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Home My WebLink About16986-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25465 Date: 01/06/98 THIS CERTIFIES that the building ADDITION Location of Property: 745 SOUTHERN BL~ EAST PL%RION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 22 Block 1 Lot 8 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed ~n th~s office dated APRIL 27r 1988 pursuant to which Building Permit NO. 16986-Z dated MAY 13, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is ~ssued · s DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD & PEGGY LEE DZENKOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ]6986 Z Permission is Hereby gr~jnted to: .~ _ ....... ~?._~......~.'-~ ~-£z ....... , ................ - ........ ~.....~..~....~~:~'"....~....~/~..~..~. ..... ~7~.__~ ......... ......... ......... County Tax Map No 1000 Section ...... ~...~. Block ............... ,~.,,.. Lot No ........... ~... ~//~' 19~:~.~., and opp~ by the pu~uant to application dat~ ~.. Building Inspector. Rev. 6/30/80 Ao i TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL 765-I802 ~m, BLOG~DEPT ~4~ ICATIOB FOR CFJ~TtFICATE OF OCCUPA.~qCY "~"' 'r~)WN ~F s~uTHOLD This application oust be filled zn by typewriter O~ ink and submitted to the building Inspector with the following: for new buztdmng or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natural or topographic features. 2. Final Apprmval from Realth 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 zn system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and znstallatmons, a certlfzcate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requir~ments. Bo For exmstzng buildings (prior to AprLl 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: t. Accurate survey of property show~ng ali property lines, screetm, bumldmng and unusual ~atural or topographic features. 2 A properly comple=ed application and a consent co inspect smarted by the applicant If a Certmfzcate of Occupancy zs denied, the Building Inspector shail state the reasons therefor zn writing to the applicant. C. Fees £. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swzmmmng pool $25.00~ Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certlflcate of Occupancy on Pre-~x%stfn~ Bulldmn= - $i00.00 3 Copy of Certificate of Occupancy - .25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... /J~,//.~/~. ........................ New Construction....t~....... Old Or Pre-ex~st~ng Buzldmng ............... Location of Proper=y..-~..~ ............................ ~ouse No. Street Hamlet County Tax Map No [000, Bec~zon...~? ....... Block ...... ~ ......... Lot ..... ~. ................ Subdivision ...................................FzledMap ........... Lot ..................... ,o.. .... Date of erm= .... ........................... Health Dept. Approval .......................... Unae~-~rczters Approval ..................... Planning Board Approvai ........................ Request for: TemPorary Cartlflcate ........... Final Certicace~--ST~...~-~. ...... OUI~DATION (1st) OUNDATIO~4 :OUGH FRAME & FLUMBING (2nd) NSULATION PER N. STATE ENERGY CODE FINAL I ADDITIO~AL COMME~;TS' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS/ULATION [ ~*~INAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTOb~, Seutor VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Ass~smut Ftte Bu~d~,~ Inspectors TH OM~_S FISHER GARY FISH SCOTT L. I~IA. RRIS, Superwsor SouthoM Towrt Hall P O Box 1179, 53095 Mare Road Southold~ New York 11971 Fax (516) 765-1823 Telephone (516) 765-18~0 OFFICE OF BUILDING INSPECTOR TO~N OF $OUTHOLD December 6, 1990 Mr. & Mrs. Dzenkowski Box 181 East Marion, N.Y. 11939 Re: BP16986Z Deck Addition Dated 5/13/88 Dear Mr. & Mrs. Dzenkowskl: I am writing to you regarding the above Building Permit which has expired. You have never called for any inspections. Please contact our office. This zs a violation of the Code of The Town of South- old. All permits require a Certificate of Occupancy. Thank you for your prompt attention to this. Yours truly, Secretary INSPECTORS (516) 765-1802 VICTOR LESSARD, Prmc~pa~ CURTIS HORTON, Senior V~NCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Budding Inspectors THOMAS FISHER GARY FISH sco'r~ L. HARRIS, Supervisor Sour_hold Town l'hll P O Box 1179, 53095 Mare Road Southold, New York 11971 F~x {516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 6, 1990 Mr. & Mrs. Dzenkowski Box 181 East Marion, N.Y. 11939 Re: BP16986Z Deck Addition Dated 5/13/88 Dear Mr. & Mrs. Dzenkowski: I am writing to you regarding the above Building Permit which has expired. You have never called for any inspections. Please contact our office. This is a violation of the Code of The Town of South- old. All permits require a Certificate of Occupancy. Thank you for your prompt attention to this. Yours truly, Secretary ICAL~. / cO ~O ' = ' ' (b ",- t I'(~,/ fC'//'~ C' clrrm. RES DI[P Dmapproved a/c (Bulffilng ~fpedtor) APPLICATION FOR BUILDING PERMIT BOARD OF ttEALTH ...... 3 SETS OF PLANS ....... FORM NO I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.. 765-1803 CALL ................ MAIL TO: INSTRUCTIONS a, Ttus apphcahon must be completely filled ~n by typewriter or ~n ~nk and submitted to the Budding Inspector, with 3 sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing locahon of lot and of bufldmgs on premmes, relatmnsh~p to adjoining premises or pubhc streets or areas, and g~vtng a detailed descnphon of layout of properW must be drawn on the dmgmm which ~s part of th~s apph- carton. c. The work covered by fins apphcat~on may not be commenced before issuance of Building Permzt. d. Upon approval of this apphcat~on, the Bmld~ng Inspector wall ~ssued a Budding Permit to the applicant Such permit shall be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used m whole or m 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 msuance of a Braiding Permit pumuant to the Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as hereto descnbed The applicant agrees t%qc~mply~w~th all apphcable laws, ordinances, bufi~mg code, housing code, and regulations, and to admzt authorized mspect'6~ dn.pl'emmes- -- and m budding for necessary ln~p~tlonj./2/"' . ~" ~ (S~gnature oft1~phcant, or name, ~f a corporanon) ~ 4 ' ' (Madzng address of apphcant) State whether applicant ~rfo~2lqssee, age. hi, architect, engineer, general contractor, electrician, plumber or builder ~ ~, k'w.O~" ...................... Nameofownerofpremmes' ~ ~r..~glr-~-,-~3 ,' ........................ 1'~:~ &lO'~lg '~"'~'~'~'' ~ - ' (as on the tax roll or latest deed) If apphcant Isa c~n~l, gt~ll~ttlgl~_~.nj[~ff~i4,p~Zed officer 0CCUFANCY OR (Name ahd'titl~ o£ corporate officer) *''Budder'$CO="*C OR'' ,cense No . coo=,. ,ICE=,, USE IS UNLAWFUL Plumber's License No WilHOUI CERI[FIC^IE Elecmcmn's License No. OF OCCUPANCY Other Trade's License No .... Location of land on whzch proposed work will be done - .... eflod House Number Street County Tax Map No 1000 Section ~x ~k, Subd,ws~on ~d~ W~ ~),~ .~/6~ (Name) Hamlet Block .t .......... Lot ~ ... Fried Map No ~..d~/~[ ... Lot . C~' ....... State existing use and occupancy of premmes and intended use and occupancy of proposed construction a Exmtmg use and occupancy . .~ 0.~'w~.~ ................................ b. Intended use and occupancy . . . ~j'~..¢ ~e_,~.~??q~,~,q-/,.~ .... 3 Nature of work (check which apphcable) New Budding Addition Repmr ............ Removal ............ Demolition .......... 4. Estimated Cost ..... '-~./w~..OP.?? ........... Fee ............... " (to be paid on fil~nR this avvhcaBon) 5. If dwelhng, number of dwelling units ...... Number of dwelling units on each t;~ot.rj J,.., ......... If garage, number of cars ............................................... 6 If business, commercml or mixed occupancy, specify nature and extent of each type of use ............ .. t~ear_ ........ Depth ...... 7. Dwaensions ofex~stmg structures, if any Front ~.d~ Height .......... Number of Stones ........... -t' ~o ,?..o .~ Dunenslons of same structure w~th alterations or additions Front ................ c~ Rear ........... Depth ............. Height ......... Number of Stones ............ 8. D~menslons of entire new construction' Front ........ Rear ...... Depth ........ Height ........... Number of Stogies ................................... 9. Sizeoflot Front .../,,~..~'~ . . . Rear.~'~?:-~.~.~ ..... Depth ~.°.,If' ...... 10. Date of Purchase .. ../tT<~ ............. Name of Former Owner .~.~:.,~..,~..~.o?.~.~.' ........... 1 1 Zone or use district in which premises are situated .................................. 12 Does proposed construction wolate any zoning law, ordinance or regulation ./u.o. ................. 13. WzI1 lot be regraded ................... Will excess fill be removed from premises Yes N, 14 Name of Owner of premmes . .~'('t. ~,f¢..ore.'F- .... Address ....... Phone No .......... Name of Architect .............. Address ...... Phone No ........... Name of Contractor ......................... Address ................. Phone No . 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether existing or proposed, and ~ndicate all set-back dmiens~ons from property hnes Give street and block number or description accordmg to deed, and show street names and indicate whether interior or coruer lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS N,~iTED _ -- FEE 765-1802 9 AM FO~OWING INSPEct: 1. ~UND~N STATE OF NEW YORK, COUNTY OF... SS ..../~.bN4/.o/'---~' -- ~o~aoaS/-(,' . ..... bemg duly sworn, deposes and says that he is the apphcant (Name of individual signing contract) above named He ~s thc ................................................................. (Contractor, agent, co,orate officer, etc.) of smd owner or ownem, ~d m duly authored to perfom or have perfomed the ~ld work and to m~e ~d file t~s app~catmn; that all statements contmed ~ thru apphcat~on are tree to the best of his ~owledge and behef; and that the work will be perfomed in the m~ner set forth m the apphcat~on filed ~erew~th Sworn to before me this .......... ,.z ...... Notaw Pubhc .... ~ ~'. ~ ....... CounW / ] . ~ ~ ~ _ ~m~ ~,,~,~,c State 0~ ~e~ ~ ~ (Si~ature of apphc~t) Term ~pJr~ ~mct~ 30, 19 , /