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HomeMy WebLinkAbout15539-zFORM NO. 4 TOWN OF SOUTHOLD BUII~TNG DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18587 Date NOVEMBER 22~ 1989 THIS CERTIFIES that the building RENOVATION & ADDITION Location of Property 4070 ROCKY POINT ROAD EAST MARION~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section Q21 Block 04 Lot O1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 1986 pursuant to which Building Permit No. 15539-Z dated DECEMBER 3~ 1986 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 RENOVATION & ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 WILLIAM & ARTEMIS GONTZES N-029318 - AUGUST 24, 1988 FEBRUARY 17~ 1989 - K&K PLUMBING & HEATING ' / fuil~ing Inspector FO~]~ NO. ~ 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) No 15539,z Permission is hereby gronted to: ..... ~.~....~......~.:.'4.:......LL~..~.~-. .... _ ........ at premises located at .....~..?...'~...0.......~.~...~..~,.....~.. ........ ~.~..! ....... ~ ....... County Tax Map No. 1000 Section ..... .¢~...~..). ....... Block ...... ~..~. ........ Lot No......~....I .............. pursuant to application dated ................................... ~.2 ............. , 19.~.~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF $0UTHOLD BUILDING DEPART~XENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 APFLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. HAMLET Ouner or O~ners o£ ................. cou~ Ta~ ,ap No. ,000 Section .2.~.. ~lo~ .~ .... Lo~'...( ..... Subdivision Filed Map -- Loc ?erm~ No. ate o£ Permit --App[~cau Realch Dept. Approval . i...' ........... Under.riCers Approval~ ..... ~... Planning Board Approval ................ Request for Temporary Cerclficace ....... Final Certificate ..~'. ........... rev. 10/14/88 Ce FORH NO. 6 TOWN OF SOUTIIOLD BUILDING DEPAKTHENT TOWN HAU., 765- 1802 APPLICATION FOR C~RTIFICATE OF OCCUPANCY INSTRUCTIONS This application must beifiled in typewriter OR ink and submitted to the Building Inspector with thc following;, for new buildings o~ new use: i. Final survey of property with accurate locatio9 of all buildings, ~roperty lines, streets, and unusual natural or topographic features. 2. Final approval of Hea~th Dept. of water supply and sewerage-dlsposal(S-9 form). 3e Approval of electrical installation from Board of Fire Under%rriters. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of lZ lead.. 5. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or. Engineer responsible for the building. 6. Submit Planning BoardiApproval of completed site plan requirements. For existing buildings (Prior to April 9, 19573 non-conforming uses, or buildings and "pre-existing" land ~ses: I. Accurate survey of prpperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued hy a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. . If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3e Date of any housing clods or safety inspection of buildings or premises, or other pertinent information' required to prepare a certificate. For Vacant Land Certificate of Occupancy: ]. Am application for vacant land Certificate of Occupancy shall be submitted, and a certified abstmact of title issued by a title company showing single and separate ownership of the entire lbt prior to April 9, ~957 shall also accompany the application. If{a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor ia writing tn the applicant. FEES: ' }. CERTIFICATE OF O~CUPANCY - New Dwelling $25.00, Additions tn Dwelling $25,00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25,00 - Businesses $50.00. Cert{flcate of OCcupancy on pre-existing dwelling - $~00.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $~0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated C~rtiflcate of Occupancy - $50.00 6. Temporary Certmf~cate of Occupancy - $25.00 Residential $50.00 Commercial TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~O'% \ ~\ckec~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Swor~ to befor~e this /7/~ day of Notary Public, Notary Public Count ~E~C G. KOCH OU~4DATION ~¥?st ) OUNDATION (2nd) OUGH FRAME & PLUMBING ~NSULATION PER N, STATE ENERGY CODE Ye FINAL , ADDITIONAL COMMENTS 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [/~'INSUI..ATION FRAMING [ ] FINAL ~ '~ATE 766-1802 BUILDING DEPT. INSPECTION ['~]./KDUNDATION :ST [ ] ROUGH PLBG. FOUNDATION ZND I' ]INSULATION 76S-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ~)UNDATION 2ND [ ] INSULATION FRAMING [ ]/~/FINAL DATE_/~~/,~ INSPECTOR ~~//?~ WIi,LIAM GRO~ZES, ROCKY PT. ROAD E/S, .250'SOUTH OF SOilHT~RN examined On and found to be in compliance u'ith the requiremenl~ of this Board. flx~ ~I [ HXTUR~ ~ ' ~ I I I I I I I~ I 1~° I~I' '1 I~1 ~ MOTORS: ]-] M.P, G.F.C.:[ :-2 SMOKE DF, TECTOR :-2 TRACK LIGflT'(NO:-8 lid SOUTHOI,D NY, 11971 ~ ~ ~ {M~' L[C~,NS},' ' NO. 578-F, p, · ;' This certificate m~ ~t ~ al~ m a~ ~n~r; ~urn to the off~ of ~ ~rd if i~or~. In--rs ~ ~ i~ by t~r c~nHals. r~ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 DATE: January 24, 1989 NAME: William & ADDRESS: RE: Artemis Gontzes 4070 Rocky Point Rd. East Marion, N.Y. BUILDING PERMIT # 15539Z addition & alteration ** SEC. 21 BLOCK 04 LOT OI This Building Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. ** This permit requires of occupancy. Yours truly, Victor G. Lessard Principal Inspector inspections and a certificate ~LOG. DEPr 31-42 31st Street Astoria, New York August 21, 1989 11106 Mr. Chester Orlowski P.O. Box 944 (Pequash Avenue) Cutchogue, New York 11935 Dear Mr. Orlowski: As per telephone converstation today 8/21/89, it was mutually agreed that you will perform the following items within three weeks from today. Repair leaks in the two large windows in the new bedrooms and basement windows directly below, and the two skylights in the family room. Install as per architectures details (see attached) or equivalent thickness composit steel, example in lieu of two ~ inch steel plates you can use 1 inch steel plate. 3. Install insulation below new bedrooms floors and family room. Sincerely, William Gontzes cc: Building Inspectors Office, Town of Southold, New York Permit #155392 ^lfredo T. Fredericks, REGISTERED ARCHITECT · 97-04 23rd Avenue, East Elmhurst, Klew York, 11369 Examined. ~.~...~9.., 19~..(q Approve~...~.....~. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971,. TEL.: 76§-1803 ., 19~. ¢. Permit No../.~,.~.~.~..%..q...~ Received. ....... ,19 Disapprove,' ...................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli: cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, for 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 huildingfornecess~~.]--*:--*:*"-~ ..~..~..~.~.~... ................... (Signature of applicant, or name, if a corporation) (Mailing address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Con~r~ctQ~ Name of owner of premises William & Artemis .G.o.n.t..z.es (as on the tax roll or latest deed) If applicant is a corporation, signature of duly au'thorized officer. (Name and title of corporate officer) · Builder's License No..~'g ~]f..~.'.~. ............ Plumber's License No. ~..~../.~..'. P .~..~.~. }& .~ Electrician's License No. '~..Q. Other Trade's License No ...................... 1. Location of !and on which proposed work will be done. J.6.~ ~ 99.t..~.9.u~.h..9.f..S. qU..~.e?.~..B.~y.d. · ............ 4070 Rocky Point R. oa.d East Marion HousgNumber Street Hamlet County Tax Map No. 1000 Section 2 ~ Block 4 Lot ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .S.i.n.g .1.e..F. St .m~.ly. Residence b. lntended use and occupancy S.ingle Family R.esi. dence &O..~.~..~ 3. Nature of work (check which applicable): New Building ' Addition : X. ........... : ........ Alteration .... ~..?.. Repair Removal Demolition Other Work ~ (Description) 4. Estimated Cost . t~/),&-',xY--D Fee. ,~,~..~.,...~... .......... · (to b~ paid on filing this application) $. If dwelling, number of dwelling units ... .1 ........ .. . Number of dwelling units on each floor.. . .......~....1 . If garage, number of cars .......................................... ~ ............................. 6 If business commercial or mixed 0cc - ancy specify nature and extent of each type of use 7. Dimensions of~existing structures, ay: Front ..... 3.7 ........ Rear . .3.7.. ! ........ Depth 2 4 Height ~.7~'~+. Numl~ ~fStories '1 + cellar Dimensions'of same structure w' alterations or additions: Front . .57: :-.87[. ~ ...... Rear . 5 7.'.--.~ ? ....... Depth 24 Height 1 7 ' - 0" ' Number Of Stories 8. Dimensions of entire new cot. action: Front . .2.0.'.=.8~'... Rear 20' ................... Depth ~.~ Number of Stories 1 +. ~.e~],~¥ ' Height ................................ ~ ............................. 9. Size oflot: Front . .~0O ................. Rear ..... %~?,3.g ......... i Depth 33.7. t0. Date of Purchase ............................. Name of Former Owner i ............................. 11. Zone or use district in which premises are situated..~-.~D..t~es3_.c[ence..D.~.~r~t.qt~ ........................ t 2.Doe~ proposed construction violate any zoning l~w, ordinance or regulation: .. ~P ............................ 13. Will lot be regraded ¥~.n.or... re.g. ra.d~n.~.. .. . ... . ..... . Will excess fill be removed from premises: Yes /~[~"~ 14. Name of Owner of premises .~F.,~p.~. ~/...qqn. t~.e.~. Address ............. i .....Phone No ................ Name of Architect .g~f.nedo..~,., .~r~.0.er xe~.a. Address . iY.-~Q .~. ~.3..~.¥.e..... Phone No..Yfi.~...~.4.6.-:~. ? 7). Name of Contractor ..... Address ~ ,h '.~*... Phone Nc.ry. ~,.g.: ~_, J;. ~...~ ·.. 15. Is this property located w:tth:[n ~00 feet of a tidal wetland.* *Yes ..... No · If yes, Southold Town Trustees Permit maybe required. PLO*r DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from >roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ;~IATE OF NEW YORK, S.S :O LI~TY',,OF ...... -- ......... , . ~ .~.~.$r0~..' .................. being duly sworn, d~poses and says that he is,the applicant (Name of individual signing contract) : ,hove named. te is the ...................................................... i ................. . ............. (Contractor, agent, corporate officer, e~c.) >f said owner or owners, and is duly authorized to perform or have performed th~ said work and to make and file this ~pplication; that all statements contained in this application are true to the best of:his knowledge and belief; and tha. t the ¥orkwill be performed in the manner set forth in the application filed therewith. iwom to before me this · 4707878, Suffo~ Term Exl)ires Mhrch 30,1~7 (Signature of applicant)