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Home My WebLink About22774-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 5-25822 Date JULY 14, 1998 THIS CERTIFIES that the buildin~ Location of Property 145 SKIPPERS LAN~ House No. County Tax Map No. 1000 Seotion 25 Subdivision ADDITION Block 1 Filed Map No. ORIENT, NEW YORK Street Hamlet Lot 22 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1995 ~ursuant to which Building Permit No. 22774-Z dated MAY 18, 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 FIREPLACE & CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING AD ~PLIED FOR. The certificate is issued to ANDREW & JOANNE ARONSON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. 22774 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .................................. 19.. .-- CountyTax Map No. 1000 Section ........ ..,¢~..~ ...... Block ...... /.. ................ Lot No ..... ,"~...,....~.. ............ Building Inspector. Fee ~.~ ~ildlng Inspec or 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 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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-existin~ Building - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... .~..'.,.O..'.~ ....................... New Construction ........... Old Or Pre-existing Building...~. ............ Location of Property .... ................ House No. 'J, Street Hamlet Onwer or Owners of Property ................................... County Tax Map No 1000, Section....~.~ ........ Block .... ] ........... Lot....~..~-.. .............. Subdivision ................................ .... Filed Map ............ Lot ................. ..... Permit No..~.~..~..~.~. ...... Date Of Permit ........... Appltcant.~,.~.~. :.¢.~_~>.~ .... Health Dept. Approval ...................... .... Underwriters Approval ......................... Planning Board Approval ..................... .. . Request for: Fee Submitted: Temporary Certificate ...........Final Certicate ........... ..... ................ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD FAX COVER LETTER DATE: TO: FROM: July 15, 1998 Andrew Berkman Southold Town Building Dept. RE: CO Z-25822 - ARONSON, ANDREW & JOANNE Premises @ 145 Skippers Lane, Orient, N.Y. TOTAL NUMBER OF PAGES INCLUDING THIS ONE 2 If all are not received, please contact the above at 765-1802. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (]ST) II FOUNDATION ( 2ND ) ~I ROUGH FRAME & PLUMBING INSt~TION PER STATE ENERG~Y CODE FINAL ADDITIONAL COM~ENTS: 765-1802 BUILDING DEPT, INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~ATION [ p,~ FINAL [ ] .~IING [ ~j~" FIREPLACE & CHIMNEY DATE INSPECTOR OF OCC[JPA~C¥ ¢ 765~Ig~ 9 Af~ TO ~- PM FOA TIlE FOLLOWING INSP[CTIONS: FO~ POUt~ED CONCRETE ' 2,, ROUGH - FRAM~G ~ PLUMBING CODD~, NOT RDSPONStBLE FOR A i'OV~50~ ~ I( % FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT 3 / r TOWN HALL . SOUTHOLD, N.Y. 1197~1 ;f,~/ TEL.: 765-1802 Examined ., Approved .>/~. ......... i 9~'.. Permit No. ~...2.: ?.7...~¢ Disapproved. a/c ................................ APPLICATION FOR BUILDING'PERMIT 3 SETS ?~/ PLA SUR¥£Y~ CIIECK ~ ............... SEPTIC FORH ............. CALL . . . HAIL TO: INSTRUCTIONS a. This application must be completely filled ih 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 s6-eets or areas, and giving a detailed description of layout of property mu~t 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 i~sued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout 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 Building Zone Ordinance of the Town of Southold, .Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building co~e, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti~ns~ '' . ~/.,/'. (Signatur9 of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. Name of owner of premises .... ,q'b¢.~a...~ .... ~..~.,,?.~. .... q ?....$.a.~ ......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriied officer.' (Name and title of corporate officer) Builder's License No. /.?.~//~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location o£1and on which proposed work will be done ............................... : .......... ltouse Number Street Hamlet County Tax Map No. 1000 Section ,..~' .,-~.. ' ........... Block i.*~. ............. Lot ................... Subdivision Filed Map No ............... Lot ............... (Name) , 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...-f./Hff}.(..¢..a4~././y...~.~/.~ , ..; ................................... b I d d do up ,:q~,rt2~, - . nten e ese an cc allcy ............................. ; ....... k ( Oppli ) ' ' Additi '3. Nature of wot check which cable: New Building ......... on ....... Alteration ....... ~., epa~r ........ , ...... Removal ... ,, . · V /~p l%~r' ............ Demoht~on ..... : · · e. .....Other Work ............... 4. Estimated Cost .'~..t~....'.i. ' ' ' (Description) · · ...................... Fee ...... , ! (to be paid on filing this application) 5. If dwelling, number of dwelling units .... / Number of dwelling units on each floor ..... · Ifgarage, numberofcars ...At', .~:..eT,. · .... .. 6 If business commercial or mixed ........ . ...................... · ............. · , occu ancy specify nature and extent of each type of use ................ 7 Dimensions of' existingstruct~r~s if al FrOnt ' Height Nuro '~ ber~ Stories ............... Rear .......... Depth Dilnensions of shine structure ................... ............... ~ith al ........................................................ Depth ' ~htions or additions Front Rear .................... ~.. Hi t i ................................... 8 Dimensions of entire const~.ctic ~Front ~ Rear ' ' ':" ........ ' .... , . Number of Stories ' Height Number of Stg'ri~s ............................. D~pt~ ............... 9. Size of lot: F . .: ~ ........... ~ear ..... rent I . . ,, . Date of Purchase .../~..~.~. i.. . . ,, . ........... D~e. pth ....~ .............. 11. Zone or use district in whic r is e sit e .... 12. ' ............................................. Do s popo ed coast uction violat ning law dina~ any z ulat on Ad..o' Willl0t b egraded ...... . ~.R. · ° .......................... 14' Nam e r ................. W~ 1 excess fill be removed from premises: es ~o% of Ow fp raises ' Y . e nero re ...I ........ ; ........ Address .' . .................... Phone No ............ ;.... Name of Architect ......... [ ............ .". ·. · Address .............. Phone No ............ .... Name of Contractor .7~.,~,.,¥.[.~. ?..~.t.~.4,~' 't¥' Address "'?~'~'K"'~/'~'~;i '2~e"~" ' rh°ne2[-[/°:''~'2' ~7~..~.~. .'. ,.. [.5.' ' ' ' I.s this property within }00 feet' ~'f' a del 'wetland? ¢¢Yos ........ No..PC. ..... ' ~If yes,' Southold ~mqn Trustees Permit may. be required. .... ~ PLOT DIAGRAM Locate clearly and distinctly all Ibmldmgs, ~heth~r 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. (Name of individual signing~ contract5" ........ ~ove named. ' [ ~agent, corporate officer, etc.) . . ' said owner or owners, ~d is duly attllon~ to perfom or have perfo~ed the said work and to m~e and file this plication; that all statements containdd N tliis'application are flue to the best of his knowledge and belief; and that the ~rk will' be perfo~ed in the manner se~ forth in the applicati6n filed therewith. ' ~om to before me this i · .. ..... .... , Ouali ,o. 4879508 ~ (Signature of applicant) ,/ '~'"' SURVEY FOR DR. ANDREW ARONSON & JOANNE WYNKOOP A T ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 25- 01- 22 Scale: 1"= 30' May 26, 1994 AREA = 9,134 sa. ft. CERTIFIED TO~ DR. ANDREW ARONSON JOANNE WYNKOOP CHEMICAL BANK FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK 141'S-8009 Prepared in accordance with the m/n/mum standerd$ /or I/tie surveys os estab/~hed by /he L./.A.L.S. nnd ~pproved qnd odopled or such usc by The New York Sial& Land Ti!le Associat,'on. ~~ N.Y.S. LIC. NO. 4961e ~CONIC ~L~VEYORS, P.C. (516) 765 - 50~0 P, O. BOX 909 MAIN ROAD SOUTHOLD, N. Y. 11971 94- 198