HomeMy WebLinkAbout24747-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25610
Date: 03/23/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1425 LAURELWOOD DR LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 5 Lot 9
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 26, 1998 pursuant to which
Building Permit No. 24747-Z dated MARCH 3, 1998
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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR.
The certificate is issued to ROGER L & IRENE A MUNZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Rev. 1/81
FORM NO. 3
TOWN OF $OUTHOLD
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.
24747 Z Date MARCH 3~ 1998
Permission
is hereby granted to:
ROGER L & IRENE A MUNZ
PO BOX 236
LAUREL~NY 11948
for :
CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD OF A
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 1425
County Tax Map No. 473889 Section 127
pursuant to application dated FEBRUARY
Building Inspector.
LAURELWOOD DR LAUREL
Block 0005 Lot No. 009
26 1998 and approved by the
Fee $ 35.00
Building In
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~JPPLICATION FOR CERTIFICATE OF OCCUPANCY
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 UndeCwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing ali 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.
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-existinK Buildin~ - $100.00
3. Copy of Certificate of Occupancy - .25~
4. Updated Certificate of Occupancy - ~50.00
5. TeMporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ~n~..~. · ..
onetrLtion ...... Old or Pre-existing Bailding: ................
ion of Property. l~,'~.~.. ....... ~.~.~P~.~{. >A U~ .......... J~a ..../
House No. Street Hamlet
~m L 4
......... , ....................
~ ~ ~p ~o ~oo0, s~o~ .... (~--~. .... ~o~k .... ¢.~ ........ ~o~.. ~.~ ..............
vision .................... Filed Map .... got ....................
h Dept. Approval...... ............ . ...... . Underwriters Approval .........................
ing Board Approval ...................... ..
st for: Temporary Certificate ........... Final Certicate...~ .......
ubmit t ed: $ ........... ~'. i ...............
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 18, 1998
Fax (516) 765-1823
Telephone (516) 765-1802
Roger L. & Irene A.
P.O. Box 236
Laurel, N.Y. 11948
Munz
To Whom This May Concern:
We are unable to complete your Certificate of
because of
XX
Occupancy
the following reasons:
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 # 24747-Z (ACCY SHED)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
o~OT tO
cg
.SURVEY FOR
RO GEt7 ~ IRENE A. MUNZ
AT LAUREL
TOWN OF 'SOUTHOLD
SUFFOLK COUNTY~ N.Y.
SCALE ~ I'% 50'
JULY 9, 1976
OCT. 28~ 197~
DEC. 7, 19 76
Uu/v£ /4/ /977
REFERENCE ' -
LAURELWOOD ESTATES FILED MAYIX,, 1971
FILE NO.
eUARANTEED TO '
THE TITLE GUARANTEE COMPANY
RIVERHEAD SAVINGS BANK
ROGER 0 IRENE A. MUNZ
LAND SURVEYOR
N.Y.S. LIC. NO. 287~5
· FEB261' .., I
L ...................
BLDG. D F:{aT,
FORH HO. I
TO~/N Off $OIJTIIOLII
BUILDING DgPARI~IENT
TO~N I1ALL
~ou'rllOl,B, N.Y. 1197 i
TEl,: 765- lB02
I)i mqp~r~r~ed a/e ................ i .........~ ....
VL1CA'I'ION FOIl BUII.I)ING PERHIT
BOARD OF HEALTII ...............
..~ 8ETS OF PLAN8 ...............
BURVEY ........................
CHECK .........................
BEPTIg FORH ...................
gALl ...................
HAIl, TO: ....................
n. 'lhin application mtmt be :o~q)letely tilled J. by tyl~,~rll:er or in ink m~l md~nltt~ I.o the ~llldin~
3 ~ts of plnns, nco~rate plot pla~ to ~ale. F~ according to ~s~klle.
b Plot plm~ ~1~ l~nclm of lot nmi of Ixslldl.g~ ~ ~l~s, relnt'ion~stp to ~joJnt~g pr~i~en o~ I~ddic
~tr~tg or areas, n~l 8ivit~ n ~t~ll~l t~rtptt~ of la~;t off pro~rty mint I~ tlr~ ~ the ¢ha~n ~dch tn Isort of
d. Ui~I aN~al of rid. n~teati~, the l~dhli~ Ins~etor xdlt t~m~ a ~lldlng Pemit to the ~pptlca.¢. ~ch
~lart~, for tim ~st~ti~ ~of h~tldtngn, ~ltt~s or alterations, or for r~nl ~r ~lttton, as hereto
~tote d~tl~r a~lfe~nt ia ~er, jle~, ogent, archlt~:t, engh~r,'ge~er~t emtr~etor, eleetrieiml, pindar or IxHhle
"~s,m the tox ~)lt er ]nte~t d~)
'1[ aff)tJennt f,s 8 ,co~utt~, si ~re of duly ~Ll~)ri~l o~[Jcer.
2. State existi~ u~ a~ ~y o[ I~onises a~ intem~ use as~ ~ of pro~
3. /~;,,re of ,,~rk (dmck ~hidt applicable): ~ Alildin8 ...~... &~iti~ .......... Mter~iion'. .........
I~{~ir ............ ~al ............. l~n] iti~ ............ Other
..... ~;~;;~ ................
(Lo ~ ~id ~t filing this n~ticati~)
5. If cK~llig~, ~Imr of ~lli~ units ............ r~nlmr of ~lling tmita {~ ea~ ~r~. ...............
If garnge, m~lmr of ears ......................................
7. Di,ensi~m of ~iatJng Itnmturen, if ally; [~{mt ................ ~ar ............... ~pth .................
I)iaenai~m of atnm stnmtx*re ~lth alteraLicms or ~itiona: Front ............... ~ar ...............
I~pth .................... I~i~t ..................... K~imr of St'oriea ...............
8. I)i.e,mi(nm of eatire ~ ~mt~l:i,n~: l~t ...... j.~. ..... ~ar ..... AO. ..... ~pth .... (.~ ....
,~,~ ......... I.Q. ........... ~,,~ oe s~o~ ........ I ............
~.~i~ o~ ~o. t~,~,~ ..... 1.~ ........ ~ ........ 1.~ ...... ~0., ..... ~ ......
12. ~a propel ~mt~tl~ ~iolate any ~fing I~, ordi;~me or regularly: ...~ ..............
Et. ~lll lot Im rear~ ......... ~ ..... .9ilL~:eaa fill Im r~l fxan
~l~ of Cxmtr~tor ....
............................... ~klreaa ............................... 1~ ~ ...............
15. la Ihi$ p~rtywithin ~ f~t. ofa ti~MI ~tlm~ a Yl~ .......... ~ ...~....
PI.OT I)I AGllAN
It)cate clearly a,~l distinctly all buihli~ga, Mmtlmr existing or pro~, m~ i~xlicate ail ~t-I~ di~naiona
fro, prol~rCy liles. Oi~ $t~t a~d bl~k ~dmr or ~8cripti~ according to ~, a~ Ml~ street m~8 ami iniicate
tdmtlmr interior or cor[~r lot.
(~IJNIY ()F .......................
OCCUPANCY OR
USE IS UNlAWFUl.
WITHOUT CERTIFICATE
ss OF OCCUPANCY
APPROVED AS NOTED
DATE: .,, B.~
FEE: B~: .~-,~;~J
NOTIFY BUILDING ~
7S5~1802 9 AM TO 4~ THE
FOLLOWING INSPECTIONS:
'L FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3. ;NSULATION
4., FINAL CONSTRUCTION MUST
BE COI~PLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
T~.~ ~EOUIREMENTS OF THE N.Y,
?TAT~ CONSTRUCTION & ENERGY
lie ia Lhe
((~)ll(~racLO[', agelt[~,~ norlx~rate officer, etc.)
nf nejd (~r nr ~rs, m~l in duly authorJ~ to i~rfon, or trove l~n'l~}nl~l Lite mlid ~[k mai Lo n~ke alkl file lid.
applicatinn; tirol all StaL~unt$ e~ml'ai~l in I.hia nlqfl icatton are Ir~ Lo the Im.t of Ida k~l~e
tirol th~ ~}[k ~ill I~ ~efon~l Jo the n~lntmr ~t fo~Lh ~n Lhe npp[lcaLion fi]~
~,r,, Lo I~fnre,,~ ,.hta ~ / '/]
...... Zg~.... ~,a~ ,,, ../~_~..,~. ~... ~ / /, ./
NO. 01S~72~gn ~ ~
~ ~res M~ 31, / ~ 7~