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17916-z
FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18454 Date OCTOBER 10, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 1345 ARSHMOMAQUE AVENUE SOUTHOLD, td.Y. House No. Street Hamlet County Tax Map No. 1000 Section 66 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Apphcataon for Building Permit heretofore filed in this office dated MARCH 8, 1989 pursuant to which Building Permit No. 17916-Z dated MARCH 14, 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 INGROUND SWIMMING POOL, FENCE & DECK AS APPROVED BY SOUTHOLD TOWN TRUSTEES. The certificate is issued to EDWARD & MARION JABLONSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-082109-JULY 21 1989 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/S1 FORM N0. ~ 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 o 017 916 Z Date ~.tA:t.~J'J.....~.~ 19.6 Permission is hereby granted to. .~a.?~... S~ 3.`~ (1 I . ta .4-~'..c.~-....~i~.fJ.~d-i~(~c,t~...~M.1K.rry'...~P~X.!~C..:....(~:t~,~,ct ..~:f~ ...FL-o . ~ ct premises located at ~..ss~.`.~.w~~~/...,,liftc~;1!Lim/.d'ync~;~c~,s~ .~!°'C.(•K,..~ ...........~~Y.S,'........~G~tlA.~4lX Y...~. /.an.cuK:....~~~r~,lt~~fl..K.~............. County Tox Map No 1000 Section. ._Q.~R_1nR Block Lot No ..Q~ pursuant to application dated 1 Y 11~•~:~'~.. 19 and approved by the Building Inspector 111 Fee S•/•~~ Bui ing Inspector Rev 6/30/80 -745 - lj • 7 ~ ~ 1~3~ TOWN OP SOUTUOLll ~ Q ~1J O-x BUILDING DEPART2ICNT TOWN HALL SOUTIIOLD, NEW YORK !1971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCDPANCY HEW CONSTRUCTION __!~_../OL2D~•/`OR PRE-E%IpSTING BUILDING......VACANT('LAND........ L~cation of Property...J..,?_y~l......~~1.'S!~{N1(7/.Yf'4.4!~F_~y~t_.s~4VTf~~I./~~. p HOUSE NO_ STRCET HAMLET Ovaer or Ovners of Property.~py'!µ~p../.~.1/~(~'jpN ._.JN s~Ll9/~K_I~ County Tax Map No. 1000 Section G Block 3.... Lot Subdivision Filed Ma~pjq_._...__Lot__._._..__ Permit No. ..1. /.[/IG.Date of Permit ~.~1~{7. J.Applicznt~©I/l~P.~.~.PQ~I!.. ,k G' IIealth Dept. Approval Underwriters Approval._.........._. Planning Board Approval RegnesC for Temporary Certificate Final Certificate ._,14..._......._ Pee Submitted: $ APPLICANT.L-~~l~~l:'~~ ev. [0 I4 /88 QLC+ g~{ I (i ~dzlB"y5~/ sr:v~, TEL ?GS-18f;? ~o~,~~cl; TOWN Ur SOUTIIULII ~ ~ ~'r176;,:+a.~ 9 r`c Of'f'ICIi OC BUILDING INSI'ECT'OR a~;~? ~ I'.O. [SOX ] 1 79 ~ ~ ''~;r'~ ~ TOWNlfALL O~~Q r~~t- SO(11IIOLD, N.Y. i 1971 1 October 2, 1489 EDWARD S MARION SABLONSBI ]345 ARS@SOMAQIIE A4E. SOUTHOLD, N.Y. 11971 To P7hcm This, May Concern, 47e arc unable ro complete your Certificate of Occupancy because of the following reasons. Rn application for Certificate of Occupancy is ~}ot nn file. (ENCLOSED) / fIV Undcrur~ters Certificate on file. 'Che chec}; u.(~/nut nn file.) $25.00 No Pnalth Dept. Approval on file. tvo :anal inspcc:tion hs~ been made. Pleasn contact: our office on this matter. Taank you for your cooperation. Ilutldtr.<Y Pcrrn~t- 1! 1 7 9 1 6 Z I3uilcliny D~nL. tlo Plumber :;older Certificate on L-ile. ' ( all I><;>:rtits involv~.ng plumbinc) being insucd after Apn l 1,1984 ) THE NEW YORK ROI~RD F FIRE .UNDERWRITERS PAGB 1 1093 euEll~tft f~rRlcm sa JOHN STRE:tiT, NfiFw NEW YORK 10038 Bate JULY 21,1989 gppNcattonNo.onftle 62789189!89 N 082109 ` THI$ CERTIFIES THAT only the eleetrled egNlpnNnt to dtK.criGed 6elmD end introduced 6y thr ElFpllcent namadaN the abode eppfleation number irs the promtex 4f ED JABLONSRI, 1345 ARSHMONAGU&, POLBf10A, SOUTROLD, N.Y, in ehe jo!lotelnR location; ? Baee+nent ? I tt F!. ? End Fl. .Section Block Lot uw axomined un JUNE 30 ,1989 and found to 6e in compliance with the reyoiremente of this Board. NK1Va! RXTURES IANWS_._. fOOKRW.RECKS OVENS qSN WAEIIiRE a~KT FANS OU1tET{ ~ INCAt10E5QM PlUOEti[!NT OTNER AMT. K. W. AMT. K. W. AMT. K.W. AMT. K W. AMT N. P. 1 2 1 DRYERS RRaIMfi le01~ IVi11M AF111AItG tEERERS fFEGAI BECK 7VM CLOCKS Yll UNITtWtiREi MO114011T1ET a1MUMR5 AMT. K. W. dl X. P. OAE N. P. AMT. NO. A. W. 6. AMT. AAV. AMT. AMP4. TRAItS. AMi. M. t. ~a t~T AMT. WATn 1 20 1 4tl lERNQ ~ 1tEctEi S E R p~ V I C t AMT. AIN: ixt 1 / ew 1 ~ sw 1 A sW 3 / /W IVO. ar CC. COND. Of CC CONa. NO. Of NI-tEG HI No. a NturKMS a w, T O/sIM AFFARATUS: !6t G.F.C.I:-1 *tSAIMMINC POOL) This certificate covers coapliance at the date of inspection only. Because of unusual environaenta it is advisable to have frequent test and/or repairs cede Dy a qualified person. ~o~ GARY DOROSRI LIC./2941-E 420 I[ONSELL LN. . CUTCHOGUE, NY, 11935 oR1RAt SAIdiAOER 11 Per b This arfificaM must tat ~ shared ie alry monnx; Murn to fM office of the Eoatd if incorrect. Inspectors may be idanfifisd by.~:t¢~ic cndeMials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST NOT BE ALTER DIN ANY MANNER. :lILD I;.S.LC:;U.] ~(ll6TE ,;J.~fMe,NTS 1. FOUNDATION (1st) FOUIJDATIO;] (2nd } 2 . P.OUGH FRAME & PLUMBING 3. I1ISULATIOPI PER N. Y. STATE ENERGY CODE 4 . t- -a ,1zY Ga.' FIfIAL A ITIOtIAL COMMENTS: c ~ v ~ f"r. r ~ ~ k ~ <<i OAfA-I D Aw~v ~ t ~I tmi~~Dmrr- _ _ , ~°r~ COZZO.r"~^ y J ° OyA02~rA-C(~j~~ ~I ~ ri ~ C ~ A~m~°~r OTn_ ~ i ~ff ai~c~AmpZAV li,~ N C ~ ~f 0~' ~ZZOcnAC Qom I _ u Y ~ ~ ~ Ofn rxOA ~ ~G 6' t~ tee ~ _ _ 70m2=r Z ~ ~ ~.D ~ Y f 9 m ~ _ ~ 41 ~ i < -mi ~1 ~ ?"f'' 'r c n ~ ~ Oho P ~ n a -L . ~ . ~ w, ~ 3 C3 "r7 ~ dV E-- • ~ ~ ~ ~ R °4 `Z'~ - o U ` 5 ~ '1_ G " : J r - o C v , r, ~ cn ~ Y !r ~ fi~~j ~ l~ ~ ~ ~T~z~m ~ c ~ ~ L ~ G Q~.aC7 ~t~ aso_'~~ G~ r ~ n~ ~ G C~' ~ ~ _ ~ y " I n © 1 'L OtP • 'J ~ p O G nI ` C ~ `}c . ~ r. G _ D oo n Y T ! c i o G ~ r r v ~ ~ - r ~ ~j, W e: r r ~ ~ S Q ~ C S ~ ~rNOCJ s,/~t t'id, > ~y I a y 9 fIl tf 1 a` G ~ ~ fi fi ; ~ n i ~ ~ 3" ; ~ , f to r,t,,. a I v 1 r `i ~ ~ n ~ .~t `,r', t .e ~ i!' ~.Fi~ ~ ~ O jQP ~ ~r 1 X µr it A ~ ~ I~ ~ 1 t :t'1 tic ± ~ + `p p _ i , { ' ^ i f t~ ~ ~ ~ V ~ $ ~ t I ~ c, ~4a G N .m+ i , Sri •c , ~ ~w! Iu ~°I! 4.x'4.. 'hj, ors C) l ~ k i N~ ti~ t" MF. ,rte . ~ ~ '~^y ~~p~'~ ~l w X967 , ~ ~ ~ ~ 1 i ~ k 4J:~1 ~ i 1 C r ~ . y, r~ I .iJ +i~ N ro i \ iy . ~ ,7 r++ C ~f is ~ ' n; ~ 4 t A„ ~ ~ 71 ~ .y Z1 ~ 7 .r Gf ;r, ~ G U ~ 'n~ ~ ~o v~ m a ~ ~ ~ ~ x,, 11ff)) ~ ,rye fv. y, ;~rIN ;~~r4-.. ,C~7 rtW4.l ~7yg$ a'~~..` 4, ~55555~T C+~pu.~.Y ~ tj ,t V/ 'V `r n~$'de 7 w''nj oK. Y rry,}~ ~ Slli:('1~ s , Ary M 4` 3{ 3 S 'd~! Eg ~R V' ,3 rye ~ S~FF®(k~D~ FRANK A KUJAWSKI, 1R , President = ~ t6 ~ TELEPHONE ALBERT J KRUPSKI, JR ,Vice-President (516) 765.1892 JOHN M BREDEMEYER, III O~ ® O~ JOHN L BEDNOSKI, jR '~Ol ~c y'a HENRY P SMITH BOARD OF TORN TRC~STEE5 TOWN OF SOUTHOLD Town Hall, 53095 Matn Road P.O Box 728 Southold, New York 11971 March 8, 1989 Southold Pools, Inc. Chris Schwarting P.O. Box 539 Southold, New York 11971 Re: Southold Pools, Inc. (Chris Schwarting) for Edward Jablonski to construct a 18' x 36' swimming pool, deck and fence at property located at 1345 Arshamomaque Avenue, Southold, N.Y., Tax Map Number 1000-066-3-8. Dear Mr. Schwarting, Please be advised that the Board of Trustees inspected the above referenced property and it was determined that the project proposed is out of our jurisdiction. This determination is only a determination rendered by this Board. Any other approvals that may be applicable are required prior to the commencement of the project. Thank you for your courtesy and cooperation in this matter. Very truly /yours, j~t.,~ cf ~I Frank A. Kujawsk~r. ~~J President Board of Town Trustees FAK:jmr cc: Edward Jablonski Bldg. Dept. Board of Appeals D.E.C., Stony Brook ~ ~ F!o ~sS-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] iNS~LATION [ ]FRAMING ( FINAL DATE INSPECTOR rv,..,....,,.,".,..,r_ ...,_„_,,..m.._ , B U A R D O F HEALTH . C~ i ~J~V`l`~'' ~ 3 SETS OF PLANS . I' FORM NO 1 SURVEY ~ ~ ~ TOWN OF SOUTHOLD CHECx • • • - - 3 ~ ~ BUILDING DEPARTMENT SEPTIC FORM . TOWN HALL NOTIFY H; ~ ' ; ~.~r ~ ~ ~OUTHOLD, N.Y 11971 CALL - TC~'~'? !fNOLC~ TEL.: 765-1802 ' ' ' " ' ' ' ' ' ' \,,A n - MAIL To: C'3~o `+353 Examined YY1 tbs.-rn I , 19 ~ ~I p ~~lit'~`s~i'h 1 r~~~ Approved ~.Qh2~a I I t , 19~ Permit No 1 7 ! ~ I? ~ ~ ~M~ Disapproved a/c U 1^' ~-C~ TOWN OF SOU~ThIOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date , 19 . INSTRUCTIONS a This application must be completely filled in by typewriter or m ink and submitted to the Building Inspector, with 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 adlommg premises or public street or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this apple cation. c The work covered by ttus 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 perms shall be kept on the premises available for inspection throughout the work e No 5uilding shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupant; shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Bu4dmg Department for the issuance of a Building Permit pursuant to th. Bmlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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 t~ admit authorized inspectors on premises and in building for necessary inspection (Signature of applicant, or name, if a corporation) (Mailing address of apphcadt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder GL~': c~l~ . Name of owner of premises l L' ~?W1te~.Q.' r^r`~-~4`~ . ~A`'~-Q^-',Std-~- - (as on the tax roll or latest deed) If appplitc~ant is a co oration, signature of duly authorized officer ova:-1~. c~~.takc~~ (Name and title ' c orate officer) ALL CONTRACTOR`S MUST BE SUFFOLK COUNTY LICENSED Builder's License No tom' ~r ' Plumber's License No Electrician's License No Other Trade's License No. - , 1. Location of land on which proposed work will be done . .~3y 5 . ,~kb,~.c,rA~'~~~E . ~OC.. _ .So..;t~o~~"~ ~13k ~ kLd~:.,J~ . . House Number Street Hamlet County Tax Map No 1000 Section C Block Lot Subdivision ~~~XS=~'"~ Filed blap No ~L'~.?Z,' .Lot ~ 7 (Name) 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy z "Jtt<z f l~~ S` , . , , J. b. Intended use and occupancy ~UJr3tC /~+Ex~~~.~~~ti l~l-GK... fti1 ~c~ 3 Nature of work (check which applicable) New Building Addition Alteratron . . Demolition .Other Work ~ +,~~^-t--r; Repair .Removal ~ (DescnpYion) 4. Estimated Cost ~Z dZ~-. Fee . , ` (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. Dunensions of existing structures, if any Front Rear Depth . Height . Number of Stones Dunensions of same structure with alterations or additions Front Rear . . Depth ~ Height Number of Stones . 8. Dimensions of entire new construction Front . Rear . Depth Height ...Number of Stones .......p.. .....N 9. Size of lot Front 4- ~ Rear . . '~t- De th 10. Date of Purchase !.GIs Name of Former Owner C`.z.~ c . 11. Zone or use distnct m which premises are situated 12 Does proposed construction violate any zoning law, ordinance or regulation ~s-i. l-`.>`~tL: i L \Y.~S 13. Will lot be regraded .Will excess fill be removed from premises _ es No 14. Name of Owner of premises ~~.J!~ISLu'~ ....Address 13~t,y Avk 1v~.,~ARG,~, phone No..~~:=. !~.r 1.... . Name of Architect ..Address . Phone No. Name of Contractor .?f:-'~it"" {~~':I ~ I'`~ ...Address ."X Phone No 7t:-. -~i~'~:... . 15. Is this property located within 300 feet of a tigidal wetland? *Yes « No *If yes, Southold Town Trustees PermitpLO~ DIAGRAM ed. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions from property fines Give street and block number or descnption according to deed, and show street names and indicate whether ntenor or corner lot. iTATE OF NEW YORK, S S ~OUNTY OF being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Ieisthe . (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly authonzed 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 Nork will be performed m the manner set forth in the apphcahon filed therewith iwom to before me this day of r~/ . , 19~~`. 4otary Public, .C~~~=(~tri . ~ . ~ [ U~ . .County ~rn NGfARY PUBt~IC, 4taEte of Mew Yark (Signature of applicant) No 47G78/8, SuNaiF CauMy Term Exoves hlsich 573,19 ~y