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HomeMy WebLinkAbout23491-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26234 Date: 01/26/99 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 425 SKUNK LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 4 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1996 pursuant to which Building Permit No. 23491-Z dated JUNE 11, 1996 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 ALTER KITCHEN & OPEN PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GREGG M KONARSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N469331 10/23/98 PLUMBERS CERTIFICATION DATED O1/11/99 J.ZEES PLUMBING & HEATING B 1 ng Inspector Rev. 1/81 FORK NO. i 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) N® 23491 Z Date ... .................................. 19V6 Permission is hereby granted to: ..... �s . .......... . ................................. ..... .... .y ...........+j..11�..-:� ............ .��c.�•�.,� .. ., . ......... .�- . ��... . .. ... .......... .. . ...... ... .�. .. . ..... atpremises located at . ..... .......................................................................... ..... .. ....... -ram. :...... ....... ................................................................................ ............. � ..................................................................................... ................. County Tax Map No. 1000 Section .....?.;........... Block .......cr .......... Lot No. ... ................ pursuant to application dated .....6 ./1.................................... 19.�J. and approved by the Building Inspector. Fee $ ' ••• ..... .... ...... ..... B l. ................ ing Inspect ,. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARZAENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATEiOF OCCUPANCY i This application must be filled in by typewriter Olt ink and submitted to the building inspector with the following: for new building or rew use: 1. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic feature•. 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. 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 a 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1//5.00, Commercial $15.00 Date . . /b/ 9�. . .. . . . . . . . . .. . . . . . . . . . . . . . . :w Construction. .. .. .... Old Or Pre-existing Building. ... .. . . . .. .. . . .. � k � :'e: . . . . . . . . .. . . . � . . . . . . . . ication of Property.... ... . .. .. .. . .......... 1` C' House No. Street Hamlet Lover or Owners of Property.. G 2e�.��.. . J�n:�t :� �. .. . . .. . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . runty T'x Map No 1000, Section. . .. ./. ? ......Block. .. ./. . . .. ... . . . .Lot. . . .. . . . . . . . . . . . . . . . . ibdivision. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . �rmit No. !. J.V . .z . .Date Of Permit. .���� . .. . . .Applicant. .��. :alth Dept. Approval. . . . . . . . .. . . . . . . . .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . anning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / :quest for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . ./. . . . . :e Submitted: . . . . . .. . . . . . . . . . . . .. - 4. . . . . . . . . .1.���,4 ... . . . . . . . . . . . . . . . I ICANT eo-�a6�3 Y '�lqS,ozzz> FFOL�o Town Hall,53095 Main Road cri Fax(516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 -?z»,zrr�il OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T ,I F' I C A T I O N DATE: t N 41 Building Permit No. 2-3 y� / -Z': Owner: G >^� �� v n r 5 k I' (please print) ii Plumber: ZL"ho S k iv J v2 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( lumbers Signature) Sworn to before me this day of 19� Notary Public, Qp County JAYNE P. MARTIN Notary Public, State of New York No. 7738235 Qualified in Suffolk County Commission Expires Jan. 31, 19 9 9 v a3�i Qi � THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195197 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 23,1998 Application No. on file 13393097/97 11 469331 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of GREG KONARSKI, 425 S_KU1dK LANE, CUTCHOGUE, NY in the following location; ❑ Basement ® 1st FL ❑ 2nd Fl. OUT Section Block Lot was examined on OCTOBER 20,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 14 29 20 13 1 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. I WATTS 2 - 2 600 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FANS-2 SMOKE DETECTOR:-4 SABAT ELECTRIC LIC.#4204- L 50 PAT LANE MA.TTITUCK, NY, 11952 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNED' O c� Gyc Town Hall,53095 Main Road C*2 Fax(516)765-1823 P.O.Box 1179 Gy • �� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 28, 1998 Mr. & Mrs . Gregg Konarski 425 Skunk Lane Cutchogue, New York 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23491-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. �D-iN pECTION-REPORT-_�=DATE COMMENTS �Al ------ --- ----- ---------------= ------- ---I,-----�------------- ==---------- - - II tr FOUNDATION ( IS'r) o — II— I� II —ll FOUNDATION OND) ---------------- ----II— ------------------ ------------- I Z2 II / ti ROUGH FRAME & {{'3 i � C�r�G► �f j ��.y �V n�� n PLUMBING _/ II ---------- --------------ol .------____________ -- INSULATION PER N. Y. STATE ENERGY II I H al--- — CODE {{ Q �2d c I� II u — { —{{ as u r FINAL IIIIII it — ----------------------------------------- ADDITIONAL CO TS: ----------------------------------------------------------- H� _� H 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSLATION [ ] FRAMING [ FINAL [ ] FIREPLACE dE C111MNEY REMARKS: � GD r DATE INSPECTOR .�j J ors-isox cz BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �INSION [ ] FRAMING [ FINAL [ ] FIREPLACE & C IMNEY REMARKS: �D DATE � INSPECTOR 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� y� S � INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ f% INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & FIIMNEY REMARKS: Ole DATE 3 w INSPECTOR 2Weo 765-1802 BUILDING DEFT. INSPECTIO�N [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3 /! 97 INSPECTOR T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ VfROUGN PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS DATE �J 'Y /�7 INSPECTOR iy� '�°�I" �V 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [, FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE d- I INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE Q INSPECTOR `�� OCCUPANCY OR [� � USE IS UAAWFU I ITHOU ��� `� MAY 1 31996 QC UpA6�DCY ��c ls /���a � do' u i I BLDG.DEPT. TOWN OF SOUTHOLD ) UIREO-- -12 rw - jcor '- -- r2D� hY �' X►ST.i� oTJ1h� I• ��t �oAch Ilk wr oe 4-� AA#,IkAIL A64- 5yu/u w, • c i � :''Qc - - ------ - - —- ----- - - - I I oIw o i oe x. Is lot tubing . ---� -ct�►b —io -----; -��- - ' -- -- ter for ing sga11 be \ -- ------ - - - +p is. P c -�► 1 — I 01 lit I BIM xLL PLUM N, T rING 8EF RTIFICATIUM f _ cQ - ---- ----------- -- PLUMBER C gEFOR i CERTIFICATE F OCCUPANOW --_-- -- SOLDER� EtI�N - NPP_JJI��! TEM CANNOT — EXCEED 2/ 0�,. 0 --, t r O Poo T th r ' I1 �GLL—I► i i. 'Alt i f170. ` / 13A AA� Sys eae#j J C?Xq- OW iS � r 6 rzc s7o� 32 s 0 00 0v ; CEO ,�- . '�. uNh �1 BOARD OF HEALTH . . . . . . . . . . . . . . FORM NO_ , 1 .3 SETS OF PLANS ' • . . : . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . • - BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . 13 � �' TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . MAY SOUTIIOLD, N.Y. 11971 LDG DEFT• TEL: 765-1802 NOTIFY: _ _ B - U TOWNOF sou 7HOLD CALL Exca ned_�O. 19. 3//G' MAIL TO: . . . . . . . . . . . . .. . . . . . . Approved.. 4?a. ..., 1946 Permit No. ..G..: 1..l .................................... .................................... Disapproved a/c .................................. • Building Inspec r) APPLICATION FOR BUILDING PERMIT Date. . . .4 //9�. ./:? INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector witl 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 application_ 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 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 IEW—By MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 7.one 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 deimlition, as herein described_ the applicant agrees to comply with all applicable laws, grdinances, building code, }sousing code, and regulations, and to admit authoriz M edA"-g ors ou premises and in building for necessary ji�nspections_ (Signaue of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Wilder ........................0 Uo_ !Ep............................ ......................................_..................... Name of owner of premises . --./yl, .. QCi1 SIC•c••..••...................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. S�Ilet�................ Plumbers License No. ...?r v.. �........... Electricians License No. ..PeA,ZZ✓!.fr•...... Other Trade's License No. .................... 1. Imation of land on which proposed work will be done............................................................... ......7A.!i�.......................S V N. ..G/x✓+! ............................ � I?: V.4''..................... house Rxber Street Hamlet JCounty Tax Map No. 1000 Section .-I�........... Block ...Y........... Lot .............. Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises andintended use and occupancy of proposed construction: a. Existing use and occupancy ............................................... b. Intended use and occupancy ...�� U�_I�I....1�1 -��.� ..1 } �. 1�:> ` .:`�:..11. 4�n;e,iv ...... 1. Nature of cork clheck aAhich applicable): Nc-%' Ifuildinl; .......... A<klition ` •-�.. ..... AlteraCion . . itepair ............ Reuwal ............. llernolition ........ OLlher Work ........................._.....: (Description) 401 4_ Estimated Cost ../G.y :............ fee .............................. (to be paid on filing this application)_.- 5. If cknelling, rxn6er of dcaelling units lumber of dwelling units on each floor .:>..•_..:,..:,:..... If garage, of cars .................. :h. If lxhsiness, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth .................. lleiglht Umber of Stories ...................... iimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Ileig►rt .................... Umber of Stories ............... B. Dimensions of entire new construction: Front Rear ............... Depth .............. lleiliht ......................... Ninber of Stories ..................... 9. Size of lot: Front .... .. -�b. .}��2 ®.ram. Rear a.y_ ........ Dept-lh �// I7... Moe of Form Owe ��!►.v@�'�.x'_ 10. ikhte of Purchase ___.. Former nr _.F� . I�,� I•rt',gf�J .- 11. Zone or use district in which premises are situated ....................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...iv.(�................. 13. Will lot he regraded ...N-9............ Will excess fill be removed fran pronises: YES NO 14. Mies of Owner of premises ..��R�V.la..l��,'':42SX.._. Address y�S s���,���.��C�h�Jvi✓.... 1ihone No. Mnhe of Ar(JiitecL .................................... Nklress .............................. Mone No. .............. Name of Contractor ..................................... Nklress ...............................Plhone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YiS NO .:'t...... *IT YI'sS, SO I1IOID 1C)I,IN '1RI1SITIS vEl"i'i. MAY BE M. plim). PLOT DIAGRAM locate clearly and distinctly all lxhildir�gs, whether existing or proposed, and indicate all set-hack dimensions from properly lines. Give street and block mxd)er or description according to (feed, and slhow street nacres and indicate Ahetlher interior or corner lot. AP79D � �� �� � AT�: // R. FEE- - BY' NOTIF BU ' G l3EPAR TAT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FdRAMING & PLUMBING 3. INSl1LAT ON'' 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STAIrE CONSTRUCTiON & ENERGY CODES. N91- RESPONSIBLE FOR Sl'nlli (R NIiW )1(K, U DESIGN OR CC3N:a'fRI..iCTION ERRORS .....(...................Ixeuhlq duly sworn, delxhses aril says Lhat he is the applicant <Nsnhe of indivi2" signing contr..act) alxrve wiled, :le is Llhe ....... ....... U)!.a....................... .......... .___-_............. .................. .... (CoiitracLor, agent, corporate officer, etc.) of: said (xm►er or omx:rs, arxl is duly authorized to lx:rfonn or have perforred the said work ahxl to m;hke aril fil.e this application; Lhat al.l statements contaimNI in this aplAication are true to the hest of his krxhwl.edje aril IX'Aief; aril That Llhe work will he performed in t.lhe manner set forth in Lhe application filed therewith. .%mrn to bef hr•e,nhe this (� .......day oE`., 19.... T Notary l'uhl' ......0 ..... ........... CLAIRE L.GLEW .-...... Notary Public,State of New York (Sipnatc . of Applicant) iVo.48795O5 / dlualifiFo in Suffolk County (p Commission Sxpires December 8,19 r ' �b N Ae, 3�3'1 VoeoSKI N/O/F ApA E. m77 s N. 750`}150 -:33 '30` E. m N. c 22. m c. 7' /�� � 2.9' ♦,t fir `. c y 8.9 - i6.i o N -0 j 0.4- i W 3 SURVEY FOR S. 82.,51'20, w. GREGG M. & DORO THY M KONARSKI S. LUCE -� �0lF ESTATE OF FLORA A T PECONIC N TO WN OF SOUTHOLD SUFFOLK COUNTY, N. Y 1000 - 97 - 04 - 01 rrl Scale: Y' = 60' CERTIFIED TO., Jan. 24, 1996 GREGG M. KONARSKI R Ml DORO THY M. KONARSKI l5 1'1 FIRST SUFFOLK MORTGAGE CORP. �+ COMMONWEALTH LAND TITLE INSURANCE COMPANY RH96-00 79 MAY 131996 ' BLDG.DEPT. TOWN Of SOUTHOLD �' � t."`FTr�r0'�'�' ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION :, OF SECTION 7209 OF THE lilEW YORK STATE EDUCATION LAW, ;;, EXCEPT AS PER SECTION. 7209-SUBDIVISION 2._ALL CERTIFICATIONS `rr ' ::•,. N.Y.S. LIC. NO. 49618 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR - ` - WHOSE SIGNA TURF APPEARS,HEREON. Co I EYORS, P.C. AREA = 1.6453 Acres ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' F 020 MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 909 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND AVELER STREET 'BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. SOUTHOLD, N.Y. I197/ 96 - 106