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HomeMy WebLinkAbout26518-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27129 Date: 06/09/00 THIS CERTIFIES that the building ADDITION Location of Property: 4270 ALDRICH LA MATTITUCR (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 2000 pursuant to which Building Permit No. 26518-Z dated MAY 23, 2000 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 REAR STOOP WITH STEP ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES H & MARGARET A. TYLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A �(7 Au ori zed Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26518 Z Date MAY 23, 2000 Permission is hereby granted to: CHARLES H TYLER 4270 ALDRICH LA LAUREL,NY 11948 for REAR STOOP & STEPS AS APPLIED FOR AS BUILT. at premises located at 4270 ALDRICH LA MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008 . 036 pursuant to application dated MARCH 2, 2000 and approved by the Building Inspector. Fee $ 75 .00 Authorized Signa re ORIGINAL Rev. 2/19/98 Norm No. b TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - _ .25e- 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .t.�}S?�. .g). Quin. . . . . . . .. . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . j* . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet �/ Onwer or Owners of Property. S� �QS.. . , . . G.�'L . .maYS�C �� .�.•. •�• •1� � - • • • _ County Tax Map No 1000, Section. . . . . . . . .. . . ..Block. . . . . . . . . . .. . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivisionn. . .. . . . . . ...n. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Permit NOaS6. 5),I.;. . . .Date Of Permit. . .. . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . .. . . . . ... . . . .. . . ... . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . ... . . . .. .. . . ... Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . nn ...- . . 4?7 .•.� f , . . . . . . . . . . . QPG-S 7/ Q APPLICANT vv SAFFO(,(C Town Hall,53095 Main Road Fax(516)765-1823 P.O. Box 1179 y x Telephone(516)765-1502 Southold,New York 11971-0959 �Jj�l � foo BUILDING DEPARTMENT TOWN OF SOUTHOLD June 8, 2000 Charles Tyler 4270 Aldrich Lane Laurel, NY 11948 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (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 # 26518-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IySULATION ( ] FRAMING [P FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r 4�E2 DATE INSPECTOR 6;� fy- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [;71 SUL ION FRAMING [ NAL [ ] FIREPLACES CHIMNEY REMARKS: 41 4J'XS 2 I� A-71 DATE____`� INSPECTOR CONSENT TO INSPECTION GrXi92 �s /f. Tye cue the undersigned, Owners) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at `�27b /dr.rb Lane r Aja4z tydc- which is shown and designated on the Suffolk- County uffolkCounty tax map as District 1000, Section J2-0 , Block 3 , Lot F-.340 , That the undersigned (has) have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: a .,�,�.ldin� �¢rrr+,} 'Fe✓ t-ea.�' S1z�o� . That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: t (signatur (print name) (signature) (print name) FIELD INSPECTION REPORT DATE _ COMMENTS II N ro FOUNDATION OST) jj tt II N Ir --�i -- — ---- — — ---- -- 5 II N FOUNDATION (2ND) II tl ____________________ ii N �J II II -�I------ - --- ---_ - _ - - --- Z if------ - ---- ---- O ROUGH FRAME & ii l -------�t- ---- I1 -- --------_...-------._------ ---- PLUMBING ----------------- it------�� - ---- --------- - —11 H 4- cy INSULATION PER N. Y. ii n H STATE ENERGY ii - I CODE u _tl N , n. n —41 l II II FINAL Iq Nom, ADDITIONAL COMMENTS: po H� O z ro H s ! ►M*tF [�»� "' BOARD OF HEALTH . . . . . . • ,.�i, ..' 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY . . . . . . . . . . ' TOWN OFSOUTHOLD CHECK . . . . . . . . . - BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY CALL • • - • • • • • • - • - • - • • TEL.: 765-1802 MAIL TO : _ Examined . . . CQ . . . . . Approved . . . �a3. . . . %:IQ . . . Permit No. . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ../n/ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . Fce3 i-9-Ae 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 appiicanf.'Such permit shall be ]rept 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. 2. APPLICATION IS HEREBY MADE to the Building Department for the issua,4ppl.pp $,gg4lig, �iit pursuant to the BuildingZone Ordinance of the Town of Southold, Suffolk Count New York,'WW0#,1 ,aPgli Ae2 ,..,, y, r cab aws;Ordinances o, Regulations, for the construction of buildings, additions or alterations, or for femW,pgdemolitiph, as'hgreiin, described- The applicant agrees to comply with all applicable laws, ordinances, building, hgtisfmg cp¢(!11and regulations, and tc admit authorized inspectors on premises and in building for necessary insa (Signature of applicant, or ilafne, if orporation) (Mailing ahress bf a pllcant) Lcw�et Ny• // ' 4& State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .G�flab✓/�s . :. T��! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Bw�r By 6WA/�1s' Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . ...[. . ....". . . . . . . . . . . . . . . . . . . . . . . . . . . t{27O . .!7��YtFI1 . fnG . . . . . . . . . . . . . . . . . . . . . . . .Mwklr �TuC� . . . . . . . . . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . Block 3 . . . . . . . . . . . . . . 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 . . . IC ... . . . . .0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . JG•eat.c, %?,Sq. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . Repair ?E K-. . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . F. (Description) 4. Estimated Cost . . . . .*/oR: P'? . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. I£dwelling,number of dwelling 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 existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . .. . . Rear . . . . . . . . . . . . . . . . . Depth . . . . . . . . .> . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number . er of Stories. . . . . . . . . . . . . . . . . . . . . -8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . .7 .K. . :3. . .` epth . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes N. 14. Name of Owner of premises . . . . . . . . . . . . . . . o . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . a . . . . Phone No. . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . a . . . . . . . . . . . . Address . . . . . . . . . . . 0 . . . . a . . Phone No. . . _ . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . . *If yes, Southold Town Trustees PermitPLOmay be eggui ed. Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fro, property lines. Give street and block number or description according to deed, and show street names and indicate wheth= interior or corner lot. APP V D AS NOTED DATE LID B.P.# —J25 ^' —s FEE: 7 BY: NOTIFY BUILDING DEPARTMENT AT 765-ISM 8 AM TO 4 PM FOR THE FOLLMNING INSPECTIONS: I FOUNDATION - TWO REQUIRED FOR POURED CONCRETE C©N C�?a£ F-O e7_1A.) �� �$ 2. ROUGH - FRAMING & PLUMBING ' 3. INSULATION IfX '/ tncsT�s 4. FINAL - CONSTRUCTION MUST - BE COMPLETE FOR C.O. �(( A.) Cys ALL CONSTRUCTION SHALL MEET c THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS e u1.i QfO 1 S UL � ., . . KOUT CES ¢= . STATE OF NEW YORK, S:'S a P . COUNTY OF .✓.AFF.'7".5 . . . . . �` 1 CH��1�.L� . .t: .Ty(.E �- . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicai (Name of individual signing contract) above named. Heis the . . . . . . . . . . . ". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 th application; that all statements contained in this application are true to the best of his knowledge and belief;and that tl work will be performed in the manner set forth in the application filed therewith. Sworn to before me this T 9 . . . . . . . . . . .dayof. . . . . . . . . . . . . . . . . . . , �9 Zoo Y�-_��I� Notary Public, . .""S. . . . „ County 'IiTiew+fre.aunct4m Cr1Nl SW1E at NeM1� . . . . . . . . . . . . . . . . . . . . . . . . . . . . Naas . (Si ture of applican K.tMtI 9ai..rf oP »rr�cW_� N fMn M a.l // �ori rinlAv� VoT q7 vr h I9 -53- 40� ISa. 7S o A, r � w � Q o � 40 000 !ry Jr.r � .3• d wF.�-lam p � C�v�� �• f: l r1:7 y w..n• L si �tl •, tt � r A Q n 4 3 i si.'r „ O f t'; Z Hf y �De�-4 4 H frsA+^6 I I� e I ESthP � � 0 r 3srr °' I 18..9 S4.1 `{�f t .i fid 0 y }t I - - - - - - - 2=2S,o Z. N 19 -4o - 3o W I S�(r 8Co za' L-: 3-1,1-1 Ate+ ILf) I--AtiI4 [So,� 18 �n �0 1 415.5 be �T THE LOCATION OF WELLS, SEPTIC TANKS AIND CE"')SPOOLS SHOWN HEREON ARC FIP-D OiBSERVATIONfS AND OR DATA OB i ALINED FROM OTk UIS. Sl,rc�•I, r+,rmt/ flL- A rA„P :� 580,3 �1 NOV 2 5 1997 !x'J2TI4lbAT� or: La1C1LtYTlo� LISLIa. I I P - 'r;@'n J3NICQs Unaulhodaed alteration or addhon to this document is a,,elation of Section 7209 of the New Yod,state Education La. _..SURVEY' Fi_.--L ,o r Al Cetl1114UWa Indicated hereW shall run only to the perso9 lot whom it is prepared r and on his behalf to the Title Company,Governmental Agency and Lending ,I A p�O C A.n„n )�N Institution listed hereon•and to the assignees of the lending Institutions or subse. i” A l ` (`+ s'`V coact owners. .rteTI,� r Copies of this document not bearing the professional's Inked seal or embossed MA' r \ 1{ \ • L* t'T ovvw O T--- test shall rwt be considered a valid t1us copy I Th.chests(or odimensions)anuse shown hereon horn 31ructurris intended to the guide property tines are / � ' {E� ✓4K— fences, •specific,reai purpose end use and therefore are as,Intended to gwtlo the erection of (J (--{/ (�,� 1 o FL.fC,_ fences,retaining wella,poda,patios,panting areas,addition to buildings or any other The existence of right of ways seem,easements of record,it any,not shown ora V not guaranteed �Q� STTRV TE: Ip lt, �7 SCALE: I CERTIFIED ONLY TO: `' DESTIN G. GRAF wtoar�n C.p t, LAND SURVEYOR `r t-' DES" By 73 WOODLAWN ROAD DESTIN G.GRAF N.Y.S.LIC No.50067 4 ROCKY POINT,NEW YORK 11778 TAX I.D.NO, ? lr7g� PHONE(516)821-3442