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Home My WebLink About23073-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICATE OF OCX3UPANCY No E-24373 Date MAy 21~ 1996 THIS CERTIFIES that the building AL'r~ATIONS Location of Propert~ 145 MACDONALD ROAD LAUREL NY Rouse No. Street Ramlet County Tax Map No. 1000 Section 128 Block 6 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11~ 1995 pursuant to which Euilding Permit No. 23073-Z dated OCTOBER 18f 1995 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 WINDOW AND DOOR AL'xmRATION AND SHOWER STALL FOR AN EXISTING SINGLE FAMILY DWELLING AS A~PLIND FOR. The certificate is issued to of the aforesaid building. A~'£aUR & MARILYN SMITH SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED MAY 14~ 1996 HARDy PLOMBING & HEATING Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEllON OF THE WORK AUTHORIZED) N~ 23073 Z County Tax Map No. 1000 Section.....Z..~.- .~.... .... Block ............. ~ ....... Lot No. .. .~... .~- ................ pursuant to application dated .......~....~,//. .......................... 19...~...-,.L~d app,oved bythe Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN NALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buSlding inspector with the following: for new building or new use: t. ]~inal survey of property witb accurate location of ail 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). 'Approval of elecgr~cal installation from Board of Fire Underwriters. 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 al.] property lines, streets, building and unusual natural or topographic features. 2. A properly completed application aad 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. Co io 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. 2o Certificate of Occupancy on Pre-existinz Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $]5.00 New Construction ........... Old Or Pre-existing Bnildine.....~... ......... ~lou se No. Street ~1amlet Connty Tax Map No 1000, S~on../...~.. ....... Block..~¢ ........... Lot...¢.(7. .............. Permit No,~,¢*~¢,~,,Dat:e Of Permit, /¢*/~C ttealth Dept, Approva.t .......................... Underwriters Approval ......................... Planning Board Approval ......................... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ...~.?~ ~? f cC - q30 APP ,CA T TOWN OF SOUTHOLD OFFICE OF BUILDH'IG INSPECT~)R ?.O. BO:: ;28 TOWN I'L%LL SOUTHOLD, N.¥. ! 1971 TEL. 763-1802 CERTIFICATION Building Permit No. ~3~ 73 / (please prinT) Plum2~er ~ ..~, ,, (pluase print) Z certif.y that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me tkis ~lota'.': [~vb'_ic, ~¢/~FCL~dCounty Notary Public I:( )III'N)AT [ [)tl ( ] .~'[' ) DATE COMHENTS STA'I'I~ ENER(;¥ COI)V. I1 .......... It TNAI. I AI)DLTIONAI. COHHEN'['$: ._5 /. g ,0oo,"< ,,',,JOT' 4DEQccA?E 7A~'~ PROVIDE OPENINGS FOi EMERGENCY ESCAPE AS REQUIRED BY PAR~ 714( N.~ STATE B§ILDING COD (,,f~,., October 6, 1995 Mr. John Boufis Office of Building Inspector Town Hall Town of Southold Southold, NY 11971 ~"¢,s discussed with you on Tuesday, September 26,1995, I wish to apply for an ~ amendment to the above noted building permit~lding a foundation, f~ ~[~ReCacP~..~ur (4) existing aw - ' my ~iving roor~-- ' with four (4) Anderson casement-type units. These windows will be slightly larger than existing windows (see attached letter from the contractor). b. Replace existing living room front door with a slightly larger metal panel front door (see attached letter from the contractor). c. Add a fiberglass shower to an existing half bath. Detailed information will be presented to you by Hardy Plumbing and Heating, Mattituck, NY. I have attached a portion of the foundation blueprint so that you can see the location of the work operations to be performed. Please advise me of any additional fees applicable to amending Permit #22962~, and I will send a check. If you need to contact me, please address any correspondence to the address noted below. Thank you for your help and Consideration in this matter. Copy: Hardy Plumbi[3g and Heating Very truly yours, Arthur L. Smith, Jr. P.O. Box 214 New Canaan, CT 06840 (203-966-8297) TOWN 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNn,ATION 1ST [ ] ROUGH PLBG. ! [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~ DATE INSPECTOR = ' , ~ FORM NO. 1 OCT ] 1 i995 i"L TOWN OF SOUTHOLD · ~ ~ BUILD NG DEPARTMENT BLDG. Dy- "-L~ TOWN HALL ' , ..~o:JTHOL~J ..... SOUTHOLD, N.Y. 11971 ..... / TEL.: 765-1803 Disapproved'. a/c ....................... ~ ....... :.' ;, ' ¢~ICATION FOR BUILDING PERMIT BOARD OF tIEALTII 3 SETS OF PLANS SURVEY ClIECK SEPTIC FORH CALL HAIL TO: ........ Date .... ~.C~ /& ., 19". INSTRUCTIONS a. Tlds application must bA completely filled in by typewriter or in ink and submitted to the Building Inspector, wi; sets of plans, accurate plot plan to scale· Fee according to schedule. b. Plot plan showing location of loll and of buildhlgs ou premi~s, relationship to adjoining premises or public st~ or areas, and giv~g a det~led description o[ layout of property must be drawn on tl~e diagram which is part of this at cation. c. The work cov. ered by ~ds appl cation may not be commenced before issuance of Building Permit· d. Upon apprdval of ~his application, the Building Inspector will gsued a Building Permit to the applicant· Such pe~ shall be kept on the premises ava~able for inspection throughout the work. c. No ~uilding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa shall have b~en granted 'bY the Building Inspector. APPLICATION 18 ItERffBY MADE to tfie BuildLng Department for the issuance ora Building Permit pnrsuant to Building Zone Ordinance 9f t~e Town of Southbld, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buQd~gs, additions or alterations, or for removal or demolition, as herein descril The applicaut agrees to comply wi~h all applicable law~, ordinances, building code, housing code, and regulations, a~ admit authorized inspecto~ on premise~ and ~ bulldog for necessa~'inspection~ . ~ // v,. ~ 3 ~;:,;m : ,~ 7~.. .~Jdr.,', (Mailing address of applicant) State whether applicant is owner,' 'l~see, 'agent, architect, engineer, generaJ contractor, electrician, plumber or built ~1~ ,.~.. ~ ~ ' · Name of owner of premmes ............. ~ ........ 9 ......... ~ ............... t ..... · ............... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authori2ed officer. (Name and title of corporate officer) Builder's License No..../.'.?~../.~.~..~.~.Z... License No.../."..-.5.'.-}..'7./. Plumber's Electrician's License No ....................... Other Trade's License No.. .................... 1. Location of land on which proposed work will be ~tone ........................... llouse Number Street llamlet Cotl'nty Tax Map No. i000 Section ... :(.c~.~. .......... Block · .~-.~ .... ' Lot..~'/.7. .......... (Name) 2; State existing use and occupancy of premises and intended use and occupancy of proposed construction: .,. , ,,.t ,~ ~; ..... ~,~;~.. mE. ,q,),m. aole): New L~uumll§ .......... Addition .......... ~t~iatlon ......... Repair .............. Removal .............. DemolR{~n ..,...: ......... Other Work .............. .~ .... ~. ~.. (Description) 4. EstimatedCost.,.,o°° ..... Fee .............. fi] gflisapPicai°D'li'n-'-"---"-'-" .... (to be paid on ~ I t q~< .... Nu~fil~er or dwelling units on each floor.... ............. 5. IF dwelling, number oF dwelling units ....... . . If garage, number o~ cars ...(t~'Y~ ............................................................. 6. I~ business, commercial or mixed occupancy, specKy nature and extent of.each type of use . .(~ ..... 7. Dimefisions orexisting stmctm'es, ifany' Front..~9... ~ ....... Rear .~ .......... Depth .~]~r~ ~'' ]'' lteight ~E ........ Number or Stories ~' Dimeusions of shine structure with alterations or additions: Front . .~ ............. Rear Depth ...~'.~ ............. tleight . ~.~... '..,: ........ ;., Number of StoNes .... ~ .... '.; .......... 8. Dimensions of entire new construction: Front .............. : Rear ............... Depth ............... Height ............... Nmnber of Stories .............................................. ; .......... Size o~10t: Front . .7.q .............. ;.. Rear ...7~: ~.~ .... , .~ ....... Depth ./~ ................. Date of Purchase . . .[~q~ )~. ~7.... ......... N~me of Fo~e. Owner ............................. Zone or use district in which premises are situated .... (~.~P .... ' ............................... ~ ....... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will ldt be regraded ~C .... ; .................... Will excess,fill be removed fromoremises: Yes Name of Owner of premises ~9~.~¢¢~¥ .~?~Address ~ ~.~. {~. Phone N~ ...... - ..... :... N~e of Architect ......... o ................. Address 2&~' ;~&,~-~?d ' Phone No. a*~.'&'g~ .... ~ .... ~mne o~ Lontractor .~,~,.,~. Co~.~¢l~ ....... Address .,~'~ .~a ~t~y~ .... Phone No. ~3.-,7o'~; ..... [5.' [~ chis p~ope~y w~kh~n 300 ~eek of a C2da[ wekland? aYes..~.. Ho ......... *~f yes, Soukhold Town Trustees Perm~k may be required. PLOT DIAGR~ Locate clearly and distinctly ~l buildings, wbed~&r existing or proposed, and. indicate all set-back d~ensions property lines. Give street and block number or description accord~g to deed, and show s??et n~es and indicate whether interior or corner lot. 10. 11. 12, 13. 14. FOLLOWING INSPECTIONS: 1. FOUNDATION.- 'lIND REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING S. INSULATION 4. FINAL - CONSTRUCTION MuST BE COMPLk-TE FOR CO. ALt. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS for water distributing .~,.', ~:"~ '~ /'¢ '¢~ ,',; ~'O~ ] ~t f} J .bric, in and for County System; piping shall be - . ,¢ State of Connecbcut, th,s./,~....6=Y , of ~pes K or L only . ' ...... ~..~..i9.5Z~ , /~ ' STATE OF NEW YORK, COU~Y OF .... ~C%¢~ ~. S.S ....... ~ ~ ~,~. ~...~/?~¢..~?: ~., ........ being duly sworn, depo~e~ ~d sayz that h~ ~s the appl{¢ant (Name o~ individual signing contract) 1bore le is the ~ ~ ~4e-(7 ................ ................................ ' .............. (Contractor, agent, cor'porate officer, etc.) ~f said owner or owners, and is duly authorized to perforn~ or have perfo~ed the said work and to m~e and file this ~pplicafion; that all statements contained in this application are t'rue t0 the best of his ~owledge and betikf; and that .york will be performed in the manner set forth in lhe application filed therewith. ;worn to before me this //~ ....... ........... :...' ..... .... ...... coT. ~ (Signature orap~canfl