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Home My WebLink About21501-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22483 Date JULY 29~ 1993 THIS CERTIFIES that the building Location of Property 2080 LAUREL AVENUE House No. County Tax Map No. 1000 Section 56 ADDITION SOUTHOLD, N.Y. Street Block. 1 Lot 2.23 Hamlet Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15~ 1993 pursuant to which Building Permit No. 21501-Z dated JUNE 28~ 1993 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 N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A FRANCIS & CAROLYN ANDERSON Rev. 1/81 FORM NO.$ IOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No_ BUILDING PERMIT (THISPERMIT MUST BE KEPT OKI THE PREMISES UNTIL FULL OOMPLETION O~ THE WOrK ^UTHORIzEDI Date ...~./~..~.. .......................................... 2~.501 Z Coun'iv Tax Map No. 1000 Section ...... ...0~.,~ ........... Block ........... ,~, ............ LotNo ......~,r...~....~. ...... pursuant to application dated .......~ff./d[~ ..................................... 19.. ,~.~,, ....... Building inspector. Cee S...2'.~.,,~... and approved by the ./ ~' Building Inspecf'(~¢ ...................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTt~LD BUILDING DEPARTMENT TOWN HALL ~65-1802 · 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 sewerags-~isposal(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. Submit Planning Board Approval of completed site plan requirements. '6. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 . 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 Building - $100.00 3/ Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 ~4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Reside{%tial $15.00, Commercial $15.00 / Date ~ ..... .~.'.~.~ .'.?~. Neff Construction............ Old Or Pre-existing Building ................. Location of Property .... k0. ~Q ..... ~. ~.~.~...4 ~. ~ ..... . .~..~.~.0~.....~ ..... /~.~ ~/ .... House No. Street ' ' Hamle~ Onwer or Owners of Property ............... f-.o..... 1 County Tax Map No 1000, Section ........ Block ............... Lot ......... Subdivision .................................... Filed Map ........... . Lot ...................... Permit No...~l.~.~l.~.Date Of Permit ........................ Applicant ..................... Health Dcpt Approval Underwriters Approval Planning Board Approval ..................... .. . Request for: Temporary Certificate ........... Final Certicate..../. ...... 'Fee Submitted: ~$ ......... ~-DO ,4 t,,3s7 ....... · ......... ~' (,J APPLICANT ' ' INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD filThY 20, 1993 FRAlqCIS & CAROLYN ANDERSON 2080LAURELAVENIIE SOUTHOLD, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. . x~x 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 ~ 21501-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. ?'i£LD FOUNDATION ( ls t) FOUNDATION 2. ROUGH FRAME & (2nd) .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ~iDATION 2ND [ ] ~NSULATION FRAMING [ ]/~FINAL DATE INS ECTOR~ % 191'~~iNO'' LIOtiTINg CO. ELECTI~(~ t t SUFFOLR CUUNIY DEPAItlhlU,I1 OF HLALhl 5'tlIVICES $1IRLE [~AMIL1 DWELLING I)NLT ... _ The sew6~,', d~.~pp4,~l m,d wirer supply hcilifles for this .. ._ . ~1~ .~.. ~'~, SURVEY FOR MOHRING ENTERPRISES, NC. LOT NO. ~9 ~ ' L. ON~ POND ESTATE $, SECTION' TWO AT ARSHAMOMAOUE 1OWN O~ 9OUTHOLO SUFFOLK COUNTY~ NEW YORK OCl 51, 1991 YOUNG e, YOUNG 400 O!~TRANOER AVE: RIVERfI[AD,, NEW FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1805~ Approved...~".~.' ...... 19~.3mermit No...?(.6.?(. '/ Disapproved a/c ..................................... BOARD OF HEALTH ......... /3 SETS OF PLANS ......... ~--SURVEY ................... /CIIECK .................... SEPTIC FORH .............. ~TAIL TO: (~ildin~/Inspector) APPLICATION FOR BUILDING PERMIT Date ................. I9~3. INSTRUCTIONS a. Tiffs apPlication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :lets 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 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 necess~pections.~'~-'Z-- ~ .~./.~"~~'~~ .~. ..... - - (Signature of applicant, or name, if a corporat!on) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · .. (as on the tax roll or latest deed) If applicant is a corpo.ralgon, signature of duly authorized officer· (Name. anti'title of co.orate officer) Builder sLicense-- No...~..~..~'~ ~ / [ ~3 ~ /~ PumbersLicenseNo...~ ............... EIectr cian's License No ~ ~ Other Trades' license No ~ ..... 1. Location of land on which vroposed work will be.done ..................................... ~...: ......... llouse Nulnl~r .......... 7' ............' · Street. Hamlet Co,,ntyTax lap o. IO00S ct,on .... ........ B,ock .../ ......... :... ........ Subdivision ........ . ...................... ' Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................... ~ .......... b. Intended use and occupancy ../~.' b(4 .~.Z/~..~. · ..' ....................................... , ....... .3. Nature of work (check which!applicable): New Building . ~ ........ Addition .... Repair .............. Re~noval .............. Demolition .... : .... i'(.., er Work ............. · escr on 4~ Estimated Cost. · ' ' Fee . .'... , / ,~ - (to be paid on filing this ap, plication'~ ' 5. !~fdwelling, nu,mber~ofdwelli~g~n/it~..~//..~. ....... Nurhber0fdwelling units on each floo~..' . · 1[ garage, numoer oI cars ~¥/~..r, .............. ' .............. ' ....... 6. ~.busln.ess, co.,mm, el.cml or m[,xec~ gccupancy, specify nature and extent of,each type office' . . ~/~ .'ii ...... 7. ,~menstons o~ existing structures if any' Front u ..... z/- '~ .......... i .................................. ,epm .............. Height ............... Number of Stories .~.¥,f/.O. .......... ' · Dimensions of shme structure with alterations or additions: Front .................. Rear .................. Depth i Height ' Numl~r of Stories Dimensions of entire new construction: Front ' Rear ............................... Depth ............... Height .............. Nu'mber of Stories ......... Size of lot Front ~ -,~ Rear i .............. ' ....~' ............... ' ............ .ate oz rurchase .///~Off~.. ....... . ......... Name of Former Owner ~J~/lff'o/ ')'.~ ' ~,'_,gr ' Zone or use district in'whic~ ~remises are situated ........ '~'~' ....... ~'~" .... ":~'~ ' '~' ' ' Does proposed construction violate any zoning law ordinar~c~ or r~'l~1~;''-'-' ~,,z/>~. · .......................... Will lot be re faded ~ . ' ......... ,, g ..... ,,, ....,:.:. .... ; ........ Will excess fill be remofzed from premises: Yes e ..... /~. ~._~ ................ Address ................... Phone No ............... p p y wlthin:3ou rear or a tidal wetland? *Yes ..... ~ ~ ...... . *If yes, SoutholdlTown Trustees Permit may be requirg~. - . ~o.~-.~. ..... ... ; PLOT DIAGILS~M Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and bock number or description according to deed, and show street names and indicate whether interior or corner lot. 9. 10. 11. 12. '13. 14. AP, I 0,VED AS NOTED / ~vv~m~ I~MPECTIONS: t ~OUNDAT~ON . IWO REQUIRED ~OR POURED CONCRETE 2. ROUGH . FRAMING & PLUMB;NG ' 3. IhSULATION 4. FINAL cONSTRu~ION MUST 8E COMPL~E FOR C.O. ALL CONSTRUCTION SHA~ THE REQUIREME~ OF ~NSIB~ FOR DESIGN OR ~NffiU~ON ~ROR$ No. 4879505 Qualified in Suffolk County Commission Exp rea Decemba~' STATE OF NEW YO~2K~ ,~. e e COUNTY OF ....... (N~T~O~ual s,gm~g contract) above named. He is the ' ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authored to perfom or have perfomed the said work and to m~e and file this application; that all statements contained ~ this'application are t'rue t~ the best of his knowledge and belief and that the work w~l be perfo~ed in the mannerlset forth in the application filed therewith. Sworn to before me~ : ' ~ota~ Public, State . ' ........ being duly sworn, depose~ and says that he is the applicant