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Home My WebLink About22357-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z--23534 Date ~A~CH 9, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 1205 ALDRICH LANE LAUREL NY House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 2 Lot 1.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 1994 pursuant to which Building Permit No. 22357-Z dated SEPTEMBER 26, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WALTER & SUSAN GANKO of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FOI~M NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N£ 22357 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CounlyTax Map No. 1000 seotion.....Z...~......~..'~..,,. Blook ............. .....~,, ........ LotNo ........ ..~.~...~,.,, ...... pursuant ,o application dated ..... ..~..~:.,,~-., ............................. 19.,...*~...~......, and approved bythe Bulldlnglnspector. ,/r~.../..,/,~, Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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: i. Accurate survey of property showing ail 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-existinK Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ..... ~. .... Old Or Pre-existing Building.. . House No. ~ ........ Stree~ .................. Hamlet Onwer or Owners of Property ............................................. . . ... . County Tax Map No 1000, Section ..... I.~'.~...Block ..... .~?.~. ....... Lot ...... /%f ........... Subdivision .................... Filed Map ............ Lot ..................... Permit N~ ~ Z q~ Annlicant Health Dept Approval Underwriters Approval ~ Planning Board Approval ..................... .. . Request for: Temporary Certificate ........... Final Certicate ........... Town Hall, 53095 Main Road P, O, Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Mr. & Mrs. Walter Ganko 1205 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) 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 # 22357-Z Please contact our office on this matter. cooperation. Thank you for $0UTHOLD TOWN BUILDING DEPT. FOUNDATION FOUNDATION (2nd) 2. ROUGH FRAME & :PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~NAL INSPECTOR Exam ined . Approved .. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN SOUT}IOLD, N.Y. ~11971 TEL.: 765-1802 SURVEY ................ CIIECK CALL . . HAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. ' This application 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 must be drawn on the diagram which is part of this app, cation· e. The work covered by this application may nt~t be commenced before issuance of BuUding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm shah be kept on the premises available for Lnspection 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 Departmefit for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buLldings, additions or alterations, or for removal or demolition, as herein describbc The applicant agrees to comply with all appScab!e laws, ordinances, buildbig code, housing cocte, and regulations, and admit authorized inspectors on premises and in building for necessary inspectign, s. /'D ,~ ~, . (Si,,nature of appt~nt, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generaJ 'contractor, electrician, plumber or builder. Name of owner o 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 ' PI tuber s Lmense No ................ Electrician's License No. Other Trade's License No ....................... · :...-..ii ....... llouse Number : Street Hamlet County Tax Map No. 1000Secfion :...: ........... Block . ~' : ' Lot.. Subdivision ..................................... Filed Map No. (Name) .............. Lot ............... Sta. tc ex~stmg use and occupancy of premises and u, j3~endcd use and occupancy of proposed construction: a. Existing use and occupancy ... ./ ~ ,./IV~/~ ~, ~% ,<~ b.,nte,ded useand o cupanc '/) - ' : .·, · '3. Nature of work (check which hPplicab ...... ' '~/ ~ -- · . .., .. : ~e). c~ew nu.umg ....... .\ddition...~}'h-~. · ,Mterat n Repmr ......... Remora .... r, . ~P4 .... ~'- 4. s,matedCost..../ ..l, gCm. · . (Oes:r ptioo> ff' ' ')~ ~' ....................... Fee ............. ... ~ (to be paid on filing this application) 5. Ifdwelling, numberofdwellin units .............. Numberofdwellingunitsonea~hfloor... If garage, number of cars ...! · If business, commercial or m~xed occupancy, specify nature and extent of.each type of use ............. 7. Dm~ensions of existing structures, if any: Front ............... Rear Depth ............ Height ..... , ......... No er of Stories ......... ' · . t/ '' Dimensions of shine structure ~ ith alterations or additions: Front ..... '~ ...................... Depth .... '... ' ................. Rear ....... ............ i... Height ........... . .......... DJ ~ .......... Num bar of Stories .... " 8. mansions of entire new cons ruction: Front ..... · ............ igl N ........... Rear .......... Depth .. He it ........ Umber of Stories ............. ' ........ 9 Si fl F ....... zeo et: rent ......... ~L ·; ....~ . ear ......... 10 fP ....... pth ! ................... De .......... 11' ~ateo ?chase ....... I ................ Name of Former Owner · one or u e district in which p~emises are situated .... ' ........................... 12 D ..... ' gl ]{ ..................................... ~... · oes proposed construction violate any zonln aw, ordina ce or re ul t on ' 13. Willl6t bereeraded . ! g a ' : ................. · ' Will exces fill b d fr ' ' ......... :' ' ' ' 14 Nam fO ~ fp ...................... ;.. s e remove om premises: Yes · eo wnero remises .., ........ ; , Nc Nam ofA hite , . ....... Address .. · · Phone No ...... e rc ct ......... 4 ................. Address ... ' ..... : · · · Name of Contractor ...... ! ................ Phone No ........ ty :BY0 ............... Address ................ Phone No .... 15 Is this proper within feet of a tidal land? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or pronose and. i ' property lines. Give street and block number or d~qo~4,* ....... : .Il, . ndmate all set back dimensions from interior or corner lot. ~ ....... v-~., according re Seen, and snow street names and indicate whether ' ..._' 'r_ ;TATE OF ;OUNTY OF (Name of individual signinl bone named. ~ I~.O ........ being duly sworn, deposes and says that he is the applicant contract) ' is the ' (Contractor agent ' orate officer ) ~ said owner or owners, and s dty alutl{or zed to )erform or have performed the sakt work and to make and file this ~plication; that all statements cents ned h~ this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner sdt forth in the applicatiou filed therewith. '.'om to before me th/st .] or .. Cdru' \ v'- \ I-Q~M [ SUR~Y FOR WALTE~ ~AN~O 8 ~USAN GANKO AUG ~WN OF SOUTHOLD SCALE= I" = /00' SUFFOLK COUNTY~ NEW YORK aD. 8~- NEW YORK STATE E~CATI~ LAW SUSAN GANKO SORVE~R'S INKED ~AL OR ~NIOIIED SEAL SHALe FI RST AMERICAN TITLE INSURANCE NOT BE CONSlDE~D TO ~ A VALIO T~UE COPY ~MP~ YQRK NGOARANTEES INDICTED HEREON ~ RUN ~LY ~ ~E KR~ ~R WH~ THE SU~EY IS PREPARED DEPARTMENT-OATA FOR APPROV~ TO C~STRUC T AND ~ mS K~LF ~ ~E ~TLE CWP~Y, GOV~N- CO.~ T~P ~l O SECTION I%~ ~CK O~ LOT~.8 H~E~, AND TO ~E ASSIGfl~S OF THE LENDIN~ ~LIC~T, P~PERTY LINES OR FOR THE ERECTION ~ FENCES YOUNG s I = MONUMEN~ ~UND ~ = ST~KK FOUND ALDEN W.~NG, PROF/~IONAL ENGINEER AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR L~T~ ~ W~L(W),~IC Ta~ls~)a CE~OLS(~) ~a ~E~ N.Y S. LICENSE NO. 4589~ FI(~ ~TI~S ~D Oe DATA OBTUSe F~ OTHEHS