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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26745 Date: 10/13/99 THIS CERTIFIES that the building ADDITION. Location of Property: 2200 SIGSBEE RD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 1 Lot.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 19, 1998 pursuant to which Building Permit No. 24640-Z dated . FEBRUARY 4, 1998 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 BATHROOM ADDITION TO AN EXISTING ONE FAMILY SEASONAL DWELLING AS APPLIED FOR. The certificate is issued to GEORGE MCTAGUE & WF. . (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A- ELECTRICAL CERTIFICATE NO. N 457205 06/25/98 PLUMBERS CERTIFICATION DATED 09/30/99 WILLIAM SCHWAUB PLUMBING Building Inspe or 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) Date .....FEHRUARY........4........................... 19..4$.... 24640 Z Permission Is hereby granted to: .......GEORGE...&...WF„MCTAGUE................................... 2130 S I GSBEF...R>a............................................... ........MA.TT.J.T.Q1r,K.l.NY....1.1.`52..................................... to...... A.>1T.Z.QN...T.Q...A...S F.A S.Q NA I—.DAE.L.1-Z N.G...05...AP P.�,��p. FOR. .................................................................................................................................................................. ............................................................................................................................................................ .....................................................................................................................................................I............ ...........I.......... ........ . .............................................................................................................................. at premises located at................W.!R4Q......I..Q.SJ9.RR. RIP........................................1-G REI ................ ... ............... .......... ..............................................................................I........ ............................... County Tax Map No. ....47.. .Q 4..... Section ...1.4.4............. Block .....0.0.Q t........ Lot No. .02.5............... pursuant to application dated ....QF-QRMJ:RR.....I.?..........:............. 19...... and approved by the Building Inspector. Fee$........7 S.OQ..... ...... .. ..... ............... ........................ ...... .................. Building In ctor Rev. 6/30/80 R (� (� �l (A Form No. .6 _�.U ---�, TOWN OF SOUTHOLD BUILDING DEPARTMENT 131999 TOWN HALL -� .ass 765-1802 I Tf,' ':` '_v: .'m- —` 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. 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 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. 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 Buildiniz - $100.00 3. Copy of Certificate of Occupancy - s •2 : 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .q.-/3 . 7. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . .. . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . • • • �a • • • • • • • • • • • • • • • " " House No. Street Hamlet Onwer or Owners of Property. . . . . . . • • • • • • • • • • • . . . . . . • • • . . . " County Tax Map No 1000, Section—/.Y.�. . . . . .Block. . . O!. . . . . . . . . .Lot. .... . . . . • • • • • • • • • • • • Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map... . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . �. . . . . . i G�vL Permit No. y . . . . . . . .Date Of Permit. . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . • • • Health Dept. Approval . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . l.G 5. . . . i Fe Submitted: $. �4. . . . . . ... . . . . . . . . . . . . . . . . . e7fa-�. . . . . . . . . . . . . . . . . . . . . APPLICANT O�OSVFF®(�`,OG y� Town Hall,53095 Main Road y' x Fax(516)765-1823 P. O. Box 1179 W Telephone(516)765-1802 Southold, New York 11971 �y� ap�� t i OFFICE OF THE BUILDING INSPECTOR -'OCT 13 1999 i ��+' TOWN OF SOUTHOLD i 1 ^s!^;�� C E R T I F I C A T I O N DATE: A_\ Buildina Permit No. / r _ Owner: !�_ Q l (pleas prin ) Plumber: (please print) I certify that the solder used in the. water supply system contai&8 less than 2/10 of 1% lead. ,kv � (Plumbers : S gna ure) Sworn to before me this 30 day of 19 Notary Public, County NANCYKANO No.4985518 Notary Public,State of Nowft Qualified in Suffolk Count. My.Commission Expires08/19/� / KEITH J.SCHROEHER&SON INC. Home Improvement/Building Contractor 447 Riverside Drive Riverhead,NY 11901 ld t6 rC+CV- V Y'Ay, n s-� plum JoI � wr a r s . S C— o�,%SUFFQj1r Town Hall,53095 Main Road p Fax(516)765-1823 P.O.Box 1179 ti Z Telephone(516)765-1802 Southold,New York 11971-0959 Dy BUILDING DEPARTMENT TOWN OF SOUTHOLD September 9, 1999 Keith J. Schroeher & Son, Inc. 447 Riverside Drive Riverhead, NY 11901 RE: McTague, 2200 Sigsbee Rd. , Laurel . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is'-'� not on file. (Enclosed) No Underwriters Certificate on file.. XX The check is (not on file. ) $25.00✓ No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24640-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. a . KEITH J. SCHROEHER& SON, INC. HOME IMPROVEMENT AND BUILDING CONTRACTORS 447 Riverside Drive Riverhead,New York 11901 Phone/Fax 369-0867 Voice Pager 284-1023 "Father and son building with pride since 1911" Licenced and Insured Southold Town Building Dept. Main Rd. Southold, N.Y. 11971 Mr. Verity, Please find enclosed a copy of the original building plans along with an amended plan as per your request. I hope this will suffice so that the homeowners can receive their certificate of c anc y. Thank you. hoe er Building ContractorII _.�� AUG 0 1999 BLDG. DEBT. — TSOLTriGLD s THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1205030 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 25 i 1998 Application No. on file 15831098/98 N 457205 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MCTAGUE, 2130 ZIGSBEE, MATTITUCK, NY in the following location; ❑ Basement Q Ist Fl. ❑ 2nd Fl. Section Block Lot was examined on JUNE 16,1998 and found to be in compliance with the National Electrical Code. KO FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. KO 4 3 2 4 1 1.2 Ka 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. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 3@ SERVICE DISCONNECT NO.OF S E R V I C -E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ELEC. WATER HEATERS: : 1-4.5 K.W. TWIN FORK ELECTRIC LIC.#3488-} � L L P.O. BOX 48 JAMESPORT, NY, 11947 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ly r6s.isoz BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS• DATE 9 ys s8 INSPECTOR 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ;:NSULATION O GF1 PLBG. FOUNDATION 2ND [ [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTIO [ ] FOUNDATION iST [ ROUGH PLBG. [ ] F NDATION 2ND INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR S• � ����� �• DATE 12 7 /c� INSPECTOR 765-1802 BUILDING DEFT. ZFO INSPECTION [ DATIOI�7 iST [ ] ROUGH PLBG. [ FOUNDATIOPI2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � � INSPECTOR "7 765.1802 BUILDING DEFT. INSPECTION [ j FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: / ' er&o DATE INSPECTO 1 LD I;:SPECTIU?J JJDATE �I COMMENTS �y -o FOUNDATION ( 1st ) - �J c v� O FFOUNDATION ( 2nd ) m • 2 . 67 -� O z r ROUGH FRAME & u' -PLUMBING ' to 01 3 . rn (a INSULATION PER N . Y. STATE ENERGY CODE x FINAL _Ge .�-CiE.• O XI ADDITIONAL COMMENTS : x x H H . z • r _3 C7 [z] H �/ L5 l5 U 15 BOARD'•OF•�HEALTH . . . . . . . . . 0 DEC3, SETS OF�PI.ANS • FORM N0. 1 r/ . . _ . . . . . . E :� �� TOWN OF SOUTHOLD SURVEY''':. : : : : . . . . . . : : : : : : BUILDING DEPARTMENT CLIECR: :G�:QQ�. TOWN HALL SEPTIC FORM . •c, DEPT. SOUTHOLD, N.Y. 11971 " • - • • • • • • • • • • - • - • A FS UTHOLD TEL: 765-1802 NOTIFY: CALL �q.-.V �: .7. . . . . T�nined..... �. .L .., 19. � MAIL. TO: . . . . . . . . . .. . . . Approved...... �.J. 19. 0. Pernu t No. .��. l. .&....�:�...... ., Disapproveda/c .................................... .................................... •(Building•Inspector) LICATION FOR BUILDING PERMIT Date. ✓. r.;,.?S . . . . . 19 9 INSTRUCTIONS a. 'Ibis application mist be completely filled in by type-writer or in ink and. submitted to the Building Inspector wit' 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing 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 must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. .Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such Ormit shall be kept on the premises available for inspection throupjiout 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 the Building Inspector. APPLICATION IS HEBY MAIC. to the Building Department for the issuance of a Building'Pernut pursuant to the Building Zane Ordinance of the Town of Southold, Suffolk County, New York, and other"applicable Laws, Ordinances".or Regulations, for the construction of buildings, additions or alterations, or for'rem .val':or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for,necessary inspections. ......................... (Signature of applicant, or naive, if a corporation) /©•.Cct+>C!D..4��i .:N (�1. !'I../1J:c�ZSGO �• (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. 0to nfG:...........................:...................................................... . .....................- . -- Name of owner of premises ..C�:COk'(yC... . �:..�V/}!vc��...!.t:.. c.�l !�/:'.... .............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... . (Name and title of corporate officer) Builders License No. .I�:.�. +. .� ...... Plumbers License No. Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done............................................................... ...Al 3�..........s/ s 6c ....t21?:................../h.�T.T!T!��jc .,...!:.:y ...... ................... House Number Street Ham►1e't County Tax Map No. 1000 . Section 1 .�.......... Block .......U..l... Lot ...: ....... Subdivision ...................................... Filed Map No. ........... Lot. ........ (Nape) 2. State existing use and occupancy of premises and intended use and occupancy of proposed ,construction: a. Existing use and occupancy - .... ... b. Intended use and occupancy ................... .. .... ....... .... ........ 3. Nature of work (check wliid►`applicable): 'New Building ... ....- Addition ... lion '.•. ?s7 Repair ... Removal`;` Demolition .....:..... Other [fork , .. ;.......... 's? 'r (;Description) G. Estimated Cost . 1.5:o00:i?9. ..... fee ...75................. (to be paid on filing ih application) "^� 5. If dwelling, number,of'dwelling.units ......I .. Ninber of ohael.ling units on each floor ...:............ Ifgarage, number of cars,'...' .............................. 6. If business, eannercial or mixed occ6pancy, specify nature and-extent of each type of use...................... 7. Dimensions of existing structures; if any Front...........' .. Rear ............... Depth ................. Height .' _ .. Ninber of Stories Dimensions of same structure`,with alterations or additions: Front .:........... Rear ............... Depth ...' . rEleiglhE ....... .Number of Stories'•............... 8. Dimensions of entire new construction: Front ................ Rear ................. depth .............. Height . . Number. of Stories ..................... 9. Size of lot: ,Front ..... Rear .................... Depth .................... IQ. Date of Purchase . .. Nam of Tormer Owner .....t9:MP.,.x.*S_...... 11. Zone or use district in.which premises are situated ....................... ...... ................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded �............. Will excess fill be removed from premises: Yr- NO premi, 14. Names of owner of •ses ' GZ,A�G��✓�•C 6it�- Address '9!f?A./1 �..w!�y.N��::B-4r??Athone No. T/%..... . Name of Architect : ... .. ....:..: Address ................. ..:..... Phone No. .......:.... . Nacre of Contractor.'KC1.'f'�1• '.$G �i;�'.'_S yV7.:lZ�ver$b�e'• �- :Qnll�c�a 7. O.h ''� Address .Phone No. 6`�.:086 15. Is this property within 36 feet of a tidal wetland? * YES .. NO �, .... . *IF YES, S([TIIrAD 1UM;Ti2[ISII S P);II IT MAY BE Rr4IIRIO. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bask dimensions from property lines. Give street)and block n aber or description according to deed, and show street names and indicate hAhether interior or corner lot.',';.:V. srnn, oI� law�txz�, SS o011NlY oi! �-! ........... . .... .......� ..............being duly sworn, deposes and says that be is the applicant (Name of individual signing contract) above named, Ile is the -.APnLIcAti !. .A`!s...p!?)cvz— .. --..-. _ ............. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statenents'ccmtained in this application are true to the best.of his knowledge and..belief; and that the work will be performed in the manner set forth'in the application filed therewith: )worn to before me this ...../S.-•__.. ..day of ...?E2_!9.� . ._ Notary Riblic ../.: .... t,, 5 .... .� ... r . (Signature• Applicant) M ommission 'Expire -- SURVEY OF LOT 44 AMENDED MAP OF MA TTI TUCK PARK \ PROPERTIES INC. FILED JAN. 12, 1926 - FILE NO. 801 s AT MA TTI TUCK IN $- TOWN OF SOUTH OLD s SUFFOLK COUNTY, N. Y. 1000-144-01-25 q19 $ O so o sa\ +o do—Scale 1" 20' 1p Nov. 20,1997 a ct" O� • ��OO o. vt \9r„s N \ P AREA = 7279 sq. ft. W - C' Ot.ME=CFo�� 40 LIC. NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA77ON PEC P.C. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. (516) — EXCEPT AS PER SECTION 7209—SUBDIVISION Z ALL CERTIFICATIONS P. 0.- BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1230 TRAVELER STREET SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE.SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SOLlTHOL'D, N.Y 11971. 97 - 367 SURVEY OF LOT 44 AMENDED MAP OF MA TT/ TUCK PARK PROPERTIES INC. , n FILED JAN. 12, 1926 - FILE NO. 801 . No A T MA TT( TUCK o �= TOWN OF SOU THOLD SUFFOLK COUNTY, N. Y. 1000-144--01-25 �� n�']9 dO 20 0 20 40 80 _ •�," Scare 1" 20' Nov. 20,1997 cp �. •y �69 5 P AREA = 7279 sq. ft. Cjf NEW y 5�odd Y,?.• LIC. NO. 49618 ANY AL.TERA77ON OR ADD17ION TO THIS SURVEY IS A VIOLATION PEC D. P.C. OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. (516) - EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS P. 0: 'BOX 909 HEREON ARE VAUD. FOR THIS MAP AND COPIES THEREOF ONLY IF 1230: TRAVELER' STREET SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SOU TH.OLD, N.Y r 1 s 7r 97 - 367 : I ' - - - -- - - - - _- �' f-®- - - , , --- �?Q-op®S -- -- — - ---.- --OCCUPANCY,CR —= — ----' -- = -- - .� I USE IS UNLAWFUL - I S KETTH J.SCI�R iCHER&SON INC. UNDERWRITER � S CERTIFICATE ---------- - ; ----- , -,---------- -------' ---,--!- � ---RE -- : -- Hamne---=9�7 I t l�sie® : I , QUIRED I Id9l 1l.90l. ' I ,. - ON BUILDING D TF : �=��LLU'VVIN a INSPECTIONS: -r- - -- -- - --- — --- — -- d. sxhfDla�IDN T11,510 REQUIRED : -:NSUL-ATIDI�- ��°, -- v-- — -- - ----- --° -: �a L_ -__CDK?8TR —EXCEED:211 D__of IY61 C` C � BE COMPLETE FOR C.�• E �I� E I _THE-A% -: _ -=--- ----- --- -� - --— -- - - STATE CONSTRUCTION & ENERGY I R I = T c,s@de, --i�LL PLl,[MBINCi:Wa4 iL- - I�EP�2I��ILE---Fob �r OR ONSTRUCTIO'N E � � --!-- -TES Eta LIKES WATER NEED �iF CCVERI�IG — --- - - -SE 0 I _ _ 1 I _ f "4G" '� ' 4 -- - 301.,, - - - - tm HjO QpR`.9026� �- ' ©EycEs asj G C°° : III ; ;1f pr tubing i$ us�� ��3 f6r- ater-dikributin _:6 - - - _.Lsysteri; 'iping shall-be, : I SH -- x� T�vc��- ® p _only - - - _ f ew- - - — - - I� orL 4. -o�4IC Y1CI10`r 8b; �;SS C• - � • : i , , I • • kv, O-V c I IL AM Tb I rly 'INC j 'o oosFb KEffH J.SCHROEBM&SON INC VA-e-.- 4qRtVgw&Drive Rivedout NY 1wm. F :z Isj ------------- 71 - Al ----LA _7 1 • V77M. . I ) KMOEMZI&SON INC. if - 4i C,7 V21" Walmd,ANY 119M