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HomeMy WebLinkAbout20240-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20641 Date APRIL 15, 1992 THIS CERTIFIES that the building ALTERATION Location of Property Say SOUNBVIEW ROAD MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 94 Block 1 Lot 3 5ubd9.vision Fi1.ed Map No. I~ot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 1991 pursuant to which Building Permit No. 20240-Z dated OCTOBER 30 1991 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 ALTERATION & BEDROOM WITH BALCONY & BATHROOM ADDITION ON SECOND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANCES McLAUGHLIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFATTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-230978 - APRIL 7 1992 S PLUMBERS CERTIFICATION DATED FEB. 28 1952 - FIARUY PLIINIBING & HEAT. P H Bu ding Inspector Rf Fe Rev. 1/81 f I roses xo. a 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) No 20240 Z Date ....,...s~P:,:.....~..........., 19..9..(. Permission is hereby granted to: ~ ~.1.....~ . `,ny ~ .~.~~n:~-~.. ~ at premises located at ....~.~.....~......~...~,C.R.cd.I.....~sF .........................o~A.tAr1~N.P~..... County Tox Map No. 1000 Section .....pp. Lam,, ~(n~~........ Block .......Q.~......... Lot No......G..~,.......... pursuant to application dated .....5~°1.Sa.1..~?~i~....°~ 5 19g.~..., and approved by the Building Inspector. Fee 5...`~t?~:..: . Building Inspector Rev. 6/30/80 ~O~~~Fp~~COI/ TEL.7G5-1802 ' TORN OI' SOJTHOd.D . OFFICE OF BUILDIl•IC INSPECTOR ~ P.O. BOX 728 ~a * < TOWN HALL ~ i 4~~ ~~y. Z" SOUTHOLD, N.Y. 11971 MAR - 21932 ~„r_~ 1•o~~t; , • C E R T I F I C A T I O N Date r'Sl. ~ ~C~ dam, Buildin~7g'Per/mit>~No. d0~6~ Owner ~/pseOh ~7 ~ (p ase pr' t) Plur„ber HARDY PLUMBING & HEATING NORTH, INC. (please print) Z certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. c (plumber's signature) Sw~oyrn to before me this a0 day of ~P~i~Ov~nn/ ~ 19 ~ ~ Y ~V M,1~ r,,,----_ Notary Public C7otary Public, ~V'~FDI~1L County 1 ~ssa.nl3s~ v. »~ov~l st:>ia ar r~ tvb. 498871P Quatrfled trt Sulk~lk Cwmg COmmb&bn E~ires Oct.19,19 _ . 7` r / THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 25114 ".'il BUREAU OF ELECTRICITY z1 85 JOHN STREET, NEW YORK, NEW YORK 70038 Date APRIL 01,1992 dppliroeionNo.onflle 75728291/91 1 N 23097II THIS CERTIFIES THAT - Il only the electrical equipment as described below and introduced by the applicant named on the afroeeapplication number in the premises of J I + JOESEPH McLAUGHLIN, 505 SOUND`-?VEIL' AVE., MATTITUCK, N,Y. ;l In--, in the following location: ? Basement ~lu let F7. ®2nd F'l. $ertion Block Lot was examined mL FEBRUARY 27,1992 and found to be in confplianeo with the reyuirements q/'this Berard. ,r FIXTURE 'FIXTURES RANGES COOKING DECK$ OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENL FLUORESCENT OTHEfl PMi K W. AMi K W AMi. KW AMi K W AMi. M. P. 1 G 13 11 13 ' Ifi -"•f 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CIOCK$ RELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi, K. W. Oll H. P. GAS H. P. ~l!M1i NO A. W. G. AMT AMP AMi AMPS TRANS. AMT H p SYSTEMS AMT WATTS NO.OF FEET t SERVICE DISCONNECT NO.OF 'x 5 E R V I C E METER NO. OF CC COND. A W G A W G. A. W G. PMT. AMP TYPE EQUIF I,B'tW 1,6'JW J%]W R,a 4W pER ,e OF CG CONO NO OF NI-LEG OF HbIEG NO Of NEUTRALS OF NEUTRAL OTHER APPARATUS: ' I~ MOTOR5:1-0.75 H.P. G. F.C.I:-1 SMOKE DETECTOR:-1 :r I ~i' GEORGE BARBER - LIC.#3964-E C/~~~ 19 POSSUM LANE E. SEATAUKET, NY, 11733 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. INSPECTORS Victor Lessard ,~Y~`~~; FDA,.( Principal Buildinglnspector ~~y0~:a~ ~d Curtis Horton V A~ l'~ SCOTT L. HARRIS, Supervisar Senior Building Inspector c~~ Thomas Fisher C°' t ~ Southold Town Hall ~ ~im- F P.O. Box 1179, 53095 Main Road Building Inspector o~ ~`c Southold, New York 11971 Gary Fish ~ 4i ' Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher - Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD 7~i/ /j/~~ FEBRUARY 26, 1992 0 D _ pj..<e.~ JOSEPH NORBIIRY - ~ 1-•-~J)'"~~~"iti _~4.~ C~~ PECONIC BAY BLVD. ~ ~rt h`fl f j, P. o. sox 62s ~ 21992 JAMESPORT, NY 11947 a RE: JOSEPH MC LAUGHLIN To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x%% An application for Certificate of Occupancy is not on file. (Enclosed) x%% No Underwriters Certificate on file. ffi The check is not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. ffi No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20240-Z Please contact our office on this matter. Thank you for cooperation. SOUTE~OLD TOWN BUILDING DEPT. INSPECTORS z- Victor Lessard ~~1jffF0[~C Principal Building Inspector ®i. QG 2 Curtis Horton a'~ :;:~P SCOTT L. HARRIS, Supervisor a' Senior Building Inspector c~a ~ -'z Thomas Fisher +:i^ ~ ~ Southold Town Hall P.O. Box 1179, 53095 Main Road Building Inspector moo',"' f' V q Gary Fish ~'~l.>~i So Faxl 5 6) 765- 823 71 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD FEBRUARY 26, 1992 JOSEPH NORBURY PECONIC BAY BLVD. P. 0. BO% 625 JAMESPORT, NY 11947 RE: JOSEPH MC LAUGHLIN To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: %%R An application for Certificate of Occupancy is not on file. (Enclosed) x~c 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 # 20240-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. c'1c:LD1;:5:'2C;'_UN ~~U~TE I~ ~ONMENT° . 1 1. a~ . ~ y R) - y "F• FOUtlDATION-_-. (1st) p ~ ~ FOUNDATIOtJ (2nd) _ _ m $ 2. ~ ~ s P,OUGH FRAME ~ -~r..e~~ ~ pI •PLUMBING ~ y G 3. ~ ~ m IIJSULATIOPt PER N. Y. y A STATE ENERGY CODE a . ~ ~ ~.-I y ~ FI;JAL Y ~ o ADDITIOPIAL COMMENTS: ~ ~r x 9~ • ~ • x ~ ..o H • 9 _ H H ~ O z W r • ~ x .a ' d: m.. . ro ' H I\ V V_ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ~ FOUNDATION 2ND [ ] IN CATION [ ]FRAMING [ FINAL REMARKS: ~T? o~ s DATE ._INSPECTOR ~Z~ rss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ J ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING FINAL REMARKS: _ ~ 4 ~ ~ DATE L~ INSPECTOR I ~v~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST fyJ ROUGH PLBG. [ ]FOUNDATION 2ND [~INISULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~i INSPECTO ~o 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ RAMING [ ]FINAL REMARKS: ~,~~-u-t--~ ~ DATE ~ ~ INSPECTOR w w A4:% ' FlCiION 7209 OPSTHE VIOLATION Of . ~ lDUGA7EON MW, NEW YORK FTA7! C/ COPIES Oi THIS FURVFY MAP NOi BEARING r, ME LAND SURVEYOA'S INKfO SFAk OR A. 3 / IMbFFED FEAT SHALL NOT BE CONfIDERED Lo w' ~ ~ ~ ~l ~~~1I `I G ro BE A VALID TRUE COPY. 4r~ , Y ONLY TO TES INDICATED HEREON SHgLL RUN N. N'CPY K „r---^-' IS PREtARED, Eq F`SON FOR WHOM THE SURVEY Y lj " ~ ND ON _ 3i Za. ~ / 71171E G HIF SEHAIF TO ikf IV.6GR ~~,4~ kENDINOMPANY, GOVERNMEN}gi AGkNCY ANp Q ~ T. A 11 Ne G INSTI7UilON Et$iED H.4aON, AND TO iHF ASSIGNEES OE THE FENDING 1NF71. TUTION. GUARANTECS ARE NO7 TRANSfERAB1A TO ADDIiIONgE IKF71lUTION$ OR SUBFEOUENi ~~nut Klu•tYf r` i-i "7. 4 4 Sea to : 5C''= 1. ~TTrn ci e,t. z~'` NO T~~tw ~w ,r ~rr~., Us ~ ~ r { fl; f1S ~ ~ MAP GF l...PC~NU 1 u u SUR~,~E`rtG FOF G' ml 1 ( I) 4'20 ui V" ~ d' w. I:. S' i~ `a - - Z •1°, t i F~ 4 - _ , v' • 1 ' vlt~ti, 1-:.~., 1. lyy~.., ,<j C~,:v; r', rv I.+'7 ~ ~ G i C C~ L CCJ ~ ~ ~ 1~~~`.; (FOA NONoELECTAIC HEAT) DESIGN CRZTF.AIA 6,000 Degree Dike ' o,A. l0°r' r.A, gooa' l ~ R ~Uc G~.~.h ~ ~ d? W S 5 ~ev'1 G cs~~a.~-- r NI~_f>;'~L~ . . v._. - - - QEA REMhR~es s~, r3 s ys A ~ ur~' TEA' NGt - -r--- - Exterior Walln (Opaque) `T , U1~ +77 Clasina ,.._yZ - Z 2V` -,-~3 ~F/arJ~,. ~~~~rr{.n,~,..4 u~ ('fi??r ' _ Ilbern - - Ceilina~AOef (Onagne) /'L,7 U33 l~ Skrllvhtn ~ - . ~'l~or S` ~ , v ~ O Fiwndation Wallx _.v_.._ Slab I'nnnlatien TOTAL ~f s'' Noteet ' Detld~nq Exvelepe Syntexa to Meet regnlrexentn of 9~1~,Z NVAC'Egvipxent to meet regwiremente of X5119.11 HVAC STntexn to Beet regwfirexente of 75118.12 , . IIiot S~atexa to neet regnirexentn ®f 7818.19 . VF,ntila.tienn 3letexn to meet requirexentn of 7Fs1g.I4 Innnlatlen of Pioina Syetexn to Beet req~alrenentn of 7R1'g.lg Service. Water. Weatina 3Yntexn and Egvipxent to xeet Require9oentn of 7818.21 Electrical an~i Llghtinrt S~ntexn and Equipxent to xeet requlrhxentR of gAlg.91 Tb tie blNt of xv Knowledge, Tx!lief, and rrefennienal ~fP~~''~~b'r ; ae , ~aAaexent, thene rlane arP in cexpliance with the code. ~ ~'r~~' ~ ,Yf~ ~ S ~ <y n1 {~N .5 Cz v F, 6. S 0~22~~ Op ~'E./, 9~f ES34Q / l ~/L~ / • B0,\FD OF HEALTH , FORM N0.1 3 SETS OF PL.1:iS ~I°;;i~~"i-~i~',I_!"~.'~` _ TOWN OFSOUTHOLD SUKVEY ' ~ BUILDING DEPARTMENT cIIECI: , , , , , TOWN HALL SEPTIC POR.f ~ OCr 2 5 ~Oi.Or~ SOUTHOLD, N.Y. 11971 ~~`V~.i, TEL.. 765-1802 t7oTIFY, c t'. CAL , Exantingd ,:.,.1riV;?' i ~It), . . •~~1~• NAIL T0: , Approved . . !J ~ , 19°~ ~ .Permit No..`o,,•©~~ 0 ~ . . Disapproved a/c _ . ~~pt. , . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19... INSTRUCTIONS a. This application must be completely filled in by typewriter 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 >f areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 .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 the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Zegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. flee 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 inspections. ~ y~~ ~j _ /f/~./... . (S' atu of applicant, or na , if a corporation) ....~J--. ~:..~ox tlC~-r~res ~q~r:~... . (Mailing address of applicant) State whether ap/p~]icant is ow/ner, l/e~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............CJ, en!era;l C.'a~fra~~al^ ....//..........j......./.~ \amc of owner of premises ....l~~s.~P!~ ...~c L 0.V. . (as o 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.....1.3.`f, ff„~', , , , , , , , , Plumbci s License No. r, q,3, ~ , , , , , , , , , , , Electrician's License No. 9, `f , , , , . , , , , , , Otllcr Trade's License No . . Location of land on which proposed work will be done . . [louse Number Street Hamlet County Tax Map No. ] 000 Section R. Block Lot 3........... . Subdivision • Filed Map No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ .~(G ~•+ti.°°% .l ~~;~-•.aC€ b. Intended use and occupancy ~ ~~1 !":QQI'?....... ~.ns: kay. ~.j.r l.iis..,•j'S ,f,- .;r<a~,,~, Vin:.. ~ ,'a~t;;': ~ e3rS'.1a'acn~x+25"Y. . 1\ature of work check which a ~ ( pplicable): New Building Addition Alteration / Re air Re II . p moval Demolition ........:.....Other SVork . ~ (Description) 4. Estimated Cost....6~ 6QZ7.Od Fee .....:,~c (to be paid on filing-this application) t5. If dwelling, number of dwelling] units , , , , , , , , , , , , , , , Number of dweging units on each floor . 'i If garage, number of cars . , 6. If business, commercial or mixed occupancy, specify nature and extent of each t pe of use ; , , , , , , , , , , , , , 7. Dimensions of existing structures, if any: Front 7a , ; , 7v~•y , Height a• 9....... ...Rear Depth . 3.S'.......... . p NumberofStories....,1,,,,,,,,• Dimensions of same structure w th alterations or additions: Front 02, , , , , , , • • • • • ~ ~ ' . Rear ~e~ . ~ o ..Height .....kl.q Number of Stories . e th N.~~ ction: Front Rear Depth 8 Heigh Ystons of entire new const ber of Stories ~ ~ • • • • • • ~ • ~ • • 9. Stze of lot: Front ~ vZ . Rear . .3.4 3-' ~ . 10. Date of Purchase p De~h,....`f.~.7.!,,,,,,,,,,,, 1 1. Zone or use district in which re • • ~ ' • ' ' ' ' • • • Name of Former Owner ...tl.4%rnes• r~N~, , , , , , , 13. Will lot be regraded N mises are situated , , , , , , , , , , , , • • • , 2. Does proposed construction violate any Zoning law, ordinance or regulation: W 6 ° p • • • • • • • • • • • • • Will excess fill be removed from premises: Yes Io 14. Name of Owner of remises ~i....... , , , Address , , , , , , , , , , , , , , ,Phone No..?/b", :7.,2J;-, ~'~p o Name of Architect .................Address Name of Contractor . ,q~ , , /I/ yr ' ' • • • • • • • • • . Phon~o . 15. Is this gl~• .....Address .P:9•. ~4x .62~-. Ts~;•~q~~e No..7a2ot-.P/3.3 property within 300 feet of a tidal wetland? *yes,,,,,,,, No *If yes, Southold 'Down Trustees Permit may be required. PLOT DIAGRAM t Locata 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 corner lot it 'I I I ~f~O . OUNTYF FE~~LK`l~`C.?~.r ~~(Nameidual s~nir~u ~ • • • • • ' ' ' ~ • being duly sworn, deposes and says that he is the applicant g gicontraCt) Dove named. eisthc (Contractor agent, corporate officer, etc.) smd owner or owners, and is duly autho ' erform or have performed the said work and to make and file this ~plication; that all statements containaid in this application are true to the best of his knowledge and belief; and that dhe ork will be performed in the manner se,t forth in the application filed therewith. vorn to before me this ~dayof.. ,'19~~ >tary Public, ounty ii~ • CLAIRE L Ot.EW Na tyPubl% State of N ' Yak , No.48796t>g ~ QualiRedinSu}fdkCou~ty (Signature of applicant) Canmlasbn Expkaa oacsmbe~!~ reLR'