The URL can be used to link to this page

Home My WebLink About12278-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26478 Date: 05/26/99 THIS CERTIFIES that the building ADDITION Location of Property: 1870 MEDAY AVE (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 113 Block 11 MATTITUCK (HAMLET) Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 1983 pursuant to which Building Permit No. 12278-Z dated APRIL 25, 1983 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 BATHROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN T. RADIGAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-063631 N/A 03/29/99 FO'~e NO. Il 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? 12278 Z Permission is hereby granted to: ....... ' ......... ., .............. ..z~.....~.:z~,~:~..,~..... ..,~..~v~... ...... .... z~.z~z¢~.~...z....~...:.~..: ........ /../.~.~' ,o ............. C~ ~.r. .. .o. ..~. .:. .. . . . . . ~, . ,~. . ~ ~. . . . . . .~ : ~ ~ . .. . . . .~.~. . ............ .e~.~_..~.aa:...~..~..~./.~.~.~....~.~ ................. .,~.~..Zi ~ ........... .z~.zz~.~.~.~.. ............ ..~....../..Z~ .......... ~...~./.~......~....~.~..~Z.:..~ .................. County Tox Mop No. 1000 Section .... Z/....~., ......... Block ..... ~,Z ........... Lot No. pursuant to application doted ..,~//~..~./~.......~.....// ................. , 19~..~., and approved by the Building Inspector. Rev. 6/30/80 765-1802; This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 i% 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 ali 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. C. 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-existinR Building - $i00.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 New Construction..Y ........ Old Or Pre-existing Building ............ Onwer or Owners of Property ....... ./~[.~ ............................. .. . .. .. .. . ..... .. County Tax Map No 1000, Section .... ~ ..... Block .............. Lot ................... Subdivision ............ -: ....................... Filed Map ............ Lot ...................... Pe~mi~ No. ~ ...Date Of Permit ................ Applicant ....................... Health Dept. Approvs1 .......................... Underwriters &pproval ......................... Planning Board Approval ........................ er icate ........... Request for: Temporary Certificate ........... Final C t Fee Submitted: $ .......... .~..~... ............... APPLICANT NOTE: · = MONUMENT LOT NOS, REFER TO MAP OF "PROPERTY OF WM. B. CODLING" FILED IN THE OFFICE OF THE CLERK OF SUFF. CO. ON MAY 192t AS NIAP NO. 745 AND ALSO SHOWN ON MAP OF "TOLLEWOOD' FILEB IH THE OFFICE OF THE CLERK OF SUFF, CO. SURVEY FOR BESSIE KENARY MATTITUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. GUARANTEED TO, NORTHFORK BANK ~ TRUST CO. SCALE , I" = 40' SECURITY TITLE ~ GUARANTY CO, MARCH 14, 1966 PROFESSI~ EN~,J~'EER AND LAND SURVEYOR, N.~$,LIC. NO.I~B45 RIVERHEAO, N.Y. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 807491~ BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 Dnte }f%RCH 29,1999 Apriicafio. No.o.~e 17896899/99 H 063631 THIS CERTIFIES THAT only the electrical equipment as described below a~d introduced by the applicant named on the above application number i~ in the pr~mises of t*LARIE RADIG.%N, 1650 ~DAY, ~TTITUCK, NY in the following location; [] Basement [] 1st Fl. [] 2od FL Section Block was examined on ~CH 23,1999 and fouod to be in compliance with the National Electrical Code. Lot FIXTURE I RECEPTACLES eu,,,,-ure I FIXTURES RANGES [ COOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS OUTLETS '""~"~ INCANDESCENT FLUOI;E~CENT OTHEK MT. K.W. AMT. K.W. AMT. K.W, ; ,MT. K.W. AMT. H.P. DRYERS I FURNACE MOTO~S I FUTURE APPLIANCE FEEDER~ ~FECIALREC'PT. TIME CLOCK$1 SELL I UNIT HEATER$ MULTI-OUTLET DIMMERS SERVICE DISCONNE~F · S E R V C OTHER APPARATUS: · NO VISUAL DEFECTS: "An elec%rical survey has been made of the exposed electrical eguipment in the premises indicated." "No unsatisfacto~ condition was found. MARIE R~DIGAN 1865 HIGHLAND ROAD CUTCHOGLq~, NY, 11952 GENERAL MANA/~,ER 11 / Per This ceflfficate must r~t be altered in any manner; return to the office of th~ BOard If Incorrect. Inspectors may be Identified by thel~ Credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CEI~'IFICATE MUST NOT SE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ /] I~ULATION [ "] FINAL [ ] FIREPLA~_&~IMNEY REMARKS: ~,~ ~.=~.~) 765-1802 BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ REMARKS: [ ] ~.I~TION [ c.-~/FINAL ] FIREPLACE & CHIMNEY DATE INSPECTOR FIELD !NSTECTION FOUNDATION (1st) FOUNDATION (2nd) 2. IDATE COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDI IONAL COMMENTS: FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproveda o...:...: i:, ........... .... / APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No. //t-~... Z~.. ...... Date...~.~...9 ~.., 19 ~? a. Tins 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, relationsinp 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 building for necessary inspections. . , ........ ...................... (Signatur~of applica~r name, if a corporation) 1.22. Simonson. Ro~d,.. Mineola,. N....Y.. 11501 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, piumber or builder. ~eneral Contracto-~ Name of owner of premises ...... Johr~ .T ,. Raqligia~. :..~i. 0.~ 0.:i I'.~ .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ 3 8.7 ............... Plumber's License No... ?.d.. t~...~.. ~;. t~.~/ Electrician's License No.../.~.'~'~...~..~7....~.~..~...~.~J Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ~ ..... ~ .' .~geO.~7. Ay.e.r~u~.. ................... Ba..e.t.~.t.u..c.k.,..~.w..Y..9.r.k. .......... House Nu~al~m'-~--~ Street Hamlet ?/ Block ..... I..1. ~ ...... Lot/.~6.,..2.7., .q.8 ...... (,County Tax Map No. 1000 Section . .T. 9.1.1. e..wgP,d. ..... . . ~'S~bdivision ......... I.l .5 ........................ Filed Map No ..... I. ~ ........ Lot..:~.-..././·. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. OP,~-. F~r~J,[7. l-Io~e ...................................... b. Intended use and occupancy ....... ..... ]3~t;.h.r.o.oJg .....e~..C~.c~ ............................. 3. Nature of work (check which applicable): New Building .......... Addition ... X ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ -o,,~ (Description) 4. Estimated Cost ..... .$. ~,.4.0.q..gp ................. Fee .~.~....-7'7.. ......................... (to be paid on ~ing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front... 2.7. '...6.". .... Rear . .2.7. '...6.". .....Depth ... ~.7.~:. 0 ~' ..... Height .... 1.5 '. ....... Number of Stories .... .one ......................... ' ....................... Dimensions of same structure with alterations or additions: Front ...39.'..6 :' ....... Rear ...3.9 ~..6.". ........ Depth ..... 3.7. '. ............. Height ...... ~A' ............. Number of Stories ..... Dne ............. 8. Dimensions of entire new construction: Front ... ~,Z '. ........ Rear .... 12.' ...... '.. Depth ...... 9 '. ....... Height .... .1.4. '. ....... Number of Stories ....O.n.e. ................................................. 9. Size of lot: Front .... 1.00.' .............. Rear ........ 10P.' .......... Depth ....... 150.'..30 :'. ..... 10. Date of Purchase .... 1.9,7.9 ..................... Name of Former Owner ..... 13.e.s.~ .~..Ker~:.y. ........ 11. Zone or use district in which premises are situated ......... Re.~ide~tJ-~l ............................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ix19 ........................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes 14. Name of Owner of premises . .John..T,. R~dSgan Address . lq~day, g.x~enu~... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor . ,K~r~¢~i .Cor~tru.c'cion. Address 24.4. ~ap3-.~ .Pla.ce. Phone No..746.-.@288 ...... Mine. ola, N.Y. 11501 ~ 0uJ~2~ PLOT DIAGRAM Locate ~le~.N~. distally- Z_all buildings, whe-~xi~ing ~Y-p'rr~d, and. indicate allXset-l~ck dimensions from property lines. ,O~_ve ~treet and block number or description acqording to deed,'itnd ~how street names arid indicate whether interior or corn~t~ot.\, \ \ ~ S ~" TATE OF N~{OR.K,/ .,~.~ S S q above named. -7 He is the . !' ( [x,~Contractor,_~ent, corporate officer, etc.) of said owner or owners, and is duly au~,hor~rfonh or have performed the said work and to make and Erie this application; that all statements contained ha this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fried therewith. Sworn to before me this ......... ~..~'.dayof..~.,] ..t /.~ ........ ,19~.~. No. ta/g-p.u,b~lic, .~_.. t-./-:~ .......... ~OTFlRY pu~tLl~.~State of New Y~'~ ~-'/ ~e~-~. ' ..... " k , c-- ,,,~'-(Signatum of applicant) No. 52-8125850. Sutfo~k T~rm Expires March 30, t~ ~ - / being duly sworn, deposes and says that he is the applicant ,,, If copper ;~'~-g is uu~d for water diitributino · ' '1 be system; p~pmg sha, of types ~K or L onl_y /,:,,q. '-' 0" FLoo