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Home My WebLink About14712-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building One family dwelling. Location of Property 1300 ALDRICH LANE LAUREL House No. Street Ham/et County '['ax Map No. 1000 Section .... 1.2.5.. ..... Block ...0.1 ........... Lot .... 2... ] .]' ......... Subdivision ............................... Fi]ed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Iq a r c h 2/4, 1 9 8 6 .. pursuant to which Building Permit No. 1/4 7 1 2 Z dated Iq a r c h 2 8, 1 9 8 6 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 ......... · 9.~.~.. ~.?.t.~.y...d?.?~..k~.~.~' ?.~.t.h...d.~.~.k..~..~.~..~..2.~.~...f.\o.o.~.. ?.~.~..~.o.n.y.: ............... The certificate is issued to KENNETH & L INDA KNATZ ..................... ?oYn'o;, ~ ~i~g,i~i( ..................... of the aforesaid building. Suffolk County Department of Health Approval .. 8..5 7.8.0. 7.1 .8.6. ............................. N791040 UNDERWRITERS CERTIFICATE NO ................................................. PLUMBERS CERTIFICATION DATED: Feb. 22, 1987 Rev. 1/81 FOEM NO. ~ 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) 14712 Z Permission is hereby gronted to: .... .z.~.....,az~,~,.~z...~..-c.. ......... /,~.~,~- \ ................ · , -- ~.', ~ L~.~.: . ot prem,ses located at ...t?~.~.~..../.~ ......... .~..~.../.C~.H.. ............. ~...~' ~- County Tax Mop No. 1000 Section .... Zd~... ..... Block ....~./.. ........... Lot No...O.O.(~......L../. pursuant ,O appJicotion doted ..... ~.~.....~...~ ./~./~......~..~... .............. , 19~.~ ond opproved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter 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 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 or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. 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 New Dweilino~.$25.00, Accessory,,$10.00 Bus£ness $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0-. 0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 0.00 ? 5.Updated C.O. $ 50.00 Date ......... / // ~ NewConstruction. ..... Old or Pre-existing Building ............ Vacant Land ............. House No. Street Ham/et Owner or Owners of Property. -. ...,. .....In ,. ~ ........................... CountyTax Map No. 1000 Section .............. Block ...,O.l ......... Lot..~, ......... Subdivision ................................. Filed Map No ........... Lot No ............. Permit No. /?.??..¥;. Date of Permit ~. ¢.~.~...Applicant. KP-.~..~ .~.Li.~.~.G~..~.. ~'. .... Health Dept. ApprovaJ .. ~ ...... ' ........ Labor Dept. Approval ....................... Unde~riters Approval ~S~/~ Plannin oar rova, .................... ................... g B d App , Request for Temporary Certificate .................... Final Certificate ~ ................. ,.. Fee Submitted $ Construction on above described building and permit meets all applicable codes and regulations. Applicant. ~.~. ~..~..~. ................................ FIELD INSP~C'T I~N~ DATE COMMENTS FOUNDATION . .-~ STATE ENERGY qOD~ /. ADDITIONAL COMMENTS: '' TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~/~/~f~/ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to befor~ me this 'O~[/~ day of' ~ , Notary Public, ~-- County (p~-vu~ber's signature) Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS 0'llc~S BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..t~ ,~,,,,~ 2~, :~7 .~ppl,~.,,o. No.o./i,~ ,~3s7~6/8~ N 791040 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ~med on the above application number in the premises of Kenneth a L/nda Knatz, e/s Aldrich Lane, 100' n/o Rt.25, Laurel, N.Y. ia the following location; [] Basement [] Ist ~7. [] 2nd FI. ,Section Block Lot 2 tt~s examlned on Ja~J~lak~ 19 e ~ ~ 7 and found to be in compliance with the requirements qf this Iloard. FIXTURE OUTLETS 13 DRYERS ~ECEPTACLE$ 2 SWITCHES 23 13 :)RS FIXTURES FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT OTHER APPARATUS: Motor s ~ 1-1bp 2-G.~o C. I 1 Smoke Detector RANGES AA4T K W i 30 50 R 2 NO, OF HJ-tEG UNIT HEATERS MULTI-OUTLET SYSTEMS · NO. OF FEET C EXHAUST FANS DIMMERS 169 ~ay Ave. Hampton Bays, N.¥11946 Li0#2839E f~GENERAt 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. THIS COPY OF CERT FICATE MUST,NOT BE ALTERED N ANY ~NNER 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE,/~////~ [ ] FINAL INSPECTOR~/~~--~ 765-1~02 BUILDING DEPT. INSPECTION [ ]_FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION2ND [ ] INSULATION '~ ] FRAMING [_ ] FINAL REMARKS. DATE IN~ 765-t802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: . DATE INSPECTOR /INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ,"~0'/./~'/~,~/""'~ ~/ (~ DATE "~/~///~/ INSPECTOR ~o,o ,,~7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL INSPECTION 7GS.'180~ BUILDING DEPT, [ ] FOUNDATION ~ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ...... . ..........~' ................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs 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. (Signature of applicant, or tiahne, if a corporation) (Mailin= address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. .... . :.o. .,¢. : ........................................ Name of owner of premises .. ~5'~.MW. ¢727../:/..~.~..~ .'P.O.'~. · ~/.l~/q 7'~-.- ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of drily authorized officer. (Name and title of corporate officer) Builder's License No ......................... elu nber s License No.../~.../~'~.. Electrician's License No. ,t'r Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ................ f.'a.°. . 9. ........ /?.l /. c,.' .l. ........... .................... ltouse Nnmber Street Hamlet County Tax Map No. 1000 Section .... ./.~ ~ ........ Block ... O. [ ............ Lot. ~.:/. ( ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occnp~ncy of proposed construction: a. Existing use and occuparicy . . . ~',;i~r.~ .7~. ................................... b. Intended use and occupancy . .~,~. ~'~.(,V'...~¢:5)¢/'¢.rt~ .Lc'. ........................................... 3. Nature of work (check which applicable): New Building .......... Addition .., ....... Alteration i Repair .............. Removal .............. Demolition ........... ~ .. Other Work. )'. ............ -- ' ~2~ (escnptlon) 4. Estimated Cost ...... .O.O..O. .......................... Fee .. ' (to be paid on filing this application) 5. If dwelling, number of dwelling units .... A~.. ....... Number of dwelling unlt~' on each floor .~i....~./qoF./' If garage, number of cars ............................................ [ ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each typb of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... '. ...... Depth ............... Height ............... Number of Stories ............................ i ........................... Dimensions of same structure with alterations or additions: Front ............ [ .... Rear .................. Depth ...................... Height .......... 't ........... Number of ~tories ...~.~O 8. Dimensions of entire new construction: Front .... &¥.. ~// .......... ;" ....... ...... . Rear .... ~.... ~ ...... Depth . .-~?. ......... Height .... ~.6. '. .......Number of Stories .. .~..,~TQ~.q ~ . . [ ..... /.O.O. ............ Rear ..... '-Bepth'"'~'(2~'"'""'"''" 9. Size of lot: Front 10. Date of Purchase . . . ~.. /. /. O ./. ~.~. . ............... Name of Former Owner ~.t~. .~.,~q ~9~.oS.e~. ,~ . ~,.v.~. ~.?.4 .~/q, 1 1. Zone or use district in which premises are situated../~..~.o~ ~ .............. i ........................ :. · 12. Does proposed construction violate any zoning law, ordinance or regulation: ~.O.i ........................... 13. Will lot be regraded . .~..F~. ............... Will excess fill be removed from premises' Yes 14. Name of Owner of premises/~*.01~ ff-o~.q~/~ t~.~.r.~. Address/.6.~. ~o.A~rOq.~' .W.~..~. 2~.~'. Phone No. Z.~.-: .q.4.x...~.....~. Name of Architect ........................... Address ............... ~... Phone No ................ Name of Contractor .......................... Address ............... ,... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, im.icate all set-back dimensions from property lines. Give street and block number or description according to deed, and shoo street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF S.S ................................................. being duly sworn, depoges and says that he is the applicant (Name of individual signing contract) above named. lie is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa application; that all statements contained in this application are true to the best of his work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. ~..~ ........ day of .... .~ ........ NOTAIk'f PUBI.kl, Stile of New Yo~k N~. 47o7878, .~uffolk Expires Mm'eh 30, :d work and to make and file this ~nowledge and belief; and that:the County ~'cxl i ~ (Signature of appliqant) SURVEY FOR ~ qU KENNETH KNATZ ~, LINDA KNATZ LOT NO.2"LAUREL ESTATES EAST) SECT, I" AT LAUREL DATE FEB. 22'; 1985 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES TOWN OF SOUTHOLD SCALE: I"= 5~~'~ FOR APPROV/~. ~F ~O~STRUCTION OF SUFFOLK COUNTY, NEW ~RK NO. 85 -179 Single Fsmi~y Resida~]ce Only su.v~ ~ A vI~ATIO. ~ SECTION 7209 ~ THE NOTE: ~ MONUMENT ~:STAKE ALDEN W. YOUNG~PROFESSIONAL ENGINEER SUBDIVISION M~'FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S. MCENSE NO, 12845 SUFFOLK C~NTY ON APR 4, i985 AS FILE N0.7870 HOWARO W. YOUNGt LAND SURVEYOR BRANDIS & SONS INC. 1046 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ADORE$S NOTE: Il: MONUMENT ~3--STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON APR 4, 1985 AS FILE N0.7870 i~ ~ LOC~TI~ OF V~L(W),~PTIC TANK($T) I~ CE~,eOOLS((:~') I~OW# N~.HEO~ · /~E ~ FIE~ ~TI~S ~ OR DATA OBTN~O F~ OTHERS SURVEY FOR KENNETH KNATZ ~, LINDA KNATZ LOT NO,2"LAUREL ESTATES EAST~ SECT. I" AT LAUREL TOV/N OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ~o~- uJ u)<~z f-- <~ :cO0 F'~ I--ALL NOV. "21, 1986 SEPT. II, 1986 DATE FEB. 22, 1985 SCALE': I"= 5~)' NO 85'- 179 GUARA~ YOUNG YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S UCENSE N0.1284§ HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK BRANDIS & SONS INC, 1046 Mn ¢'/¥,z.~, /<' ' ,¢ so v g PA /Z //-4" 12"x le"x ~.Z" tlSf.. NOTI~ BUILDING ""~ ~E 765-1802 9 AM TO 4 P~ r~--, FOLLOWING INSPECTIONS: 1. FOUNDATION ' ~0 REQUIRED FOR POURED coNCRETE 2. ROUGH - F~MING & pLUMBING 3. INSU~TION 4, FINAL - cON'STRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION sHALL ME~T THE REQUIREMENTS OF THE N.Y. STATE CONSTKUCTJON & ENERGY CODES· NOT ~ESPONSIBLE FOR DESIGN O~ CONSTRUCTION ERRORS. 000 866.66 + 2705" 16 + 8 850. - 1853.16 0 50. + 4 i~TH 4 /2 [ I Oc~I£/'.'/A F/C_ Oz~,: ,3 :1 /'~EA/~ ZlZ-EV'A T/O/'-/ If copper lubing is used for water distributing sys em; piping shall be of types K or L only SOLDER [.rYED IIi WATER SUPPL ~: S },STEM CANNOT EXCEED MlO o.f 1% LEAD, PLUMBER OERTIFICATION' 03~ LEAD CONTE3IT BEFORE CERTiZIC'A %5' OF OCCUPANCY ,I