HomeMy WebLinkAbout25695-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~NCY
No: Z-26583
Date: 07/21/99
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 30100 MAIN RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 102 Block 3
CUTCHOGUE
Lot 7
(H~LET)
subdivision Filed Map No. __Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 18, 1999 pursuant to which
Building Permit No. 25695-Z dated APRIL 30, 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 ALTER AN EXISTING G/LRAGE INTO HABITABLE SPACE AS APPLIED FOR.
(SLEEPING FACILITIES NOT PERMITTED.)
The certificate is issued to MICHAEL MORRISON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N 494545 07/15/99
06/28/99 NORTH FORK PLUMEING
Building Ini~~r
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.
25695 Z Date APRIL 30~ 1999
Permission is
hereby granted to:
ROBERT M. MCCARTHY & ORS.
30100 MAIN RD.
CUTCHOGUE~NY 11935
(Morrison)
for :
CONSTRUCTION OF INT. RENOVATIONS TO CONVERT EXISTING GARAGE INTO A
HABITAF?.R REC. ROOM (BEDROOMS NOT PERMITTED) FOR AN EXISTING 1 FAMILY DWELLING.
at premises located at 30100 MAIN RD CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0003 Lot No. 007
pursuant to application dated MARCH 18 1999 and approved by the
Building Inspector.
Fee $ 75.00
~tho~ized Signature
Rev. 2/19/98
ORIGINAL
BUILDING DEPARTMENT
TOWN HALL
765-1802
~PPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
Thi~ application must be filled in by typewriter OR ink and submitted to the buildin
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property linea
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 buildi
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 a
Ppre-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 applican
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 $2~.00, Additions to dwelling $25.00,
A.Iterations to dwelling $25.00, Sw~n~ming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinz - $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
House No. Street Ha~et
County T~ ~p No 1000, Section .............. Block ............ L t ............
Pemit No.~.~.Di~i'Jf, ~2~i~[.~J~/.~. ....
Health Dept. Approval .... ~.~ ................. Unde~iters Approv ...................
Planning Board Approval ..... ~1~ .......
Request for: Temporary Certificate ....
Fee Submitted: .............. · · -
....... Final Certicate .... .~. ....
fPLICANT (./
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 24, 1999
Tom McCarthy Management
46520 Rte. 48
Southold, NY 11971
RE: Morrison, 30100 Main Rd.,
Cutchogue,
1000-102-3-7.
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)
XXNo 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.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25695-Z
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
[KL1) INSPECTIOI~P,~PO~T
OUNDATION (IST)
0UNDATION (2ND)
OUGH FRAHE &
PLDMBING
il
NSULATION PER N. ¥.
STAT~ ENERGY
CODE
~- FC
FC
2. Rr
AL~
S~,
CC
NOTIFY ~U!!. DING DEPARTMENT
~65-18n) '=) AM TO 4 PM F(~ I'H~
FOLLO',,~':?':G INSPECTION~
'~CT;ON - ~0 RE~
~ED CON~
FRAMING ~
co~s~Ru~
-' ~ETE FOR ~0.
~ RUCTION
' J~REMENTS OF
O~STRUCTION & -,
~OT RESPONSIB~
DL ~ ~,~ ~R CONSTRU~I~
OCCUP~C~ OR
USEIS ~N~W~L
WlTHO~ ~FICATE
OF OCCUP~CY
L
~' ~'~(/-. · WATER UNES, NEED
ffeogpm'tul)h~lWl used
for wamt di~it)utinO
shaft be
of tyl)e~_lC or L ~ly.
02/04/1B9~
11:03
5162988133
C ~ CELIC
TOWN 0.F $CUTHOLD
. BUILDING DEP~RTMENT
Office of the Building Inspector
Southo%d,
CERTTTICAT~ OF OCCUPANCY
No.. Z-18030
THIS CERTIFIES that the building
Date H%.Y].~5r 1989
ADDITION ,
Loc~tio~ of P~o~e~ty 3~100' MAIN RD,.& 55 P~QU~B AV~. CU~CH~, N.Y.
- Street ~lat
House No. ~.
Count~ T~ Map No. 1000 S~c~ion:.-.~102 /<.~ioc~ 3 Lot 7
Subdivision Filed Map No. Lot No,
conforms substantiallx to the Application/f6~ Building Per~/t heretofore
filed in this office dated JI~eE ~2¢ 1987 pursuant to which
Building Peri, it No. I61__76-Z datmd JULY 7~ 1987
was issued, a~d ~onforms to ail of the requirements ~ the a~licable
provisions of the law. The occuRanc~ for which/t~is certificate is
issued is GARAG~ ADDITI0~,,,~eF'TISTIlqG ONE~A~LY~'DW~LING
The certificate is issued to
(~ers)
of the aforesaid building.
UNDERWRITERS c~AATI~'£CATE NO.
PLUMBER8 CERTIFICATION DATED
SUFFOLK COUNT~ DEP~R~ OF
, H,000680 ~, ,'~,,~Y 7r 1988
R~v. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hale
Sou~hold, N.Y.
Certificate Of Occupancy
No.. Z.I.IO 12 ...... Date ...... Ray. 2,7. ............ i ......19 .8.2.
THIS CERTIFIES that the building s.. ·(.2 ) ........................... '...', ...........
55 Pequash Ave.
Location of P~operty . .30 .10.O .............. MaJ, n. R.o.gd .................... .C.u.~c..h.o.~u. e
House No. Street Ham/e~
County Tax Map No. 1000 Section .1.Q2 ........ Block ...QQ .......... Lot ...qq? ...........
Subdivision...X ........................... Fried Map No..X. ...... Lot No. X..: ...........
Requirements for a private one-family dwelling built prior to
conforms substantially to t~e A,i~a~im~.f~a~.Ba~il4li~4~it..l,,e,r,~f~r~.~ed_ia_t, hi~.e~i,~.4~&
Certificate of Occupancy
Apri,1.23 ............ , 19 5.7. pursuant to which l~41di~n~-i%~rei* No..Z 1 ~ D.1.2 .............
dated ..... May. 2.7. ............... 19 82, was issued, and conforms to all of thetrequirements
of the applicable provisions of the law. The occupancy for winch this certificate is issued is .........
· a. p.niv a.t.e, ona.-.fam~.!y, d~ell i.~g. '~ i.t~h, ace.aa aory.. ~1.o.-.ca r. gap~l~q, .......
The certificate is issued to . .~.qh;1..H~O.z.e.18~..& w.$.f.e ( g.state of Helen ~.Madzelan
./[0 wrier, ~a ~OZt~'~ ....................
of the aforesaid building. ~
Suffolk County Department of Health Approval r/gp ..................... ;
UNDERWRITERS CERTIFICATE NO ............ nit' ...................................
Building Inspector
Rev. 1/81
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHI~MNEY
REMARKS: /~0~ ~ ~/~ /~
DATE
765-1802
BUILDING DEPT,
INSPECTIO 0/N
,~ ROUGH PLBG.
[ ] FOU~ATIONIST
[ ~]~I2NDATION 2ND [ ] INSULATION
[/./]' FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] IN~L'~ON
[,,,~ FINAL
[]FIREPLACE&CHIMNEY
,,,,,,,,~s._ ~~~
DATE
~{{ .~~'V.-~ .' - '~' "- ' BOARD OF HRALTI{ ...............
TOIqTN OF SOUTHOLD ' SURVEY ......................
Bu,~.i.c DBPAR~,, c.~c~ .........................
To~ .A~ ~mc ~o~ ...................
TOW ; ~ O ~ ~L: 765-1802 HOTIFY:
~,~ ..... ~:~3 .... .,~.~ ~. 3S~ ~ . "..... .... X.....~ .......
.................... ~...~ ~
.............................. ~..~.
I~STR~TIO~S
a. ~his application most be cc~pletely filled in by ~iter or in ink and sul~itted to the Building Inspector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sbc~aing location of lot a~d o£ buildings on premises, relationship to adjoining praises or
streets or areas, and giving a detailed description of layout of property rmst be dr~n on the dingr~n ~ahich is l~rt of
this application.
c. The turk co~ered by this application may not be co~,enced before issuai~ of Building Pemit.
d. Upon ~pl,,oval of this application, the Building Inspector will issue a Building Pexmit to the applicant. Such
pemit shall be kept on the p,,~nlses available for inspection throughout the ~ork.
e. No building shall be occupied or used iu x&ole or in part for any purpose ~hatever until a Certificate of
Occapancy ~mll {h'~,e been grrmted by tie BuHd{ng Inspector.
API'LICATION IS lt~u~b'Y HAllE to the Building Department for the is.~nce of a Building Permit pursuant to the
Ih|Iding ?~e ordinance of the Town of Sonthold, .~lrfolk C~miy, Nemv York, and ot{~r applicable lays, O~{|~mces or
P. ngulations, for the constraction of buildings, edditions or alterations, or for reu~val or de~nolition, as herein
described. ~be applicant .'~ees to comply with ali applicable la~s, ordinances, building code, housing code, and
rngulations, and to admit authorized inspectors on premises and in building for necessary i.spections.
· .. . ' . (Signature of applicant, or nane, if a cOrpOration)
.... ......................... . .. . .
(l~aillng address of applie~at)
Stat..e whether applicant is o~er, lessee, agent, architect, engineer, geseral cantrector~ electrician, phm~er or builder.
~ of ~-of p~sea . ~: ........ ~..~.'·~.o. ..... ~ ................... [ ............................
(as on the tax roll or latest deed)
If applic~t ia a corporation, signature of duly ~thorized officer.
(l~m and title of corporate officer)
Builders License ..........................
Plmtlers License NO../?.[,~. ...................
Electricians License No. ~./../~. ................
Other Trade's Lieense No...hi. J../~, .............
I. Location of land on ~hich proposed ~rk viii be
.... c. ........... ................. , .....
t.o. :. ................................................................
Bonse Nmi]er OX'~ Street ~> ~
Count~ tax ~ [~o. 1000 ~eetion .... {~). ........ Block ................ Lot ................
Subdivision ............... ~ ...................... Filed ~ I~..M../..~.. ........ Lot ...............
(l,lan~)
2. State exasting use and occupancy .o.f premises and intended use and ac~ of prom construction:
frcin prol)erry lines. Give steer and block ri]at)er
~d)etl)er interior or corner 1o1:,
'icahle): ......
4.
6. If I~tneaa, ~rctal or ~ ~*~, a~ei~ mture a~ ~tent of each t~ o u~ ......................
~. I)it~nsi~m o~ ~{ating attires, i~ ~y: ~t .............. ~ar .............. ~pth .................
~. ~ . I
'
~e of arddt~t ........ ~ ..... ~reas ........................... H~ ~2 ...........
PI.OT DIAGIIA~
or ~acripti~ acco~ing to t~, a~ ~ strut ma aal t~icate
SI'^'II~. (it li'.~
(11/I~llY (i;' .......................
.......................................................... being duly awont, (lel)e~ea aril .ays that I)e is tim appl.ic~nt
(~]a~ of i,~ivl(l~t signing c~tract
ia the .......................... ~ ........................................................................
(C~)tractor, agent, cor~rate officer, etc.)
amd (~mr or (~ers, taxi ia duly.i ~thori~ to ~rfonn or h~e lerfnrn~ tim ~l(I ~tk aril to ~ke a~l file this
applicatlnu; that att state,nra c(mkai[~l in this al~)l icat i~ are t.n~ to the Imak
thaC tl~ ~)rk viii I~ ~rffon~l in t~)e mentor ~c forth in the al~llcati~ fH~ timothy.
· ~n~ to hefose me this .// i ~
NO ARY PUBLIC, State of N~ Y~
Al)pi icant) L/