HomeMy WebLinkAbout18491-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26889 Date: 01/19/00
THIS CERTIFIES that the building ADDITION
Location of Property: 50 OAK AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 77 Block 2 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 6, 1989 pursuant to which
Building Permit No. 18491-Z dated SEPTEMBER 15, 1989
was ieaued, and conforms to all of the requirements of the applicable
provieione of the law. The occupancy for which this certificate is issued
is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate ie issued to ROBERT R. WIECZOREK & RITA REIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 066738 01/04/00
PLUMBERS CERTIFICATION DATED N/A
/ "
Authorized S' ature
Rev. 1/81
FOBEi 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° 18491 Z Date ....~9.rra....~~.~.........., 19.~~..i1
Permission is hereby granted to:
r0 ~.....?.,vArX.~....'?5:9~:
R!-.a?-L~N~....U.'?~?-L... ~:::t....~'~{...'.~..°~.`. ~.'.`'1¢...lJ..~44~.~t~......
~...~z{~.S?.~.d ..a
.
n
ct premises located at ..~~..s1~.~ ~ . • .
~~4 .......L
:SI...tJ.L.C/JxQCI.~~............................................................................................
County Tox Map No. 1000 Section ~.~..7...... Block ppLot No.....~..~
pursuant to opplication dated ~ . `~.1.....~... 19....1., and approved by the
111VVV .F ~s^~....
4uilding {nspector.
Fee 3. i
uilB ding Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OP, ink and submitted to the bui7
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property 1i
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fc
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contai
less than 2/10 of L~ lead.
5. Commercial building, industrial building, multiple residences and similar bu'
and installations, a certificate of Code Compliance from architect or engines
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
t
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or building
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building any
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the appl
If a Certificate of Occupancy is denied, the Building Inspector shall state
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
Additions to accessory building $25.00, Businesses $50,00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .2~C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . ~~.1~:y.t4.~!
New Construction........... Old Or Pre-existing Building....?
Location of Property,.f~.~.potc,Steent, t..~O4S PrhP;;10UQ,•,S,O~;IIy(~..,~`~,,,,,,,,,,,,,,,,
House No. Street Hamlet
Onwer or Owners of Property..RO~?'°.r}.:.2,.fia..W~Pr.~U:eIC_
County Tax Map No 1000, Section..77 .........Block...Z...........Lot.~..........-
Subdivision ....................................Filed Map ............Lot.............
Permit No. . Z....Date Of Permit. ......Applicant ~~y1+$JQ?A'J~? .~4:~de~?ir.
Health Dept. Approval ..........................Underwriters Approval................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $ ~:S:.Uv .
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PROFESSIONAL ENGINEER
HOBART ROAD / PO Box 616 SGUTHDLD, NEW YORK 11971 PHONE 631 - 765 -2954 FAX 516 - 614 -351 fi
Date: November 4, 1999
Reference: Building Permit #18491 Z.
Building Department
Thown of Southold
Main Road
Southold, NY 11971
Dear Sir,
I have inspected the above referenced deck, which was completed without the required
inspections. The franxing as completed will support the loads as required by the New York State
Building Code. All the support posts, with the exception of the first row adjacent to the home,
are supported by the pre-existing concrete patio. The patio is adequate as a foundation for the
deck. The first row are supported by concrete footings Iso satisfactory.
sCyF O
N~• 0525~~ ~~C9
'D90~SIONP~'
7oseph Fisc ,
fC C. (l~ I-
~I - - -
,
_....i
f ~ s_
1~~~i~
T65-1802
BUILDING DEPT.
INSPECTION
( ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE ~ CHIMNEY
REMARKS: ~ ~ ~ ~T
f
/
7~,r~o, L~2'-t.~r.~- ~ ~o y ~ ~ ~,1~- ~a~t CT ' J
DATE / 7 INSPECTOR
G~~~~~
165_1802
BUILDING DEPT.
I NS~ECTION
[ ] FOUNDATION iST [ ] ROUG PLBG.
[ ] FOUNDATION 2N [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE ~ GjU INSPE
C~~~a~ ~'~~u~
PROFESSIONAL ENGINEER
HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631 - 765 -2954 FAX 516 - 614 -3516
Date: November 4, 1999
Reference: Building Permit #184912
Building Department
Thown of Southold
Main Road
Southold, NY 11971
Dear Sir,
I have inspected the above referenced deck, which was completed without the required
inspections. The framing as completed will support the loads as required by the New Yorlc State
Building Code. All the support posts, with the exception of the first row adjacent to the home,
are supported by the pre-existing concrete patio. The patio is adequate as a foundation for the
deck. The first row are supported by concrete footings lso satisfactory.
~oF NEy,y
V
No. 260
~~FESS10~~
Joseph Fisc ,
fiARY PLANNER OLSEN TEL ND .O _ ~ ~ -Jun.3~,89 1103 F.Oz
v
~~5,~~
R~p~G~l Ai'P +JUEO A5 #OTED
~oc~ U"~ DATE Is~~~a.P Ir $.L
'~`L'
~
04 ~ FEE. w . i BY G . L
- (p{+(~ROx 2r „~1fiJ~{F;Y~b~\kILDfNG DEPARTMECdT AT
nI~N. watER >rINE 765 t8D7 9"ANt TO 4,f 1r FAR THE n n
C FOLLOWING iNSPEGTf'-i'~:: 5IY CP~JGi r/C+~,R.
1. FOUNDATION - T1rU0 REOLJIRED
.H' FOR POURED CONCRETE ..~C~.C7___`,_
2. RDUGH - FRAMfIVG R, PLUMBING
3. fNSULATION 2~~ .~'S~ CCA I,~"CtC.
S 86° 08~ 30~~E 4. FlN~p r7` CONSTRUCTION MUST
J~ LL CONS'"~IJ N SHALL MEET Il
F ~ ~ THE REO!lIREM TS OF THE N.Y ~ji" qn,(,,.. .
~ ~ STA'l~ CON CfION ~ ENEAGY ~ h +t~~ cGFI
~ ~w~' M CODES. NOT AESt+ONS18lE FOR
~3 0~ k~ al' gEStGN OR ` ON ERRORS J
E.r~'s~~ /~X:
~t~ f5~,~~s pppy~~I ~
R) j{j
z
~ es' -.P~`~~ 4t
rP q7 ' 3Q8' Q
^ia~e u' a
e,' tiS~ fE,.iM ~4'
,,.r ri:sroRV s,~E", a
14 7`WLLF R ~ . c'
7~ GARAGES~f~7'~ ~ ° y ' SURVEY OF
r` W 4e'
r54 I,.:, ~s,o' o LQTS X68- t71 tNC(...
° As PM ~cocK wAU, p ~ IN
d'r~ ~ ; a MAP pF GppSE SAY ESTATES
z °w ~ AT SOUTHOLD
°N m a slruArE
roun°
caac cuss SOUTHOL~, TOWN OF SOUTHOLD
N86°08'30°W &0~ SUFFOLK CQUNTY,NY
r
OAK AVENUE ,
~ ...V
FM. lfTfi SURVEYED 27 JUNE 1989
F'(L£D NOV. 1$, 1934 SCAL£ I ',10~
SURVEYED FOR R08ERT R, WIECZOREK
RITA REIS WIECIOREK'
fiUAR,4NTEED j0 SURVEYED 8Y
ROBERT R. WIECZORfK STANLEY J ISAKSEN, JR
R1TA R(IS Wf1-CZOH[K ~ P. 0 BOX 294
AMERfCANTITLE IN$!/RANCE CO MEW SuFFOLK,NY 956
ATIANTIC IfBERTY SAVINGS HANK
TOWN OF SOUTHDLD
' r3uernnhaot inditofed here on ~hatl run heplnr,di5ufrve bossed +.al rhdlly sN§EO L o o492i3srDR -
only f0 Me'lClan for whom Me surrey M,f be tAmtdsred 10 be a wlis! rtua.
is pr~M+~~d, pnyd. t1n i5?s btehalf 1o tho eol+y,
flfli ~en,panY~ l'®WnneMu) ~OMtYr
Irintllhfy Il,sElfulNn, f# 13sted hereon, and
Gu°hronlea~e~s ; ehe„I'~,td?!,(,, ftisliku,t{V,, 9, tY Y~IS' Q vEr atiae ~ °56tfioa ?Z d plus
_
~~~Od~~~n+
J t BOARD OF HEALTH • : -
SER i t PORMNO.t 3 SETS OF PLANS
SURVEY ~
1 I TOWN OF SOUTHOLD CHECK ?7F ~p~~
~~r,""1 ~ BUILDING DEPARTMENT SEPTIC FORri
' _ , ,_--~_-.F>.. _ ; T4r?i~ D TOWN HALL NOTIFY
~OUTHOLD, N.Y. 11971
TEL.:7G5~1802 CALL
MAIL T0:
Examined 19
Approved .l. S., 193. Permit No. J. ~3. ~.9 I ~
Disapproved a/c
o-~..
•U ~~....t . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date~~.F~1e!l(.BE.K..~s.., 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witi
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 stre:
or azeas, and giving a detailed description of layout of property must be drawn on the diagtam which is part of this app
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 pers~
.shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whale or in part for any purpose whatever until a Certificate of Occupan
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Depaztment for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspecti
(Signature of applicant, or name, ~f a corporation)
1o,3,R,v.$!~Sor~.~l.vF.,. ~z(-~N.C9.vE.,.lv,~..!C54~
(Ivlailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build::
f/. K f, ~ ~ ~ I~-..................................................................... .
Name of owner of premises f~E Rr R ,W t F.C zo 2 E K.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . :'.U~t~. K~ .
Plumber's License No . .
Electrician's License No . .
Other Trade's License No. ~.O ~ ~ ~~S
1. Location of land on which proposed work will be done. .4?~~N E K, , OF . "O<i K :qN~p P IiV ~..!-!;U E_ ~5- a
House Number Street Hamlet
County Tax hlap No. 1000 Section ~ Block Lot .......7 .
Subdivision . ~XQprr~.~..~jA~ ..ESTA.?.ES........... Filed ~fap No. 7~a Lot . /(c~~,I71....
(Name)
2. State existing use and occupancy of ppremises and intended use and occupancy of proposed construction:
a. Existing use and occupancy l~:E~?./.~?~.nIC.~ .
b. Intended use and occupancy ~F~ 1.~1,E.~`tC ~ , , . ,„W„, , ~
Addition • ~ • . Alteration Y. ,
3. Nature of work (check which applicable): New Building • -
Repair
.Removal Demolition Other~5$rk • _
~F (Descri lion
P ;
4. Estimated Cost ~ 1G,, o~C.~..'-~ Fee .~7:~.'............................
• (to be paid on flhng 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 mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front Rear Depth .
Heigltt Number of Stories .
Dimensions of scone structure with alterations or additions: Front Rear .
Depth ......................Height ......................Number of Stories
S. Dimensions of entire new construction: Front Rear Depth .
Height ...............~NumberofStories...........
9. Size of lot: Front , fP~ Rear g!~ : ! Depth ~:~:d............ .
1Q. Date of Purchase • Name of Former Owner .
11. Zone or use district in which premises are situated . .
12. Does proposed construction violate any zoning law, ordinance or regulation : .
13. Rill lot be regraded will excess fill 6e removed from premises: Yes N
14. Name of Owner of,premises ~,R~~f,;;(. R; wI,E:GZ,v~.E~ddress !~.a1`(7dTG!(1;.RS~ . .Phone No.(9!``~. `11~a: ~'fi.~~..
ScriRSDa~r ~ H1t
Name of Architect ....Address Phone No.
1 't i bFkS G3 r?oi~~dSOA•~+?"' Sri G7~ 0023
Name of Contractor jtl f7t{:..RN ~ . bk G..:...... Address . Cri E.rt C~L•,- da`~ ....Phone NoC r
15. Is this property located within 360 feet of a tidal wetland? *Yes No
*If yes, Southold Town Trustees Permit ma be reqgu~ired.
PLOX1" DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro;,
property lines. Give street and block number or description according to deed, and show street names and indicate whethe
interior or corner lot.
lQ~,__•r~-0
STATE OF NE\Y YORK, S.S
:OL.\TYO~..
z~~i.'"~~"~. being duly sworn, deposes and says that he is the applicant
(tiame of individual signing contract)
}Dove named.
ieisthe
(Contractor, agent, corporate officer, etc.)
?f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi!
.pplication: that alt statements contained in this application are true to the best of his knowledge and belief; and that the
.rork will be performed in the manner set forth in the application Oiled therewith.
;wom to before me this q
day of 19
.
:o[ar}~ Public, ....~..~...lS~."~".~!~-:... County
NEtEN K t1E YOE ~ .
~No~470&8 S~uBolkfau~ (Signature of applicant;
Term Expires Nu~rch 30, 2~~