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Home My WebLink About20187-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTI~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20469 Date JANUARY 10~ 1992 THIS CERTIFIES that the buildin~ Location of Property 1347 House No. County Tax Map No. 1000 Section ADDITION ALDRICH LANE I2tUREL~ NY Street Hamlet 125 Block 2 Lot 1~9 Subdivision Filed Map No~ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 27, 1991 pursuant to which Building Permit No. 20187-Z dated OCTOBER 4, 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 A DECK ADDITION TO AN EXISTING ONE-FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT DALY & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. M/A PLUMBERS CERTIFICATION DATED N/A / / Building Inspector Rev. 1/81 Eo rm No. TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN IIALL 765-i802 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 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. 6. Submit Planning Board Approval of completed site plan requirements· .i. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-existing land uses: l. 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· d. Fees I. 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.O0. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $i00.00 ]. 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, Commegcial $15.00 ,,/ Date .................................. ::ew Construction ........... Old Qr Pre-existing Building.. . Location of Property ..................... ./c~-~.. Hbuse No. ' .............. .:nwer or Owners of Property .... .~[ County Tn:< Map No I000, Section ..... ¢ . ..Bi ....... ..Lot ............ · ;ubd lvlsten ................................... Filed Man . ...... ~ ........ PI ant ................... ~ .... !!e41th Dept. Approval ..................... · Underwriters Approval · '!.riming Board Approval ........................ · .eqn~st for: Temporary Certificate ........... Final Certica ... ............. . ................. ,.. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek 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 JANUARY 8, 1992 HR. &. HRS. R/I~BERT DALY 1347 ALDRICH LANg LAURF, L , NY I 1948 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. 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20181-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. I~OK~ bO, 0 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) No- 20187 Z Permission is hereby granted t_o: ~/ ~ /~ ......... .... ........... at prem s~es located at ..... ./....~...:.~...Z...~.~..~ ~..~. ................................... /' ............. County Tax Map No. 1000 Section ....... /..~..~..-T.. Block ........ ~ ....... Lot No......./f.~.. ............. pursuant to application dated ..... ~...?... ............................... , 19.. .~.Z and approved by the Building Inspector. Fee $.....~ Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION FOUNDATION lST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/]~NAL REMARKS: DATE INSPECTO / / / 'OUNDATION (1st) OUNDATIO~ (2nd) OUGH FRAME & -PLUMBING NSULATION PER N. Y. STATE ENERGY CODE Fi:;AL ADDITIONA'L COMMENTS: OOl4AI. b L. l. Oe,,A'~ Ar: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ......... ~-~3 SETS OF PLANS .......... ~--~SU RV EY ................... CHECK .................... SEPTIC FORH .............. Approved ... ~.6'./~ ..... 19 ~,~'.~'. Permit No....'~.../.°~..7. ~2 Disapproved a/c ..................................... .................................. NOTI ~¥: CALL ................... HAIL TO: · ............ · Date ......... : ......... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the.Building Inspector, with 3 ;ets of plans, accurgte 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ,hail 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 B~lding Permit pursuant to the kill,ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other ~[~pticable Laws, Ordinances or ~.egulations, for the construction of buildings, additions or alterations, o.r~for~emoval or d~olition as herein described. [he applicant agrees to comply with all applicable laws, ordinances, building/doc}e, housin~ c~de, ajalTregutatinns, and to ~dmit auth°rized inspect°rs °n premises and in building f°r necessary lnspec~//4_.t.~_ ~ .~.....~....- .~. ~ - ' ' - (Signature of applicant, 6r name, if/a corporation) · .1.3.4.7..A.l.d.r.i.c.h..L.a...,..Bp.x..1.6.7,..L.a:.u.r.e.1,..N.Y...1.1.9.4.8. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber br builder. Name of owner of premises . . . :R. qb. qr.t..Ie....D.a.l.y. ........................................................ (as on the t~ roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plum bet s Lmense No ......................... Electrician's License No ....................... Other Trade s L'cense No ...................... Location of land on which proposed work will be done ......................... · 1347 Aldrich Lane Laurel~ .N.Y...1.i~.4.8. llouse Number Street Hamlet . × .¢. County Tax Map No. 1000 Section .... 1.2.5. ........... Block ...... 2... Lot ........... :...... Subdivision ..................................... Filed Map No ......... . ...... Lot ............... (Name) State ex/sting use and occupancy of premises and intended use and occupancy of proposed consl~ruction: Exi ti d pa Residence a. s ng use an occu ncy .................................... : ....*.,, -.. '~ ..................... b. Intended use and occupancy Residence .". , . ....... ~ . 3. Nature of work (check which a~plicable): New Bui/ding .......... Addition .......... Alteration .... Repair .............. RemOval .............. Demolition ......... Other Work . Deck 4 Estimated Cost $500 00. ' ?50 00 (Description) · ' ' ' Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units . .n./.a. .......... Number of dwelling units on each floor .............. Ifg · arage, number of cars ..... , .......................... · If b ........... 6. usiness, commercial or mixe, ' ............................ occupancy, specify nature and extent of each type of use .... n/a 7. D~mensions of existing structure~ if any: Front .... 6.8.' ~,~ 68' ' ' ' §b; ......... Height ....... 16 ...... Nun:bet of Stories 1 ..................... Depth ............. Dimensions of same structure wi'th alterations or additions: Front ~Depth .................... i" Height... · ................ Rear ................. ............. Number of Stories . 8. ~imensions of entire new construction: Front i9' ,- 19' .......... · .......... Height 2M' Num~ber of ' .. ........... J~ear .............. Depth . .iff: .... ............ Stones . ~ ....... . ..... 9. Size oflot: Front 92;~):~; ........... Rear .... .2.9.4 ............... Depth 2.9.4..... 10. Date of Purchase · ·. *w~v ......... ......... Name of Former Owner Fra'ncis ~1. Murp'l~5; ........ I I. Zone or use district in which premises are situated .......... ' ............................ 12. D°es pr°p°sed construction violate any zoning law, ordinance or regulation: ...~q ............................. 13. Will lot be regraded ...... No. i .................. Will excess fill be removed from premises: Y~ No 14. Name of Owner of premises .l~pl?~¥1:..L...p.a.ly Address 13.47 Aldrich La. Ph"--~,' 516-298-4727' Name of Architect .... S.ame. ,' ......... Address .L.a.u.r? .1.,..~¥.. 1. 1.9.4.8... Phone No ................ Name of Contractor .8.a.m.e i . · . ~ ............... Address ................... Phone No ......... . ....... 15. Is thzs property within 300 feet of a tidal wetland? *Yes No...X.... · If yes, Southold T wn Trustees Perrazt may be required. PLOT DIAGRAIvl Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n'umber or descriptio~ according to deed, and show street names and indicate whether interior or comer lot. AP~ROV£D AS P~OTE~ '/ 76,5-*~802 9 AM *l'O 4 PM FOR THE FOLLOWING INSPECTIONS: L FOUNDATION - ~0 REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRU~ION MUST BE COMPL~E FOR C.O. ALL CONS~U~ION SHALL ME~ THE REQUIREME~ OF THE N,~ STATE CONSTRU~ON & ENERGY CODES. N~ RES~NSlB~ FOR DESIGN OR CON~U~JON ERRORS ;TATE OF NEW YORK, .'O UNTY OF Suffplk S.S ..... ~b~. [., .P~$y ............ i ................ (Name of individual signingicontract) bore named. being duly sworn, deposes and says that he is the applicant is the .... 9~r~er ............... ;... , (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly ahthorized to perform or have performed the said work and ~6 make and file this :~plication; that all statements containe!d in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner sei forth in the application filed therewith. worn to before me this · ' ~'/'/'~' Y '--.:..~..~. ........... ,'19 ........ da of otary Public,.. ~..~.-:~....~..4c~'~7~-.r,o~'~\ ~- ///2/ · . .....;: '": Y"": n,y t/£.. -