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Home My WebLink About33526-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 10/13/2011 No: 35240 Date: 10/13/2011 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 15250 NEW SUFFOLK AVE NEW SUFFOLK, SCTM #: 473889 Sec/Block/Lot: 117.-9-5.1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 11/15/2007 pursuant to which Building Permit No. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tins certificate is issued is: covered porch addition to existing one family dwelling as applied for. Lot No. filed in this officed dated 33526 dated 11/15/2007 The certificate is issued to Hrazanek Living Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ignature 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. 33526 Z Date NOVEMBER 15, 2007 Permission is hereby granted to: RICHARD J HRAZANEK 721 WENDELL PL TEANECK,NJ 07666 for : CONSTRUCTION OF AN ADD.& ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. REPLACES BP # 28185 at premises located at County Tax ~ap No. 473889 Section 117 pursuant to application dated NOVEMBER Building Inspector to expire on MAY Fee $ 150.00 15250 NEW SUFFOLK AVE NEW SUFFOLK Block 0009 Lot No. 005.001 15, 2007 and approved by the 15, 2009. Authorized Signature ORIGINAL Rev. 5/ /o2 (THIS FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28185 Z Date MARCH 19, 2002 Permission is hereby granted to: RICHARD HHAZANEK 721 WENDELL PL TEANECK,NJ 07666 for : CONSTRUCTION OF AN ~kDDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#24948. at premises located at 15250 NEW SUFFOLK AVE NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0009 Lot No. 005.001 pursuant to application dated MARCH 19, 2002 and approved by the Building Inspector. Fee $ 150.00 ' k~_/Aut~iz&d L~ignatl~z~ ORIGINAL Rev. 2/19/98 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. 24948 Z Date JUNE 10~ 1998 Permission is hereby granted to: RICHARD HRAZANEK 721 WENDELL PL TEANECK~NJ 07666 for : CONSTRUCTION OF AN ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 15250 NEW SUFFOLK AVE NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0009 Lot No. 005.001 pursuant to application dated MAY 7 1998 and approved by the Building Inspector. Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form iNo. 6 TOWN OF $OUTHOLD BUILDIZIG DEPARTMENT TOWN HALL 765-180Z OCT 11 2011 BLDG DEPT TO?1~] OF SO!if HOLD 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 buitdings~ property lines, streets, and unusual natural, or .topographic features. ' · 2. Final APProval from Itealth Dept. of water supply and sewerage.disposal (S.9 form). 3~ ApProval of¢lec/aieal installation from Board 6fFire Underwriters. 4. 8wom statement from plumber cxa~dfying that tho solder used in system contains les~ than 2/I0 of l%'lead.. 5. Commercial building, industrial building, m~tiple residences and similar buildings and installations, a eertificat~ of Code Compliance from amhit~t or ~,inecr r~pousible for the building. 6, Submit Planning Board Approval of completed site plan requitm-nent~. B. For existing buildings (priOr to April 9, 1957)' non-conforming uses, or buildings and "pre-existing" I~md uses~ 1. Accurate survey of property sh~owing all property line~,'streets, building andunnsual natumi or topographic features'. 2. A properly completed application and consent to inspect signed by the applicant If a Certiticate of Occupancy ia denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. F~es t. Certifieai~e of Occupancy - New dwelling $50.00, Additions to dwelting $50.00, Alterations to dwelling $50.00, · Swimming pogl $50~00, Accessory building $50 00, Additions to accessory building $50.00, Busihesses $50 00x 2. Ceytificate of Occupancy on pre-existing Building- $[00.00 ' 3. Copy of Certificate of Occupancy - $.25 4. Updated C~rtifieate of Occupancy - $50.00 - 5. Temporary Certificate Of Occupancy ~ Residential $1.5.00, Commercial $15.00 Date. blew Construction: .. ~ Old or Pm-existing Building: ' . . House No. . · Streci (oheek one) Hamlet tealth Dept. Approval: Board Approval: [~que~t for: Temporary Certificate , - - . , Filed Map. / Lot: Final Ce~ifi~te: (ch~k one) 765-1802 BUILDING DEPT. INSPECTION [] FOUNDATION 1ST [] ROUGH PLBG. ;°2:7:,°,.- [ ] FIREPLACE & CHIMNEY REMARKS: ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~ STRAPPING [~FINAL ~.~'~ [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE INSPECTOR ~'~'~ FOUNDATION (1st) FOUNDATION (2nd ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: I}is~pproved a/c ................... ; .....~,~' · · ~PLICATION FOR BOILDING FBItlgl'f BOARD OF BEALTH ............... · ~3 SETS OF FLAN$ ............... /SDRVEY ........................ ~CD~CR ......................... SEPTIC FORH.. ................ . NOTIFY: ~11, TO~ .................... ' Date ................ ,19 .... INSTROCTIONS a. 'Ibis application mist be coapletely filled in by typewriter or in ink ar~l sul~nitted to the i~dldin~ Inspector vi ~ sets o~ plans, accurate plot plan to acnle. Fee accordin~ to acbedule. i b. Plot plan sho~in~ locatio~ of loc and oI= buildings on praises, reiatiomddp to edjointng pr~isea or ptd)lic r.:,reets or areas, nnd Bivir~ a detailed description o[ la. st o[ property s~mt be dr~ on tim dJngrrm ddch is p~rt this flppl icatio~. c. 'lbe ~ork co. red b~ this application may ~ot he cc.,,~enced before issuance of Building Permit. d. Upon approval of tids application, tim lkdldi~ Inspector will issue a Suilding Permit to tim aPPlicant. l~mit shall be.k~pt on tim p.u~dass available for inspection ti*rousho~t the ~ork. e. No boildi~ slmll be occupied or used in dole or in part for any parpase dmtever until a Certificate of OccoF~ncy shall have been granted by tim l~dldi~ Inspector. AFFLICA'I'I(~I IS J~lg~Y ~ to tim lhdldirklt Department for Om issuance of a iiuildJng Permit parso~t to the J~uildlt~ Zooe Ordinance of the To~ of S~]thold, Suffolk Co~y, Ne~ York, and other applicable l~a, Ordlnsnces or Ee~latlooa, for the cormtruction of hflldir~s, additions or alterations, or for resrov~! or denolitio~, as herein described. Tim applicant alp'aaa to conply vith ail aPPlicable IM, ordinsnce8, boildin~ __~r~_~ honsi~ cod~, ar~! re~flatlons, ~and to admit authorized inspectors on presides sad in boildl~ for n~c~mmry inspections. ................ (SIsnature o[ aPPlicant, or nine, tfa corporatlc~O (Nnillr~ eddrens of applicnnt) State ~4~eO~er aPPlicant 1~ o~er, leasee, agent, arcidtect, en~inser, I~nerel co~l;r~ctor~ electrtctnn, pl~nher or I~dhle ~ o~ ~-~ of p~..~..s .~.~.c..~l:4k'i...¢...~. J:~..~.'...~.(~.!~.?.L ..... ; ........................... (as on tim' tax toll or latest deed) If applicant is a COrl~ration, si~ature of duly outix)riz~l oEficer. (N~e and title of corporete officer) Ik~ilders License No .... ~- ..... ~ .............. Pltrd0ere License ~ ........................ . · ~l~rici~ I i~ ~ ........ Od~r ~'a Li~ ~ ....... I. l~oCi~ o[ 1~ ~ ~*id~ ~ ~ viii ~ ~ ....... ; .......................... ~ ........................ I~ ~r St~t ...... ...... ........ ....... ~ivisi~ Fil~ ~p ~ · · · (~) Po ~c ff ' F~ ti~ ......... a. s t~ ~y .......................................... · ---- --- b. Inte~ ~ ~ ~ 5 ~/~ ~ ~ ~ ~d~ ~.' ~ ............................... ; ......... I0, II. 12. 13. 14. 15. PI.OT DIAORAH ~ locate clearly z~l dlz~inel:ly al! I~lldlnsz, vl~rl~r ~xiztin~ or propozed, and Indicate all zer-I~k dimenaio~ frcr~ proFarty linen. Oi~ street ~! black n~L~er or dezeriptlo~ neeordln8 to deed, and ~o~ atreer r~r~s ar~l ic4tcnte (liar/ (iF ....................... .......................... ~ .................... ~l ~ duly ~)rll~ (~ o[ i~li~id~nl..i~.lt~ ~tr~) I~ i~ {h~ .......... ~ ......... (C~tr~tor, ~t ~ cor~rate officer, etc.) o~ ~ld i~r or ~rs, ~ is I~[y ~tl~rl~ to i~r[onn or I.~e I~r~or.~l the ~id ~rk m~l to n~ke m~l ~ile this ~il~ltcnti~; time ~ll states,ts ~ta[~ in this ~l~ll~ti~ ~re tn~ to ~e tha~ tl~ ~rk ~ill I~ ~rf~l In tl~ aem~r ~t forth in the a~l. lcnti(~ ~11~ ,9~x~rn Lb be~_~ me this .... ........... m ..... day of HELENE D. HORNE Not~ Pubi~c, State of New York No. 4951 ~54 C(mm,~n~,~ es ,~y~_~,lg_~ (Sil;z~t:ure of Applica. L) TOWN OF SOUTHOLD PROPERTY REI:ORD CARD )WNER STREET /~' ~" ~ ~) VILLAGE DIST. SUB. LOT :O~ER OWNER N. E ,~R. J (~O~" ~ fro ~0 4 S.~aeK W ~Y$~ ~PE OF BUILDING ~ ~. ~ ~ND IMP. TOTAL DATE REMARKS ~ AGE BUILDING CONDITION ~ NOR~L BELOW ABOVE :ARM Acre Value Per Value Acre liable liable 3 aodland 'ampland FRONTAGE ON WATER )use Plot DEPTH BULKH~D Extension Extension COLOR TRIM Porch Porch Breezeway Geroge Patio Total Foundation Both / Dinette Basement Ext, Walls Fire Place Type Roof Recreation Room Dormer Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway ^. Bldg. xtension ixtension !xtension 'lb Foundation C I~ Bath Basement ~U [ { Floors Ext. Walls Interior Finish Fire__Place _ ~'~ ~._ .~Heat (~ f[ / Porch Roof Type Porch Rooms 1st Floor Patio .... Rooms 2nd Floor Driveway ~Dormer 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 May 19, 2009 Hrazanek Living Trust 721 Wendell Place Teaneck, New Jersey 07666 NOTE: 15250 New Suffolk Avenue, New Suffolk TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for 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 Department. Final Landmark Preservation approval. Building Permit: 33526-Z addition/alteration Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 Telephone (631) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 26, 2011 Hrazanek Living Trust 721 Wendell PI Teaneck, NJ 07666 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: ~)J~' Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~Afee of $25.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 33526 - Addition/Alterations fO0.O N~w ~ OCCUPANCY OR BE COMPLETE FOR C.O. ALU CONSTRUCTICN SHALL M~ [ THE REQUIREMENTS OF THE ~,~ Y STATE CONSTRUCTIC;N & ENEP ' CUBES NOT REqI~""'qlBLE ~ ~ DESIGN OR CONS?',~:~L ~ON ERR~