HomeMy WebLinkAbout18788-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18940
Date MARCH 30~ 1990
THIS CERTIFIES that the building
Location of Property 1800 ALDRICH LANE
House No.
County Tax Map No. 1000 Section 125
Subdivision
ACCESSORY
LAUREL ~ N.Y.
Street Hamlet
Block 01 Lot 2.17
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 7~ 1990 pursuant to which
Building Permit No. 18788-Z dated FEBRUARY 14~ 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 ACCESSORY SKATEBOARD RAMP /kS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
EUGENE M. & JOANN ALTMAN
Rev. 1/81
J'OR.M HO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
N°_
BUILDING PERMIT
fi'HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
18788
Z Date ...... ~./../.~. ................................. . ,~.~..
Permission is hereby granted to:
................
..... .................
.... ~. ...... .~/,~.~_...:......~~....~ .... :..;~ ..... ~; .......................................................
at premises located at ..... ./..~...~...d .......... ~/-...~/~. .............................................
Co~,,~, To,, ~op No. ~000 Sec, o, ........... ./..,~....~'. e~o~k ........... ~.Z.... Lot No ......... ~...~../...Z
pursuant to application dated .......... .~-../.~.. ............................... , 19.~..., and approved by the
Building Inspector.
Fee $.....~.~
Rev. 6/30/80
TO~N OF $OUTEOLD
TO~N EALL
765 - 1~02
I 197 I ,~
APPLICATION FOR CERTIFICATE OF 0CCUPAIICT
NEU COIIST~UCTION ....... OLD OF.. PRE-EXISTING BUILDING ...... VACAI~T LAND
.. ~ //C: ........ , ........ ~ ................
~OUS~ NO. STREET U,%HLET
0~ner or Owners of Property i ......
co~r ~: ~ ~o. ,000 s~:~o~ .~.~ ~:o~ ..-....°' Lo~'..~..A/7.
J~ct I
?er:i: ~{o ........./. ~7~. ~ .................... Date of Permit
Health Dept. ApprOvaL .................. Underwriters Approval
Plas~in~ Board Approval ................
Reque~: for Temporary Cerciflcate ....... Final
er. 10/I~/88
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
This application must be filed in typewriter OR ink and submitted to the building
inspector with the following; for new building or new use:
Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final approval of 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 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 the architect
or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements. ,,
For
and
1.
existing buildings (Prior to April 9, 1957) non-conforming uses, or buildings
"pre-existing" land uses:
Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shallstate the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of building or premises, or other
pertinent information required to prepare a certificate.
FEES
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Addidtions to Dwelling $25.00
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory Building $25.00
Addition to Accessory Building, $25.00 - Businesses $50.00
2. Certificate of Occupancy on pre-existing dwelling - $100.00
Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Updated Certificate of Occupancy - $5.00 Residential
5. Temporary Certificate of Occupancy - $15.00 Commercial
TOWN OF SOUTIIOLD
OFVICE ()l~ BUILDING INSPECTOR
P.O. I3OX 728
TOWN HALL
$OUI'IIOLD, N,¥. 11971
Etarch 25, 1990
TEL.
Eugene H. & Joanu. Altuan
1800 Aldr£ch Lane
Laurel, N.Y. 11948
To Whom This May Con=ere,
%,;e are unable to complete your Certificate
o~ Occupancy becauze .of the following reasons.
/_r~ An application for Certificate of Occupancy
is not on fil~.. (ENCLOSED)
/--//:Io Underwriters Certificate on,file.
/--w~ 'The check i~(cK~x,~X7~ notc>u f~le.) $25.00
/~/ t.~o Health Dept. Approval on file.
/_--/ I:o final in.qpnct:ion has bcen madc.
Please contact our office on this
Thank you for your cooperation.
Buildisq P~'rmit U ! 8 7 8 8 Z
Building Dept.
***/--/ tie ['lumber solder Certificate on file.
( all permits invo!vinq plumbing being
io:;ued after April 1,198,4 }
matter.
FOU:ID ATIO.~ ( 1st)
FOU:~DATIO~
2.
(2nd)
ROUGH FRAME &
-PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FiLiAL
ADDITIO~I~L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING ,r/FINAL
DATE
INSPECTOR
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
Exanilncd ...... ICJ
Disapproved a/c .....................................
..... .....
~. ~ ~ ~ APPLICATION FOR BUILDING PERMIT
BLDG· DE~.
TOWN OF SOUTHOLD INSTRU~IONS
BOARD OF HEALTH ...........
3 SETS OF PLANS ...........
SURVEY ...... ~-
NOTIFY;
CALL .$9g~.~man ..
MAIL TO:(516)~ '
1800 Aldrich Lane
· LD9r~2.,. ~Y..1.1.%4.8 ....
?.: .... I 9..°
a. Tlds application must be completely lilled in by typewriter or in ink and submitted to the Buildin= I~pector, with 2
sets of plans, accurate plot plan to scale. Fee accordin= to schedule.
b. Plot plan showin~ location of lot and of buildings on premises, relationship to adjoining premises or p~blic street:
or arc,s, and givin~ a detailed description of layout of property must be drawn on the diagram which is pan of th.is 3ppli
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 ~vill issued a Bulldog Permit to the applicant Such permi~
si{all be kept on the premises available for inspection throu~iout 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
skull 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 applicable Laws. Ordinances or
Reeulations, for the construction ot' buildings, additions or alterations, or for ~-emovai or demolition, as heroin described.
Th~ applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspector~ on pze,.mis~,% :/ifil, in 15ffilding for necessary inspections.
Gene Altman& Joann Al%man
(Mailingaddressofapplicant)
State whgther applicant- i~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nameofownerofpremises Eust. ene M. Altman a~.d 3oann A1Eman
(as on the tax roll or latest deed)
ir applicant is a corporatioff, s~g~atute qf duly authorized officer.
~ . ~ : ~. .,.
Builder's License No ....... ~i~. ... .~. ............
Plmnber's License No. . . . . i~/.A, . ............. ,
Electrician's License No
Other Tradc's License No N/A
Location ofland on which proposed work will be done: ,,
1800 Aldr±ch ~ane, Laurel, ~.Y, '11948
[loum Number ' Hamlet
C tyT M pN ~I000S ti 1.25 .... BIo k 01 L ~ .1.7.
Subdvisi Laurel Estates East, Sect. 1 ';
da ............................. Ki[ed Map No. 7870
.................... Lot...8 ...........
(Name)
State existing usc and occupancy of premises and intended usc and occupancy of proposed construction:
a. Existing usc and occupancy ....... . ' · · ...............................
b. Intended useand occupancy Skateboardi.n.g ................ ramp.
;. Nature or,york (check which applicable): New Building .......... Addition .......... /dtcrati~ ..........
Repair ............ R~moval .............. Demo/~ition .............. Swimraing pool. .............
Tennis Court .... : ~ . . . Accessory ~ta:}~...v. ...... Fence ....... Other Worka
;. l~timatedCost .... ~.l.,9.0.0...qQ ........................ Fee ..$..2.5: ............................... o,
(to be paid on filing this application)
;. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
I f garage, nam bar of cars ......................................................................
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...................
T. Dimensions of existing structures, if any: Front.., ............ Rear ................ Depth
Height ............... Number of Stories ......................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ...............
Depth ...................... l:teight ..................... '. Number of Stores ....................
~. Diro.en~ions of entire new construction: Front ............... Rear ............... Depth .............
Height ............... .Number of Stories .............. ; ............... 4 ·: 2. ';.:... ';
~. $izeoflot: Front ...................... Rear ...................... Depth ..... . .................
). Date o,r Purchase ...... , ....................... Name of Former Owner .............................
I,' Zo,~.e or use district in which premises arc situated ................................. t~'~".,~'~,~% ........
'2. Docs proposed construction violate any zoning law, ordinance or regulation: ....... :: .......................
3.. Will tot be regmded ............................ Will excess fill be rcmoved from pi-cruises: . Yes .... No. ·
4. Name of Owner of premises ................ ' .... Addrem ................ ,.. Phone No
Name of Architect ........................... Addres~ ................... Phone No .................
Name of Contractor ................. .2 ........ Address ................... Pho. ne~No ..... -r';' - 'c~: ....
5.Is this propert7 located ~ithln 100 feet of a tidal wetland.
· If yes, Southold To~o Trustees Permit may'be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
aterior or comer lot.
A PP~OVIr~) AS IIOTEI) /-
765-1802 9 AM ~ 4 ~ FOR ~E
FOLL~ING iNSPE~ONS:
1, FOUNDATION · ~REQUIRED
FOR POURED CONCR~
2, ROUGH - FRAMING & PLUMBING
3. ~NSULATION
4. FINAL CONSTRU~ION MUST
~E~ COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL ME~
THE REQUIREMEN~ OF THE N.Y.
STATI~ CONSTRUC~ON & ~ERGY
C~ES. N~ RES~NSIB~ FOR
~F~N OR CONSTRU~ON ERRORS
STATE OF NEW YORK,
COUNTY OF i SUF~F~K S.S
Joann Altman
..................................- -....- . .. ..... being du[y sworn, deposes and says thaC;~e ~ the applicant
· (Name of individual signing contract)
above namcd.
IJe is the , ' '
(Contractor, agent, corporate officer, etc.) -
or said owner or owners, and is duly authorized to pe,rform or have performed the said work and to maim and file this
application: that all statc~nents contained in this apptication are true to the best of his knowledge and belief;and that thc
~vork will be performed in the manner set forth in thc application filed therewith. '
Sworn to before mc this '? : ,
- --',.. .....
, ..... cml.m \ "
~ r~otary Public, State of N~w Yo~
No. 5581,~10
, Commi~.~. Expires June 30, 10..._
(Si.natuze of applicant)
HEALTH DEPARTMENT-DATA F(~R APPROVAL TO CONSTRUC T
NOTE: I= MONUMENT ~-- STAKE
SUBDIVISION MAP FILED IN THE OFF~CE OF THE CLERK OF
SUFFOLA COUNTY ON APR, A, 1985 AS FILE N0.7~70
SURVEY FOR
GENE ALTMAN
LOT NO.8"LAUREL ESTATES EAST, 3ECT,
AT LAUREL
SUFFOLK COUNTY, NE*// YORK
D ,.". TE AUG. 22 ~ 1989
SCALE; I" = 5.0'
NO, 89 -0957
YOUNG e, YOUNG
RIVERHEAD~ NEW YORK
ALDEN W. YOUNG~ PROFES~iONAL ENGINEER
ANO ~NO SURV[YOR N.Y.~ UCENSE NO. 12845
~iOWARD W. YOUNG, LANO SURVEYOR