HomeMy WebLinkAbout25597-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27153
Date: 06/22/00
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 1255 GOOSE CREEK LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 78 Block 8 Lot 9
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 19~ 1999 pursuant to which
Building Permit No. 25597-Z dated MARCH 12, 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 KIT~m~ RENOVATIONS & DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to MICHAEL & CYNTHIA LYNNE
(O~ER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
PENDING 06/09/00
06/20/00 K&K PLUMBING & HEATING
Authorized S~
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. 25597 Z Date MARCH 12~ 1999
Permission is hereby granted to:
MICHAEL & CYNTHIA LYNNE
P.O. BOX 1889
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF KITCHEN RENOVATIONS AND DECK ADDITIONS FOR AN
EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises
located at
1255 GOOSE CREEK LA
County Tax Map No. 473889 Section 078 Block
pursuant to application dated FEBRUARY 19 1999
Building Inspector.
Fee $ 75.00
SOUTHOLD
0008 Lot No. 009
and approved by the
u~thor~zed S~g~ature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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:
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 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, i1957) non-conforming uses, or buildings and
Vpre-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-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~
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 ....
Location of Property.. Z.~..ff.~ ........ ~p.O~. ~..C£=(~..~e~. ~. iiii ~'i~ .~."i ·~. ~J.~ ..............
House No. Street Hamlet
Onwer or Owners of Property ..... '
County Tax Map No 1000, Section .............. Block ................ Lot ......................
Subdivision Filed Map Lot ....
Permit No .... Date Permit ................ cant .......
Health Dept Approval Underwriters Approval ..
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate..X. ......
Fee Submitted: $ .....
FIELD INSPECTION REPORT DATIi ..... ~ COI~4ERTS
II
~DIIIO~L COg. S:
TOWN OF $OUTHOLD '
OFFICE OF 8UILDII, IG INSPECTOR
P.O. DOX 728 ·
TOWiq 1 !,% LL
SOUTIIOLD, N.Y. 11971
~,E R T I F I C A T I O l!
Ins less than 2/10 of Il lead.
bhe wa~er
(plumber's si~nabu=e) ..,'v~.
Notary PUblic:
.~ ' . ~;i,.. ,-', · . · '~'
No. 4951364 . '.
Qualified in Suffolk C~ · ..
. ~ , , ,.., '~-~:- -.:~
40 FULTON STREET NE
] :~ ~_, ~ ~ ~ .:, , ~ ..... ~pl~a~on number ~ tn the retakes o
in the following Ioca~n; ~ B~ement ~ 1st Fl
DRYERS FURNACE I
SERVICE DISCONNECT
FUTURE APPLIANCE FEEDER,~
TIME CLOCKS
MULTI-OUTLE DIMMERS
SYSTEMS
NO. OF FEET
S E R
V I C E
NO. OF HI-LEG
OTHER APPARATUS:
C'..r.,. ~.?. :~ ~ .. -
JI!! SAGE ELEC. INC.
PC f~=,X 38
~-~ .d?-E.N_ORT, Nz. i1944-C~338
llGENERAL MANAGER
This cefflflcat® must not be altered in any manner; return to the office of the Board If incorrect, inspectors may~: Id--=nflfled by their credentials.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
June 2, 2000
Michael & Cynthia Lynne
P.O. Box 1889
Southold, NY 11971
RE: 1255 Goose Creek Lane,
Southold.
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)
XX
No Underwriters Certificate on file.
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.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25597-Z
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
TOW~q OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
June 2, 2000
Michael & Cynthia Lynne
P.O. Box 1889
Southold, NY 11971
RE: 1255 Goose Creek Lane,
Southold.
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)
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
issued after April 1, 1984).
BUILDING PERMIT 9 25597-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
D[F~r_.,r:.,
Renovation on Lynne House at 1255 Goose Greek Lane, Southold, New York
APPROVED AS NOTED
Kitchen and Deck Addition DA'f6: ~B.R #
J.~,~.,r~
1,
T~ do~ ~ ~id~ and ~al~ o~ ~om o~ c~nt 1~8~ closet.
. S. IN
Build new side wall, install new interior door, and install shelmng o8.~~~~ MOST
closet so as to create a new pant~. BE ~M~ ~ ~O.
~LL CONS~U~ON 8fl~ ME~
a GF THE N.Y.
.~mo~ ~.~nt r.~. ~.* ~.*o ~ta,. ~r a., .~,.~*al, o. ~=~.t
Remove ~d dispose ofcu~ent r~er. CODES.. N~ ~ESPONSIBLE FOR
DESIGN
Install ceramic tile flooring supplied by or a~eed upon by owner.
mo]di. wi.dows, and
a~eed upon by o~er.
0,x, o. t m
Extend c~ent re~ deck by building a 1 8 ad,ti , te pti g ~s~t~
possible. Addition to be constructed of exterior ~ade press~e-treate~~t~
match existing deck. Lmber dimensions, faste~ngs, postholes, and other specifications
match cu~em deck ~d abide by alt applicable building codes.
~Ul~
Install sufficient new electric circuits and wiring according to applicable building codes to
accommodate overhead and counter top lighting needs, small appliances, and dishwasher.
Install counter top lighting fixtures and switches.
Install range vent, including electric supply and switch. Vent to lead into attic and out side wall
of house.
Install new supply and waste plumbing for dishwasher and sink according to applicable building
codes. Reinstall dishwasher. Install new sink.
Remove current windows from left side of room (as you enter). Install new 19 3/4" x 40 3/16"
casement window, Andersen C135 or equivalent, supplied by or agreed upon by owner centered
over new sink location. Window framing to applicable building code.
Install new window (approximately 36" by 60", Andersen P5535 or equivalent) on same wall as
new patio door. Window framing to applicable building code.
Repair and finish both interior and exterior walls affected by construction project.
Install five electric outlets along new counters. All electric work to meet or exceed applicable
codes.
Relocate current overhead light switch to left side of entry from interior of house.
Install new overhead switch next to new patio door from deck.
Install outside light fixture controlled by above switch.
Install new lighting fixture where old one is now. Install new fixture where indicated.
Run LP gas line to stove area.
Install kitchen cupboards, new sink; faucet, dishwasher as indicated.
Install new counter top as supplied by or agreed upon by owner.
Paint room with supplied paint.
Properly dispose of all construction debris.
New Front Entry Stairs and Decks
Construct from exterior grade pressure-treated lumber a lower 6' x 8'7" deck, a 6' x 9' upper deck
and two similar flights of stairs leading to the entry on the second floor. All materials, fasteners,
design, and construction to meet applicable building codes.
The staircase should be 5' wide with nominal 12"deep treads, the rise of each stair to be 6.67".
The upper deck to have a built in bench as indicated in plans.
Stairways and decks to include appropriate railings as indicated in plans.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ] I~ATION
[ '~] FINAL
[ ] FIREPLACE & CHIMNEY
INSPECT~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [/-/']ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR~./~~~
765-1802
BUILDING DEPT.
INSPECT!?N
[ ] FOUNDATION 1ST [ ~ ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATEr~~~/
INSPECTO~
765-J.802
BUILDING DEPT.
INSPECTION
FO~TION 1ST [ ] ROUGH PLBG.
./~UNDATION 2ND [ ] INSULATION
~/~/FRAMING [ ] FINAL
FIREPLACE & CHIMNEY
BLDG DEPT.
'rawo,~ou~o,.~ J
-FOIL~l NO. !
TOI~I OV SOUTBOLD
BU~LDIItG DEPARTI~NT
?0~81t ItALL
SOUTBOLD, ~I.Y. ! 197 !
TEL: 765- 1802
ZHSTRUCTIONS
SIJRV~¥ ..................
CIg~CK .........................
SEPTIC I~ORI4 ................
ItOTIFY:
IIAZL TO: ............... ... . ·
a. 'Ibis applicatia~ aist he caapletely filled in by type~iter or in i~ ~ ~ittM
3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~i~ to ~le.
b. Plot plm ~ l=ti~ of lot ~ of hildi~ ~ Cas, ~lati~ip to Mjoini~ p~as or ~lic
struts or ~e~, ~ gi~ a ~il~ ~ripti~ of last of ~ ~t ~ ~ ~ ~ di~ ~i~ is ~n of
~is ~li~ti~.
c. ~m ~ ~r~ ~ ~is a~li~ti~ my ~c ~ ~ ~fo~ i~ of hildi~ Fe~t.
d. ~ ~1 of ~ia ~liati~, ~ ~ildi~ ~tor ~11 i~ a ~ldi~ ~t to
~t ~11 ~.~pt m ~ ~s ~il~le ~r i~tim ~t ~
a. ~ ~ildi~ ~11 ~ ~iM ~ ~ in ~le or in ~a for ~ ~ ~at~r mtil a ~rtificate of
aI~ IS ~ ~ ~ t~ hildi~ ~t for ~ ism of a hildi~ ~ ~t to t~
hildi~ ~ ~ of ~ ~ of a~ld, ~f~lk ~ ~ Yo~, ~ o~r ~li~le ~, ~i~s'or
~lati~, f~ ~ ~t=ti~ of ~ildi~, ~iti~ or Mterati~, or for ~a or ~liti~,
~lati~, ~ to ~it ~ri~ i~rs ~ ~as ~ in ~ildi~ for ~s~ i~ti~.
.... ..... : ............ :..
(Sip~ of ~i~t, or m, ~f a ~rat~)
..~. ............ Z ................. ~ .~ ....
State ~tlmr applicant is oa~r, lessee, agent, architect, eagineer,'l~enaral contractor, electricien, plumber or builder
...~.w..~..~:. ..........................................................................................................
.... ,.'.~.~..~..~ ~ ~ g~ ~
Nane o£ o~nar o~ premises J. ~ ~4/~k k
If ~limt is a m~atim, si~ of ~y m~ri~ offi~r.
and title of corporate officer)
ltiild~rs Lieens~ tb ..........................
Plmbers License Ilo .................... .. ....
~lectricians License lto .........
Other Tra~'s License 1~ .....
I. Locatien of land m ~hich proposed ~ork vi11 be dane ..............................................................
....... ..C..~...>.~....C. .... ~..L .... ~. .................................................. ~ .........................
ltmme ~r Street ~iet
Count7 ?ax 14ap blo. lOGO 8eetia~ .... ~.~. ........ ~loek ....~..~. ........ Lot .....~.~. ........
~ul~ivi,im .................................... . . Itile~ ~ 14o ................ l~t ............ . ..
2. State exlstiag use aed oCCUlmnC7 of premi~ and inteed~ ttse aed oecupan~ o~ proposed mtmctiom
a. ~ti,~,~ ~ ~.--~ .... .OSa,~lS.../.:a.,'S(.'l., .... o~:s.c...o.e~.,,te~:e~ ...............................
,-
b.
use and occupa~ ... ~ .e....,-.X.m.: ............................
l~epair ............ Pemoval .... ~ ........ Pmoht ion ............ Otlmr l~ork ......... .%-::~...~.~ .....
~ (to ~ ~id m filing this ~li~tim)
I[ ~ra~, ~r of ~rs ......................................
.
~i~[ ......................... I ~r of Stories ..........
~ ~ o~ ~o~r ~r ..... ..... ~q~.~
............. , ...................... ~resa .............................. ~ ~ ...............
PLOT DIAG~H
~r interior or
(Na~ of indivia~al siguing co~treet
above nar0ed,
.................... being duty sworn, de~ose~; and says that be is tim applicant
(Contractor, agent, corporate officer, etc.)
of sa~d o~-aer or o~ners, and is dulYiauthorl~mt to perform or have performed dm said ~rk and to make arrl file this
and b~hef,
applicatiaq that all stat~nents contained in this application are troe to the be.~t of his kuo~ledge ' '
that the ~rk will be perfumed in tt~ manner set f~rth in the application filed there~th.
S~rn to before ae this
/.
#OTARY PUBLI( Itateof Ne~Yoll
GOOSY~
67?
SURVEY OF PROPERT
SITUA TED AT
BAYVIEW
TOWH OF SOUTHOLD
SUFFOLK COUNTY, NEW YC
S.C. TAX No. 1000-78-08-1
SCALE 1"=20'
MARCH 30, 1994
~.o.w.)
1,2:55'¢:
6Z.?-O'
AREA = 18,750.74 sq. ff,
0.431 ac.
Joseph A
Lond 5
Title Surveys -- Subd{vls[ons
· PHONE (516)727-2090
OFFICES LOCATED AT
FENC~
N.Y.S. tic. No. 49558
Ingegno
arveyor
Site Plans -- Construcilon toyoui
MAILING ADDRESS
iLO. Box 1931
'o
75.00'
1111/If/~lllfi Inll lllIF FlllllIFIlfl Ill Ill ll