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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' ........