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Home My WebLink About23398-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24473 Date JUNE 28, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1435 BRAY AVE. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 8 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1996 pursuant to which Building Permit No. 23398-Z dated MAY 1, 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 The certificate is issued to PAUL J. & SUSAN M. MAJESKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c //fiu4ding Inspector 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) yn�/ Date............... ..... ....I.... ..... ................... 19.4.r.. N2 23398 Z Permission Is hereby granted to .... .. ..... ......I................ . � -.... ... .. ta .....Ale .r .... . . .... � .. .. ' ... ......... .. ...................... .............................................. ................................................................................................................... .....................................................................�.�. /- ./.�...I........./......-...I................. at premises located at............/.��,§... .....X"., K. `�L£-C-: ............................... ................................... County Tax Map No. 1000 Section ... fLp...... Block .......Q................. Lot No. ../......................... pursuant to appllcatlon dated ............*x.1.7......... 19..Ae......, and approved by the Bullding I`n'sspector. 411 Fee$...../...r... C Building Inspect Rev. 6/30/80 - ----------------------- ....... --------- -------- I 011 IS I ---------- -- --- --------------- -- - - -- ------- ----- ------------------------ -------------- --- ------ ------- -------- HMHM FHAllM & -------------------- -nn---- ----- -------- --------------- ---------- -------------- 1"N"VAU10111 STAVE RUHnny - ---------------- colm, ------------ ------------ -------- ------------------------------------ ------------------ V I"At, -------------- -------- ------------------------------------------------ ------------------------------ ADDIJIMAL COJU19"rSI ----------------- --------------- ------------------ - ---------- --- --- ------------ ------- - -- --- - --- --- - 7 -- -Kj - ------------- - -- -- 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ XFINAL LBG. [ ] FOUNDATION 2ND [ ON [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: DATE 7 INSPECTOR BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . BUILDIAir nF:PARTMENT CIIECK . . . . . . . . . . . . . . . . . . . 17 W t.DEPT. N. r .AAT*VMM OF SOUTHOLD, TEL.: 765-1802 NO T-4 F Y CALL ZAVO J� Examined ;7/4 19 4P HA I L TO : 4ermit No.0/1 - . 0 Approved 19 y 5� VA.4F�0 Disapproved'a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B i n In pector LICATION FOR BUILDING PERMIT- - Date . . . . . . . . . . . . . . . . . .. 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 stireets br areas, and g.iving 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 premises available for inspection tbrou-hout 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 Buildin- Zone Ordinance of the Town of Southold, Suffolk County, New York, and Other appliF" Laws, Ordinances or 0 d Regulations, for the construction of buildings, additions or alterations, or for e I r derno as herein described. "n'" or ng Zr I Tor The applicant agrees to comply with ail applicable laws, ordinances, buil i g MT ousin d re lations, and to admit authorized inspectors on premises and in building for necessary ins ection _1 . . . . . . I. . . . . . . . g -Zu . . . . . . . . . . . . . . . . . 0 or '7e7 " a or z .iar e7 ii tuire'? i-ns ect. t5ignaiure of applicant, or e, if a corporation) Y *j a d; * of applicant) 4 il'l�ing adi ss -5,;4 gineer, general contractor, electrician, plumber or builder. State wl?ether applicant is owner, lessee, agent, architect, en . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises YN-V%, - 5904�0�1. W\. ��OQV,$tA (as on the tax roll.or latest deed)* . . . . . . . . . If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . -6iame and ti-de.of corpor-ate officer.). . . . . . . . . Builder's License No. . . . . . . . . . . . . . . . ... . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Locatio I ri of land on which proposed work will be done. . . . . . ... . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAMCu, . . . . . . . . . . . . . ... . . . . . . . . . . . . . ... House Number Street Hainlet Con nty Tax Map No, 1000 Section . . . Vvv. . . . . . . . . Block . . . .$ . . . . . . . . : . . . Lot . . . 77. . . . . . . . . . . . . . Subdivision . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Narne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .005Z_ iA-tl. . . OAC�- INk rul 0 b. Intended use and occupancy . . . . . . f . ... . . . ... . . . . . . . . . . . . . . . y1nou:) �41�lmi,�):!,Itwf) .... . . . . .. •3. Nature of work (check which)applicable): New Building yy Repair Removal • • • Additio`� . . . . . . . . . . elation Demolition " ' t Wok . 0�•t%4 -. . . . . , 4. Estimated Cos . . (Description) g, If garage, number of cars " . . . . . . . . . . . . . . . (to b,C, Odhis application) S S g units. . . . . . , _. ,.�.....,._., Number cf dwc{iing units nn each floor. . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S. If dwelling, number of dwelh 6. If business commercial or mi• ed occu ane p y,specify nature and extent of each type of use . . . . . . . . . . . . . . g . ,s ofexi . . . . . . . �cs,ifany: Front . . . . . . . : . . . . . . . Height Nu Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Dimensions of same structur„ `iter of Stories do 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions o extstm structu with alterations or additions: Front • • • • ' ' • ' ' ' ' ' ' ' ' ' ' ' s Depth . . . . . . Height . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . g Nu " " • . Number of Stories . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . .Height tuber of Stories , Rear . , . , , , , , , • , , , , , Depth . . . . . . . . . . . . 9. Size of lot: Front .7S. Rear , . . . . .7�. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . , . . . . . . . 10. Date of Purchase ^30- • ' • • • • • • • • Depth . . .4b * , , , , , • • • . . • • . ' '(0 ' '�$• • • . . . . . . . . . . . NairS"e of Former Owner A�Ar�. ?r!-.t7 . . . . . . . . . . . . . 11. Zone or use district in which >)emises are •- e or regulation:. . . . . .19. . . . . . . . . . . . . . . . . . : . :. 13. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be regraded P . . . . . . .�� , , , , , , , , , , , , , Will excess fill be removed from premises: Yes g T* ? ?• • z. .1 Address .I,y $, I3¢+Ml •py�tr. , ,Phone No. ?rq.:`!1`I�'�,.., Name of Contractor . . . . . . . . 1' Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . .'.:. . . . 4, Name of Owner of remises , Name of Architect 15. Is this • • • . Address . . . . . . . . . . . . .. . . . . . Phone No. .. . . . . . • property within X00 feet of a tidal wetland? *yeS, , ,, , , , , No Dom , , , • *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all Ill!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 corner lot. M�+.1z�d�l•C. lo,c,1APP 0 ED AS NOTEDDATE: — 2 l� R.P # 3 37e Pool FEE:F-7_ NOTIFY t3tlll-t)ING DEP AT D6cG bb' 765-1902 9 AM TO 4 PM FOR THE I FOLLOWING INSPECTIONS: 1, FOUNDATI()Nj - TWO REQUIRED ElrQR POURED CONCNEY'E r 41llo00 2. �C)UGH - FRAA/lINC) & PLUMBING D 3. INSULATION ti 1 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. FFotisc ALL CONSTRUCTION SHALL MEET EZ'r� THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR H43S- la*AAA, DESIGN OR CONSTRUCTION ERRORS � (('gip gam ®({e�IN� I Bij TATE OF NEW YORK, OUNTx OF . . . . . . . . . . . . . . . . . S.S t� 1 " (� M being duly sworn, d'b{S N� 9. r 1C . . . 1 ill (Name of individual signing Contract) oses� dt�sdyg`st}� IIJJ.jiie applicant love named. Q, AA! is the . . . . k . . . . . . , . 7 !r`1. FA tL:L :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners and is duly authorized to perform or have performed the said work and to make and file this Plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the u'k will be performed in the manner set forth in the application filed therewith. rom to before me this y��J . . . . .day 1!!,twwh. . . .. . . . .. 19�1"� tary Public, . , , ,Ii , DANT BER AN ' ' l )' ' ' ' County S Notary Public,State of N0W Yor't No.Da101 Qaµ� . ' uin Nassau in Nassau Courtly ' • + •• • • • . .. . . . .' commission Expires Feb 26. 1999 - (Signature of applicant) I • � e `diESxx�✓.A' ., '^'k.+a'h4..At N�.,.. .-...i + . r e• 'c "" ..a- . c . i.._t s.v.� .t ,b:r .. •e.(Nga�tyW hW . A I��SG LT all W v rF L C 1Z' err W • ^�R 7 1996 ,i•�!;,�,� � 70W�� FA� , n.L 7---�--� E— r �KG� n irJl. 1,Joa> POI.�'MEL CO✓NPO1ST[_ f Z��[ 4 F 'ti24 eMM�- _-- r� Z;c6'� 3��s-sS--CC�Ps Luw�pC.P` �.'i" �I';cy'` Hw.io¢t.�L Po•.T -- � fc ''�i�Klo �ALv.St'YRS CCtt Lurxtu� � �•`Xy , \bS\S L'�,(� ��„•��_ �- 1NKle �fw„14 F-Zxli' 3o�sTs -iz'o,.r t�rL 0 4 d v , � "43 �. �'x4QoST Zr 2� yx V (p �7 r) TOWN OF SOUTHOLD 9TOWN BUILDING DEPARTMENT(LOLL JUN d S, 765-1802 �( 2 1996 BLDG. DEPT. APPLICATION FOR CERTIFICATE Or OCCUPANCY YONJN_OF SOUTHOLC),_,M,_d 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 17 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 - Nev dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building 525.00, Additions to accessory building $25.00. Businesses $30.00. 2. Certificate of Occupancy on Pre-existing Buildine - 5100.00 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 . . : . .lU�LX 7 40. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Old Orr�Pre-exist i n g Building. . . . . . . . . . . . . . . . . Location of Property. �T� fC/ v/ . ./. l .✓. . . . . . �i�E � . . . . . . . . . . . . . . . . . . .. . . . . . House No S eet Hamlet J / �J Onwer or Owners of Property�z✓�. . �/. , . .f� . . �sS//�/p1/. .�:.!Y . r�J.��/.fir. . . . .. . . . . County Tax Map No 1000, Section. . .�a.k�. . . . . .Block. . . . . .ff . . . . . . . .Lot. . . . .7. . . . . . . . . . . . . . . Subdivision. . . . . .�.j.�. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Kap . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. ��J. /P1. Z. .Date Of Permit. �jl ��(.�P . . .Applicant1A&(A .c/./ .9A`(15--1 ��• Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . ?lanning Board approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Tempor�ja�ry Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . Fee Submitted: 5 . .-. U o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT y�-- �o �ayy93