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Home My WebLink About35517-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34391 Date: 06/07/10 T~IS c~TIFIES that the building ACCESSORY SHED Location of Property: 1700 PECONIC LANE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 75 Block 1 Subdivision Filed Map NO. __ Lot No. __ PECONIC LOt 10 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 2010 pursuant to which Building Permit No. 35517-Z dated APRIL 28, 2010 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" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to ESTATE OF JOHN M DROSKOSKI ( OWN E R ) of the aforesaid building. SUFFOLK COUNTY DEPART~T OF HEALTH APPROV~J~ N/A ELEt-rKICAL C~CrIFICATE NO. 35517 05/17/10 PLIERS CERTIFICATION DA'r~D N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 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 ol~electrical installation from Board ofF/re Underwriters. . 4. Sworn statement from plumber ce~fying that the solder used in system contain~ tess than 2/10 of 1% lead. 5. Cornmeal 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 PInnning 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 thc 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 Certifieate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: / 7~9 (:22 House No. .OWner or OWners 0fproperty: · suffOlk County Tax Map No !~90, Section Subdivisxon l'ermit No. :2-- / Health Dept. Appr~oval: Old or Pre isting Building,.' Street Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,~ .5~E90 Date of Permit. (check One) ~ Hamlet Block Filed Map. Applicant: Undervaite~s Approval: Final Certificate: Applica~nt'Si~nature 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. 35517 Z Date APRIL 28, 2010 Permission is hereby granted to: DIANE DROSKOSKI PO BOX 162 PECONIC,NY 11958 for : ACCESSORY "AS BUILT" AS APPLIED FOR at premises located at 1700 County Tax Map No. 473889 Section 075 pursuant to application dated APRIL Building Inspector to expire on OCTOBER PECONIC LAIqE SOUTH/PEC Block 0001 Lot No. 010 14, 2010 and approved by the 28, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Town llall Annex ,;4375 Main Road P.O. Box 117!1 Southold. Nh' 11971-095!t Tclcphonc (631 ) 76:-~- 180'2 Fax (G31) 765-9.102 ro.qer.dGhert(/~,town.so ut hold. ny. us Issued To: John Droskoski 131 JII,DIN(; 1)I'~PAI/TMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Address: 1700 Peconic La. City: Peconic St: NY Zip: 11958 Building Permit #: 3~.~ ~ / '~ 35517 Section: 7~'" Block: ) Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: BobAnnabel DBA: BJ Electric License No: 2670-E SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: pool and shed Ceiling Fixtures ~r~l[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixturesl J CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures L_~ TVSS Notes: includes pool bonding, twist lock recp for pool pump, GFCrs for pool and storage shed, intedor of shed Inspector Signature: Date: May 17 2010 81-Cert Electricel Compliance Form TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net / Examined ~//2~, 20 Approved ~/~i 20/() Disapproved a/c Expiration £¢Y~20 // PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS - /~_ ,20/ a. This application MUST be 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 for 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, tbr 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. (Signature ~oCapplica'~t or name, ifa corporation) ALL CONS% · ' (Mailing address of applicant) ///~'-// State whether applicant is owner, lessee, agent, archite,c,t, engitleer, general contract¢~electri. 'oian~ plumberor builder ; UNDERWRITERS CERTIFICATE: . ,-/,-' Name of owner of premises Xg~/,~//~ ,,_ ~c.-~- ,.z ~o~---c< ' w,)/~_%: ' / (As on the tax roll or latest dee~ If applicant is a co~oration, si~ature of duly authorized officer ........ · .-; ~ - (Name and title of co~orate officer) '~~,.: ~." Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on whi_~proposed wo~ will be done: House Number Street ,I. ".',,,/.1. - (-:"" UST ?,_ L Ce.Ii': i',i f:7_q JI?,Er,~ENTS OF T;-:{ '. OF ~'2EW ','~ '¢K STATE. NOT R(~3'~0i'7../:LE FOR __D~ ...... ,,I OR CCNbI ..... ,,...,., £KRORS. Hamlet County Tax Map No. 1000 Section ~'-' Block / Lot × co Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use ~fi~occupat~cv of.proposed construction: a. Existing use and occupancy ..//~/~c_-~ C..P-- --/w- ~ ' ~,TW__~ ~_d;--, b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units ~ If garage, number of cars Addition Other Work Alteration (Description) (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 structm'es, if any: Front / ~ Rear / ~ _Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front -- Rear Depth_ -- Height Number of Stories -- 9. Sizeoflot: Front 10. Date of Purchase Dimensions of entire new construction: Front -- Height f Number of Stories Rear ~ _Deptl-r- Rear / ~'~ ? Name of Former Owner Depth ~ 2-- c.,. 3/ a 1 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO 13. Will lot be re-graded? YES NO v~Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises ............... Address ................. Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO ,/; 1 6. 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. 1 8. Are there any covenants and restrictions with respect to this property? * YES__ NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY 0 FZ~-C~/~,-~5'5; .?~TZ 'c~P ~52.4>O~/3~7 c~/~ being duly sworn, deposes and says that ~s~e~ the applicant (Name of individual signing contract) above named, ~v~ the (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 file this application; that all statements contained in this application are tree 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 /d day of ~-~, Notary Public 20 IO VICKI TOTH ..... ·, .u,,~., b'tate of New York N0. 0110~1~0596 Qualified in Suffol[ ~oj~ ~. Commission Expir~ Signature of Applicant Town Hall Anlriex 54375 Main Road P.O. Box 1 t79 Soufl~old, NY 11971-0959 Telephone (631) 765-1802 · ~ (631) 765- 50~ ro~er r chert(~own.so u{~ol~d, nY. u s BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed} *Service Size: I Phase *New Service: Re-connect Additional Information: YES / NO YES / NO Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Requestforlnspec§on Form ~,~_/_,/~ TOWN OF SOq:THOLD PROPERTY RECORD CARD ,,~ _~ i s~-r ,: su,. ,or ' .~.. .. . ,. , ~' ~.~z.~ ~ i ~"~ r_ o I ~ ACI~ .. S VL FARM COMM. CB. MISC. TYPE OF EIUILDING Mkt. Value IMP. TOTAL DATE 2 ~o o .oo AGE BUILDING CONDITION NEW NOP, NbkL FARM Tillable 1 T,~[lable 2 Tilloble 3 Woodland 5wampland Brushland House Plot BELOW ABOVE VaZue Per Value Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BU LKH EAD ,. DOCK .Total ~. Bt<~. Extension Extension Porch Breezeway Garage Total COLOR Bosement Wolls Fire Place Type Roof :reation Driveway Floors Interior Finish Heat RoOms 1st Floor Rooms 2nd Floor LR, DR. BR. To;~]~ ltall Annex 54375 Main Road P.O. 1½ox I 17!} Southohl, NY 11971-0959 June 1,2010 BI IIL1)ING I)EI'ARTMENT TOWN OF SOUTHOLD Tclcphont (631) 765-1802. fir , Fax ({531) 765-9,5~, ~ Alice Kramer PO Box 277 Southold, NY 11971 RE: 1700 Peconic Lane, Peconic, Droskoski TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~ . Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35517-Z shed