HomeMy WebLinkAbout24640-zFORM NO. 4
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26745
Date: 10/13/99
THIS CERTIFIES that the building ADDITION
Location of Property: 2200 SIGSBEE RD LAUREL
(MOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 144 Block 1 . Lot 25
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Huilding Permit heretofore
filed in this office dated DECEMBER 19, 1998 pursuant to which
Building Permit No. 24640-Z dated FEBRUARY 4, 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 BATHROOM ADDITION TO AN EXISTING ONE FAMILY SEASONAL DWELLING AS
FOR.
The certificate is issued to GEORGE MCTAGUE & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N 457205 06/25/98
09/30/99 WILLIAM SCHWAUB PLUMBING
Building Inspe~or-
FORM
TOWN OF $OUTHOLD
BUILDING DEPARTMENt'
TOWN HAU.
SOUTHOLD, N.Y.
24a40 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLEtiON OF THE WORK AUTHORIZED)
D~te FEI3RU~RY 4
.............................................................. ] 9...%e. ....
Permission I! hereby granted to:
....... .~g..q.B.~,E....A...U..E...~.T~9.~IJ..E. ...................................
..... ,,.~ ,~.~ P..,~.:~ ~,~ ~,gg,,. ~ .............................................
........ ?18.T..T. I .T.U P ~;.,.IN.Y... ,$.;L~. 52, .....................................
to ~.~pc~h~.~.T~E~U~CLT~.TJ~c~g~`1~T.T.]~N~I.~.~.~.~k~k~[N~.~.~D. FOR.
at premises Iocqted at ................ ~.2P.O......~.~.~.~.gF~..l~1~ ........................................ k,~U. fl~, ................
CountyTax Map No, ......4:.7..~.1~.1~ ..... Section ,,,,1.,~.~.~ ........... Block ,.,,.C),O.Q.1, ........ Lot No, .C~;2~ ...............
pursuant to application dated....]P~,,l~F,,~]~l~.....;~.~. ........................ 19.......~.EI ..... and approved by the
Building Inspector.
Fee $ ........ .7..~..~ .q .q .....
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO~ I~LL
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.
F~or existing buildings (prl r to April 9, 1957) non-conforming uses, or buildings and
'~re-existing" land uses:
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, Acc~essory 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 -
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 .................
S / ........................
Location of Property ..................... , ................. ' '
House No. Street Hamlet
~-~.-o~c.= ~ .,f- zczi~'c y' ,4" /¢,~¢-'T,4'e~'~-- . .......
Onwer or Owners of Property .........................................................
County Tax Map No 1000, Section.../..~J~ ...... Block. O/ .~..J.~
Filed Map . .Lot ......................
Subdivision ..............
Permit No .............. Date Of Permit ...... Applicant.
Health Dept. Approval..........-. .......... .... Underwriters Approval .........................
Planning Board Approval ....
Request for: Temporary Certificate ........... Final Certicate...~¢~...
F~ Submitted: $..~.~. ........................
Town Hall, 53095 Main Road ~'~ Fax (516) 765-1823
P. O. Box 1179 t~ ~,~ '~1~ Telephone (516) 765-1802
Southold, NewYork 11971
:,~ !~ OFFICE OFTHE BUILDING INSPECTOR
'OCT I 3 1999 ~,~'~ TOWN OF SOUTHOLD
.~~ C g R T I F I C A T I 0 N
DATE:
Buildin~ Permit
Owner:
(~lease
Plumber:
I certify that the solder used in the water supply system
contain~ less than 2/10 of 1% lead.
Sworn to before me thi~
Bo~ ~ay of ~ l~ ~ 9
Notary Public, ~County
No. 4985518
~etaff Public, St~e ~f New~
9ualified in ~O~k C0un~
~ Commi~n ~ims OEI~'~
KEITH J. SCHROEHER & SON INC.
Home Improvement/Building Contractor
447 Riverside Drive
Riverhead, NY 11901
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
September 9, 1999
Keith J. Schroeher &
447 Riverside Drive
Riverhead, NY 11901
Son, Inc.
RE: McTague, 2200 Sigsbee Rd., Laurel.
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.)$25.00/
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 24640-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
KEITH J. SCHROEHER & SON~ ]NC.
HOME IMPROVEMENT AND BUILDING CONTRACTORS
447 Riverside Drive
Riverhead, New York 11901
Phone/Fax 369-0867 Voice Pager 284-1023
"Father and son building with pride since 1911"
Licenced and Insured
Southold Town Building Dept.
Main Rd.
Southold, N.Y. 11971
Mr. Verity,
Please find enclosed a copy of the original building plans along with an amended plan
as per your request. I hope this will suff~ce so that the homeowners can receive their
certificate of ~ccu;oancy. Thank you.
Building Contractor
USE !$ UNLAWFUl.
OF OCCUPANCY
~,-;? '1802 $ AM T0 4 F'M F01'i '"
~01~ POURED CONCRETE
~. ROUGH - FRAMING & PLUM~NG
3.
4, FINAL . ~ COnSTRUCTiON MUST
8E COMPLETE FOR C.O.
AIL CONsTEUC'~ION SHALl,,
T~-~E REQUIREMENTS OF THE
6T~XE CONSTRU~ON & ENERr
C~4~ES. N~ RESPONSIBLE
~ ~ ~ OR CONS~UCTION
'1
- fl-O-
I&" OC"
FOUNDnTION (1st) '~
.PLUMBING' /
INSULATION PER N. Y. --
STATE ENERGY
ADDITIONAL COMMENTS:~
· %
OCCUPANCY 0R '
UNLAWFUL i · -
WITHOUT CERTIFICATE ~ ~
01~OCCUPANCY ~, ~ ·
U/dD£RWRIT£RS
F,),..L~ iNSPECTIONS: , , ~ '~CERTIF~CA7~- OFOCCUPA~'CY*' ' '
BE COMPLETE FOR C.O, :
ALL CONSTRU~ON ~SHALL
THE REQUIREMENT~; OF THE N.¥:
~;$;~T~ :CONSTRUCTION & ENERGY
(X~DES. NOT' RESPONSIBLE
~' .~;~GN OR CON
ALL PLUt[~B~NG WASTE
,~ WATER LINES NEED
TESTING BEFORE COVER
i ' : 'lfc?pperiubing?used
for water distributing
system; p~p ng shall be,
of type~ ~
. -~k,~ B '- :
765 -~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] I/NSULATION
[ ] FRAMING [~] FINAL
[ ] FIREPlACE&CHIMNEY
REMARKS.
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] RO/UGH PLBG.
[ ] FOUNDATION 2ND [ ~/INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHI~MNEY
DATE ~////~////~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTIO N
[ ]FOUNDATION 1ST [ ~'ROUGH PLBG.
[[]/~)UN~ FRAjNA~ION 2ND [[]INSULATION] FINAL
[ ]FIREPLACE & CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[,~~DATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
·, ~~/~ ~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[[ 1] :ORAUNMiDNAGTION 2ND [[ ~FiNAU:ATION
FIREPLACE &_CHIMNEY
DATE~.~/~ INSPECT~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1205030 BUREAU OF ELECTRICITY
~'~ 40 FULTON STREET, NEW YORK, NY 10038
"Date ' O~31xT~ 25,1998 Application No. onfile 15831098/98 ~l 457205
THIS CERTIFIES THAT
only the electrtcal eqmpment as descr bed below and introduced by the apphcant named on the above appltcat~on number ts in the premises of
MCTAGUE, 2130 ZIGSBEE, MATTITUCK, NY
in the following location; [] Basement [] 1st Fl. [] 2nd FI. Section Block
was examined on JU~ 16,1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURE
OUTLETS
RECEPTACLES3 SWITCHES2 INCANDESCEN14 r FLUORESCENTFIXTURES
RANGES
OTHER MT. K.W,
4
DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDERS ~FECIAL REC'PT, TIME CLOCKS SELL ~1 UNIT HEATERS
I I
SERVfCE DISCONNECT I · 'l S E ' R V I C
COO[It, lo DECKS t OVENS I DiSH WASHERS
MULTi-OUTLET
SYSTEMS
NO, OF FEET
EXHAUST FANS
DIMMERS
ELEC. WATER HEATERS, :1-4.5 K.W.
P.O. BOX 48
JAMESPORT, NY, 11947 GENERAL MANAGER
Per --
This certificate must not be alteFod 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.
AREA = 7279 eq. ft.
0
FILED
SURVEY OF
LOT 44
AMENDED MAP OF
MA TTI TUCK PARK
PROPERTIES INC.
JAN. 12, ?926' FILE NO.
A T MA TTI TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-14.4-01-25
Sc(~te 1' = 20'
Nov. 20,1997
801
P. O. BOX 909
~'~~. LIC. NO. 49618
1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971
97 - 367
0
SURVEY OF
LOT 44
AMENDED MAP OF
MA TTITUCK PARK
PROPER TIES INC.
FILED JAN. t2, 1926' FILE NO.
A T MA TTI TUCK
TOWN OF SOUTHOLD~
SUFFOLK COUNTY, N.Y.
Scole 1" = 20'
I',!t~v. 20,1997
801
AREA = 7279 ~q. ft.
FORM NO.
TONN OF SOUTIIOLD
BUILDING DEPARTMENT
TO~N HALL
SOUTHOLU, N.Y.
TEL:
Disapproved a/c ............
INSTRUCTIONS
a. 'Ibis appllcatlan mst be cc~pletely filled in by typewriter or in ink and m~nltted to the t~{ilding Inspector wit
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan ~nawlng location of lot and of lmildings on premises, mlatlonship i~ adjoining praises or public
streets or areas, and giving a detailed description of layout of property mst be drawn o~ the diagram ~id~ is imrt of
thi,s application. ' , .
c. Ibc work covered by this application my ant be emmenced before issuance of'l~ildlng Permit.
d. Upon approval of kiwis application, the Building Inspector will issue a Building Permit to the applicant. Sud~
Immit shall be.kept on tim premises available for inspection throughc~t the xmrk. ,
e. No lmildln~ shall be occupied or used in ~hole or in part for any purpose ~atever tmtfi a Certificate of
Occupancy shall have been granted by tim P~ailding Inspector.
APPLICATICI~ IS l~a~2r/~ to the ]]uilding Department for the issuance of a l~ilding Permit pursuant to the
Building Z~ne Ordinance of the To~ of Southold, Suffolk County, New York, and othur:a~plicable Laws, Ordinances or
Regulations, fur tbe constroction of buildings, additions or alterations, or for {~°Val.~r d~olition, as herein
described. 'Ilm applicant agrees to c~ply with all applicable laws, ordinances, Imildipg code, housing code, and
regulations, and to admit authorized inspectors oa premises and in building for. necca,sary inspections.
(Signature of applicant, or ru~e, if a corporation)
(Mailing address of applicant)
State ~Imtber applicant is tamer, lessee, agent, architect, engineer,'geeeral cckatractur, electrician, plmber or builder
...o. ?...w.e..~. ........................................................................................................
Nam of owner of premises ............. .. . · . · -- : .................................. ·
(as on t~m tax roll or latest deed)
If applicant is a eerporation, signature of duly anthorized officer.
(Name and title of corporate officer)
Plmbers License Igo ...........
Electricians License No .......
Other Trade's License Ho ................... ..
!. location of land ee ~nid~ ~urk will be done ........................................................
/ o ~1 SSL~E- b rn,or-r/rucic .....~.~g'., ..... ' .....
~, 3 ...~(..: .........................................................
Iloose Briber Street llanlei:
Coonty Tax Map No. 1000.Sectiond'.55.:~... ....... Block................O / lot ....
,~7.... ;.,.
Subdi~isian.. .................... .. .. . . ... . .. .... Filed Ma.p".~:":';~,... .......... lot ...... ... ... ...
2. State exlstlng use and occupancy of lm~ises and intent~ea. -- .-'Ose-' andL~cdq'~UC7~_ -->- of proposed, construction.'
· o's ~o e~z, ?. ........ ~...~( ........................
a. ~dst~ng use and occupancy ............... ~ ..... : ..... ,-~ · · ·
,ReXlP~ Till.. ~ -. ............ ; ...... ~ .........
b. h~tended tk.,~ ~ ,oceegano] ........................... -~ .........:, ......... ·
Il. ~ or u~ district in ~t~ ~ a~ si~tM
12. ~s pro~'~t~ti~'~iol~te any ~i~ 1~, o~i~e or ~lati~: .
"?":' "~' ~PI,OT DIAORAH
~d~tl~r interior or co~r lot,:, I
(Signature o~' Apptlca~t) , ' '
lie is the .......................... l ....~' .....................
(Oom]tractor, agetlt, corporate officer, etc.)
of Raid on.mr or ~ra, m~ is ~lly ~Lhorlr~ to ~rfonn or h~ I~rfo~ ~e ~id ~rk ami to ~ a~ file this
alq)licaCi~; that ail stat~nts'~ta[~ in this aR)J. icati~ are trim to fire Imst of his ~1~ aM I~lie[~ ami
that the ~rk will le ~rfoM ~a the[mmmr ~ fortl}'iu Hie a~l. icati~ fil~ tlmr~ia~.
~m to ~fore ~ d~is . ' ' ';