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HomeMy WebLinkAbout10501-zNo FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Z--24093 THIS CERTIFIES that the buildin~ Date DECEMBER 22, 1995 ADDITION Location of Property 1275 LAURELWOOD DRIVE House No. Street County Tax Map No. 1000 Section 127 Block 5 Subdivision Filed Map No. LAUREL, NEW YORK Hamlet Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 1979 ~ursuant to which Building Permit No. 10501-Z dated DECEMBER 4, 1979 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 SOLAR--HEATED GREENHOUSE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA KELLING (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-287397 - AUGUST 24, 1993 N/A / //~i l~ing Inspector Rev. 1/81 FOI~M NO. 2 TOWN OF SOUTHOLD BUILDllqG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISI:S UNTIL FULL COMPLETION OF THE WORK AUTt-IORIZED) N? 105O1 Z Permission is hereby granted to: / . .~.... ~>c ~.~./~....~... ~.~. -~-x2z.~.~ .............................................. by Building Inspector. Fee Sf~. ................ FIELD INSPECT-ION COMMENTS FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY COpE 4. FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 14, 1995 Ms. Barbara Kelling 1275 Laurelwood Drive Laurel, NY 11948 Re: Building Permit 910501-Z & 21547-Z Premises: 1275 Laurelwood Drive, Laurel Suff. Co. Tax Map ~1000-127-5-8 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. BY: BU!Lr)!NG DFPARTMENT AT 7654832 9 AM TO 4 PM FOR THE ONS. ], FOUNDAF!ON - TWO REQUIRED 2. ROUGH - FRAFA!NG & PLIJM~IN~ ' --3,-fN~Jthff~ ................. ........ ~ N MU~T ..... ~-Cc~ ALL COI,'?TR~'C'rh~N SNAI,L STATE CONg'TRUCTION & CODES BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS:, [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ~AL FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ' . ..... ,1 Approved..~..~g..%..~-'.. ...... 197~. Penmt No./(~.~. ,~.--.O...// ~- APPLICATION FOR BUILDING PERMIT Application No. /O'-~O / Date A/b ~/ ,~=0 1977 INSTRUCTIONS a. This application must be completely filled in by typewritex or in ink and submitted in triplicate to the Building Inspector, with 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 appli- cation. c. The work covered by this applicatmn 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 permit shall be kept on the premises available for inspectmn throughout 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 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil, d_39&code~ housing code, and regulations, and to admit authorized in sp ectors on premises and in buildings for necessar~?/~on~ //~/~.~ . ..... .... "-~l~mna~ure of applicant~ or hague, if~ a coffpora ) ........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... . .................... , ........................................ Name of owner of premise, .~~.-'5-~.'v...~'~.".~.. ..................................... (a~ on the tax/oll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~ .............. Plumber's License No ......................... Electrician's License No..~ ........... Other Trade's License No ..... House Number ' Street ............... Hamlet .......... -- ........... County Tax Map No. 1000 Sect, on . [ 7_.- ..... Subdivision..~/r..o~..r~../~:~d .~-A::~q'.~ ~./~..~J. i i i i ..... Block .~..~Y.. ~.. .... Lot...~..67.~.. ......... Filed Map No....~.--.~..~?. ..... Lot.. ~.../'..~.. · . · (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi°n: a. Existing use and occupancy . . . .....:,~..;,,/~/¢ ~~ ~,,,~ 21~;/-"7~,4(4~.~//?.~....dd%._: ...t. b. Intended use and occupancy ....~ ..~-... ..... ,-, .....~: ...... ./-, .......................... / 3. Nature of work (check which applicable): New Building .......... Addition...~..."~ Alteration Repair'. ............. RemoVal .............. Demolition ..... / ........ Other Work ............... ~ . i ..~ ~-- (Description) 4. Estimated Cost ....... ..~.' ............................ Fee .... .'~.. .............................. . ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .... .~. ......... If garage number of cars ~ .................................................................. 6, If business, commercial or mixedr occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure,,if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wi~h alterations or additions: Front ................. Rear .................. Depth .................... ,~. Height ............ ! .......... Numbte/r/of Stories ............. ./ ........ 8. Dimensions of entire new construction: Front ..... /. q ....... Rear .../.~.'. ......... Depth ../$ ......... Height ............... Number of Stories ........................................................ 9. ' · / ,,J~f. AL ' Szze of lot. Front ...................... Rear ...................... Depth ...... ~ ............... 10. Date orVurchase ...... /./¢~.~.~.~. .............. Name of~Fonyaer Owner .~.3~v...~.,.. ~.~.o~*4'~e~. ...... 11. Zone or use dzstnct zn whzch p~emzses are sztuated ...... ,~'.~.,cg~'~4.. z~. ~/ ............................. 12. Does proposed construction viol~te any zoning law, ordinance or regulation: ..... ~. O. ........... ~ ...... 13. Wall lotl be regraded ....... ~ ........ ~, ....... Wall excess fill be removed from premzse: QYes~) No 14. Name of Owner of premises .~.~q4'~?'.~. ~nn../J~/'~.q. Address· ~//~.~.~.~x~s,.~.g..~...rS.. Phone Name of Architect ~.~3ff~.g~ e,.t.c~ ./~...~ff~.~/f..~. 5'. ! Address .~./'3qr.-~/. ,~'.v. e~ ,~f. . Phone Sc~. './~-~.-. ~ ~.'~. ?.. · '- " .... 5.,~ ..... Name of Contractor ~4~'.~.e.rd.c/.(.. ~)~/.¢.~... Address .,(~ .~4,[..w.~.~.,./.J?~.. Phone No...o~. f....,5~..z ..... PLOT DIAGRAM Locate qleariy and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lin~s. Give street and block 9umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~ .... COUNTY OF .~./~.~. ...... . (Name of individual signing contract) above named. t .at7 ..... being duly sworn, deposes and says that he is the applicant ~3te is the .................... &'i .fa,/. A/.~. ............................................... ; ......... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this application; that all statements contoin6d in this application are true to the best of hisknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ' .~O.~t dayof ~.~ ~'.e~. ',e~.~.,19 No, ubli , .......... ' : .... County n . .. NOTARY PUBLIC, ~t~te of New York