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Home My WebLink About31766-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 05/16/06 No: Z-31568 THIS CERTIFIES that the building ALTERATION Location of Property: 2110 OAKLAWN (HOUSE NO.) County Tax Map No. 473889 Section 70 AVE (STREET) Block 2 SOUTHOLD (HAMLET) Lot 25.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 30, 2006 pursuant to which Building Permit No. 31766-Z dated FEBRUARY 1, 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 ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT B & MARY ANN SKOBLICKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 7039 04/26/06 PLUMBERS CERTIFICATION DATED 05/11/06 BURTS RELIABLE, INC. .... ~~e Rev. 1/81 Tow1 Hall. 53095 Main 1101d P 0, Bo" 1179 So,_,thold, New York 11971 Fax (516) 765 1E~J Telephone (516) 7GC, ;8);2 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION Date: 5 -II-()(p Building Permit No. ~ ltJ(o Owner: _(-\", bUt 515ab.1i a; (please print) Plumber: ...,jOU rh t'\el iablt'. Inr. (please print)' I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead. dJ/5k~ (plumbers signature) Sworn to before me this County ~ ,('Dk;d-^ /l-Vvy;'JJbI.z.. 1/ '1f'1'/W ~ day of -11..1~ Notary Public, _,5JHvlt.. 20~ llilltWlmE L. TM'LIN tllItNl'l pUBLIC lt4844893 Slate of New YOlk Residing in Suff,~' CO,"!,: " CommISSIon Exp"" - . "",c /Ih" J7. ""'" Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street + Center Moriches, New York 11934 + Tel: 631-878-3500 + Fax: 631-878-3764 Application: 7039 Date:4/26/06 Issued to: Skoblicki Address:2110 Oaklavm Ave Village: Southold Introduced By:: RJL Electric License#:4264-E was examined and approved up to the above date and was in compliance with the NEe Mic ResidenliallID Cam-ercial Del C?erage Pddition lID '1st Roor ;Td floor lID Pool HolTLiJ ElaseI, en! Switches Receptacles Fixtures G.F.1. Range Hood Smoke Detectors 2 5 2 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon RangelAmps Monoxide Furnace Oil Gas Heat Zones Whirlpool Bell Transformers Meter Amps Phase Motors Other Equipment 2nd Floor Bath Out Res A-a."aaAJ;t#4 JiIectricaJ $~ lrto. qy, 7A!/P ~ This certificate must not be altered In any manner Permit#:31766 ':;;J.. ", " i ,.-) &~. ') ; /1(1' ,.....'), !J.'~' j:..< ), TOWN OF SOUTH OLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION / ,/' [ ] FRAMING I STRAPPING ["""1 FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:. r' ~- ;,/... -' ,1'\ .,,/i " ,/ i""t~:-/~'; , , v , " ',- c._~~ DATE " o s/' />- s-~ //l:; tp , INSPECTOR ~."." _ //-',7 1/ / ..,/ , YFU '/~""'!'- ,./ ,/ ,;: / ~. ,/;/' v-:;t:...-.,"! ~..... ~'-' 'r"" 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. 31766 Z Date FEBRUARY 1, 2006 permission is hereby granted to: ROBERT B SKOBLICKI PO BOX 1688 SOUTHOLD,NY 11971 for : ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 211 0 OAKLAWN AVE SOUTHOLD County Tax Map No. 473889 Section 070 Block 0002 Lot No. 025.001 pursuant to application dated JANUARY 30, 2006 and approved by the Building Inspector to expire on AUGUST 1, 2007. Fee $ 150.00 /~~ (!~ ! Authorized Signature ORIGINAL Rev. 5/8/02 1 ~~ 1;:: ,f TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [~AL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:_ 01- ~ c:, 6. DATE psis- ft~ INSPECTOR ~~~~ :s / 7r"Ce TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [~H PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ .] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: . tJ~ I~~/~ ~- DATE ~llcf fJ& INSPECTOR ~ 317"(, :2-. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST 0' ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: _ ~ --fyJ"t -~ [) k I . .~ ~.~~~~ -X ~ ~.1. ~~ --t:i- c ~ ~ i-~?~?J / DATE ./ to INSPECTOR ~(~ . . ..... , FffiLD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) \)J;l] - ~ -..'l_ f~ 4:> ~~ FOUNDATION (2ND) ROUGH FRAMING & PLUMBING z Jt...} -0'" 11'.... l... . 11 rf-. /}"jI Iii Ai 0 A Q/~ .k ~: &rk~.Y ~ 'L1 ~ --f:;;..- JlI-R fll....' B'-J, /' ~ 0 '" -IL./I IAL..* ..)'/ LJt-~, ...? .Ji'.~ o~ " I ' <~ / ~ ~ ~ ~ ,) t~ t" t"l .., INSULATION PER N. Y. STATE ENERGY CODE FINAL ~fi. ~ CO. V ~ ~ - c4'.......e. ~. ' A...' _~ ...,;' .. 1"C.'- ,. 7' ,. .A ..:i:::....... tL -- .-g, " ~ ~ ~ .Q ADDITIONAL COMMENTS No'~. ~S IS 0 K+~ lP ^ &- ,- &~ . m. ;:tl ~. i-p _1 [ tXl l"l I ~ ":l ~ - \ ~ -3g z iIl 0~ ~ ~; t"l ":l :-l .. PERMIT NO. 9/ 7C.~l:;/ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mailto: Ii!&i:!'-~IJU{,KI TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ Examined J.-/~ 20 t1 C. ;;d ,- Approved 200 ? ,- Disapproved ale Expiration 0/1 ,20~ Phone: 7(;,5" - cQO<{ ~ Building Inspector '1N 3 , F' r ' IS I;." i; , ! APPLICATION FOR BUILDING PERMIT , i "J' '. " Date -:r A tJ /7 ,20 Q6 - I INSTRUCTIONS . a. This application M~completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 permit shall be kept on the premises available fi)r inspection throughout 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 commenced 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 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 inspections. /).,../".1'-.0, ~/,aJ) (Signature of applicant or name, if a co'!'oration) 2.11 [) ()A~UfL.)D.4u e fJo /dox Ib'B~ 9" TIfF" (> J..:l iF. II q 71 (Mailing add eS8 of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Dc,,) 0e Q Nameofownerofpremises k'C{>,eQ, A.,() HfiR'f.J 4;.J1--l .~D{jI.Ir:.lC1 (As on the tax roll or latest deed) , If applicant is a corporation, signature of duly authorized officer fll (Name and title of corporate officer) Builders License No. Plumbers License No. :?<R \ q ~. jJ\ {) Electricians License No. q 2t, '/ - H ~ Other Trade's License No. ffiu Q.T<. ~e. L' "'I >&LR.... ~"u. .Jd~ I P6 v L. IS'Lec TRICJtl...... 1. Location of land on which proposed work will be done: :2 , ({) (),q.J< LI-h..')}..) it, J e House Number Street ~jTH-() L. !\ Hamlet ,00.. County Tax Map No. 1000 Section Subdivision ~7o Block OOD2- Filed Map No. Lot 1!J2$' .'DO I Lot (Name) 2. State existing use and occupancy of premises and ~ended use and occupancy of proposed construction: a. EXlstmg use and occupancy ke S i DP I0C.- e _. . ____. m________ ___ b. Intended use and occupancy Sv'Tlie 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work .. Alteration__X 4. Estimated Cost 7J, ID,f)DD (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars I (To be paid on filing this application) Number of dwelling units on each floor ________________ 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner -as/CPO/Ill ( II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO-4 13. Wi11lotbe re-graded? YES_ NO~ Will excess till be removed from premises? YES_ NO_ 14. Names of Owner of premises Address Phone No. Name of Architect ~/l-P\<v ..:>oTA-e.; Address?O.W><'i?J Mo-~"Jf~Phone No (;lC(F5 - 11.9'"1 f Jl 1'\ dd /0/0 )J{)UIW!5 h 3 7 Nameo ContractorflL(,tr$ ~l \~f:l~ A ress 5~117.\'{}1.~ "J P one No. 7bY' 76 IS a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO_-.2( * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES __ NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) /:?e.f'12 T (j. SkbBUC..K I being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the o uJ AJf!-R (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 tile 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. Sworn to before me this.-r 17 '"1/:",~000 A I- ,f( ~ <-/""N tary Public - SUSAN (, TOOKER NOTARY PlJBLL; St:lte of New York r~o :)I-()l'i07i3-120 QU2ilfed :1. ~3urlolk County CommiSSIon l:xpircs May I f(lOO1 /?~ -8. ~;-&LJ~ Signature of Applicant """.. -~ / .- " .~-\>.~~ ......... , I'i ..5 ,,/0' ",,$ $'" C"""iJ''' ~O~~\.v. C . '- ~ ~. o ~ ./ ;~ " --1/ '<', ".' ,. y~, - < , 'Z ",\0 6 ~, 9- ~ t ~ ,..,) ?1 i\~ ':1 \r ';\ iP ',,\ . '~ ( ~ I#; roe: '1- ~. \11. ~ \' ~.\ 'b~\ ..' ~ " "' -" So -" >il JOlf otrtC ",1<1' .~, ~06 A/O/~ ~Oep "'l SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.c. TAX No. 1000-70-02-25.1 SCALE 1 "=40' JANUARY 7, 1999 OCTOBER 2, 1999 UPDATE SURVEY &: ADDED PROPOSED HOUSE SEPTEMBER 7, 2000 UPDATE SURVEY, PLOT PLAN & B.O,H MAY 30, 2001 FOUNDATION LOCATION OCTOBER 3, 2001 FINAL SURVEY AREA =. 44.097.82 sq. ft. 1.012 ce:. 'k \ \ N.\(. No. 49668 ~ 'r.. :\.., . '" ,~ ,... <)~ C~~'iJ ~oc.p;l __"""""'OItMlllllClN 'rOf*-..wrr.,,_or ~~Of'H.._.,.1t .......- _or___oo:n-_ Tll[~~_-,Oll _...~IIlIt._ "....__CIPl'. ~---...- ~'Wl1IC___'lE__ ___CIil..l8tIIlTlIlH lIII.l._.____ ~=:r0f'~=_.:... 1VIDI.___.....-.......z. 1M[EllISmIICEtIf~or.A'I'S ...,. USDmITS fit -=-. " >>t'r,__"'IlO!OIloIMInID. FlIIt (eJl)n7-1i'27 -- ".0.900111131 ~.""Yori<l1llOl...(JllCi , , \ Jo ph A. Ingegno Land Surveyor l1llo~-s.-..-_ SIIo""- -~.....,.. PHONE (131)T%1-JOlIO OFRCI:SUlCol.1ttlAf t3llO~""'" ~""YortlllI1111 ~ :J4'-k. -",-,,,,,,,.:<1 ~I~~ '0k,~ &, itA; ;0.",'^-I CO tN c"'~l.V"'-'d ~ ~~ fV~' ~. ~"f;~-~ f9v 3 ,~ CC<A.(V PLUMWNG !USER DIAGRAM "l" /.,' . , . :~ . ~i.ofoOro>J J ~.Jov,,",," I.-.~ . , , I~ t Z'~~ ~ ',0' 9= ..~~ ..-." ~ I @: 11_...: 1 'I~I- i ~'I pElY1IUl.l'~ _1~ ,~'_6' I -~-" -I -'f' , [",.' ..'~ ,--- r ,I ..,... ~'.~' . f)'.(__ '"c.... .01-...:;' - ,~-,,' .,'," ~.t ~'-" SECOND FLOOR PLAN .".....-:I._d ------0 --_._._~- .--.--.-- - ~_._--_._.~ ,------- .~-_.~._--- -_.~-~._._.. . -.~-_._._~. ---~--- ==,;:;.-_. m '! III I II - ----t- -~ I Ii I 1 i ,1 k ~: i:i g~ 'li f' ;>:< 1 ~ ! ! A". ~...,-'- ~ 0' ~p i,i ,., o 11 " ~ ,. f73l r .- .~~-~ -- /' .5 ,,/0 #' ,.5 " C#",Jl" .I0~\.11.J~ c . ~ '- 1'00" 'O,;':J '" <..> ""'" "-'!><y ,a- 4::">'.\ r.;; ~ .. < ., ''- 6 '- ~, ~ 'e7L --;:\ -]- ~ '1', ~ ~ co :;. " '; v. '" " ~ e U, ., ~ -\ ~ '-' 'u' "'. . -t-,.,~ "'.; \ u'.\ o \ 0, \ <0' ~ " f'c "fO"f'J-OG , ,~, ~o9 /~ #/0/-"" ~o.€'.P ce, .. 'i,. \ \ . SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No, 1000-70-02-25,1 SCALE 1 "=40' JANUARY 7. 1999 OCTOBER 2, 1999 UPDATE SURVEY 6: ADDED PROPOSED HOUSE SEPTE~BER 7, 2000 UPDATE SURVEY. PLOT PLAN & B,Q,H M.6.Y 30. 2001 FOUNDA.TION LOCATION OCTOBER 3. 2001 FINAL SURVEY AREA = 44.097.82 sq. ft. 1.012 ce. N.'!' ..~ ~ ~. :\ ~\)~~ C?'i>'i>-" IOc'f$'- ~"""""OII__ JO "*--.n. ,,_or .-,.-orH__"-". -- _or_____ lIl[~llMftIfl'I.....1lIII ...-,...-...--- "IOK"__CIlPL ~-.........-.- _'I''ID1IlE....fW_M:1UIM'( ...................u'lDK nu~~___ n"--rllFN'=-':' MOL,~__~ "~""'orWAft ..,.PSOII3IISWIEClllD,.. IWf. -:r ~ J-. IOJ 0WMlnGD. Fft (lU1)'127-1127 ........""""'" p.o... 11$1 ~. _ '1',,", lltlOl-m<<i , Jo ph A. Ingegno Land Surveyor 7&~-~-._-~t..,...,t PHONE (1:31)7%7-2010 orncES"UlClTl'DM ,_~""" ~*",Y"1I1lO1 .'IN..-..q,..<.<u'''-' ~ '1"./~fI' ;Z.~i:o;t/"q~ ~ '~d-~,U}o'd 5- ~~,~ ~~~ ~3~~.