HomeMy WebLinkAbout18767-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19237 Date JULY 24, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 480 NORTH OAKWOOD ROAD LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 127 Block 8 Lot 8.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 18, 1990 pursuant to which
Building Permit No. 18768-Z dated FEBRUARY 2, 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 ONLY TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to JOHN BRICE & KENNETH GOLDMAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
SOB~M NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPL~~^^ET~7ION OF THE WORK AUTHORIZED)
NQ g 7 U / Z Date !~/Z 19.~
Permission is hereby grouted to:
to .i'~~c~....Gxi~6il~r..... ..1:~'l~ . / ~
G'~
at premises located at ....~G~~......`~.~d~2G~~~..,k~7"'`.'
,~.Li!%C................................................................................
...................................................................................................GG.......................................................
County Tax Map No. 1000 Section ...~a..7....... Block a Lot No.......~!.2::.....
pursuant to application dated 19........, and approved by the
Building Inspector. " -/90
/ F/ OS
Fee $./..t~(o..... .
~........c..
~5/ 6 ing I or
o~ - ci~~ ~ cQ,~ra-~- ~a-x..v,.Q~.~~,:, m89iza~-'
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD L5 I '
BUILDING DEPARTMENT ~
765N1 02L z 3
V
BLDG. DEPT.
APPLICATION FOR CERTIFICATE OF OCCUP Y TOWN UFSOUTHOLD
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 from Health Dept. of water supply and sewerage-disposal(S-4 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
e 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 for the building.
6. Submit Planning Board Annrn.r~i.- ~f -ce.: 1ete3
'F ai..c ,I1dll l2t~la lr CCllC l1L5.
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 groperly completed application and a consent to inspect signed by the applicant.
If a Certificate o£ 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.OO,,Additions to dwelling $2_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 S years - $10.00
4. Updated Certificate of Occupancy - $50.00
5,. Temporary Certificate of Occupancy - Residential $15.00p, Commercial $15.00
Date ....~..~.d.:~/~
New Construction.....l~S(.Q. Old Or Pre~~rr-exis~tigng Building. ~
Location of Property..~~~.~.~..,..~',.YA'~!i",DOQo_._=.~._,<._.d....~'I3GL2£L~......_...
House No. Street Hamlet
Onwer or Owners of Property...°Ma,'QTL+GS ~ ~L"N,Ja~i+.r ~joi"O~ng}/J,,,,,,,,,,,,,,,,,,,,,,,
.~...........Q.......
County Tax Map No 1000, Section, / Z .......Block.... S .......,.Lot...~.,g:°?:...........
Subdivision ....................................Filed Map............Lot...........Qe...........
Permit N ~~B 7(? 7,.....Date Of Permit ................Applicant.~~ ~'J...~;..~-?,'Z„/CG,,,,
?fealth Dept. Approval ..........................Underwriters Approval......................
.
i .
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate... x
' ao
Fee Submitted: r--
$...z
Ca ~ 19a3~~ APPLICANT ~ ' .
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VICTOR LESSARD ~ < Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR = Z P.O. Box 1 179
(s 16) 76s-lao2 r°~ Southold, New York 11971
C~AX (516) 765-1823 y0 ~ Oe-
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OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 22, 1990
Mr. John R. Brice
c/o Advertising Age
220 East 42nd Street
New York, New York 10017
RE: BP #18767-Z-CO Z-19237
Suff. Co. Tax Map #1000-127-8-8.2
Premises: 480 North Oakwood Road
Laurel, New York
Dear Mr. Brice:
Enclosed please find the corrected Certificate of Occupancy I~
for the deck addition for the above premises.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTAOLD TOWN BUILDING DEPT.
Georgia Rudder,
Secretary
encl.
rss-iso2
BUILDING DEPT.
tNSPECTtON
[ ]FOUNDATION 1ST [ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ~RAMING [ ]FINAL
REMARKS:
J L
~vv
DATE ~ ~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] BOUGH PLBG,
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
1
REMARKS: ..~..~.,.~~-e.~~
DATE INSPECTOR
~ ss-zso2
UILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU TION
[ ]FRAMING ( FINAL
REMGA~~/R///~K~~S: iii °
1 i~/4~
/y ~
DATE INSPECTOR °
~
765-1802
BUILDING DEPT.
NSPECTI®N
[ ]FOUNDATION iST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING FINAL
REMARKS:
DATE ~ .~7 INSPECTOR
Diu;,,; ,;,:a:•tE.u.~
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oU77DATIO:r (~st) I ~ - `h
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rOU:IDATI0:1 (2nd) -
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I;7SUL:.TZO;! PER N. Y. -3
S?ATE ENERGY
CODE
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ADDITIOPIAL C0:^,ME77T
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p work (check which applicable): hJew Building Addition Alteration . XX .
Ret air ~f XX Removal XX, Demolition .............Other Work .
(Description)
4. Estimated Cost ....$.5200 ;00 Fee
~ (to be paid on filing this application)
5. If dwelling, number of dwelling units 9?~.E Number of dwelling units on each floor . . . .
If garage, 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 . ? ~.'.6 ........Rear 3 i Depth .
Height Number of Stories .....T?zo .
Dimensions of same structure with alterations or additions: Front none Rear , , .
Depth ......................Height Number of Stories .
8. Dimensions of entire new construction: Front .?4'.' 6':........ Rear 31 :........Depth
Height • Number of Stories , tYr~.... . .
9. Size of lot: Front ..1:5 Rear .155.'.............. , Depth 26.5'._. &..2"15: + ,
.
10. Date of Purchase ..AuS;u.s.t s . ] 9$9 Name of Former Owner .
11. Zone or use district in which premises are situated ...R-<0 , , , , , , • • • • • • • •
12. Does proposed construction violate any zoning law, ordinance or regulation: .1V0 .
13. Will lot be regraded ..1z0 .............._.__.,-:...Will excess fill be removed from premises: Yes No
14. Name of Owner of premisesJohn, Brice• • , , • , , , ,Address °~nE • 86. St :Nye ..Phone No .
Name of ArchitectWzrren A. Sambach Sr. Address PO. Bo:. 1033 CutclphoneNo.516-l34•.7Sp2
Name of Contractor To, be ,selected, , , , , , , , , ,Address ...................Phone No................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, 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 corn r lot ! ~ . ~ - ~
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STATE OF NEW YORK, S S '
COUNTY OF . $UFFpLI{, , , , , , ,
Warren A. Sambach, Sr.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . • being duly sworn, de oses and says that he is the applicant
(Name of individual signing contract)
above named.
Consulting Engineer ~!~r
He is the ~ .............i.............
(Contractor, agent, corporate officer, a .i.
of said owner or owners, and is duly authorized to perform or have performed th ~s`•d work and to make and file this
r~
application; that all statements contained in this application are true to the best of4,~Is;~6towledge and belief; and that the
work will be perfonned in the manner set forth in the application filed therewith.
Sworn to before me this
a,~ ..............day of....JanuarY.........,19 90.•-
Votary Public, County '
LiNDAJ. COOPER (Signature of applicant)
Notary C'u6fic, Sfate o1 New Yorly,
No. 4&22553, Suffolk County
Terre Expiree December 31,18.
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