HomeMy WebLinkAbout24764-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27010 Date: 03/31/00
THIS CERTIFIES that the building ALTERATION
Location of Property: 1020 GOOSE CREEK LA SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 8 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9, 1998 pursuant to which
Building Permit No. 24764-Z dated MARCH 13, 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 RENOVATION & ALTERATION TO EXISTING ONE FAMILY DWELLING WITH
NON-HABITABLE ATTIC AS APPLIED FOR.
The certificate is issued to PAUL H MALONEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 27765 01/26/00
PLUMBERS CERTIFICATION DATED 03/30/00 N.F.PLUMB.&MAINTENANCE
4 - /�� c
utho ized Signature
Rev. 1/81
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. 24764 Z Date MARCH 13, 1998
Permission is hereby granted to:
PAUL H MALONEY
425 WEST 23RD ST
NEW YORK,NY 10011
for .
RENOVATE AND ALTER AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
at premises located at 1020 GOOSE CREEK LA SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0008 Lot No . 003
pursuant to application dated MARCH 9 1998 and approved by the
Building Inspector.
Fee $ 75 . 00
B1,T7 Ins ector
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
r ° BUILDING DEPARTMENT
l: nn 4iTOW
i' NAR 2�?Q00 I J 765-1 02L
M-�'' Pk PT APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. 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 pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25V.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . /z. . .
Location of Property. . . . .IQRq . . . . . . . . . . . . . . . . . . . 4
�✓Q44FG � 4 f . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . �l ( . .rrlll9J��G.�12�s
County Tax Map No 1000, Section. . 7D: . . . . . . . . lock. . . 9. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . .
Subdivision. . . . . ./. . .. . . . . . . . . . . . . . . . . . . . . . .. ./.)... ..FFiled Map. . . . . . . . . . . L�jq/ . .
Permit No. f y 7A.. /. . . . . .Date Of Permit. 3.�7.?. . . . . . . .Applicant. . .�f 4 r . . . . . . . . . .
Health Dept. Approval. . s S. .y t.` . . . . . . . . .Underwriters Approval. . .7�� . . . . . . . . . . .
PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certica'te. . . . . . . . . . .
Fee Submitted:
pC�$. .'?y��. . . . . . . . . . . . . . . . . . . .
k,sS� O v . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
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PROFESSIONAL ENGINEER
HOBARTROAD/PO Box 616 SOUTHOLD, NEWYORK11971 516-765-2954
Date: June 12, 1998
Reference: #24764Z
Gary Fish
Southold Building Dept
Main Road
Southold,NY 11971
Dear Gary,
With regard to the above Building Permit number, for 1020 Goose Creek Lane in
Southold, I re-designed the steel flitch plate in the South/West corner of the structure from 3/a"
thickness to 3/8"thickness. This new design meets all loadings for the subject structure.
e,-of NE{v YO Tieph
uly yours,
FISCyFT�
Fischetti,PE
052°.ZV ��\2
OFESSIO
D
JUN 1 510
'TOWN
.DETT.o e
1
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
n
-t--
DATE��-INSPECT
F -
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
_ - 7 4/. .r
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[MING ( ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
- tr
DATE INSPECTOR
7 =1802
B DING DEPT.
SPECTION
[ UNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ } INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE HIMNEY
REMARKS:
DATE 1 INSPEC %
I
C; C//
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ } FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: i
DATE &12 INSPECT
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST IGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMN Y
vf
RE KS:
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ` ] IN ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
11 MAR~ 1 2 1999 IsJr d
PROFESSIONAL ENGINEER
BLDG. DEPT 1 HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 516-765-2954
TOWN OF SOUTHOLD
Date: March 10, 1999
Reference: Permit#24764Z Maloney
John Bufus
Building Inspector
Town of Southold
Main Road
Southold, NY 11971
Dear Sir,
There are two floor joists for the 2"d floor located over the kitchen which have been
notched over that allowed. I have directed the Builder to correct the condition as follows:
Install a 2" x 3/8" x 5 foot long steel plate on the bottom edge of the effected floor joists. Attach
the plate with 2 '/2 " lag bolts at 6 inches on center. If you have any questions regarding this
matter please call.
t
Joseph Fischetti, PE
cc: Peter Heard
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION i ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIREPLACE A CHIMNEY
REMARKS: _ _ Ce 2
r
DATES INSPECTOR
a2 L
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING `� [ FINAL
[ ] FIREPLA CHIMNEY
REMARIZ c
DATE INSPECTO
765.1842
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
4
REMARKS:
DATE�la d--o _INSPECTOR""14
`"��
765-1602 '
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE CHIMNEY,
REMARKS:
DATED / CrO INSPECTOR
J '
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ UGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
( ] FRAMING [ ] FINAL
[ ] FIREPLACE CHIMNEY
RE ARKS:
IZ
Alf
DATE INSPECTORS
`� iI
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] OUNDATION 2ND [ ] INSULATION
�n [ RAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
REMARKS,,
e
DATE ✓ INSPECTO
U4-�xe- ice .. X
•
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SO 314AWr �r i
OF
gOfFol/ve
may. Gy
Town Hall,53095 Main Road o Fax(516)765-1823
P.O.Box 1179 C Telephone(516)765-1802
Southold,New York 11971-0959 Oy
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MARCH 27, 2000
MR. PETER HEARD
P.O. BOX 356
PECONIC, N.Y. 11958-0356
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
An application for Certificate of Occupancy is
not on file. (Enclosed)
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.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 24764-Z (MALONEY)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
�o�SrJFfOtX�OGy
a �
Town Hall,53095 Main Road y x Fax(516)765-1823
P.O. Box 1179 �r� • .� Telephone(516)765-1802
Southold, New York 11971 y,�ol dap!
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N ,ry
DATE:
Building Permit No. V76
Owner: 9r.. PSL) /
(please prLint))/ /
Plumber: . A/6f 1 For/ lluw inC d 14,12A/IG15'ee
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(PlumTL -
0 ers Signature)
Sworn t bef re m�e�thi
`304i" day of �i (1c c Gh , 'A ao UO
Notary Public, county
Carle Anderson
pWy Public,State of New York
e*Mon#01AN6033841
GO Miall In Suffolk CoumY
n
My Cw tsslon Expires Nov.2 ,2001
BOARD OF UBALTII ...............
FORM NO. I .6 SETS OF FLANS .
TOWN OF SOUTUOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
V11 NIP,, I BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
BLDG. SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: //te�nn�/ L�
?? CALL . 1.�7 J1 ,'u� . .
L'xQninecl..... 1..�r�..., 19. / f . . . . . .o�C . . .
pp rr MAIL. TO: . . . .'. . . . . . . .
Allwovel.....d..[.1 ..., 19 k Permit No. ��IP`� ...................................
Disapproveda/c .................................. ...................................
(Ihnilc ng'la x.cfnr)
APPLICATION FOR BUILDING PERMIT ?. f`p
iNSTRUCfIONS
n. 'Ihin application mist be completely filled in by tylxxariter or in ink nix] submitted t.o the Building Tuflpewtor w
seta of plana, accurate plot plan to scale. Fee according to scliechde.
b. Plot plan allowing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of. layout of property mist be drawn on time diagran witch is part of
this application.
c. ']he Cork covered by this application may not be commenced before issuance of Building Permit.
d. upon approval of this application, tine Building inspector will issue a Building Permit to the applicant. 6uch
permit shell be,kept on tile premises available for inspection throughout the nark.
e. No building shall be occupied or used in Axile or in part for any purpose whatever until a Certificate of
'PrOccupancy shall have been granted by Une Building Inspector.
APPLICAnON IS iEMBY MALL+ to the Building Department for the issuance of a Building Permit pursuant to the
Auilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of bunildings, additions or alterations, or for removal or demolition, as herein
described. Tlne applicant agrees to comply with all applicable laws, ordinanc building code, lousing code, arcl
regulations,,and to admit authorized inspectors on premises and in buhldin necea ins tions.
��( . .... .....4.........
(S nature of, applicant, or name, f a corporation)
.. �3. . js� �rCoa... /l
(Mailing address of applicant)
State wilettner applicant is owner, lessee, agent, architect, engineer,*general contractor, electrician, plumber or build.
......
1(- OxW...6dal �X .......�.. //��/f / .......................................................
Name of owner of premises .....Aq...?: .!./..Ul.A)?n./. .............................................................
(as on Line tax roll of latest deed)
If applicant is a corporation, signature of choly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. ..1.Y.9y ........
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. location of land on which proposed work will be done.... ..............................................
.Su¢k"l�1 /r. //9ZJ
Lawc.. ..................... ..........................................
(louse Naber Streetrpp llaanlet
Ccxty Tax Map No. 1000 Section ......".`...... Block ...4............ Lot .....
n ..........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Nate)
2. State existing use and occupancy of premise/s� and untended use anal^ occupancy of proposed construction:
a. Existing use and occupancy ...... LC ...I.! h^'J�....1..� 1 ? ..............................
b. 7nterx3ed use arid occupancy .... /G "`k`' � . ....... ..................
h9inrA2 tit
�f
Itsloin cable). New
Biitlonn Addition 'Meta
7. Nuurl of wor�j (tireck wlritir appl; tS .......... ... � tion ...".... ..
( ....5/ ..... I(e�noval .... ........ Other Irk ..
��. . .
4. gatinwttrl Cost ... .�� (r6 D....1....... fee ............................
5. If dwelling, r>nlrer of dwellb r (to be (laid cur filing this application)
rg 'snits ...�....... tidier of dwelling units on each floor ................
Ifgarage, :Naber of care ......j...............................
G, If Ixrshress, memrercial or mixeif occupan y, specify nature and extent of. eadr type of use......................
G ....... .�.J. u
7. Dtureuslara of existing
structures, _ n i,
g1 ....al..:d r, If any: Pront... �..D....... Rear ..96..0...... fkpClr .a o..�.........
, Mnirer of Stories .....a:............
Iki rc
Dillensloos of sere structure with alterations or additions: Front ..t .......... Itear :..........
Depth SAN :.......... Haight .f�`^ 4:............ Muber of Stories S
(I. Dimensions of entire new coostru�tlon: hart ...5 ...... Rear .....�u�; 4::. DepUn ...fl; AA
.......
S rerof IoC:J PYrxrC .... /,i'� r I�Nudrer of Stories ...S................
A Arc
9• C.......r....... Rear ...../:?U........... Depth ....................
11). liat'e of hirc:lrase ...! .:4?d?..1,7.... Mere of Formar (Amer ....... /I f... fQ!?,�;-e ..........
11. Zone or use district In Aildi premises are situated ..............................................................
13, Will lot be regonstr ctio `;e any zoning law, ordinance or regulation; U
12. Does propoat�ct crxratttictlon viola
raded
/•J•••!••....... Will excess fill Ire removed from premises YES N(1
14. Mmes of Omier of premises .....&I..y'Y./y Mn'tV ilddreae .. 4OZ r 'S�r. y/G. Flrone No.2/2 �3 D7oa
tinsre of Architect .....1.rk4i1:�'41...V.`OGFr70?'1......... Acklress >2dS�E;;ld'k,f', GUf.( ,.,.... [inane Mn.0?..6b. /¢a¢
Nerve of Contractor .✓....�)I...................... Address .P....��...... .`?..' 1(...11wne Ncr. 76J=92 -
_6 tv
..............
IS- IS this property within 300 feetl of a tidal wetland? * YES ....✓.. ND ..........
*1F YES, S(NlnlDln mm7U)SIFEIRS+ PERMIT MAY RR RE($JI14M.
PUYI' DIAGRAM
locate clearly still distinctly allII buildings, wlnedler existing or proposed, aid Indicate all setback dimensions
from property linea. Give street and `dock saber or description according to deed, and allow street rules aril indicate
ikedier interior or corner lot. /
r SIC_
r
�ONi's' I
titi'
SI'A'Ili (N' M;W YINUC, MM
(1NINIY (N'' .... 7TuIL ....".... tiS
.Nunn of i l'.......s gain cmtt'act..I.•..............•...Irai'41 drily mxxn, deposes aril says Lhat Ire in the appl,ieanl.
( vidaolxrve tuned,
lie in theC I�rr& J
`� j
........................... ..............................".....................I..................
(Cnrtrac(or, agent,-corporate officer, etc.)
of paid timer or owners, find In duly authorized to perform or beive imi-funiled the said work alki to rinks six] file this
application; that till sLatenents contained in this npplication are tare to the best of his knowledge and belief; mxi
that Ole work will be perfonned In (.het unnner set forth in the application filed therewith.
,%xrrn Lo I ore me (.Ilia
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