HomeMy WebLinkAbout20819-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
(~ERTIFICATE OF OCCUPANCY
No Z-24370
Date MAY 21~ 1996
THIS CERTIFIES that the building
Location of Property 3275 ALDRICH LANE
House No.
County Tax Map No. 1000 Section 124
Subdivision
ACCESSORY
LAUREL NY
Street Hamlet
Block 1 Lot 5
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 7, 1992 pursuant to which
Building Permit No. 20819-Z dated JULY 13, 1992
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 ACCESSORY TENNIS COURT IN THE REAR YARD AS APPLIED FOR.
The certificate is issued to
THOMAS & MARY ELLEN TOMASZEWSKI
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
(owner's)
N/A
N/A
Rev. 1/81
- ~Ji~ding I;nspector
!~0ttM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°N? 2081 Z
County Tax Mop No. 1000 Section ..../...~....~.. ......... Block ....... ,~.]. ........ Lot No....(~..~;~."~... ........
Building Inspector·
Rev. 6130180
~orm No. 6
TO~ OF SOUTHOLD
BUILDING DEP~4ilT~A~
TOWN HALL
765-!802
FOR CERTIFICATE OF OCCD~ANCY
This appiicamion must be filled in by typewriter OR ink and submitted no the building
inspec:or with the following: for new building or new usa:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual nature! or topographic features.
2. Final Approval from Health Dept. of water supply and sawerage-disposai(S-9 form).
3. Approval of electrical insea!!ation from Board of Fire Unda~ritars.
Sworn statement ~rom plumber certifying ~hat the solder used in system connains
less than 2/10 of !% lead.
5, Commercial building, industrial building, multiple residences and similar buildings
and insta!laeions, a carc!ficata of Code Compliance from architecs or engmneer
responsible for the buiiding.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior =o April 9~ !957) non-conforming uses, or buildings and
"pre-existing" !and uses:
!. Accurate survey of property sho~ing a!! proper~y lines~ snreeus~ building and
unusual natural or topographic features.
A properly completed app!icauion and a consenn so inspect signed by the appiicann.
if a Certificate of Occupancy is denied, uhe Building inspector shall state the
reasons therefor in ~itlng no the applicant.
~. Fees
.', Ca ...... ama of Occuoancv. , - New ~we___n~' ~ ~ 525.00, Additions co dwelling 5~.00,
5_~.00,
A!~era~ions to dwe!izng 525.00, Swmmming pool 525.00, Accessory building
Additions to accessory building $25.00. Businesses
2.Certlfica~e of Occupancy on Pre-~xisuin~ Bui!dmnu - 5100.00
3.Copy of Certificate of Occupancy - .25¢
Updated Certificate of Occupancy - S50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial 515.00
~ew Construction ........... Old Or Pre-existing Building
oca:ion .... .................... ..............
House Nb. Street Ha~e~
~nwer or O~ers of Proper~y .............. · ..................................................
]ounty T~x Map No i000, Section .............. Block ................ Lot ......................
j ubdiviaion .................................... Filed Map ............ Lot ......................
No. 2OF/~-~ .Date Of ?ermi[. .Auollca .............................
te=~n Deo[. Aporov&! ADDrOVeL ..... i ...................
'ianning Board Approval ........................
,equesr zor: ~emporary Car ..... a~a ........... F~na± Cerricata .........
s ox- .............
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
May 3, 1996
Mr. Thomas Tomaszewski
3275 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 # 20819-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
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
May 3, 1996
Mr. Thomas Tomaszewski
3275 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 # 20819-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Mr. Thomas Tomaszewski
3275 Aldrich Lane
Laurel, NY 11948
Re: Building Permit %20819-Z & 22079-Z tennis
Premises: 3275 Aldrich Lane, Laurel
Suff. Co. Tax Map %1000-124-1-5
ct & agr bld
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ]FRAMING [c~NAL
[ ] FIREPLACE & CHIMNEY
DATE
.~/~/~/J~ ,~, INSPECTOR .~/~/~,~
/
:OUNDATIO~'! 2nd )
~OUGH FRAME &
-PLUMBING
~SULATION PER N. Y.
STATE ENERGY
CODE
FI;IAL
ADDITIONAL COM_MENTS:
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y, 11971
TEL,: 765-1803
INSTRUCTIONS
BOARD OF HEALTH
3 SETS
CALL --
MAIL TO:
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 streets
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, build~a~g code, housing code, and regulations, and to
admit authorized inspectom on premises and in building for necessa,ry in~gJla~ffons. ~ -
-- (Signature of applicant, or nba:he, if a corporation)
·
(Mailing address of applicant)
State whether applicant ' o~essee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . .. ?. ............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly auth~orized officer.'
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be' done ..................................................
. . .?.< ............ ............... ?. . . . ........................
House Number Street Hamlet
County Tax Map No. 1000 Section ..... /.d.~t. ........ Block ..... .~. ........... Lot .... .~. .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... t ...: ..... '..
b. Intended use and occupancy ~/ '--/- .~..~
3. Nature of work (check which applicable): New Bu/Iding .......... Addition .......... Alteration . .~........
Repair .............. Remoyal .............. Demolition .............. Other Work.
i ' ' __~_ (Description)
4. Estimated Cost . F'2--~O'~ Fee .~/~,"~.. ~ ......
I (to be paid on filing this application)
5. If dwelling, number of dwelling Units ............... Number of dwelling units on each floor ................
6 ' If business . ' ."r ............................................................
If garage number of cars ....... . .
,commercialorm~xed!occupancy, specify nature and extent of each type of use ... .................
7. Dimensions of existing structures if any: Front ............... Rear .............. Depth
Height ............... Number of Stories ........................................................
D enmons of same structure w~!h alterations or additions: Front ................. Rear ...............
Depth .................... i' Height ...................... Number of Stories ..........
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Num~ber of Stories ......................................... :~. .........
9. Size of lot: Front /~.~. Rear /o/g'~ ' m,,,~h .~
10. Date of Purchase ........... /~ ~'.7..f'..... .........Name of Former Owner ...................
11. Zone or use district in which premises are situated ...... ' ........
12. Doesproposedconstructiogvlolate.anvzoninghlaw, ordinance or regulation: ../~f0 ...............
13. Wffi' lot be regraded ... ~.6..~ .... (.~..~. ....... Will excess fill be removed from premises. ' 'y, ....
14. Name of Owner of premises .. ,5'.4~ Arlclr~ Ph~,,,,~ ~
Name of Architect ....... i ..... Address ................... Phone No ..............
Name of Contractor '. ·. . Address .. . ~' " . ........
.......... . .......................... ~t:aone ~o .....
15. Is this property within 300 feet of a tidal wetland* *Yes ..... f~ ~
· If yes, Southold TCwn Trustees Permit may be'requirld. ' ~ ......
· . I PLOT DIAGRAM
Locate clearly and distinctly all buildings whether ex~o~ ........... ~ o,,a ~;~o~ ..........
p operty lines. G~ve street and block number or description according to deed, and show street names and indite ~ whether
interior or corner lot. i ·
STATE OF NEW~ORK~ ,~ ' ~ ~!;S
....... r. ~,.~ .r~44 ..... ;... ~?~'1(4.~.~.~..~..I.'- ........... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ......... ~..
i (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly iauthorized to perform or have performed the said work and to make an file this
application; that all statements contaified in this application are true to the best of his knowledge and belief; ant that the
work will be performed in the manner ~et forth in the application filed therewith.
Sworn to before me this
......... .....
· tary Public, ~/_.ff.,./~ft,4t, V~y. 2~. ' nty
~JOtew Pu.b, lio, State of New York i ' . .............
~o. 4951304 '
_ OnslIfle~ In Suffo~ Coanl¥ ~ '~l~,gnamreor applicant)
--~-..~
~mlr~mission Explres May 22, 19
,,%
765-~8D2 .,9 ~J,/~ fO < PN~ FOR THE
-~'.*~OUNDATION ~ TWO REQUI~ED
FOR ¢OURE[} CO~CRET~
3, INSULATIO~,~ ' ·
4. F~NAL CONSTRL CT~ON
DE COMPLETE FOR
ALL CONSTRUCTION SHALL
~HE REQUiREMENtS OF THE
STATE CONSTRtJ~ION & ENERGY
CODES. N~ RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS