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HomeMy WebLinkAbout22494-z TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23419 Date DECEMBER 21, 1994 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 2395 ALDRICH LANE LAUP~L NY House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 2 Lot 1.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 1994 ~ursuant to which Building Permit No. 22494-Z dated NOVEMBER 30, 1994 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 AN ACCESSORY TENT STRUO'A'uKE IN 'A'~ REAR YARD AS APPLIED FOR. The certificate is issued to LOUIS BOSCHETTI of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (owner's) N/A ~~Buil'ding Inspector Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAiL SOU'THOLD, N.Y. 22494 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ............ ...-~.~.....~..~. ~,'-.~..' .............. ........... to..,,. ,.~,,,,~,,,'-~,,, ......... ../.~ .......... ~ ........ ~ ............. ~~ .............. ~ ......... ~~... CounlyTax Map No. 1000 Sectlon.,,,,~,~,,~ ........ Block ...... ~,,,.~,, .......... LotNo .....Z,,,~,, ............ pursuant to application dated ............. ~..~.,:..../,, ..~... ......... 10......~,~ and approved bythe Building Inspector. Fee*..~..~ ...... Rev. 6/,~0/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~IALL 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. 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. Fees i. 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-existinK Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.60, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property ......................................................................... House No. Street Hamlet 0nwer or Owners of Property..~.~.~.. ...... . /~.~ .~1~.~...'.~xf.~... ............ ~.¥~. ........... County Tax Map No 1000, Section..../~...~. ..... Blo~k....~.. ....... .. . Lot .... ./.'.~... . ........ .. . Subdivision .................................... Filed Map ............ Lot ................... ... Permit No.~.~..~.~. ~...~....Date Of Permit....//.~.~. ?.~f~.~..Applicant..~.~.. ~ ...... Health Dept Approval Underwriters Approval ... Planning Board Approval ...... Request for: Temporary Certificate ........... Final Certicate .......... . Fee Submitted: NOV 'I/11994 [~LDG, DEP1, ] OWN OF SOU'D,IOI ~ Exam,ned ........ ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197~1 TEL.: 765-1803 BOAgD OF HEALTH 3 SETS OF PLANS SURVEY CIIgCK sE T,c';j .............. hO,~Fy~ HAIL ........................ .... //,/ · APPLICAT G PERMI Date .//:..7. .......... , INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 sti'eets or areas, and giving 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 throughout ihe 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 code, housing code, and regulations, and to admit authorized inspectors on premises and itl building for necessary i.tz~pections. ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, ager~t architect enoineer ...... i .............. ' .... '.. APPROVI D , NOTED (as on the tax roll or lat~)~l~:~td~t)lLiDlflG' DI:PARIMENT '~ ' ' 765-1802 9 AM TO 4 PM FOR THE If applicant is a corporation, signature 6f duly authorJied officer. FOI&OWING INSPECTIONS: ,, 1. FOUNDATION - TWO REQUIRED ' FOR POURED CONCRETE (Name and title of corporat~ officer) 2. ROUGH - FRAMING &'PLUMBING ' ! S. INSULATION Builder's License No ........... ' 4. FINAL - CO~STflUCTI'ON MUST BE COMPLETE!FO~: C.C. ALL CONSTRUCT'[ON SHALL MEET' Plumber's License No ......................... THE REOUffiEMENT$ OF THE N';Y, STATE coNS.TRU~TION' & E, NERGY' - Electrician's License No ............ : .......... CODES, ~ ~ESPONSIB[E, FOR , Other Trade's License No. i DESIGN OR ~O~SYRUCTI0fl ERROR$' ', l. Location o 'd on which proposed work will be done ......... "' ' ' . .':... House Num her Street County Tax Map No. 1000 Section ... :./.~'~. ....... Block .... ~ ........ J... Lot /- 6 Subdivision..; ..... . ......... . .................... Filed Map No ............... Lot (Name) 2: Stvte existing use and occupgncy of premises and i~:tc,.ded use and occupancy of proposed consfi'uction: b. lntended use and occupancy ..... .~.~.....~.. .... ~~/~..~"¢ .,~..~ ... ................... . .3. o 10. ll. ,12. 13. 14. 15. property lines. Give street and blocklnumber or description according to interior or corner lot. Nature of work (check which ?pPlicable): New Building . 2 ........ Addition .......... Alteration . .>_.; .., . Repair .............. RemovaI .............. . Demolition ...... : .......... Other Wor~_-df/~...' . · '7/" '"" ' _~ ~ ~'Description) Estimated Cost ./~..07. ~ ! , ' ' ·: ........................... vee .... ,.~. ~. .................. i (to be paid on filing this application) If dwelling' number °f dweltin~~gunits ............... Number of dwelling units on each floor.... · If garage, number of cars ' . ........... If business commercial or mixed occupancy specify .............................. ' ' nature and extent of each type of use D ..... ' if any: FrOnt · ' .............. , .... ~mensions of existing structures Heigt/t Nffmber of Stories Depth ' ............... Rear .............. . .............. Dimensions of shme structure with alterations or additions: Front Depth ' Height .................. Rear .................. .................... : ...................... , Number of Stories ' ' Dimensions of entire new construction: Front ...................... Height Nmn bet of Stories .............. : ' .............. i . Rear Depth Size of 1~: .......... "' ' ........................................................ Front Rear ' ......... '~ ................................. Depth Date of Purchase ' Name of Former Owner Zone or use district in which piemises are situated .............. ........... . Does proposed construction vi61ate any zoning law ordinance or regulation: ............................ Will 10t be regraded '; ..................... .... .................... Will excess fill be removed from premises: Yes No Nam~ of Owner of premises ........... , · ·., ....Address ..; ............. Phone No ............ ;... Nam of Architect ....... : .. Address Phone No ....... . Name of Contractor ~ · .:..,. · ........ : .................. Address ...; ............... Phone' No .............. ,. I.s this property within !300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold iTown Trustees Permit may. be required. . ... ' PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate ail set-back dimensions from deed, and show street names and indicate whether ,. ," ','" ' ,'.: ....~k;~ ........... ' ....... being duly sworn, deposes and says that he is the applicant iteis the ' (Co traaor, agent orpo;ate o'ffi e; e't; ') ..... ~f said owner or owners, and is duly,authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in thisapplication are {rue to the best of his knowledge and belief; and that the .york will be performed in the manner ~et forth in the application filed therewith. ~worn to before me th~'~") .. 4 ll/ ' ~/0. 4725089,..S~jf~J_~ Couj/~]. . (Signature of applicant) . Term Expires U~y 31, D~ ..