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HomeMy WebLinkAbout29059-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29435 Date: 05/14/03 THIS CERTIFIES t~at the building ADDITION Location of Property: 145 SKIPPERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 1 Lot 22 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in th/s office dated JANUARy 3, 2003 pursuant to which Building Permit No. 29059-Z dated JANUARY 3, 2003 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 REPLACE EXISTING DECK ADDITION TO SINGLE FAMILY DWELLING AS APPLIED FOR MAINTAINING EXISTING SETBACKS. The certificate is issued to ANDREW C & JOANNE ARONSON (OWNER) of the aforesaid building. SUFFOLK COUNTSf DBPART~T OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATH NO. N/A N/A PLUMBERS C~U~TIFICATION DA'~'~u3 Rev. 1/81 Au6hori~ 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. 29059 Z Date JANUARY 3, 2003 Permission is hereby granted to: ANDREW C & JOANNE ARONSON 222 CENTP_AL PARK SOUTH NEW YORK,NY 10019 for : REPLACE EXISTING DECK AS APPLIED FOR MAINTAINING EXISTING SETBACKS REPLACES BP 26728 at premises located at 145 SKIPPERS LA County Tax Map No. 473889 Section 025 pursuant to application dated JANUARY Building Inspector to expire on JULY ORIENT Block 0001 Lot No. 022 3, 2003 and approved by the 3, 2004. Fee $ 150.00 Rev. 5/8/02 COPY 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. 26728 Z Date AUGUST 18~ 2000 Permission is hereby granted to: ANDREW C & JOANNE ARONSON 222 CENTRAL PARK SOUTH NEW YORK~NY 10019 for : REPLACE EXISTING DECK AS APPLIED FOR MAINTAINING EXISTING SETBACKS at premises located at County Tax Map No. 473889 Section 025 pursuant to application dated AUGUST Building Inspector. 145 SKIPPERS LA ORIENT Block 0001 Lot No. 022 1~ 2000 and approved by the Fee $ 75.00 COPY Rev. 2/19/98 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: Ao 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 requiremems. Bo 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 thc applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the masons therefor in writing to the applicant. Co New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision PermitNo. BP ~q05~ateofPermit. Health Dept. Approval: _ Planning Board Approval: Request for: Temporary Cerlificate Fee Snbmitted: $ ~ ~- 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 ofOocupancy - $25.00 4. Updated Certificate ofOocupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ,qCC~ Old or Pm-existing Building: (cheek one) g et Hamlet Block Lot Filed Map. Lot: Applicant: Underwriters Approval: N, ,~ Final Certificate: (check one) Applicant Signature Applicanff A~chilec'i/ Engineer; SCTM 1,2 Distlicl jO~O0 Stol,on o,~" [Mock Reviex~ed: __ _ Submiued: __ _ Subdivision Rcq [ Req ]lronlYard ~Proposed __J [Side Yard P,oposcd ] [Rear Yard ~ · ['reposed ] AGENC~ERNIITS REQUIRED FOR REVIEW N.~/~ Suflblk County Health Dept. / New York State D. E.C. / Town Trustees ~ Town Zoning Board approval: / Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Permit NO YES Number Notes: ~CCUPANCY OR USE IS UNLAWFUL ..~ ' u~n~n, rr rC~Fi~AT~- ~, // ~' ROUGH -,FRAMIHa & ~OMBINe ~Z~ ~ ~ FINAL L~ ~ATE CONSTR & ~ ~.,..o, ..,o, ,o. ~/~ ~I ~ ~ BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU~PLBG. [ ] FOUNDATION 2ND [ ] ~N/,~ULATION [ ] FRAMING ~/]/FINAL [ ] FIREP~HIMNEY DATE~ I N S P E~ 765-1802 BUILDING DEPT. ON [ 1ST [ ] ROUGHPLBG. [ ]., 2ND [ ] INSULATION [ ] FRAMING , [ ] FINAL [ ] FIREPLACE&.~_CHIMNEY DATE /-~ INSPECT~ )UNDAT ~ON (IST) il :)U'NDAT I ON (2ND) OUCH FRAI~. & PLUMBING NSULATION PER N. Y. STALE ENERGY Il {~ CODE ~ ~ ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ]I971 TEL: 765-]802 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC ........................... TRUSTEES ...................... NOTIFY: - MAIL TO: .................. 'Ibis application mmt be caupletely filled in by typewriter or in ink and sul~itted to the l~Hlding Inspector f plans, accurate plot plan to scale. Fee according to schedule. Plot plan shc~ing lecation of lot and of buildings on premises, relationship to adjoining premises or public or areas, and giving a detailed description of layout of property must be dra~n on the diagram which is part c lica~ion. 'n~e ~rk covered by this applicatio~ my not be carmenced before iss~noe of l~ilding Permit. Upofl approval of thia application, the P~ilding Inspector will issue a l~ildlng Pemic to the applicant. hall be kept on ~ premises available for inspection throughout the ~ork. No bailding mhall be occupied or used in whole or in part for any ptur'pese whatever until a Certificate of y shall have been granted by the tk~ilding Inspector. LICATICI~ IS l~gl~ff ~ to the l~ilding Deparment for the iammnce of a l~ilding Pemit pur~ant to the Zone Ordinar~ of th~ Town of Southold, ~ffolk Comty, New York, and other applicable Laws, Ordinances or ons, for the on~stroction of buildings, additi~n~ or alterations, or for r~aoval or demolition, as herein d. The applicant agrees to camply with all applicable laws, ordinancea, building cede, hc~sing cede, a~d ms, and to admit tmthorized inspectors on premises ami in building fqI necessary ~nspections. ..i .... z ............... (Signature of applicant, or nam, if a?orporation) ..~. ~ .Z.a.~...A.~.m, ..ff?.~...o. ~...~. !.: ......... (Mailing address of applicant) ether applicant is o~er, lessee, agent, archlrect, engineer,'geseral contractor, electrician, plurber or bui] .... ~ ~ ~ ~2. ~ iw~ ..~5... ............................................................................ (as on the tax roll or latest deed) cant is a corporation, signature of d~ly autborlzed offScer. rd title of corporate officer) ]. Fnture of work (d~.k ~hid~ applicable): ~L~ l~uilding .o~,~; .... ~ddition .......... Alteration ....... g~ir ............. ~1 ..&.~ ....... l~liClon ..~ ........ Oflmr I~ ~l.~.~E~q.~. ~rip~i~) ~,. Estimt~ ~st ...~R.q~..; ............ f~ .............................................. (to ~ ~id ~ filing this n~li~ti~) 5. If ~lling. m~t~r o~ ~lli~ units ............ ~r o~ rk~lling traits I~ garage, ~r of ~rs ....... ~., ......................... 6. I~ tmi~ss, ~rclal ~r ~ ~, ~ci~ ~ture a~ ~tent o~ eadl ~ oi u~ ............... ~p~h ...... ~..~ ....... ~i~[ .... ~ ............. ~r o~ S[orle~ .~. ..... ....... 8. Di~mnsi~ of entire ~ ~st~t~ ~t ~ ...... ~ar'~ ........... ~p~ .............. thirst ................ ~..:... ~r of Stories ..................... 9. Si~ of lot: ~t ..... ~ ............ ~ar ..~ ................ ~pth .................... 10. ~te of ~wd~a~ ... 1.~.~.~ .......... ~ of Four ~r ........................................ Il. ~ or u~ district in M~i~ pr~i~s am 12. ~s ~o~ mt~ti~ violate a~ ~i~ 1~, o~i~e or ~latlm: ..~.O. .................. 13. Will lot ~ r~ ...~ ............. Will ~ess fill ~ of ~tr~tor ..... ~.cC4..~{ ~ ......... ~ress 15. Is fids p~r~ ~thln ~ f~t of a ti~l ~tl~? * ~ .......... ~ .~ .... PLOT DIAGRAM I~ate clearly ~ di*ti~tly all ~lldi~s, M~mr ~isti~ or pr~, ~ imitate all ~t-~ d5 ~ pr~r~ liras. Giro st~t ~ bl~ ~r or ~scrlpti~ acco~ing to Omtl~r interior or co~r lot. (N~ce of i~x/ivldual stgmtg contract) I~2 is the ...... .~..0..~.-~.~.~c.~..~.¥.' ........................................................................... (Co}tractor, agent, cor~rate o~ficer, etc.) oF ~id ~mr or ~rs, a~ is duly ~thori~ to ~rfom or h~e {~rfo~ a~licati~; that all sealants c~ta[~ in O~is a~l. icaCi~ are t~ to that the ~rk will 1~ ~rfon~l in the tremor ~C forth in O~e a~llcati~ fil~ ~mto ~is ~fore m day of ~ Ou~lifi~in S~olkC n {S]~re of A~IJ.c~t) NO, 01S~n~ Term ~res May 3~ . SURVEY FOR DR. ANDREW ARONSON & JOANNE A T ORIENT TOWN OF SOUTHOLD SUFFO£K COUNTY, N. Y. 1000- 25- Ol- 22 Scale, 1" = 30' May 26, 1994 AREA = 9,134 sq. ft. CERTIFIED TO' DR. ANDREW ARONSON JOANNE WYNKOOP CH'--EMICAL BANK FIRST· AMERICAN TITLE INSURANCE COMPANY OF NEW YORK 141-S-E009 WYNKOOP Prepored in occord~nce w/lh the m/n/mum $1ondord$ for I/I/e surveys os e$tob,~'$hed by lhe L./.A.L.S. ond opproved ond odopled or such usc by The New York $tot& Lend Ti.fie ~ ss o ciot.'on. ~CONIC ~VEYORSf P.C. 1516) 765 - 5020 P.O. BOX 909 MAIN ROAD SOUTHOLD, N. Y. 11971 · 94- 198