HomeMy WebLinkAbout19104-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19254 Date JULY 31, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 2000 ALDRICH LANE. LAUREL, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 125 Block 1 Lot 2.19
Subdivision LAUREL ESTATES Filed Map No. 7870 Lot No. 10
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 30, 1990 pursuant to which
Building Permit No. 19104-Z dated JUNE 7, 1990
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to THOMAS & THERESA KOBER
{owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
B ldinq Inspector
Rev. 1f 81
FOH~M NO. 3 III
TDN/N OF S®UTHOLD
RIfILDING DEEARTMENT
TOWN HAL6
SOUTHOLD, N. Y
y x
Bt01LDING PERMIT
RHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°- s1 ~ ~ Z gate )990
Permission is hereby gra to:
....~i?!~..........
to o~rF;:c.1•••.~.... ........~.e~z,cc~••<~13n.......~••••• er'a~.....~~~rrnrr•••Lrt.?
at premises located aF ......c~"...lJ...C1..C?..... .i~f,~............'
County Tax Map No. 1000 Section Block ........uC........... Lot No........r1r.~.7~.....
pursuant to application dated ......~yl,~.~ 191.7.., and approved by the
Building Inspector,
Fee
8 in 1 for
Rev. 6/30/80
Form No. 6 f 1C~ ('r~°~
t°v
_ . _ ''J ~
TOWN OF SOUTHOLD ~ y €
BUILDING DEPARTMENT ~ 3
TOWN HALL 999VVV~1f
765-1802 `
HLDG. O~i'Y.
TOWN OF 50UTHOl0
APPLICATION FOR CERTIFICATE OF OCCUPAN '
A. 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 Prom Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of ele<:trical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
! less than 2/10 of 17< lead.
5. ,Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible fox the building.
6, Submit Plannlug Board Approval of completed site plan requirements.
' B. 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 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 accfassory 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 ,
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .!~...^.Y:"1Cd'„ !99°
New Construction........... Old Or Pre-existing Building.......1.'......
Location of Properrv,~.: °2°°D...~~r~~..,~!~:'fc ...............?~ANY.t;~r............._......
House No. Street Hamlet
Onwer or Owners of Property.. pMR,S,,;f',,,/
k~S;9;,,~o~E;~';,,,,,,~,,,,,,,~,,,,..,,,,,,
County Tax Map No 1000, Section....!;z;y......B1ock....~.~.........Lot.... .~.1~........,...
Subdivision.,;~,A,ur~,~ . ,(~,y~{q~,t:,g Filed Map..78~~.....Lot.....~
Permit No.. , g ~ Z „Date Of Permit..~fl ~ ! .~D , .....Applicant.~~i~././.Y:.. ~:~E'4:.....
Health Dept. Approval.....!~J~
.................Underwriters Approval....ll~C~
Planning Board Approval....
Request for: Temporary Certificate........... Final Gerticate..~........
' Fee Submitted: $,?t;Q•„~,,,,,,,,
Ls Q~+gas~ APPLICANT
Ft~t7D Irus i'~~ ~d IWKk7~ i~ Cn`t:-t ~ v~-,S ~
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?OUtiDAT20:1 (1st)
FOU'.lDATIO;I (2nd) -
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ROUGH FRAME & Q
.PLUMBING
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3. ~
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IIISULATIOP! PER N. Y.
STATE ENERGY
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ADDITIOPIAL COI9MENTS: m~
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Q ~ 765-1802
L BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST ( ) !ROUGH PLBG.
[ ] FOUNDAT N 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~ ~ ~
DATE INSPECTOR r~~
3 SETS OF PL.\:1S Q•:K•• • • . • • • •
FOR6AN0.1 SURVEY Q.K•..
TOWN OF SOUTHOLD CNECR • ~ •g~~•~-s=
=
BUILDING DEPARTMENT SEPTIC r•a[trl
TOWN HALL
HLDG.OEPT. ~ $OU7HOLD,N.Y.11971 NOTIFY;
TOWN OF SOUTHOLD
~a~°•~°^°~ 7EL.:7G5-1II02 CALL
PIAIL T0: ~p
Examined . ~ 190 q`t,0`7/0/!J • ot,~-. .
Approved ~r7 19~~ Permit No.. C .I. ~a , `.~~j:'~-Bp~G-....~...... .
Disapproved ale ~i~0-- < ? a/
• ........................................'Boil • g•inspector) .+::1.... .
APPLICATION FOR Bt)1LDiNG PERPAIT
Date 3:°.... l:~~ IS 9.°.
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with $
sets of plans, accurate plot plan to scale. Fee accardin; to schedule.
b. Plot plan showing location of lot and of buildings on premises. relationship to adjoining premises or public streets
or areas, and diving 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 applpnt. Such permit
shill be kept on the premises available for inspection throu;Yrout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until' a CertiScaie 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 appliczble Lativs, Ordinances or
Rc;ulatians. Cor the construction of buildings, additions or alterations, or for removal ar demolition, as herein described.
The applicant agrees to comply with all appiicalile laws, ordinances, building code, housin, code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspectians.~->
•(Signa[ure of applicant, or name,
~f' a corpora;wn) •
. (Mailing address of applicant) •
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner oC Premises .~O jnA S..:{ . ~~:e-~3.~.. /Cob • .
(as on the tax roll or latest deed) -
ICapplicant is a corporation, signature of duly authorized officer.
• ~ ~ • • • • • (Name and title of corporate officer)
Builder'sLiccnseNo....P:!~!••••••••••••• -
Plumbcr's License No .
Electrician's License No .
Otitcr Trade's License No . .
Location of land on which proposed work will be done:
oho-v.o /~Lcli-.c.~ ~~f•!~;C ~.qu~cL ,
E{ouse Number • . • . • . • • Street • Hatnlct • . • • • •
County Tax \fap No. 1000 Section / l'? 5~ • • ~ • • • • • ~ BI'ack ...G. Lot •
Subdivision . !C~~ ~ • ~:'$~A ~S F.ilcd flap No. , ?87 V....... Lot ~ Q .
(Name)
State existing use and occupancy of premises(a~nd int~cn~`dc""d uscrnd occupancy of proposed construction; - ~ ~
a. Existin; use and occupancy ...:?1'."e• . ?.'9':Z f ~•oar ~ .
~2,,,,~ ,
~•,•--V 3 ~ .sr'.
b. Intended use d
an occupancy
i ,w.,,,u..~
i : .
3. Nature of work (cheek which applicable): New OuiWing AJditien • • ,Uterahon •
Re air RFmova! Demolition ...........Swimnin~~
P .
Tennis Court Accessory Quilding..........Fence .......Other Work. .
~4. Estimated Cost . ....et~/ /d°d, Fcc .
(to be paid on filing thisappleeation)
5, If dwelling, number of dwelling units Number of dwclliug units on each Cioor .
If garacc, number of cars .
6. If business, commercial or mixed dccupancy, specify nature and extent of each type of use .
7, Dimensions oC existing structures, jf any; Front . • Rear Depth . .
Hcisht Number of Stories . .
Dimensions of same structure with alterations or additions: Front . Rear . .
Depth ~ Height Numhcr oC Stories •
S. Dimensions of entire new constntction: Front Rear Depth .
Height (`IumbGr of Stories .
9. Sizcoflot: Front Rear Depth
10. Date of Purchase ,,,,,,,,,,,,,,,NamcofFormcrOwner
! 1. Zone or use district in which premises arc situated • . . .
l^_. Does proposed construction violate any zoning law, ordinance or regulation :
l3. 1Vi11 lot be regraded . .....1Vill excess fill be removed from premises: ,Yes No . .
14. Name of Owner of premises . . : ,Address ...................Phone No... _ ,
Name of Architect ...............Address ...................Phone No...._........... .
Name of Contractor . : ...Address . Phone No.....: • .
lS.Is this property located with in~100 feet of a•tidal~wetland? ^YfiS._..NO.~C.
*IP yes, Southold Town ;Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all >juildings, whether existing or proposed, and. indicate all set-back dimensions from
property (roes. Give street and block number or description according to deed, and show street names and indictte whether
interior or corner lot. i
I
r
. I
II
STATC OF NE`V YORK, s.S
COUNTY OF .
n • • , being duty sworn, deposes and says that he is the applicant
II
(Name of individual si~niitg contract) •
above named.
Hcisthc ......................I'~I............tar a'....:.............
(Contras , ,gent, corporate oCCiccr,•etc.)•
of said owner or owners, and is dufyli authorized to perform or have performed the said work and to make and file this
application; that all statements cantaipcd in this applitation arc true to the best of his knowledge and bclich, and that the
work will be pcrforntcd in the manncrsct forth in tlw application fled therewith.
• ~f
Sworn to bc(orc me this I '
i
.
Votary Public, • , /;'rr~; w.~ J!,~, • • • • • County
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~pyPU~84~It~S~ ajNewYak (Si^,nature of applicant)
No 4707878,SuNolk,~
Tes~Fxpkes Match 30J~ ~ .
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SURVEY FOR
' THOMAS„ KOBER 8 THERESA KOBER„ JULY Iz, lssa
LOT I0, LAUREL ESTATES EAST, SECTI FEe. 26, 1988
JAN. 20,1988
AT LAUREL oaTE Nov. 10, 1987
' TOWN OF SOUTHOLD SCALE I"= 50'
SUFFOLK COUNTY, NEW YORK NO. 87-1759
R UNAUTN0111z[D ALTERATION OR ADDITION TD THIS GUARANTEED TO
SURVEY 4 A VIOLATION DF SECTION 7209 OF THE FIRST AMERIC~IN ~~TL;FgI ANCE COAF N. Y.
NEW YORK STATE EWCATION LAW ~c
MCO/IES aF THIS SURVEY NOT BEARW6 TIME LAND SOUTHOLD-•~I~YYNGS-B KN'
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL PRD k, ?O
NDT BE CONSIDERED TO BE A VALIO TRUE COPY
R OUMANTEES INDICA TEO HEREON SHALL RUN ONLY TO `g O~
HEALTH DEPARTMENT-DATA FOR APPROtgL TO CONSTRUCT THE PERSON FOR wXOM THE SURVEY IS PREPARED ~ 'Z~ 'r ~q
AND p/ NIS BEHALF TO THE TITLE COMPANY, 60VFJ1N- Q
N NEAREST W 41 MI. ~ RSOURCL aF WATERS PRIVATE _PUBLIC_ MENTAL AOENCY AND LENDING INSTITUTION LISTED W
N SIiFF CO. TAfI MAP pIT~QQ_SLCTION J~-BLDCK -O,L_ LOT 8.19 NEREp/, ANO TO THE ASB)8NEE8 OF THE LENDING
INSTITUTIpI. OUARANTEEt Al1E NOT TRANSFERABLE
RTN[I[ AR[ MO OWE4lMNS WITHIN 100 FELT OF TMS MOPERTY TO ADDI TIONAI INS TITU110NS OR SUBSEQUENT
OTNM tNAM THOSE SHOWN Nt11EOM. OWNERS
R TMf WATER fUPPLY Mp ![MARL pVOSAI SYSTEM Fqt THIS RO106MDE ,I DISTANCES SHOWN HEREON FROM PRO?ERTY LIN[S ~
WILL CONFORM 70 T1R2 fTANOAROS 0/ TNL SUROLK COUNTY DEMRTMLNT TO ESISTIN6 STRUCTURES ARE FOR A SPECIFlC 9
OF NGLL.TN SONICES' ?URIOSE ANO APE NOT TO BE USED ~TO ESTABLISH SOP
ARUCMIT~ PROPERTY LINES OR FOR 7NE ERECTION OF FENCES WA'D $D f
AOOREfS
YOUNG a YOUNG R~IVER~FIEADNNEWAYORKE
NOTE= • =MONUMENT ~=STAKE
3UBOIVISION MAP.FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON APR 4, 1985 AS FILE N0.7870 ANO LAND SURVEYOR N.Y.S. LICENSE N0.12845
HOWARD W. YOUNG, LAND SURVEYOR
MM LOC~ib10F WBLLRFI,MEPflC TANKNTIf C[SSFOOLS(CPI !lIOWN N[I1[ON N.Y. S. LICENSE N0.45893
MM: 1110M /i[lD OMLIMTMMM MID OII QATA O~TA/NEO PROM OTHERS
8 RAN013 i SONS INC. lOK
- ~ - -
> - -
~ s
i 1
1
CCCUPANCY OR DATE. ~ o¢VED s P gOTED
CASE IS UNLAWFUL NOTIFY L NO DEPART TAT
+ - 765-1
R02 9 AM 70 4 PM FOP THE
+ ~ ~~~I+®UI CERIIFICA~E 1oFOUNDATIIONPcCT010WN3REGUIRED
~ -~yysrrld t--YYau zti ~ ~ FOR POURED CONCRETE
/ `L~F CCCUPANCY 2 ROUGH -FRAMING & PLUMBING
( - t_~>7~~- - _ _ ~ 3. INSULATION
N ~ ~ - ~ -^-~V~ 4. FINAL - CONSTRU,~TION MUST
i I BE COMPLETE FOR C.O.
I j ~ All CONSTRUCTION SHALL MEET
j ~ THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION k ENERGY
CODES. NOT RESPONSIBLE FOR
i _ ~ ! _ DESIGN OR CONSTRUCTION ERRORS
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