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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 o� . ,• 6 o° 66 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 °0T °y �� 61• 0 ae o � \ti\° 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 TO' OF .:iCUTI'MD,.H. Y. FGUCI::G C00: CO NSF:::T TO ILN=S('cc* [-10 IN 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