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Home My WebLink About33164-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33066 Filed Map No. Lot No. THIS CERTIFIES that the building HEAT/AIR COND. SYSTEM Location of Property: MADELINE AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 6 Block 7 Lot 16.1 Subdivision conforms substantially to the Application for Euilding Permit heretofore filed in this office dated JUNE 20, 2007 pursuant to which Building Permit No. 33164-Z dated JUNE 25, 2007 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 HEATING AND AIR CONDITIONING SYSTEM AS APPLIED FOR. The certificate is issued to MICHAEL L LAUGHLIN (OWNER) of the aforesaid building. SIIFPOL& COONTY DSPARTM@7T OF HEALTH APPROVAL N/A EI,SCTRICAL CERTIFICATE NO. N/A PLDFIDSRS CERTIFICATION DATED Date• 06/02/08 N/A Au rize~ Si ature Rev. 1/81 'Form No. 6 'T'OWN 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 Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all 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, industrial building, multiple residences and similar buildings 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. 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 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. 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 Building - $100.00 3. Cgpy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Ocjcupancy -Residential $15.00, Commercial $15.00 - L 2 ? Date. (n ~ '~(~~ b New ~ons~ruction: _ ~~Old or Pre-e/x~isting Building: //~~ ~ (check one) J Locatio fon Property: (~Qy~~ f'y'U~ _ ~i ~L,2f5 ~~Qt~y~ lV y House No. Street Hamlet Owner or Owners of Property: ~ ~ (+~Q,~1 ~.0.uq~~t v, Suffolk County TaiC Map No 1000, Section Block Lot Subdivision ~~Q.w'~ Filed Map. Lot: Permit No '~" Date of Permit. ~ as b~ Applicant: Z 3 ~j' ~nr~~('q~ ~'+C. 7~.3~$ Health Dept. Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ a~ ~ -~ 33ab~ 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. 33164 Z Permission is hereby granted to: Date JUNE 25, 2007 MICHAEL L LAUGHLIN PO BOX 323 AIKEN SC, 29802 for INSTALLATION OF A HEATING & AIR CONDITIONING SYSTEM AS APPLIED FOR THIS PERMIT REPLACES BP # 269 at premises located at MADELINE AVE FISHERS ISLAND County Tax Map No. 473889 Section 006 Block 0007 Lot No. 016.001 pursuant to application dated JUNE 20, 2007 and approved by the Building Inspector to expire on DECEMBER 25, 2008. Fee $ 75.00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 26926 Z Date NOVEMBER 15, 2000 Permission is hereby granted to: MICHAEL L LAUGHLIN PO BOX 323 AIKEN SC. 29802 for ION OF A HEATING AND AIR CONDITIONING SYSTEM AS APPLIED at premises located at ~~ >~1~ MADELINE AVE FISHERS ISLAND County Tax Map No. 473889 Section 006 Block 0007 Lot No. 016.001 pursuant to application dated SEPTEMBER 11, 2000 and approved by the Building Inspector. Fee $ 75.00 Author' Sig ure ORIGINAL Rev. 2/19/98 '` C ~~ ~,, _- ! ~ FORM N0. ' i ~ ' 4 ' ` TOWN OF SOUTNOLD BUILDING DEPARTMENT ` ;.. TOWN HALL -- ~ _.....~ { SOllTHOLD, N.Y. 11971 :~~f ;~..,~_D~_~ ___ ar~~.~ ~~. ~: TRL: 765-1802 6 L i E d ~ ~ d~ 2C0 ~~ /~ / rm ne ..V. , . A d ~ ~ ~ . `~~ !U ~~ ~ ~ d ~ pprove . . i .c , . Pera t No. ....... .... Disapproved a/c .......... .......... .............. uunau uc ucewau .............. 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC ....................... .... TRUSTERS ...................... NOTIFY: CALL` .................. MAIL TO :.................. ...................................................... (1uilding Inspector) APPLICATION FOR BUILDING PEEMIT Date July. 24 . ~ PO.00 INSTRUCTIONS a. 'this application oust be mopletely filled in by typewriter or in ink and submitted to the Building Inspector 3 seta of plena, accurate plot plan to scale. Pee according to schedule. b. Ylot plan shooing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and givirg a detailed description of layout of property msst be drawn on the diagram which is pert o this application. c. The cork covered by this application may rot be crnmenced before issuance of Building Pensit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sue permit shall be kept on the prenisea available for inspection throughout the work. e. tb lxrilding shall be occupied or used in whole or in part for eery purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS I3GL~BY MAIM, to the Building Department for the issuance of a Building Pezmit pursuant to the building lone Ordinance of the Tam of Southold, SLffolk County, New York, and other applicable Lawa, Ordinancea'or Regulations, for the c«vstruktion of Uuildings, additions or alterations, or for removal or demolition, as herein described., The applicant a~rees to cw41y with all applicable laws, ordittmicea, lxrilding code, housing code, and regulations, and to arlnit authorized inspectors on premises and in luilding for necessary inspections. < „•,Duncklee Inc .........,.. ....t, .......................... (Signature of applicant, or nape, if a corporation) 296 Tauywonk Rdt Stonington, CT ........ ...... (Mailing address of applicant) X637 State whether applicant is owner, lessee, agent, architect, engineer, general contractor,~~a~fl~~~or lwil ..............I~~ZF~G. GPR1=xa~tor..................................... __.. .........pA,~, r. v.~.. (~ .. .p Name of caner of premises ...Nia.Ckldii~..LaV9X}~a.A .............................~.,,~~,~ .. ...... (as on the tax roll or latest deed) NOTIFY BUILDING DEPART NT A ~ 78S•1882 sf AM TO ~ PM FOR TH& If a an a corporation, signature of dul authwrized officer. FOLLOWINOINSPECTION~ . y c 7. FOUNDATION • TWO REQUIRED ... .. ~•••••••••••~•••••••••••• .~y. ..~~~ Of1 FORPOUREDCONCRETE (ti:me and title of co rate officer? (y~ g t ROUGH • FRAMING & PLUMBING Lester H. Duncklee, P~/V~7 ~~~-_~Y 1. INSULATION w'Fl"$'- 4~ FINAL CONSTRUCTION MUST Builders License No . ..................'~f~~(,~ p~~n^ .~r~ BE COMPLETE FOR C.O. - - Pluabers License tin . ..... ............. . • • ~ I f10~ CE(711f lVt~11+.~LL CONSTRUCTION SHAH MEET j'~~•/1f~/~I ICfAA1M/ THE REQUIREMENTS OF THE N.Y. Electricians Liccasel~. ••••••......... ~JVVIJI"tUYV i STATE CONSTRUCTION i ENERGY Other Trade's License No. .2595.5_ HI, NY CODES. NOT RESPONSIBLE,~OQ "•"" DESIGN OR CONSTRUCTION Ep ,.,. 1. Iocatim of land on which proposed wotic will be dore....F.ishets..Island ........... ................. .s~;.... house timber 1959 Street Crescent Avenue Hamlet County Tax Map No. 1000 Section ....6........... Blorlc ...7............ Iot ............'lb.•1 Subdivision ....... ........................ Filed Map No. ............... Iot ............... (Name). 2. Stale existi~ use and occupancy of premises and intended use and occupazuy of proposed construction: a. Existing use and occupancy ..Residence ............................................................. b. Intended use and occupancy ..........I?e5].deL1C.e.......~. F7.~? ::......................... ... t~-1,. "r , Nature of work (check wl~idr applicable): New building .......... Addition .......... Alteration ` .......... pair ..:.,......... Ranoval .....: ...... Demolition ............ Other Work ReP.la4iment••Heat & A/C .......... (Description) Rs[ima[erl Cost ...$b.Q9.Q,.QQ........... Fee •$75:00 ....................!. .............. (to be paid on filing this application) If rkxlling, rurber of dwelling rmi[s ............ tArrher of dwel.lrn units on each Floor • g ................ If garage. nurber of cars ................................. ..... If business, comrercial or mixed ocerrparxy, specify nature and extent of each type of use ...................... Dimensions of existing stnecturns, if arry: Front ................ Rear Dep[I~ ............... ................. sleight ......................... Nudger of Stories ........ .............. Dimensions of same structure wI[h alterations or additions: Front ... .;.......... De tic Rear ............... P .•..•...•........... Deigf~t .................... N;idrer of Stories ............... Dimensions of entire new construction: Front ,,,,,,,•,,,,,,,, Rear ............... Depth .............. Fleight ......................... Number of Stories ..................... Size of lot: Prom .................... Rear .................... Depth .................... Date of Purc~raae ..................... Name of Former Owner ' ........................................ Zone or use district in which premises am situated .... .............................. ............................. Does proposed construction violate arty zoning lava, ordinance or regulation : ........................ Will lot be regraded .,,,,,,•,•„•,,,,,,, Will excess fill be removed firm premises• YFS tit) Norms of Owner of premises ........................... Address .............................. Nione No. Nam of Ardritect .................................... Address ........... ....... Phone No. Nam of Contractor ................,................... Address ...............................Phone No. is this property within 300 Eeet of a [idol wetland? * YCS ,..,,,,,•, NJ .......... *IF YPS, SOUiiif,~ TOid1 TRUSIPL+S PC[ZCIIT 1fAY Iil? ItCQUIRID. PLOT DIAGRAM t.ocate clearly and distinctly all bulldinga, vtrether existing or proposed, and indicate all set-bark dimensions vo property lines. Give street erd block ranixr or description accor`ding Co deed, snd 81xxa street na'ea aril inclf4ere ether interior or comer lot. i~a7~i+~;..9 `~ ~ ~ j .~ ` j ,~st ' ., _~ r .. :; ~. ~ °, ~ '~ i eg~+`, ~y t@ 'fiw:t3 y~ i 1Y ,~6,8,$ s r a ~'~ t d .~ ..~' A ~:3 ~^i ~! ^~t . , ..a nlr•, txiaw ~Xtxac,~ : , .~ ,e s~" ~ ad6 ~a # ~ i :# d ~.; ~d i ,.~ 3 ss . •T ~~$~ ~, ; 4n .~ , 1 - ••••••••• °? I! X66 ~.~1 <Mlbd se~aV ...r • • • • •>:,estsr..I3.. DuncJclee.. a....... ,'.?............ • .being duly sworn, deposes and says Ct><st he is Che applicant are of individual signing contract) .,ue nrried, is the ....GOT.pOSdtE'..O.~~.i.G~f' ............. ......................................................... (Contractor, agent, corporate officer, etc.) said caner or owners, and is duly authorized to perform or have perfonmcl the said work mxl to make and file this ,licatirn , Uiat a.ll statements crm[ainerl in this application are trne to the best of his krawleclge a~xl belie E; anti at' the work will be performed in tfie marnrer set forth in Che application filed therewiUr, ~[n to before im [his ...........7.th..day of .A uS>i...... '. 0. Notary Riblic ..... ... uu .. .. ... •~'.1... GYN IA L, WATROU3 (Si ~p , • ~ • ~ ~ • NOTARY. PUBLIC ~` o ~ A l1.Cant) MY COMMISSION EXPIRES MAY 31, 2001 <? a t. y~~~ ..a. °'~„ DUNCKLEE, INC. ~~ ® ~: ••Youi Climate Control Experts Since ]973„ 296 Taugwonk Rd. Stonington, CT 06378 (860) 535-25u 2 (860) 3885001 www.tl nckleeinc.com You Can Feel The Differen+ ;~ , ^~ ;,~, ~:. a .,~.-; ~~ ~~ ~.,. r ~~; ,, ;. ~' ~,~; ~~~ ~ , f ry'S -~ ~ - ~~, ~. ~. i :~ ~~ ~~ _ J ~~ ,,, ~ \.. . t :.. ,,. :~.. .. . . :,. r,:.. , :. ,. , i T Y.Y« .t1 .. V l e. ^