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Home My WebLink About35084-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34120 Date: 12/09/09 THIS u~KTIFIES that the building ALTERATION Location of P~pez-ty: 3750 BRIDGE LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 84 Block 5 subdivision Filed Map No. Lot No. __ CUTCHOGUE Lot 10 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 20, 2009 purstu~nt to which Building Permit No. 35084-Z dated OCTOBER 20, 2009 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 ALTER GARAGE TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to RICHARD E BOZSNYAK JR & LAUI{A ( OWNER ) of the aforesaid building. SuFFOLK COLsTrYDEPART~TOFHEALTHAPPROVAL N/A EL~t-£KICAL C~TIFICATH NO. H 067717 04/24/00 PL~MB~S c~K'rIFICATION DATED 12/01/09 MATTITUCK PLUMBING Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 AppLICATION FOR CERTIFICATE OF OCCU~ DEC 4 2009 BLDG. DEPT. TOWN OF SOUTHOLD This application must be fired in by typewriter or ink and submitted to the Buildin4~ Department with the following: A. For new building or new use: 1. Final survey of Property with aeeurate location of all buildings, property lines, saeets, and unusuat natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of elect~cal installation from Board of Firc Underwriters. 4. Sworn statemcn~ fi, om 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: l. 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 lo 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 - Kesidential $15.00, Commercial $15.00 Date. New Comtmcfion: Old or Pre-existing Building: Location of Property: .~ r~o /~/~/'t~'Y'~ House No. J Street Owner Or Owners of Property: ~'~icFccrA F../3ozsa, Suffolk CountyTax Map No I000, Section ~, Block Subdivision Permit No. 3~oBq- 7_ Date of Permit. _De he r (check one) Health Dept. Approval: '-S- lot -/0 'Filed Map. Lot: Applicant: ~'~iC[,'O. Cc~ ~-~ Underwriters Approval: Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~ (check one) Applicant S~at~e Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ]~ernbec [, 300q Building Permit No. ~ ~:~q - Z- (Please prifit) Plumber: ~A'Y'I'ITI It~le' Pl l I/~A~INit-' PC) Box 1429 Mattituck, NY 11952 I certify tlfi~'[t~9~lti5~ ~[a~d ~tgllgomll~a~supply system contains less than 2/10 of 1% Sworn to before me this ! $ (Pluffibers Signature) DENISE KING Notary Public State of New York Registration #01KI6041757 QuaLified m Suffolk County My Commission Excites May 15, 2 '~/ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 ~(37~512 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date .kPR!L 24,2~ A~.~Bl~ITlica.o. NO.N°* onz~L~, 884'1e 1~92~199/99 H (367717 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RICHXE & LAURA BOZYNUYAK, 375(3 BRIDGE LANE, CUTCHOUGE, in the following location; [] Basement [] 1st Fl. [] 2nd Fl. Section Block was examined on ~,CH (3 7,2~0(3 and found to be in compliance with the National Electrical Code.. OUTLETS DRYERS FURNACE MOTORS AMT. K.W. OIL H.P. G, AS H.P. FIXTURES , FLUORESCENT OTHER FUTURE APPLIANCE FEEDERS AMT. NO. A.W.G. RANGES MT. K.W. SPECIAL REC'PT. AMT. AMP. SERVICE DISCONNECT NO. OF AMT. AMP. IYpE ~1~1~. I ~ 2W I ~ 3W 3 ~ 3W 3 R 4W OTHER APPARATUS: PADDLE Fik~- I G.F.C.I:-i S]~OtC~ DETECTOR: - ! s R TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET a T* AMPS. TRANS. ~ SYSTEMS M NO. OF FEET V I C EXHAUST FANS DIMMERS ROBERT PkLADINO P,O. BOX 635 g~TTITUCK, ~N~', 11952 This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT TNIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER 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. 35084 Z Date OCTOBER 20, 2009 Permission is hereby granted to: RICHARD & LAURA BOZSNYAK PO BOX 31 3750 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF ALT.TO AN EXISTING ATTATCHED GAP~AGE FOR CONVERSION TO HABITABLE SPACE. REPLACES EXPIRED BP# 33174 at premises located at County Tax Map No. 473889 Section 084 pursuant to application dated OCTOBER Building Inspector to ex/~ire on APRIL 3750 BRIDGE LA CUTCHOGUE Block 0005 Lot No. 010 20, 2009 and approved by the 20, 2011. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33174 Z Date JULY 27, 2007 Permission is hereby granted to: RICHARD E JR BOZSNYAK PO BOX 31 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF ALTERATION TO AN EXISTING ATTATCHED GARAGE FOR CONVERSION TO HABITABLE SPACE.THIS PERMIT REPLACES BP # 25884 at premises located at County Tax Map No. 473889 Section 084 pursuant to application dated JULY Building Inspector to expire on J~JqUARY Fee $ 150.00 3750 BRIDGE LA CUTCHOGUE Block 0005 Lot No. 010 27, 2007 and approved by the 27, 2009. ORIGINAL Rev. 5/8/02 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. 25884 Z Date JULY 20~ 1999 Permission is hereby granted to: RICHARD E JR BOZSNYAK PO BOX 31 CUTCHOGUE~NY 11935 for : CONSTRUCTION OF ALTERATION TO AN EXISTING ATTACHED GARAGE FOR CON- VERSION TO HABITABLE SPACE FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 3750 County Tax Map No. 473889 Section 084 pursuant to application dated JUNE Building Inspector. BRIDGE LA CUTCHOGUE Block 0005 Lot No. 010 1 1999 and approved by the Fee $ 75.00 re Authorized Signatu Rev. 2/19/98 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25884 Z Date JULY 20~ 1999 Permission is'hereby granted to: RICHARD E JR BOZSNYAK PO BOX 31 - CUTCHOGUE~NY 11935 for : CONSTRUCTION OF ALTERATION TO AN EXISTING ATTACHED GARAGE FOR CON- VERSION TO HABITABLE SPACE FOR AN EXISTING SINGLE FAMILY DWRLLING AS APPLIED F( at premises located at County Tax Map No. 473889 Section 084 pursuant to application dated JUNE Building Inspector. 3750 BRIDGE LA CUTCHOGUE Block 0005 Lot No. 010 1 99 and approved by the Fee $ 75.00 Authorized Signature COPY Rev. 2/19/98 7L5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~/~UGH PLBG. [ ] .~U~NDATION 2ND [ ] INSULATION [ v~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ '~ : ~ ~ · / /' .ATE ¢~//~~NSPE~OR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ . ] R~GH PLBG. . ]//F/OUNDATION 2ND [~]~ INSULATION FRAMING [ ] FINAL ] FIREPLAn& ~CHIMNEY DATE INSPECTO~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~TION [ ] FRAMING [~'~- FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR ~1) II/S~ECTION REPORT DATE ....... ; .................... ,~AT ION (2~) ~ STA~ E~R~ FINAL -FOBH HO. I · F(A~ oF SOU'I31OLD BUILDING DKPAR'I~HT SOUTHOLD, H.Y. 11971 TEL: 765-1802 l)isa~p~ ',~ed a/c .................. ' [ /Inuitd s ne ecmr) BOARD OF BEALTB ............... 3 SKTS OF PLUS ......... ; ..... $IIR~¥ ..... SEPTIC FORN ........ · Date ................ ,19 .... a. This applicatim mst be ~?letely filled in by type~iter or in ink and sul~itted to the Building Inspector ~i 3 sets of plans, m~n-ate plo~ pl~ to ~e. Fee m'~'~'din~ to schedule. b. Plot plan aho~ri~ l~'~rim of lot and of buildings on p~o~iaes, relatiomhip to adjoinir~ premises or public streets or areas, a~i siring a detailed descriptim of layer of lm3pert~ ut be drmm on the dia~.. ~,tdch is part of :this application. , c. Tce ~ covered by this application my not be comenced before isi=~e of Buildi~ Permit. d. ~ ~p~al of this applicatim, the ]hildin8 Inspector rill iaaue a Building Pemit to the applic~. Such permit shall be kept (~ ti)e premiaes available for inspeccio~ thtx~ghout the ~k. · e. lto building ~1 be ~.ied or used in ~hole or in part for any purpose vhatever until a Certificate of APPLICATIC)i IS ~ ~ to the Building D~pafl~enC for the issu~ce of a Building Pennlt pursuant to One Building ~r,- Ordinance of the To~n of ~nut~old, Suffolk County) ~ Yoxk, and other applicable L~s, Ordi~s or I~lations) for the ~t-mction of buildi ~n~) additiona or alterations, or for ze~l or d~r~lition) as herein described, l~e appli~C agreea co ~m~.ly rich all applicable la~, ordinances, building code, l~,~ing code, and t~nlatio~, and to ~-it at~orized inspectors ~n p,<~i~-s and in building .fx)r necessary inspectims. ($ignatu{e of ~3pli~ant, ~r nme, if a corporatice~ .... ....... State ~aether applic~t is (~er, leasee, al~enC, ,~d,ltect, e~gineer, general cc~tractor, electrician, plmber or bailde~ (as o~ I~e tax roll or latest deed) If applic~t is a corporati(m, si~atere of duly authorized officer. (N~e a~d title of corporate officer) Kleetrieimm Li,'~,~e No .............. .. .. .. .. Other Trade's Liceme 1~.. ............... .. . . 3. ~atnre of ~rk (check ~idt applicable): Ne~ Ik~ilding .......... t~klitico .................. '~. repair ............ Ik~oval ............. l~emolitio~ ............ Od~r tIork .................. ~ ............... 4. E~t imeted Cost ......................... fee ................................ (t~ be p~id on fili~ this 5. If d~elling, nm~er of d~lllng units ............ Nt~ber of d~lling tmlts on each floor ................ If garage, m~ber of cars ...................................... 6. If bnsinsss, ~'....~reial or mi~ed occupancy, ~pecif3r nature and extent of each Djpe of use ...................... ?. Dimensions of existing straetorea, if may: Front ................ Rear ............... Depth ...... ~ .......... Ileight ......................... Nt~ber of Storins ...................... Dimensions of ~ st~uetx~re with alteratio~ or ~dditions: l~ront ............... Rear ............... Depth .................... Belght .................... N~ber of ~cories ............... 8. Dimensions of entire nc~ construction: Froot ................ Rear ............... Depth .............. lteight ......................... Ix~m~er of Stories ..................... I0. l~te of Purctmze ..................... N~e of Former O~er ........................................ I I. Zane or use district in ~hich pt~,ises are situated .............................................................. 12. l~ea proposed construction violate ~ny ~ning 1~, ordinance or regulation: ........................ 13. 14il! lot be regrnded .................... 14ill e~ens fill be te~d g~x~n pr~nizes: YES NO 14. N~es of O~er of p~e~izes ........................... Address .............................. Pho~ No .............. N~e of Architect .................................... t~drens .............................. Phone No .............. N~ne of Contr~tor ................................... P.4dreas ............................... FCOnc NO .............. 15. Is this property within 300 feat of a tidal ~tlned? * ~E~ .......... NO .......... PLOT DIAGRAI4 Iocate clearly nnd distinctly all buildings, ~hether existing or ~,q,_x~d, ned indicate all set-back din~io[~ ~ p~'o~rty lines. ~i~m street znd block ~s~he.r or description ncoording to deed, nml sh0~ street nnn~s nnd indiczte ~hether interior or corner lot. ........ (V-~. -.)-~.-, --~--.- ............. being duly ~m, (~ of i~ivi~ d~{ng ~tr~t)~ ~ is the .......... ~ ...... · · ~. ~c s~ L (~t~tor, ~nt, ~ate officer, etc.) of ~id ~r or ~rs, ~ is &ly ~tWri~ to ~rlom or ~ ~r[v~ ~m ~id ~ ~ to ~ ~ file this {~licaCico; ~t all star--ts ~tal~ i. Ois ~li~ti~ ~ t~ to flint ~ ~ will W ~rk~ in tim ,,~.mr ~t ~ k ~ ~li~ti~ fil~ ~. FGR: ENERGY CDDE CA_SCULATIONS_ (For Non-Electric Ileat) Design Criteria ~,OO0 Degree'.DaYS O.A. £0~F I.A. 7U'F DATED: SUBSYSTEM Exterior Walls {Opaque} Glazing ~! % Doors ceiling/1{ Jof (Opaque) Skylights % Floor F~u~ldation Walls Slab Insulation AREA DESIGN R~MARKS "U" RATING .o7~ ~ L/ -/3 eF TOTAL Notes.: Building Envelope Systems to meet requirements of 7815.2 HVAC Equipement to'meet requirements of 7~15.11 IIVAC Systems to meet requirements of 7B15.1~2 Uuct Systems to meet requirements of 7815.13 Ventilations Systems tO meet requirements of 7815.i4 Insulatiou of Piping Systems to meet requirements of 7815.i5 Service Water Ileating Systems & Equipment to meet requirements o~ 7~15.21 Electrical & Lighting Systems & Equipment to meet requirements of 7~15.31 'i'o the best of my knowledge, belief, & professional judgement, the.se plans are compl£ance with the code. TOWN OF SOUTHOLD PROPERTY RECORD CARD · f ~ "~ . ._, / )WNER STREET '~ ~;;' ..... VILLAGE DIST. ' SUB. LOT ~/~' "' ~ORMER OWNER , ~ N E ACR. J I :-S. ~:])z./,O SEAS. VL -],, J FARM COM~. CB, MICS. Mkt. II~I~ FRONTAGE ON WATER ~ p~ BULKH~D ,/ Extension Extension COLOR / ~ ,, TRIM Foundation Po~h Basement Ilorch Ext. Walls Fire Place Type Roof R~r~tion R~m Both Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Dormer Driveway inette LR. FIN, BR. Iocat~l] i!ave been ~r::,,:., '.ed by this RO.~ERICK VAN TUYL, P.C. LICENSED LAND $UI~EYOR$ GREENPORT NEW YORK SUFFOLK CO. I~EALTR D~I~I". H. S NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE: DISPO SYSTEMS FOR THIS RESIDENCE CONFORM TO THE STANDARDS OF SUFFOLK CO DEPT. OF HEALTH SERVl (si APPLICANT SUFFOLK COUNTY DEPT. OF HEA SERVICES - FOR APPROVAL CONSTRUCTION ONLY DATE:· H. S. REF. NO.. 87-~O- ~.~ APPROVED: SUFFOLK CO. TAX MAP DESIGNATION DIST. SECT. BLOCK PC OWNERS ADDRESS: DEED: L. t-4/~ p. TEST HOLE STAMP additional inetilutia¢~ o~ subs,. 1, APPROVEP AS NOTEt~ O^'~: FEE? ~ N~l~ BUILDING D~ARTME~ AT 765-1802 9 AM TO 4 PM F~ THE FOLLOWING INSPECTIONS: 1, EOUNDATION - ~0 REQUIRED FOR ~URED CONCR~E 2, ROUGH - F~MING & PL~ 3. INSU~ON 4. FINA~ - CONSTRU~ION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRU~ION ERRO~ PROVID~SMOKE-D~ING A~RM D~ICES ~ TO PART. 72L1 N.%S BUILDING COD~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ON LEAJ CERTIFICATE ( SOLDER USED IN SUPPLY SYSTEM EXCEED 2/I0 OF EIEII[III/ IIEQUII[D mr Pall. N.Y. STAT[ IIIILDIIII If onPper tubing la ueed for water distributing WStem; piping ahall be of q~pea~K or L only_ ¸fl VDJTE~' ~;~9~FiT