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. ($25.00)
Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on File.
(All permits involving plumbing being
issued after April 1, 1984.)
BUILDING PERMIT # BP# 21809Z
Please contact our office on this matter.
your cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Print Key Output Page 1
5738SS1 V2R2M0 920925 SOUTHOLD 11/17/93 10:48:30
Display Device : WY
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PL010-41 WY
*UPDATE*
TOWN OF SOUTHOLD
PARCEL MASTER FILE MAINTENANCE
Address: ALDRICH LANE , ~1745
APN: 1000 125 2 1.19
11/17/93
10.47.52
Transaction Type: PMT Exception:
Elf Date: 2/10/86 Exp Date: 99/99/99
Description: BP ~14538-Z-DWELL & GAR.COZ-22687
1
2
3
4
5
6
7
8
9
10
Parcel ID: 12266
Selection:
BP ~14538Z-ONE FAMILY DWELLING WITH ATTACHED
GARAGE & WOOD DECK - UPDATED CO Z-22687 ISSUED
ON 10/29/93
Cmdi-Prev Screen
Cmd4-Delete Ail Text Cmd7-End Job Cmdl0-Add Text
,09'~'~9° ~
30V8¥0 ~ ~SnOH
u~
SURVEY OF
LOT 6
MAP OF
LAND OF RICHARD J. CRON
FILE No. 7975 FILED SEPTEblBER 50, 1985
SITUATED AT
LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-125-02-!.19
SCALE 1"=40'
OCTOBER 19, 199,3
AREA = 102,590.90 sq. fl,
2.555 ac.
Joseph
Land AS; Ingegno
r'veYo r
T/tie Surveys -- SubfliviMone -- Site Plane ~ Conetru~ion Loyout
PHONE (516)727-2090 Fax (516)722-5095
OFFICES LOCATED AT IvIAIUNG AOpRE~$
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.