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Home My WebLink About15848-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16575 Date January 12, 1988 THIS CERTIFIES that the building ..... .A.d.d.i..t .i.o.n. ................................. Location of Property 1605 MEDAY AVE. MATTITUCK County Tax Map No. 1000 Section ...1.1.3 ....... Block ....0.9 .......... Lot 0 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 3 I , 1987 pursuant to which Building Permit No. 15848z dated.....................April 3, 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 one family dwelling, as applied for. The certificate is issued to MR. & MRS. THOMAS GALLIGAN of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO... N 8 4 5 3 8 9 PLUMBERS CERTIFICATION DATED: John E. Walters Plumbing & Heating Dec. 1, 1987 Bull '~n~' Inspector Rev. 1/81 FOBM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 15848 Z Permission is hereby granted to: .... ~.~.~......~..~-~ ............................ .................. .~-..~,.~...,.~.:~..,....u.~m ........ .~.~...~...~ >.~.... ~...~....~.~ ..... ~ ~,~,,~ ,~,~ ~, ...t~.~..~....~.~.~.....~.~ ..................... ~ ,~ ~p uo. ~ooo sec,o~ ..... [~ .......... ~k ..... ~.~ ........ [o~ ~o....~g .............. Building Insp~tor. Fee $..~'~..:..~ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted m~ 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, B. 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 of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling,S25.0,0, Accessory,fSi0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 ,o.oo 5.Updated C.O. $'50.00 Date ........... NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .Z.~..~..*~. ............. ~.~...~. ,* .~.~ . ,~..~..~.~. House No. ' ' '-b"tr'eet ............ Nam/et Owner or Owners of Property ...~...~-: .~.,t...fYI../7.~...~'/7.°. .Y~...~.~.. .~. ~.,.r~ ............. 3. County Tax Map No. 1000 Section .. ?../ ........ Block ........ Lot ................ Subdivision ............. '..~. ................. File.d, ap o. -- .Lot No. . Permit No./~.~.~ Date of Perm~t icant .o.~,~_ . . $ .~ ...f~, Health Dept Approval -- Labor Oept Approval Underwriters Approval . ~ ?,~'. ................ Planning Board Approval ....... ~ .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building an~rmit meets all applicable codes and regulations. Applicant ~.~.;~ ......................... zoooz2: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F~ kh a~ .JOHN STREET, NEW YORK, NEW YORK 10038 December 2, 1987 ' 470099/87 THIS CERTIFIES THAT ordy The electrical equlpment as d~scribed below a~d introduced by the applicant named on the above application number in the premises of Thoma~ Jo Galligan, Meday Ave., Weatphalta, Matt~tuck, R.Y. in the follo~clng location; [] Base.tent ~ lst FI. ~ 2nd FI. Section Block Lot u~s examined on NO~mb~ J.6~ 1987 andfoundtobeincompliattceu'iththeretpdrementsofthlsBoard. FIXTURE OUTLETS 19 RECEPTACLES SWITCHES 40 32 DRYERS FURNACE SERVICE DISCONNECT FIXTURES FUTURE APPLIANCE FEEDERS OTHER APPARATUS: PAN~L~RDS: l~*lgcir., 125 amp~ ~ 3-G.F.C.I. b~IOKE ~RA(Ii LIGIiTI~G: 8'-'0" Track, 3 lites RANGES ~PECIAL REC'PT R S NO. OF CC COND A. W, O PER ~ OF CC COND COOKING DECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET A~T a~PS TRANS. NO. OF FEET V I C E EXHAUST FANS DIMMERS AWG. OF NEUTRAL 4 Paul Burns 275 Town Harbor La. $outhold, N.Y. 11971 1 tco #282E GENERAL MANAGER This certificate must not be altered in an), manner; return to the off;ce of the Board if incorrect, may be identified by their credentials. COPY F0 BUILDING DEPARTMENT., . THIS. COPY OF CERTIFICATE~ MUST NOT· , BE ALTERED IN____ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y, 11971 TEL. 765-1802 CERTIFICATION Building Permit No. (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public,~ signature) Notary Pu~l(c County E~ABE~H ANN NEVIU~ Notary Public, Stere of New Y~ No. 52-8125~, 8~k ~ Term ~i~ ~ 31, 19_ OUNDATION (2nd) OUGH FRAME~// PLUMBING 'NSULATION PER N. Y. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION //~] FOUIJJ~DAT~ION 1ST [ ] ROUGH PLBG. ]-~O~TION 2ND [ ]INSULATION / [ ] FRAMING [ ] FINAL INSPECTOR~~ 765-t802 BUILDING DEPT. INSPECTION ~~NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] RO~H PLBG. FOUNDATION 2ND [~"NSULATION [ ] FRAMING [ ] FINAL REMARKS= ~////~ ~*-'~' / ~.~ ~ / DATE ?~_~__INSPECTO~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION REMARKS: $.~..~'4~'w ~00,0 ~:~VENUE ~ SURVEY' OF LOTS 42&43 MAP OF LOTS FILED MAY I0~ 191~1 NO, 745 AT MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 11.3 - 09 - 07 Scale I' =30' Sept. 3, 1987 AREA = 26,851 SQ. FT /~ ~ /,'~¢ W Prepared in accordance with t~,e minimum standards for title surveys as established by the L L A.L.S. and approved and adopted ~or such use by The New Yor/< State Land T/fie Association. CONLCAND MA SOU' ~S. LI6. NO. 49668 ]EN61NEERS, P.C. 'FORM NO. 1 TOWN OF SOUTHOED BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~ ..~ ...... 19~ .~. Approved .Q~,~..~-.I/.~. ..... , 19~. ?. Permit No.j. ,~.'~..~ .~..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: B,LDG Dir' Date .................. ,19 ... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 avaihble for inspection throughout the work. e. No buildihg shall be occupied or t[sed'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 B~ilding 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 authori~-d inqpectors on oremi~es and in building for necessaryj:tmpections. (Signature of applicant, o~ name, if a corporation) · ' ' ~' (Mailin~address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. l .................................................... Nameofownerofpremises ~3~- i~ ~ .-~.h<~t'}'3 .ah~ ..~../?.~-.~..~. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S HUST BE SUFFOLK COUNTY LICENSED Builder's License No.-.~... Plumber's License No. ~l'an3.0~ra:J~Ir~ ~>.~. ........ Electrician's License No~l~.l..~..~.~.~..fi; ......... Other Trade's License No ...................... 1. Location of land on which proposed work. will be done .................................................. t o . .m. &,/ House Number Street Hamlet County Tax Map No. 1000 Section ........ ~/..~. ...... Block ..... .~. ........... Lot...7 ............... 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 ~$ t'~eO ~ b. Intended use and occupancy gt, ~.;.,. --. ~../~ .................................. 3. Nature of work (check which applica~01e): New Building ..... ' ..... Addition . ~'. ..... Alteration .......... Repair .............. Removal , Demolition ......... Other Work. ~' (Description) dC /.~ .~o..o. 35..O. ..-=. , 4. Estimate est . ~ Fee ............................. (to be p~id on filing this application) 5. If dwelling, number of dwelling units .... l. .......... 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 ....... i ........ 7. Dimensions of existing structures, if any Front..~.O .......... Rear . .~/. O ....i ..... Depth .. ~.,,~ .......... Height ~ O..~ .......... Num bet of Stories ...... I. ................ '. .......................... Dimensions'of same structure with alterations or'additions: Front ...t'/O ........ [... Rear . .~,~./ Depth . 3. O ................. Height .. [ ~ ................. Number of Stones ............ 't ......... 8. Dimensions of entire new construction: Front . .5/.o. / .... . ..... Rear . .~/.O !... ', .... Depth . ..~.~}. .......... Height . .~ ~.".. ~Number of Stories [ .......... ) .... 9. Size of lot: Front , ./.O.O ................ Rear. ]..~/.-.~.]. ....... Diepth . .&.~/.~. ................ 210. DateofPurchase ....... .'77. ..................... N.ame of Former Owner .. 2 1. Zone or use district in which premises are situated./'~m`.~, ~.,~.~].,.} ./ ................. 212. Does proposed construction violate any zoning law, ordinance or regulation: )~ O [ .......................... ~3. Wflllotberegraded .d~.O... .......... .-.~t..: ........ Wille,~qes~flllb.~rer3o~.¢dfr,t~_premises: Yes . 2[4. NameofOwnerofprem~ses~.~.l.t~.a~-' ........ r~,~ maw~'n~ ,_. Address ~~ ..... ~ ,. Phone No~l.~l~ ........ Name of Architect ........................... Address ............ , .~a~.. Phone No ................ Name of Contractor ~'~,ot'~ [..~...~ .*~. ............ Address d"~,~{?)~./~g,t/t,... '~.. Phone. NoT~.~."7..~..q.~..~.. 2[5. Is this property located within 300 feet of a tidal wetlatid? ~Yes~ ..... mo ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ~ndmate all set-back dimensions from ~roperty lines. Give street and block~number or description according to deed, and show istreet names and indicate whether ::~.rl~~ '; . .~: . . S. ~r- , · '~/~ being duty sworn, deposles and says that he is the applicant ,,bove named. is the. .............................................. ,, .i,"i'i'....'. i .............. (Contractor, agent, corporate officer, etc.) I ~ i~., j~.., ~.~ , ~ .., :f said owner or owners, is duly authorized to perform or have perfo,med the said w,,'4k tJmake and ile pplication; that all statements contained in this application are true to the best of his kn93vl~gg.~'and;belief and that the york will be performed in the manner set forth in the application filed therewith. ' '.U!S~ (<.~ { ~:-. ~ ~ 4"/!"':~ ;worn to before me this ~ i .................... day of ............ ....... ~ i ' 0' (Signature of applicant) ~ HELEN K. DE V0E JIOTARY PUBLIC, State of ~w Ym'k No. 470787s, Suffolk County ~ Tm'al Expires March 30,19 '1 i 'ri OCCUPANCY OR USE Ig ! INI AWI:I If L