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Home My WebLink About20055-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20233 Date SEPTEMBER 20, 1991 THIS CERTIFIES that the buildin~ Location of Property 1347 ALDRICH LANE House No. County Tax Map No. 1000 Section 125 Subdivision ACCESSORY LAUREL~ N.Y. Street Block 2 Lot Filed Map No. Lot No. H~let 1.9 conforms substantially to the Application for Building Permit heretofore filed in this office da%ed JULY 25~ 1991 pursuant to which Building Permit No. 20055-Z dated JULY 31~ 1991 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to ROBERT L. DALY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A /// Building In~spector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N. Y. BUILDING PEI~kXIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 20055 Z Dote ...~../.. .................................... , ~9.~../. Permission is hereby granted to: ~ ~7 ....... .... ,..~ .., .7.~ .. ',.,~,....,~ ................................... ........ ........................................................................................................... ~ pr.mists I~ m ..... .d......~.~....~~~ ............................................................. .............................................. ~~ .................................................................... .. .... .. ... .. ...-.. County Tax Map No. 1000 Section ....... ./....~.....~...... Block ...... ~ ........... Lot No ...... ./.~...~... ......... pursuant to application doted ............ .~./..~.... ........................... , 197./...., ond opproved by the Building Inspector. Fee $....~..~ Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20233 Date SEPTEMBER 20, 1991 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1347 ALDRICH LANE LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 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 JULY 25, 1991 pursuant to which Building Permit No. 20055-Z dated JULY 31{ 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 ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to ROBERT L. DALY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A //Building Inspector Rev. 1/81 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 APPLICATION FOR CERTIFICATE OFZOCCUPANCY \- This application must be filled in by typewriter OR ~nk 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~pliance from archiuect or engineer responsible for the building. 6. Submi~ 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 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 c'onsent 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. ~- Fees 1. Certificate of Occupancy - New dwelling $25.00~2Additions to dwelling $25.00, Alterations to dwelling $25,00, Swimming pool 5 5.00, 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 ....... ew Construction... .. n~, n, ~ . . ' .......... · ...................... · · ...... ~a~u~ rre-ex~stlng Buildin~ ...... oration of Property..~,.F'~...~.~C~,.,~fC/,/~._,/z~ ~ '~' ........ ~,~_ Ha~mlet .... · Street 'unty Tax Map No I000 Section... /~ ~, . ~---- ~ ~ ...... · ., ........ ...... /.2 ..... bdivision ........ ' ' ' ' .... ............................ Filed Ha~ ..... - . rmit No ...... .......... Date Of Permft ................. Applicant ......... . .. . al~h Dept Approval ' ....................... Under~riters Approval mning Board Approval ~ :uest for: Temporary Certificate ........... Fi~ticate ~ ...... Submitted: $ ............. / / ~ /h " ' / .................. FOU~DATION ( ls t } FOUNDATION 2. ROUGH FRAME & .PLUMBING IIISULATION PER N. STATE ENERGY CODE FINAL ADDIT%ONA'L COMMENTS: TOWN OF $0UTIt0LD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN flALL $OUTItOLp, N.Y. 11971 SEPTEMBER 16, 1991 TEL. ,765-1802 ROBERT DALY BOX 167 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. /~No Underwriters Certificate on file. The check is(~x~~gXt on file.) No IIealth Dept. Approval on file. No final inspection has been made. Please contact our office on this matter.. Thank you for your cooperation. Building Permit }} _,Z 0 __~0' 5 5 Z Building Dept. ***/5/ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) INSPECTORS Victor Lessard Principal Building Inspector Curtis Herren Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant F/re Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supev~iso~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New'¥grk 11971 Fax ( 516) 76~823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD AUGUST 1, 1991 Robert Daly BOX 167 Laurel, N.Y. 11948 Dear Mr. Daly: As you will notice when you were sent the Building Permit 920055Z I used the check in the amount of $25.00. You gave us two checks 1) FOR $50 check 9122 and 2) For $25 I am returning your check 9122 in the amount of $50.00 please send us a new one in the amount of $25. Each thing is $25 the Permit and the C.O. Yours truly, Helen K. De Voe Secretary 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST []FOUNDATION ZND []FRAMING ROUGH PLBG. INFLATION [,~NAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ~,[ ] 'FOUNDATION 15T [ ]' ROUGH PLBG. [,-] FOUNDATION 2ND [ ] I~,LATIoN [ ] FRAMING [~/j FINAL , ,DATE INSPECTOR Examined ~/~. ........... 19.~d FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.; 765~1802 ..... BLDG. DEPT. ......................................... TOV~IN OF fO~ . ~Jguild i t~C/In s P e c t o r ) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTII ......... 3 SETS OF PL.\NS .......... SURVEY ................... CIIECK .................... SEPTIC PORN .............. IIOTI PY; CALL ................... HAlL TO: Date ....... //.: .......... 19... INSTRUCTIONS " a. Tiffs 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 cbmmeneed 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. ¢. No building shall be occupied or used ir~ whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector, APPLICATION ISHEREBY MADE to-~the Bui, lding'Department for the issuance of a Building Permit pursuant to the Building Zone Ord:nance of the Town of S6u~holc/, Suffolk County, New Yo~kw~a~other apl~cable Laws, Ordinances or Regulations, for the construction of buildings, additioh~ or alterations, or ~'or remova~ or derogation as herein described. The applicant agrees to comply with all apPlicable ia~s', ordinances, building code~o/using cgtjfl[, antY ~gulations, and to admit authorizedinspectorsonpremisesandinbuildingfornecessaryinspections. ~ .~..?..~..~.. / -- ~ (Signature of applicant, or nm*fie, if corporation) ?. ........ (Mailino address qf applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .............. (as on th6 tax roll or latest deed) If applicant is a corporation, ~ignature o£ duly authorized officer. (Name and title of corporate officer) Builder's License No Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ......................... ; ...................... .Duse .... ......... . . Number Street Hamlet Subdivision ........................... Filed Map No ............... Lot ............... (Name) 2. State existing ~:,,: ,~nd occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy . . ¢, c. ~ ~L~. . -.~, , :*~ .... ;, ,'~ ,,- 3. Nature of work (check whwh applicable): New Building .. . ·. Addition .......... Alteration .......... Repmr .............. RemOval ............ Demolition ... Other Work ............... 4. Estimated Cost . . . ~ ~O.~.. ~ (Description) ......... i ....................... Fee ............. (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits . ./~.,~. :i ...... Number of dwelling units on each floor ................ , uccupancy, specny natm-e ~ana.~ .xt, ent of each type of use ..~:..,?~.-. ............... 7. Dimensions of existing structureg, if any: Front. ~//¢~7;.... ...... ;. ~'ear ....... , ....... Depth ............... ~Dime. nsions of same structure with alterations or'a~itionsT~'ont, ....... Rear ...... 8. Dimension~-''~ ~' ~ . - ..... :..>, ...... Number of Stones .......... ~or~,eer/mrenewconstruct~on. Front . A~' . ;' Rear /"~/ '- -- /'-;'/ ......... ............ ~um,er o.~ ~tones. z . . 11. u~ u~e msmct ~n winch premises are situated.../5:..': .~. ~.... w - ?- ...... 12. Does proposed Construction vio.,lCte any zoning law, ordinance or regulation. _Xf'f~ .......... 14. r'f "" 2" ,"qX,.' ...... Will excess fi.l~ be remove~t' from premises:)CJ///~'es No ............................ ~.uuress ................... Phone No ................ Name of Contractor ........ .~.'.~. ?.~'~. ........... Address ..... ~ ............. Phone~No ........... 15. Is this property within 300 feet of a tidal wetland? Yes ........ No.,;.~. ..... ' .... · If yes, Southold T~wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or pro osed and. indic - · · property Hnes Give street and blo-t-,,,,mb .... .~-'-,:-:- .. . .P . , . . ate all set back dwaensions fr. om ~ntenor or ~ ~ t'4 t: ,' --, ,~-,~, ~- ,- ,~o,-~p~on accoramg m aeea, ana snow street names and indicate whether ;r^TE oF N W¥ORr, (Name of individual signinglcontract) being duly sworn, deposes and says that he is the applicant bore named. , Ie is the .......... ~ ontractor, agent, corporate o cer, etc. s, aid owner or owners and is duly aOthorized to perform or have performed the said work and to make and file this Pdcation; that .all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed n the manner set forth in the application filed therewith. i ' Worn to before me th~/~ .I . ..... . . Otary Public,..(..¢:..t57,~.... ~ ' ,-, . · N~ Publl~, StYe of New Yo~ No. 4879~05 . Qu,llfled In Su.ff~lk Coun~ ~/2 ~ ' ............ · INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wleczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 AUGUST 1, 1991 Robert Daly BOX 167 Laurel, N.Y. 11948 Dear Mr. Daly: As you will notice when you were sent the Building Permit %20055Z I used the check in the amount of $25.00. You gave us two checks 1) FOR $50 check %122 and 2) For $25 I am returning your check %122 in the amount of $50.00 please send us a new one in the amount of $25. Each thing is $25 the Permit and the C.O. Yours truly, Helen K. De Voe Secretary ROBERT L, DALY CAROL A. DALY C~'capital Suilde~Account 1 2 2 1347 ALDRICH LANE, BOX 167 LAUREL, NY 11948 '~:OkhOOOSOkl: OkO]OOk]SEOB,' O~EE - / /