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HomeMy WebLinkAbout26986-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29220 Date: 01/27/03 I~{IS CERTIFIES that the building ADDITION Location of Property: 425 SKUNK LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 4 Lot 1 Subdivision Filed ~p No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 21, 2000 pursuant to which Building Permit No. 26986-Z dated DECEMBER 21, 2000 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 PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to GREGG M & DOROTHY M KONARSKI ( OWNER ) of the aforesaid building. SUFFOLK COUIF~YDEPARTMENTOF~R~_L~TIA~PROVAL N/A ELEC~{ICAL CERTIFICAI~E NO. 1106753 01/06/03 PLUMBERS CERTIFICATION D~r~D N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26986 Z Date DECEMBER 21, 2000 Permission is hereby granted to: GREGG M KONARSKI 425 SKUNK LA CUTCHOGUE,NY 11935 for : DEMOLITION OF EXISTING FRONT PORCH & CONSTRUCTION OF NEW PORCH FOR A SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES 25547Z. at premises located at 425 County Tax Map No. 473889 Section 097 pursuant to application dated DECEMBER Building Inspector. SKUNK LA CUTCHOGUE Block 0004 Lot No. 001 21, 2000 and approved by the Fee $ 75.00 Rev. 2/19/98 ORIGINAL FORM NO. 3 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) PERMIT NO. 25547 Z Date FEBRUARY 18r 1999 Permission is hereby granted to: GREGG M KONARSKI 425 SKUNK LA CUTCHOGUErNY 11935 for : DEMOLITION OF THE EXISTING FRONT PORCH AND CONSTRUCTION OF A NEW PORCH FOR A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 425 County Tax Map No. 473889 Section 097 pursuant to application dated JANUARY Building Inspector. SKUNK LA CUTCHOGUE Block 0004 Lot No. 001 29 1999 and approved by the Fee $ 75.00 ature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ao For new building 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 1% 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. Bo 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the 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 $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: d/ Location of Property: ~ ~, 5'~ House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Date. Old or Pre-existing Building: Street (check one) Ha-ml¢i O Block Lot / Filed Map. Permit No. ~ Date of Permit._~ecemleg 2// ~aVApplicant: ~t~75, Health Dept. Approval: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ /~5'~,1fl61 . Final Certificate: / (check one) -App(~nt Sighature- ' BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET- NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SABAT ELECTRIC GREGORY KONARSKI 50 PAT LANE 425 SKUNK LANE MATTITUCK, NY 11952, CUTCHOGUE, NY 11935 Located at 425 SKUNK LANE CUTCHOGUE, NY 11935 Application Number: 1106753 Certificate Number: 1106753 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of Fa electrical devices and wiring, described below, located in/on the premises at: ~ First Floor, Outside, Porch/Deck, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 6th Day of January, 2003. Name QTY Rate Rating Circuit Type Additional Charges Rough inspection by R. Richert on 12/13/02 Wiring and Devices Receptacle 4 0 General Purpose Switch 4 0 General Pm-pose Fixture 3 0 Incandescent Paddle Fan 1 0 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. SKUNK L A NE ( BAY AVE. ) BUILDING PERMIT REVIEW CHECK LIST Application Name: KO}~/:}/~Sj/-2~- CC~'626 Architect/Engineer: Date Submitted: SCTM #: District: 1,000 Section: Subdivision Name: J~.~ ,~(o~g---L/~.a-~ Zoning Dis~ict: [~t size: Actual: [Ftonl Yard Pro~s~: ] ~[Side Yard Pro~sed: Project Desc~ption: N~ ~gv~m Req. I ILo! coverage __ Proposed: ] AGENCY PERMITS REOUIRED FOR REVIEW N,A. Suffolk County Health Dept. New York State D.E.C. 6//' Town Trustees Town Zoning Board approval: Town Planning Board approval: '// Permit NO YES Number Flood Plane Elevation ??? Flood Zone: Notes: 765-1802 BUILDING DEPT. ~/~ ~[~~FO~ ,~~UND__ AT ION 1 ST ROUGH PLBG, /[ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: jDATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ]~GH PLBG. [~J' INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: / DATE 3/~///~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]R~BG. [ ] FOUNDATION2ND [/,~INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~,~C ~_~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ] F/OIJNDATION 2ND [ [ ~]' FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE /~/,~;~/~ INSPECTOR . ~~~. 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [[ ]] :ORAUMN iDNA~ION 2ND [[ , ]/~V] Fi~TION [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTORr~/~~-~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined 20 Approved ., 20 Disapproved a/c I~UILUIINU lq=KIVll I 'A~FLi(~A I'ION Do you have or need ~e follo~E, before applyin Board of Heal~ 3 sets o~Buildin~ Plans S~ey_ Check Septic Fo~ N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector ' APPLICATION FOR BUILDING PERMIT Date De. C 2. { ,200¢ INSTRUCTIONS a. This application MUST be completely filled in by tyPewriter or in 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 adjoining premises or public streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a permi' shall be kept on the premises available for inspection througho.ut the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupar is issued 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?ounty, 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 co?nply with all applicable laws, ordinane.es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neeesfiary inspections. (Sig~l'al/ure of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of pi'emises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. I000 Subdivision (Nme) Section Block q Filed Map No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy {)r.,-.-.o {, ~/, F~,~ I~o,.~c ( b. Intended use and occupancy I~ ~ (c) ,~ ]' rq ,~ c 1t F,e ,...~. )t ?~ o ,~ ¢ ~ Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost ~/ 5'" o v u, Fee If dwelling, number of dwelling units If garage, number of cars Addition y' Alteration Other Work (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height. Dimensions of entire new construction: Front Height Number of Stories Size of lot: Front Io'3. o c, O. DateofPurchase /.T¢_~ 12. I~'t~ 1. Zone or use district in which premises are situated Rear Name of Former Owner Number of Stories Rear Depth Depth 5"-~ $-, ~. '] 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded /v e 4. Names of Owner of premises Name of Architect Name of Contractor Will excess fill be removed from premises: YES NO /~..v~-~yJ4,'Address qzq' ~'JCv,vl( i~ ~ Phone No. '7,/y-~qCg Address Phone No Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO y · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY OF ) EtZe_,~<, ,](o ,'t,/~ (~ SI("! being duly sworn, deposes and says that (s)he is the applicant (Name/o~' individual signing contract) above named, ¢)He is the (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 file this application; ~at all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. Notary Public ~-,*ELENE O. HORNE .,Jo~ar¥ Public, State of New York No. 4951364 ,~uahfied m Suffolk County ~, ,'i~s;on Expires May 22, ~0 0//' Signature of ApFlicant OCCUPA,~CY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUP~,~']CY UNDERWRITERS CERTIFICATE REQUIRED APp.IIO~P AS NOTED ~,_~, ~?,0~ DA~ ~B.R ~ ~,, N~ BUILDING DEPA~E~ 766-1K2 O K~NG INSPE~ONS: 1. FOUNDATION - ~0 REQUIRED ~ ~RED 2. R~H - 3. INSU~ 4. FINAL - CONS~U~ON BE ~M~t ~ ~0. A~ CONSTRU~ION SHALL ME~ ~E REQUIREMENTS OF ~E N.Y. STATE CONSTRU~ION & ENERGY CODES. NOT RESPONSIBLE FOR DESGN OR ~NS~U~N ERRORS L.