HomeMy WebLinkAbout35744-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
3/7/2011
CERTIFICATE OF OCCUPANCY
No: Z-34856
Date: 3/7/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
RESIDENTIAL REPAIRS
27555 MA1N RD ORIENT,
Sec/Block/Lot: 18.-4-4
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/2/2010 pursuant to which Building Permit No. 35744
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:
Repairs and new electric service to an existing one family dwelling as applied for.
Lot No.
filed in this ofllced dated
dated 8/2/2010
The certificate is issued to
Droskoski, John
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
10/18/10
35744 2/18/11
,~o~.~S l~turPlambing&Heating Inc
e
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. 35744 Z
Date AUGUST 2, 2010
Permission is hereby granted to:
JOHN A DROSKOSKI
P.O. BOX 395
LAUREL,NY 11948
for :
CONSTRUCT A REPAIR TO Ai~ EXISTING SINGLE FAMILY DWELLING AS
at premises located at
County Tax Map No. 473889 Section 018
pursuant to application dated AUGUST
Building Inspector to ex~ire on FEBRUARY
27555 MAIN RD ORIENT
Block 0004 Lot No. 004
2, 2010 and approved by the
2, 2012.
Fee $ 75.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
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. 22951 Z Date AUGUST 18, 1995
Permission is hereby granted to:
JOHN A DROSKOSKI
1640 LAURELWOOD DRIVE
LAUREL 11948,
for :
CONSTRUCT A REPAIR TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
at premises located at 27555 MAIN RD EAST MARION
County Ta~ Map No. 473889 Section 018 Block 0004 Lot No. 004
pursuant to application dated AUGUST 18, 1995 and approved by the
Building Inspector to expire on FEBRUARY 18, 1997.
Fee $ 75.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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 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,
Swffnming 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
Date.
New Construction:
Location of Property: '2 75,5"5'"'
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~ 5' 7~-/'~-/
Health Dept. Approval:
Old or Pre-existing Building:
Street
Date of Permit.
Block
Filed Map.
/qoCT-L~go/qApplicant:
Underwriters Approval:
(check one)
Hamlet
Lot
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
(check one)
Applicant Signature
Town Hall Annex
5~375 Mare Road
ILO. Box 1179
Soud~o[([, NY l 1~7l-0!t,59
Tclcphonc (6311 7G,5-18(I(2
toiler, fiche rt(6P, town.sout hold.ny, us
B! IILI)IN(; 1)I~])ARTMENT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: John A Droskoski
Address: 27555 Main Rd City: Odent St: NY Zip: 11957
Building Permit #: 35744 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pumillo Elec LicenseNo: 2300-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commedcal 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: 200a overhead service, 2-meters, 2-100a main panels
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures [~ Smoke Detectors
Recessed Fixtures [~ CO Detectors
Fluorescent Fixture~.~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Feb 18 2011
81-Cert Electrical Compliance Form
Town Hall Annex
5437:5 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (~31) 765-1g02
Fax (63l)
BUILD/NG DEPARTMENT
TOWN OF 8OUTHOLD
.CERTIFICATION
Building Permit No.
(Please print)
Plumber: ~2~? f~,X>~/~///e.~/4~
' (Please pr/mt) /:
Date:
I certify that the solder used in the water supply system containJs less than 2/10 of 1%
lead.
8worn to before me this
dayof
,20/0
{Plumber~gnature)
CONNIE D. BUNCIq
Notary Public, State of New
No. I)1BU6185050
Qualified in Suffolk Cou~,i~
Commission Expires April
Notary Public,-~ C,1 ~2~---~Co unt
~ Y
P.O..Boz 11/9
· .SeettekL NY i
" TOWN OF 8OUTHOLn
APP.LICATION FOR I~L~CTRICAL INSPECTION ..
- *Cross Street:
*Phone No.:
permit No.: .
T~ ~p ~;~
*B~IEF DESCRIPTION OF WORK. (Please Pdnt OI.ea'rl¥]~ . "
.(please.Clrele Alt Tha~ Apply) ' '
q~job ready for inspeotlpn: . ~)1 NO ' Rough In" ','
'~o~e:'~~ ~.~.e' ~oo ~o ~ ~o0 ~o ~oo O.e.
*New Servloe: Re-connect Undergmun~er~ Change Of Servloe Overhead
Additional' Information: ~T DL~qYH APPLICATION
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE~-:/~/ INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]/~NDATION 2ND [ ] INSULATION
[~] FRAMING [ ] FINAL
] FIREPLACE & CHIMNEY
I NSPECTOR~,,~,~,,~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU~d,IPLBG.
[ ] FOUNDATION 2ND [~SULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC~ CHIMNEY
DATE ~~/~~// INSPECT~~. ~
FIELD INSPECTION REPORT DATE COI~IENTS
FOUNDATION ( IST)
FOUNDATION (2ND) {{ __/ --!' -
-
INSULATION P.R N. Y.
STATE E NERG'Y
CODE II
,,
~ ........ i ' - - ' /4:
.......
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
STOP WORK ORDER
TO:
JOHN A. DROSKOSKI
1640 Laurelwood Drive
Laurel, New York 11948
YOU ARE HEREBY NOTIFIED TO SUSPEND ATJ. WORK AT:
27555 MAIN RD. (ROUTE 25) ORIENT~ NEW YORK
TAX MAP NUMBER - 1000-18-4-4
Pursuant to section CHAPTER 45 of the Code of the Town of
Southold, New York, you are notified to immediately suspend all
work and building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
U1TDER CHAPTER 45-SECTION 45-8 CONSTRUCTION BEING DONE WITHOUT
FIRST OBTAINING A BUILDING PERMIT.
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
AFTER A BUILDING PERMIT HAS BEEN ISSUED.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
y LDING INSPECTOR /
C
TOWN
OF SOUTHOLD
PROPERTY ~...CORD CARD
OWNER
FORMER OWNER
LAND
4oodland
'~eadowland
~ouse Plot
otal o
iSTREET 2--7 '~ ~
IMP.
'i
TOTAL DATE
DIST. j SUB.
LOT
ACR., & 7~
TYPE OF BUILDING
FRONTAGE ON ROAD
DEPTH
r BULKHEAD
FRONTAGE ON WATER
COMMA. CB. MICS. Mkt. Value
L
M. Bldg.
Exter~sion
Extension
Extension
Porch
Porch
Breezeway
Patio '
Total
COLOR TRIM
r
Foundation
Basement
!Ext. Walls
!Fire Place
~iType Roof
[Recreation Room
I J
jFIoors
Interior Finish
j Heat
Rooms 1st Floor
I Dinette
JK.
LR.
BR.
i Rooms 2nd Floor FIN. B
Driveway
' i
'l'om~ i lall Anncx
,5 ~375 Main Road
P.O. Box 1179
Southohl, NY 119714)959
Tclcllhonc (631) 765-1802
Fax (631) 765-!1502
131 Ill,DIN(; 1)IqPARTMENT
TOWN OF SOUTHOLD
July 23rd, 2010
FIRST NOTICE
~Tohn A. Droskoski
P.O. Box 395
Laurel, N.Y. 11948-0395
RE: 27555 Route 25 (REPAIRS)
SCTM: # 1000-18.-4-4
Dear Mr. Droskoski,
Please be advised that your Building Permit # 22951 issued August 18th, 1997 has
expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy
must be issued before the use of the structure.
To reneer your Building Permit please submit a fee of $75.00. At that time we can
Schedule an inspection by one of our Building ];nspector's.
you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUI:LDI~N~ DEPT.
"
T(>WI1 l {all Annc×
5 [375 Main Road
P.O. Box 117!t
Southold, NY 11!}71
Fclc'pllom'
Fax (631) 765-9502
IH;ILl)IN(; DEPARTMENT
TOWN OF SOUTHOLD
September 21,2010
John Droskoski
PO Box 395 '
Laurel, NY 11948
RE: 27555 Main Road, Orient
TO WHOM IT MAY CONCERN:
~'l'he f~,llo, wing items are needed to complete your Certificate of Occupancy:
Nj~ "'Application of Certificate of Occupancy. (Enclosed)
"N,3 Electrical Underwriters Certificate.
'~I~A fee of $25.00.
__ Final Health Department approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board approval.
Final Fire Inspection from Fire Marshal.
Final Inspection from the Building Dept.
Final Landmark Preservation approval.
Building Permit: 35744-Z repairs
:I!
I
i!I
Iii