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HomeMy WebLinkAbout16617-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17403 Date OCTOBER 11~ 1988 THIS CERTIFIES that the buildin~ Location of Propert~ 8205 House No. ADDITION TO ACCESSORY GREAT PECONIC BAY BLVD. LAUREL County Tax Map No. 1000 Section 126 Block Subdivision Filed Map No. Street Hamlet 9 Lot 16 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 1987 pursuant to which Building Permit No. 16617Z dated NOVEMBER 10~ 1987 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 ADDITION TO AN EXISTING ACCESSORY BUILDING. The certificate is issued to MR. & MRS. PAUL GADIGAN (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 4/19/88 N033904 MATTITUCK PLUMBING & HEATING CORP. · Building Inspector Rev. 1/81 ~VOBM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16617 z Dote ..... .~..~.,../.....D. .......... , 19.'~.~ Permission is hereby grcmted to: ..... .......................... - ~., ~ ~ ~-~ ~_ '~ E~ __O.' ~ ) ~_ ~ ~(~ ................ ~. ~.~,.......~........~ _~.-.~-~. ..................................................... ~..+ ........ '4' ........ ot prem,ses Iocoted o, ~ .......~ ........ ~ ..............................~ ........... t).~ ..... County ToX Mop No. 1000 Section.~../....~....~..i ...... Block ........(~...~. ........ Lot No...l,.~:l ............... pursuant tO ~lpplication doted ..... ~...~.~......~. ............. , Jg..~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APP.CAT ON FO. CE.T CATE O. OCCUPANCY Instructions This application must be filled in typewriter OR ink, and'submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre~existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition ef buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3, Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5.00 $15.00 Date .......................... New Building ............. Old or Pre-existing Building . .~. ......... Vacant Land ............. Location of Property . .8.~Q,5..G.~ .e~.t..~.¢c,..o.~.c...BAy.. .B)_y.c],., ~..L.a,u. T.e.1' ?....~..... ~ .1.9.4.8. ........ House No, Street Hamlet Owner or Owners of Property . .~.~' ,..~ ,[~7~s..~.e,g,l_..(~],t2~:J,~g ............................... County Tax Map No. 1000 Section .. ,J,~ ......... Block ...~) .......... Lot....:[~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..Z.6.6.:[.7. .... Date of Permit .~..Z/.~.0./.8.7Applicant ...S.t.a. qL..ey..4, . Y.[.~.s. ·s· .J.~: ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...¥ ................... ll),OO ,,/^,, Fee Submitted $ .~ir~l~. ~..~ .~.~/ ............ Construction~..,(~ .~--~ ~ q ~ C)~ ,'~°n above describedApplicantbUiiding and..~l!:ker mit me, ets all up. des. and regulations. . ........ Rev. 10-10-78 ~ TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN HALL SOUTHOI,D, N.Y. 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is not on file. /_~ No Underwriters Certificate on file. /5/ The check is(outdated/not oil file.) /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # -~---~-~~/--.,i7 Z Building Dept. ***/~/ No Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) TOWN OF $OUT]L~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL £OUTHOI,D, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit NO. /~t~'/7 Owner . ~ / ~ (p,lpgs e ,pr int~ (plea'se print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's si~e) Sworn to before me ~his 19<g -. Notary Public, Notary Public · WOTA~'Y P. UBtt~, St~ce of {"~ew YoHI FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME COM~gNT~ .PLUMBING INSULATION PER N. STATE ENERGY CODE F I N A L~'/ ADDITIONAL COMMENTS: ut,'/ity ~ I Property of: Paul & Theresa Gadigian Lot #126-9-16 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~OUGH PLBG. [ .] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE ~ INSPECTOR _./? ~~ 76S-*f802 BUILDING DEPT. INSPECTION, FOUNDATION 1ST []ROUGH PLBG. [ ]/~UNDATION ZND []INSULATION FRAMING ]FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST FOUNDATION 2ND [ FRAMING [/~R~O UG~ PLBG. REMARKS: INSULATION FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~FINAL [ ] FRAMING REMARKS: /~//~ 765-:[802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG' FOUNDATION ZND [ ] INSULATION FRAMING [~]/FINAL REMARKS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRiCiTY Dat~ /lpplica~ion No. on fi~ ~ examin~ on a~found to be in com~{ance u'ith the r~uirementm of th~ ~. RXTUIm ~qXTUI~S 4 ~ 4 OVENS SIIIVK~ DISCOflNL~'T S E It V I P.O. BOX 602 LAUR~L~ NY, 11948 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined /0.~ J. Approved /O~../.0., 191~..~. Permit No..}.lq..~.~.~...~. Received ........... ,19.. · Disapproved a/c ..................................... ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...N..o.y,..2. ~ ....... , 19.8. 7.. 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 attthorized inspectors on premises and in building for necessary inspections. (Signatureofapplicant, orname, ifacorporation) (Mailingaddressofapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............ .G.e. rl er a 1 Con t r ac t.o.r. ................. Name of owner of premises . .P.a.u. 1...a..T.h.e..r.e.s.a...G.a.d.i.g$.a.n. ............................................. (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..1.2.,.9.8..5.-.H.I, .............. Plumber's License No.2 .3.6.6. .................... Electrician's License No. 1.2.2..71~ ................. Other Trade's License No ...................... %'0, 0 ¢ ~ Location of land on which proposed work will be done ..... t?eo.o.n i0. B.aY.. t31.v.c], .Laurel,...N..l ........ House Number Street Hamlet County Tax Map No. 1000 Section ...... /..~ .~. ....... Block ........ f ........ 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 .... G.a..r.ag.e. .......................................................... b. Intended use and occupancy .......... Bal~hr. oom. and. day. roora. ~ .............. .' ................. 3. Nature of work (check which ~tpphcable): New Building .......... Addition .......... Alteration .. ~( ....... Repair .............. Removal .............. Domolition .............. Other Work ............... ~ (Description) 4. Estimated Cost .~.1.2. ~ 99.0... J ........................... Fee ..................................... i ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units...O.n.e. ......... Number of dwelling units on each floor ............... If garage number of cars 6. If business, commercial or mixed occupancy specify natuTe and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front..2. Q I. ) .' ....... Rear .2. 9 ~..' ........ Depth . .1.8.'.6.'~ ........ Height . .1,3~ ~ ......... Ngmber of Stories .... QO,e ................................................. Dimensions of same structure With alterations or additions: Front .20.' ............. Rear ...20! ............ Depth 18~ 4." · ,. . e .......... umbero o es One ti Dimensions of en re new con ruc on: Front ............... ear ............... e .............. Sizeoflot: Front . 10.0. ,. ........ ' ' . ... Rear .... 10. Date of Purchase .I~oy..5. ~l..1.9.7.~ .............. Name of Former Owner E.....F.u.r.d.q .l) .e .r . . &. . p....C.c..r.n.e.l. 1.. 11. Zone or use district in which premises are situated ..... ~e ~ id.et~ ~; ~ ~J.. .................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . .N9. ............................ 13. Will lot be regraded ...... N0 .................... Will excess fill be removed from premises: Yes X No 14. Name of Owner of premises .17,..q~cJ;/g.i~qO ...... Address .1.5.2...E....9.4..l:.h..S.~... Phone N~1~7.37.8. c .5.6.67... Name of Architect .Iqor~e... ! ................... Address . ~,.¥:.. 1.O.128 ..... Phone No ................ Name of Contractor S..t:gB.l.~y' F.i.~..s .s..J.r.: ...... Address .O.1'.~.. ~.a.~in' i .R~i,..hi..a .tltittone No. 2.9..87.8.7.9..0 .~. PLOT DIAGRAM Locate clearly and distinctly oll buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................ S.S , 'N ...... "';" .... :'~" ........... ( amc oflndlwdual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mantlet set forth in the application filed therewith· Sworn to before me this ................ 7 ....... day ~f ....... ~ .......... 19..~.~ IIELEN&DEVOE i · ~'~,r'/ ...... "~' · · .......... NOTARY I~I~LIC, Sine of NeW ¥~k (Sigmffure of applicant) NO. 4707878, Suffolk Term I:xptres March $O, 19~/ SURVEY OF PROPERTY MATITTUC K TOWN OF SOUTHOLD SUFFOLK COUNTY, N. ¥. I000 - 125 ' 09 SCALE I"= 30' DEC . 31, 1987 0 0 O~ AREA = 18,803 78 S'Q. FT. OR 0.4317 AC. CERTIFIED TO: CITIBANK, N.A. AND / OR IT3 SUCCES3ORS AND A3SIGNS PAUL GADIGAN THERESA N. GAOl GAN ~ ll~ al~m. danee ~ the minimum Meznd~ fee title mmml~ m established by lira I.k.,k.l-S-e~l el~roved and adopted fer such u~ by The New York Slate Land Tide Am~ctatton · t i [516) 765 - P. O. BOX 909 MAIN ROAD 80UTHO~D~ N.Y. \ ,\ \ \ \ \ \ 0 0 0 0 8'7 - 9 86