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Home My WebLink About15000-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15681 Date April 22, 1987 THIS CERTIFIES that the building ...0 .ny.. f..a .m.i.l.y...d.w.e. 1..1 .i.n.g...w.i.t.h...a.t.t.a.c. ~.e.d.. w..o p.d. d e c k s Location 2500 Aldrich Lane Laurel, N.Y. of Property/~/$~s~ County Tax Map No. 1000 Section . . .I .2.5. ...... Block .... I ........... Lot ....2...2. 4. ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated J u n e 10, 1986 pursuant to which Building Permit No. 15000. Z dated................June 20, 1986 .... .. .... .. wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ONE FAMILY DWELLING WITH ATTACHED WOOD DECKS The certificate is issued to MITCHELL & KATHLEEN MARKOWSKI (owner, II~,~ D K t~ ItX of the aforesaid building. 86-S0-24 Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. Iq 8 0 1 0 0 8 April 17, 1987 PLUlqBERS CERTIFICATION DATED: Rev. 1/8t 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) 15000 Z County Tax Map No. 1000 SecHon .../...~'...~... ...... Block ....... ..~..../. ....... Lot No....m*~'.:....~'..,.~. ..... pursuor~t to application dated ...~.J..O. ..................... , 19..~..(,0., end approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 DLDG. DEPT. TOWN OF SOUTNOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 ,J~nusual 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 or Engineer responsible for the building. 5. Su bm it P lan n lng Board approval of comp leted site p lan 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: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .... /. .? .......... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ......... . ... Location of Property .~.5-oo ~9 ~,c House No. Street I~am/et Owner or Owners of Property ... J.~..~.'~. l .~ .~.~., ,~,. ,~,~ .~',~, ¥ .~..~ {(. .... ¢~ .~ .~. ~. ¢ .~'.& .~. ~'. ...... County Tax Map No. 1-000 Section .... /.~ J.'~. ..... Block ..... ,Subdivision ................................. Filed Map No ........... Lot No. /~. .......... Permit No/>.~9.°, P .... Date of Permit .~./'Z~.~. .Applicant.. ~.. Health Dept. Approval ................. Labor Dept. Approval ........................ Underwriters Approval.., 6~..R (.~..O...~. ......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ ............................. Construction o n above described bu ilding ~Tr, m~_¢;s/~p~li? ,~_,~od:s,and regu .ations' App cant ... ........................... Rev. 10-10-7S 3 } ¢63 FIELD INS~'ECTION FOUNDATION (1st) FOUNDATION ~(2nd ROUGH FRAME & PLUMBING CODE COM!4ENTS FINAL ADDITIONAL 'COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date ~ /.,'~/~f~ Building Permit No. ~ ' (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plunfoer's signature) Sworn to before/~e,~is /7 day of (~'Lg/f/ ' I / Public,~~ County Notary No. 52-~3~65, 5u~o~k Cou~ THE NEW YORK BOARD OF FIRE UNDERWRITER 00544 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1OO3B ..t. ~arch 31, 1987 A..'ic..io. Ne.o.file 44~92~/86 N801008 THIS CERTIFIES THAT or~ly the electrical equipment o~ described below and introduced by the applicant r~arned on the ~bove application r~umber in the premises of ~Li~h ~k%~kowski, 2500 Aldrich Lane, Laurel~ wasexami.edo. IVlaX~,~! 19, [~ 2nd FI. Section Block Lot and found to be in compliance u'ith the req.irements qf this Board FIXTURE FIXTURES RANGES OUTLETS SWITCHES OVENS 39 40 26 38 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDER EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: Track Lighti~ 4'-0", 4 lites 3 GFI 1 ~Oke Detector MOtors: 1-3/4HP S E NO OF CC COND PER R V I C 2/0 NO DP NEUTRALS A. W G, ]. OF NEUTRAL 2/0 William McG~ley 780 So. 8fl% St. L~J ~x~anhurst, N.Y. 11757 Lic#2478E GENERAL MANAGER Per_ 11 , L~, . 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 DEPAR'I r. THIS COPY OF CER'I CATE BE ALTERED IN 765-1802 BUILDING DEPT. ~./ INSPECTION [F] FOUNDATION ~ST [ ] ROUGH PLBG. [ ] FRAMING REMARKS: FOUNDATION 2ND [ ] INSULATION [ ] FINAL BUILDING DEPT. INSPECTION [~ ~0~JNDATION 1ST [ ] ROUGH PLBG. // ['~ FOUNDATION :)ND [ ] INSULATION [ ] FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION REMARKS: FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL DATE INSPECTOR × / OrlS~deredto bea, :, O. ¼ t cons,tiered Ic be a va,id hue .d d I , I I - FORM NO. 1 ~_.._~ TOWN 0~: SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~ .~..q.., 19?.(e ~ ch Approved ~..O..., 19~. Permit No.)..~. .~...0., .r~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ...~..o.w..~..../.p ..... 19Oc~.~. 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 inspections. . ,,, /1 ...... ........... (Signature of applicant, orhaame, if a corporation) · 3'.7..,,f4:& d.~., ~..~.sr, ~....~.g.//'. 7f~. ...... ..... imailin~ add~' ~ f applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...'i ....... .cC. ~ .,e..~..~. ..................................................................... Name of owner of premises ..... t0~ ./. ~.c-e..~.e.t(/ .... Z/.~. ~.. ~.~. ¢ ~.....~.~../t./f. ~..~. S.'/.~7." .............. (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 .......................... ' Piumber'sLicenseNo..~../f~_.~. Electricians License No..~....fi~.C ~ ,~ [ g. f Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................... ................ ........ Z?.t..o. .4 ......... ?. ...... ". ........ House Number Street Hamlet County Tax Map No. I000 Section .... /.t~..~ ........ Block ..... J. Lot....~.'. ~ ......... ' 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 ///~--~ ............... ...................... ~; '.' ~,',~Z :/ ....... b. Intended use and occupancy ........ ( ~ .... ~~,,%$.{ .4)... .................. 3. N~etUfe of~vork (check'3~latch apphcable). New Buil&ng .. ~.. .... 'Ad&t~on .......... Alteration .......... Repmr~w~'t~. ! tll~. · ' ~ :Removal .............. Demohtion .............. Other Work ............... '~.~ (Description) 4.: Estimat?.Co~.t/,..?:~F.!t~..D~i,O..O? .................... Fee ...................................... (to be paid on filing this application) / Number of dwelling units on each floor ' It; dwelling number of dwellin~ units If garage, number of cars . . . i · · ~ ................................................................ 6. If business, commercial or mixled occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. 4 · · ' Height .......:, .~.~ ........... Numberer S~ories ...................... · .... ' ~;.J. · g.~2 pth 8. D~menmons of entire new constructton. Front .......... Rear ............ De ........... Height ............... Number of Stories ....... j ............................. ; .................. 9. Size 0flor: Front ........ ff~/, .~.d~ ....... Rear .... ~O./., .~.~. .......... Depth ...~.~..o ........... 10. Date of Purchase ....... i~/, ................. Name of Former Owner .............................. 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 ....... i .................... Will excess fill be removed from premises: Yes N6 14. Name of Owner of premises ~ . Address . Phone No. Name of Architect ........ ; .................. Address ................... Phon~,I~o. Name of Contractor ....... i ................. Address .......... Phonic No. 15. Is this property locate~ withinli~O feet of a tidal wetland? * Yes ..... No .~'.. · If yes, Southold Town Tgustees Permit may be required. · 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. STATE OF NEW YORK, COUNTYOF ; S.S ........................... ! ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the .................... i..; ............................ .. ........................... .. ......... 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 cofitained in this application are true to the best of his.knowledge%and belief; and that the' work will be performed in the manher set forth in the application filed therewith. Sworn to before me this , /0 da .................. ~ .... y iof. · . Notary Public,. .... ~.~ .i.~.,. (Signature of applicant) , U~E 8~ .~AA,VCI:LIL CERTIFICATE NOTIFY BUILDING DEPARTMENT ~65-1802 9 AM TO 4 PM ,FOR THI= 'FOLLOWING INSPECTIONS '" 1. FOUNDATION - TWO REQUIRE[) FOR POURED CONCRETE , ROUGH - FRAMING & PLUMBING 4. FINAL - C¢~N'STRLICTION MUST 'i ALL CONSTR~ CTION SHAL~, MEET CONCTRUCTION & CODES. NF~T RESPONSIBLE ¢OR DESIGN OR CONSTRUCTION ERRORS. , ,I 1 -d 7 :'F I '1 F