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Home My WebLink About24861-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25884 Date: 08/13/98 THIS CERTIFIES that the building ALTERATION Location of Property: 7555 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 122 Block 6 subdivision Filed Map No. -- Lot No. -- LAUREL (m~LET) Lot 35.10 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1998 pursuant to which Building Permit No. 24861-Z dated MAY 8, 1998 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 ALTERATION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to JOHN A CLARKE of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 460577 07/29/98 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD 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. 24861 Z Date MAY 8, 1998 Permission is hereby granted to: JOHN A CLARKE 5800 VANSTON RD CUTCHOGUE~NY 11935 for : ALTERATION FOR PROFESSIONAL OFFICE IN AN EXISTING BUILDING AS APPLIED FOR. SEE SURVEY FOR LOCATION OF BUILDING. at premises located at 7555 County Tax Map No. 473889 Section 122 pursuant to application dated APRIL Building Inspector. MAIN RD MATT/LAUREL Block 0006 Lot No. 035.010 6 1998 and approved by the Fee $ 150.00 Bui ldJ~g ~r 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, 1957) non-conforming uses, or buildings and '!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 ~ $25.0J~,~A~e~ea~qry building $25.00, Additions to accessory building $25.00. ~ B~_~i. nesses $50.00.~ 2. Certificate of Occupancy on Pre-existing Buil~n~ - 3. Copy of Certificate of Occupancy - = .25¢, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.Q0, commercial $15.00 Date ................................. Ne~ Construction ........... Old Or Pre-existing Building ..... ~ ......... Location of Property...7~.~. ..... ..~..~..~....~.~. ...... '. .............. .~. ~../{~. ?./.~. ........... House No. Street Hamlet Onwer or of · · ~.i~ County Tax Map No I000, Section ...... !~.~...Block ~ ~ -~_~.~/0~ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ........ Date Of Permit ...... Applicant..??.~. : . · Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ...................... Request for: Temporary Certificate ........... Final Certicate ........... Fe~ Submitted: $.~ .......... 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 July 28, 1998 John Clarke 5800 Vanston Rd. Cutchogue, New York RE: 7555 Main Rd., 11935 Mattituck, 1000-122-6-35.10 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 xx not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$50.00 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 # 24861-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ] ROUGH PLBG. [ ] ~-ATION [ I~]'"FINAL FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [, ]~LATION [ ] FRAMING [ ~'] FINAL [ ] FIREPLACE & CHIMNEY . REMARKS: ~ INSPECTOR 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]./I~JLATION [ ] FRAMING [/**,~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~-~_~ ~'. / / INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS . AGEZ ZO45142 BUREAU OF ELECTRfCtTY 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 29,1998 Application No. on file 16455098/98 N 460577 THIS CERTIFIES THAT PERMIT NO, BP24861 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOHN A, CLARK, 7555 MAIN ROAD, in the following location; [] Basement [] was examined on JULY 21,1998 MATTITUCK, NY ]st FL [] 2nd Fl. Section ~22 Block0006 Lot and found to be in compliance with the National Electrical Code. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'P~. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT $ E - R V I C OTHER APPARATUS: EXIT LIGHT-i EMERGENCY LIGHT PACK-1 NO, OF CC COND, PER ~ OFCC, COND NO. OF HI-LEG OF HI-LEG NO, OF NEUTRALS OF NEUTRAL DIETERICH ELECTRIC INC. 37 HIGHVIEW LANE RIDGE, NY, 11961 GENERAL MANAGER This certificate must not be altered in any manner; return fo the office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR 8UILDrNG DEPARTMENT. THrS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER. FOUNDATION (1st) COMMgNT£ FOUNDATION (2nd ROUGH FRAME & .PLUMBING' INSULATION PER N, STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORN NO. I TO~N OF SOUTIIOLD IIUl LD] NG DF, PAR'iqqENT 'tOWN {I^LL 8OUTIIOLD, ".~ · 1197 I TEL: 765-1802 1)is~ppmved ~[c ................... ; · -. ......... SURVEY ........................ ClIgCK ......................... SEPTIC FORH ................... NOTIFY: _ n,~? ,/ HAIl. TO: .................... INS'I'RIIC'FIONS a. 'Ibis appli~ti~ must be ccr~letely iilled in by t~ffp~riter or tn i~ and m~itt~ to tim ~*ilding lns~ctor w 3 ~Cs of pl~, at.rate plot plan to ~ale. F~ accordi~ to b. Plot pl~ ~i~ l~ti~ of lei ~ of ~ildi~8 ~ ~t~s, ~lati~ip to ~joini~ pr~i~ or pmblic struts or areas, a~ 8ivt~ a &tsil~ ~:riptim~ of laya~t of pro~rty mint Im dr~ ~ the dla~=n d~ld~ is I~rt of this a~H lcati~. C. 'Bte ~ c~r~ I~ fids o~licsti~ my ;~t be cm~l ~fore is~e o~ bdldi~ Pemtt. d. U~ a~al of fids a~licati~h tbe Noildi~ lns~ctor will is~ a ~ildtng ~mit to the applicant, aah ~mi~ ~mll ~.~pC ~ ~ ~s ~ail~le for ins~ti~ th~*t tl~ ~rk. e, ~ ~[ldi~ droll ~ ~i~l or ~ in ~le or in ~rt for a~ ~ dxat~er ~ttl a C~rtilicaCe of ~y droll h~e I~n ~t~ by ~m ~dldi~ Ins~Cor. ~,I~TI~ IS IE~ [~ to tim I~ltldi~ ~rt~nt for the issue of a ~ilding ~mlt ~r~t to the I~ildlng ~ ~i~ of ~m 1~ of ~ltl~ld, ~ffolk ~n~, ~ Yo~, ~ otlmr a~li~ble l~s, ~di~es or ~lati~s~ for tbe ~st~ti~ of hlildi~, ~lti~s or alteraci~s~ or for ~al or ~liti~, as be~in ~scril~. ~m applier ~ to c~ly vt~ all a~lic~le 1~, otdt~es, ~tldt~ ~, ~t~ c~, and re~flati~s,~m~ to ~[~ ~rt~ in~tors ~ ~i~s s~ in ~ildi~ for_~es~ in~tL~~ / . , _ (Sigmture of a~lt~t, or ~, tfa co~rstmn) ', ........ (~lh~ ~re~ o[ ~lteant) State ~m~r a~llcant is ~r, les~, ~entl archit~t, eng!~'ge~ral c~tractor, electrician, plt~r or ............... , ............................. ................................................................ (as m tl~ tax mil or latest ~) If a~flicanC is a co,ratio, si~re of duly antt~ri~l officer. (Nane and title of corporate officer) lh~ilders I icease No ........... Plumbers License No .......................... Electricians License No.. ...; ,. ........... . · · .7:.:¢: .............. ................................................... - ......................... ~- E,~ .... ~ .......... ,~t ..... ':'~.....~ co~t~, T~F NO- moo s~do,, "i""1-7<- .......... Sobdlvisio~ .......... lqled Mup ~ .......... · .................... (m,,~) State exist~n§ use ar~l occupancy of In'e~ises ~ inteuik-d ~me m~l occ~-~7.el propol~l eoaetn~cti~: ' F~ c .~>.- ' ............. a. F~xlstiug use 'and occupancy . .~. ......................................................... b. Intended use end occupancy .................................................................. ltitm'e of ~ark (ct~,ck ~tdch applicable); f~imir ............ ~al ............. I~ml kf~ ............. Od~er ;~ .................................. (~o ~ ~id ~x~ ~lllng this al~lica~l~) 5. 1~ t~lli~, ~isr ~ allh~ unlr~ ............ }bd~r o~ t~ll lng mits {~ e~ fi~r ................ If ~ra~e, tt~d~r of c~r~ ...................................... I~pth .................... I~l~,t ........ / .......... ~tlmr of Stories ..... ~ ....... 8. Iliu~nM~m of entire ~ ~mtr~t:t~: l~ ................ i~ar ............... ~pth .............. I~l~r ............ ~.-f ....... ~sd~r of 8rorle~.. .................... ...... .................... .... ............... II. ~m or u~ district In ~sld* pr~l~s am st~r~ .... ~....~ a~t.~S~ .................................... 12. ~s pro[~l ~lst~tl~ violate any ~lng I~, onll~e or regulart~i ... ~. ................ 13. ~ill Io~ I~ rearm~ ...... .~ ....... .............. Arddt~ ~ o~ C~cr~ror ..... ~.~. ~..Q~ ........ ~klress .......................... ...~ I~ ~ ............... 15. la this p~r[y within ~ f~,of a Ci{~l ~tla~? * ~ .......... ~ ....~... locate clearly end dlscl~tly all ~[ldl~s, ~m[Imr ~lsting or pro~, ~ ltxlicate all ~t-t~ dJ~naions ~tl~r Interior or co~r lot. duly ~)rn, delxmee a~xl ~ays that he is Lhe appl. t{~,st lie s Lhe (Cxmtrac[o e. orlx~ral~e officer, eLe,) o~ snid {~r or ~rs, mzl is (~lty ~LhorJ~ Co i~rfom or ht~e I~rforn~l the ~id ~ck alX] to n~ke mx] gile t. his al~H [carlo,; timt ail statumsta c(x~tai~ in Ods alq~l, icatkm are that th~ ~rk ~ill I~ ~rfon~l In the u~mtmr ~L forth in the appl. lcation ....... SURVEY OF PROPERTY SITUA TED A T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-06-31 1000- 122-06-$5.8 SCALE 1" =30' NOVEMBER 28, 1997 AREA DATA S.C. TAX No. 83,676.69 sq, ft. 1000-122-06-31 1.921 oc. S.C. TAX No. 101,519.49 sq. ff. 1000-122-06-35.8 2.326 ac. TOTAL 184,996.18 sq. ff. 4.247 oc. CERTIFIED TO. COMMONWEALTH LAND TITLE INSURANCE COMPANY TITLE No. RH 971498 EMIGRANT SAVINGS BANK JOHN A. CLARKE ~/o/}oC~~ S'Jt4130~ TH[ EXISTANCE Of RIGHT OF WAYS Joseph A. Ingegno Land Surveyor Fax (516)722-5093 97 -504 APBItQVED AS NOTED BUILDING, DEPAR*~ENT(~AT ?~1102 ~ AM TO 4 PM FOR I=OU4M~ INEPECI'KIN$: 4. FINAL - CONS~RU~ION MUST ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ' DESIGN OR CONSTRUCTION ERRORS KC ~L'~ ~ REQUIRED BEFORE ~!I~ OPtiNG ~,i~ ,USE IS UNLAWFUL :',WITHOUT CERTIFICATE i/' OF OccUPANCY UNDERWRITERS CERTIRCATE REQUIRED