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HomeMy WebLinkAbout18201-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18729 Date JANUARY 22, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 195 BROWN STREET GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 48 Block 3 Lot 25.1 Driving Park SubdivisionJo Greenport/ Filed Map No. 369 Lot No. 16 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 1989 pursuant to which Building Permit No. 18201-Z dated JUNE 12, 1989 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 ONE FAMILY DWELLING WITH ATTACHED PORCH AS APPLIED FOR. The certificate is issued to JOHN & VINETTE OLINKIEWICZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL JAN. 11, 1990-88-SO-154 UNDERWRITERS CERTIFICATE NO. N-106225-DECEMBER 7, 1989 PLUMBERS CERTIFICATION DATED DECEMBER 28, 1989-JOHN P. OLINKIEWICZ Buil ing Inspector Rev. 1/81 a•osatt xo. a 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 $ 2 01 Z Date ....~,1/.. 19 c~.~ Permission is hereby granted to• ..~~.......~..~....,....~-.....r~~ ~ ,~ss at premises located at ~7.....~ . . . . . . . . . " : ~ D/ . . . ~f J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............................................5~.?.L~IJ..,li f6...................................................................y....... County Tax Map No. 1000 Section /.....q`~..~C Block ~ Lot No....~-1...~d...~..1...... pursuant to application dotecJ, .:,'3Jy..~?••~tp~•.~~ 19........, and approved by the Building Inspector, ~"~~~o y Fee $.~.~~..v'..'!. K~ B ding I for Rev. 6/30/80 TONN OF SOUTIIOLD _ IIUILDINC DEPART:IENT ulG CJ~ TONN HALL I`~(~~ 1'~ _ D~„~ C~ . SOUTHOLD, NEU YORK 1 197 1 765 - III02 ` ~ ~ i ~ ....._.....~..aa.,~' 9 APPLICATION FOR CERTIFICATE OF OCCDPAt1CY t3~-UG. UEP7. TOWN OF SOUTkiOLUQ DATE_~L~ Z~a~9g~ HEN CONSTRUCTIO ._.....OLD OR PRE-E%ISTZt1G IIUILDINC_..... VACANT LAND... Location o ff / ~ . f Propcrty..l~S.... (L~~IV S1iZ~T ~l~l~~~?a~`~" HOUSE NO_ •STREET i' HAMLET Ovner or Ovncrs of Propcrty~~~:J___~••Vlh~~tj~-_. ~~'oJ~- UtC.~_••-•••'.~...-.- County Tax Map No. 1000 Section !v I~ IIlock Lot' ~ `I Subdivision":R~-nT,~l~~~~(Li~1M.~~~`~ ~6~ Filed Map _.......Lot.. Permit No.l~~Ul_____pate of Permit ~U^!iC ~~-ii..'y~~ r~^^~~ , -•-/nPPLicant ~i71a~_,..lJ~-1N~~~L~vlCr Health Dept. Approval ~1C'W~~W6-~~"1~tFCd~i,V Undcrvritcrs Approval........ Planning Board Approval Request for Temporary Certificate Final Certificate Pce Submitted: $..~~`v " APPLICANT.. a> ' ceV' 10/I4 /88 Q~c.. 3s~~~q 'co ~ is7aq , . , .4 .gut ~ FORM NO. 6 TONN OF SOUTIIOLD BIIILDING DEPARTMENT TONN HALL 765 - 1802 ~ " ~ n APPLI~4~TION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS i A. This application must bG 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'Inatural or topographic features. ' 2. Final approval of Dc~lth Dept. of eater 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 2/10 of IZ lead1 • 5. Commercial buildings; industrial buildings, multiple residences and similar, buildings and instal~.ations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. S. For existing buildings 4Prior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" land'luses: I. Accurate survey of property showing all property 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 abstract 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 ti reasons therefor in yriting to the applicant. 3. Date of any housing fodc or safety inspection of buildings or premises, or other pertinent informatioQ required to prepare a certificate. ~ C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall-be submitted, and a certified abstract of title issued by a title company showing single and separate ownership o;f~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. . I D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building S25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of O,ccup9ncy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Dpdated Certific,aCe of Occupancy - $50.00 6. Temporary Certi~icaCe of Occupancy - $15.0,0 Residential Commercial .P' I ' ev, 10/14/S8 I S~FFOU,'C, TEL. 765-1802 O O,, TORN OF SO~TTIIOLm _ s ~ OFFICE OF BUILDING INSPECTOR ~P~}~~S' " ~ ddd IVd P.O. BOX 728 r v -e TOWN HALL 001 ~,u0~ SOUTHULD, N.Y. 11971 ~ TC)WN OF SOUTHOLP~ C E R T I F I~.C A T I O N Date Ia( v 1 1 l U 1 Huildin Permit No. I ~ ~ ~ Owner~0 Na ~ ~ ~ IN M~W~c-~ (please print) Plumber ~~1-IW ~ Ll~ih~l.(;Wtc~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1; lead. 2 ~~1~ _ , (plumber's siynatur ) r Sworn to before me this cZ0 day of ~A-c.- _ Notary Public ~ Notary Public, County NEIENRDEVOE NOTARY PUBLIC, State of Nerw~Yak~ T m Ergr7es Marsch 01,38[ N b ua. y K O yj ~ ' o uk ° W S ~ W ~ 3 ~ 11~~{{ -qm x a i ,n In .v' N y « N do Y ~ < Y ~ ~~O p$ m W z r m ti N j ~ , W ti N ?.r 3, ~ v ~ Y ~ d~ o } ~ E s O ~ W M ~ ~ # N ~ jo, Q W p } u Y; ~ µ a O N ~ F- ~ ~ 'ss ~ ~ Y W W ~ z LL 2 W t- u 3 3 s ~ d~ 'D W C c~ y t~ W ~ e ~ a a c N `i W LL C ~ ro ~ ~ ~ ~ ~ ~ o 1.ti O W 2 ~.y~' z~ y ~~y ~ V~ U 4 Q' Z ~ 6 W~ 4' . i ~ J O 7 w d m m {R.' 4 N Z i o u N .L ~ ~ ~ N ~ c ~ S ~ ~ ~ ~ © ~ ~ yy m x ~ 3 ¢ ~ # m W ~ ~ ~ K ~ ~ if W E yyy ~ r ~ .'i r" W O ~ N ~N ~ N 'g ~ ~ Z O Z ~p U _ O ~ O W O 3 ?X W IO Q~ ~ O s_ O 2 00 W b] I 2 ~ ~ F- J 4 ~ W ~ C Y W Vr O u~ .r K Z W O U 2 M i s ~ ¢ e-i m U n } Y W = .AT 0 O i K Z U U ~ Y, O b (IIJI 21 (n ~ e U U J O to L _ s ~ p O O~ N S .v ~ 3 W~ d O ~ U W ~ O C U ~q } y ~ W M Y! ~ Y °o N ~ z ~ ~ ~ ~ Y pS~ ~ LL o u 7' = X .p ~ 1' ~ (7 N ~ h VI f~ O C ~ 4~ N ~ ~ ti C .i 1~~~ 'fL q~l Ic:L;;` ~;::;;'cC:iu;i ~~Unir. ~ i;vMMENT° 1. ~7 ~ O H :"OUIJDATION (1st J - C rOUNDATI0IJ (2nd) _ m 2. 2~/O 0 1.1 \ ROUGH FRAME ~ / ~ d pC~i~~ PLUMBING ~ W 3. ~ . ~ It1SULATI011 PER N. y STATE ENERGY COpE . x l 4. y FIidAL ' ~ ~ ADDITIOAIAL COMMENTS: m ~j x ~ ~ ~ ~ a x ~ ~ ti ro \ /-i A ' H + H O / ' A r H Cy rVO`'~ H ~~t ~ ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( INAL REMARKS: DATE ~i ~ INSPECTOR ~-'--'~O ~~y'b'~. s r ~ ~ / ~ 765-1802 BUILDING DEPT. J .INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ FINAL REMARKS: ~A~K _ ~.Lb a DATE ~ Q INSPECTOR `G~ ~~vo~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST (~OUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ )FINAL REMARKS: DATE / INSPECTOR ~ ~ ~I 7ss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ = NSULATION [ ]FRAMING ( ]FIN--AL REMARKS: ~w~,,~,, Q~,_ ~t ~,n~ ~1. ~ ~lv`~~ DATE INSPECTOR t ~ 765-1802 BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ) ROUGH PLBG. ( FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ _1~~~`~ INSPECTOR 7~ ~ ~z~/ 765-1802 BUILDING DEPT. ` INSPECTION [ FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL / _ REMARKS: ~ ~ ~J 1 DATE ~ / INSPECTOR Pro,jec:t; Brown st. Greenpctrt NY Job Namc:Plr. and Mrs. .John P, olinlciewitz Job Duscript.ion; New residence Te the best, oi' my knowledge and professional judgement the deaign ber;n made in conformance wi Lh Ute New Yorlt T'nergy Code. The c;nerg,y code has been satisfied by Y.he selection of the Yellowing building components. Witiduws shall he l:,y Andersen douk,le glazed and have a U value of 0, 3. N:hLerior doors shall be by Benohmarlc, weat,lterst,ripped insulated and have a tl value of 0.3. 1?xteriur walls shall be insulated with R19 fiberglass iosulett.ion. 9'he basr-.meat, ceiling shall be insulated with R19 fiberglass insulation. C;eiliugs ahuve healed space shall be instrlat;ed caii,h R38 I'ibcrglass insulat,iiln. ).t@rl nl' wall:: shall be wrapped with 'I'yvcal. air infiltration barrier prior to Installing siding e~terioi• doors >tnd windows. A ne;w oil firod furnace and hot, water heater Located as per ~,lan sha7 ha, iustallod. ~r. ~ MI ~'.r { i ~ ~i i nom- II U,\li It It l' II IS :\1.'1'11 hOHM NO.1 SURVEY TOWN OF SOUTHOLD cnrcx • • • - - - - BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTTFY ;OUTIiOLD, N.Y. 11971 ~ ~ `7O0 TEL.: 765-1802 CAI. i. • • • • • • • • - j MAIL T0: Examined . f~/ 19 ~j~y / 1r~(_c~3a ~r Approved .....tP~ 19 D./Permit No.l.~~~~ t~"y ~~,'?l' ~ ~i~~l<~~!'"~t 6 Disapproved a/c ~ ~ I~~, r BLDG DEPT. 70WN OF SOUTI{OLD Bttil g Inspector) APPLICATION FOR BUILDING PERMIT ~~AA Date 'vl(~,Q.C~a . 19 fJq INSTRUCTIONS 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- c.,ation. 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. 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 neces ar inspections. ~~~rfQ`,~-.-~y ~gnature of applicant, oi"name, if a corporation) Q o gax. ~ytl SM~t-r~c. ~S(.A~D.. J! qG4... . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~Urla ~'S~..Y.~:`? cT1~ `!.LIHkl~ W1,C'~, (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. . ~~M~"S...OLINKIE'W ! 5"'IDwlx, uCeC*15E Plumber's License No. Q.~ Electrician's License No. . s.~- zZ-.~.~ ~ . Other Trade's License No . ~ 1. Location of land on which proposed work will~b~Uone. ~ ~?!J...~.""'F~1 j . ~ ~ ~jyy~r . ,5~........~~.. C~ P~'~ . House Number Street Hamlet r County Tax Map No. 1000 Section ~ Block Lot Z?.'.~........... . WI RP G f- (rREEIa Put,T a' / Subdivision AR.IVGIM" . Filed Map No. . 36 Lot I9.......... . (Name) 2. State existing use and occupancy ,of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy V.R.~~... ~!1~(~?1~ b. Intended use and occupancy .~('noPQs6"U,..`jlnn,(~,(T..,ICy7.,,~W~,(ayL,,,,.•,,,,,,,,,,,,,,, r_ 3. Nature of work (check which applicable): New Building ~ , Addition Alteration , . Re air Removal . . Demolition ...........I • Other N'ork . p rn Fee ..........II,............... (Description).. 4. Estimated Cost l7.3.1. Jam. 5. If dwellin number of dwellin units Number of dwellin ouni~paid on filing this application) g, g g is 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 . Height Number of Stories . Diritensions of same structure with alterations or additions: Front , . Rear . Depth . ..Height Numbe~q ofj Stories . 8. Dimensions of entire new construction: Front ..2, 4, ~ Rear ..z . I .,~t' ....Depth . 3.Z...~'4':..... . Height Z,~S. ~.i:..~ . Yak Number of Stories . 9. Size of lot: Front ~,y . i Rear . . 10. Date of Purchase .....Y, ..~,j, ...Yjg , Na~j e~ of Former Owner k.A'p~~:.. . 12. Does proposedsconst uc$$i''on violatesany zoning law, ordinance orlregulation: .N V, , , , , , , , , , , , , , , , , , , , , , , , , , , , 13. Will lot be regraded , ..Kt^~ . ................Will excess fill be emove~d fro??pp.,,pQ,~emises: Yes 14. Name of Owner of p raises a'~~..~!'l~! ~EW!4~'..... Address QQ. q~?. S~~'hX:~h7ione No. ~K~ . ~K~K . Name of Architect -~O.HI?...~!~.~"'~. 1 .I;~•.. , .....Address SNE'~'i~'1t NANO, , , .Phone No.~y~. 3x33 Name of Contractor~AxlES.. Q4W.k~!E'4+k'k ........AddressSM~l,'i~tit, , iSl.~a , , ,Phone N'o.? yq. 32!7... . 15. Is this property located within 300 feetyof a tiqidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLO'I'DIAGiZAMed I 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. I ~I i I I~ STATE OF NEW YOKIC, I COli-',N~TY OF . /.~?!!/`~!u;cf' , , S.S t/p.r?fJ....V41r~1~'.t~~1!1C•~ being duly swont, deposes and says that he is the applicant (Name oC individual signing contract) ;above named. ~I - He is the .....~WrvCn'L.... • • • • ~ ' ' ' ' • ~ (Contractor, agent, corporate officer, ete.)~, ' ~ ~t~~t° , of said owner or owners, and is duly authorized to perform or have perforated the said work and to make and file this application; that all statements contained 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. I Swont to before me this r7 Notary Public . County _ P[TER R. 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