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Home My WebLink About14024-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy NO. Zl6929 Date May 31~ 1988 THIS CERTIFIES that the building Addition 3275 Aldrich Lane Laurel Location of Property ........................... House NO. ' '' 'S't/e~i ....................... ~r~/el County Tax Map No. 1000 Section 124 .Block 0 I .Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 3i, 1985 pursuant to which Building Permit No. 14024Z dated............................June 7,' 1985 wasissned, and conforms to all ofthe requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... 2nd stor~ addition to existing one family dwelling. ' The certificate is issued to THOMAS E. & MARY ELLEN TOMASZEWSKI ..................... /oh .b;, 'ri, mid 'xi k ................. of the aforesaid building. Suffolk County Department of Health Approval lq/A UNDERWRITERS CERTIFICATE NO .... N007538 March 23, 1988 PLUMBERS CERTIFICATION DATED: Thomas Tomaszewski 5/27/88 Building Inspector Rev, 1/81 FOB31K NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWH HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 14024 Z Permission is hereby granted.t~a ~ , , ..~....~x...J..A.~..C.....[ ................ ~. ...................... .~...~.....~...y..:...../..~..t~..~ ......... ...... ~ ,i~'~,.. ~ , ~.._~', ~.. - j ~'~...~-.~.....~.~.~e~,....~,~...;~.~......7~.....~ ...................................... / ,.-. ~ ~"- ~ ot,,e,,'se,'o,oted o,..;~.~......~~.....~......~. ...... 2~-...~ ..................... County Tax Map No. 1000 Section ...... /....~...~. ....... Block ...... ..C~...~. ........ Lot No ........ ..~...'~.. ......... Building Inspector. Fee $.g..~ ............... °nd approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( Instructions A. This application must be filled in typewriter OR ink, and submitted I~ 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- t/OhS, 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 pZOperty 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 POOLS $25.00 ALTERATION $25.00 ]. Certificate of occupancy New Dwelling~$25.00, Accessory ,$IO.00 Business $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 $}0.00 4.vaoa,t ,.and c.c. o.00 5.Updated C.O. $ 50.00 Date. .~ / NewConstruction ...... Old or Pre-existing Building .... ~ ..... Vacant hand ............. Location of Property '~ 7-{'- .~../.~..Y~.. '( .~'.~7~.-~- .~/....'¢7x...~.g: .~ House No, Street Nam/et County Tax Map No. 1000 Section .... ./.'~..¥~. .....Block ...o, ./. ......... Lot .... -¢~-. ......... Subdivision ................................. Filed Map No ........... Lot No .............. /~.~ Date of Permit ~/.7./.~ ~" Applicant Permit No ................................................... ,E . Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permi~Ebeets all applicable codes and regulations. pp .... ,4.. ~. .. ~.¢. ..¢~-.~.%-, .................. ,o,.,0.,0.,s 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ],~SULATION FRAMING [YJ FINAL Fled INS~ECTION FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL COMMENTS ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner /~/,~ ~.~ (please print) Plumber/~--~r~ ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s sig~a~re) Sworn to before me, ~his ~ay of [L/(~U/ , ( 19~. Notary Public, ~ ~/~County Notary Public TOWN 0F SOUTIIOLD OFtqCF. OF BUILDING INSPECTOR P.O. I~OX 728 TOWN IIALL SOUTtIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of thc following reasons. /? An application ' fil;. .ts not on . // /2/ /.-_/ for Certificate of Occupancy No Underwriters Certificate on file. The check ~s(Otltdated~ O~.~la--~. No llealth Dept. Approval on file.' Ho final inspection has been made. Thank you for your Building Permit t~ Buildin~l [)eDt. office on cooperation. this matter. Ho Plember solder ert~fzcate on file. all permits involving plumbing being issued after April 1,1984 ) 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1B02 Approved.. ~/./q*1~,..~ .... , 19 ~.~. Permit No. } .~ .~..~.~..~. · Disapproved a/c ..................................... TOWN OF ~:~OUTI'~OLD }. I~ecelved ........... ,'19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... 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 promises 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 inspects/ns. (Signature of applicant, or name, ~f'a corporation) .....~.o.~.../~ .,C,.../..~. ~4~. ,~. ~/-.., ././~ .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... .45¢~....~.?..~. ............................................................................ Name of owner of premises . ./47..~...-f...~. ..... ./~..~..~.../f..~.~.Z.f..z~./~..... ,..o../~..~..~..Z.~...~.'.f.c .......... (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 ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... ~..,~.../.?....~ .~.~..~...~.,..~.t.t...,~.. ~...x~.. ............ ................. ............ ............. House Number Street Hamlet County Tax Map No. 1000 Section ....... ./.~. ?.~.. ..... Block .......... ~'. ...... 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 ........ .~/...~....6q...~-..~..~?/. f.~ ....................................... U. Intended use and occupancy ......... f.~.~ .... './~..,~.-4~/ ...igC. JFK~. .0~., ............... 3. Nature of work (check which a~pplicable): New Building .... ' Addition ....~. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Es s* ......... 9' ': ........................ Fee ...................................... ~" (to be paid on filing this application) 5. If dwelling, number of dwellin~ 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 use ..................... 7.Dimensions of e~,xi~ting structures, if any: Front ..... CJ .~7. ...... Rear .., .JT.-~.' ........ Depth. i i'~' ~ ........ Height .... /.,~ ........ Number of Stories ..... /. ............................................. ................. Rear .. ~ .............. Dimensions of sarge structure with alterations or a~t~ti~ions: Front ~ 6~ Depth ...... .~2:. 0' .........i. ·. Height ... 77...~. .............. Number of Stories... ~ .............. 8. Dimensions of entire new construction Front .... ..~.q ....... Rear ...':4~:.. ~ ..... Depth ...-~.~. ......... , Height ............ Number of Stories ......... . ....... ......................................... 9. Size of lot: Front ....... /.~.o Rear /d_q" h ~. · .. .................................. Dept ..................... 10. Date of Purchase .... ..,t~...~. ?f..?,Z. ............ Name of Former Owner . .//..~..~?....,y..c/..eft. ~..~ ......... 11. Zone or use district in which piemises are situated .... ~(.-f../.o..e?..~7.~. (-, ................................ 12. Does proposed constructmn wo, late any zomng law, ordinance or regulatmn: .;..~. ........................ 13. Will lot be regraded ...... ~ ...... ~ ........ ..,.. Will excess fill be removed fr6m premises: Yes 14. Name of Owner of premises /~..~.~..r.."/.0.~.:4..c. 2..~.??: Address .4 .A/:~.~./.c .//~ .z..t~. f..~-. Phone No...-ge?..~..~. ~.r'.~.... Name of Architect ......... I .................. Address ................... Phone No ................ Name of Contractor ~ Address Phone No ! 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, cornerlot. ~. 2.az[ ,¢.~-oc¥ ac~- wa> e_~.~. L~ ~ STA'rE OF NE~Q,I~.K, ~, . S S ....... :: .-~-r...(,..,. ,~.-.: ..-... ...................... ',~r' being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d¢ly authorized to perform or have performed the said work and to make and file this application; that all statements con'tained in this application are true to the best of his knowledge and belief; and that the work: will be performed in the manr er set forth in the application filed therewith. Sworn to before me this