Loading...
HomeMy WebLinkAbout18131-z ' ~ ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18051 Date MAY 24, 1989 THIS CERTIFIES that the building ADDITION Location of Property 2500 ALDRICH LANE LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 125 Block Ol Lot 2.24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore i filed in this office dated MAY 21, 1989 pursuant to which Building Permit No. 18131-Z dated MAY 24, 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 DECK ADDITION AROUND TNGROUND POOL ATTACHED TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MITCHELL & KATHLEEN MARKOWSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A C,T 4-L ilding Inspector Rev. 1/81 r~osat No 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) N°- 18131 Z Date ............1:3.:),o~,.a;~ 19.8 Permission is hereby granted to: .:~3g.~S,..!~:.~ 3 ~~..u-r-Q,,....,~:..:..~a.~Q.-~....cal..,~:~ ..c~..~...~, h,,.4~.... at premises located apls'2~,,,, - ~ n . 4.:0.1.4.-... . ~4S~4J~:... County Tax Map No. 1000 Section ~ Block .....0.~........... ppLot Na....?~.: a:..l......... pursuant to application dated 19..1.., and approved by the Building Inspector. Fee $ .............9.. . . Buildin I for Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART2fENT TOWN HALL • SOUTHOLD, NEW YORK II971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE..MaY,?4;.1989_.. NEW CONSTRUCTION .......OLD OR PRE-EBISTING BUILDING......VACANT LAND...._... Location of Property.,2500_ALDRICH LANE _ LAUREL, NEW YORK HOUSE NO.---••..• .STREET ...........HAMLET. Ovner or Ovners of Property....., KATHLEEN 6 MITCHELL MARROWSKI County Taa Map No. 1000 Section ..125, Block 1 2.24 ~ Lot-......... Subdivision Filed Map ........Lot.......... Permit No. 18131,-Z,,,Date of Permit 5/21/89_ MITCHELL MARKOWSKI ..Applicant Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: 25.00 APPLICANT.., MITCHELL.MARKOWSKI_ C~~.• 3730 e.o ~ ~~o~s~ . rev. 10/14/88 FORM N0. 6 ' TOWN OF SOUTAOLD !I BIIILDING DEPARTMENT ~I TOWN HALL ' ~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with [he following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, j streets, and unusualjnatural or topographic features. 2. Final approval of He$lth Dept. of eater supply and sewerage-disposal(S-9 form). ' - 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fromlplumber 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" landj,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 abstia ct of titl e 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 c~riting to the applicant. f 3. Date of any housing code or safety inspection of buildings or premises, or other k pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. Aa 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. CERTIFICATE 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 Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy oa 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 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential i $50.00 Commercial APPLICATION ON BACK I revs. 10/ 14 /S8 :'1cLD I::SPEC:~U;i UATE II I OCMMENT -o, 00 a W H FOUtJDATION (1st) _ - - y ~ c FOUNDATIOiJ ( 2nd ) _ _ _ m 2. A~ z 0 ROUGH FRAME & PLUMBING ti 3 . i h IIJSULATION PER N. Y. y ~ STATE ENERGY CODE . x a 4 . r ca H FINAL lL O ADDITI017AL COMMENTS: ~ x . d • ro x ro H ~ H H tee. p `V m ~S v ra H -C~j S CCCUPANCY OR ~3~~ iS UP6LAW~UE ~1 ~ ~4~~~C~UT CER~IFICA~E P~ u a N ~ t3F OCCUPANCY I ~ ` .F-x~ sv-'1',U ~ i R ~l~p~n~~a As Nor~® ~nTE. S,~3Z.q-e~.~ u /8131 - ~ l~ r FFE 13Y . L- pK7TiFY BIJIl.C71NCi raEF'ARTMENT AT ?e;'~ ts;g2 9 !a.[~A iCi =S PM FOR THE fit)t.l CtVVtNG it~~PLC 110N$. _ 1 FOtJfvC1ATION TN1C) RECIUIRED ' ~ FOR P~JIIRE~COryT-E° 2. ROUGH - FRAMIN & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FO~Q. ' ALL CONSTRUCTtOP1 StiALL MEET THE REQUIREMENTS df THE N.Y. STATE CONSTRUCTI N ENERGY CODES. NOT RES SlBLE fOR DESIGN OR CONS CTION ERRORS ~ 1C ~ S'C~nyQ p~C3(' t~~q J 6tt x ~ i' ~t ~IAY 2 3199 ~ i i ~,~.-m-,A, ~.~,~1~ l3LUG. l9EE~7. „W, T4711'hl OF SO{11H6L[~ BOARD OF HE.\LTH 3 SETS OF PL.\NS FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM . TOWN HALL SOUTHOLD, N.Y. 11~J71 NOTIFY • TEL.:765.1H02 CALL ~.~a?~..., 19.1 MAIL T0: . Examined , Approved d.l..., 199. Permit No. I , 8,1 31:~ Disapproved a/c ..................................V,t~~~... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ~ ?9 ~..:ZI......., 15 INSTRUCTIONS a. Tltis 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. 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 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 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 Reculations, 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 inspectots on premises and in building for necessary inspections. (Signa[t[re of applicant, or name, if a corporation) ' (Mailing address of applicant) State whether app]cant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................L.................................................................. Name of owner of premises . n~.~4~e~1~~~ •f J' fJ~.~L~~ V~'1 ~e~k"~-SkL (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . Electrician's License No . Outer Trade's License No . . I. Location of land on which proposed work will be done . • House Number Street ..~...Hamlet County Tax Atop No. 1000 Section Block ®,1, , , , , , , , , , Lot ~-T , , . , . Subdivision Filed Atap No. Lot . (Name) State existing use and occupancy of premises and intended use and occup~a-nf,Jcy of proposed construction: a. Existing use and occupancy ON ~ "W' ~ i .....y.................w . . b, Intended use and occupancy ~ 5.........t...........', ! , , , ~ ~~,j f qy~ J 3. Nature of work (check whichapplicable): New Buildin ' Repair g Addition X...... rUteration • Removal • • • • • • • • • • Demolition .Other 1Vork . 4. Estimated Cost ..~d?Z"? -,A~ (Description) ....'y Fee ..°ZS..:..~........................... (to be paid on 61ing this application) 5. If dwcllin~ number of dwellinig units Number of dwelling units on each (loot............... . If ~ara,c, number of cars . 6. if business. commercial or mix'~ed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structuj~cs, if any: Front . .Rear ' ' ' ' Hci;ht Number of Stories . Depth . Dimensions of same structure with alterations or additions: Front ~ ~ ~ ~ • ' ' " ' ' Depth . Ileight . Rear . Dimensions of entire new construction: Front , • • ~ • ' ' ' ' ' • • • • Number of Stories . Hei;ht Number of Stories Rear Depth 9. Size of lot: Front Rear 10. DateoFPurchase Depth 1 1. Zone or use district in which • • • .Name of Former Owner . . . . . • • ~ o remises are situated ' ' ' ' ' ' oes ro osed construction vt ' p p glare any zoning law, ordinance or regulation: ~ ~ • • 13. Nameoof Architedc dp ~ ' • • • Will excess 611 be removed from premises: Yes No 14. Name of Owner bf remises . , , , , , , , • , , , , , ,Address ' ................Phone No. Name of Contractor . • • • • • • ~ • • ~ • ' ' ' ' ' • • • Address ...................Phone No.............. . IS.Is this prgperty lociYted within "'Address .PhoneNo........' *If yes, Southold Towtt Trustees Permit may bearequiredetland? *YES....NO.... PLOT DIAGRAM Locate clearly and distinctly a14 buildings, whether existing or proposed, and. indicate all set-back dimensions from property Gnes. Give street and block',. number or description according to deed, and show street names and indicate whether interior or comer lot. S ii ST,1TE OF \E1V Y'ORI:, COU; ITY OF S.S r .,nir~' • ' • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (i\amc of individual sip g contract) above named. I Ie is the , (Contractor, agent, corporate officer, etc.) ~ ~ • " " ~f said owner or owners, and is duly 'authorized to perform or have perforred the said work and to make and 61e this =Pplication; that all statements contairjed in this application arc true to the best of his knowledge and belief; and that the ,vork will be performed in the manner set forth in the application filed therewith. >wom to before me this .......................day of..',.................. 19... rotary Public . County ~ Signature of applicant) I