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Home My WebLink About22330-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF O~CUPAN~Y No Z-23847 Date SEPTEMBER 1, 1995 THIS CERTIFIES that the building. ACCESSORY Location of Property. 1895 ALDRICH LANE LAUREL NY House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 2 Lot 1.18 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated AHCUST 25, 1994 pursuant to which Building Permit No. 22330-Z dated SEPTEMBER 15, 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 ABOVE GROUND ACCESSORY SWIPING pOOL AS APPLIED FOR. The certificate is issued to F~ANK & DOREEN KRUPSKI of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H045743 PLUMBERS CERTIFICATION DATED Rev. 1/81 JUNE 6, 1995 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAIL $OUTHOLD, N.Y. N~ 22330 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: . ..................... ..... ../..~?~....~.~.~,~: .............. ........ ~~....~.,../,......~....?...c~?. ,o .....~.~.~/. .,~./.......~. ......... ~.~....~,~ ....... CountyTax Map No. 1000 Section ...., .,~'.,~..,,,~...'~.,... Block ......... ~ ............ Lot No ..... . ./,.~, ',/..~.. ........ Building Inspeotor. Rev. 6/80/80 Form No. 6 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-!802 1995 APPLICATION FOIl CERTIFICATE OF OCCUPANCY · AD Th/ application must be filled in by typewriter OR ink and submitted to the building i~ector with the following: for new building or new use: i Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Nealth Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. 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 A~rii 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 coosent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the guilding Inspector shall state the reasons therefor in writing to the applicant. C. Fees ' 1. Certificate of Occupancy - New dwelling $25,O0,~A~d~tiOnSotO~ dwelling $25.00, Alterations to dwelling $25.00, Swimming pool q25.09h Acc_ssory building $25.00, Additions to accessory building $25.00. Bnsine~ $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - $20.00 &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 ~ate .~a.~.~.~..~.q.q.~ ..................... New Construction ........... Old Or Pre-existing Building ........ ,.....o.. ~oeation of Property...\~.q~...~\~XCh....hO~ .............. hO~..~_.~} .................... House No. Street ttamlet Onwer or Owners of Propetty.7~%~O'A.e.~. ki%Up.e~ ................................ ~aunty T.. "a~ ,o 1000, Saetlon...~.~.t3. ..... ,,l,,c, .... ~ .......... Lo~.l~!.% ................ ~ubdivision .................................... Fi led blap ............ Lot ...................... ?ermit No ................ Date Of Permit ................ Appticnnt ............................. ~ealtb Dept. Approval .......................... Underwriters Approval. 'lan,lng Board Approval ........................ :~equest for: Temporary Certificate ........... F£ual Certicate ........... Tee Submitted: $..c~, .~,'~.../.'~.'~. ................. THE NEW YORK BOARD OF FIRE UNDERWRITERS 8954415 BUREAU OF ELECTRICITY V 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date JI.tI'IE 06,1995 Application No. on file 07257495/95 H ~45743 THIS CE~IFIES THAT F~K J.KRUPSKI, 1895 ~DRICH I~E, ~L, in ~he fot~o~i.~ h,c.tio.~ ~ ~em~.~ ~ I~ FL ~ ~.d ~. OUT ,%ct~o. BI~ Lot ~s examined on ~NE 02,1995 and found W be in compliance with the N~onal Electrical Code. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES PLUC~ESCEHT OTHER DRYERS SYSTEMS OTHER APPARATUS: G.F.C.I:-'I E R V I C 1895 ALDRICH LANE [,%UREL, NY, 11948 G~NERAL MANAGER 11 Per , .. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. T['~IS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~-~[~ BUREAU OF ELECTRICITY < ~' 815 JOHN STREET. NEW YORK, NEW YORK 1003S Date ' ' J~E 06~ 1995 , Applie~t~en No, o.~ile 07257495/95 H ~45743 THIS CERTIPlE~ THAT only the eJ~trxcal equipment ~ ~scr~bed below and tntr~uc~ by t~ appl~eant ~med on the a~e appl*cat~ number F~( J,~UPSKI~ 1895 ALDRICH I~E~ [&~P~'~ N.Y. ~ in the/ollowlng location; ~ B~sement ~ Ist FL , ~ 2nH FI. ,' ~OUT ~ Section B~R ~sexamlnedon JU~ 02 ~ ~,995 and found to be in c$mPl~nce with t~e N~Honal Elect~cal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 2 I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECt: S E R V ~' I C E~ r ~ OTHER APPARATUS: FI~]~K~ tfRUPS~I 1895 ALDRICH I2%NE LAUREL, ~Tf~ 11948 AMOUNT ' / THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NO? A CERTIRCATE OF COMFUANCE. THIS BILL PAYABLE AK I~HE NL~V YORK OFFICE. RS JOH~N STREET, NEW YORK, N. Y. 10038 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~] ~J~ATION [ ] FRAMING [/_./]~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 7 / INSPECTOR~/.~ FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & :PLUMBING (2ndl INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'l SU~Y FOR FRANK KRUPSKI L~ N~_~_" MAP_O[RICHARD d.~ON" AT LAUREL ~WN ~ SOUTHOLD SUFFOLK COUNTY, NEW ~RK NO CERTIFIED TO: $OUTHOL f'= I Od r CO, RIVERHEAD, NEW YORK NOTE~ /%= STAKE TOWN HALL ; TOWN G. DEPT. ~ SOUTtIOLD, N.Y. 11971 L,, OE$Ob'THOLD j , TEL.: 765-1802 Disapproved a/c ' APPLICATION FOR BUILDING PERMIT BOAgD OF HEALTII ....... 3 SETS OF BLA:ZS SURVEY c,i:c ';;Afl ............. SEPTIC CALL INSTRUCTIONS a.' 'This apjlication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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-ee' or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appi cation. , ¢. ' The work covered by this application may ngt 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 perm s~{all 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 Occupanc shall have been granted l?y the Building Inspector. . .. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of South01d, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of.buildings, additions or alterations, or for removal or demolition, as herein describhd The applicant agrees to compty with all applicable laws, ordinances, building code, housing co e, and re*ulations and admit author/zed inspectors on premises and in building for necessarT.~spections. ~ ~ ~ , t( · . . (Signature of ap?licank,_~r(n~me, if ~ corporation) . (Mailing address o f applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. fp ' Name ofownero remises ' (as on the tax roll or latest deed) 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. ~/ Other Trade's License No. '.t/ Location of land on which proposed work will be done ......... .... : Ilouse Number Street Hamlet County Tax Map No. 1000Section ....... ' ........... Block .......... ' ' .. Lot...: ............... Subdivision Filed Map No. (Name) .............. Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy .~. _ .k.~..~ ,ga: ,'~. ~ ..... :~ b. Inten d use and occupancy r..D~ ' ' '3. ofwotk(c eckwhz . i . · ............ l'~emoval .............. Demolition ' ' Addition .......... &IteraTion' 'i'~ ~'. .... · , .... ; ........ Other 5bCW3.1 ' - ' '" '. (Descmption) 4Es"ma,edCost .X, COQ 4'.- ' .' ' ' ....... Fee I . ' .............":~'"~:~';"~"':':ir 5i'?:'' .... 5 If dwelling number of dwelling units (to be paid ont~i,.~.i(~'~,plio=tion) · ' Numb ' . Ifgarage numberofcars i .............. crofdwelhngumtsoneach floor 6 ' If busine'ss .......................................... ' .... · , commercial or mix6d oecnpancy specify nature and ......................... 7 Dimensions of existing stmctn~es ' extent of each type of use · it'any Front ' ' .................. Height .................. Rear Depth ..... ~ · · Nt tuber of Stories ............... Dimensions of shine structure. ~,ith alterations or ............... ? ................................ Depth ' I Height additions: Front ................. Rear ................. 8 Ditnensions of entire .................... ;.. Number of Stories ...... · new coast!ruction: Front Height Number ............... Rear ............... Depth ........... ............... of Stories 9 Size of lot: Front I ' ' ' · ' Rear ........... ~ ............................... 10 Date of Purchase ......... ' ..... ' ............. Depth l I Z .................... ' ........ Name of Former Owner di i . · · one or use strict in which prgmmes are situated .......... ' ........................... 12 .. ' · Does proposed construction vie ate any zoning law, or hence or regulation: ..... I ~ Will I t b · o e regraded ...... .. , ..... · ........................ · Will O ' 14 Nam of O fp ~ ............. excess fill be rem red from premises: Yes Nc Nam of A .................. Address e rehiteet ..... i '. ................... Phone No .......... ;. Nam f C ..... ' Ph '' 'i ............. Address ......... '' '' .......... one No ............... · ' ty ithi ~00 ' Add · e o on:rector ......... ; ................. ress .. · ...... Phone No .............. lfi Is this proper w n feet of a tidal wetland'~'''~¢yes ........ No ......... '' · If yes, Sou:hold Town Trustees Permit may be required. .... , PLOT DIAGRAM Locate clearly and distinctly all ibuildings, ~'heth'er existing or proposed, and. indicate all set-back dimensions i'rom property lines. Give street and block mmber or description according to deed, and show street names and indicate whei.~her interior or corner lot. FEE 76~-1802 9 AM TO 4 PM THE FOr INSPECTIONs: 1. TWO REQUIRED POURED CONCRETE 2, ~OUGH - FRAMING & PLUM~ING 4., NAL '- ' CONSTRUCTION ~ COMPLETE FOR C.O, CONSTRUCTION SHALL THE ~EQUIREMENTS OF THE N.~ CONSTRUCTION & ENERGY NOT RESPONSIBLE FOR ~ES ~ OR CONSTRUCTION ERRORS ;'rATE OF' ' ' "'~' ~('b~~'~'. '~, ' ' '~, ' ' .-~(' '~e~'<~ ..... being duJy sworn, deposes =d says that he is the applicant [ ' ne o[m~iviaua~ signing; contract) mve named. ' ' i . on tractor, agent, corporate officer, etc.) " said owner or owners, and is duly apthonzed to perform or bare performed the sakt work and to make and file tiffs plies:ion; that all statements containdd >rk will be perfo~ed in the manner se Torth in the application filed therewith. .'o~ to before me this .................. ~~.~ .... x"~... Co.nt~