HomeMy WebLinkAboutZ-21062FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-21062 Date OCTOBER 2, 1992
THIS CERTIFIES that the building ONE -FAMILY DWELLING
Location of Property 600 MAIN ROAD, RT 25 LAUREL NY
House No. Street Hamlet
County Tax Map No. 1000 Section 127 Block
Subdivision
Filed Map No
2 Lot 3.1
Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-21062 dated OCTOBER 2, 1992
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 -ONE -FAMILY DWELLING WITH 3 -CAR ACCESSORY GARAGE
The certificate is issued to WILLIAM C. & JEAN C. GOGGINS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
L.. �.:;T
TO'.. -,I CF 30=10LD, N. Y.
F'GU I::G CCI',: I11-p-CTIO�J it_770,-�T
Location 600 MAIN ROAD, RT 25 LAUREL
lru-.o r cc ::Zreec) ��u :_c-patlLY)
Subdivision Maw No Lot( )
VIme of Owner(z) WILLIAM C. GOGGINS 6 WF
Occupancy R-1 "OWNER"
l t'lpe) owner- cen--n z)
Admitted by: MRS. GOGGINS Accompanicd by: SAME
Key available Suffolk Co. Ta:c No. 127-2-3.1
Source of request WILLIAM C. GOGGINS' Date SEPT. 30, 1992
D".'ELLING :
,Type of construction WOOD FRAMED #stories 2
Foundation BLOCK A BRICK Cellar PARTIAL Craal space REST
Total rooms, lst. Fl 4 2nd. Fl 5 3rd. Fl
Bathroom(s) 2 Toilet rooms)
Porch, typeOFROWoVERIDE Deck,e p
tYP atio, type_
Breeze:•ray Garage Utility roc.
Type Heat GAS FIRED Warm Air Hot:•iater XK
Fireplace(s) 1 No. E:;i z 3A.Li �J..d - o 1
v1C.7-rig
Dcmestic hot -Nater YES T -foe heater STORAGE TANK
Other HAS SMOKE DETECTORS
ACC=.'SCRY STRUCTURES:
Garage, type const. WOOD -3 CAR Storage, type const.
Seri.: �i ng poolGuest type const.
Other
VIOLATIOcJS: C11APTER 45--N.Y. STATE UNIFOILH FIRE PRLVENTION S BUILDING CODE
BP #20559-Z ISSUED 4/16/92 FOR RENOVATIONS
ROMarles: CO $Z-21038 ISSUED 9/21/92
Inzzccted by: �--iu�.�l��
CURTIS W. HORTON
OFC -
of In.-p.SEPTEMBER 30, 1992
• Time start 10:30 end 11:00
C
Form No. 6
ss� TOWN OF SOUTHOLD
L� BUILDING DEPARTMENT
Pill TOWN HALL
765-1802
SEP 3 0 K
BCDG.DEPT. APPLICATION FOR. CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOLD
A. This app mica on mus be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 andsimilar 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.
3. 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 "a 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 - 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. Copy of Certificate ,of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residentiia�v.V. all $$15.00, Commercial $15.00
Date .V . 3.9 l .:..! .�:..........
ew Construction.. ... old
I,O�rPre-existing Building...............
ocation of Property:.{/N..���!`1�':..�..:.......................................
House No. VNI(-
�� Street Hamlet
wer or Owners of Property.... -YM ....... ..........................
)unty Tax Map No 1000, Section..F�:7.��! . B.lock.. G.�'i!1 � .....Lot..V.0.3. _ ..l.....
lbdivision...........................:........Filed Map..........t.Lot................... .
+rmit No................Date Of Permit........Applicant....0�`.y.J.... ...................
,alth Dept. Approval .......% ............. ..Underwriters Approval..........................
anning Board Approval....................
quest for: Temporary Certificate........... Final Certicate...........
e Submitted: $ �"�.... ...........
d6
....o o &.. .. ...........
APPLICANT
318138
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6
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66
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NOTE,
I. 6= STAKE ■ =MONUMENT
2. SUFFOLK COUNTY TAX MAP
DIST. 1000 SECT. 127 BLK. 2 LOT 3.1
;00,titi � c' JQ�
? 4 S
►966 ,�`q \\
2 \
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bro `
000
Vi
GOP
SURVEY FOR
WILLIAM GOGGINS
AT LAUREL ,
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
11 UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED
SURVEY 0 A VIOLATION OF SECTION 7208 OF THE WIL G
NEW YORK STATE EDUCATION LAW SO A
*COPIES OF THIS SURVEY NOT BEARIHG THE LAND
SURVEYOR'S. INKED SEAL OR EMBOSSED SEAL SHALL ER
DATE: MAY 4, 1992
SCALE: I"-- 5d
NO. 92-0342
NK
,NCE COMPANY
NOT BE CONSIDERED TO BE A VALID TRUE COPY OF k '�►
NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO D OG
THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- 0
MENTAL AGENCY'AHO LENDING INSTITUTION LISTED y
HEREON, AND TO THE ASSIGNEES OF THE LENDING T
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS �0
*DISTANCES. SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH LUYD SUR•
PROPERTY LINES OR FOR THE ERECTION OF FENCES
YOUNG & YOUNG R40 EORSHEERAAONNEW YORK
ALDEN W.YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.UCENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO.45893
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°y
��
61•
0
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0
j'Yfy
NOTE,
I. 6= STAKE ■ =MONUMENT
2. SUFFOLK COUNTY TAX MAP
DIST. 1000 SECT. 127 BLK. 2 LOT 3.1
;00,titi � c' JQ�
? 4 S
►966 ,�`q \\
2 \
Q `
bro `
000
Vi
GOP
SURVEY FOR
WILLIAM GOGGINS
AT LAUREL ,
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
11 UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED
SURVEY 0 A VIOLATION OF SECTION 7208 OF THE WIL G
NEW YORK STATE EDUCATION LAW SO A
*COPIES OF THIS SURVEY NOT BEARIHG THE LAND
SURVEYOR'S. INKED SEAL OR EMBOSSED SEAL SHALL ER
DATE: MAY 4, 1992
SCALE: I"-- 5d
NO. 92-0342
NK
,NCE COMPANY
NOT BE CONSIDERED TO BE A VALID TRUE COPY OF k '�►
NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO D OG
THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- 0
MENTAL AGENCY'AHO LENDING INSTITUTION LISTED y
HEREON, AND TO THE ASSIGNEES OF THE LENDING T
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS �0
*DISTANCES. SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH LUYD SUR•
PROPERTY LINES OR FOR THE ERECTION OF FENCES
YOUNG & YOUNG R40 EORSHEERAAONNEW YORK
ALDEN W.YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.UCENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO.45893
Location
BUIL' -d ,r,S�. "'T
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TO
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tho under:,ir.
. U�c•ncr�s) Namc:t;;) �n(.d,
does) hereby state:
That the undersigned
is) (arc) the owner(::) of the premise:: iI the To m
of Southold located atA4��
/
Ci
County tax map as District 1000,
:hick i; :;ho%,.n and dcsign;,ted on the Sui•'o1
Section 12�1-
L'locic I —, Lot
r
That the undersigned (has) (have) filed,
or caused to be filed, an applica-
tion i:i the Southcld Town L'uilding Inspector's Office for the follo;:ire:
`v V
That the undersigned do(es) hereby give consent to the Building Ln� Inspectors
of the Town of Southold to enter upon the above described property, includincr
an;• and all buildings located thereon, to conduct such inspections as they ;,lay
deem necessary with respect to the aforesaid application, i.nclu4ing e
insPc-io:a
to determine that said premises compl.; with all of the laws; ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so With tile
kno::•ledge and understanding that any infor "cation obtained in the conduct of
such inspections may be used as evidence in subsequent pros ec::tions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
(signature)
(print nariic)
(siatl-Iturc)
(print rra1110