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Home My WebLink About31722-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31417 Date: 01/26/06 THIS c~KTIFIES that the building ADDITIONS Location of Property: 1350 ROBINSON LA PECONIC (HOUSE NO.} (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 4 Lot 28.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 2006 pursuant to which Building3 Permit No. 31722-Z dated JANUARY 11, 2006 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 "AS BUILT" DECK AND SCREENED PORCH ADDITIONS, INCLUDING OUTDOOR SHOWER, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY JAMES J. DEERKOSKI, P.E. The certificate is issued to MIC~L%EL P & MARY M HEAGERTY (OWNER) of the aforesaid building. Su~FOLKCOUNTYDEPARTMENT OFBEALTHAPPROVAL ELE~-£KICAL CERTIFICATE NO. pLUMBERS CERTIFICATION DA'r~u 01/26/06 N/A N/A MATTITUCK PLUMBING Rev. 1/81 BUILDING DEPARTIMENT rUCAriO fOR CER IVICA rW Or OCct) This application mast be fdied in by typewriter or ink and sabmitted to thL"B~mlding Depamnent with the following: A. For new building or new use: 1. Final survey of property w/th accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. F/nal Approval from Hcalth Dept. of water supply and seweragc-disposal (S-9 form). 3. Approval ofelectiical inetallafion from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that thc soldcr used in systcm contains lcse than 2/10 of 1% lead. 5. Commcrcial building, industrial building, mulfiplc residences and similar buildings and installations, a certificate of Codc Compliance from architect or cngtheer responsiblc for thc 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-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 ff 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, Additiuns to dwelling $25.00, Alteratious 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 - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate ofOceupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. January 23, 2006 New Construction: X Old or Pre-existing Building: (check one) LocatienofProperty: 1350 Robinson Lane, ?eeonic House No. Street Owner or Owners of Property: MICHAEL HEAGERTY and MARY HEAGERTY Suffolk County Tax Map No 1000, Section 098.00 Block 04.00 Subdivision Permit No. 31722-2 Health Dept. Approval: N/A Planning Board Approval: N/A Request for: Tempora~ Certificate Fee Submitted; $ 25.00 Date ofPerm~. 1/11/06 Lot Filed Map. Lot: AppHcant: William C. Goggins Underwriters Approval: N/A Final Certificate: Hamlet 028.001 X (check one) Applicant Siloiatm*6 Town Hall, 53095 Main Road P,O. Box 1179 Soulhold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: (Please p~) Plumber: Date: (Please print) lead. I certify that the solder used in the water supply system contains less than 2/10 of 1% Sworn to before me this da~ .o/ , 200b Notary Public~~County DENISE KING Notan/Public Sta~ 04 ~ YO~ Registration #01KI6041757 · _ ou~i~.,~ ~ S~k Co.re/ _ _ w~y ~.~.misslon ~:xplrea May 15, ~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31722 Z Date JANUARY 11, 2006 Permission is hereby granted to: MICHAEL P HEAGERTY 33 SCHOOL LANE HUNTINGTON,NY 11743 for : AS BUILT ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE DWELLING AS APPLIED FOR - at premises located at County Tax Map No. 473889 Section 098 pursuant to application dated JANUARY Building Inspector to expire on JULY Fee $ 300.00 FAMILY ADDITIONAL CERTIFICATIONS MAY BE REQUIRED 1350 ROBINSON LA PECONIC Block 0004 Lot No. 028.001 9, 2006 and approved by the 11, 2007. ORIGINAL Rev. 5/8/02 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Re: Deck Certification Mike Hagerty 1350 Robinson La. Peconie, NY To Whom It May Concern: After a deck framing/footing inspection at the above mentioned pre built deck, it is deemed that the deck is constructed as per plans submitted, and met all the state and local codes at the time of construction. Any questions feel free to call. ly ~n\~Deerkoski TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE - oAYd. 82 LANE FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH F~G & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE DATE COMMenTS ADDITIONAL COMMENTS TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 PERMIT NO. ,~/¢,,.q,.n.~. Examined · ,20. Approved ~/~/ ,20. ~ Mail to: Disapproved a/cc'~Si'~~r'~ Phone: AI~-ItLIOATION FOR BUILDING PERMIT ~t~__~ January 9 Date INSTRUCTIONS BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. TraStees Contact: ,20_06 a. This application MUST be completely filled in by typewriter or hi ink and submitted to the' Building Inspector with 3 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 streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a permit shall 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 what-so-ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to a&nit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) c/o P.O. Box 65 Mattituck, New York 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Attorney for owner Name of owner of premises Michael Hea~erty and Mary Heagerty (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1350 Robinson Lane, House Number Street County Tax Map No. 1000 Section O98.OO Subdivision ¢lame) Peconic Hamlet Block 04.00 . Lot 028.001 Filed Map No. 3434 Lot 3 2. State existing use and occupancy ofpremises and intended use and occupancy of proposed coustmction: a. Existing use and occUpancy one family residence b. Intended use and occupancy one family residence 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost $3.000.00 5. If dwelling, number of dwelling units one If garage, number of cars Fee Addition x Alteration Other Work (Description) (to be paid on filing this application Number of dwelling units on each floor 6. If business, cormnercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front 36 Rear 45 Depth Height Number of Stories 0N~ Dimensions of same structure with alterations or additions: Front Sa,,e 5O Rear Same Depth Same Height Number of Stodes Same 8. Dimensions of entire new construction: Front Height Number of Stories 9.. Size of lot: Front 147 Rear 140 Rear Depth 210 Depth *Deck with ~creened porch on partial existing deck and partial new deck 10. Date of Purchase Name of Former Owner Demarest 11. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law, ordinance or regulation: No 13. Will lot be re-graded No Will excess fill be removed from premises: YES NO 14. Names of Owner of premises M.Heagerty Address Name of Architect Address Name of Contractor Address PhoneNo. PhoneNo PhoneNo. 15. Is this property within 100 feet of a tidal wetland? *YES NO x · IF YES, SOUTHOLD TOWN TRUSTEES PERM/TS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. Deck and porch "as built" 17. If elevation at any point on prope~:y is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) WILLIAM C. GOGGINS being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Attorney/Agent (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ali statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 9th dayof January' _ 2006 ".~._~. Notary Public DONNA M. PALMER Notar~ '" :'~ qt-,~'eo,'NewYork 'E C ' 1}. z '1