The URL can be used to link to this page

Home My WebLink About20407-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22858 Date FEBRUARY 1, 1994 THIS CERTIFIES that the building Location of Property 2405 GRAND AVE. House No. County Tax Map No. 1000 Section 107 Subdivision ALTERATION MATTITUCK, N.Y. Street Hamlet Block 6 Lot 14 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 27~ 1992 pursuant to which Building Permit No. 20407-Z dated JANUARY 27, 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 ALTER EXISTING ATTACHED GARAGE INTO A HABITABLE ROOM AS APPLIED FOR. The certificate is issued to GEORGE & FRANCES LESSARD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H-038449 PLUMBERS CERTIFICATION DATED Rev. 1/8t DECEi~BER 3 ~ 1993 N/A ./~~B~'~In~spector FO~,~ NO. f~ TOW~ OF SOU'fl. IOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20407 Z Permission is hereby granted t,9; . , ,~ .~...~.....~.:~.~~ .......... .~.~/..~....~/_/~/~ _ ,o ..... ~~~ ...... ~~~~ ............................................... ~,~,m,~,,,~,,~,...~~.~ ................. ::.~:~ ........... ............................................. ~~.~....~...~.. ....................... pursuant to application dated ....... ~ ........... ~......~...., ,9..~.,~,,--and approved by the Building Inspector. Building Insl~ector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA~ ?OWN OF SO0 f'~O ~, 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 ~ith 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 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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. tf..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 $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 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 ................ ocation of Property....~. ~.~. ............ ~ .~/~.~/.~. ~..~-.,. .......... House No. Street Hamlet Onwer or Owners of Property.~..~. ~.'.~.--~...~....~. '~../:~/ZJe/-C~. ............... County Tax Map No 1000, Section...~.~..~. ..... Block .... ~ .......... Lot./...~. ................ Subdivision .................................... Filed Map ............ Lot .................... . . Permit No. ~.~.~.O.~...~...Date Of Permit .............................. ..... A~__can_D-11 t ........ Health Dept. Approval ...................... - · · · Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submit.ted: ................ .... .'-e' . ' '. -: q'")tl S3 ... INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish t?milding Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 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 OFFICE OF BUILDING INSPECTOR TOVq-N OF SOUTHOLD January 21, 1994 Hr. George G. Lessard 2405 Grand Ave. Mattituck, NY 11952 To W~nom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xxx The check is (cut~atc~/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 PER24IT # BP# 20407Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOW/~ BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~04~,~'ltJ. BUREAU OF ELECTRICITY [~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed below a~ int~uced by t~ ap~icant ~med on the a~ve application nu tuber in the premises of Lot FIXTURE LECEPTACLE I I FIXTURES I RANGES ICOOKINGDECKSI OVENS IDISHWASHERS EXHAUST FANS OUTLETS ~1 S SWITCHES INCANDESCENT FLUORESCENT OTHER ~L K W A~L K W, T K W ~4T K. W A~T, H P DRYERS i ~RNACE MOTORS I FUTURE A~tlANCE ~EDERS $PECIAL itc PT TIME CLOCKS ~ UNIT HEATERS MULTI-OUTLET DIMMERS ~T. K. W, O'[ H, P, GAS H. P, ~T NO, A W. G, AMT ~p ~T AMps, T~, ~T, H.p N~E~, AMI, WATTS OTHER APPARATUS: Pe~ This ce~Jflcate must not be altered in any manner; return 1o 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. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROU~P~LBG. FOUNDATION ZND [. ~LATION FRAMING [~/] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION / FOUNDATION 1ST [ ]/!~OUGH PLBG. FOUNDATION ZND ~/] INSULATION FRAMING [ ] FINAL DATE INSPEL~rOR 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION ~/~RAMING [ ] FINAL DATE ~OU~;DATION (1st) 'OUNDATIO~'~ (2nd) IOUGH FRAME & .PLUMBING :NSULATION PER N. Y. STATE ENERGY CODE Z O FI;IAL ADDITIONA'L COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.; 765-1802 Examined ................. 19.,. DisapprovUa a/c ................... ~ S~-TS o~ ~.~,,~ '*"~'''''. SURVEY ' SEPTIC FOCal ~' CALL ................... NAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 .ets of plans, accurete 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 the diagra~n which is part of this appli- :alton. ¢. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wilI issued a Building Permit to the appl/cant. Such permit .hall be kept on the premises available for inspection throughout the work. e. No building shaB 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 the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations. for the construction of but/dings, 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 :dmit authorized inspectors on premises and in buildin~g for necessa/t~Zn.~e~ct(ons.J~~ /'7 C) (Mailing address of applicant) /~/~.,~ ~ 5tale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,amc of owner of prem,ses .G..~. ~ ~..¢,. Z~ .~6..~,~. :.e...~...~,..e., ............................. (as on the ta% roll or latest deed) ff applicant is a corporati?n, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ '~'l~ Plu nber's License No ....... ' .... .~. ~ Electrician's License No ....................... Other Trade's License No ...................... ~ - · Location of land on which proposed work will be done .................... · ~' .............. llouse ~um uer Street Hamlet . County Tax Map No. 1000 Section ...Z~..7 ...... Block .... ( ....... Lot ..... / ....... ...- Subdivision ..................................... Filed Map No. (Name) .............. Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: ..... ~ ..... t .......... ~' · -1. ~ ". ..... ~ ~X g~t~ ,~?;~'~j ~Fg~ 3. Nature of work (chec~'which a pi/Cable): New Building .......... Addition .......... Alteration Repair .............. Rem val .............. Demolition .......... Other Work 4. Estimated Cost ...}..~.(d)~... i (Description) Fee .~:~.'~, -' - Jiber~.o~ ,. (to be paid on filing this appl cat on) 5. Ifdweling, nu well' ! its.. .'fgarage, numb;;;'f; 7. ::: .......... o,, =h ............. 6. If bus~ness, COmm~cial or mixe~,.anc,, s~ 'd'~d": ........................................ .. . . , . , ~. ~e lynatureande 7. D~mensmns ot e~~fi~ Xtent of each type ofqse ............ Height .... ~i~ ............. Rear ............ Denth ' ions of e~ ~: :~umber of Stones .................. Height ..... ~ ........ Rea~.. .;.Deoth ~d :: ........ ~ ..., .... .9. s,z~ or~o~: ~o lO.' Date of Purchas '~:~': .............. ~. zo~ o~ ~ d~~/~~ Z' ~ .._; ~ n ........ ~ ...... ~ ....... '~T k ~.' .......... · -. ~u~ p~uposeo co~~~ ......... ~.~. ~ 13. - ...... ~.~ -,,~ ~umng ~aw, ordinance or re-ulation. ' ................ Will lot be regraded . , 14. N~e of Owner of premises . ? j ................. Will excess fill be removed frome~¢~j~s: 2 ~.; Yes , ~ No ............. Address ................ :' Pho~ ~o. . . ~ ~ . . Nme of Architect .......... i · · . .~ ..... N~le of Contractor ....... [ .... ~ ........... Address ................... Phone No ...... 15. Is thi · · ~ ............. Address .... ' ......... ~r~2~t! ~yh,s ~?0 t~o~ of a t~d~t ~t~d~ ' ;~'~ .......... P~o~ ~o ......... · ....... ~ PLOT DIAG~ Locate clearly and distinctly ~I buildinoq whether existing or proposed, ~d. indicate ~I set-back d~ensions from propeay Hnes. Give street ~d block humber~ description accord~g to deed, and show street nines and indicate whether inteHor or comer lot. .USE UN CERTIFICATE TAT~ OF APPROVED AS NOTED NOTIFY BUILDING OEPARTMEN'f AY' 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDA'i20N . TWO REQUIRED FOR POURED CONCRETE " 2, ROUGH - FRAMING & PLUMBING ocmg amy l~)y~[flA~.eposeq, oKffgT~OEffllqtNl~lO$ffm applicant lOve named. ~ ' "~ BE cOMPLETE FOR C.O, i ,,, ALL CONSTRUCTION SHALL MEET HE REQUIREMENTS OF THE N ' : is the ........................ ~1, , T .y. ........................ SYAT. B .gONSTRuCItON. 8~ .ENERGy ~ (Contractor, agent, corporate cfftSDl~S.ctaklBT RESPONSIBLE FOR ......... said owner or owners, and is duly ahthorized to perform or have perfo~ill~lO~s,~[lllJ~laO~loE~a~.e~and file this plication; that all statements ontamed in this application are true to the best of his knowledge and belief; and that the ~rk w/II be performed in the manner se, forth in the application filed therewith. 'om to before me.this '' ...?~,'.~ .... day of. (~.. ........ ta ~,, (~ ..... ~, '~"-~- · ,~K)Y'CEM. WlLKIN$ 'i ' ~~'~. L' 3... ~ ............. '..(. '1'__ ~I~--S~',i~U~ ~ ' (Signature of applicant)