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HomeMy WebLinkAbout19682-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26361 Date: 04/09/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 41780 MAIN RD PECONIC (HOUSE NO.) (STREET) (EAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 20, 1991 pursuant to which Building Permit No. 19682-Z dated FEBRUARY 26, 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to JAMES C MCBURNIE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/01/99 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gront~ . ............... ...... ~.~,...~...~.,~y~....L..~.~/.. ................ ....................... /'7 .......... 7.Z_.;.U;.~ ...... ~,'2'2 ......... 7' '~'""2 .......................................... at premises located at .............. .~.../....../..~., ........ ~,,'..~,/',/,~'/~..ff..~...~,/. .............................................. County Tax Map No. 1000 Section ..... ~.~,.. ,~..,4 ...... Block ..... ~....../. ....... Lot No ...... ~,,..,~ .... pursuant to application dated ..... ~~ ....... .~......~.. ............. , ,9...~.../and approved by the Building Inspector. .ulldlng° inspector ~' Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~AG~, i ii~i~o eUREAU OF ELECTRICITY -- 40 FULTON STREET, NEW YORK, NY 10038 Date AP?IL 0~;,1999 Application No. on file 17953399/99 N 485061 THIS CERTIFIES THAT only the electrical ~ quipment as described below and introduced by the applicant named on the above application number t$ in the pr~ml~es of JIH HcBURNI.E, 41780 IL%IN ROAD, PECONIC, in the following ,'ocation; [] Basement [] 1st Fl. [] 2nd FL GAR Section Block was examined on .~,IL O!, 19-°9 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES COOKING DECY~ OVENS DISH WASHERS FIXTURE EECEPTACLES OUT/ETS R.UORESCEHT OTHER 11 8 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS $1~CIALREC'PT. TIME CLOCI~ UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R OTHER APPARATUS: PANELBOAP/)$, 1-6 CIR. G.F.C.I, ~'~ I C E NO. OF HI-LEG SHK~ON ELECTRIC 62 WAK}I~AN ROAD ~A~?TON BAYS, NY, 11946 GENERAL MANAGER 11 . Thl. cmflflcate mu.t not b~ GIMrecl in any m~nner, relum lo the ~ of the Board If Incorrect. Impector~ may b~ ~ by Ihelr creclenflab. COPY FCR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildin~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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, i~dustrial building, multiple residences and s{m{lar buildir 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. For existing buildings (prior to April 9, 1957) non-conforming uses, o~ 'buildings an Vpre-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 sig~ed 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 Buildinm - $i00.00 3. Copy of Certificate of Occupancy - , .25g. 4. Updated .Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ......... ................. New Construction . ..~....... Old Or Fre-exis u ng ........ ~oeatian of ~roperty... V. ZZg.o. ................ ~../d ................. House No. Street Hamlet On.er or O ers of Property .... .... ................................ County Tax Map No i000, Section ............. Block ...... .~./. ....... Lot ...... "~ ........ Subdivision .................................... Filed Map ............ Lot ........... ~ .' ....... Health Dept. Approval ....... ,~ .............. Underwriters Approval ....................... Planning Board Approval .... ~ ............. Request for: Temporary Certificate ........... Final Certicate .... ~...~...'. Fee Submitted: ,"'i-~, ~ ¢ o ~ ~ .... . .~/.7. ¢~Y. · .~4-m. ·'. ........... APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ [ ] ROUGH PLBG. [ [ ] ~JLATION [ [ /~ FINAL []FIREPLACE&CHIMNEY ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING DATE INSPECTOR Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 7, 1998 Jim McBurnie 41780 Rte. 25 Peconic, New York 11958 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 # 19682-Z GARAGE Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [~'~RAMING [ ] FINAL REMARKS: ~ ~,,~ / DATE INSPECTOR FOUNDATIO:! ~lst~ ?OUNDATI0:; ~ f2nd) ROUGH FRAME & -PLUMBING 3. 7NSULATION PER N. STATE ENERGY CODE Fi~;AL ADDITIO~;~L COMMEI;TS: 765-~.802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR ~~_~ _=.-- ~'- l~"~ ~ Lo" ~ GT~- 1115[? ~'~ ROOF DESIGN LOAD ~"%.~,,> 31VOltlla33 ~OHllg I- --? ~00~ $~[~b&s, ~ [SHEET 2384 [TOTAL ,,5, 0 Z 0 m C '--I -< Z Disapproved ale .................................... . .. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHQLID.. tq..'~. Lt571. TEL.: 7G5. 1802 BOARD OF H£ALTH ......... 3 SETS OF PLANS .......... SURVEY .... S~'PTIC F 0 R,"I .............. NOT I FY CAE: HAIL (Building [n:pcctor) APPLICATION FOR BUILDING PERMIT · INSTRUCTIONS a. T16s application must be completely filled in by typewriter or in ink ~nd submitted to th;' Buildin-_. La:pe~t.~r, wit/ sets of pIn,~% ~'-,,rata plot plan to scale. [::to ;~ccor~ing to schedule. la. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premix= or public stre: or areas, and giv/n; a deta/lgd description of layout of property must be drawn on th,. diagram which ix pa~ of this ap/. cat, on. C. Th-' work covered by this application may not bc commenced before issuance of Ruilding Permit 'd. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perrr shall be kept on thc premises available for inspection throughout the work. e. No building shall be occupied or used in xvhole or in part for any purpose whatever until a Certificate of Occup~n: shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to th,. Building Department for the issuance of a B,,;lding Pe..-x..it e=."~.:ant to t.~ [luilding Zon= Ordinanc~ of' tb.e Town of Southold. Suffolk County, New ~,c:ulations, for the construction of bui.ldiq~s, additions or atterat OhS. or for removal or demolitionS, ca hereto describe: Th& .applicant ag[ecs to comply xvith all applicable laws. ordinances, building code, housin= codez/z/n ,dm,, speeto on prem s and · ~Mailing address or' applicant) State wl~ether applicantcD ~ i'J~'~'i~ owner, lesse,., agent, azchitect, engineer, general contractor, electrician, plumber or build-': ........ ........ · .............................................................. Nam,. of owner of premises ~C'. ~-~ ~rl (as on thc tax roll or latext deed) 'fapplicant is a corporation, signature of duly authorized officer. plumber's License No /"~- Electrician's Liccn:e No .................. ~ O[hcr T¢~dc's Liccn:c No ...................... L ti o~l~a.nil o.,o~ h p pos ill .be d ' DCa on wh/c ro cd work w one: ou~c Number Street. Hmnlct County Tax Mu o. Section , ~ ~' O0 ................. Block ........ Lot 5ubdivh~on .................................. -. . Eilcd Map No. · ............. {Name) ~tzlc esi~tin= u[c and occupancy of prcm~sc[ and h~lcndcd use and occupancy of proposed construction= A. ~xtSt~ng uae and occupancy ..................... B. 'Intended uae and Qccu~ancy.; ......................... · Nature of work (check which applicable): Ne~v Building ....... Addition ..... /alteration .: ............ .............. D moli,on .............. enn~s court ' '~ ..... Accessory guilding ..........Fence ~ ' ' f., z2... ' ....... (L~ he paid on filing this application) Ir dwelling, number of dwelling units .... [ · - · Number of dwelling unit~ on each flo ..... I.. . ........ ....... I£ garage, number of cars ..... 'a:~, · If busincgs, commercial or mixed occupancy, specify natnrc and extent of each type of use .................... · Dimensions of existing structurc~ if any: Front Depth , ............... Rear . .. .......................... Hci:ht ...... Number of Stories Dimensions of same structure with alterations or additiong: Front................. Rear ................. Depth ...................... Height ....... ~ ............. Numb~.r 9f Stories . - 'l ....... Hmght .. ~..~.~ ......... Number of Stories .... l ................ '... Size of lot: Front .............. -....... Rear ............ Depth ................ Date of Purchase ........................ --- -- Name of Former Owner ............................ Zone or use district in which premises are situated. · ................... Does proposed Construction violate any zoning law, ordinance or regulation: .....................---....... Will lot be regraded ...... o .......... Will excess fill be removed from prerni~: , · Name of Owner of prernixe~ ............... Addrem.. ...... .......... . Phone No...-. ..... .--.. Name of Architect ........ . . Address . Phone No Name of ContraCtor ' ' · . ...... Addresg ..... Phone No ............... i.l.m t-kim property located within'afl8 feet of a tidal wetland? 'mYES .... NO .... ~If yes, $outhold Town Trustees Permit may be required. PLOT DIAG RAM Locate cle:trly and distinctly all buildings, whether'existing or proposed, and. indicate all set-back dLmen:!on: :': operty Hnes. Give street and block number or description according to deed, and show street names and indicate for/or or corner lot. FATE OF' NEW YORK, S.S DUNTY OF . . · ................................................ being duly sworn, deposes and says that he is the applie:: (Name of individual signing contract) : is the · (Contractor, agent, corporate officer, etc.) · said owner or owners. ~d is duly authorized to perform or have pcrfo~etl the said work nnd to m~e and file th 'plicatioa: that all statements contained in this application are truc to thc best of his knowledge and belief; and that mk will be pcrt'om~cd in thc m~ncr set forth in the application Qlcd therewith. yom to before mc this atary Public ...... ~2-~- · ; .- . ... County · 'HELEN K. ~ V~D~ENew York (SignJture of applic~'