HomeMy WebLinkAbout18980-zFORM NO. 4
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19233 Date JULY 24, 1990
THIS CERTIFIES that the building POOL
Location of Propert~ 1800 ALDRICH LANE LAUREL
House No. Street
County Tax Map No. 1000 Section 125 Block 01
Subdivision Filed Map No. Lot No.
Hamlet
Lot 2.17
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 20, 1990 pursuant to which
Building Permit No. 18980Z dated APRIL 24, 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 ABOVE GROUND POOL WITH ATTACHED DECK AND FENCE ENCLOSURE.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPAi{TMENT OF HEALT~ APPROYAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
EUGENE & JOANN ALTMAN
N137073 JUNE 21, 1990
N/A
/// Btfilding Inspector
FOBM NO, ~
TOWN OF $OUTHOLD
BUILDING DEFARTMENT
TOWN HALL
SOUTHOLD, N. Y.
No
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
18980
Z Date ...~ .................................. . ,~.~..~
Permission is hereby granted to:
..... - - --
~,~.~,.~,~' ~ ~,~o,....z.~ ...... ~/~f~-- ....................." ~ ~. ............................
County Tox Map No. 1000 Section ..... ~...~...,~>....'~.... Block ........ Z ......... Lot No ...... .~...,<..../...Z.
pursuant to application dated ..../~'.../.,~. ....................................... 19.~....~.., and approved by the
Building Inspector.
Fee $...../..~
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN 'OF
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 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
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 $25.00. 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
/ ....
Location of Property...~.~.~.~--~. ............ ~./~..~.2.CA..,~.~ ..... /~..~r~.~-e:.< .....
House No. Street Hamlet
Onwer or Owners of Property. z~A.~...~.. .~4 ..... ~.~.
County Tax Map No 1000, Section .......... Block ............. Lot.. , ................
Planning Board Approval ........................
/
Request for: Temporary Certificate ........... Final Certicate...~... .....
Fee Submitted: $..~ ~O~) ..................
.......
APPLICANT
Subdivision Filed Map Lot .
Health Dept. Approval .......................... Underwriters Approval....~z.. ................. .
THE NEW YORK BOARD OF FIRE UNDERWRITERS
[ ~} ~)~ ~ ~ r~ ~ BUREAU OF ELECTRICITY
E~S JOHN STREET, NEW YORK, NEW YORK 10038
Date Jpplicatlon No. on file
THIS CERTIFIES THAT
only the electrical equipment ~ ~scrlbe~ below a~d i~troduced by t~ applicant ~med on the a~ve appllca~io~ n~mber in the premises of
~s examined on a~ld found to be in compliance with the reflll~ret~e~ts ~f this Board.
FIXTURES RANGES OVENS EXHAUST FANS
FIXTURE SWt1C~ES
OUTLETS FLUORESCENT OTHER
DRYERS
SYSTEMS
NO. OF FEET
R V I C
OTHER APPARATUS:
A~IIJIHf)I, HI~' ~ . t. , NY, [J93J
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals.
COPY FqR BUILDING DEPARTMENT. THIS COP*,' OF CERTIFICATE MUST HOT BE ALTERED IN ANY
TOWN OF SOUTIIOLD
OI:FICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
JUNE 18, 1990
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, ENCLOSED
/~ NO Underwriters Certificate on file.
/~X The chcck is(]~/not on file.) $25.00
/5/ No Ilealth Dept. Approval on file.
/5/ No final ins.pection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Dui]ding Permit tt I 8 9 8 0 Z ALTMAN
Building Dept.
***/5/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
SENT TO:
ED~ENE & JOANN ALTMAN
]800 ALDRICH LANE
LAUREL, N.Y. 11948
FOUNDATION ( 1st)
FOU?;DATIO:! (2nd)
ROUGH FRAME &
.PLUMBING
3.
INSULATION PER N.
STATE E~;ERGY
CODE
Fi::AL
ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING ~r~FINAL
'INSPECTOR
APR 2 019gO
FOR~,A NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y, 11971
TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK
SE TiC' ; fi .................
NOTIFY~ Joann Altman CALL .298r88%~ ............
MAIL TO: 1800 Aldrich Ln.
.....
Examined ...... 19 .~.
Approved....~./.~.. ., 19..~.. Permit No .......
...... ......................
Disapproved a/c . . .
'(B~d~ing ~
"IMMEDIATELY" APPLICATION FOR BUILDING PERMIT
ENCLOSE POOL TO CODE Date . .Ap,r.J, ],. 2 0 rl~9.0'
UPON COMPLETION ............
BEFORE "Vi/ATER"
INSTRUCTIONS
a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, with $
~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 drown on the diagram which is pa~ of this appli-
cation.
¢. The work covered by th/s 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 applicant. Such permit
shall 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 a,ny purpose whatever until a Certificate of Occupancy
shall have been granted by tho Build~t,~tt~llt}
APPLICATION IS HEREBY MADE tol~Jl/~ding 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 applicable Laws. Ordinances or
Regulations, for the construction of buildings, additions or alterations,, or for ~:emoval or demolition, as herein described.
Thc avplicant agrees to comply with all anp icab]e laws, ordinances, building code, housing code, and regulations, and to
admit authoriz~.d inspectors on premises and in building for necessary in.~,,ctions. ~2~ ~5_~5.~.~. ~.=.__~~
- (~'gnatUreotap hcant orname ~facor r
· . - , , a; on)
Euger~e A~man and Joann ~?traan
,.. , 1800 Al.d.~ich Lane, Laurel, NY 11948
(Mailing address of applicant)
State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner
Nameofownerofpremises .I~Ug.ar~e.N...%kt.m.a.n. and Joann Altman
(as on the tax roil or latest deed)
If applicant is a corpor3tign, signature of'duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...........................
Plumber's License No .........................
Electrician's License No...1.8 2 3~. ..............
Other Trade's License No..%4~3Jt%. { ~D~.~Q~qion)
1. Location of land on which proposed work will be done;
1800
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICAI'E
OCCUPANCY
Aldrich Lane, Laurel, N.Y. 11948 "
tIouse Number Street Hamlet
County Tax Map No. 1000 Section . 125 .~ ..... ' Block .Ol. Lot ...2,.~7.
Subdivision Laurel Estates East, .S.ect..1 ....... ,~..
.................................. Eiled Map No. .7.~70.
(Name) .......... Lot 8
2. State existing nsc and occupancy of premises and intended use and occupancy of proposed constrnction:
a. Existing usc and occupancy . On.e.-.fQ~aij.y..rexid¢~.t.%~l .dw.e 1 ling.
r,m,,.~;%,~ ~, t~ ..................
b. Intended use and occupancy ................ . · · · O.~P,~I .<~q, .....; .............
Above groun.d swimming pool
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ...........
.... Swimming ooo~.~PP.v.
Repair .......... R~moval ............ :. Demolition . ,. ..... ~c~f~
Tennis ~rt'. .... Accessory Building .......... Fepce ....... Other Wo~k' ............
4. Estimated Cost . . ~.7.~500 .............................. Fee .$1~.O...00 ............................ ' ·
(to be paid on filing this application)
5. lfdwelling, nmnber of dwelling units ............... Numberofdwetlingunitson each floor ............. ..
Ifgaraee number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7 Dimensions of existing structures if any: Front ; Rear . . Depth' ....
Height ............... Number of Stories .................................................... . .
Dimensions of same structure with alterations or additions: Front ................. Rear .......... ......
Depth . Height Number of Stories
8 Dimensions of entire new construction: Front Rear Depth
Height ' Number of Stdries '
9. Size of lot: Front . .......... . .......... Rear ..................... . Depth ................ , . ..
10. Date of Purchase ............................. Name of Former Owner ..................... "',~4-' ' '
11. Zone or use district in which premises are situated .......................... ~,~, .~.:~v,~ .*. 5 ~%',~ . ~ ~ ....
12. Does proposed Construction violate any zoning law, ordnance or reeulat~on ..... ~ --. ,,,,e ~,.~- ...... , .......
13. Will lot be regraded .; ........ .................. Wilt excess fill be removed from ~relmase$~; ' . ,Yes .... No.
Name of Owner of premises ' Address Phone No - '
Name'of Architect Address Phone No ......
Nam e of Contractor ' Address Phone No ~, '
15.Is this property located within I 00 feet of a tidal wetland? *YES .... NO ....
· If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, :md. indicate all set-back dimensions from
property Lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
See attached Survey.
APP, R"OVEO AS NOTE,~,,~ ~,
DATE: ~B.R #~
FEE:/--~a2,,.a~2_ By. ~
NOTIFY 8UI[EJllq"G D~PARTIM~I' ~a
7B5-1802 9 AM TO 4 PM F~f~ THE
FOLLOWING INSPECTIONS:
1. FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4, FIMAL CONSTRUCTION MUST
BE COMPLETE FOR C,O.
ALL CONSTRUCTION SHALL MEET
'[HF~ REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CC~DES. NOT RESPONSIBLE FOR
~;~Fg!¢7:i~ OR CONSTRUCTION ERRORS
STATE OF NEW YORK,
COUNTY OF.. ~.u.f~f~Q~-k .....
J~a~nn ~.1 tman
...................... ~ .......................... being dn[y sworn, deposes :md says that he is the applicant
(Name eli {dividual signing contract)
above named.
(Contractor, agest, corporate officer, etc.)
atami,I owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this applic:ltion are true to the best of his knowledge and belief; and that the
work will be perlbrmed in the manner set forth in the application filed therewith. ,./
Sw0m to before mc this 'I
Nora,,/PubLic ..... .....
~ A. mm
.......... 199.q.
.... Cou
' ......
(Signature of applicant)
SU~Y F~
GENE ALTMAN
LOT NO,B "LAUREL ESTATES EA~, SEC~ I"
~N ~ SOUTHO~ SC~LE~ I" = 50'
SUFFOLK COUNTY, NEW ~RK NO 89.0987
~l YOUNG ~ YOUNG ~.~v~
· ~R~AD~ NEW ~RK
OCCUPANCY OR
USE ~$ UNLA\¥FUL
W~TNOUT CERTtFICA?E
OF OCCUPANCY
~ SU~Y FOR
GENE
LOT NO.8 "LAUREL ESTATES EA~, SEC~ I"
AT LAUREL DATE' AUG. 22,1989
~N ~ SOUTHOLD SCALE: I"= 50'
SUFFOLK COUNTY, NEW ~RK ~ NO. 89-0957
HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT A.o ~ HIS BEHA ~ THE T~TLE C~P~Y, GOV~N-
OTHER THAN TNOI~ IHOIN HIREON. TO A~ITIONAL INSTITUT~I O~ SUBSEQUENT
YOUNG YOUNG RIVtR~AO, NEWYORK
NOTE: ~=MONUMENT ~= STAKE ALDEN W. YOUNG~PROFESSlONAL ENGINEER
SUBDIVISION MAP FILED IN THE OF~CE OF THE CLERK OF ANO ~ND SURVEYOR N.Y.S. UCENSE N0.12845
SUFFOLK COUNTY ON APR, 4, 1985 AS F~LE N0.7870 HOWARD W. YOUNG~ LANO SURVEYOR
BRANDIS & SONS INC, 1046