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Home My WebLink About21934-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF No Z-23543 Date MARCH 13, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 49925 MAIN ROAD House No. County Tax Map No. 1000 Section 70 Subdivision Street Block 5 Filed Map No. ALTERATION SOUTHOLD NY Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 1994 ~ursuant to which Building Permit No. 21934-Z dated MARCH 8, 1994 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 RENOVATE AND EXPAND "NON ~ABITABLE" STORAGE AREA ABOVE A GARAGE AS APPLIED FOR. The certificate is issued to GERARD GAUGHRAN SR. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner} N/A MARCH 10, 1995 N/A Buildin~ I~or FORM NO.$ TOWN OF SOUTHOLD BUILDING D~PAR'TMENT TOWN HALL $OUTHOLD, N.Y. No. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ..~.,...~x:...../..¢.~.. ~ ........... 0 '"~~'?"'"~;~ ........ '/"/"~'~'/ ............. to...~..~,~.~.~.....~..,..~...x.~...~...,/,~. ............ ~,..~ ....... ~ ....... ~ ...~ ......... ~ ......... ~: ....... ~~..,~.~. .................................................... CountyTax Map No. 1000 Seotio~ .....,'~. ............ Block ...... ..~_.~ ......... Lot No ...... ...~...~ ........... ~,.,rsu,::,ntto,:,~p,o,~t~on d,:,ted ....... ~..~.~.. ........ ~.. ................ ~..?.~......., ,::,~ app,o,.,~ ~¥t~e Building Inspector. Rev. 6/30/80 ~ BLOG. OEPT. ~ O.F SOUTHOLO___,j ~-~3~6 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANI 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 tb.e 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 '7pre-existing" land uses: I. 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 Buildin~ - $100.00 3.Copy of Certificate of Occupancy - $20.00 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...~.~. .............. ~.5~O...~ .... ~ ,.i.iii[i[.'.~./~.' ........... House No. Street Hamlet Onwer or Owners of Property...~..~.~.....~.~.~..m~. ......................................... County Tax Map No 1000, Section · ........ · .... ~±ocm .............. ..Lot... ............. o... Subdivision .................................... Filed Map ............ Lot ................ ... . . . Permit No....~.~ .~. .... Date Of Permit..~ ........... mpplicant.~.~ll~.~ ....... Health Dept. Approval.' .................... · · · · . Underwriters Approval ......................... Planning Board Approval .....................~ .. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: ...................... THE NEW YORK BOARD OF FIRE UNDERWRITERS PA6 ! 8053020 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date MARCH 14,1995 Applic, tlo, No. on/lie 06972295/95 H 044698 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of GMRARD W.GAUGHRAN, 49925 HAIN ROAD, POLE%LIL 334, SOUTHOLD: N.Y. ia thefollowlng location; [] B~sement [] Ist FI. [] 2nd Fl. GM ,Section Block Lot u~s examined on HATCH IO, 1995 and found to be in compliance with the National Electrical Code. 2 !7 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES iPECIAL REC'PT TIMECLOCKS BELLIUNITHEATEIUNITHEATERS MULTI.OUTLET AMPS TRANS. ~-- SYSTEMS NO. OF FEET EXHAUST FANS DIMMERS OTHER APPARATUS: SMOEE DETECTOR~ .- 1 R V I C NO. O~ CC. COND, A* W.G. NO, OF HI.LEG pER ~' OF CC. COND. A, W, O ~40, OF NEU'~RA[S A, W. G OF HI-LEG OF NEUTRAL 49925 MAIN SO[?I~OLD~ N~f, 11971 GENERAL MANASER Per- This ceHJficate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BLIILDING DEPART~ISNT. THiS COPY OF CERTiFiCATE ~VIgST NOT BE ALTERED IN ANY MANNER. 7~S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [. ]~..ATION FRAMING [ ~'~ FINAL · REMARKS: DATE '~"//~/~/~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 23, 1994 Mr. William T. Conway P.O. Box 1902 Southold, NY 11971 Re: Gerard Gaughran Sr. 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) 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 # 21934-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 $outhold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 16, 1994 Mr. William T. Conway P.O. Box 1902 Southold, NY 11971 Re: Gerard Gaughran Sr. 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) No Underwriters Certificate on file. xx 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 # 21934-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOU~__~DATIO__N ~ (1st) FOUNDATIO~ ( 2nd } 2. ROUGH FRAME & .PLUMBING 3. INSULATION FERN. STATE ENERGy CODE 4. FINAL ADDITIONA~L COM.,i?E~;TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..... .~./<J? ...... , 19~.~ ^pproved .... ...... ,19? .Permit Disapproved a/c ..................................... _ . (Bu~d~ Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY CIIECKt .................... SEPTIC FORH .............. CALL ............. MAIL TO: Date ............ ;i'J9~.¥ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing 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 must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hereLn described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insAections. /n -- (Signature of applican'~e, if a corporation) Lc[ ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... Name of owner of premises . .~...e', .~.~.~.d....~..~.~C~..~ .......................... :'. ................. '~(as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... t~. ~.~.~.../~.~. ......... Plumber's License No ......................... Electrician's License No ....................... Other Trade s License No ...................... Location of land on which proposed work will be' done .................................................. ............................... ~.O.. ~. .................................. House Number Street Hamlet County Tax Map No. 1000 Section ....~),~.(~. ........ Block .....~.. ............ Lot..~. ............... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy..c~...~9.~.'/.!)/...~.~.e.{(t~. Intended use and occupancy ..~ .~.~.C.~q ~-~G~. ~-~ .~. ~ -/~-~q~ .~'-f~- ~ /.O' ' ~/-t C d~)~'t'r~' b. ............,_,'-' .._-- .... ....... . ........ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..: .l~.: .... Repair .............. Removal ............. Demolition ............. Other Work ........... I$,0C)0. (Descriptio.) 4. Estimated Cost .............................. Fee ...................................... (to be paid on filing this application) 5 Ifd b fd ~ it b fdw · welling, num er o welling n s ............. ,. Num er o elling units on each floor Ifg · arage, number of cars ..................... ' ............... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmcturek, if any: Front ..... ~.~ ....... Rear ... ~...q. ....... Depth .?/'..~' .......... Height ....... ~.(t. .....Number of Stories ...~. ..................... . . ' Dimensions of same structure with alterations or additions Front . ,.'<30 H'~--:- .... :' 'p~; ................ vt- ...................... Height . . · · Number nf Ktnfi~.e ....... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................... .. 9. Size of lot Fror/t 1~.~. Rear '~ " '-' q'~O ............. .................................... ~aepm . ~c/ ......... I0. Date of Purchase ..... .~7~.e-[ .......... . ....... Name of Former Owner ~or~.rcf' ~.q~,l,adt;.~ ~.¢.r~-t~ 11. Zoneorused~stnct~nwh~chnremisesaresitua a ~c:>/,~0- ~o~., - te ............ ~ ............. 12. D .... g' · .......... ocs proposed construction wolate any zomng law, ordinance or regulation /f].O ......... ;... 13. g ..... ~O .... .c., ............ Wall excess f/II be removed from premises: Yes Will lot be re reded · · · 14. Name of Owner of premises ~.¢r.a~rc,4..(:.t~.~.~r.,t&. Address .q?q~. ()dq,5. F~,-Ad..~.~../~hone No..~..~'T. ~,.O. .... Name of Architect ....... -.: · · · z ............. Address ............ Phone No .. .. Name of Contractor . .D.).dl~¢~ ?.e .o~.._)( ...... Address ~./$. :x. 1Zo4. ~%..~..¢/. Phone Nol ?~.' .-~.' .' .~2¢ ." 15. Is this property within 300 ~eet ot~ a tidal wetland? *Yes ........ No...~J~. .... ' ...... · If yes, Southold Town Trustees Permit may be required. -.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NE!Y"~ORI~_ $.~.- S S COUNTy oF..'h . (Name of indiw~dual signing contract) ~bove named. (Contractor, agent, corporate officer, etc.) ~f said owner or owners, ~d is duly anthofized to perfom or have perfo~ed the said work and to m~e ~d file this lpplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the .york will be perfomed in the manner s&t forth in the application filed therewith. ;worn to before me this .......... .~~'2 .day~. ~¢ ~ ~,.,, 9 .~~ qota~ Pu~l',~~ ..... Count. y