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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