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