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Home My WebLink About10882-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....Z10.6..07 Date ., .~.ul~..~.9 ........ 19 81 THIS CERTIFIES that the building ................................................ Location of Property 1525 Aldrich Lane, ' Lau.eel, Ne.~. Yol, k House Ho. Street Hamlet County Tax Map No. I000 Section . . .1.25 ...... Block ....0.~ ......... Lot ... p.O. ! t .1.1 ....... S zvls]on ..... e. Plut~ph~r .Filed Map No....'. .... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Aagua 1:,..~>8 ...... 19.13Dpursuant to which Building Permit No...~.0.8..B.~..g. ........... dated ..... $9.p.~ 0 ~a.b.~.r.. :~ ......... 19..8.0, 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 ......... Dwqllin~ ....... EeiV~h~. 0a~-. F~m%~lr .................................................. The certificate is issued to ....... .T.~.r.r. ~t..a.n.d.. Lau~'m Woodhul 1 of the aforesaid building. Suffolk County Department of Health Approval......7/R.9/.81,. .......10".~.0-$8'........lt°b®~'~..........l'.Villa..... UNDERWRITERS CERTIFICATE NO NSRgOO.8. . Building Inspector Rev. 1/81 FOE~ I~0. ToWN o~ BUILDING D~PARTM · TOWN HALL' SOUTN'OLD, BUILDING PERJ~I~i (THIS PER~IT MUST BE KEPT ON, ~HE PP, E~ISI S UNTIL ~ULL COMPLETION OF THE WORK AUTI~RIZED N? 10S82 Z Dote ~ ............. , Permission is hereby gror(ted to: .....~...*....../..~.~ ........ ~ ..... ~....<~.~.&..<.~ ~ Buildin FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in dupli~:ate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect o~ Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B~ For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .... ~ .tf.~.. ?'.~.~. ~..~./. ..... New Building ... ~ ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .../..~.-~..'- .... .~..~ ?.~.~?...~. !...~ .~..~... ! ........... ~../'~T. ~.~... House No. Street Hamlet Owner or Owners of Property . . .. ~.~.~....(~..~. ~.O. ¢2.~ ~..~/.~.~ .................................. County Tax Map No. I~Q0 Sect,on~_..[ ~.-~ .~..~ ....... Block ..... ~ .~. ..... Lot...~..~.~ ~ .I. ~ .... Subdivision ~'~.1..~;Y~...~.~'~:. ~j~..~../~.~;. ~'~'~.~Filed Map No.. ~ ...... Lot No..~. Permit No. j(~.~2 .Z Date of Permit c~ ~.~.~./~)l. Applicant... :-~.~ .'. ~J..OO~ ~.~..~...: ......... Health Dept. Approval 7. ~.~ ./.~....t.~.~ .b~..~.'. 9! !(¢. :Labor Dept. Approval ...KJ. ~ (~, ............. Underwriters Approval....~...~.~.C~.~p.~. ........ Planning Board Approval .~. 1.~...~, .' .............. Request for Temporary Certificate ..................... Final Certificate Fee Submitted $.~...~c~. ....................... Construction on above described building and~eets all appiica~,~/~s~d regulations. Applicant~.. · ~... · . .~.~~ .................. ~?.~ lOOO2m THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY SS JOHN STREET, NEW YORK, NEW YORK 10038 O,,,e July 27, 1981 ~pp'ic,~,io,, ~'~o. ~.f'~ 102633 - 8e N 5 2 9 0 8 8 THIS CERTIFIES THAT only the electrical equipotent as described below attd it[traduced by the applicant named on the above application n~n~er i~ the premises of was examlned on O'uly 2~, 1981 a,~d~oundtobelnco,npl~ancewlththereq~,ire.tentsofthlsBoard. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES NCANDESCENT FLUORESCENT 39 32 39 DRYERS TIME CLOCKS OTHER APPARATUS. Motor/s: Z-F 1-G.F.I., 1-G.F.C.I. 2-Smoke Detectors NO O~ HI tEO OF HI LEG NO OF NEUTRALS AWG OF NEUTRAL 4/0 Dettner Elec. Co. P.O, Box 482 ~ Riverhead, N.Y. 1190~ Th~s cerhficate must not be aJtered in any manner; return to the office of the Board if incorrect. Inspectors may be ~denhfled lic. 643~ th~m credenhals FIEL~ IN~ECTION FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CO E FINAL ~DITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined · ·., 19... Permit No ......... Disapproved a/c ......]. .....~/..< .............................. APPLICATION FOR BUILDING PERMIT Application No. INSTRUCTIONS a. This application must be completely filled in by typewriter 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 Pem~it to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used ~n 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 Budding 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary~jnsp~ctions. ~ / "~igna/t~e'(~[ applicant, or name: it~; 'c;~'l~(~;a~;o'n') .... .~. .x. fro.(..m~y.r, t ? vr.~. ./.~.v:~.. . . .zL ~.4~. .~.. . . . · (Mailing address of alSplicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ... 2~..~..~.. ~..~.+.v.~d... L~3.~,~/.t~u.(/. ......................................... (as on the tax roll 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.../?. ? ./(/.~ ~.'. ( .'.../. ~/?.~? '.. 5:---- Electrician's License No. ,6)Z' t (,u Z-, -, Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................. ...... /.d'. . ............. : . .............. ,: / ....................... House Number Street Hamlet County Ta,x Map No. 1000Section~d,,~t,L, , ~ ,j../.~',~.~. ........ Block ....c?.".'7~.:'. ........ Lot ..... Subdivision .' '' .,.~. ~;.~..d,~'--. ,C .~:~'~.. , ~.c~. ~6~f~-.~ ~ ......... Filed Map No ..... ?.~..~./] ....Lot .(~.. "~ (Nan,) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. I/~.~ ~?.?..t~.,.< ( .................................................... b. Intended use and occupancy .. ~¢ r &~..~/../~t~.~c'7 .................................................. 3.' Nature ofwork (check which applicable): New Building .... ./-~..... Addition . :.~ ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... · '~..~] Z? i'(~. O. d') / (Description) 4Estimated Cost... Fee ........................... ~ ~ (to l~e paid on filing this application) 5. If dwelling, number of dwelling units ........ /. ...... Number o f dwelling units' on each floor ................ If garage, number of cars ..... ................ : .............................................. 6. If business, commercial or mixed occupancy, specify ilatur&gng~xtent of each type of use ..................... 7. Dimensions of existing structure?, if any: Front.. ~ ........ Rear .. ~ ........ Depth. ~x/.. i~y' .... Height ............... Number of Stories .... ~ ............................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... :.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .....~.o¢:'. ......... Rear ... (/~.. ......... Depth . J.6'..v..~. ~. .... Height' . .............. Num~ber of Stories ........................................................ 9. S~ze of lot: Front .... $k~... ........... Rear ..... g,.~.,5 ............. Depth ...3.g.o. ~ .............. 10. Date of Purchase .. ~/.~.O.. 'i ................... Name of Former Owner .F.-.../]91Aq?.t~. ¥ ................. 11. Zone or use district in which premises are situated... '. ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . ~ ¢}. ............ 13. Will lot be regraded .. ~_q... ................... Will excess fill be removed from premises: ..... ~'~d ' ' ' 14. Name of Owner of premises ."Z'.~.-fl&~. maO~O.~.~, I-... Address .g.0¥)0~'. ~,~¢.Y.t.r~.l-k.. Phone No. ~r//a'.).3 ..... Name of Architect .......... : ................. Address . .g~..°/'9.~?--. ......... Phone No..~1¢. ·~. .~..~..~ ..... Name of Contractor /-~.~ ~..~.~'~ &:.//0m.~: ~ ....... Address ~c~u*. ~A ~...~:~... Phone No..~.&.C. ,~ OtS.~[ ..... PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATL~ OF NEW(~RI~a COUNTY O~ .... 'n'a (Name of/f~fdividual signing contract) above named. being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;, that ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Sworn to b~fore me this ' J NOTARY ?U~lLIC,$tate of New Yor~ ..~ (S~gnature of appli;~n'ti Fron¢~$ J 8-gltzol~eth H. Murphy 1.2 $0 TEST HOLE wcier suppJy racy cra< :t~ c~aoun~s of pesticides grid ! or ~hrc ~ ,. Spod:;I o~c~ysis m~y be requ~;v~. Confra;t ~his D~,p~:'tmenf prior to sampling". SU£ZOLK COLtk~TY DEPARTMENT FOR APPROVAL OF CON3T¢.UCTJON ONLY NOTE: · = MONUMENT SURVEY FOR TERRY WOODHULL 8 LAURA WOODHULL AT LAUREL TOV,/N OF $OUTHOL. D SUFFOLK COUNTY~ NEW YORK AU~. 26, /980 DEC II, 1979 DATE DEC. 5, 1979 SCALE I" -- I00' NO 79 - 646 GUARANTEED TO CHIC,4GO r/TLE INSUR,4NCE CO YOUNG YOUNG ALDEN WYOUNG~PROFESS~ONAL ENGINEER AND LAND SURVEYOR N YIS UCENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR NYS LICENSE NO 45893 400 AVENUE RIVERHEAD~ NEW YORK 0.0 3,0 TEST HO£E HEALTH OEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT N~SUFFCO. TAX MAP mT mOO sECY,ON '25 S~OCN ~. COT ',' ARE NO DWELLINO$ WITHIN I00 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON N THE WATER SUPPLY ANO SEWAGE DI~IPOSAL SYSTEM FOR THIS RESIDENCE WILl- CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ ADDRE$~ TEL · -' M~MENT LOCATION OF WELL(W)~SEPTfC TANK(ST}a CESSPOOLS(CP) SHOWN HEREON SURVEY FOR AT LAUBEL TOWN OF $OUT/'/O/.D SUFFOLK COUNTY, NEW YORK JU£Y ~, 1981 NOW 12, 1980 AUG. 26, 1980 DEC II, 1979 DATE DEC. 5, 19Y9 SCALE /" = /00' NO ~9 - 646 GUARANTEED TO . CH/C,,~O T/T/ £ INSUNANC£ CO YOUNG s YOUNG ALDEN W YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y_S UCENSE NO ILa845 HOWARD WYOUNG~ LAND SURVEYOR NYS LICENSE NO 4§893 :R AVENUE NEW YORK