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HomeMy WebLinkAbout24122-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25746 Date: 05/28/98 THIS CERTIFIES that the building ADDITION Location of Property: 1895 ALDRICH LA LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 2 Lot 1.18 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 1997 pursuant to which Building Permit No. 24122-Z dated MAY 13, 1997 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 DECK ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK & DOREEN KRUPSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A uilding Inspec~r IPOP~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 2q122 Z to application dated ...... ~..~...~... ............. , 19Z.././.., *nd approved by the pursuant Building Inspector. Building I '~'"t~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 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. 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. 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 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 $15.00 Date .. onstruction........... Old Or Pre-existing ~uilding........... ..... ~.~.~../. ion of Property /,~.~.~. ~ld-~-~ .~.[-.~.. ............. House No. Street Hamlet or Owners of Property ......................................... y Tax Map No 1000, Section..!~..~. ...... Block ....... ~ ........ Lot .... ~:.~.~ ............ ............................... Fil&d Map ............ Lot ........... t No Date Of Permit Applicant .. · h Dept Approval ... . Underwriters Approval .................. lng Board Approval . .. st for: Temporary Certificate ........... Final Certicate ........... ubmitted :~ ~ ~Q~$ ............................. ~.~..4 /~ ~iz'J,-' ' "' ~q t.~ ~(~ ........... .~z.~.C~.AppbICANT '%~ '~' '~' J_Z.%: ................... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 26, 1998 Doreen and Frank Krupski 1895 Aldrich Lane Laurel, New York 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 # 24122-Z Please contact our office on this matter. Thank you for your cooperation. Second notice. SOUTHOLD TOWN BUILDING DEPT. ,11, -iff.-- 765-1802 BUILDING DEPT. INSPECTION ~"~~~ [ ~FOUNDATION 1ST [ [, ]/~OUNDATION 2ND [ [ ~]' FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I~LATION / [ ] FRAMING [~ FINAL [ ] FIREP~HIMNEY REMARK~:~ /~ ///~ DATE //r~//J~''/ ,NSPE~. FORH NO. I TONN OF SOUTHOLD BUILDING DEPARTHENT TOI~N BALL SOUTBOLD, N.Y. I 197 I TEL: 765-~802 ', AP~/EICATION FOR BUILOIIIG PRRHIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHgCK ......................... SEPTIC FOR}I ................... NOTIFY: TO: ............. "Date ................ ,19 .... · a. ~is application mst be completely filled in by typewriter or in ink and sOnitted to the Building Inst~tor ~ith 3 ~ts of plus, ~ate plot pl~ to ~le. F~ ac~i~ to ~le. b. ~ot pla ~ lmtim of lot ~ of ~ildi~ m ~s, mlation~ip to Mjoini~ ~s or ~lic ~ts or ~e~, ~ givi~ a ~tail~ ~rlpti~ of l~t of ~ ~st ~ dr~ ~ t~ di~ ~i~ is ~rt of ~is ~li~ti~. c. ~ ~ ~ ~ ~is ~licati~ ~ mt ~ ~ ~fo~ is~ of ~ildi~ ~t. d. ~ uwtml of ~is ~limtim, ~ hildi~ Ingtor ~dll is~ a hildi~ ~t to the ~li~t2 ~t ~all ~ ~t m ~ ~ms ~il~le for in--tim that ~ ~rk. e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~R f~ ~ ~ ~at~r mtil a ~rtifimte of ~ ~all h~ ~ ~t~ ~ ~ ~ildi~ Ingtm. ~I~ffi IS ~I ~ to t~ ~ildi~ ~t for ae isle of a ~ildi~ ~t ~t to t~ ~ldi~ ~ ~i~ o[ ~ T~ of ~ld, ~folk ~, ~ Y~, ~ o~er a~li~le ~, ~lati~s, f~ t~ ~st~ti~ of ~ild~, ~itlms or ~terati~s, or ~ ~1 ~ ~litim, as ~reln &turin. ~ ~lic~t ~s to ~ly ~ith all ~licable 1~, o~immes, ~ildi~ ~ ~si~ ~e, Satires, ~ to ~t a~i~ imt~s m ~s ~ in~ildi~ f~ ~es~ i~tlms. (Si~mm of ~)k~ ~ ~ if a ~ratim) ................. ~ili~ ~ress of ~licat) State x~bether applicant is o~ner, lessee, agent, architect, engineer, general contractor, electrician, plmtmr or builder. l~m of ~mer of pr~ns~s ....................................... (as on the tax roi1 or latest deed) 'If applimt is a corporation, signature of duly author'~offider. ~ ~0~[~) ': .......... ;':'"; ..................~ .............. V - ' UNO£RWRIT£R$ C£RTIFICkT£/ FEE: iN~re and txtle or corporate officer/ [ ~6,,-1802 9 AM TO 4 PM FOR ,"HE FOLLOWaNG ~NSPECTIONS: Builders License No .......................... 3. FOUNDATION - t~/0 REQUIRED ,t~.s Lie~ ~o .......................... OCCUPANCy O~ m, mU,SO CO~C~ ~.~.~ ~ ~ ...................... BSE IS ~NLAWFUL z ROUGH- FRAMING ~NSULA~ON ~ff~0~ CERTIfiCATE ~: ~r~Ac co~smuc~o~ I. ~atim of 1~ m ~i~ ~ ~ viii ~ ~ ............................. AL~- ~$~- ...3.~.~ ......... ~T5~ ......... L~¢ ............................. ~{.~o~amumo~.~. ~ ~r St~t m~, N~ RESPONSIBLE FOR / ~lGa O~ CO~$~U~IO~ ..... ........ .... , ............ ~ivlslm ............ Fil~ ~ ~ ...... ~ ........ (~) 2. State ~sti~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~ of ~ ~. ~.tlm ~ ~ ~~9~q.C-- -- -- ................. ~ ......................................... ........................ ........... I~lmir ............ Ilemoval ...~ .......... l}e~olition ............ O~her l~ork .................................. i .(l]escrtptio~) 6. ~sti,~t~l ~st .~ ~,.~ f~ ............................. ~... If garage, ~r of car8 .... ~ ................................. 6. If Imsi~ss, ~nmrcial br mi~ ~, s~cif~ ~ture ami ~tent o~ ead~ ~ of u~ 7. I)iu~nai~s of ~iscing strt~awes, if any: Dh~nsi~ o[ sam stricture ~[th alterati~s or ~iCions: ~pth ...... ' i~i~t .................... ~imr of Stories ............... 8. Di,ensi~m of entire ~ ~st tic~: I~t ................ ~ar ............... ~pfl~ .............. ..... ~r o[ Stories ..................... 9. o~ lot: lO. l~te o[ h~rdm~ ............. ~ ....... ~ o~ Fo[mr ~r ........................................ . 12. ~s pro,mi ~mrn~ti~ violate m~ ~ing 1~. ... ~ ....................... ~klress ~ o~ Arddt~t ............ ~ ....................... ~ress .............................. H~ ~ ............... ~ of C~Cractor ........... ~ ....................... ~klress 15. Ts Lids p~rty within ~ f~t of a ~i~1 ~tl~? P1.OT DIAGRAH locate clearly and distinctly ~1l buildings, ~ettmr existing or pro~, a~ i~licate all ~t-I~k di~nsions f~n pro~rty li~s. Oi~ st~ an bl~ ~*tmr or ~scrlpti~ acco~ing to ~, 8~ &~ street ~ms and i~icaCe x~mtl~r interior or co~r · . . ) ................. I~ing duly ~rn~ delx)~s and says [hac he is the (~ of h~livkhml, signit~g c~Cract said ~r or ~rs, at~ 18 dtlJy ~thorl~ to ~rfom or Jl~ l~rfon~ Lhe ~Jd ~rk alg] to ~ a~J file this ~[~1 icati~m; timt att sLata~nCs c~t ~i~l in this. al~)l icati(~ are trim to the Imat of his klg~[~ and I~[iefj timt the ~)rk wltJ Im ~rfon~l iu tl~ e~mt~r ~C forth in Lhe appl. lcati(m fil~ tlmr~ith. ~m to I~fore ~ this f~ j ........ . . .d,, . SUBDIVISION ~AP Eli ED IN THEOFFICE OF THE CLERK OF SUFFO{ K COUNTY ON SEPT.~O~ 19B§ASFILE. NO ?9?5. $ LH'tVEY FRANK K~UPSKI &DO~EEN KRUPSKI [o'rI NO 5, "MAP OF RICItARD d. CRON" JAr4 22, 1991 Af LAUREl i~r[ AUG 2U: 1990 l@ OSTRANDER AVEI~M,I[ YOUNG a YOUNG ALDEN W YOUNG, PROFESSIONAL I~NGIN£ER ANO LAND SURVEYOR N HOWARD W YOUNG, LAND SUR¥£YOR .......... NY$ LICENSF NO