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Home My WebLink About23651-z 2 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24613 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building ADDITION Location of Property 2195 ALDRICH LANE LAUREL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 2 Lot 1.15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 1996 pursuant to which Building Permit No. 23651-Z dated AUGUST 28, 1996 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to JOHN GUNTHER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /// itq&ng Inspector Rev. 1/81 FORS[ NO. 2 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) N° 1 23651 Z Date ......, 19 ........... ........... ........�......... ... ... Permission is hereby granted to. ........... a,�. ..... .... ............... ............... ... .o.-..�.. ................... ....... ...............c .......... Y .......�� ri �k1i: T" .... ..... . ... .... ... .. .............................................. czo at premises located at .................!??/0... .......... . . ... ... ... ............................................... ............................................................ ..+ ..................................................................... County Tax•Map• .. • • •. • . . . P.?A........ Block ......... ....... LotNo. ...l�./5� No. 1000Section ,.... pursuant to application dated ............. 6.4—f .... ✓.................... 19&, and approved by the Building Inspector. Fee 5.... �r. . ... .............. . ..� .. .. .. ................ Building Inspect Rev. 6/30/80 `f Form No. 6 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: I. 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 Buildins - $100.00 3. Copy of Certificate of Occupancy - .25e,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1 /mmercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-exis n Buildiing. . Location of Property. . . �� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street. . . Hamlet L Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . zj� County Tax Map No 1000, Section. . . ZS. . . . . .Block. . . . . .:;� . . . . . . . .Lot. . . . Zl: �� . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. ! Date Of Permit. . � . , . .Applicant. . . �q . . . . . . . . . . . . . . Health Dept. Approval. . . . : . . . . . . . . . . . . . . . . . . .Underwriters Approval. . .ie��. . . . . . . . . . . . . . . . . . Planning Board Approval. . . JV./. . . . . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . ./. . . . . Fee Submitted: $. . . . . . : . . . . . . . . . . . . . . . pec. '(&q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (f/_I �j APPLICANT I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING [V FINAL [ ] FIREPLACE & CHIMNEY ; REMARKS: DATE INSPECTOR J"�^ I I 1 I,I) I rltil'h( I'1 UN Itisl'vl(f DATE' IN FOUNDATION (2ND) --------------- ----__ —_ zn Rr)ucn rRnFirt a L7 I NSMAT I vN PER N. Y . f S'T'ATE I;NP,R(:Y Cvl)i? i III F 1 lJnl. nl)D I T I vNn 1. COMI iNTS: r= I' (I lG h Q 1'l L5 4 ISOARI) OF II►.A1.7Yt . . . . . . . . . . . . . . . FORM NO. I 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOU'J'l1OLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN KALI. SEPTIC FORM . . . . . . . . . . . . . . . . . . . r.., ...� SOII'I'IIOL.D, N.Y. 11971 TEL: 765- 1802 NOT]FY: R)Wl,i OF SOU l HOI D CAL.I. I �uimmtd_ „� 19! MAIL. TO: . . . . . . . . . . . . . . . . . . . . AApproved-1[ pr >>......, I9 � Lerrnit Na. .................................... Disapproveda/c .................................. .................................... ........................................... ... ...... .... .. . ... ... kuilding Inspector) AP .KATION FOR BUILDING PERMIT Dace. l NSTRUCTYONS (/ a. Alis application must be completely filled in by typewriter or in ink iuxl suln►itted to the lkiilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scliedule. b. Plot plan slKming location of lot and of Ixmildings on premises, relationship to adjoining premises or pul)lic streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. c. 'lthe work covered by this application may not he caimenced before issuance of Ikiilding l'eruit. d. Ulm approval of this application, the Ikuilding Inspector will issue a lkuilding Pennit to the applicant. Such permit shall be kept on the premises available for inspection thrcxrgluxut the work. e. No Wilding shall be occupied or used in wl►ole or in part for any Ixirpose wlkatever until a Certificate of Occupancy sliall have been granted by the Iluilding Inspector. APPLICATION IS I001Y MAIC to tine Building I epartrnent'. for the issuance of. a Building Pennit pursuant to the Wilding Zone Ordinance of the Town of Southold, Suffolk Qxa-ity, Ncw York, and other applicable Laws, Ordinances or Regulations, for the construction of lxuildings, additions or alterations, or for removal or demlition, as herein described. the applicant agrees to canpl.y with all applicable laws, ordinances, Wilding code, "sing code, amus regulations, and to admit authorized inspectors on premises and in Wilding for 11�cesi�t'ry inspect' ps.c�,� ..... .. ;C - ....te. .......... (Signayo�"�� applicant, or ryeif a corporation) , (Mai 1 ing i Wress of applicant) State wliether applicant is owner, lessee, agent, arcLitect, engineer, general contractor, electrician, plumber or Wilder. ...................................... Ni Nile of (Mier of premises ....... y `!.4Jn !Ti (/.................... (as on the tax roll or latest: deed) If applicant is a corporation, signature of duly audiorized officer. ......................................................... (Mine and t i t le of corporate officer) Jk.tilders License No. ............... ......... Pluitbers License No. ......................... Electricians License No. ...........:......... Other 'trade's License No. ..........:......... I. Location of land on which proposed work will be cksx ..... �5...�"v �� 9 ° ,EL (� ............................... �95 ..................... 1��P/�,,� ...1.......... ............ '..v✓4`..L Ikxise Nnix:r Street Ikoilel . Ca.uity Tax Map No. 1000 Section ....../��v: ?... Block ......�...... int .....1:r. �.... SlIlAivision ......................... Filed Map No. ............... Int (Nave) 2. State existing use and occupancy of prenises and intended use and occupancy of proposed construction: a. Existing use and occulxuxy ...m!'�'C.. :`�.!p71�:�_. S(J .✓�i 4e-................................. b. Intended use and occupancy ._....". ../'1�.............................................. 1. Nrlore of wc)rk (rlxrck which alrlilicahle): M347 Iloil(linl; . .... ..... Arklitioo ....'�.. Alteration ... .... . . . Itoi)a i r ............ lklirnraI Ikerixrl I l ion ...... ... ... 01 her 14on k ... ....... . (eros i i;1:icxr) 1 P.sl irrrrl ed (lost ... fee ....... .. . . (lo Ire paid on filial; ibis nlgrlicaCion) i. I f chntl l iol;, rxuIKr. of (h.rctI I int; units . ... .... .. thwrrlrer of (kl0 l iol, unil.s,, cn each floor ... .. ..... f f 1,:rrnl;e, (xrd)(r of ears ............ ..- ....._ 6. if Ixrsioess, cnntrrcial or mixed mcitpa y, specify ivrlfire nrxl exCenl: of each t.ylx- of Ilse...-J.... .. .......... 1. I)inx nsicxis of exist int; slaw lures, if aryl I rcxal:..... . .// ... .. . Rear. .....�........ W.pl-h .a2��7 ��.. .7i.. Il(6011 ........ .. ..... ..... ..... Moder of Slcries . . ... ... 1 hilcmiricxis of same sltiseture with allernl.i(ns or :xklit.ions: Fronf. hear ............... I)epth ............. ....... ileip)il .. .. . ......... . .... . Mxder of Stories ............... tV. 1)inrnsiocrs ofe it iJae 1"4 coostrix_I icxr: Frcnl ....T.. .._.. .... Rear ... - ....... Depllr . .. . . . 1..... Ik ipJil .......4 .,I .. Mrder of fitorie! .. .. 9. Size of lot: I rrxit ._�r.(7. �..�...... .... hear .. .1.7!5 10. Mile of ilrrcllmat ... .....! "..!_---.. N nx, of Foram OLnx�r ... ... v © II. Zrxie or uce dill riot in rlricli prernires nre sijItited ... ..... ..... ....................... ... ....... ...... ... ..... .. IZ. llrx,s prolioned coxislrtx-l.ion violntce/nny milioll law, ordirlmwe or rel;rrinl.iora: . . ....�n . . /U..... Will exCess fill be reiliuved from lit-einines: Yi?S '). Will lop: be tel;r:xled ............. / l s /✓7�! � _. Acklress oZyFl 3� N ars of (knrer of rr(trni.-es 7 ,F 1.... . ilxxxt TJra. ....... E.G� .. Karr of Arcliil:ecf ''— ... .. .. Add tPgs ... .. ........ ........... ..... . 1lxxae N). Krum of Cootraclor .......... ................. .... .... A(klress ........... ... .................11x)(ie 1Jri. _... ... ..... . . 15. Is this pnnlerfy within 7(x) feet of a I:i(inl tael:larxl? * Yli3 .......... NC) *IF YES, FXXII1KJt1) 'iTAM '1141SIla7S M-11Ml'I' MAY itF. R-I)IJI l I). PLOT I)1AGRAM Inca)-e clearly arxl distincl:ly all Imildinls, vAiPt.her exisl.hig or proposed, mill hAicale nl.l set-back (liniensicnis front prolx-rly litres. Give sl:reef r"I 1)1(x-k rw)[d)er or description acrotding Co Gleed, nivl rrlxaw street: flarrs nrxl irxlicale iAieller inferior or Corner lot. i 7_0---- AP�.RZD AS NOTED DATE:JZJ B.P.# 3 FEE: :;? gy. NOTIFY BUILDING DE � �� 765-1802 8 AM 71p 4 PM FOR THE FOLLOWING INSPECTIONS: OR 1. FOUNDATION - TWO REQUIRED 'i I � �IFUL R r .r FOR POURED CONCRETE r� $ d 2. ROUGH - FRAMING & PLUMBING 1 "' �R(� 1 IT Utfffl °- d, �p ,� 3. INSULATION ' a t' 1 4 FI COMPLETE MUST v LETS FOR C.O. � 2 ' N ALL CONSTRUCTION }H4pr ". UM41 r..�. THE REQUIR ANTS `OAF THE N.Y. - STATE CONSTRUMq _&_ENERIY__- 1 .- r 9PRES,----NO1"__W8PONSI13LE FOR OR CONSTRU=ON ERRORS . - .{�.. .. •��-•-- -.- - -leinl; duly -won n, d(-px)ses rnxl says t.hnC he is Lhe nppl iC:url (N:nr., of irxlivi(Ircrl sil;niol; c'(xrl:racl ) :rlxrve o:>trx d, Ik• i!. Ilrr .. .. . .. . . . . .. . . ... .�.W.1. . �. ... . .. .. .......... .... ...... ....................... .... ... .... (t:tnil,I mA or, ngv.1 C, corpxrral.v off icer, vl_c.) of !:girl (>torx'r or mnv,ln, aril in (hrly milhorize(I to Ix'rlonn or Ir:tvv Ix±rfolfirl the said work nixl to iirilte nrxl fill! Ibis -widicni icor; th:rl- :ill sl-nlcrrrnl.s crntlnired in Ibis "litilicnt:i(n are Irlx' to the lest: of his krxxoledge rnxl Ixilief; nrxl Ilial tlrr wtrrk wi I I lx, ix-rformm(1 in the rrrnnrer sell forth in the app) icnlJon filed tlret-wil_li. 9L-A)rrr o_..l)vfore fir Ibis y� / day of .. a�.5�. Notary 11 )Iic ......: Q?.. ...�1 .....- CLAIRE L.GLEW (.'(;irnl:ore of Appl;unot) Notary Public,State of NOW York �� No.4879505 Qualified in Suffolk County Commission Expires December 8.19 L[/l C��d� ��i✓»o�J vInd X / rn no 001 afl Q ca (a V1 r-td �J(Aide �J �✓t�ou/ EL-A 7� 7X(c ="'3 L_ , 5?255 Ln 2pp ao o. \Copp 4c �� s � �m�o O 0 LA- O�y ? 000slo UEC Zg3 op .L 00 O a W N 13 (D�_ Ot 2 pr✓�g5 C) rn' LOQ 2Cn N N �O p,0 �u P� o� O PO � P�j l` SURVEY FOR JOHN GUNTHER OCT. 25 , 1988 LOT NO. " RICHARD J.CRON�� JUNE 6 ,1988 4..- .:. + JAN. 6 1988 AT LAUREL DATE SEPT. 28,1987 AUG 91996 TOWN OF SOUTHOLD SCALE: I��-100' - g SUFFOLK COUNTY, NEW YORK N0. 87- 1465 BLDG.DEPT. K UMAUT"ORIZEO ALTERATION OR ADDITION TO THIS GUARANTEED TO: TOWN OF SOUTHOLD SURVEY b A v1oLAT1oM OF SECTION 7209 OF THE JOHN GUNTH NEW YORK STATE EDUCATION LAW p N COPIES OF THIS SURVEY NOT REARING THE LAND COMMON i4 h�LYf E INSURANCE SURVE NOT BEYCONS DERED TO`BE A VAL D TMBOSRUE COPSAL Y HALL COMPA S U W O� NGUARANTEES INDICATED'HEREON SMALL RUN ONLY TO O��'R 110 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVEAM- Z Z N NEAREST WAr MAIN ML.t NSOURCE OF WATER- PRIVATE UBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED N BUFF CO. TAX NAP pST lik-SECTION J&A_BLACK�Z LOT HEREON,AND TO THE ASSIGNEES OF THE LENDING "THEM ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT N THE WATER SUPPLY AND SEVIRGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES O OF HEALTH SERVICES. TO EXISTING STRUCTURES ARE FOR A SPECIFIC 8 APPLICANT- PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES sf4 LAND 8104 ADDRESS T". YOUNG � YOUNG '`°E��"�WroR E NOTE: •=MONUMENT 6=STAKE ALOEN W.YOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAN. SURVEYOR N.Y.S.LICENSE ENGINEER 45 SUFFOLK COUNTY ON SEP. 30,1985 AS FILE NO.7975. HOWARD W.YOUNG, LAND SURVEYOR *THE LOCATION OF WELL(W),SEPTIC TANKIsT)ll CESSFOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893 ARE FROM FIELD OBGERVATIONS AND OR DATA OBTAINED FROM OTHERS BRANDIS A SONS INC. Z.B.