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Home My WebLink About16218-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16057 Date August 14, 1987 THlS CERTIFIES that the building DECK ADDITION 155 Delmar Drive Laurel, New York Location of Property ~/3Os~ ~/oi ....................... 's't/e3i ....................... County Tax Map No. 1000 Section . 128 .Block 03 ..... Lot 8 Subdivision M/o Laurel Country Ests. .Filed Map No..5.4.8.6 .... Lot No.. I conforms substantially to the Application for Building Permit heretofore filed in this office dated July 7, 1987 .. pursuant to which Building Permit No. 16218 z dated.................July 13, 1987 . ..... . 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 ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate isissued to JOHN SCHAEFER & MARY SERVEN ..................... ?o¥.'d', x ..................... of the aforesaid building. Suffolk County Department of Health Approval N /A UNDERWRITERS CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED: ......... ui' '~g' ~s3ector .......... Rev. 1/81 ~0~ NO. ~ TO~ O~ $O~T~OL~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 16218 z Permission is hereby granted to: .~...g.~ ......... ............ y ..... ,..,~.; ..... ~..~...: .... ~. .:~...-.:~ ....................... County Tax Mop No. 1000 Section ...... /....~.....~.. ...... Block ....... ...~......~ .... Lot No ...... ~..~. .......... pursuant to application doted ......... ....~....~..'~.. ................... , 19...~...~., and approved by the Building Inspector. Fee $.....~..~....:...~ Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 TOWN ¢3F ~;O~JYi!OLE~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted iI~.~,~ 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 featu res. 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 or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINgSS $50.00 ACCgSSOR¥ $10.00 2. Certificate of-occupancy on pre-existing dwelling $ .50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $i0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.Oo $ 50.00 Date . ..5..A.u.~ .u.s,t..1.9..8.7 ......... NewC°nstruction.. ~ Old or Pre-existing Building Vacant Land Location of Property 155 Delmar Drive Laurel House No. Street Ham/st Owner or Owners of Property . .~TQ~ .~,..S.1~;~.e.~..&..H.a.~. y..N....S..e.~.v.e.~ .................... County Tax Map No. 1000 Section 128 Block 3 8. Subdivision..~a,~Hc.e.],..Cp.u.~.b.~. y. ?.s.t, ates ..... Filed Map No....5.~.8.6....Lot No. 1 7/.1.3/87 Appli S, ,t r i,c k ,r o,t h. PermitNo. 16218 Z Date of Permit cant Ted J.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .~. .................... ee ubm,,ted 3 qq Construction on above described building and p~r~it me~%all app_licable codes and regulations. Rev. lO-lO.Ta ' TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX ?28 TOWN HALL SOUTHOLD, N.Y. ! 19?I TEL. 765-1802 To~Wh~~ay Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_~/'An application for Certificate of Occupancy is not on file, No Underwriters Certificate on file. The check zs(outdated/~.) ~$.OO No Health Dept, Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ ~_ _~ ~_ _~ .~ Z' Building Dept. ***/5 No Plumber Solder Certificate on file. all permi.ts involving plumbing being issued after April 1,1984 ) Occupancy or use is unlawful without a Certificate of Occupancy. Clear up this matter as soon as possible so that legal action does not have to be kaken. Thank you for your prompt attention. OUNDATIO~; (1st) OUNDATION ( 2nd ) OUGH FRAME & ?LUMBING ~NSULATION FER N. Y. STATE ENERGY CODE FI:!AL ADDITIO~IA'L COMMENTS 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N,Y, 11971 TEL.: 765-180:3 Examined...~ .{..~..., 19~ .-{. Approved ..~.1.~..,'g(~.~.PermitNo./.~..~..].~..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH . 3 SETS OF/LANS ~'-~-'-- SURVEY ......... CHECK .~.33~.~. SEPTIC FORM ' NOTIFY CALL ................ MAIL TO:~'/ Date..2).~UnB ........ ,19B2 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit 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 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, building,code, housing code, and regulations, and to admit authorized inspectorS on premises and in building for necessary i~sp~.~ctio~s. (Signature of applicant, or name, if a corporation) ·...P :.0....B. 9.x' .8.8. ,. Aqu¢10.o. gue,. ~I ,Y .... 1 192.1.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contr~g~q~ Name of owner of premises ~ ~ohn R. $'t!o-.ef.e.r..& .M..Ai~y. N..$.e.rven. (as on the tax r011 or latest deed) If applicant~ a corporation, signature of du~ authorized officer. ·..i..~...'.~.j:..~..~.~...w..~. ..... (Ntame and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be dond. ................................................. .... 1.~5...D.e.]j00.r..D.r iY.e ................... - ..................... Laur.el .......... ; ............. House Number Street Hamlet County Tax Map No. 1000 Section ....12.8 ............ Block ...3. .............. Lot....6 ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. .S.±in.~.l?..F..a..m.~.lZ .r..e.s}.d?.n..c? ............................ b. Intended use and occupancy Recreational Dedk 3, Nature of work (check which apflicable): New Building ..... '...RamAoddvietiOn ..... ..... Alteration .......... Repair .............. Removal .............. Demolition D'o'OK ..... Other Work ~.n.s.~.a..~.1..D.c..cf. I' (Descfiplion) $.4 ~50.0.O Fee 4. Estimated Cost .......... , ........................................................ · (to be paid on filing this application) 5. If dwelling, number of dweilmg units ......... : ..... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of u~ I .... 7. Dimensions of existing structures, ff any: Front... 12..... ..... ... Rear ... 2:2. ........ ,. Depth o.,2.1 ........... Dim~nsions~[q~stj~ure with alterations or additions: Front ................. Rear .. Depth .... '7.\ i?.. ~ ........ Height ................ Number of Stories ..................... ---8. Dimensions of entire new construction: Front .... ~[2 ....' ..... Rear ...... 1~2 ....... Depth .... 20 ......... Height ............... Number of Stohes,. ..................... , .................................... 9. Size 0flot: Front ~ .... '..> Rear,.... ................... Depth ........... 10. Date of Purchase ......... i],906 .............. Name of Former Owner J.. ~ra.e.s..~. D.~.~t~arm. 11. Zone or use district in which premises are situated...R.e.s..i .d.e.p, q e. ........................................ 12. Does proposed construction vie!ate any zoning law, ordinance or regulation: NO .~, 13. Will lot be regraded ...... NO! ............. Will excess fill be removed from premises: Yes No 14; Name of Owner of premises iiS.':;~¥~]~, h e o P.O. Box 658 8 . Name of Architect ' Address Phone No Name of Contractor . .To..d. .J......S,g.r.x. qk..r 9.g.h. .... Address .P.: 9:,..B.o..x..8.8. ~..g..q.u. ephone No. 7.2.2.x4.. .45 ...... 15. Is this property located iwithin 300 feet of a tidal wetland? *Yes ..... No ..X... *If yes, Southold Town TrUstees Permit maybe required. i' PLOT DIAGRAM Locate clearly and distinctly alii buildings, whether existing or proposed, and, indicate ail 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. See accompanying/ survo,~y STATE OF NEW YORK, COUNTY OF., .S.u..f.f.o.l.t~ ...... I S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sigriing contract) above named. He is the ..................... i .................................................................... ! (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 statements cont~ained 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. Sworn to before me this No, 4707878, Suffolk Term Expires March: $0, L0f no~1 · -' MONUMENF SU~IOIIII$ION MAP F/LEO IN ~'IYE OFFICE OF T,~E CLERK OF SUFFOLK COUNTY ON dUNE 2~, I97'0,45 M,4P M2 $4~. forr erIy or .EV,S~ONS YOUNG & YOUNG ~UNE I, I9~'~ 400 OSTRANDER AVENUE, RIVERHEAD, SURVEY FOR: ,a,. '"'" "' · 1 ,JAMES E. RYCHWALSKI ~ B~ARBARA A. ~CHWAL~I~/, I ~' LAUREL I CmCAOO Ti~ m~ / ..... ' I ~UTHOLD ~YI~S BANK TOWN OF ,; ~, , . jt SOUTHOLD J . ~