The URL can be used to link to this page

Home My WebLink About16556-zFoP, M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18443 Date OCTOBER 4, 1989 THIS CERTIFIES that the building ALTERATION & ADDITION I~cation of Property 1750 BOISSEAU AVENUE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax,ap No. 10O0 Section 055 Block 06 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1987 pursuant to which Building Permit No. 16556-Z dated OCTOBER 22, 1987 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ADDITION & ALTERATION TO EXISTING ONE PAMILY DWELLING The certificate is issued to MARK GAGEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-066380- APRIL 12~ 1989 Rev. 1/81 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) 16556 z County Tax Map No. 1000 Section ..... ..C~.,..~..'~.. ..... Block ..... ,..~..(~X ...... Lot No....~...~. ............... ~ursuo,, to opp,co,on do,~ .... .~...~...~....t.~ ............... , ,9.~...q.. ond opprov~ by Building Inspector. Fee $....~....:..~ .... Rev, 6/30/80 APPLICATION TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ............. .. .~ ....... HOUSE NO. STREET HAMLET Owner or Owners of Property .~. County Tax Map No. ]000 Section O-0-- Block ...... Lot' . ....... Subdivision ~ Filed Map Lot ~ermit No ........... Date of Permit .......... Applicamt .. Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: $ .................... Certifica£e rev. 10/14/88 Be ~ev., li/]4/,88 FOP~ NO. 6 ~0~ OF SOU~IOLD BUIL~ING DEPARTI~ENT '~" : 765- 1802 ~PL~CATION FOR CBRTIFICA~ OF OCC~CY INSTRUCTION~ '~is app~catlon must be ~filed in type~i~er OR ink and subm~Eted Eo the Building ~nspector ~ith ~he foXlo~iUg; for ne~ buildings or new use: I. ~ina~ ~urvey of prope~t~ ~ich accuraLe location of alX buiXdlngs, propert~ lines~ streeEs~ and unusua~ da~u~al or ~opographlc features. 2. FinaX approval of ~ea~Eh Dept. of ~ater suppl~ and se~erage-dlsposal(S-~ 3. Approva~ of electrica~ installation from Board of Fire Unde~iters. ~- S~orn statemen~ from pXumber certifying thaE solder used in s~sEem con~alns less ~h~ 2/]0 of ]Z lead. ~ 5. Co~erclal buildlngs, ~industrlal buildings, ~lEipla residences and similar buildlngs and insta11~tlons, a certificate of code compliance from the Arch~tec~ or Engineer responsibl:e for the building. 6. SubmlE Plannlng Board Approval of co~le~ed site plan requlremen~s. For exls~ing buildlngs (Prior to Aprll 9, 1957] non-con~oming uses, or buildlngs and 'pre-ex~stlug~ land u'ses: I. Accurate su~ey of property sho~ing all property llnes, stree~s~ buildlngs and unusual natural or Eopographlc feaEures. 2. A properly completed appl~caE~on~ a consenE to inspect signed by the appllcanC and a certified abs~ra:ct of tiEle issued by a tltle company which shall sho~ single and separate o~ershlp of the entire lot prior to April 9, 1957. . ~f a CertificaEe of OcCupancy is denied, ~he Buildlng ~nspecEor shall s~ate the reasons ~heregor in ~!iCing to the appllaanc. 3. Da~e of any housing code or safeEy inspeaE/on of buildlngs or premises, or ocher perEinenE infom~ion ~equlred Co prepare a cer~iflca~e. For VacanE Laod Cer~iflcate of Occupancy: I. ~ applicaClon for vac~n~ land Certificate of Occupancy shall be submi~ted~ and a cerEigied abstract o~ ~itle issued by a ~icle company sho~ing slngle and ~h separate o~ershlp of ~ e enClre 10~ prior Co Aprll 9, 1957 shall also accompany the appllcaEion. ~f a~ CerEificaEe of Occupancy is denied, the Building ~nspecEor shall scare ~he reasons ~herefor in ~iClng to ~he appllcanE. FEES: ].: CERTIFICATE OF OCC~CY - Ne~ ~elllng $25.00, Addi6ions Alteration ~o ~el~ing ~25.00, S~i~iug Pool, ~25.00. Accessory buildlnE $25.00 Addition ~o Aaaessbry buildings~ $25.00 -Buslness~s 2. Certificate of OccUpancy on pre-exlstlnE d~elllng - $100.00. Copy of Cer~iflCate Of Occupancy - ~5.00 - over ~ years - $10.00 Vacan~ Land Certificate o~ Ocaupancy - $20.00 Updated C~r~iflcati of Occupanay - ~emporary Certificate o~ Ocaupancy - $25.00 Res[dentlal 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~/INSULATION [ ] FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~)~I~G £ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [_ ] I~~N 2ND ~ ~ INSULATION FRAMING [ ] FINAL ~/ / ,,~ IINSPECTOR~__ 0 r~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .,:~.~ta,,..:x.x..., 19~?. Approved o~...ek~.....~-..., 1~.7. Permit Nod .¢ ~->.'7.¢..~ Disapproved a/c .................................. ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF pLANS SURVEY .F_~7[~fv .... SEPTIC FORH ............. NOTIFY CALL ................ MAIL TO:(~'O~-~~ Date .................. , 19.. INSTRUCTIONS a. This application must be completely filled hz by typewriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl catiqn. 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 perm 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 Occupant 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 tlr Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspe~qo~./~ ._~/,~. ~ .v,- ../.r~. ~ .......... ......... (Signature of applicant, or name, if a corporation) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises ..... '//~' ,~.<~. g~. ..... (as off the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) . ALL CO~TRACTOR~S MUST BE SUFFOLK COUNTY LICENSED Builder s License No ...... ~ ~ .~.~ ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................ I..'2&, : .............................. ~ .~?..t~,.~..~. .............. ... .0 ............... , ZL-~/5~s~c. fit/. -~' House Number Street Hamlet County Tax Map No. 1000 Section ....... ~57.¥? ...... Block ~ Lot ./.~... Subdivision ..................................... Filed Map No ............... Lot ' . ..... (Name) State existing use and occupancy of premises and intended use and occnpancy of proposed construction: a. Existing use and occupancy ..... . .... / ...~."-.?. ./:? ......... · .~., ............ b. Intended use and occupancy .............. /(' .................. ...........,/( ~..'~. of work (check which Ipplicable)' New Building 3. Nature ~ . . .................. ~ ......... Repair .............. Removal .............. Demolition ...........-~'--'~'- ... ~)ther Work...' -~ --. ........... ' : / " 4. Estimated Cost ~'/,~~ 2'0,5 ................ Fee ~ '., . .... ~ " (to paid filing thi ppli ) , : be on. s a cation 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor...; ............ If garage number of cars ~ 6. If business,.co~rnercia~!.~r mix,ed occupancy, specify nature and extent of e'ach type of use .'.. 2 ......... 'r ...... 7. Dim~'piiphs '6~ ¢~isti~il Jihgctures, if any: Front .... 19 .~..t. ..... Rear .... 3..(p ....... Depth.. ,~,7 ....... Heiglt' . ....... '...;...NumberofStories.. . '12.- ' . ...... ' ............... Dunensmns o[~s.0iI~g, stru,ctuge w~th alteratmns or a~dmons: Front ..... .~.'O: .~. ?. .... Rear ...--X'..~ .... ~ ..... ~: ~- '-~0 ~ ' Hei / . Depth ....... '~ .~. .......... ght ..... ~. ............... Number of Stones ..... /. ............. Dimensions of entire new consltruction: Front .... ~...' ..... Rear .... /Z~..' ...... Depth .../.ed.." ...... HeigBt ............... Nulmber of Stories S~ze of lot Front ..... /0.~ ............ Rear .... dP."?..*. ............ Depth .../..~..o..~. ........... 10. Date of Purchase ......... ~ ................... Name of Former Owner ............................. 1 1. Zone or use district in which p'remises are situated ..................................................... 12. Does' proposed construction violate any zoning taw, ordinance or regulation: ...... ,,f/..0 ........... ~ ....... 13. Will lot be regraded ....... i .ilL/..O .............. Will excess fill be removed from premises: /rYes') No 14. Name of Owner of premis,es .,f~t~ .~.P,..~Ygc,] ~J~.. Address .,~O..5~l~.-.~..q..,-..4~(47 Phone No..7/¢..~22~.. ¢-r./..~.(e. Name of Architect . .,~. ~./~:t4,?. ~. ~: ,/M. ?~;; . ,7..t<J~.~a~'dress ................... Phone No ................ Name of Contraotor O . . . ^ddress ///.r. . . . 15. Is this property located within 300 feet~ of a tidal ~tland~.'~Y~'~'ii...~ .... *If yes, Southold Town Tcustees Permit may be re~uired. ' ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& 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, S.S COUNTY OF .-~. .... .... ~.fl. ~..~7 ./A..77....~ "d~.°/'! ~ ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. 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 manoer set forth in the application filed therewith. Sworn to before me this ~ ?_ _~lO, State of New York?]/ (Signature of abplicant) ] -- NO. ,482.25~63, Suffolk County , mrm Expires Deoember 31, l~tY.~ THE NEW YORK BOARD OF FIRE UNDERWRrI:ERS PA~r, ~ 102502J BUREAU OF ELECTRICITY ~'-- BE JOHN STREET. NEW YORK, NEW YORK 10038 Dat~ ~,P~iJ], ]2,]98':J ~pplicationNo. onfile ~]02~1~/~ N 0~]80 THI~ GE~IFIE~ THAT ~ exami~ ~ afldfound to ~ in com~iance with the r~uiremenIs of th~ ~. 5 6 SIRVIC! D~aCQHRECT S E R V I C H~NK'S ELECTRIC 121 SHEEP P~STURE RD SETAUKET, NY, LIC.~Z675E 11 P#r This gerti~koto must not be altomd in any manner; return to the office of the Board if incorrect. Inspectors may be identified their credentials. COPY BE ALTERED IH ANY MAHflER. FOUNDATIO~ (2nd) ROUGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS:, ENERGY CODE CALCOLATION3 iW~ / ~ ~/U ;ILT/~4TI~/%3 I]~ 1) 5EATING EQUIP~T ~D MEET 7813.23 - 75% EFF. 2) HE~Ti:..~ CONTROLS %~0 MEET 781~.I~ RANGE 45 TO 75 DEGREES FACEIT. 3) WATER HEATING PER 7813.31 THRU .38. TO THE BEST OF MY KI~EDGE, BELIEF, ~ PR~=ESSIONAL JUDGEMENT THESE PI~S ARE IN COMPLIANCE WITH THE CODE. 4) PIPE INSULATION 7813.19 5) WISIDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO MEET N.Y.S. ~NERGY CODE. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATgl OF OCCUPANCY ;'