Loading...
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~ lij.mllq~r~ed nit .................................. VOlltl riO. I TO%~ll Illt BOIITIIOI.I) IIU l I.I) I tt(] lII~.J~A14'I'HI~.14T 1'O%t14 I1^1.1. S(IIITIIOI,li, 14.¥. 1191l 'rEl.: 765-1llo2 IlO^ltl) OF III~.AI.TII ............... ] SETB OF Y1.^148 ............... 81114¥1~.¥ ........................ CIIECK ......................... $ F. P'I'I G FOI1H ................... 140'1' 1 FY: {]AI,I ................... H^ 1 I. TO: .................... AI'PI,IC^T1ON FOR BIIII.I) IN{; I'EEItIT I N.WI'IIIICT I {)NS n. 'lhJn nlq~licntio~.*mL be £(I.4delely fill~! i, by I:ylX~.~ril:er or in ild~ taxi mdx,iLt~l Lo the l~lJldh~ hmleclor wlJh b. I'lot plml rJ~h~ Iltnti~m o[ Iol: m~l of ladlding, ~m pr~nJ~e~. ~l,tion,hip to ~jolni,g pr~i~en o~ I~lblJc ,I reel~ o~ ,r~n~. Iil~l J~JvJl~ n ~t,il~l 1~8C[Jili:Jl~l O[ Ja~l[ O[ pJOlerty .Jilt I~ ilr~ ~1 J.Jle dJ.~ran dlJch J~ I~lrJ: o[ (:. 'lhe ~)rk c(~r~l by IhJn nl~)li~atiim ;,Jly I~)1: 1~ (t(II1TRIKte(I J~fore Jllm~il~:e o[ I~dJ(lin~ l'etmit. (I. Ill.xi nlq)r~nJ of IhJn ~)l~)li(:nl.i(,~. Ihe I~il(IJnj~ lnnl~(tLor ~?ill J,mm n I~lJl(lJn8 i~[mJt Io (he ,i)l)JJcmfl:. ~iuh e. li~ Ix,ihli.g ~dmll I~ ~:cupied .r u~d in d.)le or io ~.rt for n.y lX~rlX~ dmtever ..til . (~rl:lflcnte oK (~:(~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 '"~' "~t, n ..... ~ ................. ........... ..... ............ .......... I~,,e of i~er o[ I,remJt, e. .... ~.'/~-~. · -~. ............. ~ .... '~' ................................................... (l~lfl (Xl Ihe I0~ ri)il or J~le~t(.lffec~J) (tl;.~ m~l ti lie of coHx)rol, e officer) F. lectrlcJmm I.icenme E~ .... ~/( ............. Oiler 'l'rm~'~ l.lcen~ E) .... ~. ............ I. I~nti(xl o[ lmxl ~ ~id) p[Ol~(I ~tk .il IIm dot~ ................. ~ ......................................... ...... I.I.~ ~ ~ , Ikx~ E~I~ Bt~t I~,let (~,,,,ly'l'n~tt-q,~,. IIIX) r~ctl~, 1~ Bl,x:k ~ lot ~.'.~ ~,lxlivi.i~ ...................................... Irlled t~l~ t~ ................ I~t ............... (~.m) ~.,..,. ,,..,., .:~,,.,,~, ............................ ~ .... t .......... :. ..................... ....... ..... ...................................... /-- I~i.OT I) I A(;I*,AI.I I,.:llle clearly m~l dJ.£h~Lly fill I.dhll:qlfl, ,,,,,,,, (11~.,''~1 i~livi]~lal .......... ~liBnlUltK~J .................................. I:o111 I'~l:l:) I~i~q~ II~l~ t~ if~ II,fi / I~ppI i(:nliuil; Ihlll fill ItLUIUiell[ll (:l)llltiilK]ll iii Ihifl lipid ii:hi i(lil lli(] ~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 .