~plicable laws, ordinances, building code, housing,cod , an ~regulatip ,and tggqJJJ admit a~tt~{~~,t"ns~{~~n~rP~l~i21 in building for necessaryti/~ `(99y~//-- ~PJ.. ULAT10 ~ ~ ~F~ FiPlAt. - CONSTRUCTION MUST • • • • • • • • • • •~t • • • 8E COMPLETE' FOR i:.0. (Signature of applican , or na e, if a co oration) ALL CONSTRUCTION SHALL MEET f ' THE REQUIREMENTS OF THE N.Y. `~J~/~y~y-=`erc~• • ~Y•i•S'. STATE CONSTRUCTION & ENERGY (iSfailing add ss of appirc t) COY?ES. NOT RESPONSIBLE FOR State ~1z51iDdtpRld(DN~tI'I1ti1p1V~t,Ei~g@RSagent, architect, en;ineer, general contractor, electrician, plumber or builder. 0 W ~ £-(Z- Name ofou•nerofpremises ~~.1:"t:~-~~a'r~f?y!SE,.~~S1~~~bw,`s•Y~• _ (as on the tar roll or latest deed) • • • ~ ~ • • ~ - If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~ - ALL C021TRACTOR'S MUST BE SUF•OLK COUNTY LICENSED Builder's License No. t . Plumber's License No . Electrician's License No . . Otlrcr Trade's License No . . . I. Locatiogn of land on which proposed work will be done . . House Number/Street /l Hamlet County Tax R1ap No. 1000 Section ~v2/........... Block Lot °2 U • • • • , • • • • • • 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 ~:r ~'.~'.-i1..). ~ m,I,/~,C%..~4~-T , 1.1~5~T • l~ .S~Cs~m~"t'.C ~t~ . b. Intended use and occupancy I 3. Nature of work (Check which applicable): New Building • • • • • • • • Addition Alteration ~ ' Removal Rcpatr Demolition Other A'ork , , , ~ a'3 ~ (DCSCIjPl ion)• 4. Estimated Cast.... .....1 Fee..... ` (to be paid on filing this application) • 5. IC dwelling, number of dwelling units . . . . Number of dwellirig units on each floor , If garage,numbcrofcars . . 6. ' If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing struchrScs, if any: Front Rear . , , , , Depth Hcirht . Nu~rtber of Stories DintcNrof structure t)'ith alterations or additions: Front Rear , - DcP Height ~ Number of Stories , . . 8. Dimensions oCFntire new cons ruction: Front . , .ib rI ~ , F~ ~ ~ ....Rear ~T.. `I)cpth . HeiCht Nwitbcr of Stories ~ . , 9. Size oflor. Front ..:.......i~. Rear.... Dep4,h,_ 0. Date oC Purchase , . , . , , , .I~ , . ...Name of Former Owper r : ` 1. Zone or use district in which premises are situated ~ Does ro osed construction vto P P 5 'late any zoning lacy, ordinance or regulation : . 3. \\ill lot be regraded ~ . \Vill excess fill be,removed from premises: Yes Nc 4, Name of Owner of.premises .................Address ...................Phone A'o............... , Name of Architect . . . . : .................Address ...................Phone No.. . Name of Contractor . . : ....Address ..Phone No, 5. Is this property located'~within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trt{stees Permit may be re uired. , PLOT DIAGRAM Locate dearly and distinctly all's buildings, whether existing or proposed, and,.jndipate all set-back dimensions from roperty lines. Give street and blocklnumber or description according to deed, acid show atreet names and indicate whether rterior or corner lot. V.{ %~~~V rn Fly. V ~ ~ rJ ~I ~ ~ C ~ I ~ No ash RTTtleFtfp vi a ¢ ~ ' ~,eee~t r~oarn ~ 1', ~ T k - l~r1l,~ CND r•, . ~ "ATE OF 1F\5' 1'ORI:, ~C;\TY OF .S me of indivrdual si..nit ' ' ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant • • ~ \a ^ ~a C017Ifa Ct~ ove Warned. ~isthc ~ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly', authorized to perform or have performed the said work and to make and tilt this olieation: that all statements contaiPed in this application are true to the best of his knowledge and belief; and that the rk will be performed in the mactncr get forth in the application filed therewith. orn to bclorc me this , ~ I ,1 wt)•Public, County No. 4707b7 K. DR VOE . ND~mY taUOtl , 5tato of Now YorA (Signature ofapplicant) S, SuNalk Caun 7erro Expires Moroh 30,1 ST~E~T~ JQ5EPN3~y r~?/p~~l~e~ 1 I^O„~ 11 ~ N7~ _9` ~ ~ m x~vw'. ~ w 9+~ n o. ~ q- Cl L ~3~ 3q ~ Pn ter- , 1 7 ~ w J 35,E s x^,w za FI~''~ ~ Nr~~*~ 4a ye9~„ 6 T~ o i ~ N ~ P- N5 / Oat V W hj ~ { A, ft. rn - Sri.. o ,a ~ 3 ' \ ~ ~ r ~ , 7 ~ ~s ~ $`7'023 ~ 4 /V t ~t. \ / ~ ~ NOTE U s MONUMENT SUBD/V/S/ON MAP~w~~~"`/LED /N TNL OFF/CE Of TNf CLERK OF SUFFOLK CGY/NTY ON JUNE PP, l9TD AS MAP N0.5486 ELfVAT10NS SHOWN THUS- 36.5 ARE' REFfRfNCEO TO AN ASSUMEd DATUM, REVISIONS YOUNG 8G YOUNG 400 OS7RANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARp W. YOUNG PROFESSIONAL ENGINEER AHD ~ LAMP su RVEYOR ' ~ lAN9 $URV EYOR, N,V,$, LIC- NO, 12865-- K.Y. 6. UG. NO. 46963 SURVEY FOR; WALTER KOSIANOWSK/ & KATHER/NE KOSIQNOWSK/ LOT N0. 46 "LAUREL COUNTRY ESTATES " A.~ GUARANTEED TO: LAUREL BROOKHAVEN SERV/CING CORP. rr~~ l~ FEDERAL HOUS/NG AOMIN/STRAT/DN TOWN OF SOUTNVLO LAWYERS TITLE fNSURANCE CORP. SUF~'04K CO., N. Y, e%,~~~~ ~ SCALE: /NC ~Ot PATE: MAR /5, 1.92 ~ NO.`-7r1-/~