HomeMy WebLinkAbout16727-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19488
Date NOV. 7~ 1990
THIS CERTIFIES that the building.
Location of Property 745 PINEWOOD ROAD
House No.
County Tax Map No. 1000 Section 110
Subdivision
ADDITION
CUTCHOGUE
Street Hamlet
Block 003 Lot 008
Filed Map No. Lot No.
conforms substantially to the .Application for Building Permit heretofore
filed in this office dated JAN. 19, 1988 pursuant to which
Building Permit No. 16727Z dated FEB. 4, 1988
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 AND GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to R~YMOND NUGENT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N057772 FEB. 9~ 1989
MATT. PLUMBING & HEATING 9/19/88
/// Building Inspector
FOEI~ NO. ~
TOWN OF $OUTHOL~
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING FERMIT
CTIIlS PER~IT MUST BE KEPT ON TIlE PREMISES UNTIL FULL
CQMPLETION OF TIlE WORK ,~.UTIIORIZED)
No- 1~727 z
Permission is hereby granted to:
~.z~.../.~...~.:.~...7 ~'
..... ..~.~..?.~.~..~,. ....... .~./..~ ........ ~, ,
........
ot premises ,~oted ot ..~..~~~.....~ ...................................................
.......................... ~.~~..~....~.~ ......................................................
co~ ~ ~ No. ~ooo ~.o~ ....... Z/.~ ....... m~k .......... ~ ....... ~o~ No ........ ~ ...........
pursuant to ~pplic~io~ d~t~ ..~ ..... ~ ..................................... la.~.~ ~n~ ~pprov~ ~y t~e
Building Inspector.
Fee $.~....~
/ ~.M~lding Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARITMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUI'HOLD
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:
i. 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 t% 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.
3. 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.
' J 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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Da t e . ~.(z~. f..~. ! ~ ./~ ~ ......................
~ew Construction ........... Old Or Pre-existing Bulldl~ ......... iiii,~.,~i
.o tion of Preperty.?.. . . .......... .... · ........
House No. Street Hamlet
)nwer or Owners of Property. ~ .¢~..~ .hO. o.O..~. ~ bkcl e ~]-
;ounty Tax Map No lO00, Section ..... {!~ ..... Block. ~ ~.
,ubdlvlszon ................................ · . .. Filed Map ........... . Lot ......................
'ermit No..~.~.]~-~.~ .... Date Of Permit...~J.~. J.~.¥ .... Applican~.~.~.l~J~l]v~%~?..~..~. ~7~,~.(~...
[ealth Dept. Approval ~ ~ ..Underwriters Approval .,~ ..............
· lanning Board Approval ~
equest for: Temporary Certificate ........... Final Certicate ...........
ee Submitted: $. .%~. 7.% · .~(%~ .... * "
..................................
TOWN OF $OUTHOLD
OFFICB OF BUII~DING INSPECTOR
?.o. I~OX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No. i~.
'(please prin~)
'- (pi'ease priht)
I certify that the solder used in the water.supply system
contains less than 2/10 of 1% lead.
(plumber s s~e)
Sworn to before me .this;
of
Notary PCblic,~. ~g~o[& County
Notary Public
FOUNDATION
FOUNDATION
ROUGH FRAME
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-I823
Town Hall, 53095 Main Road
P.O. Box 1 179
Southold, New York 1 1971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 29, 1990
Environment East Inc.
3075 Indian Neck Lane
Peconic, N.Y. 11958
Re: BP16727Z Addition
RAYMOND NUGENT 745 PINEWOOD RD., Cutchogue
Dear Peter:
I am writing to you regarding the above permit.
It has expired and has not passed the final inspection.
Please renew the permit or if it is ready for final inspection
please call our office to arrange it.
I am returning your outdated check and application.
Yours truly,
Secretary
76,5'1802
BUILDING DEPT.
INSPECTION
~ F/ouNDATION 1ST [ ]
ROUGH
PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
FINAL
DATE , I NSPECTO
. /
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION ZND []INSULATION
FRAMING []FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] I~JLATION
FRAMING
765-XSOZ
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ]/ffOUGH PLBG.
FOUNDATION ZND ['] INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST []/ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[]FRAMING []FINAL
REMARKS: ~/~Z~ ~ ,,
//
INSPECTOR ~'~ ?~/
76S-1802
BUILDING DEPT·
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ~/~RAMING [ ]FINAL
REMARKS:
DATE ~' ~INS~ECTOR ,
NEW YoRK BOARD OF FIRE UNDERWRITERS
'10010~ ~ BUREAU OF ELECTRICrT'Y
~-- aS ~HN STREET. NEW YORK. NEW YORK 10038
THIS CE~IFIE~ ~T
RkY~ND NUG~NT, 745 P{NP3W~D RD., /POI,g{6, CUTCH~0E, N.Y.
JANUarY 2~,1989
~ exami~ ~ 4ndf~nd to be in ~mpllance with the ~ui~ment. o~ th~ ~.
I~XTUIB IqXTUIIIS RANGIS OVENS IXHAUST
:{0 I:{ 11 ]0
DIIYIIS iI~HENAC! MOTORS ~ APPUANC! NIOlIS TIMI CLOCKS UNIT HIATEES MULTI-OUTLIT OtMMIRS
SYSI~AS
~IRVICI DISCO#IIICT S I R V I C
~,.{' .c. £.-2
GARY
420
L 1:C. # 2ql,'ll. K
n~st not be altered , manner; return to the office of the ~ooKI ff incorrect, identified
COPY FOR BUILD~HG DEPARTMENT. TfllS~F~--~ CEI~I~ICA?E MUST ~ ~L~ IH~AHY~.
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1803
:.xamined ............ 19~...~
,pproved.. . ....... .., lg Permit
)isapproved a/c .....................................
/ (Bui~Sfig Inspector)
APPLICATION FOR BUILDING PERMIT
TOWN OF $OUTHOLD
Received ........... ,19..,
Date . p.e.q.
IN STRUCTION S
a. This 'application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ts 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
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
atlCn.
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
[mll 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
trail have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE ~to the Building Department [or the issuance of a Building Permit pursuant to the
;uilding Zone Ordinance of the Town o~ Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in bnilding for necessary inspections.
·. ~.qv.t. r 9.~me. ¢.t. ?las.%..5 ne ...................
(Signature of applicant, or name, if a corporation)
307~ Indian Neck Lane
Pecon~c, ~. llg~&
(Mailing address of applicant)
Crate whether applicant is owner, lessee, agent, architect, enCneer, general contractor, electrician, plumber or builder.
Contractor
Name of owner of premises . ·. 32a. yramnd..~.ug@ n.~ .............................. ' ........................ (as on the tax roll or latest deed)
If a~~gnature of duly authorized officer·
~ .~ d~'. cr?~: .~"~J ........ Pa:e ~ id.~ ~ t ....
y (Name and title of corporate officer)
Builder's License No...~Zo-.M]~ ...............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will bc ch.~,.~' .........................................
.... .7 .~.J. .............................. ~? i ne.~qood..Road ................ Cu.r.o[x ovct. e .............
House Number Street Hamlet ~
County Tax Map No. 1000 Section .... ~10 ........... Block .... ~. ............. Lot....~[ ..............
' Filed Map No Lot
Subdivision ........................................... ........................
(Name)
State existing use and occupancy of pre~nises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..:..f.a.m.~.]... y..4 .w~J_.~:tQg .............. :~? ....:· .............................. :~ ,~.~,,
b. Intended use and occupancy.1.. family dwell&rip-: wi ~h .e.~llarg.e.c]-~f~lily.. . _ ?m. &. ~;ara~. . , · .' ....
3. Nature oi~ork (check which app!~i'k~atile): New Building .......... Addition.., ~ ..... ~teration ...........
R,~r ....... , ............. Demoht~on .............. Other tk ...............
~'~, - ~,l ' ,;;~, (Descflption)
4 Est~ated Cost;; '
'l'f , * (to be paid on filing this ap¢ication)
S If dwe~mg number of dwelling units ~ Numar of dwelling units on each floor
Ii garage number of cars
6, It business, commercial or mixeq occupancy, specify nature and extent of each type of us~ ....... ,~.. ~. :,. ........
7. Dimension~ of exist~g st~ctures, if any: Front .... ~ .~ ~ ~ .......Rear { ]../ ........... Depth t, ~.t,:. ..........
Height ~,~ ~ ........... Number of Stories ...... I.. ............ ;,. .......... ' ......... ~ ..........
.;> , , , . , · ;.. . Rear¢.</
D~nensions o~,sam~ structure w~th alterations or additions: Front ~ ~[ ~ . .......................
D~p~ ,4 I..~, ...... . ........ i' · Hmet . ~(2. ................. Number of Stories..( ..................
8. Db~niions of entir~ n~w const~ction: Front ... 1~?,~.6 ? ...... Rear ..... 17~ ~.)~ .... Depth .... ~.7.~ ........
Heiet ................. Number of Stories ......................................
10. Date of Purchase ........... ' .................. Name of Fo~er Owner ...........................
Residential
] L Zone o~ u~e ~dc~ in which pz~m~e~ aze ~ua~ed ......................................... .. .~ ...
~, Doe~ pzo~o~ed construction v~o~a~e any ~on~ng Nw, ordinance or zeEu~afion: ...... ~ ....
· o ,
~B. W~ ~o~ be zcgzaded ., .$ ..... , ................... W~H exce~ ~ be zemovcd ~rom p~emhe~: No
~4, N~e o~ Owner o~ pzem~se~ ~,..~, ~ME~q~,.. Pi ~ew ood R~
...... Addzc~ ................... Phone No.
N~e of Contracto~ ......... : ......................... P&~fifd~' '~' 1Tg~n°ne ~wo ...............
PLOT DIAG~M
Lecate cle~ly ~d dist~ctly ~1] bu~d~, wheflter exist~g or proposed, ~d, indicate ~1 set-back d~ensions ~rom
plope~ ~nes, Give street ~d block;number or description according to deed, ~d show st~et n~es and ~dieate wh~er
interior or comer lot,
,O~.,~TY OF....~¢77...~?'.i ,
(Name of individual sigfiing contract)
bove named, i
, corporate officer, etc.)
,f said owner or owners, and is duly authorized to perform or have perforined the said work and to make and fliP'this-
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
/ork will be performed in .the manner set forth in the application filed therewith.
,worn to before me ~is : /~ ,
' Nm 4~ltliOll / ~ ; ' (Signature of applicant)
', _ Iluallfled In ~_uffolk CounW ~
~ommlsskm ~=iplrea DeOem~r 8, I u x a ,
...... being duly sworn, deposes and says that he is the applicant
0~1ZE,40
CE`RI'/FIcA/TE OF OCCi. ipAAiC¥
If oo~per tubing Il u~ed
for wet~r di~tribuflnM
eyitern; piping Ihell be
ocCUPANCY OR .,..
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
NOTIF~ IBIJIL'DiNG DEPARTMI~--*~-
~-1802 9 AM TO 4 PM PO~R TH~
FOLLOWING INSPECTIONS:
IK)UNDATION TWO REQUtI~c~
IIOFI POUflED CONCRETE
ROUGH FRAMING & I%UMI~NG
3. INSULATION
4. FINA,L CONSTRUCTION ~
~ C-~OMPLETE ~ C.O.
,~LL CONSTRIJC~ION SHA~L
I'H~ REQUIREMENTS O{= ~H~
~T/~'f'E CONS'r~tlC~O~ &
NUG
,/A~ t o