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HomeMy WebLinkAbout31866-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31505 Date: 03/30/06 THIS CERTIFIES that the building ADDITION Location of Property: 200 FIRST ST LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10 Lot 7.2 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 2006 pursuant to which Building Permit No. 31866-Z dated MARCH 24, 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CAREY J & PAUL R GOLANEC (OWNER) of the aforesaid building. SUFFOLK COU1FI~f DEP~TMENT OF tIEALTH ;%PPROVAL ELECTRICAL CERTIFI£~%TE NO. PLI~4BERS CERTIFICATION DA'£ku3 03/30/06 N/A 1127281 04/21/03 MATTITUCK PLUMB.&HEATING Rev. 1/81 Form No. 6 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 subtnitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and nnnsual natural or topograptfic 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, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for thc building. 6. Submit Planning Board Approval of completed site plan requirements. Bo 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - Brew dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, AccessoW 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conm~ercial $15.00 New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. 9-9 I ~ ~, ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: House No. Street Date. Date of Permit.o>),~ t~ [ 0 ~a Block lO Filed Map. (check oue) Hamlet Applicant: Underwriters Approval: Final Certificate: (check one) 4~plical~ SignOI~re FORM NO. 3 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) PERMIT NO. 31866 Z Date MARCH 24, 2006 Permission is hereby granted to: CAREY J & PAUL R GOLANEC 200 FIRST STREET LAUREL,NY 11948 for : CONSTRUCT AN ADDITION TC, AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP25295. at premises located at 200 FIRST ST LAUREL County Tax Map No. 473889 Section 126 Block 0010 Lot No. 007.002 pursuant to application dated MARCH 24, 2006 and approved by the Building Inspector to expire on SEPTEMBER 24, 2007. Fee $ 150.00 / Authorized Signature ORIGINAL Rev. 5/8/02 To,~; n Hall, 53095 Main Road P O Box 1179 Sumhoid, New York 1.1971-0959 Fax (631) 765-9502 Telephone (631J 765-1S02 BUILDING DEPARTMENT TOWN OF' SOUTHOLD CERTIFICATION Date: lead i certify that the solder used in the water supply system contains less than 2/10 of (Plumbers Signature) Sworn to before me this .,.,~4-~ day o f ~,~ , 2000 Notary Public, Cotl12ty DENISE KING Notary Public, State of New Registration #01KI6041757 Qualified in Suffolk County My Commission Expires May 15, 2 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREEt ~ NeW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. P.O. BOX 38 GREENPORT, NY 11944-0038, Located at Application Number: 1127281 Section: Block: Described as a Residential 200 FIRST STRI--ET LAUREL, NY 11948 Lot: PAUL GOLANEI< 200 FIRST STREET LAUREL, NY 11948 Certificate Number: 1127281 Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 21st Day of April, 2003. Name QTY Rate Rating Circuit Type Service l Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 seal I of 1 This ceri:ificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. DA TE: 7/11/00 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE, NEW YORK 11772 (516) 286-6642 27989 APPLICATION No. ON FILE VILLAGE: Laurel ADDRESS: 200 Firvt Rtreat ISSUED TO: Paul Galanec TOWN: ,~outhold INTRODUCED BY: Glens Electric £IC No.. 4770-E was examined on 07/11/2000 and found to be in compliance with the National Electrical Code LOCATION: Base.. 1st X 2nd 3rd Attic Det. Garage Hot Tub Pool SWITCHES RECEPTACLES 11 9 DISHWASHER DRYER 1-30Amp FURNACE OIL GAS OTHER EQUIPMENT O/S Residence,Addition FIXTURES HEATERS 7 CLOTHES WASH. 1-20 Amp FANS 4 GAR. DISP. RANGE G.F.L AIR. COND. OVEN SMOKE DETECTOR ICl& MOTORS BELL T&4N~ SERVICE DISCONNECT '~~HUGO S SURD1 PRESIDENT BUILDING PEPokffT No. 'rhi~ =¢r~iflcat¢ must not be altered in any ...... Inspectors may be identified by their credential~ BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE 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 INSPECTOR 76S-1802 BUILDING DEPT. INSPECT!O/N [ ] FOUNDATION 1ST [~'ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~ & CHIMNEY REMARKS ~ 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/~]~SU~TION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] FINAL DATE INSPECTOR/~~'~ 765-J.802 BUILDING DEPT, INSPECTION [ ] FOUNDATION I ST [ ] ROUGHPLBG. [ I F/,QUNDATION2ND [ ]INSULATION [~] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~'~~ ~ ~ 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDAT~~ST [ ] ROUGH PLBG. [ ].~JDATION2ND [ ]INSULATION [~] r :iRRAEMpILNA~E & CHIMNEY[ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] F/OUNDATION 1ST [ ] ROUGH PLBG. [~']" FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACF. r& CHIMNEY REMARKS: _~//C<.~ ~ DATE INSPECTOR 765-1802 BUILDING DEPT. / INSPECTION [ V~] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~~~ DATE INSPECTOR FINAL ...c ~ '- '~ I '-,- b E E ~ u. c: -r- / n, ,v ,v n d~ .9 ._o .o 6oloneco Care¥ J 200 FAst St - [~ Assessment ~ E~empt(s} ~ Spec Disl( ~ D e~c[iption ~ Owner[s) ~ Image~ ~ Site (1} Res ~ Sate12/13/01 473889 Southold RoilYear: [~'G" Next Yr Lend Size: EI.3B acres I Tax Bill Hailing Ownm Address ~'~t.al 2 Paul R Golanec Active R/S: 1 I Famib, Rea School: Mattituck School Land AV: 500 Total AV: 6,200 I 3rdPaRyAddress tBank 1 row .11 Owner Type: Additional Desig Status: Last Nema / Company:' Fi[st Name: I~1: Jr., Sr., etc:' Golanec iCa[eY ~ I Attention To / In Care 0f: Additional Address: Street No: Prefi~ [)ir: Street / Rural Route: St Suffix: Post Dir: UnitName: Unit No: Po Bo~ No: Cit~/Town: State: Zi~ Code: Coun~: enter if not "USA" Bar Cd: Ownership: e.~ffe Use Owner Type: Prints the screen .................................................................. ' ' ""'w, Cornpulink Ler.~'Fi¢... '.~, ,.PS Version ~r- [Ow... J~ Inbox- TO~4 OF SOUTHOLU BUILDING DEPARTHERT TO~I~ HALL SOUTflOLD, N.Y. 1197 I TEL: 765- 1802 Di.~approved a/c .................................. SURVEY ........................ CHECK ......................... SEPTIC FORN ................... Ii8IL TO: .................... ~. INSTRUCTIONS a. 'Ibis applieatitm .,,st be c~letely fill~ in by ~iter or in i~ ~ mitt~ to ~ ~ildi~ I~tor t ] ~t~ of pl~, aate plot pl~ to ~ale. F~ ~i~ to ~le. b. Plot pla ~ l=tim of lot ~ of ~ildi~ m ~s, mlati~ip to ~joini~ pr~s or ~lie struts or ~e~, ~ givi~ a ~tail~ ~ri~i~ of last of pm~ ~t ~ ~ m ~ diem ~i~ is ~rt of this a~li~tim. c. ~ ~ ~r~ ~ ~is a~li=tim ~ mt ~ am~ ~fore isle of ~ildi~ ~t. ~d. U~ a~al of ~is a~li~tim, ~ ~ildi~ I~tor ~hll im a ~ildi~ ~t to t~ ~li~t. ~ ~t ~11 ~ ~pt m ~ ~s ~ail~le for i~tim thSt ~ ~. e. ~ildi~ ~11 ~d~or ~ ingle or in ~t for ~~t~r mtil a~rtificate of ~ all ~ ~n ~t~ [~ ~ ~ldi~ ~tor. ~I~ IS ~ ~ to t~ ~ildi~ ~nt for ~ ism of a ~ildi~ ~t ~t to t~ ~ildi~ ~ ~im of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~li~le ~s, &dims or ~lati~, for ~ mt=tim of ~ildi~, ~iti= or alterati~, or for r~al or ~litia, a ~in ~ri~. ~ a~li~t ~s to ~ly ~ ~1 ~li~le l~s, o~s, ~ildi~ ~, ~i~ ~, ~ r~lati~s, ~ to --it m~ri~d i~tors m ~,s ~ in~r~ ~,~ ~ti~. ....................... (Si~t~e of a~limt, or m, if a co~ratim) (~ili~ m~ of ~lic~t) State~ ~t~ether applicen~ is c~me~r, !lessee, agent, a~chitect, epgineer, ~ral ~tr~tor, el~tricim, pl~r or ~il8 .... ..................................................... ....................... (~m ~ t~ mi1 or latest ~) If a~limt is a ~rati~, si~e of &ly mtt~ri~'offi~r. (Nm~ and title of corporate officer) Builders License No .......................... Plmbers License No .......................... Electricians Lice~e No ...................... Other Trade's License No ..................... !. lx~ation of land tm ~nieh proposed ~ork will be done .......................... ....................... ............................... d .ez ...................... lt0use ~r Street ltanlet c~ T~ ,~ No. ,~0 ~tico.. I~ ........... Blo~.../.0. .......... Lot..%..-£...q~-~ ~'~' ~ Subdivisitm ...................................... Filed liap No ................ Lot ................ N. ature of ~ork (chenk ~tdch applicable): Ne~ Building .......... addition . .' ........ Alteration .......... Repair ............ lk,-~val ............. llemalitioo ............ Offer k~ork.............. .............. ...... ,E~timeted Cost ......... fee .............................................. (to be paid oo filing this application) If &~lling, nt~ber of duelling traits ............ llt~ber of d~elllng units on each floor ................ If g~rage, I~umber of emrs ...................................... If btmlness, ex~mereial or mi~l oectqmney, specify rmture nnd extent of each type of use ...................... oi~..sloos of ~sting st.~.~,;, if ~.. ,,,-ont...:S.¢?.' ...... Rear ..~..~.: ...... ~.th ...~...~. ........ ,~i~t ..... !7..: ............... .~r of Stories ...~ ........... ~_~-' Dimensions of ~ structure ~ith alteretitogs or ndditioos: Front ...... .-O.~f. .... Rear ...~.~ ....... Depth ...... ~O.t ......... tleighl: ..... ./.~. ........... Number of Stories ...~. .......... Dimensions of entire se~ coostrt~:tioo: Front .... ~/..'.L ....... l~ear ..... !..~. ..... Depth !~..? ......... ,~i~t ........ l.'/.:. ...... ,. .... ,~r o~Storles ..... /. ............. ~. Siee of ,or: ~.,t ....~l ............. ~ar ...... .91 .......... ~,t,, t~/~'~" . ~0. .~te of n~.ee /.~/.~.~. ........... .~ o~ Po.~r O. eer .~&tJ~C..<..Z.a. .................. I I. Zone or use 8is~riet ia ~hich Im,ises are situated .............................................................. 12. Does proposed construction violate my/ zoning 1~, ordinance or regulation: . ..~/...0 ................. 13. ~ill lot be regrnded .... /..~.~ .......... ~ill. eW_ess fill be removed £~,,,i ln'mdses: YES hare of Architect .................................... ~ddress .............................. Phone l;o .............. .~ of ~tr~:to?~*2~...~J~.~. ~ ................. ~ress ..~.. ~C~.¢..3':4.~.. m.4 .... ~ ~.~.-'J'~.~ 7.. 15. Ia this property within ~00 feet of a tidal ~etlend? ~YF..S .......... i~D .t~ ..... PLOT DI AIglLAH Locate clearly a~l distinctly all buildings, *a~ether existing or proposed, and itxilcate all set-back dlmensioos f-rc~ property lines. Give street and hlook nt~ber or description according to deed, and ~ street rkT~es and indicate ~ ,, ..~ /": / ......... ........ (~ o[ indivi~ ~J~ing (~tr~tor, ~nt, co.~rate officer, etc.) of ~id ~r or ~r~, ~ is ~ly ~t~rit~ to ~rfo~ or h~ ~r[o~ ~ ~id ~ ~ to rake ~ file this a~llcation; that all ~tat~t$ that t~ ~ will ~ ~rfo~ in tbe ~r ~m to before me this ........... .... . /.. C ~ _~/. .4:.C. ~ ?- (Signature of Applicant) DEPARTMENT-DATA F0~ APPROMN- TO Cl31,,ISTRUC T SURVEY FOR JOHN J. EGBERT, JR. LOTS 95 I$ 96~"GEORGE I. TUTHILL, SECT, AT LAUREL -IOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK MAY 18, 1987 JULY Z$, 1985 OAT£~ JULY I1~ 19ia§ SCArf': I"=50~ NO. 85-566 MAP FILEO IN THE OFFICE OF' THE CLERK GU~NCE co. "" ~ YOUNG a YOUNG --~.,1~/~..~, N,,DEH W, YOUNGaPROFI:'S$IONAL ENGINEER " '~ ~ OSTRANOER AVENUE RIvERHEAD~, NEW YORK AND LAN0 SURVEYOR H.y.S. UCEH$£ N0.12845 FORM NO. 3 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) PERMIT NO. 25295 Z Date OCTOBER 29, 1998 Permission is hereby granted to: MARK J & CAREY J LITTLE (GOLANEC) 200 FIRST STREET LAUREL,NY 11948 for : CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 200 County Tax Map No. 473889 Section 126 pursuant to application dated SEPTEMBER Building Inspector. FIRST ST LAUREL Block 0010 Lot No. 007.002 16 1998 and approved by the Fee $ 75.00 Buzlding ~nspectof ORIGINAL Rev. 2/19/98