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Home My WebLink About16161-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Seuthold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23218 Date SEPTEMBER 15, 1994 THIS CERTIFIES that the building Location of Property 1205 /%LDRICU House NO. County Tax Map NO. 1000 Section 125 Subdivision ADDITIONS LAUREL, NY Street Block 2 Lot Filed Map No. Lot No. Hamlet 1.8 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 1987 pursuant to which Building Permit No. 16161-s dated ~T~LY 1, 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 A BREEZEWAY & GARAGE ADDITION TO A OWE FAMIL~ DWELLING AS ~PPLIED FOR. The certificate is issued to of the aforesaid building. WALTER & SUSAN GANKO (owner's) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATE Rev. 1/81 W/A SEPTEMBER 9, 1994 /ld' g Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23219 Date SEPTEMBER 15, 1994 THIS CERTIFIES that the buildin~ Location of Property 1205 ALDRICH LANE House No. County Tax Map No. 1000 Section 125 Subdivision ACCESSORY Block 2 Filed Map No. Lot No. Street Hamlet Lot 1.8 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 1987 ~ursuant to which Building Permit No. 16161-Z dated J~-LY 1, 1994 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 AN ACCESSORY TENNIS COURT AS APPLIED FOR. The certificate is issued to WALTER & SUSAN GANKO (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A B~din~ Inspector 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) No_ t6,~61 Z Permission is hereby granted to: .~...~...*....~.~.....~.~ .... .......~..o...~.?.~ ........................................... .~~...~..~... ...... ,..,..~...~..~ ....... i.ii ,o ..~...,~..~....,.....~..~.~.....~...~....~ at premises located at .1..;;~... ~ .~'~..~..9:'27:~......~...~ ........................... County Tax Map No. 1000 Section ....... }.~.~, ......Block ....... ,~.~ ...... Lot No....,I..',,.~, ............. pursuant to application dated ..... M...~~.3 .......................... , 19.~..Z.,'0'~ and Building Inspector. approved by the Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTblENT TO~N IbiLL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC TOWN O~ SOUTHOLD A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 requirements. B.. 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 the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. ' Fees i. 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 Buildinm - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~J ~.~. ~/~ ' New Construction ........... Old Or Pr~-existing Building. Location of Property ..... t~ House No. Street Hamlet Onwer or Owners of Property ........... County Tax Map No 1000, Section. -.~ ...... Block. ~P~ ~. ..... Subdivision ................................... Filed Map ............ Lot .................... i'ermit of Permit.7f /. ....... Applicant. ~//~¢~.~-~ Cr~/~ ![ealth Dept. Approval ...... Underwriters .................... Approval ................... ~lanning Board Approval .................... ~equest for: Temporary Certificate .... Final Certicate ....... : -301t°l r/ 5 C¢, ' ............. .... ...................... APPLICANT~-~ Form No. 6 TOI~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA BLDG. DFP't A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new bQilding or new use: 1. Final survey of property with ~CCurate location of all buildings, property lihes, streets, and unusual natural o~ 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. ~. 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 requirements. B. 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 the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.~ C. 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-existin~ Buildin~ - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 Date ... (~/2-~/~- · New Construction .... .~. ..... Old Or Pre-existing Building .... .. House No. Street ........ ..~...L~. ~ . .~.. ~ Hamlet or O ers of ..... ..1 ......... Block ..... ~ ......... Lac /' o Subdivision ................................ Filed Map ............ Lot .................... Permit No.l~/.~.(..~ .... Date Of Pe~it ...../ .... Apnlicant ~~ ~/~ . . .......... ....... {ealth Dept. Approval ............... Underwriters Approval ......................... ~lanning Board Approval .................... ~equest for: Temporary Certificate ........... Final Certicate ......... ee Submitted: $ .......................... ' · - APPLICANT~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 8049816 BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK. NEW YORK 10038 Dote SEP~'EHBER 14,1994 /lpplication No. on file 85633494/94 H 042631 THIS CERTIFIES THAT only the electrical equipment as d~scribed below and introduced by the applicant named on the above application number in the prernlses of WALTER GANKO, 1205 ALDRICH LANE~ LA--L, N.Y. in the followi.g location; ~ Basement [] Iht FI. ~ 2nd FL G~/O[1T .Section Block Lot SEPTEMBER 09,1994 n~s examined on and found to be in compliance with the Nalional Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 4 5 2 DRYERS SYSTEMS E OTHER APPARATUS: PAN~LBOARDS ~ :~-3 CIR. 60 E R V I C AW, G, OF CC. COND, NO. OF HI-tEG OF HI-LEG NO, OF NEUTRALS OF NEUTRAL 12~5 ALDRICH I~%NE I~%UREL, NY~ ~ 1948 OENERAL MANAGER Per %. , , This certificate must not be altered in any manner~ return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR,BUILDING DEPARTMENT. TH~S COPY OF CERTIFICATE MUST NOT BE ALTERED N ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 29, 1994 Mr. Walter Ganko Box 484 Laurel, NY 11948 To Whom This May 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. (Enclosed) xx No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 16161-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. UNDATION (1st) UNDATION (2nd) UGH FRAbIE & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 7~5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~II~ATION FRAMING REMARKS: = .,, DATE ? '~'~/~'~~'~, INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: DATE INSPECTOR ~/~~ /~-~/ 765-1802 BUILDING DEPT. INSPECTION ['~FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I NSPECTOR~.~/~/~ Approve{ TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19 .~.? ., 195~. Permit No. J.~.~..~1 ..~. BOARD OF HEALTH 3 SETS OF,, ,JPLANS ' ' ·. TOWN OF SOUTHOLD CHECK ~ ......... BUILDING DEPARTMENT SEPTIC FORM o~.{~i' ......... CALL ............. MAIL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 descriptiomof 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 in~spection 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 lJlws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ ~/ (Signature of applica~7~'~ 'corporation)'' · .......... (MaiJ~ ~fifi;e's} ;~ applicant) /~ V~''~ State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ;~]'J; ~wner ~;;;i~ile's' i i i ;)'~' ~.~J.~.~. .¢i..~..~.~....~.....d..~. · ~: .~.~. .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License N67 -' ~..qq 7... ~ 7..C - - Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ... I icr/ House Number Street Hamlet County Tax Map No. 1000 Section ... J~ ......... Block .... ~ ........... Lot .... /: .0.~.~ ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy..· ~., b. ,ntende o cupan ........ .... cm T. .......... Nature of work (check which applicable): New Building.., ....... Addition · .,..~.... Repair .............. Removal: ............. Demolition ............ Other Work ............... 4. Estimated Cost ..... ?. ~.~. IQ~:. ?. .................... Fee ........ , .......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units bn each flgor ................ : If garage, number of cars .......... ~ ........................................................... .:6.If business, commercial or mixed occupancy, spebffy nature and extent of each type of use ............. '~' ....... 7. Dimensions of existing structures, if any: Front .... ;~13( . Rear .... ~O.r. ..... Depth ... f~.q.r. ...... Height ............... Number of Stories .. ,-~ .... Dimensim~s'of same structure with alterations or additions: Front ............... . '. Rear .................. Depth Height ' Number of Stories 8. Dimensions of entire new construction: Front ..... ~.~,~ ..... Rear ... c~.t ...... Depth c~-.t~f. ...... Height ............... Number of Stories .......... /.r./.~ .......................................... 9. S~ze of lot. Front ...... ~.?~.. .......... Rear ...... ~';~.7..'~'~ ......... Depth ....... ~.r./?~ ........... 1 I. Zone or use district in which~premises are situated ........ ~r'.q0. '. ......... i .......................... 12. Does proposed con~truction violate any zoning law, ordinance or regulation: .....A,~.. ....................... 13. Will lot be regraded ....... ~ .... .~ ........... Will excess fill be removed from p;emises: Yes ~No~ Name of Contractor . Address .... : ........... ;.. Phone No ................. 15. Is this property located within 300 feet of a tidal wetland? *Yes'. .... No .~. · If yes, Southold Town Trustees Permit may_ be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from )roperty lines. Give street m~d block number or description according to deed, and show Street names and indicate whether nterior or corner lot. TATE OF NEW YORK, ~'OUNTY OF ........... ...... S.S , ~ ............................................... being duly sworn, deposes and says that I is the applicant : (Name of individual signing contract) :bbve named. te is the ' (Contractor, agent, corporate officer, etc.) ~f said owner or owners[ and is duly authorized to perform or have performed the said work and to make and file this pplication; that all stateh~enfs contain'ecl, in this application are true to the best of his knowledge and belief; and that the york will be performed in ~he manner set forth in the application filed therewith. ;worn to before me this ~ orrnerlYe SO~O SU~Y FOR AT LAUEEL DATE: JULY 18, ~WN ~ SOUTHOLD SCALE: /"= /00' SUFFOLK COUNTY, NEW YORK NO. 86-6~8 SURVE~R'$ INKED SEAL OR EMBOSSED SEAL SHALL FI RST AMERICAN TITLE INSURANCE NOT BE CONSIDERED TO ~ A VALID TRUE COPY COMPANY ~~ HEALTH DEPARTMENT-DATA FOR APPRO~L TO C~STRUC T ~E ~R~ FOR WHOM THE SU~EY IS J YOUNG 8 YOUNG ~ ~ RIVER~ YORK NOF~: J = MO~UM~N~ ~UND ~ =STAffE~OUND ALDEN W.~UNG~PROFESSIONAL ENGINEER AND ~ND SURVEYOR NY.S. UCENSE NO. 12845 HOWARD W, YOUNG~ LAND SURVEYOR ~ L~T~ ~ ~L(W),~PTIC TANK(St)a CE~OLI(~) ~N ~E~ N.Y.S. LICENSE NO 4589~