The URL can be used to link to this page

Home My WebLink About20296-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21140 Date NOVEMBER 9, 1992 THIS CERTIFIES that the buildin~ ADDITION Location of Property 4355 ALDRICH LANE EXT. MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 112 Block i Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7~ 1991 pursuant to which Building Permit No. 20296-Z dated NOVEMBER 25, 1991 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 UNHEATED ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to PHILIPPE L. MAITREJEAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-254899 - OCTOBER 27~ 1992 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 {lding Inspector TOWN OF $OUTHOLD B~ILDING D~P~aT~£NT TO~N H~LL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) .... /././~.....5..~./... .................. ,,, ....... NO 20296 Z ~ote .//,~'.~ ... Permission is he.by, granted to:~ ~~.~~....~...~~....~~ ~ // ~ ~ - __ ~...~.~...~ ..................................... .... ~~~......w.~,..~.z. ....... ~~.¢.....~ ....... ~..~..~~..,~...~~~ ~~Z / ~ ~~ ' ~/ ......................................... ~~~... .~ ..................... ~ ....................................................... ..... /~ ............. m~ ......... ~ ......... ~o~ ~o .... ,~ Coun~ Tax Map No. 1000 Section ~ .................. pu~uant to application Building Inspector. Rev. 6/30/80 Form No. 6 TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 /kPPLICATION 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 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 i% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land qses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic feat~s. 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~'lew Construction ....... Old Or Pre-existing Building ................. Location of Froperty . . .~.~.~ ........ 3nwer or Owners of Froperty. . : .............. %ounty Tax Map No 1000, Section ..... d~ ..... Block ....... ~ ....... Lot..f~ ................. {ubdivision ' ' .. Filed Map Lot 'ermit No ~.~ Date Of Permit [~7R~T.~.~..Applicant ./ lealth Dept. Approval ..... .~.~ ..................................... Underwriters Approval 'lanning Board Approval .... ./~/~ ............... :eques~ for: Temporary Certificate ..... Final Certicate. Submitted; $.. ' ,tc095/o-o ' · ....... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~'~ 1 E~UREAU OF ELECTRICITy ~--- 85 JOHN STREET, NEW YORK, NEW 'YORK 10038 Date OC ?0~] J~ ~7 ~,[~ ~pplicetionNo. on~ile 7~734792/92 ~ THIS CERTIFIES THAT only the electrical equipment ~ ~zcribed belom and int~uc~ by t~ applicant ~med on the a~ve application number in the premises of in the foltowing locatlon; ~ Basement ~ Ist FI, ~ 2nd FL OUT Section Bilk Lot was examined on 0~ ~0~ 23~1992 andfoundtobelncompllancewlththerequlrementsofthizBoard. SE.V,C~O,SCO...¢T %%~0.~L' S E ' R 'V ' , OTHER APPARATUS: PA}IIiLBOARDS~ 1'-"16 ClR~ TRACK LI~ItTIRG:-.8 UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET c , A.W G, NO, OF NEUTRAL$ OF HI,LEG EXHAUST FANS DIMMERS OF NEUTRAl. 518 L~.#3823 ~ GENERAL MANAGER Per This certifkote must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT FOUNDATION ( ls t) FOUNDATIO:; 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FI;IAL ADDITIO~;A'L COMMENTS: 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, Supe~visoy 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 November 8, 1991 Mr. Frank Polistena c/o American Exteriors P.O. Box 667 Mattituck, N.Y. 11952 Re: Phillipe Maitrejean Premises: 4355 Aldrich Ext. (Pvt. Suffo Co. Tax Map %1000-112-1-13 Rd. %11) Mattituck Dear Mr. Polistena: In order to process your building permit we will need a waiver or permit from the New York State Department of Environmental Conservation. Distance is not shown from edge of bluff on survey. Southold Town Code requires a minimum of 100 feet. Please call if you have questions. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher, Building Inspector TJF:gar 765-1802 BUILDING DEPT. INSPECTION SPECTION 765-1802 BUILDING DEPT. [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~_~ ~,]~'_~ INAL ,, ,. , FORMNO. 1 TOWN OF SOUTHOLD , I~0V '- '~ 1~gt BUILDING DEPARTMENT , ~ TOWN HALL SOUTHOLD, N.Y. 11971 ', 7:,," ~,:.', ; TEL: 765-1802 Approved . . ~ , 19 ~Permit No .......... Disapproved a/c ..................................... BOARD OF HEALTIt 3 SETS Of' PLANS ......... SURVEY ................... CIIECK .................... SEPTIC PORH .............. CALL ·.....,::., - ./ · (13uilding Ir~ctor) APPLICATION FOR BUILDING PERMIT D'at¢ .., 19 INSTRUCTIONS a., Tlds application must be co'mpletely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 · et~; 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 niareas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- c. The svork covered by this application may not be c~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ball 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 hall 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 luilding Zone Ordinance of the Town of Sou!hold, Suffolk County, New York, and other applicable Laws, Ordinances or (egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 7he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :dmit author/zed inspectors on premises and in building for necessary inspecti~__/ /~~ _. . .... ................. (Sic, r/aSSure of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, O ~.. --/--~-. --~-- P .... Y' ...... '7'/' ~' ..... ~ ......... .",-' ........ ..4~ --' ....................... p' r (as on the twfi roll or latest [1' applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) License No ..... . .~,. i Fff. fl..~. ......... Builder's P u ~ber's License No ........ : ................ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work w/Il be done ............................ " · .d.z ' :.,'.e// ........ ............... 71.. , ........... .77. I louse Number Street Hamle, t Connly Tax blap No. 1000 Section ........ ~ .~.~. ....... Block ...... SubdMsion ..................................... Filed/',{ap No. (Name) .............. Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex/sting use and occupancy ~~~>.. ,~ "'0 ~<~ Z" b.,Intended use and occupancy ....... .,, ~,, ,~ .... , ,,,,~,., ,.'.,,i ' '' 3. Nature of work (check/whichiapplicable): New Building ..... Addition .......... Alteration ...... Repair .............. Removal .............. Demolition .............. Other Work ...... 4. Estimated Cost . "~. 2 .,~..g~...'~.. , (Description) 5. If dwelling, number of dwellin! (to be paid on filing this application) If garage, number of cars ... g units ............... Number of dwelling units on each floor .......... 6. If bus ness commerc al or mixed occt pancy, spec fy nature and ext'e ...... 7. Dimensions ' ~es if any Front .. nt of each type of use ..................... et existing stmcm ..................... Height ... , ............. Rear .............. Depth .......... ............ Number of Stories ..... . ..... Dimensiono of Same structure With alterations or additions: Front ........................ Depth ., 8. Dmlens~ons of entire new construction ~ , .......... Nt tuber of Stones .......... .. . Heig it -, ~ - ' ........... Rear no,~o, .... ~,. · ........... rqum Der oI Stones .... ' ............... ~'-, ................ 9. *~ze oflot: Front ,, ' .............. I0. Date of Purchase ................ Depth ............... 1 1. Zone or use district ' ' · ' ..... m wluch p~mmses are situatec~... ' Name of Former Owner ....... '. 12. Docs proposed construction violate any zoning law, ordinance or ro-,,~-*'~ ..................... 14. Name of Owner of premises' .~.~~,V~ll excess fill be removed from premises:' ~';s "' .ts this property within ~00 feet of ~ 't'id'a?UwOerets~ .~/~?O.]K~ ~- '7- . . Phone No. ~.~.~..~.~)~ "' i PLOT DIAGRAM Locate clearly and distinctly alii buildings, Whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or descriptioh according to deed, and show street nmmes and indicate whether interior or comer lot. 'rATE OF NF.~-YOR.~219 //~ ' 'ave named, amc o n v ua s n ngcontract) 765-1'802 9 AM TO 4 PM FOR THE FOLLOWING fNSPEcT~oNs: ~' FOUNDATioN TWO REQUIRED FOR ~OURED CONCRETE 2, ROUGH . FRAMING & PLUMBING ~' iNSULATIoN 4, FINAL. . CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET ThE REQUIREMENTS OF THE N.E ~ATE CONSTRUCTION & ENERGY CODES. ' NOT DESIGN OR CONsT SIBLE FOR RUCTION ERRORS being duly sworn, deposes and says that tie is the applicant (Contractor agent corporate officer ' ' , , etc.) said owner or OWners, and is duly atithorized to perform or have perforu~ed the said work ~nd to'make and file this plication; that all statements containe8 in this application are true to the best of his knowledge and belief; and that the ,rk will be performed in the manner set~ forth in the application filed therewith. .......... .... E_ O/ ~o~> GO~ 9' SURVE'Y FOR