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Home My WebLink About31877-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31518 Date: 04/10/06 ~IS CERTIFIES that the building ADDITION Location of Property: 1425 NORTH SEA DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 27 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated M3LRCH 28, 2006 pursuant to which Building Permit No. 31877-Z dated M~_RCH 31, 2006 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 "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MIRKO & TERESA KULIC (OWNER) of the aforesaid building. SIYFFOLKCOUNI~fDEPARTMENTOFHEALT~PROVAL HLECII~ICAL CERTIFICATE NO. pLUMBERS CERTIFICATION D~£mu N/A N/A N/A Rev. 1/81 TO~N QF SQ~T~[Orn APPLICATION FOR Cg~TIFIC~%Tg OF OCCUPANCY Thi~ application must hu ~illcd in by =yp=wricar OR ink and ~ebmi=t=d =o tho building ink,occur wi~h ~h~ follo~ng: fu~ n~w buildin~ or n~w I. Fi*~al ~urvey of prop~ty with accurate locacio~ o~ ~11 buildings, property lines. 2. Final Approval from Heal'ch Dept. of wac=r ~upply anU s~weragu-dL~posal(S-9 form). ~u~ponuibl~ f~r th= building. "pce-=xi==in~" land u~uu: unusual natural or c~oBra~l~ic fhucuras. C. Foes 1. Carcificate of Occugancy - New dwelling $25.00, AdditiOns ca A1curacion.: co dweiliag $25.00, Swi~ing pool $2~.00, Accessory buiidin~l $25.~O, Addicio~ Co accuua~ry buii~ing ~25,00. Uu~lnu~ $50,00. 2. C~rcifica:u uf Occupancy on Pru-~is~ing Buildin~ - $100,00 4, Updacad Certificate of Occupancy - $50.00 a -. ....... )awer o~ Owners af P~opercy,. ...I-, ........... ' ....... ' .............. o~.nn ,,,~.~ o~o.pQ .... ~o~.. R~2~ n~.~ ....... County Ta~ ~p No 100O. ~cc~ion ..... ~ .... ~ .......... ...... ~c ~, o~.~.~ ........ -.~ea ~ta~..~. .~..~.. '=emit No .............. ..Da=~ O[ 9a=miC..;'; ............ AP9 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~ FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE Z7~ 7 '~'~ ~' FIELD INSPECTION REPORT [ DATE FOUNDATION (IS'r) FOUNDATION (2ND) COMlVlENTS ROUGH FRA1VflNG PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 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. 3185'7 Z Date MARCH 31, 2006 Permission is hereby granted to: MIRKO & TERESA KULIC 45 EVERGREEN AVE BETHPAGE,NY 11714 for : CONSTRUCTION OF AN AS BUILT DECK ADDITION AS APPLIED FOR. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at 1425 NORTH SEA DR ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 027 pursuant to application dated MARCH 28, 2006 and approved by the Building Inspector to expire on SEPTEMBER 31, 2007. Fee S 300.00 ~utho~r~ d/Si~'e ' ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Approved Disapproved Expiration ,20 '~'~ ,20--~ 20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health / 3 sets of Buil~,g'Plans ,-/' planning Bo~d approval Survey *' Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premjses,'relation~hip to adjoining pr~mises 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 P~'mit to the applicant. Such a permit shall ~e kept on the premises available for inspection ttu'oughout the work e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commanced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS I~REBY MADE to the Building Department for the issuance ora Building Permit pursnant 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 authorized inspectors on premises and applicable laws, ordinanees, building code, horn in building for necessary~ ~~t or name, ifa corporation) (Mailing address of appllcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises yV~,~ ~< 0 'k'-"~ {'q~-%'~_ ~<~'...~--kt L (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 lan5t on '~hich proposed workwill be done: House Number Street Han~let Co~W T~ Mao No. 1000 Section Ol~- O0 Block 2. State existing use and occupancy of premises and intende04ase and occupancy ofproRosed construction: a. Existing use and occupancy .-~ k v,-~3k~- - ~,x., ~, ~ ~'~% 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work'~'-C_.a-c~ (Description) 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee (To be paid on filing this application) Number of dwelling units on each floor 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 Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Dimensions of entire new construction: Front--- Rear Depth Height 9. Sizeoflot: Front 10. Date of Purchase 11. Zone or use district in which premises are situated ~'~--~. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES__ 14. Names of Owner of premises Name of Architect Name of Contractor Number of Stories NO NO '~ill excess fill be removed fi-om premises? YES __ ~,4 ~_k ~ Address Address Address, 15 a. Is this property within 100 feet ora tidal wetland or a fi-eahwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMrr$ MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Rear so"6- Phone No. ~ Phone No Phone No. 16. Prov/de survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY or (Name of ~d~l si~ct) a~nam~, ( , g~C ~ rat~ Office, 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 set forth in the application filed therewith. Swom, ttli) before me this I~ /~. (,~otary ~blic SONNIEJ. ~ N~ PubiC, ~ · N~. Ne. 01006095328, S~lk_~un~ Tern ~im~ 7, 20~ 20 iDto Signature of Applicant