The URL can be used to link to this page

Home My WebLink About18454-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATB OF OCCUPANCY No Z-23754 Date JULY 7, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 2200 BOISSEAU AVENUE SOUTHOLD NY House No. Street Hamlet county Tax Map No. 1000 Section 55 Block 6 Lot 39 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AIIGUST 21, 1989 pursuant to which Building Permit No. 18454-Z dated SEPTffi93ER 5, 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 CLOSE IN AN EXLSTING PORCH ADDITION TO AN ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARGARET RRUROWSRI (owner) of the aforesaid building. SUFFOLK~COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N137879 JUNE 26, 1990 PLUM8ER5 CERTIFICATION DATED N/A E Building Inspect ,Rev. 1/81 meat xo s ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOU7HOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) . N°- 18 4 5 4 Z Date .....9.....5.' 1 Permission is hereby granted to: ~ ......~~1 . ~.au......~~.~...... , to ....d~.. ...drx~.. .8~......~.~...~g~:..... .u~~.....................~: at premises located allt//........a~i...~• .0...... .......f~.~... ......~i`.{ ..A~G~7•.••............................................................ Caunty Tox Map No. 1000 Section Block Lot Na........~-°~ pursuant to application dated ~jc...a~..'/ 19.. and approved by the Building Inspector. / 8® fee , ~ drL,, . B ding nspec or Rev. 6/30/80 Form No. h TOWN OF SOUTHOLD / „ JvL _ 6 I~ BUILDING D1',PARTMFNT TOWN HALL 765-1802 APPLICA'1ION FOR CERTIPICATR OP OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new build?ng 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 I~ 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 Certiificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Pees 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 $2.5.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 Date ~ ....P.S New Construction........... Old Or Pre-existing Building , Location of Property....~~~.5~.`~ ................~~:cr?.?si-6':~':..~?.:'-;r-......~ c.~..... t{ouse No. StreeC Hamlet Onwer or Owners of Property.....7~1~~??~°'f'............ ~ULU-~~+J'~ . County Tax Map No 1000, Section.....:~..'af..~....BLock...,..SP ........Lot.... Subdivision ....................................Piledqq Map............Lot...................... Permit No,.~.p~,.~.~,,Z...DaCe Of Permit...I~..'~:s~.`~,(...Applicant Ifealth Dept. Approval ..........................Uuderwriter.s Approval......................... Planning Board Approval Request for: Temporary Cer.tificate........... Final Certicate........... Fee Suhmitted: $ RQ~~ ilq~ UAPPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ~}°F'INAL [ ] FIREPLACE S CHIMNEY C REMARKS: Sr C~ ~ ~ ~ DATE ~ ~ ~ INSPECTO ) Q~ lU 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] 1 ULATION FRAMING [ FINAL REMARKS: ~ I~LC/LO DATE .7 INSPECTO ~g~FEQCK~® , pv G p ~ Fax (516) 765-1823 Town Hall, 53095 Main Road ~ ~ Telephone (516) 765-1802 P. O. Box 1179 ® ~ Southold, New York 11971 ~,~Q~ ~~4~ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 8, 1995 Mrs. M. Krukowski Boisseau Avenue Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: , xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18454-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. a Town Hall, 53095 Main Road ~ ~ Fax (516) 765-1823 P. O. Box 1179 N~ ® ~ Telephone (516) 765.1802 Southold, New York 11971 •j`~~ ~qt^ 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 8, 1995 Mrs. M. Krukowski Boisseau Avenue Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18454-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i h~o~OSpFFt>(KCOGy o ~ Town Hall, 53095 Main Road °y x Fax (516) 765-1823 P. O. Box 1179 v% + ~ Telephone (516) 765-1802 Southold, New York 11971 y~ol ~ ~~0~ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 24, 1995 Mrs. M. Krukowski Boisseau Avenue Southold, NY 11971 Re: Building Permit #18454-Z Premises:2200 Boisseau Avenue, Southold Suff. Co. Tax Map #1000-55-6-39 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. - _ 5 y~ THE NEW YORK BOARD OF FIRE UNDERWRITERS r'`"~''` '1 i3£Sb0!~ l BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,rrrtv~~; l~i,.19«r, hAlRfi3'.~In/9ll ~ ~I,:;°%°)i~ parr Application No. on file THIS CERTIKIE$ THAT only the electrical equipment as descrihed below and introduced 6y the opplicant named on the above application number in [he premises of CT:lIRGt'; Sf2fllvOWS>Y"C, `tl'I,L3C) RY:fSSL7i~V ~V[+:., ~'631_,~: ~tfT', ~?~it1'!'i'i0t,tr, ~{,Y. r-~ (aLl`3` in the following l~c~`%8 )"~'PI ~~~{Went LJ 1st F'L ? 2nd F7. .Section Blw;k Lot wns examined on and found to be in correplimire with the requirements of this ltoard• NXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS D15N WASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENi OTHER AMT. K W. AMT K.W AMT KW. AMT K W ~ AMi. N.P. t~ f DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS 5?ECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W OIL H. P. GAS N. P AMi. NO. A. W. G. AMT AMP AMT. AMPS TRANS. AMT H p SYSTEMS qMi WAiiS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V 1 C E AMi AMP, TYPE METER i RW ~ 3W 9 9' 3W 3 d dW NO OF CC COND. A W G NO Of H4lfG q' W' G' NO. OF NEUTRALS A G. EQUIP. PER % OF CG COND OF HbIEG OF NEUTRAL ' OTHER APPARATUS: F'?RC"H 'F~YTF;N;tI~I:AI-i ~ai~,lll~; tt~artltat ~tt,t,,, l:~ri~t~~. ~,~ti~,~r~~r_I 3h'L''i C},F)A12 iakACH ~Rts31U .">C7(3't'A!!L11, FFY, i 7 3.71 GENERAL MANAGER 7. J, t' 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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT~BE ALTERED IN ANY MANNER, :15LD I;, .cC:~~;. Ilt)piE ~vlYMLNT~ ,a ~ H`"t - - FOUi7DATI0N (1st) . FOU?JDATIOtJ ( 2nd ) _ - _ w 2. z p, o ~ ROUCH FRAME & PLUMBING H 3 . m m II7SULATION PER N. Y. y STATE ENERGY CODE 4 . f MS'S l"C~G~c~---~ y c~ ext--a FIIIAL ~ g~ ADDITIGMA/JL~,_C~OMMENTS: LQ / v. ~ ~ X r ro V' H 31 9 H H O A\ H `yam S ~1 b m .9 H SKr -CN BOARD OF HEALTH 3 SETS OF PLANS ~FORMN0.1 SURVEY ' ~Z TOWN OF SOUTHOLD , CHECK •'~u-~•`f 3v BUILDING DEPARTMENT SEPTIC FORM SLOG. OEF''i.~"" TOWN HALL TOWN OF SOUTh{O!_O SOUTHOLD, N.Y. 11971 NOTIFY ,~6,.~-',.3,' ~ 7,b , , , , ~ TEL.: 765.1802 CALL / MAIL T0: Examined .~l.~. , , , , , , , 19~~ Approved 190/. Permit No.~6.?~`r~~ Disapproved a/c ~Ta~L~. (B 'ding pector) ~ APPLICATION FOR BUILDING PERMIT Q~ ' Date . ~ ~ 19~. 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. Plat plan showing location of lot and of builduigs 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- 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 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 necessary ins ections. . (Signature f applicant, or name, if a corpor(ation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~!!(.~arru.'i. ~~~Z-~":~P~!~u.' . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of torpor officer) ALL CONTRACTOR'S MUST FOLK COUNTY LICENSED Builder's License No. . Plumber's License No. . Electrician's License No. ...l~a"?-=?'~~-'P Other Trade's License No. . 1. Location o/fjland on which proposed work will be done . . House Number Street Hamlet County Tax Map No. 1000 Section ~ ~ Block ~ , , , , , , , , , , , Lot , , , , , , , Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended se and occupant of proposed construction: ~~t~_ ~ i a. Existing use and occupancy . C ^ e b. Intended use and occupancy ....r-:~- . . a~..~,~, ~ , , . 3. Nature of work (check which applicable): New Buildin Alteration , ; , , , g Addition'....... Repair Removal Demolition Otherl~. ~ ; . '~y rip;it)n) 4. Estimated Cost 0 ° Fee ,..L~F?~.. d. t . (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 mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structure, if any: Front ...............Rear Depth . Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth ~ .Height Number of Stories , . 8. Dimensions of entire new construction: Front Rear ...............Depth , , , , . Height ...............Num~erofStories............................................. 9. Size of lot: Front . . ; Rear Depth . • • ~ ~ • ~ • ~ ~ • 10. Date of Purchase : .................Name of Former Owner . one or use dtstrict in which re' 12. Does ro osed construction viol miser are situated . . . 13. Will lot be re raded . , . , P ate any zoning law, ordinance or regulation : ~ P P g / ,Will excess filLbe removed from premises: Yes No 14. Name of Owner of premises /Y/..;I 1.C~n-K-r~'?~-.•.. Address .~q"}-s-.Phone No. ~C:J~.^. ~ L.~o.~ Name of Architect ...........i ................Address ...................Phone No................ ' Name of Contractor . ................Address ....:..............Phone No............... . 15. Zs this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit may be reqgu~ired. PLOT DIAG1tAM 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. II I~ r.+ it STATE OF NEW YORK, Sj5 COliN'TY OF (Name of individual si nin' ~ ~ ~ ~ ~ ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant g o contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly ~~,authorized to perform or have performed 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 $et forth in the application filed therewith. Sworn to before me this g o? l.... , ...day of . ~I. 19 ,6r./. Votary Public, ~ I~a;~~ , , , , , .County HELEH K DE VOE , . ~tk~410787& Su~OWk (Signature of applicant) Term Expires Mxrch 30, L II