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HomeMy WebLinkAbout18585-z f M FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z- 18488 Date OCTOBER 20, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 2895 ALDRICH LANE LAUREL N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 02 Lot 1.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 1989 pursuant to which Building Permit No. 18585-Z dated OCTOBER 20, 1989 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 AGRICULTURAL STORAGE BARN AS APPLIED FOR. The certificate is issued to RICHARD A. MILLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO, N{A PLUMBERS CERTIFICATION DATED N A Building Inspector Rev. 1/81 1` roaas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) q r N O .1. g lOl 5 Z Date 1 rI Permission is hereby granted to: .........~.~.~..~...~P c a ct premises lacated ot ......~....A..~.~~.~.._ ...../~...,r,............................................... County Tax Map No. 1000 Section .......1~/a~~.. Block Lot No...../.'. pursuant to application dated ........./.`.~P..,,ll..G7 19.0..~~., and approved by the building Inspector. Fee $.4:1..x.. P/ ...g .f :Swl u' din actor Rev. 6/30/80 4 TOWN OP SOUTIIOLD BUILDING DGPART2IENT TOWN HALL • SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY October 23, 1989 DATE----••-•-...---.. NEW CONSTRUCTION ._..__.OLD OR PRE-EBISTING BUILDING......VACANT LAND „ Location of Pro ert 2895 ALDRiCH::LANE LAUREL, N.Y. P y......_ HOUSE NO. " STREET HAMLET Owner or Owners of Pro ert RICHARD A. MILLER P Y County Taa Map No- 1000 Section ~?5- Slock 1.5 • Lot......... Subdivision Filed Map ........Lot.......... Permit No. ~$585,Z „ -Date of Permit 10/20/89 RICHARD A. MILLER ..........AppLicant Health Dept. Approval Undervriters~Approval.........._... Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $-.?5:00.••-_.•-••-._ APPLICANT~~;?-~ -~~~.E,F.~,,.~_- \ Cow 1848"g i i i 4 „ FORM NO. 6 TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN HALL 765 - 1802 i APPLICATION FOR C>:RTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must bei,filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 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 lilumber certifying that solder used in system contains less than 2/10 of IZ lead.', 5. Commercial buildings,'~,industrial buildings, 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. ' 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, buildings 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 shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information Fequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a', Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTII'ICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accesspry buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial i / rev. 10/14/88 ' i ~ ~ 1 ...C..' L . . V';. ~IJ n . . ..~:Yi4CNTC i~. R II I,,.. ~`II ml_7`p ~OUiJD;TIO;J (1st) ~ - - y~ I ?OUIJDATIO;J (2nd) I _a - 2 . ~L II _ .'.OUGH FRAh1E & I ° .PLUMBING ~~c, I 3 , ~n I y II7SULATIOP! PER N. Y. I m H^ STATE EIlERGY I \ CODE I ~ a . J m H I FI;tAL I ~o ~ ADDITIOIIAL COMhiE1;TS: x ' x \ v H a H O m } ' ~ / v m H I~ I ii ~ i i Ii I I ~ ~i ~r ~ ~ I f ~ a [yy .t i . f jj i ~ ~ ~ 3 +'a~ j ~ `jam ~ T= f I ~ i i I 1 i ~ ~ ~ ~ ~ j i ~ ,i i A i + { i':e ~ ~ j' i ~ r 2 y~ - _ - ~ - i - ~ t ~ ~ ~ ~ ~ f ~ r " v NY' tt iiii`~ I't`. ~ P m- t- i i ~s { ~ y~, ~ ~ ~ # r _ _____.___~.ri__ _ " ~ ~ _ _ _ v~~.~ _ ~Mti~4.. to c~~y gy„~ ~ X I' 9~ +~~1~ F ~3 j€ ~ y: { { ~I ~ 3 II ~ ' 'f I 4 i i ' ~ E I j ,I t~ v I ~ l ~ h Y ,F ` ~ I s. i . ii N.. i~ I 1 ~ ~ ~ i ~ w f O it h ~ i ve I' ~ ' Px s it j I~ III( i. ~a ~ ~ ~ e b ~ = - Z<~~.. _~-.Eke ~ - _ - 'tt--f-\~~, J La (~7~/~J ' ~ IIOA1tD OF HEALTH / +i 11)~~,'_~-L,I1~J ~ 3 SETS ~PLA:IS II~1J~ i~ ~ 'FORMNO.t SURVEY k'' ~ ~ r TOWw OF SOUTHOLD CHEC(t ~J.~S-'( ~~~',l~ ~ ~ BUICDdNGDEPARTMENT SEP~'IC FORM 11t5~_ . ~ TOWN HALL ~r('(~~m .°.OUTHOLD, N.Y. 11971 NOTIFY 7 - 70WN~UF SOUTHOLD TEL.: 7G5-1802 CALL • • ~ ?:.~~Y.~.. - AIL T0: Examined 19 . M a~~.5 ~Q~~-~-~k`~~ ~i Approved . 19 ..Permit No. /~~V.~~ Disapproved a/c ~~1~ I ~ ~ J / B me I s ector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 drawn on the diagram which is part of this appli- cation. The work covered by this application may not be commenced before issuance of Building Permit. 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 any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY bfADE 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 Re=ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ;I ,fir. (Signature of applicant, or name, if a corporation) ' (Afatling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. =~..3{ d~~. _ . %kl~s; tf.8S3 fir. .:z . Name of owner of premises.. ``%.~%~f.~-{~... ?9-. 6~l?~., . Cr ~ (as on The tax roll or latgst deed) p [f applicant ~a~~or~q~ljbn,,lgjgna[ure-,o~tchuly authorized officer. ~k ~'t~s,~,: sltt:~,~<; CCUPANCY OR .........v-t~3lW~ •r1• ro14B~1~;~at°~°t~4i;':.~::,r:.......... (ape ~t ~~~4~}q~'.g~J~rp~mte offic'er)~ ~ ~ p ~ ALL COt~'~,,¢t~~1t~q~;EfU,z~+'$4~p:FS,. gUP'FOLK COUNTY LICENSEI)USE~ I~ U~f,JI~FU~ Builder's License No. .......,,!I.E,2...,.,,,,,,. LL!! 4J Plumber's License No. . ©w~~~ . . . ~ ~THOUT CERTIFICATE Electrician's License No. . Ged!~2n; , , , , , , , , , , , , OF OCCUPANCY Otltcr Trade's License No. ~W!I!C??:..... , , . I . Location of land on which proposed work will be done . . X9.5 6l-~~i~:............ House Number Street Hamlet County Tax Map No. 1000 Section ~~if, ~ , , , , , , . , Block Lot Subdivision Filed \1ap No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy ofproposed construction: a. Existing use and occupancy ` ' z.,,,~Ff. ~~O--l' . . b. Intended use and occupancy ,,~0.'!~~ .~~°,)~~"'~F~'`r`.. , ~ 3. Nature of work (check which app}icable): New Building Addition Alteration , Repair Removal Demolition Other R'brk . ~ ~ (DescripSion) 4. Estimated Cost .~G~p...... ~ Fee (to be paid on filing this application) . 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars ..~,5„ .............4S,T,oegG,g..~,,J ustness, commercta or mixed ¢dcupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures ~ Height Numb if any: Front . • .Rear Depth . er 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 ..7•~~ Height , , , Number of Stories , , ~ ~ • 9. Size of lot: Front ....s3.~~.'~• . Rear . D th .•rs•~' . ] 0. Date of Purchase , Name of Former Owner . d/N.~e~irri,C-..6s9rY~. . . 1. Zone or use district in which rem ~~..pp ,s~_ 13. Rill lot be regraded .Q,. isesaresituated.,~,,,,,,,,,,,,,,,,,, i P P ~n p e any zoning law, ordinance or regulation: .,(!(f~ . ' /i/ Will excess rll be removed from premises: Yes No !4. name of Owner of.premtses vio~t Address .........:.........Phone No............ . Name of Architect : ...............Address ...................Phone No. . Name of Contractor , , . 5. If tess Southold TowntTrusd ' • Address ....:..............Phone No. . - thin 300 feet of a tidal wetland? *Yes No * Y ees Permit may be reyyw~ired. . PLOT DIAG1tAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from p Y tuber or description according to deed, and show street names and indicate wheth~r ntenor or comertlotstreet and block nti, v_~._______.___.__ - - - - ~~~,Jr~~~~ ~ oG%~s~''~, , ~i/~1~ APP OVE AS NOTED jp"dot, DATE: ~B.R 8 ~ftiY . ~i NOTIF~BUICDING DEPART T 765-7802 #1 AM TO 4 PM FOR THE ~~X/f~~~ • ' FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE _ 2. ROUGH • FRAMING 1w PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUS BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME " . _ THE REOUIREMENTYR Of 1FIE N.Y ' - . ;iii ~ ~ STATE CONSTRUCTION • CODES. NOR t ~ . ,.,r.-r t ~~/lic/vj _ DESIGN OR L'ONSTRUCTIQN r ~iA/d~ TATS OI'_N~~~~ ~ ' O`~ ~ + ~ _ being duly sworn, deposes and says that he is the applicant (Name oCtrtdY~idual~stgntng}cont'iact) ~ovc named,. I is the . ~~~"~'Y/. Y/.~i.`:%~.................. . (Contractor, agent, corporate officer, etc.) ' said owner or owners, and is duly authorized to perform or have performed t}te said work and to make and file this :plication; that ail statements contained in this application are true to the best of his knowledge and belief; and that the ork will be pcrfotnted in the manner set forth in the application filed therewith. vorn,to before me thi~ II Mary Public, , F unty CLAIRE L. gLE NW . . , ; E ; c;----- _ N~~No6~4$@796 81~Yotk Qualified fn Suffolk¢ounty ~O (Signature of applicant) Cammiasion Expires December 8,1 ~ !I THE LOCATION OF WELLSAND .CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM RATA OBTAINED FROM OTHERS ~ ,THE WATER SUPPLY AND SEWAGE OIBPOSAL SYSTEMS FOR THIS RESIDENCE 1 W14L CONFORM 76 THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT - 4F HEALTH SERVICES" T ~-s, - - - i~A~ 'i.~,~. ;Ge~sPOOLS ADOR~S9_,:-- _,_.TEL.---- / ~ A~ ~ i / ~ I " ~ lei ~p~ - - , WELL_ p7~ ~6BA UTIC ~ 1 / ~ K 1 Q ~ 4~ .j ~`vp _ ~ / ^ ~ I ~ / f - J \ 1/ / $ J'I - ~ 5 r p .If ~ _ C - ~ , m )"t~ ~p j~T ~ ~ ~ ~ ~ ~ ~ NPTE`; ~ ~ : MQNI/MENT ~ ~ ~ WA7ER SERV/CE = PR/t/iQTE WELL NEAREST /'UB4/C WATER MA/N : 4 M/LES t SCALE /"'.+fd' , _ . _ z. ~atalp°0 dr farmerlY A9n~.. ~~e~/~y Za.s ndw 5~3 g0J z~6. ~~p(,131 ~ ~ D 7g~39~t n N• ^ E ~ry~~:87 ~ ~ ' ~ ~ . ~ t F• -fir, , m~' a ' ~ . " p~, ~ r, ~ C~sZE. ~ ~ ~ y~ T ~ O Z +T e ~4 Qf~'tls . _ x as ~ ".cv ~ ~ Q i ~ m~. ~ ~_,~9^ 'af , v.'$<,. ~ _ °4 ..`'t-+~"~~v~t °n ~,.d._~S.` ~ _ „,T f, ~ r: i;.~--~....: - ~ sa- H _ 3 _ p WO00 OEG + ~"y 81a'~ ~~X 5 ~ ~ . ~ ~~slt ~ " ~ ` X39 1^~ p ~r_~ A at; - t~ ~ r4 i { - ~ ~ ~eki+D r,l~z' ' .`.5.76a39O~ ~ ~ hard ~i118r y ~ . ~ imerly . _ ~ ~ w ~ \ naW or ' forma ~a'~~ . ~ ~ ~ ~ " ~~Aic or forme~,~ ~ ndN' . ~ ~ ~ ~ ~ ~5. . P . ~ ~ - ~ R~° . ~st~ <io% ~ R~vi$Ipt~~''_ ' YOUNG `&_--.Y;OUN,G j ' Af~,'Cez~52~r1 ' ~ ^ 4`tt6 Q$TRANbER AVENUE; R;IVERHEAD~ NEW YORKI 3pYi74~i- o,q ~ ~ N ApTN. ~~(9~~` A4rD~fJ~NL ~{'OUNC.,' _ ~ HOWARD W. YOUNG . dn(Ai,~T'+'S1 /.9[ ~ , kRf~F,~$$1 i31~A,L 6rJ,b1{;F~ER ANO - LAND SURVEYOR /oain ~ ~ ~ vC~;/~/~Q+/'~ LANU $VRV~YO~t•;N.y $'f llC Nb. 128R$ ~ _ • ~ N. Y. S. LIG. 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