HomeMy WebLinkAbout14937-zFORM NO. 4
TOWN OF SOUR"HOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18627 Date DECEMBER 7~ 1989
THIS CERTIFIES that the building. ONE FAMILY DWELLING
Location of Property 30255 COUNTY ROAD #48 PECONIC, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 74 Block 1 Lot 37.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 19, lgB6 pursuant to which
Building Permit No. 14937-Z dated JUNE 5, 1986
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 ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to THOMAS P. McGUNNIGLE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-200-NOV. 27~ .t989.
UNDERWRITERS CERTIFICATE NO. PENDING - NOYEMBER 30~ 1989
PLUMBERS CERTIFICATION DATED DEC. 7~ 1989-PERFECTION PLUMBING & HEAT.
/ Building ±nsPecnor
Rev. 1/81
FO/tM NO. ~
TO%VN OF SOUTHOLD
BUILDING DEPARTMENT
TO%VI i HALL
SOUTHOLD, II. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N'.' 14937 Z
cou.~, To× Mop No. ,000 se~,o.....~..Z.~ ..... B~o~k ...6./. ........... Lo, No....0...~...% .....
,~,r~uon, ,o o,~p',~o,,on d,:,t~,:' ...~.....Z..'2. .................... , ''~..-., o.~ ~pp~ov~ ~
Building Inspector.
ui lng nspector
Rev, 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPART~fENT
TOWN HALL
SOUTHOLD, NEW
76S - 1802
BLDG. DEPT,
TOWN OF SOUTHOLI}
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTION /
....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO. STREET HARLET
O~n~r or Ovoer= of Property .... . .~ ...... .~.1 . ..
County Tax Map No. I000 Section ..~.~. Block
Subdlvi:ioa .......................
Filed Map
Health Dept. Approval .................. UnderwriEer$ Approval ..............
Planning Board Approval ................
Fee Submitted:
for Temporary CertificaEe
....... Final Certificate ................
/ ............
10114/88
,B.
FORM NO. 6
TO~I OF SOIFflIOLD
BUILDING
TOWN tlALL
765 - 1802
~PLICATION FOR CE~TIFICA~ OF OCC~ INSTrUCTions
'~is application mus~ be filed in typewi~er' OR ink and ·
Inspector wzch the followlng; ~or ue~ buiId'-- ~ su~m ~tad ~o the Bu~ldzn~
' ~i~al_su~ey of proper~y vlth accurate locaclon o' a'' ' j~"
2. Final approval or - ,_, . P E ap~lc ~eaCures. [ .
~ ueaz~n ~ep~. of ~aCer Supply and ~e~era~e-dlsposal(S-9
3. Approval o~ eleccrlcal inscallaClon from Board of Fire Uud~icers'
than 2/10 of IZ lead. .
5. Co~erclal buildings~ industrial b-i~- , . .~ .
bui,~. . . u ~u~ngs, ~ttlple residences and similar
aulngs and installations, a certzf~cate of code compliance from the Architect=
or Engineer responslble for the building.
6. SUbmi~ Planning Board Approval of completed site plan req~irement=.
For existing buildings (Prior to April 9, 1957] non-confo~i~g uses, or buildings
and "Pre-existing" land uses:
,
I. Accurate su~ey of property showing all property lines, s~ruets, buildings
unusual natural or topographic features.
2. A ~roperly completed application, a consent to inspect si~ned by the appllaan~
and a certified abstract of title issued by a title Company which shall
show Single and separate O~erahlp of the entire lot prior to April 9, 1957.
. If a CurtlflcaCe of Occupancy is denied, the Building Inspector shall ata~e the
reasons therefor in ~i~iog to the applicant.
3. Date of any housing code or ~afety inspe'ctlon of buildlug~ or premises, or other
Per~inent info~tlon required to prepare a certificate.
For VaCang Land'Certificate of Occupancy:
1. ~ appllcaClon for Vacan~ land Cerclfica~e of '
Occupancy ~all be submitted,
and a cercliied abstract of title issued by a ~itle compaqy showin~ single and
separute o~ership of the ~nCire 10c ~rior Co Aoril 9, I957 shall also accompany
the ap~licncion. If a Certificate of Occupsncy is de~i~d,/ the ~uilding IUS~eaCor
shall aCate the reasons tharefor in ei~inu ~o the applac~nt.
CERTIFICATE OF OCC~cy - New ~elllng $25.00, addltilons to ~nlling $25.00,
Alteration Co.~elling $25.00, S~i~ing Pool, $25.00. ~cce~sory building $25.00
Addiglon Co Accessory buildings, $2~.00 - Businesses ~$~0.00.
2.Cer~ilicnce of Occupancy on P~e-existing dwelllnE - $[00.00.
3.Copy of Cerclficate of Occupancy - $5.00 - ever 5 year~s - $10.00
4.Vacant Land Cer~iflcaCe of Occupancy - $20.00
5.Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - $~5.00
$50.0~ Co~erciaq
FEES:
I.
~-v. ,I0/14/88
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
C E R T I F I,C A T I. O N
Date
Building Permit No. /~'/~O~..,
(please print}
OEC- ?
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber's signature)
Sworn to before ~e ~t~is
) ~ day of ~ ,'
NOtary Public, ~~ounty
Notary Public
CLAIRE L. GLEW
Notary Public, State of New York
No. 4879505
Qualified in Suffo k County ~/~
~:ommissioo Expires December 8, I~
FIELD INSPE~CTION DATE COMMENTS
FOUNDATION (1st)
2.
,, ~~~~) ~'. ~ ~,, ,,
INSULATION PER N. Y. ~ ''
STATE ENERGY
C,ODE
ADDITIONAL COMMENTS:
INSPECTION
BUILDING DEPT.
FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
FINAL
REMARKS: ....
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~'~FINAL
76S-18e2
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [~TION
DATE / 2~/~J~, NSPECTO / /
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION ~.ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE ~/--,~///~'~ .~ INSPECTOR ~/~ ~, ~.~_~ ?
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
July 25, 1989
Mr. Thomas P. McGunnigle
30695 County Road ~48
Peconic, New York 11958
Re: Suffolk Co. Tax Map ~1000-74-1-37.3
Building Permit ~14937-Z (New Dwelling)
Dear Mr. McGunnigle:
This letter is to notify you that the above building permit
has expired.
According to the Code of the Town of Southold Article XXVII
Chap. 100-281 "no building in any district shall be constructed
without a building permit." In addition according to Chapter
100-284 it is unlawful to occupy or use a building without a
Certificate of Occupancy.
In order to avoid legal action you must contact this office
immediately to resolve the violations.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
(cert. mail)
Vincent R. Wieezorek,
Ordinance Inspector
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST, [~]~OUGH PLBG.
~_:,I~A:ION 2ND ii :iNNSAULLATION
REMARKS' ~
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 25, 1989
Mr. Thomas P. McGunnigle
30695 County Road #48
Peconic, New York 11958
Re: Suffolk Co. Tax Map 91000-74-1-37.3
Building Permit ~14937-Z (New Dwelling)
Dear Mr. McGunnigle:
This letter is to notify you that the above building permit
has expired.
According to the Code of the Town of Southold Article XXVII
Chap. 100-281 "no building in any district shall be constructed
without a building permit." In addition according to Chapter
100-284 it is unlawful to occupy or use a building without a
Certificate of Occupancy.
In order to avoid legal action you must contact this office
immediately to resolve the violations.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
(cert. mail)
Vincent R.
Ordinance
Wieczorek,
Inspector
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
WASTE WATER MANAGEMENT SECTION
Suffolk County Center
Riverhead, New York 11901
NOTICE OF INCOMPLETE APPLICATION - RESIDENTIAL
Property Locatipn ~ J L) -~xJl~
The surveys for your proposed sewage disposal and water supply systems have been reviewed
and the following will be required prior to further processing of the application for ap-
proval to construct. ~LEASE. RETURN THIS FORM WITH ANY ~E~UBMI.SSION.
I. PRELIMINARY APPROVALS - OTHER AGENCIE~S
N.Y.S. Dept. of Env. Conservation J=~ Sewer District Approval
II.
0
0
0
Town Wetlands/Drainage
S.C.D.H.S. Vector Control
SURVEY DATA AND INFORMATION REQUIRED
[] Test Boring and Location
[] Corner Elevations
[] Name, Address, Phone # Required
[] Stater~nt Signed by Applicant
[]' Surrounding Property-¥acant or
Improved (within radius of 100')
0 Indicate any Surface Water
Within 300'of Plot
.... 0 'Di{t~nce to Nearest Public
Water Main
[]
[]
Indicate Source of Domestic
Water of Adjacent Dwellings
Public Sewer Stub Location
III.
~ SEQRA Determination
~,,,Other/Remarks: (~,.,,tm,~o~-,.C (~.~
Three Prints of Survey Required with
Surveyors Original Stamp/Signature
[]
O
0
[]
0
[]
Proposed H6use Location
S.C. Tax Map Identification Required
Indicate Square Footage of Lot
Grading Plan Showing Elevations of
Sewage Disposal System, Foundation
~nd Final Grade
Public Water Availability Letter
From Water District
Test Well Required on Your Lot as per
the Attached Bulletin
Application Fee
Test Boring Inadequate,See Remarks
FURTHER INFORMATION MAY BE REQUIRED
For Department Use Onls
Date Prepare~d
Notified by.
Person
%
18-~ J~J6:818zJ
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
£OUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c ............ '..~. ............ .ff.....~;~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ...~.'-- · ....
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 pumuant 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 authorized inspectors on premises and in building for necessary.~~~ _/..~ins ction, s-~;7 ~ /' .~
.... ....
(Signaffire of applicant, ~f'name, if a co porat' )
· (mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises.. '~~~(' o~'~h'e' 'a'x' lo'l{ ~} i't~t' ~'lJ'd') .........................
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... .Z-. 7.7. ..............
Plumber's License No. . ~'~1~... t 0~.~ .......
Electrician's License No.
Other Trade's License No ...... -: :-: .............
1. Location of land on which proposed work will be done.
House Number Street 7/7/ / 3 .7-.fi Hamlet
County Tax Map No. 1000 Section ................... Block .................. Lot ...................
Subdivision. '.~. ...... . .....i ...................... Filed Map No.
(Name)
State existing u}e and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use--4nd occupancy ..... . .~...,~..1~...~. ~.~..--/7...
b. Intended u?~nd occupancy .. O~:~-\[=fi~ ."~'~-..~....~...k~. ~(~.,j ~ .......................
3. Nature cSf work (check which appliqable): New Building .......... Addition.. :.... ...... Alteration ..........
Repair .............. Removal .............. Demolition ./,~p/.~ ......... I~O Other Work "(Description)'
4. Estimated Cost ............ ' ...................... Fee .. r:-.~.,. · · i ...........................
(to be ~aid on filing this application)
5. If dwelling, number of dwelling units ............ 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 typ~ of use .....................
7. Dimensions of existing structures, if any: Front .... Rear ~ Depth..
Height ............... Number of Stories ............................ ! ................... ........
Dimensions of samo structure with alterations or additions: Front ............ i .... Rear ..................
Depth .......... · ............ Height ......... ,, · .~..~) .......Number~ of ?qries ............... ,., .....
8. Dimensions of entire new construction: Front.. ~.(...to~._.~ ..... Rear . .~.. ~...,~. ~. .....Depth .. ~. ,~....~-. ......
Height ...z-f/.F .......... Number of Stories .... /. ~ ................... I ...........................
9. Size of lot: Front ~'..~... Rear De th ....
I I. Zone or use district in which premises are situated · ~.~..~~
12. Does proposed construction violate any zonin~ law ordinance or regulation' ~ ,
13. Will lot be regraded .......... ¢ :2~' 2A.;~7~ ........ Will excess filJ, bedil~9,ved from premises: Yes
14. Name o'f Owner of prengses ~,~ ~.. Address
Name of Contractor/..~. ....... Address ¥.
· If yes, Southold Town Trustees Permit may be required. PLOT D]AGRA~
Locate ¢leariy and distinctly ~1 buildings, whether existing or proposed, and~ indicate ~ll set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicat~ whether
interior or corner lot.
STATE OF NEW YORK,
COUNTfi/OF..~, , ~S.S
"~'~"c'~';;~'~'*~""--"~ ..... . .... being duly sworn, deposes and says that
above named.
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 s~id work and to make and file this
application; that all statements contained in this application are true to the best of his,lknowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
Notary Public,. .... ~1~2.. ~..... D.J~. ~&.... County
4 c. ~.royo~°
o~ o~'
Or
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
4J-NEAREST WATEP MA[N --MI +- ~ SOURCE OF WATER,
~ SUFF CO TAX MAP DIST IO~OSECT]ON ?4 E~LODK QI LOT~7~
~THERE ARE NO DWELLINGS WITHIN I00 FEET OF THIS PROPERTY
OTHER THAN THOSE SHOWN HEREON
~ THE WATER ~UPPLYAND SEWAGEDISPOSAL SYSTEM FOR THIS RESIDENCE
NOTES: AREA = 49.~72 ACRES
ELEV. SHOWN HEREON ARE FROM"'TOPO. MAP- FIVE
EASTERN TOWNSI' PREP. FOR THE SUFFOLK CO. DEPT. OF
PUBLIC WORKS.
FlOrence
~FFOLK COUNtry DEPARTMENT OF HEALTH SE~
r-~ APPROVAL OF CONSTRUCTION ONLY
REVISIONS
~.C. DEPT, OF
HEAL]~ 8ER¥tCES
YOUNG & YOUNG
400 OSTRANDF..R AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HOWARD W. YOUNG
SURVEY FOR:
THOMAS McGUNNIGLE
AT
PECONIC
TOWN OF
SOUTHOLD
SUFFOLK CO., N.Y.
o~ Oy
O~
/~/Oreoce , I, ~
iNSET
SCALE: I"= 40'
O0h,
Or
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
~,nGII~I,E [~t.Y DWELLING ONLY -
DATE I~, ?¥ Z¥ t~O~,S. REF. NO.
The sewage d~spo~l and water supply facilities for this
loc~tion have ~en inspscted by~hi~
o~r ~nci~ and ~~a~. ~.
, Chef of Bur~u of W~a~ ~nt
HEALTH DEPARTMENT -DATA FOR APPROVAL TO CONSTRUCT
ADDRESS
TEL
NOTES: A REA = 49.172 ACRES
ELEV. SHOWN HEREON ARE FROM"TOPO, MAP- FIVE
EASTERN TOWNS;' PREP. FOR THE SUFFOLK CO. DEPT. OF
PUBLIC WORKS.
4rorl
Other~
h
.£v,$,oNs YOUNG & YOUNG
AUG. 24,1989 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG; NOWARD W. YOUNG
SURVEY FOR:
;.,s ~u,v~ ~ ~ ~,~,o[;o~.,~. THOMAS McGUNNIGLE
'~' :",,~ ~'~',~ ;~,: ,~, '~, ' ' ' l. ~ ~°
OR
765-~802 9 AM TO 4 pM/FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO REQUIREI:~
FOR POURED CONCRETE
2. ROUGH * FRAMING & PLUMBING
3. INSULATION
4. FINAL - CON'STRUCTION _MUST
BE cOMPLETE FOR C.O.
ALL CONSTRUCTION SYIALE MEET
THE REQUIREMENTS OF THE
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ~RRORS,
GRFE~IP'~:~RT N Y
Mai~ Road
M~in Read
,,, -SE. CON
ri
Phone 477-0400'
II--
2.Rr~
.!
t
Phone 477~0400
'6~£~NPoRr, N ¥. i 1044:-
M~. Road
%,.
T