HomeMy WebLinkAbout18325-z FORM NO. 4
ti
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18898 Date MARCH 15, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 115 MASTERS ROAD LAUREL N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 09 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25, 1989 pursuant to which
Building Permit No. 18325-Z dated JULY 25, 1989
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to REGINA COUGHLIN
(owner}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N{A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
uilding Inspector
Rev. 1/81
n~osat xa s
TOWN OF SOUTNOLD
BUILDING DEPARTMCNT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° ~~3~~ Z Date .......~....a.J 19.A..1
Permission is hereby granted to: 1
at premises located at ..1 ~.5.......'(~1 ......................~.............:!<~K..~..................................
..a
f~::::~.:...:~
Caunty Tax Map No. 1000 Section ....~.a~.n(~......... Block ......~9......... Lot No..a..~
pursuant to application dated ........~....a,~ 19.d.~..., and approved by the
Building Inspector.
Fee S..wS.D......
Building Inspector
Rev. 6!30/80
TOWN OP SOUTIIOLD aa ~nj~(7~~~~
BUILDING DEPART;SENT ~ ~~~21.7\~`JL`a~
TOWN BALL F~~~yy~ ~ , iE
SOUTIIOLD, NEW YORK 1 197 1 ~~y~~~ ~ ~ 5 J~17 ~ ~~i
765 - 1802 ..A.., ,M~,..;~. ~
APPLICATION FOR CERTIFICATE OF OCCUPAtJCY / /
I DATE.. Gb
C U h~ 5' /RG t~ d/ ~°G'C, ~ ~GYO~i ~O
NEW CONSTRUCTION ._.....OLD OA PR~Ej-E%I/STING RUILDING......VACANT LAND,.., _
Location cf Propcrty..~~-? /~/~,S~C:~~. ~~y~~ / .
~ NOUSE•NO.•• _ 4.
/~/!JSTP.EET NAHLET
0$rner or Owners of Property.. ~'Inrf).G.bci~.~ti~w._.
County Taz Hap No. 1000 Section ,~o~b. 61ock ~ .~~.j...
Lot
Subdivision. ( ~~~,~~//fG/~. Filed Map .Lot..7.°~~.._
PcrniC No. Date of Permit ~'~'~-~1`.
• -.Applicant .:~:.~~',/,~'A_.:tlL~~~~`~~
Qealth Dept. Approval UndetvriCers Approval.....,_
Planning Board Approval
Request for Temporary CcrCificate
Finai Ccrcificatc _...1(,__......._
Pce Submitted: $._~Jp ~J
APPLICANT. J1r~'.tJ;:~;d..~ !!A!~..
r~~ 10/14/88
C~.ee,. 3~j i .
C0~1$s9g
4~
FORM NO. 6
TOWN OF SOUTIIOLD
IIDILDING DEPARTMENT
TOWN MLL
C ~ 765 ~ 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must bG filed in typewriter OR ink and submitted Co thq Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property liaes,
streets, and unusual~lnatural or topographic features.
2. Final approval of IIealth Dept. of water supply and sewerage-disposal~S-9 form).
' 3, Approval of electrical installation Ergm Board of Fire Underwriters.
4. Sworn statement from~plumbcx certifying that solder used in system contains less'
Chan 2./10 of load:, _
5. Commercial buildings, industrial buildings, multiple residences and similar. 1
buildings and installations, a certificate of code compliance from the Architect,
or Engineer responsible for the building, •
6. Submit Planning Board Approval of completed site plan requirements. ~
B. For existing buildings (Print to April 9, 1957 non-conforming uses, or buildings
and "pre-existing" land !uses:
1. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or typographic features.
2. A properly completed application, a consent to inspect signed by the applicaat
and a certified abst~•act of title issued by a title company which shall
shgw single and separate ownership of Che entire lot prior to April 9, 1957,
,If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or q[hgr
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
! and a certified abstract of title issued by a title company showing single aad
separate ownership o€ the entire Iot prior to April 9, 1957 shall also accompany
the application. If!,a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in wr.iti.ng to the a.nplicant.•
D. FEES:
1. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelliag - $100.00.
3. Copy of Certifio-'ate of Occupancy - $5.00 - over 5 years - $10.00 •
4. Vacant Land Certificate of Occupancy - $20.00
5. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.00 Residential
! Commercial
•
ev, 10/14/S8
TEL.: GS-l E0'_
5.~f F Of..~C ,
r`z'"~'. C,y TO~C t1 QI~ SOUTIZOLD
c,/
1:.+'i~6u:~~ Y;~ ~c~ OI~I'ICJ; O~ DUILDINC INSPECTOR
u~ ~ r `~""1~~ ~ TOWN MALL
,~~/0~ ~i ~~~t' SOLITIfOLD, N.Y. 1 1971
March 12, 1990
John & Regina Couglin
Bor. 574 -
PSattituck, %.Y. 11952
To t9hom This May Concern,
Y
47e arc unable ro complete your Certificate
of /Occupancy because of the folloc•~ing reasons.
/t?/ An application for Certificate of Occupancy
is not nn fi].c. CE%CE.OSED)
/ / Dlo tJndcr~•,rit-crs Certificate on file.
/i///'t'hc chr_cp: .i::(laet4x~5sY~Fi3/not nn filc.l S25.DU
~ No lica].L-h Dept. Approval on file.
No final inspect:ion has been made.
Plcasr.. contact our office on this, matter. -
Thank you for your cooperation.
P.u.ildir.g Pcrm.it; 0 1 8 3 2 5 2
Dui l:7ing Dept, .
tlo L•lumber Solder Certificate on file.
( all p~rtnit.•:: involving plwnbing being
issucci after ,1pri.1 1,1984 )
~ ~
lELD I::S: ~~:'_~;J ~~u„::: I~ ~GiKM[.NT~
1 . - I _._s I ~ ~
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cOUNDATTO"7 ~ (1st) a
?OUNDATI077 (2nd) ~ -
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o
'OUCH FRAME & a>
PLUMBING
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IIdSULATIOP! PER N. X.
STATE EPIERGY U.~
CODE I
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FI;IAL
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ADDITIOIlAL COMMENTS: m
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BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 15T [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INS TION
[ ]FRAMING [ FINAL
REMARKS:
DATE f ~ INSPECTOR ~t'° V~
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D ~ ~ ~ (~,dg14{~•L~,-a~~`,' BO.IAD OF HEdLTH
ufoCf {g}~`{~ FORM11NO a 3 SETS OF PL.1NS
J~ Z~ ~ L,/U SUAVEY
TOWN OF SOUTHOLD CEiECK , ,
BUILDING DEPARTMENT SEPTIC FOA:I • _
BLDG. DEPT. TOLVNHALL
OFSOUTMDLD SOUTHOLD. N.Y. 1707'1 NOTIFY
~t~" TEL.: 705 1302
Examined . ;+.~x~. dS ~ CALL ,
71 19 P1AIL T0: ~~0, Q~-5~7~
.lpproved ..a;5.., 19~9.PctartitNo.,~,~o, ~aS~ /rL~
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Disapproved a/c
i /~V/CAA., .
\XY/ (Building Inspector)
' APPLICATION FOR BUILDING PERMIT
• Date . 15.
INSTRUCTIONS
a. Tltis application must be completely tilled in by typewriter or in ink and submitted to the Building Inspector, with
sets 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 scree
ar areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app
.anon.
c. The work covered by this application may not be commenced before issuance of Bui]ding Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole ar in part for any purpose whatever until a Certificate of Occupant
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY hfADE to the Buildin; Department for the issuance of a Building Permit pursuant to th
9uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c
. Rcculations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein desczibec
cite applicant aerees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t.
edmit authorized inspectors on premises and in building for necessary in coons.
(Sig acute ot'appl' an[, or name, if a corpozatron)•
. .%a:.fox.~7~,.,f~v~~,~~~~,~1~~.rly.~-.
. (Dlailin~ address of app]cant)
Mate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
'~ameofotvncrofpremises ~.lP./l/V.~~:(7k~JJ~sn~..d,'..?~C.'.~~,/.tit`/.G.../.7~1,~.,~~iN
(as on the tar roll or latest deed) ~ • • • • • ~
.f applicant is a corporation, signature of duly authorized officer.
• (Name and title of corporate officer)
Builder's Licaasc No. • , V `U r ~ '
Plumber's Liccnsc No .
Electrician's Liccnsc No . .
Otltcr Trade's Liccnsc No .
Location of land on which proposed work will be done.
IlouscNumbcr Strcct.
/ Hautlct
County Tax ,1fap No. 1000 Section ...,~o`? {l~, • , , , ; Block , Q~~. (>Q
'y. Lot . .l~~.~~..Q
07?, ,
Subdivision~~ Pl~U~Z~~0.1.41• ~T•hIG./S File) Ata t ..,,y • • . .
/ ! No. ,~~Jr, Lot o'; :s
(N:unc) .
' State cxating use and occupancy of premises and intended use and occupancy of proposed construction: -
a, Existing use and occupancy .....j... L.Y •~~`4iC`"~ G
b.Intendcd use and occupancy
3. Nature of work (check which applicable): New LutJding . •
Repair Removal . Addition ",LC/4'~' ~ ,
• • • • • Demolition ~l~ration
4• Esti:natcd Cost , ~r/,.l
0 • • ~ " " • • .Other R'ark ~
5. IC du•clling, number of dwcll,ing units , , , (to be paid on filing this•aT ~ • ~ ~ ~ ~ • • •
If garage, number • PPlication)
oC cars Number of d}vclling unit3'on each floor , , , , , • •
6• [f business. commercial or mixed occupancy, specil•y nature and extent of each t •
7, Dimensions of existing structures, if any: Front , ~ • •
ffci^_ht YPe of use ~ . • • .
' • • • • . . Num bcr of Stories , " " • •Rcar Depth . •
Dimensions of same structure with alteration ~ ~ • • • • ~ ~ ~ . • • • . • . • ~ • • ~ ~ ~ • • • •
Depth.,..... soradditions: Front..•.•.....•.....•......•..•.,
' S. Dimensions of c• flcight Rcar ~
ntirc new construction: Front , ' ' ' ' ' • Number of Stories . ~ •
Heicht .N;umbcro •..•..•Rcar .
9. Sizcoflot:Front.••~•• fStorics..., """"••••••Depth
10. Date of Purchase Rcar. .......:.•................................'...1.
Depth
1 1. Zon^ or use district in w'hi~h ~ • • • • • • • • " • ' • • • • Name of Former ~ • "
Owner • t
12. Dacs propos,d construction vPolate an arc situated , • , • • . • • • .
13. 1ti'ill lot be regraded }zoning law, ordinance or regulation: • • • . ~ . • • ~ • ~ • • • ~ ~ • • ~ ~ • .
14, NamcoCOwncrofprcmises. •11'illcxccsslillbcrcmovcdCro.•~~•••~••
Name aC architect _ ~ • • ' ' ' ' ' ' • • • • • .Address . m premises: Ycs • ~ ~ •
Name of Contractor . • .Address . • • PJionc No........ , ,
IS.Is this .Address. .................Phonr,No....
*If es Property located witlrin~00 feet of a •tidal ~wetlaod?n*No.
Y Southold Town Trustees Permit may he re
YES t70 .
~ PLOTDIAGRAlvf 4uired.
Locate clearly and distLnctlyyall buildincs, whether existing or pro osed
property (roes. Gire strut and block number or descri do
interior or corner lot. P + ~d• indicate all set-back dimensions frog
P n according to decd, and show street names and indicate whethc
i~
T.1TL OF X(31;' YOR1;,
~U\T1' OF S.
S
- .(Xamc of individual signing contract) • ~ • • ~ • • " being duly sworn, deposes and says that he '
ove named,
is the applicant
is tltc
said ' ••~COnIraC(Or, agent, corporate officer, etc.) • • • ~ ~ ~ ~ ~ ~ ' "
owner or owners, and is duly alrthorizcd to ~ ~ ~ ~ '
'It~atton; that all statements containd,d in this a Perform or have pcrforrncd the said work and to • • • • .
:k wdl be pcriomrcd in the manncrss't forth in [l~chcation arc true to the best oChis knowlcd~, m~'° and file tltis
^^-m to bdiore me tlils PPlication filedgthcrowitlr• and belief; and that the
a"'Publi., ...(?;~:~,~,c;...75,^...~.eUUtl~((1~..... Counry9
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I`+`~'~'~; r'''. ~ SURVEY FOR ; ~ ~ '~I s J; II ' `f n,,~
} P isS Si» 1 11 - ' c t ti la a ~ r w ~1 t~ f S {5~
,i „I~ r p ry I~ JOHN F. COUGHLIN 8 REGINA CO GHLIN i;,~ 1 , 1~{~ la ~1 ~
~~,1, ~ ~ s; ~~~f, i,~ ~ . , LOTS 4 & 5 OF MAP OF PROPERTY OF DAN J STACK i+ Gq• ~ I ~ , H,, {
~JI ~ - DATE , ~ OCT 23 1979 r, , if ' d
o~~l~l r1~ AT LAUREL ~f~i „~l« a~~~~Y rR
t~~i< I ~ ~ TOWN OF SOUTHOLD ! el ~ t~ ~ sCALEaI" 30,'I~~ ~ iiy} 'F~"~~rv` 1
m
,~t i SUFFOLK COUNTY, NEW YORK{ ~ , NO pn 79 588', Ila~gj?` ° I , Ik
' ~ ~{I i~l, ~S ~ i i ~ iF UN AUTHOR 2E0 ALTERATION OR ADDITION TO THIS GUARANTEED TO ~ 'h'I: iS It r
~i'J i I it;r ~}r Si a f SURVEY ISA VIOLATION OF SECTION 7205 OF THE 'ndi ' ~ k~ryi~~ ~ ~t~laa ~.ujS Ua{''
p' ; ~ ° 1-~ ~ new roRK srnrE EDUCnnoH LAw. ~ ~.~;RIVERHEAD SAVINGS BANKI~~;'3 {lu~
!I ~ Sh Is fi ° MCOPIES OF TNIS SURVEY NOT BEARING THE LANG y~ C?{ICAGO TITLE~~NSU ' a SSy,~s S ~ i~"
~ i h niS I a J ~ - SURVE YOR~S INKED SEAL OR EMBOSSED SEAL SNALL Iy.~ s y OF 1 ~~4'a',d ~
i ~ t a NOT BE CONSIDERED TO BE A VALID TRUE COPY i ~ .e S PEE NFIyY ~a al r -
' ' SS IS < s nj ~ I' ~ lI GUARAN TEES INDICATED HEREON SMALL RUN.ONLY TO n I°' ~ ~ ~ ~ ~`~°r~ ~ f"~y
1 S ~u;~` ~~~x ~ S THE PERSON FOR WHOM THE SURVEY IS AREPAREO ~f~ i` (1D,WS~~n ~.r Sry~-rS ~
{ r S! p2~Y r - AND ON HIS BEHALF TO THE TITLE COM PANYS60VE RN {~S ~ ~P f~ 9 ~~.H L~
a~,*~ d a h ~
n fr~6~4 e, a° I ~ ~ MENTAL AGENCY AND LENDING INSTITUTION LISTED I ~ Ij~ ~G ~ ~SS~
i ' k < ~ ` HEREON,AND TO THE ASSIGNEES OF THE LENDING i ~ y r + ~k f l f
S ~ ~ ~ ~S! k ~ INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE a r• f t„ ,n ~~I p~ ~ S~(~ ,
u SS Y I in S TO ADOI iIONAL IN STITUTIO N6 OR SUBSEQUENT ¢ ~ ~ yr r_
Iqqxy OWNERS. ~ ..:I p ~ ~ i ja~~ s
I qj5~ n ~ N fF DISTANCES SHOWN HEREON FROM PROPERTY LINES S! /I,/f ~ "~t
s ~ _
+I~ '+t f th TO E%ISTING STRUCTURES ARE FOR A SPECIFIC v -v 'ii la V
Wa ~ I d'~ e PURPOSE ANO ARE NOT TO BE USED TO ESTA BLISM ~ ' r ~~p' 3 ' ~t'1~~ r
~ ' ~ 1 PROPHf~TY LINES O,R FOR THE ERECTION OFr FENCES ~Sj ~ C~ 5 9 ~ +.u
G~~ e ~ „S t 'i..` ~ ~ ~ iv 'll 'tiSfO '00. {a~~.Ziy~'Y~
NOTE ~M =MONUMENT FOUND . ` tl.. ; ~ ~ -
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK YOUNG ~ YOU NG 400 O , R AVENUE~~
OF SUFFOLK COUNTY ON JULY 30, 1926 AS FILE NO 815 ~ RIYERHEAQ NEW YORK ~~~I
i y}s Y^ r I , a , ~~gi z ~ s~ 2 9 i~~~' xl ~tS~I t~ n ,
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