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HomeMy WebLinkAbout23855-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24803 Date DECEMBER 17, 1996 THIS CERTIFIES that the building ALTERATIONS Location of Property 530 MAYFLOWER RD. MATTITUCK, N.Y. House No. Street Hamlet County 'Tax Map No. 1000 Section 107 Block 8 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 1996 pursuant to which Building Permit No. 23855-Z dated DECEMBER 11, 1996 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 ALTERATION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to EDWARD & LINDA CORRIGAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-053079 - DECEMBER 9, 1996 PLUMBERS CERTIFICATION DATED DEC. 13, 1996-MATTITUCK PLUMBING & HEAT. B ldio Inspector Rev. 1/81 FORK NO. 2 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) Nb . 23855 Z Date ..............:�..�........Z./...................... 19... Permission is hereby gronteed to: ............../.rr.U�l f ,................... ....... . .... .................................... ..!-�.- -4.. .-.f.......... .... ... .......1.I..`. .. . . ... at premises located at ...... .0.....`. ..r��... . . ...................... `.-R........................................ .............................................................. ...... ... .......................`......................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ..... ./47.7.. Block ........r....... Lot No. ar................... � pursuant to application dated .......................... ........, 19�5 and approved by the Building Inspector. Fee ..�. ... ... ........................ Building I for Rev. 6/30/80 rucM 1,10. o TOWN OF SOUTHOLD BUILDING DEPARTMENT � Q oZ�' $ -�-�LA '�:)O TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must 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. s5. 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 a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor it 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.. Copy of Certificate of Occupancy - _ .25r;. - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . c�'ft�=' . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . .. Old Or Pre-existing Building. . . . . . . .. . . . . . . Location of Property. . . . I 3�. . . ........�.. . . . �... ..��-. . . �.. .1... �. . . . . . ... . . . House No.- Street Hamlet Onwer or Owners of Property.. . . .. . .. . .�... . . .. . o`` .F?� . . . . . . . . . . . ... . . . County Tax Map No 1000,. Section. . . . �. .. ..Block. . . .3 . . . . . . . . . .Lot. . .� . .1. . . . . . . . . . . . ... . Subdivision.. . . . . . . . . . . . . . .. . .. . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . ... . . . . . . . . . . . . . . Permit NoA .t1? :S5. — .Date Of Permit. . k),�P� pplicant. .,:.`. � .. . .. .A .. . P r- �J Health Dept. Approval. . . . . . . .V�'M . . . . . . . . . . .. . .Underwriters Approval. . . .. p.� . . . . . . . . Planning Board Approval. . . . . .6\�.. . . . . . . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . C>Fee Submitted: $. . . . . s� . . . . . . . . . . . . . . . _ . . .5 ::::Q G: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f 3 APPLICANT Town Hall,53095 Main Road ra ! Kax (S16)765-1823 P. O. Box 1179 t�` ` Southold,New York 11971 • + rJ Telyphone(516)765-1802 ;✓r OFFICE OF THE SUILMMO INSPECTOR ' TOWN OFSOUTHOLD CRR 'I' YFICATIOK I DATE: 12 /3 l(o Building Permit No.. v owner: �� "L (please .print) ' Plumber: (please print) hq i 'I I Certify that the solder used in the Water supply system contains less than 2/10 of 1t lead. (Plumbers S gnat Sworn to before me this day ofaiv,c�Rv_�� 19 9(0 I Not4ry Public, County -44 i A41&,11- i sARAN .KErTIF Notary t�ttpl Ii Termd11M 3,65 5 c �a ,0 _. .__ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8063608 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date DECEMER 09,1996 Application No.on file 12970296/96 H 053079 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of EDWARD & LINDA CORR.IGAN; 530 MAYFLOWER ROAD, IMATTITUCK, N.Y. in the folloteinq location; ❑ Basement ❑, Ist Fl. ❑ 2nd Fl. Section 1.07Block 3 Lot 27 was examined on DECEMBER 03,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES IN-CANDESCENTI FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V F C E AMT. AMP. TYPE METER I X YW 1 a 3W 3 0 3W 3 X 4W NO.OF CC.COND. A.W.G. NO.OF HI•LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: 'ENO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the 19 premises indicated. " "No obvious unsatisfactory condition was found. — ya EDWARD & LINDA CORRIGAN � Lby wrzBOY 14 CUTCHOGUE, I3Y, 11935 PeThis certficate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be entials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. T6S-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• ���✓� 67 DATE � � -INSPECTOR �"c� tj r•uurL 1)AT 10 1-1 2 HD lto11(:If FRAIM I NO � I ON hr.0 tj y F.N1,.ft(jy ---------- -—---——-——-ter,.... .. -—---—- P I HAL ----------------- e.------- ---------- --------------------------------- -——- --- AD t. I OfIAT — ---- 'A -------- --——-- rs ------ ------ ZU-52 tj 171 !` M1WNI °Rb?vLL�'twbi'Wyygsll .y ,•iiMyR.+a••^ 7 fe vice s,. r s. k ay N Q �9 Aj I {;1,1' ;`. ' t .i-/I",•tj.. DYzvrer+aag + 4Cv� wh Co++•eY.a�lG MAP oF­LANb r i r•' ' - UNAUTHORIZED ALTERATION Ot AmTTOOlb TO THIS SURVEY IS A VIOLATION OF s c „ ••t'It .� SECTION 7209 OF THE NEW YOWL SPATE;, . + ,.1„ i v •',., i,,: ..11, .• .• ;. EDUCATION LAW. 'MA I:o uk • COPIES OF THIS SURVEY MAP NOT BEARING 'p�,,��e ` ",p'�"•• 1 THE LAND SURVEYOR'S INKED SEAL j)R + , ,�Y.�`,a lT, ®� ' a u��°%O L '`� 0 V.�• EMBOSSED SEAL SHALL NOT BE CONSIDERED •''• TO BE A VALID T.^.UE COPY. " GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPAF.[D, AND ON HIS BEHALF TO THE '.•1 Mo. ,� TITLE COMPANY, GOVERNMENTAL AGENCY AND r7)®,Y1mni e�,"�•'.,,� ' � '� � � � 1 LENDING INSTITUTION LISTED HEREON,'AND TO THE ASSIGNEEa OF THE LENDING INSTI- TUTION;GUARANTEES ARE NOT TRANSFERABLE 'il•� ` TO ADDITIONAL INSTI TUTIONSOR.SU65kG off OWNIts it -'. ;. t i �. 1 °.1dd ��C+ -.t 47��i`+•��. ea L�r6.grad r.• .V tall ✓•s l� 1 '(4�"•��`Ada� "5 ' •wcx���^; irr�' �i'1�e��$6�aa�,�..,'�,r�a�Ec. ..i. k ,�; �r`� i t '�, a 5� i H t, - i A' •i 1Yy _�{ t 1 i, .� �r:Ga 1 r;. I :l iii 3`t,r, '� '� �1 f r .�dC�`'�`C'L`'•���GA�, i���0"@@.!'„�h �'t �'R/.�'�I,rit�lCC'�- ��L+1 t �s . '+x7"?' s ,.4"."�`'"'�" `�dxw ., a�.•r a, v v• rt r•<• s�Fa•.:Rr*waM+awdgew �..,jf•tl. .�.y �t ;'il �`.x �+:v ��ki.$.'�,da wr4s.x'P� .�. ,ri1�r 3,��, �'�. iHl Lt(�.� {M,�3v 5,,�etk,�'�'y to dI'�.�j x {�.al..-i 11 ,."!. r �..,,a yY. .f� J l r ' �"��� vs.,..b.�`�t�..,...w�'�..F .gr.,u�.»��vv-wiC.�Ei29��,4��+1•re�.^�.Vr���i,+;Y;� � �i �Y '�� 6,i'�, .,tt:.7�`�" P k� .y• 1 r,r J a, � �`7 r fir?+., a '4i q. . t�� :�, ..A t .i', s.7. �a�y �;; ,S :�.,..a�,! -ir � �i�> a.(' T+ y. ;' ,Y�•.., -4 41',i I \ c C- N U ......... _--- C( CJ i N U W 0 R BOARD OF 11EA1:rn . . . . . . . . . . . . . . . FORM NO. 1 /3 SETS OF PLANS . . . . . . . . . . . . . . . 'TOWN OF SOUTHOLD SURVEY - - - - - - - - - - - - - - - - - - - - - - - - /ClIi;CR . . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT TOWN HALL / SEPTIC FORM . . . . . . . . . . . . . . . . . . . DEC 2 D SOUTHOLD, N-Y. 11971 TEL: 765-1802 NOTIFY: G� -_ CALL ` F.xan ....` - . . . . . . . . . . . . . . . . . . . . .% .. 19 TfAII. T0: Approved.. ........1....., 19 Permit No. ........� U .................................... Disapproveda/c .................................. .................................... ( Wing Inspector) APPL ATION FOR BUILDING PERMIT I NSTRUcTIONS a. 'Ibis application must be completely filled .in by typewriter or in ink and submitted to the iuilding Inspector WN. 3 sets of plans, accurate plot plan to scale_ Fee according to schedule. r b. Plot plan sliowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property oast be dracwn on the diagram which is part of this applicatioin. c. The work covered by this application may not be conmenced before issuance of Building Permit. d. ' Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thrcxuglnout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of. Occupancy shall have been granted by doe Building Inspector. APPLICATION IS 11ERE3Y MAIZE to the Building Department for the issuance of a Building Permit pursuant to the Building Woe Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatiixus, for the constnuction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all. applicable laws, ordinances, building code, housing code, and regulations and tQ admit a,ythorized inspectors our premises and in building for necessary inspeJ-Mmd 1 i$ter dg41 _>w` Q4t -... .......... (Sign(atture of applicant, or vane, if a corporation) (Mailing address of applicant) State x-Aialer applicant is owner, lessee, agent, arclii.tect, engineer, general contractor, electrician, plunber or builder. .................................1.......---..\\..........................`................-............................._...... Nair_ of owner of premises .�� .......................... (as on the tax roll or latest- deed) If: applicant is a corporation, signature of duly authorized officer. .(Nam aril title of .corporate officer) ••• \ Builders License No. ...G°�.0 .... Plumbers License No. ........ Electricians License No. ..................\- ab��� cxA �-- 00wr Trade's License No. .................... _ 1. Location of land on vAtidi proposed work will he done......\S"bQ....\:.,.A��1���� . ���1. . ............ ....................................................................... QA . \ . ............. lkuse Nurber Street lla filet County Tax Map No. 1000 Section ...�.� �...... BIo-k ................ i-,ot ......�A....... Subdivision ...................................... Filed Map No. ............... lot ............... (Ik-me) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......A�%Psf-'- ......T�;..... . ...... b. Intended use and occupancy ....... C..n .? `pc..` :r OC) '1 .. . ♦4.'Y.: 4,3 3%.dJw�7 wu:tj F.1} -% Rpy..:?tCtl 1. N•rlure of murk (dwck vAddi ap)licable): Num lluildinj. ..... ..... AMiLion .......... Alteration ...'. .. Repair ............ Renroval ............. Dom Iition _.. ........ Other Work ............................. ..... 60? (Description) /I. .Est:imatted cost &.NQi ,I.Qo�).........._ fee .7 �....................................... (to be paid on filing l.his application) 5. 1 f , xA l ing, rimber of: ckaell ing units ............ tkacbrer of: &'el I ing runts on each floor ................ Ifgaral;e, rxxiber of cars ...................................:.. b_ If Ixrsir►ess, commercial or mixed ocr_ulrancy, specify nature aril extent: of each type of use.......... .. .......... 7. Dimensions of existing sLnrcaures, if any: prcxrt.....4$h ..... ..... Depth Ik,igliL .....__.._ID .,...... Mnirer of Stories .....\............... Q �_ Dimensicxrs of sane stnx.Cure with alterations or rxklil:ions: front ... Depth :.._ ....... Ileigl,L ...... S�N.._....._ Umber of Stories ........... �.I1. Diu,censicxrs of entire new uxrsLrtx:ticxr: I?rcxrL' ....`1�z......... Rear ...`.`a. ........ Depl.Ii S .. IleijoiL ......................... Umber of Stories 9. Size of lot: Front Rear .................... Depth.. .................... IO. lkrte of P,rrchase ....I ��_�3....... I1.-rne of Fortier (Moer ................... • .r II. 7cxre or use disLrict in wiiidi premises are sithrated .......:................................................... .... 12. lkxes proliosecl consl.nx:Lion violate any zcxring law, ordinaoc:e or regula0cm: ... .... ................. t� 13. Will lot Ix_- regraded .................... Will excess fill Ix-_ removed frcxn premises: YES Nt) Ili. Manes of Owrxer of premises ........................... Acklress ............................... 11iorxe No. .............. Mmie of Architect .................................. .. Arkhress 11lom N). ...... ........ N:rrxe of Ccxrtractor ................................... Acklress ...............................Ilion No. ....... ....... lei. Is this property wiLhin 3W feet of a tidal w-H arxT? * YES .......... NO ...vl."-..... *IC YES, IXXJIIHD IMN 'ITMISIU-9 19:1Z rr 11AY IV,? lll?LIl11Rlm. PLAT DTAGIIAM Imate clearly aril distinctly all buildings, whether existing or prolxrsed, aril irxlicate all. set-back dimensions fraru property limes. Give street arxl block rx.nber or clescripl'ioi according to deed,,arxl slim street clones arxl indicate %Aietlxer inferior or corner lot. UNDERWRITERS CERTIFICATE REQUIRED 1 C� APPROVED AS NOTED. �UMBER �� �� ' sDATE:.! /� 9 B.I�#� � s R �V\1 k%T't. � ��� FEE: BV. p ® � �� � M a': .� m IN NOTIFY BUILDING IaE�f� �� . ; TIFIC OCCUPANCY.��CY r M e a , 765-1802 D AM TO 4 PM FOR THE OLDER USED I�l WATER � � � L1 REQUIRErj SUPPLY SYSTEM CANNOT �;�%a"���.n � JT °'�f��`� � �, �� iE FOR I�OU�EI�cc�l�l�;RETE t� ,i kl 's ROUGH b FRAMING & PLUMBING EXCEED 2110 of I! LEAD. 3. INSULATION f' Ar. I�! FINAL. w CONSTRUCTION i�USt u 9 hk E BE COMPLETE FOR C.O. If Copper tubing is used ALL CONSTRUCTION SHALL MEET, for Water distributing PLLIRfiBjj%pC-j THE REQUIREMENTS OF THE N.Y,, systeM; Piping shall be ALL PLUMBING WASTE STATE CONSTRUCTION & ENERGY 1Df tYPes Ko &WAFER LINES NEED COOLS. NOT RESPONSIBLE FOR; TES'tldtiCa 13LE=ORL C;lo`Lf,INO DESI09lI.0R;COIiISTUONERROSs: lH� "M Y(N UItINIy lA? ......v �k ss .... �`' ........__..Ix:in l duI sworn de xrses aril -._..�. ....�..... ...., b Y 1 says that hE if, the applicant (N:rrxe of iDdivicicurl. signing contract) alx)ve tamed, O—lk! is I.Ire .................... .............................. ........... (Cc)irLractor, agent:, corlxrrate officer, et.c:.) .of: said owner or owrxers, nrxl is duly authorized to lxerform or have lxerfonned the said work arxl to ncrlce aril file Ihis nppl icnLion; dial! al.l. sLaLements conLah"I ir► this alrpl ication are Lnxe to the bent: of his krxxaledge nrxl Ix'Jier; arxl that Lhe work Hill be per.fonrrc.d in the nianne'r set forth in Lhe application filed therewith. ')worn to before fire this ..... .........day of ... I �.6. NoLary llrblic .................. (Signature of Applicanl.) ROBERT I.SCOTTj . NOTARY PUBLIC,S f IV.Y. No.4725089.Suffolk Cou Term Expires May 31, 19..,.