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Home My WebLink About19828-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N~Y. ~ERTIFICATE OF OCCUPANCY No Z-24787 Date DECEMBER 5, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1705 LAUP~LWOOD DRIVE House No. Street County Tax Map No. 1000 Section 127 Block 5 Subdivision Filed Map No. LAUREL, N.Y. Hamlet Lot 11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1991 pursuant to which Building Permit No. 19828-Z dated MAY 1, 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 ADDITION & ALTERATION TO EXISTING ONE F/%MILY DWELLING INCLUDING WOOD STOVE AS APPLIED FOR. The certificate is issued to JOHN & MARGARET A. ROSE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-051590 - AUGUST 26, 1996 OCT. 10, 1996-JOHN A. ROSE TO~N O~ $OUY~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 19828 Z Permission is hereby granted to.'_ ...~ .................... ,.~ ............. ~......~. ............ C~nty Tox Map No. 1000 Section .~..../...~,..~. ....... Bilk ....(~)..~-~ ......... Lot No .....I../. ................ oppllcotlon doted ............ ~ ............. ~ ............, 19..~..{..., and approved by the pursuant to ~ Building Inspector. Building Inspector 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 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 Compliance from architect or engineer responsible for the building~ 6. 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 uses: 1. Accurate survey of property showing all property liJes, 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. 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 - $i00.00' 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 f . .. New Construction ........... Old Or Pre-existing Building ................. Location of Property.../.~..~. ........ ~..~...~.~.~.~.~.~ .... ~..~.~ .............................. House No. Street Hamlet Onwer 0 of Pr perty .~. ~ .~..~. /~' . ./~../~..~. ~/~. ~. ~. ./?.~?. Court Tax No iO00, Section ............ .. Block .......... . Lot. ................. . ... Sub divis ion. ~ .~.~.~. ~.~.~ .... ~ .7-~J~.~ ........ Filed Map ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... · ' Fee Submit ted. $ ...... ~ .................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN STREET, NEW YORK, NY 10038 THIS CERTIFIES THAT o~y t~ el~trtcal ~uipment ~ ~scri~ ~e~ a~ /nt~uc~ by t~ applicaflt ~med off the a~e ~plication number iff t~e premises o~ JOHN & ~RG~J~E'I' HO,~,, 170- i~%URELWOOD , ...... ~, L~EL, N.Y. ;. the foHowing location; ~ Basement ~ Ist FI. ~ 2~d FI. O~ ~ti,m B~k ~s examined on AUOUS~ 20,1996 and found to be in compliance with the NaHon~ Electdcal Code. Lot FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS E R V I C NO, OF CC. COND. PER ,g NO OF HI-LEG ldO, OF NEUI[RAL$ OF NEUTRAL *NO VISUAL D~FECTS: "An elecbrical survey has been made o~ the exposed el.ectrlcal e~plipment it! the premises indicated," "No obvious unsatlsf~cto¥'¥ condition wa.~ £ound~ JOHN A ROSE P. O. ~OX 68 GENERAl. MANAGER Per 11 /' ~'~ This certificate 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 BE ALTERED IN ANY I6ANNER. 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 CERTI ~ ICATION DATE Building Permit No. Owner: ~O/Y~J .,'~. (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (~mbers Signature) Sworn to before me this .otary ublic, · Qqunty ~ BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARK~:~J~ DATE INSPECTOR FIELD ,}i;SI'ECTiON 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL Ye ADDITIONAL COMMENTS: INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION 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 Date: March 20, 1991 TO: MR. & MRS. JOHN A. ROSE BOX 68 LAUREL, NEW YORK 11948 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - CHAP. 100 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that A BREEZEWAY BETWEEN THE HOUSE AND GARAGE HAS BEEN ENCLOSED WITHOUT OBTAINING A BUILDING PERMIT. In violation of ARTICLE XXVIII, CHAP. 100-281 YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at:1705 LAURELWOOD DRIVE, LAUREL, COUNTY OF SUFFOLK, NEW YORK, SUFFOLK COUNTY TAX MAP ~1000-127-05-11 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. VINCENT R. WIECZOREK% ORDINANCE INSPECTOR FOR~! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ORDER TO REMEDY VIOLATION TO '~ 2 .... (~ (owner or authorized agent of owner) ...... ................. (address of owner or authorized agent of owner) PLEASE"TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances'or Regulations .......................................... at premises hereinafter described in that ~~:~~~:~I~`~:~ (state character of violatien) ~.~...~.(..b ....... ~.~..~.G.~,: ...... .t.~..~.~,.....t~.~:.~...~ ....... ~..~...c..~.~..%~.~.....~.k~L.o..~.Z:.....~.~.~r~, ~ ~ ~ ~G ........ ............................................................................... in violation of ..~...~...Z.`...~..:~.~.~.~`.~..!..~.~..~....~.~..~....~.~...~....?.L..~..?...~ ................................................... (State section or paragraph of applicable,law, o~dinance or regutatim.~) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and ta remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~ .......... k ....... .~.::...~.....L,..,~.,..~,¥...~, ........... ' ........ County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. ORDINANCE INSPECTOR Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUXHOLD, N. Y. 11971 765-1802 Dear Mr. Rose: Enclosed is your building pe~mlt. Please contact this office so that we may set a convenient time for an inspection. Thank you, Southold Town Building Dept. Georgia Rudder, Secretary ..... .... Disapproved a/c ..................................... ' . ( uilding Inspector) APPLIGATION FO~ BUILDING ~EBMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 INSTRUCTIONS §OARD OF It~'ALTll ......... 3 SETS OF PLANS .......... SURVEY ................... . ....... MAIL TO ' . ........... m, a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ,ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appll- :ation. c. The work 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 ~hall be kept on the premises available for inspection throughout the work. i ~' 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 }uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Or]inances or Z. egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ['he applicant agrees to comply with all applicable laws, ordinances, building code, housing co~le, and regulations, and to tdmit authorized inspectors on premises and in building for necessary inspections\_. ~ /Q ..........,.. ,___ -'~.T~...%% . ii .' .~. · · .~'~ .............. corporation) (?. ?./. . . A. . . .f. . . .z. ¢ (Mailing address of applicant) // or builder. ;tate whether applicant ,~,.~,,,,,.~/essee, agent, architect, engineer, g~,~_~lu~ contrac~electrician, plumber 4ame of owner of premises ...~,J.' .o./. ~.~/ .... ~ ..... .~...~..,~..~..,~..~f.'.r.....~..., ...... .,~..o..1..~_. .............. (as on the t.a~ ~oll or latest deed) f applicant is a corporation, signature of duly authorized officer. .' (~'/ame and title of corporate officer) Builder's License No .............. ?..' ......... Plumber's License blo ................. "0O~' U~'~[~C~ OR ' Electrician's License No ............... Omar Tt~a~'~ ri~.~ ~o ................ OF' OGCUPANC~ Location of land on which proposed work will be done ........ :~v.. ;'~.. ..... APPROVED AS NOTED NOTI~ 8U'LDING OEPARTMENT AT 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS; 1. ~OUNOATION ' ~0 REQUIRED FOR POUREO CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSO~T~ON 4, FINAL CONSTRUCTION MUST 8E COMPLETE FOR C,O ALL CONSTRUCTION SHALL MEET THE, .~QUIREMENT~. ~..THE · N~Y, · STAT~ ~q~T~TION .& EN~RGY House Number Street / o'~ '7 '- ~"~' // ]]E~4[~N OR CONSTRUCTION ERRORS County Tax ~ap No. ]000 Section .................. Block ................. Lot ......... Subdivision. . q ........... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy......... ........................ '"' b Intended use and ' · occupancy 3. Nature of work. (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ............. Remoyal .............. Demolition .............. Other Work ;~ ...... ,~ ....... 4. Estimated Cost '"~' .~ ....................... Fee .. ' (to be paid on filing this application) 5. If dwelling, number of dwelling dnits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, c°mmercial or mixedloceupancy, specify nature ahd extent of each type of use ..................... 7 Dimensions ' ' ' ' if any: Front Rear · ot emst~ng structures~ Depth ............... Height ............... Number of Stories .. Dimensions of same structure wtth alterations or additions: Front ................. Rear .............. Depth ..................... !. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front Rear .............................. Depth ............... Height ............... Number of Stories ........................................................ ~ 9. Size of lot: Front . '1 Z- i ..... ~ ....... Rear Depth ...................... '10. Date of Purchase ~ ~ ......... ' ................... ........ Name of Former Owner ........................... 11 Zo d' ' ' h' hp *i esit d · ne or use mtnct~nw ~c re sesar uate ..................................................... 12. Does proposed construction viola!e any zoning law, ordinance er regulation: 13. Will lot be regraded .......... I .................. Will excess fill be removed from premises: Yes No 14 Name of Owner of premises ~ Address · · · · 'i ...................... Phone No Name of Architect ............................ Address ................... Phone No ................ Name of Contractor .......... i ................ Address ................... Phone No ................ 15. Is this property within 3 0 feet of a tidal wetland? *Yes ........ No..~,. .... · If yes, Southold Tpwn Trustees Permit may be required. PLOT DIAGRAM Lo ate clearly and d~stlnctly all )uildings, whether existing or proposed, and. indicate all set-back dimensions from property Hnes. Give street and block number or descriptio~i according to deed, and show street names and indicate whether- interior or corner lot. STATE OF NE~Ke~ (Name of individual signing~ contract) tbove named. I (Contractor, agent, corporate officer, etc.) )f said owner or owners, ~d is duly ahthofized to perfom or have perfo~ed the said work and to m~e ~d file ~is tPp[ication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the yor~ will be perfomed in the m~ner s~t forth in the application filed therewith. ~Wom to before me this 765-1802 BUILDING DEPT. INSPECTION /-]~'FIREPLACE [ & CHIMNEY R~r.~ARKS: DAT, ~¢~ I NSPE~O~