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HomeMy WebLinkAbout26530-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27460 Date: 12/12/00 THIS CERTIFIES that the building ADDITION Location of Property: 1305 BAYVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 6 Lot 16 .2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2000 pursuant to which Building Permit No. 26530-Z dated MAY 26, 2000 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERARD & BARBARA GOEHRINGER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-070004 11/29/00 PLUMBERS CERTIFICATION DATED N/A Auth ri ed Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26530 Z Date MAY 26, 2000 Permission is hereby granted to: GERALD & WF GOEHRINGER 1305 BAYVIEW AVE MATTITUCK,NY 11952 for SECOND STORY LANDING AND STAIRS TO CODE AS APPLIED FOR. at premises located at 1305 BAYVIEW AVE MATTITUCK County Tax Map No. 473889 Section 206 Block 0006 Lot No. 016.002 pursuant to application dated APRIL 7, 2000 and approved by the Building Inspector. Fee $ 75 .00 AuthoriXe.5 Signature ORIGINAL Rev. 2/19/98 P, Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 T' u'n APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: 1. 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 17, lead. 5. Commercial building, industrial building, multiple residences and similar buildin 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an. !'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. C. 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 - •25xn 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . New Construction. . . . . .//. . . . . Old Or Pre-existing Building. �j Location of Property.6. :Sf7� ./.J. . . . . . ..f.. .... . . . . . . . . . ay�� . . . . . . . . . . . . . . . . House No. • Street Hamlet roperty. Onwer or Owners of P . . (` S� . IL� / /�. . . . . . . . . . . . County Tax Map No 1000, Section. /'� . . . . . . .Block. . . .U ! . . . . . . . .Lot..1. .�'. .'Z . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FFilleed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Permit No. ..�. 3 d i'%. .Date Of Permit. . :[ . .Applicant. . . . . . .`./. .(. ./J�. . . Health Dept. Approval. ./j�k. . . . . . . . . . . . . . . . . . .Underwriters Approval. .J.'.i:�,� .'".� Planning Board Approval. ./.1/.&. . . . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicat . . . . . . . . . Fee Submitted: $. Z. . . . . . . . . . . . . . . . . . . . . . . /r / _ . APPLICANT . . . . . . . . . . . . . . . . . . . . , 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] F NDATION 2ND [ INSULATION [ VRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMA KS: a , DATEINSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ J FIREPLACE & CHIMNEY /� REMARKS: �l<eae • D, DATE eo INSPECTOR i � � • • • • • �� too • • • • • • • • • • y� 6 ,�--3 o ,2, / r f 1 / I _ SEP 1 4 2000 Ot SO fJTiiOW , real THE NEW YORK BOARD OF FIRE UNDERWRITERS PrE 1 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 NOVEMBER 29,2000 A9615210100 It 070009 THIS CERTIFIES THAT ATjptl lynx on' 6"530 only the electrical equipment as described below and introduced lbyNNthe applicant named on the above application number is in the premises of GERARD P. G-1EHPINGEP., 1325 SAVVIEW AVENUE, HATTITUCK, NY Fr�qI L in the following location• ❑ Baseneenf L'7 Ist FL 2rtd FL OUT Section Block Lot N,5kTrUBER 21,2000 F was examined on and found to be in compliance with the National Electrical Code. D FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS D OUTLETS INCANCESCEM J FLUORESCENT I OTHER AMT. I K.W. AMi, K,W. I AMT. K.W. AMT. K.W. AMT. H 4 4 4 n x DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECPT.1 TIME CLOCKSBELL UNI7 HEATERS MULTI-OUTLET DIMMERS N SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. F WATTS I` SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A.W.G. A.W.G. A.W.G. r AM. AMP. IVPE EQUIP. 1 0 RW 1 JW 3 B SW 3 LI 4W pER 0 OF C0.CONO. NO.OF HIdEG OF HI-LFG NO.OF NELR LS OF NR1 OTHER APPARATUS: I` — LL I GBP:.PD P, GOEhRINGER P.O. BOX 812 111MIT11-K. NY, 11952 GENERAL MANAGER 11 EPer This certificate must not be altered in ony manner; return to the office of the Board It Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILCING CEPARTMEN7. THIS COPY CF CERTIFICATE MUST NOT RE AI_TPFFn IN AMV SALKIMMO 7 � j 3 4, k- � S in ESSti. ��,✓G DATE. APP E D AS NOTED S a vn �'t,ni gUq,piN(i ENT AT S f 70&1802 8 AM TO 4 PM FOR THE I 1 FOUNDATION ' 7W0 REWIRED FOR POURED CONCIVETIE 6 G obi L 2. FRAIMN 6PLUMS Nig G 7X� `, ,. ray 3. FINAL 3'S%E J' 4. FINAL - CONS?itUCT10N MUST ' ' BE COMPLETE FOR C.O. v�UPANCY OR ALL CONSTRUCTION SMALL-MEET THE I S UNLAWFUL STATE REQUIREMENTS CONSTRUCTION a ENERGY as CODES. NOT RESPONSIBLE FOR f I a I]OUT CERTIFICATE DESIGNOR CONSTRUCTION ERRORS yt OCCUPANCY f� 4�U APP O ED Ab W? 6O ' JV DATE: B.P # S NOTIFY BUILDING DEPARTMER 766-1802 8 AM TO 4 PM FOR - (� - FOLLOMNG INSPECTIONS: 1 FOUNDATION - TWO REQUIRED ®Y FOR POURED CONCRETE 32.. ROUGH ON G $ PLUMBING INSUp! p G✓ ; f�f 4. FINAL - CONSTRUCTION MUST #C�JPAI'iCY oC1 / BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL-ME i'sF IS UNLAWFUL THE REQUIREMENTS OF HE N.Y. 14 ROUT CERTIFICATE STATE CONSTRUCTION a ENERGY �" CODES. NOT RESPONSIBLE FOR " OCCUPANCY DESIGN OR CONSTRUCTION ERRORS i. l i.uA 1nartUiION REPORT DATE --------------- if rr----- —{�--- FOUNDATION ( 1ST) �� ----- ------------- I ''I l (2ND) FOUNDATION In--------u -__ — -_--- - II II __ ROUGH FRAM 6n-- ------'I- - - PLUMB I NG n --------ii----- — --- --- if INSULATION PER N. Y_ u STATE ENERGY CODE u II I' ----------- ------- -------------------------- t+y II FINAL u -------------- ------------ ---------- _�---------------------------- ADDITIONAL COMMNTS_ Co -- ny - o z- ---------- H Jlrn — 1 CUN BOARD OF HEALTH U) BOARD NO. 1 3 SETS OF PLANS .......... ..... TOWN OF SOUTHOLD SURVEY .. .... ... ............... BUILDING DEPARTMENT CHECK .... ... ...... ............ TOWN HALL SEPTIC FORM . . ... ... ........... SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: / CALL .... .... . .. ... .... F�ined......I............ 19.... �> � .. MAIL TO: ... . ............ .... Appr+oved..J{�?:�........ :°. Permit No. ......�'�. .................................. Disapproved a/c .................................. .................................. ..................................... ............ [ .•Mddlding tor) APPLICATION FOR BUILDING PERMIT ���/ Date... ....!/. . INSTRDCTIONS � / a. This application must be completely filled in by typewriter or in int and submitted to the Building Inspector •_ 3 sets of plans, anisate 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 mint be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance ce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suck permit shall he.kept on the premises available for inspection throughout the work. e. No building atoll 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 HEMY MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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, ordi r ug ing , and regulations, and to admit authorized inspectors on premises and in lu' ng for neces.. .. ... ........ ..... . . .... Signature of licaht, or name, i . .................... (Mailing addreis of applicant) State whether applicant is owner, lessee, agent, architect, amincontractor, electrician, plumber or build= ....... . C..... .. ................... ............. - Home of owner of premises .. .//. .Jr� .ClY.�y/ .�2.1................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) BuildersLicense No. ......................... Plumbers License No. ......................... Electricians License Na. ..................... Other Trade's License No. .................... ./.. '•• fir✓ 1. Incati of 1 'ch work will be done.../ d S!...'/. .! ....ft:!Y.f.Z:.................... ..... /��... ................................................................................ Number street ,� / / /I.: Hamlet Canty Tax Map N*) IOOgv Section � ..Izi6e...... Black ....CY......... Int . ...Z' Subdivision ... /E1Ir//.ice.l� l��l........... Filed Map No. ............... Int ............... (Nara) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................... � ............. . :.' b. Intended use and occupancy 'u1 3. Nature of work (check which applicable): New Building .......... Addition ... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Descri prim) 4. Estimated Cost ..�-J�.c.il.Y,�............. fee ........................................................................... (to be paid on filing this application) 5. If dwelling, caber of haelling units ............ Number of dwelling units on each floor ................ Ifgarage, nmber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth Ile ...i/�..6..I........ Nuober of Stories ... ............. Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... lumber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ....f;�:............. 9. Size of lot: Front .../....q......p............ Pear .................... Depth .................... 10. Date of Purchase ..l..C.J.7Gt.......... Hone of Former Own`e/{ ........................................ 11. Tore or use district in which premises are situated ...,/..h-�....................p................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .../.!!.0................ 13. Will lot be regraded ...J.7l�P. .�.... ... Will excess fill be r®umed from premises: YFS ��JJ 14. Names of Owner of pn aes ................ Address ......... ..................... Name of Architect .................................... Address .............................. Phone No. ............. Name of Contractor ................................... Address ...............................flwre No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .. .... *IF YES, SOIIIIIDID 1Cit1 TROSIFES PI$df1T MAY HE REQIIIRFD. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior or corner lot. S/L�fi �/�i✓ �iv�✓ /'�i�vl�O� �ia��GC�Q A i�� ��iBr✓l �ir� J/�v�c/Os .i or SfAm OF RW YM, SS i OOIRNY OF ....,..,.,....../...........` ....!.Y!��: ..1..:.V."� �'!�:-/r�C..............being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) (� above named, Ile is the `^ I.......... OW/✓.`� .................. ........................................................................... (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 beat of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to/before me this ......S!• ....da of .. ... ....19: -- Notary Public ... ........... .. . . ...... ............... ..yl....(/.. ROBERT E. REICH (Signature of Applicant) Koury Public,Sule of New York No.oiRE5017781,Suffolk ., Term Expires January 9, r T`(V E X I rZ o o Fens y N0: 0 2xK 67.En/ rt' rn NS I I I s - EO I I TT C �1 L- �x.I' Iuli k1ALLS -B A-WY4 h ST f{OOfZn 2NZ_.� r, g p fZ00f 1X2 Lod I Hsuu Ts i I I I I Gk1uNG7 ' 2 4 Z'H 1 _o a C', HF+TCI� �XISYFNG i FUTVRI: I-I x lz R.S. ry rt)RL OFRU w BP lfi�� � { r7nT ut r 2u 1- _ 1 i �O \ Ln �X I � FINI KN F'iRf� i Y GOCHR1NFp� '),1 1 ,0 oK -hooFFRs Ho_ oll INC 6'}.E7� m r' I I i R(G� -XNs Tus�ar- T'Yf 1 CIL. . - � I' � �, ��C. k1ALL5 • IV R-S. 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