The URL can be used to link to this page

Home My WebLink About26159-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-27570 Date: 02/28/01 T~IS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 195 GROVE DR SOUTNOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 4 Lot 13 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1999 pursuant to which Building Permit No. 26159-Z dated NOVEMBER 17, 1999 was issued, and conforms to all of the requirements of the applicmble provisions of the law. The Occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY.DWELLING AS APPLIED FOR. T~e certificate is issued to JOHN R & SHIRLEY CREGEEN (OWNER) of the aforesaid building. SUFFOLK COI]lq~q[ DEPAR%~4~T OF E}~AL~rIi~PPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N551524 02/22/01 01/08/01 HENRY SMITH PLUMBING FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-27571 Date: 02/28/01 T~IS CERTIFIES that the building ADDITION & ALTERATION Location oi Property: 195 GROVE DR SOUTNOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 4 Lot 13 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1999 pursuant to which Building Permit No. 26159-Z dated NOVEMBER 17, 1999 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 ACCESSORY GARAGE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JOHN R & SHIRLEY CREGEEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~L~LTIq APPROVAL N/A ELECTRICAL CERTIFICATE NO. N538192 10/03/00 N/A pLUMBERS CERTIFICATION DATED Rev. 1/81 J~' ' AuthoriZed Signa/ure 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. 26159 Z Date NOVEMBER 17, 1999 Permission is hereby granted to: JOHN R & SHIRLEY CREGEEN 195 GROVE DR SOUTHOLD~NY 11971 for : CONSTRUCTION OF AN ADDITION AND ACCESSORY TWO CAR GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. TWO CERTIFICATES OF OCCUPANCY REQUIRED. at premises located at 195 GROVE DR County Tax Map No. 473889 Section 080 Block pursuant to application dated OCTOBER 19 1999 SOUTHOLD 0004 Lot No. 013 and approved by the Building Inspector. Fee $ 192.20 Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 2. 3. 4. 5. APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board o{ Fire Underwriters, Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildinga 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 and '.'pre-existing" land uses: i, 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 pooi $25.00, Accessory building $25,00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Buildinm - $100.00 3.Copy of Certificate of Occupancy - , .25xp 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 j~)O,~D Date ......... i[ ................... New Construction....~. ...... Old Or Pre-existing Building ..... ~ ......... Location of Property...~.~...~ .......... ~.~. a0~.~ .~.~.~.~. House No. Street Hamlet o wer or o,.ers of Fropert .. .... . ........... County Tax Map No 1000, Section .............. Block ................ Lot ..................... ................................... Filed Map ............ Lot ...................... Subdivision . Permit No..~./.$U?.%..Date Of Permit .......... Ap cant.~'.~./.~. /././~, ~.~.~.-.~.~.~. ...... pli ....... Health Dept. Approval .......................... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Form No. 6 765-1802 FOR CERTIFICATE OF OCCUPANCY 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 o{ Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '¥re-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 th~ 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..................................... ... New Construction .... ~ .... Old Or Pre-existin u .... g B ilding ............. Location of Property ................................... House No. Street Ha~et Onwer or O~er~ of Property ....................... ~ ........................ County T~ ~ap No i000, Sact~on ............ Bock .............. ~oC ...................... Subdivision Filed Map Lot Permit No ........ Date Of Permit ................ Applicant. .. , Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .................... .. .. Request for: Temporary Certificate ........... Final Certicate ........... THE NEW YORK BOARD OF FIRE/UNDERWRITERS 1001071 BUREAU OF ELECTRICITY '. ' ** ~ 40 FULTON STREET, NEW YORK, NY 1'0038 ' Date FEBRUARY 22,2001 Application No. on file ....... ~ ........ N 551524 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOt{N CREGREEN, 125 GROVE DRIVE (195), SOUTHOLD, NY in the following location; [] Basement ~ 1st Fl. [] 2nd Fl. OUT Section Block Lot FEBRUARY 13 ~ 2001 was examined on and found to be in compliance with the National Electrical Code.. FIXTURES RANGES COOKING DECKS , OVENS DISH WASHER,~ EXHAUST FANS FIXTURE RECEPI'ACLEB SWITCHES NCANDESCEN' FLUORESCENt OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. H.P. OUTLETS , 10 12 8 10 1 10, ~ 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ~PECIALREC'PT. TIME CLOCKS I'BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS 2 2 6q~ SERVICE DISCONNECT ~o. Gl S E R V I C E OTHER APPARATUS: G.F.C.Ir-S BOX 215 ANN SOUR]{OLD, NY, 11971 Pe This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~, ·: FIXTURES:: Town Hall, 53095 Main Road P,O, Box1179 Soulhoid, New York 11971 Fax (516} 765-1823 Telept~one (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Owner: Plumber: Permit No. (please print) (pleas~ print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. '(Plumbe~ Signature) / Sworn to before me thisL_~z~/~w~~.~ .,~,.~..~=~..~r~._//_~..~ ~ ~ of ~~) ~0~ ~BL)C."4893State of NewYo[k Notary Public, ~' ,~) ~ ~ County Residi. 8 in Surfak Cou~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOVfN' OF ~OUTHOLD Fax (631) 765-1823 Telephone (631) 765-1802 December 26, 2000 John & Shirley Cregeen 195 Grove Dr. Southold, NY 11971 NOTE: Two Certificates of Occupancy required. To Whom This May Concern: We are unable to complete your Certificate of Occupancy use of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) ~/~ XX No Underwriters Certificate on file. XX__ The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. ~ XX No Plumber Solder Certificate on file. · ---^ (All permits involving plumbing being ~[~)\l !~\~/O[ issued after April 1, 1984). BUILDING PERMIT ~ 26159-Z addition Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (631) 765-1823 Telephone (631) 765-1802 December 26, 2000 John & Shirley Cregeen 195 Grove Dr. Southold, NY 11971 NOTE: Two Certificates of Occupancy required. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 26159-Z qaraqe Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSU~,A-TION [ ] FRAMING [~]'"FINAL [ ] FIREPLACE REMARKS: ,DATE FINAL ADDI'~TOL~AL COt4~,.IENT$: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ t] ~.UI~DATION 2ND [ ] INSULATION [ /-'j/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~/~*~ INSPE~O~~ 765-1802 BUILDING DEPT. INSPECTION ~ [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECT!O [ ] FOUNDATION 2ND [ ~'] INSULATION [ /~/RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~ //?~ INSPECTO~~ _~/ 765-1802 BUILDING DEPT. 1ST [ ] ROUGHPLBG. 2ND [ ]INSULATION ] FRAMING [ ] FINAL ] FIREPL~&.)CHIMNEY R~MARKS: ~ DATE c~/~//~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION []FRAMING []FINAL [ ] FIREPlACE&CHIMNEY DATE INSPECTOR ,:', .: 1999 · FOR~ NO. I TOI~ OF SOUTHOLD BUILDING DEPAR'i~VlEN T TOI~ HALL SOUTHOLD, N.Y. 1197 { TEL: 765-1802 Disapproved a/c ............ (Building I~to~ APPLICATION FOR BUILDING PERHIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC POP, lq ................... NOTIFY: CALL .................. NAIL TO: ................. a. 'Ibis application n~tst he ccmpletely filled in by ~iter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan aboaing lecatico of lot and of buildings on premises, relatloaship to adjoining prmises or public streets or areas, and giving a detailed description of layout of property mast he dra~n on the diagr~n ~hich is part of this application. c. The work covered by this application may not be cameneed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pemit shall he kept on the premises available for inspection throughout the work. e. No building shall he occupied or used in whole or in part for any purpose ~/~atever ontil a Certificate of Oc~cupaney shall have been granted by the Building Inspector. API~IC/t~fI~ IS I~ ~ to the Building I]epartment for the issuance of a Building Pemit pursuant to the Building Zone Ordinance of the To~n of Suuthold, Suffolk County, l~a York, and other applicable La~s, Ordinances or Re~ulatiorm, for the construction of buildings, additions or alterations, or for removal or demolition, as herein deserihed. ~ae applicant agrees to ex,ply with all applicable lmm, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildln~ for necessary inspections. (la. ailing address of appliemqt) ~/ State dnether applicant is ovmer, lessee, agent, architect, englneer,'geseral contractor, electrician, phmber or Builder ............... ................................................................................... : ......... Na~ of miner of premises ................................................. (as on the tax roll or latest deed) I[ applicant is a corlx)ration, signature of duly antterised officer. (l/am and title of corporate officer) Builders Lice~e No ......................... . Pl~ers Lieease Ro ..... Electrlci~ Lice~ 1/o ...................... ~r ~'s Li~ ~ ..................... I. ~ti~ of 1~ ~ ~i~ ~ ~rk ~11 ~ ~ ................................................... ..... .... . . ~ ~r St~t l~et .............. ~.., .............................. p ................ l~t ............... (~) 2. State ~sta~ ~ ~ ~ of ~s ~ ~nte~ ~ ~ ~ o p o~ ~stmct~on: ' ' .......................... ' ............ t ..... ..... wx.< .......................... 15. r I%m,re o[~;work (dmck ~hich appli~le)'.~'l~a ll~lilding ... Mdition ...... ....... ion : ......... Esti~mt~ ~st .............. ~ .................................. ~, <' (to ~ ~id ~ filing this a~li~ti~) .. ~ o~ s~o~i...,t.~.~:'~.. , , ~ or u~ district in alid~ ,r~i~s a~ si~t~ ~) ~M~I ~ ~s ~ro~ml mt~tim vic ate any ~ing 1~, o~i~e or re.latin: ................... ~u o~ Archit~t ............ ~ ........................ ~ress .............................. H~ ~ .............. PLOT DIAGRAM I~cate clearly and distinctly !all buildings, ~heO~er existing or proposed, and indicate all sst-back dimensioe.s trc~ property lines. Give street and block ember or description according to deed, and show street names and indiqate x,t~etlmr interior or corner lot, .......... '~ ...................... I)ei~ dul.y sworn, deposss and ,says that he is the appl.icant (Name of individual signing contract[) above trained, i, ,,,e ........ .... i ......................................................................... (Contractor, age[itl of said c~ssr or ~a~rs, and is dui) appl. icatical; that all statemaets that O~e ~rk will ~ ~rfo~ ~m to ~[ore ~ this ~t~ ~llc ...... ... .. corporate officer, etc.) authoriz~M to perform or have performed kl~e said work sod to n~ke and file this talssd in d~is application are tn~e to the beet of his knowledge and b61ie[i sod he manner sst £orth in the application filed therewith. ~re of App.. DA'Vi D