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