HomeMy WebLinkAbout22079-zFO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
C2~KTIFICATE OF O~-~2~PANCY
No Z--24459
Date JUNE 25, 1996
THIS CERTIFIES that the building
Location of Property. 3205 ALDRICH LANE
House NO.
County Tax Map No. 1000 Section 124
Subdivision
AGRICULTURAL BUILDING
Street
Block 1
Filed Map No.
Hamlet
Lot 4
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 29, 1994 pursuant to which
Building Permit No. 22079-Z dated M~y 24, 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 A~RI~ULTURAL BUILDING AND FEN~ TO ~ODE AS APPLIED FOR.
The certificate is issued to
MA~Y K. TO~ASZ~WSKI
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. pENDING
PLUMBERS CERTIFICATION DATED
(owner)
N/A
JUNE 20~ 1996
N/A
Rev. 1/81
- // uilding
Inspector
FORM NO.$
TOWN OF SOUTHOLD
BUILDING OEPA3~'MENT
TOWN ~
SOUTHOLD, N.Y.
No
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNllL FULL
COMPLETION OF THE WORK AUTHORIZED)
......... .....................
2;)079 Z
Permission is hereby granted to:
.. ~ .y......~.,.....~.~.~..~..~..s...~ /
............. Z....Z....o..~.......~..../....d...~,(.,~.....~..-.. ~
.............. ~..~.~...~.~./....., ......... ..N..:..~ ...........
to ....... .~..~.s....f..~f........~....~.~.~.L~.~/.~.w(.... .............................
...,~.~../~,ff.,..~.....,,~z..~.....~...c'~.....:~.......~ ~..~ ...... ~ .............
......... ~/~./,.~,(....~..,~., ................................................................................................
pursuant to application dated .......................................................... 19 ................ and approved by the
Building inspector.
Rev. 6/30/80
BLDG. OEFF. ·
TOWN OF SOUTHOLD
TO~'~ OF SOUTHOLD
BU-_LD ii'IG O EP.A/IT~NT
TOWN F_%LL
765-;-802
~o~ l.~.--.~,- FOR ,~--~-r= ~
__.=oe_,~- ~---_o. ~-~ch :ha foliowin_~:_ for new building or ne~- usa:
Final survey .~f properu5, wick accurate iocamion of al! buildings, proper:y lines,
streets, ~nd unusual natural er topographic features.
_. Final ~pprovai from Hen!ch Dept. of ~a~ar supply and sewerage-disposal{S-9 fo_~n. }.
3- Approval of electrical installation from Board of Fire Unde~rr!ners.
-. 3wort statement from plumber certifyin§ ~hat 5he solder used in system contains
Lass chat 2..'!O of !% icad.
f. Commeraia! but!ding, ~nduscrlal bu:iding, multiple residences and similar buildings
and installations, a certificate of Code Camp!lance from arokicec~ or en~ineer
responsible for :he building.
6. SubmLc Planning Boarg Approval of completed si:e plan requirements.
For e?:~$~ing buildings ~[prior c3 April 9, 1957) non-conforming uses, or buildings and
"pre-ex~sn:ng" !and uses:
[. Acaurane survey of properr7 showing ail properr7 lines, streets, buLlding end
.... opo=-ap~~- fen%utes.
_. A properiy completed application and a consent no inspect si~ned by :ha applicann.
if a Certificate of 0ccupenc]- ks aen%e~, :ne BuLmc~n~ !nsoec~or shall state the
[. 5arnLficane of Ocauoanc7 v=. ' .... , 2~e ..... 5 ~._'.OC,
- ,~-~ d~e'--in~- ~-'D.'30 Adei:ions
ALterations c0owe' ..... ~-~o~ S_~.,30,. Swiping pool. ~ 30 Accessory.
Adc!riots 5o accesso~* ou .... no S25.00. Businesses
_.Certcficana of Occupancy on Pre-~is%zn~ Build!nm - 51,30.'30
3.Cop7 of Car;ificane of Occuoanc7 - .25c
-.Updated Car;if!tame of Ocau~anc7 -
5.7emoorzrv Cartifiaa;a of 0caupanc7 - Residenmia! glJ.30, Co~eraia2 S!3.00
Da~e .........................................
;e,; Gons:ruc:!on ........... 0!d Or Pre-existing gui!~ing .................
Eouse No. Street ~a~e~
l.n~er or 0~-aers of o ..... --~B~%~,, & MARY BLI.I~N TO~ASZE~SKI
_ . ope_ ,; ..................................................................
7oun:'~ i~x Map No i000, Sec--ion ..... ~.2.4 ....... Clock ...... ! .......... Lot. ~ ~
,u~division .................................... Filed ~ap ............ Lon ......................
~erm:: No. 22079-Z .Da:~ 0f ==-~:~ 5/24/94 .Z~oiican:. ~_RY E. T(~{ASZE$/SKI
lanning Bcar~ Approval ........................
c _oqqs
Temocrar-~ ~errifiaaza ........... Final Car-_ita:a ...........
.... .........
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
Mr. Thomas Tomaszewski
3275 Aldrich Lane
Laurel, NY 11948
Re: Building Permit #20819-Z & 22079-Z tennis ct
Premises: 3275 Aldrich Lane, Laurel
Suff. Co. Tax Map #1000-124-1-~
& agr bld
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
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
May 3, 1996
Mr. Thomas Tomaszewski
3275 Aldrich Lane
Laurel, NY 11948
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
/__ An application for Certificate of Occupancy is
xx
not on file. (Enclosed)
No Underwriters Certificate on file.
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 #
22079-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, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 3, 1996
Mr. Thomas Tomaszewski
3275 Aldrich Lane
Laurel, NY 11948
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)
xx 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 # 22079-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ]ROUGH PLBG.
[ ] INSULATION
[ ~]~AL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE
OU~;DA'TIO:; (1st}
OU~;DATIO:! (2nd }
.OUGH FRAHE &
.FLUMBING
_'NSULATIO:; ?ER N.
STATE E~;ERGY
CODE
FI:;AL
ADDITIO~A'L COM~-~E~;TS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .
Approved .
Permit
Disapproved a/c .....................................
;ATION FOR BUILDING PERMIT
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CIIECK ....................
SEPTIC FORH ..............
CALL .................
HAlL TO:
Date .................. , 19...
INSTRUCTIONS
a. This application must be completely filled in 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 streets
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 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 code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspectio~ .
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No....~.../~..~.~...~. ............
Plumber's License No .........................
Electrician's License No .......................
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises.. ~g{.~ .f/ .... .~-'-.//.~..Fl....'~.~. ~ .~..~..~..e.kk~. ~. '
(as on the tax roll or latest dee~PgO~'~
N~ BUILDING
765-1~2 9 AM ~ 4 PM FOR THE
FO~OWING INSPE~IONS:
; ;~UNDATION - ~0 REQUIRED
;'*' '~ P~URED CONCRETE
.... ~MING & PLUMBING
~* : · . : ':~;ON MUST
-, ....
]. ~oc~fion of ]an~ on whkh proposed work will b~ don~. '~ 'c~ ' '~,~T* *~p~ * ';~ ....
House Number Street Hamlet
County Tax Map No. 1000 Section . f~ .~. ~. ~ ...... Block .... ~.[ ~.~ ....... 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 ~O~q-O. tO.'~ .... LO.-~.....-. O.C) .... .~/.~.~--~. ..................................
Uae.
3. Nature of work (check which applicable): New Building ....iq(.' ..... Addition .......... Ai~'~ation.. .... j ....
Repair .............. Removal .............. Demolition .............. Othsr__Work,. ..............
$~1[ ..-: ~ )~escription)
(to be paid .o~_~ation)
5. If dwelling, number of dwelling units ........ Number of dwelling units Oh"eaCh floor ..... ' ...........
· If garage, number of cars ........................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories .............. '.; ......
8. Dimensions of ergt~re new construction: Front .../.(~.: ...... Rear . /~ .~' ' Depth ... ~ O..' .....
9. Size oflot: Front ~q.~ ... Rear ...... /..~..~. Denth .~.~./
10. Date of Purchase .... .~'~1.7.....~. 7. ............ Name of Former Owner .~~-,...~,~e~..
1 :. Zone or uae disirict in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..t~ ............................
13. Will lot be regraded ..... ~..~. ................. ,.. Will excess fiRbe removed from premises: Yes (I510"
Name of Architect ..... ~ ................... Address ................... Phone No ...............
Name of Contractor .......................... Address .................. /P-Ikone No ................
Is th£s property within 300 feet of a tidal wetland? *Yes ........ (No.) ........
~If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate dearly and distinctly all buildings, whether 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.
15.
STATE OF NEW YORK, S.S
COU.'NFFY OF .................
(Name of individual signing contract)
above named.
He is the ...........................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
/
........... /.....~< ..... day ?f......tyT-..: .; ......... 19...
ota Public,. .... Count,
~ry ~ut~i~. State of #ew't~t; /"~:/ c~ (Signature of applicant)
T~rm ~i~ Ju~ I~ l~ ~
M,