HomeMy WebLinkAbout22889-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No E-24976
Date APRIL 10, 1997
THIS CERTIFIES that the buildin~
Location of Propert~ 3305 ALDRICH LANE
House No.
County Tax Map No. 1000 Section 124
Subdivision
ADDITION
LAUREL, NEW YORK
Street Hamlet
Block 1 Lot 3.2
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 30, 1995 pursuant to which
Building Permit No. 22889-E dated J~-LY 14, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
KENNETH & MERRY LOU MINNICK
N/A
N/A
//,u~ng '~n.pe.to.
Rev. 1/81
N9
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)
Date ................. .'....,..,....j......,./....., ...............
22889 Z
j-
Building Inspector.
Rev, 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-i802
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.
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:
i. 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 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 ..~./~..~'~/.~..~. ..................... ... ..
N~r~.c~.~f .~--~..... 01d 0r Pre-existing Building...~. .........
Location of Property .... ~ ............... ~4~%~.~ ....................... .. . .. ..
House No. Street Ha~et
0nwer or 0~ers of Property ...... ~ .... ~ .....
~K~ .........................
Xap 000,
Permit
Health Dept. Approval ..... ~. ............... Unde~riters Approval.....~ ...............
Planning Beard Approval ........................
Request for: Temporary Certificate..~ ..... Final Certicate ...........
Fee Submitted' $
~'~' ~P~7 APPLICANT
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
February 21, 1997
Ms. Merry Lou Minnick
Box 201
3305 Aldrich Lane
Laurel, NY 11948
Re: SCTM#1000-124-1-3.2
Prem: 3305 Aldrich Lane & 135 Noah's Lane, Laurel
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 # 22889-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1602
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 21, 1997
Ms. Merry Lou Minnick
Box 201
3305 Aldrich Lane
Laurel, NY 11948
Re:
Prem:
SCTM#1000-124-1-3.2
3305 Aldrich Lane & 135 Noah's Lane, Laurel
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.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT
22889-Z
Please contact our office on this matter. Thank you for
cooperation.
$OUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION REPORT DATE/ / , COMMENTS
.................................~~, ....~.. ~___ ~/~ / ~
FOUNDATtON (]ST) ~ _~l ~ /
.................. _~, ~~~~ f ~
ROUGI1 FRAHE &
PLUHBING
iNSULATION PER N. Y.
STATE ENERGY
CODE
FINAl.
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ~'FINAL
,INSPECTOR
]65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNOATION2NO [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
1995
FORM NO. 1
TOWN OF SOUTIIOLD
BUILDING DEPAR'¥M ENT
TOWN IIALL
BOARD OF BEALTII
/3 SETS OF PLANS ........
/SURVEY .................
/CIIECK ......... t .......
5El'TIC l? Oil ti
1NSTIt UCTIONS
a. This ,~pplicallon must be complelely filled in by typewriter or in ink and sulmfilte(I to Ibc lhdlding Inspector,
sels of phms, accurate plot plan to scale. Fee according 1o schedule.
b. Plot phm showing Ipcntion of lot and of buildings on premises, relalionship lo adjoining premises or public sdeel
or areas, and giving a detldled description of layout of property mtl~l be drawn on die diagram which is part al' tills appli
calion.
c. The work covered by this apl)licaiioo may not be commenced before issuance of Building Permit.
d. Upon apl)royal of fibs applicalion, the Building Inspector will issued a Building Permit lo [he applicant. Such permi
shall be kept on Ihe p~emises available for inspection throughout the work.
c. No Imihling shall be occupied or used in whole or in part for any l)Url)ose whatever until a Cedificaie of Occupaoc*
shall have been granted b~ lite Ihfildb~g Inspector.
AI'PL1CATION IS IIEREBY MADE Io the Building Department for the isgttilllcg
Boilding Zone Ordinance of the Town of Southbld, Suffolk County, New York, and older applicable Laws, Ordinances o
Regulations, for the constmctloo of buildings additions or alte~al o s or for removal ¢ f demolilio ~ as e'e escfibe(
)licalt agrees to comp y w b al app cabe aws, ort annces, building code, housing code, and ~egu
mhnil aulhmized inspectols on p~emises ami in building For necessaw'inspections.
(Slgnah~e of applicfmt, or llame, if a corpoudion)
Shlle wbefl~er al)l)licanl is owner, lessee, agenl, archilect, engineer, gene~l .contraclor¢ eleetrlcian.~ l)lumber or builder.
(as on. tile Iifx roll or hdc'st {.Iced)
Il' al)l)licanl is n cot )oHIlion, signalure of duly aulhotized olTicer.
(Name mit lille olrcorl)oralc' olTicer)
l)Mmber's [.Jcense Nc) .........................
Elechician's License No .......................
Olher Trade's License
l,oca'lion ol~hm(i on ~Jhichtl),Ol)osed wm~ wi~ be done.
......
I louse Number St&eel llamlet' ' ....
....... .... ' ..............
, , ,
Subdivision .~J:~q( ......... ¢¢ ~(~ ~ ........... '. Filed Map No, d~¢.-¢.~ t'~.. Lot . ~ ...........
(Name)
Shllo ex isJhlg USe llll(J OCCUIMIIICy O[ ])I'eIllJSOS lllld intended uso ;tll(J OCCtlpalicy Of proposed coltstrllcJJoil:
a. Exisling use and occupancy . .~4'~ .~¢~:/',~ [~ .... /~U YTOD¢'.f*~]O~ .....................
t), Inlended use and occul)ancy ..... ~. . .~ .~/( ~J~ }c. ,~t~K:: ,~1 ~}~1i~ Y~AtO~
itel)ail i
.............. RemovM .............. Demol o~ .;..: .... OtherWmk.
x/ d)
'1. Estimaled Cos /,~ , ;i.. , Fee
! (Io be pMd on filil~ this applicalion)
5. If dwelling, number of dwelling uhits ' Nmfiber of dwelHt~g unils oJ~ each floor
If garage, number of ears ~ ..... ' ' ' ..............
6. If business, com~ ercJal or m~.xed 9ccup:mcy speo~¢y t~l u'o and exle ti of.each ypo o~ se .....................
7. I) e sonsol'exmtingstn~ctures, fany: Front., ..... : ....... Rear .............. ~ Depth ...............
Ileight NumbS1 of S{o~tes '
Dimensions of shine sh'uchqe with alterallons or addi{ions: Front ................. Rear ..................
I) I ii ' 11 IgJ
8. I)imensions of eutire new co st'u¢llon. Froat .............. : Rear . .............. l)epth ...............
Ilei~ht Num b;~ of SloHes '
9. S'ze of lot: Front ......... , .., ' Rear
10. Dale of Purchaso ............. ; ........ I)epth ......................
NillllO of FOllllel Owner
Il Zonoo~usedishictinwhich renisesaresltualed .............................
12. Does ])loposod conslruciioll violnCe any zoadng law, ordinn~co or regulation: ..........................
13. Will lot be l egraded ' .h
.......................... Will excess fill be removed from premises: Yes
14. Name of Owner of premises .... [ ....... ; ....... Add,ess ............... Pho,m No. ....
Name of Archi(bet '
i Address Phonu No
Name of Contractor . ......... i ................ Address ................... Phone No .............. ] .
15.' 1~ thi. s property w.Lt:hln 300 fee~ of a tldal wetland? ~Yes ........ No .........
~Lf yes~ Sou~hold 't'(~n 'l'ru8tee~ Perml~ may {~e requlred.
I LOI DIAGRAM
Locate clearly and distinctly all btu cings, wheth~? existing or proposed, and. indieat~ all set-back dimensions fi'om
plOpel'ly )h~os. Giw slreel and block; bmber or desclJpliol~ according lo deed, and ~))ow si/eot/tames and jl)dJcale wholher
inle]ior or co[nor
0ccu,^,c 'b
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
' APPJtO O $ NOTED _
N~I~ B.UILDtN6 OEPA~NT
765-1802 ~ AM' ~ 4 P~FOR THE
FOLLOWING
1, FOUNDATION, TVffO REQUIRED
FOR POUREO COf~CRETE
2. ROUGN~ ,, FRAMING, & PLUMBING
3. INSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FO, R C.O.
ALL ~ONSTRUCTION SHALL ME~
THE REQUIREMENTS OF THE
STATE CONSTRU~ION & ENERGY
CODES. N~ RESPONSIBLE FOR
DESIGN OE~N~RU~ION EB~
S'I'ATF. OF NF.W YOP, I~-* ' S
. O.O ~ ~'~.~ . , , being duly sworn, deposes and says '
.................. Ih, ~ he ts lite applican{
(Name of indivkhml signi, ng conh'acl)
[l{)OVe 11[111/8([.
' (c , coc " ) .............' ..............
I ontraclor, ~Sentpotato oHicer, elc.
of said owner or owners, ~nd is duly aulhorized to perform or have performed lhe smd work and to make ami file Hds
apj)licalioJl; thai all slalclnelHs contained Jn Ihts a ) )Ilea to t are true tO. the best of his knowledge and belief; ami dial Ihe
w(n k will be pe~ formed in {he mannei' set fotlh in the applicalion filed therewHh.
Swum 1o before me tlus~'~
un' , ' ' ~{gnatureofapplican{)
No. 4725089, ~ff~k