HomeMy WebLinkAbout20559-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21038
Date SEPTEMBER 21~ 1992
THIS CERTIFIES that the building.
Location of Property 600 MAIN ROAD
House No.
County Tax Map No. 1000 Section 127
RENOVATION
LAUREL~ NEW YORK
Street Hamlet
Block 2 Lot t. 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 15, 1992 pursuant to which
Building Permit No. 20559-Z dated APRIL 16~ 1992
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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM C. GOGGINS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-247022 - AUGUST 18~ 1992
PLUMBERS CERTIFICATION DATED SEPT. 17~ 1992 - TIMOTHY HORTON
Rev. 1/81
/ Building Inspector
FOB,H NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERA41T
N~N? 2055~Z
Permission is hereby granted to:
....~.~X..J. .~ ............................................
~ ~ ,, ~__~_,,.....~o~...~.:..~..:....:..:..~.~...
~~.~.~. ............... ~ ......... : ........... ~..: ....... ~::~ ...................................
at premises I~ated at ..~.~,.,,,[~t..~.....~ .......... ~ .................................
County Tox Map No. 1000 Section ...... l....c~....."). ....... Block ...... .(~..~.., ....... Lot No....,'~.,.:.O....! .........
pursuant to appl]cation dated ....... ~ ........ !...~.. ............... , 19..~...2~.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
: 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,
streeta, 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/i0 of i% 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-exzstzng' land uses:
1. .Accurate survey of property showing all property lines, streets, building and
unusual natural or topographid features.
~2. A properly completed applicJtion an~ '~ 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.
· 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 $25.001 Businesses $50.00.
2. Cer. tificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 o~er 5 years - $i0.00
· 4. .Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
September 16 1992
Date .... ~ ......... ,
2w Construction Old Or Fre
............ existing Building ...............
)cation of Property,. .00 a n Road ~ Laurel ·
.... House No. Street Hamlet
wet or Owners of Property William C Goggins
unty Tax Map No I000, Section.jj{7.,Oo ...... Block..P~...QO.. 7.~ 003.001
bdivi.sion .
...................... '~ ............. Filed Map ............ Lot ......................
~mit No . 20559
............. Date Of Permit.April 17, 1992
'' · .............. Kpp±icant. ~4i%liam C. Goggins
~lth Dept. Approval... N/A
....................... Underwriters ApprovalAUgust 18, 1992
!nning Board Approval .... N/.A
uest for: Temporary Certificate.. N/A ' Final Certicate ....
THE NEW YORK BOARD OF FIRE UNDERWRITERS
t0~0220
BUREAU OF ELECTRICITY
~ 85 JOHN STREET. NEW YORK. NEW YORK '10038
Date a~U~.' 1~[992 Appllc~tionNo, onfile ~3~9292/~2 N 2~7e22
THIS CERTIFIES THAT
only the eJ~tricaJ equipment ~ ~serlbed be~m a~ int~duced by the applicant ~med on the a~ve application number in the premises of
inthefollowinglocatlon~ ~ ~..~.t ~ ~tFt. ~ $.d ~. ~'IC/0U'~ Section Bl~k Lot
was exemlned on J[[l~ [[ ~ ~.[' 13,1992
FIXTURE FIXTURES
OUTLETS SWITCHES
DRYERS FURNACE MOTORS
ettd found to be in compliance u, ith the requiretttents {~f this Board.
RANGES OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT OTHER
FUTURE APPLIANCE FEEDERS
TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
S E R
NO O~j:~COND,
OF CC COND
I C E
NO OF HI-LEO oFA H~.tEGW' G ~40. OF NEUYRALS
AWG.
OF NEUTRAL
L[C,#2707 ~
8
GENEllAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors ma), be identified by their credentials.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
CERTIFICATION
Date ~ ~/~
Building Permit
Owner_~/~ ~ ',]~'.,~,V
(please print')
Plum~e r~2 o~
(pleas~ print)
I certify that the solder used in the water supply system
contains less' than 2/10 of 1% lead.
~'~pl6mb~r' s signature)
Sworn to before me thip
,~ ,f . ' Notary Public
~;Otary Public, {~.~L/ ~ ~
=OUNDATIO~'.!
(2nd)
~OUGH FRAME &
.PLUMBING
3.
[!~SULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
ADDITIONAL COMMENTS:
WILLIAM C. GOGGIN$
P.O. BOX 1483
MATTITUCK, NEW YORK 11952
(516) 298-1083
Building Department
Town of Southold
53095 Main Road
Southold, New York 11971
September 21, 1992
Attention: Victor Lessard
Re: C.O. A4)plication; Building Permit Number 20559
Dear Mr. Lessard:
In connection with the above referenced matter, enclosed please find:
1. Application for a Certificate of Occupancy;
2. Fire Underwriters Certificate;
3. Inspection Card confh'adng final inspection;
4. Plumbing Certificate;
5. Check made payable to Southold Town Building Department in the
mount of $25.00 as and for the filing fee; and
6. Survey of the premises dated May 4, 1992
If you require additional information or documentation, please do not hesitate
to contact the undersigned.
WCG/cam
Enclosures
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SEPTKI~ER 18, 1992 -'
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
JEAN & [/ILLIAM C, OC~INS
~OX 1483
MATTITUCK, NY 11952
RE: McNUL~Y, 6'HARLES & (~ra~RS
600 MAIN ROAD, LAUREL, NY
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 i~
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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 20559-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCO'I'I' L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone ( 5 l 6 ) 765-1800
STOP WORK ORDER
TO: ANTONE BERKOSKI d/b/a SUNRISE CONSTRUCTION
575 Westview Drive
Mattituck, N.Y. 11952
YOU ARE HER~Y NOTIFIED TO SUSPEND ALL WORK AT:
600 MAIN RD., MA~'fITUCK, N.Y. (McNULTY RESIDENCE)
TAX MAP NUMBER - 1000-127-02-03.1
Pursuant to section 100-281 of the Code of the Town of
Southold, New York, you are notified to immediately suspend all
work and building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
APPARENT ALTERATIONS TOT HE IBT~KIOR OF THE BUILDING ARE
BEING MADE WITHOUT A BUILDING PERMIT.
CONDITIONS UNDER WHICH WORK MAY BE RESU~.!i~:
WHEN A BUILDING PERMIT HAS BEEN ISSUED BY THE SOUTHOLD
TOWN BUILDING INSPECTOR.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
DATED: APRIL 14t 1992
VINCENT R. WIECZOR4~K,
ORDINANCE INSPECTOR
( CERT MAIL)
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
SOUTIIOLD, NEW YORK
STOP WORK ORDER
TO:
l, Owner, Owner's Agent or Person Pertorming Wor~)
(Aaare~s ot a~ove-n&mea person/
YOU ARE HEREBY NOTFFIED TO SUSPEND ALL WORK AT:
I. Aaoress where wor~; is
TAX MAP NUMBER
~rsuant ro section [.~6.. Y~ I of the Code of the Town of Sourhold, New York you
ate notified to immediately smpend ~1 work ~d buil~ng acti~ties ~til this order h~ been
rescinde~
BASIS OF STOP WORK ORDER:
7-0 7
· CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
Failute to remedy tho c6nditions aforesaid and to comply with the applicable provisions of
law ma}, constitute an offe~e punishable by fine or imprisonment or both.
BUILDING INSPECTOR / CODE ENFORCEMENT OFFICER
BUILDING DEPT.
FOUNDATION 2ND [ ]INSULATION
DATE
INSPECTOR,~~.,~
765-1~02
BUILDING DEPT.
INSPECTION
[]FOUNDATION 1ST [ ] ROUGH PLBG.
[]FOUNDATION 2ND [ ] INSULATION
[]FRAMING [ ,']~AL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[~MING [ ]FINAL
REMARKS: ~-~~ ~ ~
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE INSPECTOR
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ R~~OUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE.~INSPECTOR.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11071
TEL.: 765-1802
Examined . ~ I lo., 19 .~..a:-.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH
3 SETS OF FLA~{S ..........
SURVEY ...................
CIIECK ....................
SEPTIC FOR;I ..............
t-' oT 1 F'!;
CALL ...................
l-iA [ L TO:
INSTRUCTIONS
a. 'Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
ets 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
,r areas, and giving a detailed description of layout of property must be drawn on tile diagram which is part of this appli-
etlon.
¢. The work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
hall 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
hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for ghe issuance of a Building Permit pursuant to the
,uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
'.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
:fruit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
:tate whejher applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...... .................................... · .......... .............
lame of o~vner of premises..~./~..~., .,t,~.,,, .~..~.' '., .,~./?.'~. (.~1,, .~./..d~/., .z~.,, .~..//('..F~..'.~/...
(as on tlie tax roll or latest deed)
; applicant is a corporation, signature of duly authorized officer.
· '''''' (Name an~ title of corporate officer) .......
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location. ~.?q. o,f ....land..~.~../?.°n whic_h....prop~ged (' '~' · '! work........will be &~ done. ............................................ ......... ' i .....
llouse Nmn ber Street Hamlet
' A;.-2. 02
County Tax Map No. 1000 Section ........ : 00 Block , OC) Lot .O O J
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existino use and occupancy ............................... ;. . . ; .... ~ ........
Intended use and occupancy · ·
3. Nature of work (cheek which applicable): New Building .......... Addition ......... "dteratmn ........
Repair .............. Removal .............. Demolition .............. Other Work ..... )(-.L ......
(Descripnon)
4. Estimated Cost '~ ~-~
(to be paid on filing this application)
5. If dwelling, number of dwelling units / Numberofdwelling unitson each floor
· If garage, number of cars ....... ~'~ ............................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if an,,,: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structur? with alterations or additions: Front ................. Rear .................
Depth ...................... Height ...................... Num her of Stories ............. '2 .......
8. Dimensions ofentire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories
9. Size of lot: Front ..../.~'..ff. ............. ' ......... " ' · .........................
Rear....d'. ~....~. ............ Depth., .2..-..~...'? .... ; ........
10. Date of Purchase . ./f?....c~./.l( .,,'~"..O~4y/ ........... N,,lme o..f. Fonner Owner ........................
I 1. Zone or use district in which premises are situated .... .,.,.~.'.~..~..Q ........................................
12. Does proposed construcnon violate any zoning law, ordinance or re'rotation' ..~ .9 .........
1.3. Will lot be regraded tfi~?,~/....~.: ............. Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .................... Address ................... Phone No ................
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address ................... Phon~ No ................
Is this property within 300 feet of a tidal wetland? *Yes ........ No.~ ......
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRT~I
Locate clearly and distinctly all buildings, whether ~xisting 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.
1.5.
r
:'ATE OF NEW.YORK, ,
oum_¥ OF..,S. ...... S.S
(Name of individual signing contract)
ore named.
is the '
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly author/zed to pcrfo~ or have performed thc said work and to m~e ~d file this
~lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
rk will bc pcrfomcd in thc manner set forth in the application flied therewith.
om to before mc thi~
............ /.5 .... .... ...... ,,o... ,
gd 44 4' ........