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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