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HomeMy WebLinkAbout21809-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Rall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-22952 Date APRIL 18, 1994 THIS CERTIFIES that the building Location of Property 1475 ALDRICH LANE Rouse No. County Tax Map No. 1000 Section 125 Subdivision ACCESSORY LAUREL, N.Y. Street Hamlet Block 2 Lot 1.19 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 1993 pursuant to which Building Permit No. 21809-Z dated DECEMBER 3, 1993 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ACCESSORY STABLE & FENCE AS APPLIED FOR The certificate is issued to (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM & SUSAN BAIRD N/A N/A N/A Rev. 1/81 FORM TO~I ~F $O~THOLD BUilDING DEPAETMENT ~O'~1 HALL SOUTHOID, N.Y. BUILDING PERMIT (THIS PERMIT MUS'i: BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21809 Z Permission Is hereby granted to: ~.~ I/Ib~ ~ ~. ~/ ~)~,.es ~ ' ......... ~.~ ......... ~.:....~r~ ............. , ...... ......... ~..~....,.~......~. ................... . .......... ~ ....... ~..~..~.~.~....~/~......zz~z ........ to ......... C.~~.~ ....... ~..,.~.~z~ ........ ~.~.~ ....... ~ .......... .,4~,~ ............ ~ ........ ~((%~ ......... ~.L,.,, .............. .....~ ........................................ pursuant to applloatl~n dated .............. i,. /,,/..(./.../.. ~ .......................... 19':'....~.....~. ..... Building Inspeotor. Fee S,,,,,,S..~:.,~i:.,.~4~ and approved by the Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 ~ith accurate location of all buildings, property lines, streets, and unusual natural or topographic~feathres. 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 Boar~ Approval of completed site plan requirements. 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. 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-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 - Residential $15.00, Commercial $15.00 Date ' New Construction ........... Old Or Pre-existing Building ................. Location of Property..]2~.~l~th L~ ~f~..~ House No. Street Hamlet Onwer or Owaera of ~ropert¥ ................................................................ ounty Tax ,ap No iOO0, Seetion. ..... Lot A!? ....... Subdivision .................................... Filed Map ............ Lot ...................... Permit No .Date Of Permit ....... Applicant .... ~ ,~ ~7~, Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~ ........ Fee Submitted: $..~. ~.~. ~.~ .................... 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 April 5, 1994 Mr. William T. Baird P.O. Box 1033 Quogue, NY 11959 ~ffiam Baird ]745 Aldrich Lan~ 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 not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. ($25.00) Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on File. (All permits involving plumbing being issued after April 1, 1984.) BUILDING PERMIT # BP# 21809Z Please contact our office on this matter. your cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Print Key Output Page 1 5738SS1 V2R2M0 920925 SOUTHOLD 11/17/93 10:48:30 Display Device : WY User : GEORGIAR PL010-41 WY *UPDATE* TOWN OF SOUTHOLD PARCEL MASTER FILE MAINTENANCE Address: ALDRICH LANE , ~1745 APN: 1000 125 2 1.19 11/17/93 10.47.52 Transaction Type: PMT Exception: Elf Date: 2/10/86 Exp Date: 99/99/99 Description: BP ~14538-Z-DWELL & GAR.COZ-22687 1 2 3 4 5 6 7 8 9 10 Parcel ID: 12266 Selection: BP ~14538Z-ONE FAMILY DWELLING WITH ATTACHED GARAGE & WOOD DECK - UPDATED CO Z-22687 ISSUED ON 10/29/93 Cmdi-Prev Screen Cmd4-Delete Ail Text Cmd7-End Job Cmdl0-Add Text ,09'~'~9° ~ 30V8¥0 ~ ~SnOH u~ SURVEY OF LOT 6 MAP OF LAND OF RICHARD J. CRON FILE No. 7975 FILED SEPTEblBER 50, 1985 SITUATED AT LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-125-02-!.19 SCALE 1"=40' OCTOBER 19, 199,3 AREA = 102,590.90 sq. fl, 2.555 ac. Joseph Land AS; Ingegno r'veYo r T/tie Surveys -- SubfliviMone -- Site Plane ~ Conetru~ion Loyout PHONE (516)727-2090 Fax (516)722-5095 OFFICES LOCATED AT IvIAIUNG AOpRE~$ One Union Square P.Q. Box 1g~1 Aquebogue, Now Yo~ 11g~1 Rive~ead, New Yo~ 11g01 93-a93 76S-1802 / BUILDING DEPT. INSPECTION I{_~FoUNDATION 1ST [ ] ROUGH PLBG. UNDATION 2ND [ ] INSULATION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & ,PLUMBING INSULATION PER N. STATE ENERGY CO'DE FINAL ADDITIO~[A'L COMMENTS NOV I T 1993 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... ZV.~ ...... , 19 .~.~. ~ ' ^pproved 'i" ..... ,.g. . Permit No. e Disapproved a/c ' APPLICATION FOR BUILDING PERMIT ltOARO OF HEALTH SURVEY .......... C,IECK ......... SEPTIC FORH NOTIPY~ · MAIL TO: Date NOVEMBER 17 19 9.3. 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 st?eets or ar~as, and giving a detailed description of layout of property muJt be drawn on the diagram which is part of this appli- cation. ¢. 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 i)sued 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 describbd. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, )md to admit authorized inspectors on premises and in building for necessarg inspections, v , / / ~ ~. x'2 / · .... --' ' . t ign ureo~appicanL rname, ffacorporation) ?.0. BOX 1033 . QUOGUE, NY 11959 (Mailing address of applicant) : ~State whether applicant is owner, lessee, 'agent, architect, engineer, genemi contractor, electrician, plumber or builder. OWNER Name of ~owner of premises . I~ILLSt~&I. T,. gAZgl). ~. $ .U$/~l..C... B..A.I.I~. ........................................ (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 ..... I.~. .J. ~ ?1..~...~. ........ Plumber's License No ......................... Electrician's License No ....................... Other T adc s Lmense No ..................... Location of land on which proposed work will be done .................................................. 1475 ALDRICH LANE 'LAUREL House Number Street Hamlet cotmty Tax Map No. 1000 Section ...: .i. Z5. .......... Block .. 2 ...... ' Lot.....1:~9 ............ Snbdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: ' a. Existing use and occupancy ~ ... b Intended use and occupancy ~..-~..-~t-~'~ ' .3. Repair .............. Removal . . ! ............ Demoli 4. Estimated Cost.. .O.o. ...................... 5. If dwelling, number of dwelling!units ............... Numt · Ifgarage, numberofcars .... iST~.~.q..~... ' 6. If business, commercial or mi~xed occupancy, specify nature and 7. Dimensions of existing structur~s, if any: Front ............. Nature of work (check which applicable): New Building ... Addition .......... Alteration ....... ~.. on .... : ........ Other Work..F~/.(qf. _ct~ ~ (Description) (to be paid on filing this application) er of dwelling units on each floor ' extent of,each type of use ..................... · Rear ...: ........... Depth .............. '. Height ............... Nun)bet of Stories ............. · Dimensions of shine structure with alterations or additions Fro i ........ i"'ii ..... ~:2-' .................. ...... ' ....... I' ' Height ..... :-; ' x' ' ' i, ..... ;.. Number of Stories .......... ' . . 8. ~,lmenslons olennre new construction. Front . ,~.o..' o I. ~.~- '~o ' ^ ~ ~- - ~'' ..a '- · to' · u,,i,-~-, I $' - 6 u ,, u ' ' ; ....... ,, ~'~,-,*~ · ,'. · ."..w ....... ~aeptn .~..~... p. ..... .... s-L ............... l~un~ber of Stories .... g ...... ~ ....... , ~ 9. Size of lot: Front ...... 17.5' . .: Rear 1-71(.23" ...... '' "mi~;~ ' ' i~k ,), ............ -~ 10. Date of Purchase .... !lxqs. xg. . ......... ......... Name of~ormer Owner .E.8.T.A%.E. PF. ~rC-g.~bg.E% M..ITp/RPEy .-4 1.Zone or use district in which premises are situated ..... g.~.s.:rPg~.~!b5 .. ~-80 ..... i ' ': ..... -~12, D~es pr~p~sed c~nstructi~n vi~ate any z~ning ~aw~ ~rdi.na~ce ~r ~egu~ati~.. . . . ~ ~ ~ . .N.~. . . . . . . . . . .I .......... 13. Will lot beregraded ~q · m.,, ~- - ' "' -~' .................. ......................... ~ h~ eXC~ ',SS Illl De removea Irom premises: Yes ~14. Name of Owner of premises .IqI.~L.I...~..a..8.tJ.S.4N' .3.4I.l~ddress?,; y., .BOX 10.33 .0.UOG.U.EPhone No .6>3r.6.0~[9 .... Name of Architect ~ . . --~- ' ................. ' · · ~.x .:..'_: · ·, · _ ............ auaress ......... Phone No .... Name of Contractor .t:.o~ e...~.j .'p~.t~o ~ aaa .... t41~o~ou~' gib/-'z' ',,~ .. "~ ;o';,'iA'~:: ' ' 15. Is thxs property w~th~n 300 feet of a tidal wetlan,[~ , .... ~T~{.rn°~ne-~~°'~Tt ....... .m. .... · If e ....... . y s, Southold T.~wn Trustees Permit may be required. ' '". I PLOT DIAGRAM . Locate clearly and distinctly all ~uildings, Whether existing or p~oposed, and, indicate all set-back dimensions ~rom property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. · ~ COUNTY OF r ...... ~ ........ S.S (Name of individual signing dontract) above named. He is the ' · [ (Contractor agent corporate of said owner or owners, and is duly auih, orized to'perform or have per apphcatmn; that all statements contmnedl · ' · ,m this'application are true to t work will be performed in the manner set l~orth in the application filed the: Sworn to before me this [' (Z.~ ' .day of · ...... being duly sworn, deposes and says that he is the applicant officer, etc.) 'ormed the said work and to make and file this ze best of his knowledge and belief and that the ewith. .......... '~' '.'i ..... x ...... County · ........ I..". .... ' ~v~ ~.w~o~ ' ~ ' (Signature ofapphc~t) · N~ Public~ State of New Yor~ NO. 46926~2. Suffolk Coun~ ~ . ~mi~lon ~pires Nov, 30. '1~ 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 April 5, 1994 Mr. William T. Baird P.O. Box 1033 Quogue, NY 11959 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 not on file. (Enclosed) No Underwriters Certificate on file. XXX The check is not on file. ($25.00) 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 ~ BP% 21809Z Please contact our office on this matter. your cooperation. is Thank you for SOUTHOLD TOWN BUILDING DEPT.