HomeMy WebLinkAbout18560-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 219228 Date JULY 20, 1990
THIS CERTIFIES that the building ACCESSORY SHED
Location of Property 4155 ALDRICH LANE EXT. PVT RD #11 LAUREL
House No. Street Hamlet
County Tax Map No. 1000 Section 112 Block 001 Lot O11
Subdivision Filed Map No. Lot No.
conforms substantially to the Applicata.on for Building Permit heretofore
filed in this office dated SEPT. 6, 1989 pursuant to which
Building Permit No. 185602 dated OCT. 4, 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 RE-CONSTRUCT AN ACCESSORY SHED AS APPLIED FOR.
The certificate is issued to J. GARRETT & MARGARET DE GRAFF
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
Ce-cam.
Building Inspector
Rev. 1/81
mans xo. ~
TOWN OP SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
C+~OJv1PLETION OF THE WORK AUTHORIZED)
N p J. $ 5 6 0 Z Date ...1.~~~f` ~
19U1.
Permission is hereby granted to:
ti... , . /
.
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at premises located at ...I .G2~~":CI.kG.. ....;l~ltrf~.. ,!f.:
t:~?~,
Courrty Tox Map No. 1000 Sectiont~....I..~4~.~......... Block ............f...... Lot No...........:'r:~...
pursuant to application dated ...//~a 19~~, and approved by the
Budding Inspector.
Fee 3.•~..~.
napes
ildi I for
Rev. b/30180
v"' TOWN OF SOUTUOLD
o~~~~~~ BUILDING DGPART2ICNT
Vt.l . V-^
'I~~~ TOWN HALL
SOUTIIOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY / 1
DATE.. 41,1.1..-•---..
NEN CONSTRUCTION .......OLD OR PRE-E%ZSTING BUILDING. ..VACANT LAND....._..
Location of Property...~~s~.. ~t'o>C-icH L~e t~~('e/J'(~~0'A), ~'~1~~(Jt(
HOUSE NO. STREET HAMLET
Owner or Owners of Property ~ ~'1A~rl{r'A-r<<1C ~E
County Taz Map No. 1000 Section ..~1'Z~. Block _I.._... Lot 1.1......
Subdivision Filed Map ........Lot..........
Permit No. ......._..Date of Permit .._.......AppLicaaC
Health Dept. Approval Underwriters Approval_.._._._.__._.
Planning Board Approval
Request for Tempora-~er~y Certificate Final Certificate
.
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Fee Submitted:
APPLICANT.. . /`..°Sd~!Y.. ~
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rev. 10/14/88
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T t ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~ULATION
[ ]FRAMING [ FINAL
REMARKS: ~l~
DATE ~ INSPECTOR \
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T65-1802
BUILDING DEPT.
1NSPECTlON
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ANAL
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ ~ ROUGH PLBG.
( ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ INAL
~EMARKS: ~T,Q~ ~ /~~~~.s
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MR. J GARRETT DLGRAFF
1G3 ETON PLACE
WEST HLMPSTEAD, NEW YORK 11552
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TUt.S'\* nF SOUTIIOLD
Ot i ICC OF IiUILDi\G I\51'~:C'C~ 4i
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TO\CN IL\LL
SOiITIIOLD, \7;tC YUP~1C
CERTIFICATE OF OCCUY_`.NCI' No. 212759
NONCONFOP.IiI\G PREA4ISES December 23, 1993
THIS IS TO CERTIFY that the
Land
JX. % Building(s)
/Use(s)
located at 1520 Private Road ff t t Mattituck
_ Strpet Hamlet
shown on County tax map as District 1000, Section t 12 Blocl: 01 ,
Lot 011 doesinot~conform to the present Building Zone Code of the
Tovm of Southold for the following reasons:
t'hti property has insufficient side yard area; there are two (21
accessory sheds in the front yard area, ar,d there is a detached
garage in the side yard.
Gn the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming j_/Land Is1 Building(s)
/_/Use(s) existed on the effective date the present Euilding Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
ca61c provisions of sr.id Code.
IT IS I'L'RT'rIER CERTIFLEll that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: one-family dwelling, detached garage,
and two (2) accessory sheds. This property is located in the
'A' Residential-Agricultural Zone District.
Tl~e Certificate is issued to E. 4lALLACE & RUTH B. ROTIiMAYER
(owner, ~iessee•~or-tertmnt)
of the afore^aid building.
5uffnl'R County Department of IIealth Approval no record
Ui\DEP~\S'RITEftS CER'TIFICATI? NO, no record ~
,A'OTICI: IS IIERrBY CI\TEN that the owner of the above prer.~ises li~S
NOT CU;\SE:~TED TO AN INSl'IrCTION of the premises by the Building Inspec-
for to determine if the premises comply with all applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and re~ula-
ticns.
Itut:d:n~ trispector
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. 1 SURVEY , .
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOSE-F,Y
&OUTHOLD, N Y 11971 ALL
TEL.: 765-1802
/ MAIL T0:
Examined / ~ 19
Approved ~J~~.~j , 19 Pennrt No. /4' ~ 4""
J j i . ~ 1
+
Disapproved a/c i . + ,
~ ~~11, s~-6~~ ~ r
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• TOWN GF ;;C'!, _ t
~BUII ing Inspector)
APPLICATION FOR BUILDING PERMIT
Date .Q~1 19~
INSTRUCTIONS
a. This application must be completely filled in by typewriter or m ink and submitted to the Building Itspector, witi
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 ad~oinmg premises or public stre.
or azeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tkus apI
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 pe„i
shall be kept on the premises available for inspection throughout the work.
e No building shall be occupied or used in whole or,n part for any purpose whatever until a Certificate of Occupan
'shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmlding Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb:
The applicant agrees to comply with all applicable laws, ordinances, building co ousmg d regulations, and
admit authorized inspectors on premises and in building for necessary inspec ons.
(Signat of applicr name, ,f a
c' orporation)
(6,3• .ETd!~ ~~q.ce} s-reA•,?i N•y
(Mailing address of applicant) t (SS
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
DWJJCIe
Name of owner of premises ~..CS.-C!"2~-~.~ ~~..~!ek~' , w~
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
. .
(Name and tale of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No.
Plumber's License No
Electrician's License No.
Other Trade's License No. .
1. Location of land on which proposed work will be done .
House Number Street Hamlet
County Tax Map No- 1000 Section ~~oZ, , 81ock f... Lot .
Subdivision . Filed Map No Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction•
a. Existing use and occupancy .....~Id' OC... Sk~E~.... C'f-/iu~.. • . _ _ _ • • . • • • . • , •
b. Intended use and occupancy l d ~ Z-... S 1'>l E (.4V ~ Q
3. Nature of work (check which applicable) New Building Addition Alteration ,
Repau Removal Demolition Other Work .
~ ~ (Descnplion)
4. Estimated Cost ..~~7~`D Fee S............. .
/I (to be paid on filing this application)
5. If dwelling, number of dwelling units ~L~' Number of dwe]ling units on each Moor . .
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify n tune and extent of eachitype of use !i!~A:.. .
i? n
7. Dimensions of existing structures, if any. Front . • • • Rear ~ Depth ~2 .
Height $ ~ Number of Stones i ~ , .
Dmensions of same structure with alterations or~c~ditions. Front . Rear ..7, , , , , , , , , , , , , ,
Depth l~ ~ .Height . Number of Stones .
S. Dimensions o,~ ei{tire nevv construction Front . ` Rear . Depth .
Height Number of Stones . .
9. Size of lot. Front Rear Depth .
10. Date of Purchase .3~1~ 8'.~' . .Name of Former Owner ~-3'C.J~. PR.'CA«t~. L:Q,~Z
1 I . Zone or use district in which premises are situated . .
12. Does proposed construction violate any zoning law, ordinance or regulation
13, Will lot be regraded ..Nn.. Will excess fill be~emove fromp~e~mses Yes
14. Name of Owner of premises~~.Q~ . ~:~FF ...Address Xi?.f'ro"~ u1• ~?'~/.~Ytione No.~lb.-y~1 r~~~
Name of Architect Ne!"4 ....Address . .....Phone No.
Name of Contractor ../~AM.'f . ......Address Phone No.
15. Is this property located within 300 feetyyof a tiyidal wetland? *Yes No
*If yes, Southold Town Trustees PermitPLOT DIAGKAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions frog,
property fines Give street and block number or descnption according to deed, and show street names and indicate whethe
intenororcomerlot 3'/t-OPOSE9 IDOL SI¢~t~ 'f6 USA EXIS'I"lnl(r GONraI.CT'L~
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STATE OF NE~~' Y S.S ~ ~O
1/. , .G1lYY~.~ ..,~l~V ~15?e?~:~ , being duly sworn, deposes and says that he is the applican
(Name of mdrndual signing contract)
.above named. n,,,,,
He is the ($.Gr~x~~.2 - Y.~~~.~Ql~. .
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file thi
application, that all statements contained in this application are true to the best of his knowledge and belief, and that th
work will be performed m the manner set forth m the apphcaUon filed therewith.
Sworn to before this
.........v... .day of. °~i'Y~~{/.di.~.>1~
\otary Public, ........--~.~/CICOC,(/~[ County
ALAN J BEKKENHUIS (Si nature of a phcanl
NOTARY PUBLIC, Sfate of New York
No 5248910 Suffolk County
Term Expires January 31. 1A~~
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