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Home My WebLink About24862-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26081 Date: 11/02/98 THIS CERTIFIES that the building ALTERATION Location of Property: 7555 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 122 Block 6 LAUREL (HAMLET) Lot 35.10 Subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1998 pursuant to which Building Permit No. 24862-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 FOR PROFESSIONAL OFFICE IN AN EXISTING 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. N464268 09/04/98 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. 24862 Z Date MAY 8 98 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 98 and approved by the Fee $ 150.00 ORIGINAL Rev. 2/19/98 A. 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 buildin~ 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 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 ~uildings an '!pre-existing" land uses: ' 1. Accurate survey of property showing ail 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 i. 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 Butldinm - $i00.00 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 ........ .~ ...~ ....... mew oonstructmon ........... Old Or Pre-existing Building...~. ............ ocation of eft .. ..... .......... p yT. ............................... House No. Street Hamlet Onwer or Owners of Property ............................................ County Tax Map No i000, Section...~..~ ...... Block .... i~ ....... Lot .... Subdivision Filed Map Lot · Permit No Date Of Permit Applicant Health Dept. Approval ...... .~.~ ........ Underwriters Approval ........... PlanningBoardApproval ..... .~..~. ............... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: THE NEW YORK BOARD OF FIRE UNDERWRITERS/ 1(}45142 BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 Date SEPTEMBER 04,1998 Application No. onRle 16466398/98 N 46q. 'PERMIT NO. BP 24862 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 oJ NORTH FORK COUNSELING, 7555 in the following location; [] Basement was examined on AUGUST 28,1998 MAIN ROAD, MATTITUCK, NY [] 1st Fl. [] 2nd Fl. Section 122 Block0006 Lot and found to be in compliance with the National Electrical Code. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES 3 6 4 DRYERS ELUORESCENT FURNACE MOTORS 3 FUTURE APPLIANCE FEEDERS TIME CLOCKS NIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: EMERGENCY LIGHT PACKS-3 EXIT LIGHT- 1 S E R V I C E NO. OF CC COND A.W.G. A. W, O, NO, OF HI-LEG OF CC, COND A, W. G NO, O1: NEUTRALS OF HI-LEG DIETERICH ELECTRIC INC. 37 HIGHVIEW LAN~ RIDGE, NY, 11961 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 FOFI BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BP: ALTERED IN ANY MANNER. FOUNDATION ( 1st FOUNDATION (2nd ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] F~UNDATION 2ND [ FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL DATE INSPECTOR Town Hall, 53095 Main Road P.O. Box 1179 Souihold, New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 August 25, 1998 John A. Clarke 5800 Vanston Road Cutchogue, N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of tho following reasons: XX An application for Certificate. of Occupancy is not on file. (Enclosed) ~3~-~' XX No Underwriters Certificate on file.~ XX 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24862-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. L I?ORH HO. ! TO~N OF SOUTUOI,D BUll,DING DEPARTHENT TO~N IIALI. 80wrIIOLU, N.Y. 11971 TEl.: 765-1802 Al?,rovt¢~..L. .... 19.2~. Peru,it No ................ I) ~ sepptb~ed ale .................................. APPLICATION FOR BU. II..DINO PERHIT INS'I'RUC'FI ON5 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CI1ECK ......................... SEPTIC FOP, H ................... NAIl. TO-' .................... a. 'Ibis npplicatiee mtmt be conpletely filled in by typewriter or in ink and ~d~nitted to tim Building Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to sche<klle. b. Plot plan sl~tng location o1~ lot and ot~ buildinga on premises, relationship to adjoining premises or la~hlic streets or arena, and giving e detailed descrlptio~ o~ layont of property u~mt Im drta~n on tim diagram ~d~ich |a part of this appl ieatlon. c. 'lhe ~ork co~ered Ir/ this application may not be ccmnenced before insunnce o~ Building Pemit. d. Upon approval off this application, tbe l~ilding Inspector will[ issue a Building Pemtt to the applicant. ,tk~h pemit shall be kept on the premises a~ailable l~or tnapecti~ thro~hout the work. e. t~o buiiding slmll be occupied or used in ~4~ole or in part for aw/purpose dmtever until a C~rtiEicate of Occupancy shall have been granted by the Building Inspector. AI'H,ICA'rlGN 1S II~[tEBY ktaJlg to tim Building l~epartment for the issuance oE a Building Permit pursuant to the Building Zone Ordinm~e oE the 3knm o~ 8unthold, Suffolk County, Ne~ York, and otber applicable l~a~a, Ordi~umcse or Regulations, for tim construction of butldinga, additiona or alterations, or for r~oval or d~oltttcn, an herein deacriDed. Tte applicant agrees to cc~ly with all applicable la~a, ordinances, building co~, housing code, and regulatlann,~md to admit ant~horized inspectors on In'emlses and in building for _negeseary innp~kc_ tions_.~// (Signature o[ aPPlican/t, or nav~, ii a corparatlon) (l~ltng t~klmse o[ appltc ) State ~t~etlmr applicant ia c~n~er, leasee, agent, archit~t, engh~r,'get~l ~tractor, electrician, ph~r or In~ild¢ Lo ................................................. ~o[ ~ro~ pr.t.~ ~...*~-~ ..................................................................... (aa ~ tim tax ~ll or latest d~) 1~ a~tlcan~ is a co. ratio, si~re of duly antt.>rlz~l o~ieer. (Na~e and title off corporate o~ftcer) Builders ' ... Plumbera I ieense Iqo ...... ~Mivlsi~ ........................... .. . . . . . . .. . ~ .......... , ..... l~t ............. (~) / 3. N;*tm'e o~ ~ork (cl~ck ~diid, applicabl~); ~ l~llding ........... ~lci~ .......... AlteratiOn ...~.... I~lmJr ............ ~al ............. I~olicl~ ~, .,~d,,~ ~r .~. [ O0o ,. . . . . . . . . . . . . . . . . . . .o o :~ ........................................ ...... (Lo ~ ~id ~m fillo~ thl~ al~lica~i~) 6. 1~ I~mitmfls, ~erciai or ml~i ~O*lm~, a~ci~mt:ure 7. IHme*ml~m oe ~taring arc,Cures, le any: ~: ......... ~ar ............... ~p~h ................. . LC ' I~pth .............. 1~15~: 8. I)i.enal~m of enLlre ~ ~mtr~t:t~; l~otC ................ I~ar ............... ~pth .............. II. ~ or u~ disCrtc~ in ddd~ pr~i~s a~ st~ ..... ~..,~9/~ ..................................... 12. ~o propel ~t~il~ violate any ~ln~ 13. ~IIl loc Im regr~..,.,.....,,..,..~ . ~ill ........................... ~klreas ............................... H~ ~ ............... 15. Ia ii,ia p~rty within ~ f~.of a ri~l ~la~ * ~ .......... ~ .......... PLOT I)IAC, IIAt. I. locate clearly and dla~lncl:ly all buihlin~s, dm£1mr existin/t ok proposed, taxi it~ltcaCe all ~et-lmck dimensions front prOlYarty linen. Give atreet taxi block r~ld)er or deecrip[[o~ accordhl[l to deed, and sl~:~ street ~rea atxl intiit:a~e ~etimr hd:erior or corner lot. lie is lhe .................. ~ ........................................................................ (C~,tracto~corporate ol~ficer, etc.) of said ¢~er or o~ers, taxi l~dy ~lhorl~ to [~r[onn oc I.we I~rforn~l Lhe ~{(I ~rk and to meke ami ~ile tirol the ~rk .ill I~ ~r¢on~l Jt~ the .~m~r ~[ forlh Jn the nppllcaLlon fl[~ ..........~t~ ~~~~~..'~' .d, ~ .., ..C~..~. ,~. SURVEY OF PROPERTY ~fTUA TED A 7' MATTI'TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-06-51 1000-122-06-55.8 SCALE 1"=50' NOVEMBER 28, 1997 AREA DA TA S,C. FAX No. 85,676.69 sq. ft. 1000 122--06 31 1.921 ac, S.C. TAX No, 101,319.49 sq, ff. 1000 122-06 358 2,326 ac. TOTAL 184.996,18 sq. ft. 4.247 ac. CERTIFIED TO: COMMONWEALTH LAND TITLE INSURANCE TITLE No. RH 971498 EMIGRANT SAVINGS BANK JOHN A. CLARKE COMPANY / / / Joseph A. Ingegno Land Surveyor Fox (516)722--5093 97 -504 ~SL Alt ~orddohwall~ ~itge, a ~e hou~ ~re ra~ ~s~s~ 0f 51~' fire s~ dir~ t~ ~r'~ls~. add t~ pia~ t~ ~sie~ lO ~d~ ~ I ~, L [a~[~ ~i~ alt herbage [~ com~fla~e Wl~h NFPA. ~ll o~nlnos a~n~ ~net[a~n~ Ih ce~l~s ~hg ~e-re~isi~nl wails ~e Smoke de ~ o s 9 ~ n st~l ~ n a ~me d ~ I~]~to a 6en~e ~re FIRE INSPE~I'ION REQUIRED BEFORE OPENING APIIOYEDM NOTED... UNDERWRITERS CErTlficAfl~ NOTIFY BUILDING DEPAI~I~EN~AT RE~UIfiED 765-1802 t M ~ 4 PM FOE YHE OCCIJPANG¥ OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FOi. I~WlI~ I FOUNDATION - 1~/0 REQUIRED 2. ~ - ~ & ~MSING 3, INS~ 4. FINAL - CONSTRU~ION MUST BE COM~ FOR C.O. ALL CONSTRUCTION SHALL MEET ~TATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ~m~n or CONStRUCnOn E.RO.S