Loading...
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