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Home My WebLink About20022-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33844 Rte: 07/22/09 THIS c~KTIFIES that the building ADDITION TO GARAGE Location of Property: 500 TUCKER LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 63 Block 5 Lot 3 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 1991 pursuant to which Building Per~/t No. 20022-Z dated J~3LY 9, 1991 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 ADDITION TO AN EXISTING NONHABITABLE ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to CARL J & JEAN A STEPNOWSKY (OWNER) of the aforesaid building. SUFFOI~fC~)~%~I~fDEP~T OF ~%L~{~-PPRO~r~J~ N/A EI~t-rKIC~-L u~TIRIC3~TH NO. 1188672 01/06/04 PLU~ERS c~KTIFICATION DA'r~u N/A ~t ~r i z~e~S i~gn~t~r e Rev. 1/81 TOWN OF SOU'13.JOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 20022 Z Permission is hereby granted to: .~....+...~.~......~~~ ........ · .~~. ........... ,~..%...~....~..~..i., ....... o~.....~,~L~ ~ ........................... ~.. '"'~ ............. ~42' ~;: ....... ~: .......... :~ ............ ~ ........ ~'-':~'-', ................... at premises located at .~ ........ .......... · Q4..~ ......... ~~ ....................... County Tox Map No. 1000 Section ...... .(~...~....~....... Block ............... Lot No.....~........~... ......... pursuant to application dated ...~... .~. .......... , 19..~..1., and approved by n, Building Inspector. ./ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDINGTOWN DEPARTMENT 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: A. 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. B. 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 $15.00 New Construction: b/' Old or Pre-existing Building: Location of Property: H~us~'~ 5 ~ct e~ i<Z~t/L (~ ~3 e o. Street Owner or Owners of Property: XQ') -k-e- ~0 "¢~. GM3 ~ Suffolk County Tax Map No 1000, Section (252 '7~ Block (check one) Hamlet Lot ~ Subdivision PernfitNo. C~O0 ~3 DateofPermit. Filed Map. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted:$ ~ , OD Final Certificate: ~ (check one) k._ Applican( Signature BY T.,S CERT,F,C^TE OF COM.',^NCE T.? i NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 ia CERTIFIES THAT ia Upon the application of upon premises owned by ~- CARL STEPNOWSKY CARL STEPNOVVSKY ~ 500 TUCKERS LANE 500 TUCKERS LANE ia SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 ia Located at 500 TUCKERS LANE SOUTHOLD. NY 11971 ia Application Number: 1188672 Certificate Number:. 1188672 ia Section: Block: Lot: Building Permit: BDC: ns11 Described as a Resid~t~al occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, garage, Detached Garage, Outside, was inspected in accordance with the National Electrica~ Code and the detail of the installation, as set forth be~ow, was found to be in compliance therewith on the 6th Day of .~anuary, 2004. Name OTY Rate Rating Circuit Type Miscellaneous AS BUILT 1996 Appliances and Accessories Pump/Motor 1 0 3 H.P. Wiring and Devices Receptacle 7 0 General Purpose Switch 3 0 General Purpose Fixture 2 0 Incandescent Fixture 7 0 Fluorescent Receptacle 1 0 GFCI A visual inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. ~ 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. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~,~IJLATION [ ]FRAMING ~[~JC ] FIREPLACE & CHIMNEY DATE /~~//~/~ INSPECTO~~ 7GS-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~ 7GS-180Z BUILDING DEPT. INSPECTION [ [ ] FOUNDATION [ ] FRAMING ] FOUNDATION 1ST [ ] ROUGH PLBG. 2ND [ /~LATION] [~] FINAL INSPECTOR FIELD i:~S'JECT!O~ FOUNDATION (1st) ..F, OUNDATION ( 2nd ) 2. ROUGH FRAME & -PLUMBING INSULATIOH FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BLC ~PT. 'rpwN c:: ,,,'JmoLr .;_j TEL.: 7G5- 1302 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 isapprovcd a/c .... . .............................. ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOAaD OF HE,\LTI! . ..,,,~. 3 SETS Old" PLANs ~ ' ClI£CK SEPTIC F 0 R,'I CALL ........... . · . HAIL TO: Date INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ; 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 ~reas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- Orlo c. The work covered by th.is application may not be c~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to tlie applicant. Such permit ~1 be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy I have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu/lding Permit pursuant to the ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ulations, for the construction of bu;ldings, additions or alterations, or for removal or demolition, as herein described. .applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~t authorized inspdctors on premises and in building for necessary, inspections. (Signature of applicant, or name, if a corporation) (},Iai lno address of applicant) whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. a ca_ plicant is a corporation, signature of duly authorized officer. · (Name and title of corporate offi~iri ......... guilder's License No .... 1.~. . [..(-F.~...~....'..~.."~.. Plumber's License No ........... : ............. !Electrician's License No. 3tlier Trade's License No... )cation of land on wliicli proposed work will be done... ........................... q_lq eva s )usc Number ................................ ,9 Street l-lamlet unty Tax Map No. 1000 Section .... (~..'~. .......... Block ~,~ :~division. ' ............... Lot... J .............. .................................... Filed Map No. (Name) .............. Lot ............... te existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature et work (check which aeplicahl¢): New Building ..."'~.. .... Addition .......... ' /~itq~on Repair .............. Removal .............. Demolition .. .'~ ..... ~? i · · ...... Other Wurk ............... ..... % .C? ?. ¢>. oD (Description) 4. Estimated Cost ...... J t ............... ... Fee ..................... (to be paid (m filing this application) 5. If dwelling, number of dwelling units · · .............. Number of dwellinr, units on each floor If garage, number of cars . ,:>D,....~...,~., .~. o · . ............... If business, commercial or mixed occupancy, specify nature and extent of each ty >e of use ............... 7. Dimensions of e~xit~ting structures f any' Front Hei,, . [.t~ ..... ~ ~-. . R e t ' ' ,,Itt ........... Number of Stories ....... ~.. fl.?.o.%y ear ...~...Ck. ..... Depth .... l .~.....6¢. f.. Dimensions of same structure with alterations or additions: Front ...... · DD?th .. .... ;. ................ He I' it ..... ' ....... ] ........ Rear ..... 8. mmnsmns or entire nexv construction 'Fr n' ' ' :z,' ?,_' -? .......... Num bet of Stories .... ' ............ He ght cl ~ Nu . o .... w-..~.... ,, ~' c,, r ................ ~.. kc'" ~car .... ~ ........ Depth "3c:, / · ............... moer of Stones ......... I..~.. s q-oo.-~ a-5 .............. . 9. Size oflot: Front I O ........... ................. Rear I o D' ' ,~ ~>' '~ ............ 0. Date of Purchase I q..'7 6 . ' ' ~ ................... eptn ..... · ' ' · ........... Name of Forxner Owner I. Zone or use district in which premises are situated ..... .~¢..e.~ ,ow~Tu, n ,_ ............................. ~' Does proposed construction violate any zoning law, ordinance or regtxlation, kJ,O ' ' ':,",' ......... 3. Will lot be regraded ~. O ~, ..................... · ' .......................... Viii excess fill be removed from premises: 4. Name of Owner of premiscsC..~.~.¢?.~l'q.s.,9. ~-~-t'?.~.sY,~Addrcss ~.~.qq'~¢~c.c.,~. c.t~. a; PI one No Yes ............. . Name of Architect ............ Address Phone No Name of ContraCtor .~O¢ Ck'l~,o~'~3 .........Addres..... · ....... -' ....... 3. Is thi~ifr__roepert~y wi.ci~'i~' ~bb' f;'e't: ;'f' ia' 't:'i~t~l wet~a~'d~' ' '~;. ...... ? ......Phone No..7.t,.~. 7 y s, ~outnold Town Trustees Permit- . · xe.s ........ No..~'-, .... ' ........ may De required. .-. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dirnens OhS from roperW lines· Give street and block number or descriptioh according to deed, and show street names and indicate whether :tenor or coruer lot. OF OCCUPANCY APPROVED AS NOTED DATE: FEE: ~_ NOTIFY BUILDING '2FPg,~TME~T 765-1802 9 AM T(~ ~ F~.~ FOR "HE FOLLOWING INSPE 1, ~OUNDATION FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSU~TION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE 'CONS~U~ON & ENERGY CODES, N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS TE OF NEW YORK, , , ~: ;ii%it J'NTY OF ........ S.S ' UlqDt.~t',;' ......... ~t.qUIR~O ( ~ . · · ................ being duly sworn, deposes and says that he is the applicant e named.N` ne of nd v~dual s~gnmg contract) thc (Contractor agent corporate officer ) .............. , , , etc. id owner or OWners, and is duly authonzed to perform or have performed the said work and to make and file this :atinn; that all statements contained in this application arc trne to the best ofhis knowledge and belief;and that the will be pcrfo~cd in thc manner set forth in the application filed therewith. a to before mc this .......... ' ' -.. ...... 19 .~ Y Public ..... .~_. ~&~ .. ~ ~ ~ 1~ - e of applicant.) ~u~' Cm,~ ~. ~'. L~NE- M. Bldg. Extension Extension Extension .~,,-~.,/-L~ Breezeway Garage : ,~7 ¢O/'~ Foundation ~/'~'~) j ' I Basement i Fire Plac, e ~atio Porch.~TXT .tTO' Porch Bath Floors Interior Finish Roof Type Rooms ist Floor I Rooms 2nd Floor ~riveway Dormer ' TOWN OF SOUTHOLD P~OPERTY RECORD CARD OWNER LAN~D IMP. TOTAL STREET FARM DATE VILLAGE W i..~ .~.. COMM. I N D. DISTRICT SUB. ACREAGE TYPE Of BUILDING LOT 7OO AGE NEW Farm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushlond House Plot Total NORA4AL Acre ~p'vo ' BUILDING CONDITJO BELOW / / / f I ~,,2~/~ ?/,5 ABOVE Value Per Acre Value CB. J MISC. Est. Mkt. Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK F-