HomeMy WebLinkAbout35298-ZFORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34603 Date: 10/12/10
THIS u~a'rIFIES that the building ROOF REPAIR
Location of Property: 170 LOVE LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 140 Block 3 Lot 42.4
subdivision Filed Map No. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 12, 2010 pursuant to which
Building Permit No. 35298-Z dated JANUARY 12, 2010
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 REPAIR ROOF OVER EXISTING STOP. GE AREA OF GROCERTY STORE AS APPLIED FOR.
The certificate is issued to MICHAEL BOURGUIGNON
(OWNER)
of the aforesaid building.
SuF~OLKCOUNTYDEPARTMENT OF HEALTH APPROVAL
ELEt-rRICAL u~KTIFICATE NO.
PLIERS C~KTIFICATION DA'r~u3
N/A
N/A
N/A
Rev. 1/81
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. 35298 Z Date JANUARY 12, 2010
Permission is hereby granted to:
MICHAEL BOURGUIGNON
PO BOX 1501
MATTITUCK,NY 11952
for :
REPAIR & REPLACE ROOF STRUCTURAL MEMBER ON EXISTING STOHAGE AREA
OF GROCERY STORE AS APPLIED FOR. REPLACES EXP. BP # 23373
at premises located at
County Tax Map No. 473889 Section 140
pursuant to application dated JANUARY
Building Inspector to expire on JULY
170 LOVE LA MATTITUCK
Block 0003 Lot No. 042.004
12, 2010 and approved by the
12, 2011.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE V~)RK AUTHORIZED)
~' ~ ~te.....~ ...........................................
23373 Z
Permission Is hereby granted/to'. ~ ~/ /' // ~,
.... z~...~~~....~ .........................
,o..~~...~..~~...~.~~~.~.~.~...:..
............................................................................................................
Couniy Tax Map No. 1000 Section ...... ..'~'...~...~.. ....... Block ............ ~ .......... Lot No. ... ...~....'~...'.,~. .....
pursuant to application dated ~ .............................. 1 g ~..~.. , and approved by the
Building Inspector.
Fee $.....~
Rev. 6/30180
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 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 o f 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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, Commercial $15.00
Date.
New Construction:
Location of Property:
Old or Pre-existing Building: (check one)
Lo e c
House No. Street
Owner or Owners of Property: ~/~ ,~¼& e. [ ':~ t>,J ¢..¢~ U i c] ~
Suffolk County Tax Map No t 000, Section [~0 Block
Subdivision
Permit No..~ ~ o~ q <g Date of Permit.
Hamlet
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Lot
Filed Map. Lot:
Applicant: ~. [ L ~'L ,, I -~
Underwriters Approval:
Final Certificate: / (check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] I~SULATION
[ ,~INAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
R':,~ARKS-' ~;~~ ~~ ~
DATE
INSPECTOR ~...~~
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK11971
TEL:631.765.2954- FAX:631.614.3516 · e-mail:joseph@fischetti.com
Southold Building Dept
PO Box 1179
Southold, NY 11971
Date:
Reference:
July 30, 2010
Village Market BP#35298
Dear Mr. Fish,
I inspected the roof structure for the rear storage building for the Village Market at 170 Love
Lane, Mattituck NY.
The roof framing has not been constructed completely to the design submitted by Lawrence
Tuthill for the original Building Permit. The 2x10 microlam noted on the drawing has been
substituted with dimensional lumber and collar ties have been installed at 4 foot on center just
below the ridge.
I certify to the best of my knowlodge that this building has been constructed in conformance
with New York Building Codes.
Joseph Fischetti, PE
IELD INSPECTION REPORT =DATE
(IST) ~
'OUNDATION ( 2ND ) ~
'OUNDATION
~0U~ FRAME
PLUM~ING
STATE ENERGY lJ ill
CODE
z~
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(~:(~lm~.:y d.dl Imve I~e. IVnnted by II~ Itlihlin14 hml~ctor.
AI'I'I.I('~'I'I(~ lB II~lO~lli t~ to I1~ I~,ihli.B I~lm[l.~.t for the inmms~e o[ n ~,ihll~ Pe,mit Ix~rmmol: to the
I~sil(Ih~ 7~ Ordiim~e o[ Ihe 'i~l o[ ~,ll~ld. ~ffi~lk ~.~ly, ~ Ymk. m~l other .~dicnl)le Ires, Ordhm~en or
I~l~.letJ(n~e, for II~ mmtn~ti(m o[ I~,ihlh~n, ~lithx~ or .ltersti~m, or for re~l or (~ml Ition, ~n Imrei.
deneril~l. '11~ npplicm~t .~r~ lo c(s,~dy with rill nl,dlcnl)le I~., o.llom~e., I~dldiog e~, I~mln~ c~, m.I
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~1~E L ~L~
Nota~ Public. State of New Yo~
Oualifi ~ m ~uitolk CounW
~mmission Expires December 8,
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWN ER STREET VI LLAGE D I ST. ' SUB. LOT
· S W TYPE OF B01LDING
'RES. ~' SFAS. VL. FARM COAAM./'~B. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS ~. 0 ~. J 0 '? J (o
Tillable ~ FRONTAGE ON WATER
4o/T~
Woodland FRONTAGE ON ROAD ~ (t~ ~-.~'~ .:
, Meadowland DEPTH y~ '
, House Plat BULKHEAD
,,Total
COLOR
Extension
Extlnslon
tWO
Foundation ~,~ ~ . Both
Po~ch Bosement ~ v ~ t.~ Flours
gorch Ext. Walls Interior Finish
Bree~ewoy Fire Place
Garage Type Roof
Heat
Rooms' i~t Floor
KDinette
Patio Recreation Room R°oms 2nd Floor FIN. B
.~,
O.B. ,~'//'~"D /,~x-~ Dormer Driveway
· 0~/~ -/'; '..//
Town Hall, 53095 Main Road
P,O. Box I 179
Southold. New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
December 12th, 2006
Michael Bourguignon
P.O. Box 1501
Mattituck, N.Y. 11952
RE: 110 Love Ln. (roof repair)
SCTM# 140 3 42.4
Dear Mr. Bourguignon,
Please be advised that your Building Permit #23373 issued April 17th, 1996 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $200.00. At that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDiNG DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Soulhold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
December l§th, 2009
FINAL NOTICE
Michael Bourguignon
P.O. Box 1501
Mattituck, N.Y. 11952
RE: 110 Love Lane (Roof Repair)
5CTM: # 1000-140. -3-42.4
bear Mr. Bourguignon,
Please be advised that your Building Permit # 23373 issued April 7th 1996 has expired.
According to the Code of the Town of 5outhold, a Certificate of Occupancy must be
issued before the use of the structure.
To renew your Building Permit please submit a fee of $ 200.00: at that time we can
schedule an inspection by one of our Building Inspector's.
Copy of Building Permit Enclosed for your convenience.
If you have any questions, please call us at 765-1802.
Respectfully,
$OUTHOLD TOWN BUILDING DEPT
i .