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HomeMy WebLinkAbout18427-z • a ,v. FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20857 Date JULY 13, 1992 THIS CERTIFIES that the building ADDITION Location of Property 525 NORTH OAKWOOD RD LAUREL NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 127 Block 7 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1989 pursuant to which Building Permit No. 18427-Z dated AUGUST 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ROBERT & GERRIE LEVINE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ~A . °V" Building Inspector Rev. 1/81 roam xo. s TOWN OF SOUTHOLD BUILDING DEPARTMC•NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- X8427 Z Date 19.x.! Permission is hereby granted , . : ~ . . . ~ . . . . . . . . . . . ~ ' ~s~ ~ ~~............y.i~~.....~... at premises located at ...'~oZ//~__......~ J ......~~i................................ li.Gt~G~f(, ..........................................................................................................~y/.................................................... County Tax Map No. 1000 Section ......./..~.,f~...~...... Block .........~t........... Lot No.........,~~........ pursuant to application doted .........~~y.~ 19.GF~„ and approved by the Building Inspector. CJ Fee Buildi nspector Rev. 6/30/80 _ F,~a~ N Form No. 6 ~q ,,~~(}'L~/~~~0.~~ ~ ~t C:~C1~11 ; , irs v.~o~vb~~v~~~~.4 TOWN OF SOUTHOLD ;7~ ~ BUILDING DEPARTMENT r,' i ~ ' - ! TOWN HALL ` _ °f~ 765-1802 i ~ 1 d.d r v~_ : l~'-K L~L "iAPPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OLt 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-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains 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 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, building and ~ unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, 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 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction.......... Old Or P``r11e-e``xrri~~sting Build~'(ng ` Location of Property.....i:S.... N,~. Vt~ ~uz?:?G?CS ~?c.t. i....... House No~~ Street Hamlet Onwer or Owners of Property.,,4,lo~.C~.:~.~..~..~~ Vfi~,,.~~~~.N~„~....,.,..... County Tax Map No 1000, Section...~u1.~......B1ock..... ~ .........Lot... ~~i Subdivision ....................................Filed Map............Lot...................... Permit No.~.~:[.~: 7,z;,,,,Date Of Permit..(~.~~ y/.~.~..Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ V p' ~ APPLICANT ec, ~.a o ~s-~ i ~ f ~ ~ - `-----,fie.. ~ x "}o P,L ~ 2`~ ~ ~ ~ ~ " ~ 2 %s - - - - ' Zit ~ a- R ,.-4 . , _ _ t ~ t"te~:~:~ ~e~f~ 2<- { ~ rs ~ low c~ ~ bQ~IO NA OC u.~ ~ u ,r ~Y Zx$ n! ~ .ti - - {{jam``.-x~o1!_- _ ~ 2. nfg ,yr~t, ~c - ~ ~ - beck/ r'ai~ . sew+i_~ f~"= t`"~„ ~pck ~'~~1~In`~' = + ~ etc • C RVG~tI~" 1 ~u~s~a{8'{z~89 s~u.~.w~ -~cxa~ Pith ~ ~ ~ S~u:arE? Sys ~ oAt~u~~ p - Tr~cin, Vitt ~ ~~~.~"•.l~C'.~:~ 7 L0~' t~9 , r'lELD IGSP'C:iU:+ ~~lli..n UOC4MCNT° _ -9 J 1 H U FOUtJDATION ( 1st ) jib c ~1 - FOUNDATIOIJ (2nd) - m 2. f o cam,, P,OUGH FRAME & PLUMBING ti H 3. ~ c~ m H IIJSULATIOPI PER N. Y. STATE ENERGY CODE a~ L 9 ~ - 4 , -a FINAL I ADDITIOPIAL COMMENTS: x`~ ' x ~ ~ ~v\•i, M V\ 9 ' H O\ • r~ H x o ra ro H l0 ~L 7 T65-1802 \ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) (ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ y3`' FRAMING [ ]FINAL REMARKS: ~iLd.~ ~ ;l w - _ o 6 DATE ~ INSPECTOR 1~~~ 765-1802 BUILDING DEPT. INSPECTICJN [ ]FOUNDATION 1ST [ }ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: (r=~'--' ~ r I i DATE INSPECTOR . ; ~ ~ ~ ~ ~ T - - ~ ~ L":~tl/..~^ ~ ~ ~ c - ~ k ~ k ~ ~ o ~ ~ ~ ; Y ~ ~ ~ _ ' ~ ~ ,.c ~ ' 6e low r rs1~ ~6 `IP~tca~ v - - N x 0 1..,` ~ ~ UMVr ~ ~ ~ 4 if Y x f _ _ .G..........~_--._ I / nr'N~"~~a~ r...~_~Pt1GG~~C~t-~ o SCf~,G~ f4,{- li„~„ s~u.a~-~ ~c~a~ Ar.~ - ~ ~~uar~ f 5~s N ~ o~~wo~~ ~ rt~ LOT 31 I N 69° 08~ 40" E 200' (20o.16'ACr ] Q CM FD CM FD ~ _ m ~ ~ Q h ~ Q F ~ WOOD FR. SNED N ~ O W ~ CHIMNEnl3 14 ZA B 43.3 ~ r~+ V' N w~ ~ 1 STORY ~ S7EP Ll.l I ~r`Y'-~~.~~~, o FRAME RES 0 p ' 39.3 ~ ~ 40.7 N ON ~ArFf~ .-CENian ~ 0 ° ~ '~icis'L"T 'S N ~~~~v SNOW CM FD Y vZ CM FD I u FENCE,__.-________'- - - " S 69° OS 40 W u 200' o LOT 29 J W ~L F- O PECONIC BAY BOULEVARD z SURVEY OF FM 212 LOT 30 SURVEYED 3 APRIL 1989 FILED OCTS, 1925 In SCALE I~~=30' TM 1000-127- ~-IS MAP OF LAUREL PARK SITUATE LAUREL, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. SURVEYED FOR ROBERT & GERRIE S. LEVINE GUARANTEED TO SURVEYED BY ROBERT I. 8 GERRIE S LEVINE STANLEY J. ISAKSEN,JR AOUEB OGUE ABSTRACT CORP. P 0 BOX 294 70WN OF SOU 7NOL0 NEW SUFFOLK, N. Y. 11956 Guarantees Indicated here on shall run ~ only M the person for whom the svnvey is prepared; and on. his be],alf to the ` title company, Ceverrr entc•I Agency, lending institution, it listed heroon, and to the omignees of fho ]ending insfihrtion. G uaraMees mrre~ uof transferahlo fa ICENSED A ZS;URVEYOR odd]fional Institutions or absagvanf owners. NYS Lie o. 4 Cepir: of fins surv:r/ nap not 6earineJ the Land $~rvoycr, embossed scai sha'~I ~ trot be considerod to be a valid true \ 'cop}'. \ Unauthorized alteration or addition fo ffi]s \`w~ , urvey is a violation of $ection 7109 of the New 7"ork Dtcto Education Law, ~ S~nO~u ;uNF iaA9 Gin NO:SC OFFSET 5/Se S W MON RECOJFPED deck 8.14 ` gl~a( _ PQ4 BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 - SURVEY TOWN OFSOUTHOLD CHECK, BUILDING DEPARTMENT SEPTIC'APORrf . TOWN HALL ~ SOUTIiOLD, N.Y. 11971 N ~ Y - TEL.: 7G5-1B02 CALL ~"ff°~ ~"yA ~~j Examined.~.~`~~J.........,l:r~/,. MA L T0: Approved 19' Permit No. 7~ ~ ~ ~ ~ a Disapproved a/c ~1~ AUG 1 A ~ " " " " 'APPRDVED'AS MOTED••• DATE: B.P. # ; • a BLDG. DEPT. • • • • • • • w, pWN OF SOUTHOLD FEE: _ -gy; uildin~ Ins ector) • NOTIFY BUILDING DEPARTMENT AT PPLIDAl'ION F=OR BUILDING PERMIT 765-1802 9 AM lU 4 PM FOR THEA FOLLOWING INSPECTIONS: ~q 1. FOUNDATION - 7W0 REQUIRED Date • U~~~ , . 155 ! FOR POURED CONCRETE INSTRUCTIONS 2. ROUGH - FRAMING ffi PLUMBING a3. ~~laQ~)fi~ttion must be co~~m~~ppletely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets t9f yFP~L~accur~4@{~~u~ilQ~i s'tn31e`~'.TFee according to schedule. b. ~~o~ AQPi~tT~, i~# ~stion o 1 and of buildings on premises, relationship to adjoining premises or public streets or ar~'~; a~t@S;~Tt~UCaT~~ail~~~sc~n of layout of property must be drawn on the diagram which is part of this appli- ~atio'[~;tE REOUIR~tAENTS OF TH N.Y. e`•'TAtT>~a ~®i~cTc~ T ~ Yion may not be commenced before issuance of Building Permit. shall r8~•1: n ov ]~.~~z'1j:~~{, the Building Inspector wil'1 issued a Building P.eiinit to the applicant. Such permit b15~~~ns~y±~ e o~Ir tnspection 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 HL•REBY 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 Reculattons, for the construction of buildings, additions or alterations, or fo re v 1 or demol' r n, as herein described. TI[e applicant agrees to comply with all applicable laws, ordinances, building code ousi co d regulations, and to admit authorize! inspectors; on premise's and in building for necessary inspectio s. (Signature of applica_nt,)or hame,~pif a corporanon) ' (Mailing address of applicant) ~tA-r~,~ r.(r~( State whether applicant is ow/~ner, lessee, agent, architect, engineer, general contractor, electrician, plumber~or~b ilder. ..............~.I;JyL eu~, ..........f Name of owner of premises~~~e(~.•~... .C'-.12;~ 1.4~... (as on the tax, roll or latest deed) If applicant is a corporation, signature of duly authorized officer. z (Name and title of corporate officer) Builder's Licensc No. ...0~.~.~~~.'.. - Plurnbcr's Licensc No . . Electrician's Licensc No . . Outer Trade's License No . . 1. Location of land on which propos/ne~dll wo~r~kpwill be done. . ~ .......................V IBC :r!^..~~.~~~a?~~ ~`cr.~,f.:~.~.. • i louse Num bcr Street. ' ' • • ' ' ' ' ' ' ' Hamlet County Tax\fapNo.1000$CCLIO? ~.a'•~••••••••• Bluck Lot.~.Ao r ~9 _..d F.ilcd t`fa Subdivision t."t. p No. . S'-. i:........ Lot r•.8~~.. . (Name) State c~isting use and occupancy of premises and intended use and occupancy of proposed construction: a. Exis[ing use and occupancy . b. Intended C`~~~t'3!r ~~h .'s use and occupancy . r I 3. Nature of work (check which inapplicable): New Building , • , , Addition Alteration Repair Rc{noval Demolition ~ Other 1Vork . 1 4. Estimated Cost ~~Q,~ - (Description) . Fee (to be paid on filing this application) e g units . . , , , , , • , , , , Number of dtvcllirtg units on each floor , , , , , , fdwclhn~,numberofdwcllm~ ' cd occupancy, specify nature and extent of each t pc of use . . 6. F f b•usmess, commerctalror mix'Ires, if any: Front . ~f , , ,Rear t i ' ' ' ' ' ' • tuber of Stories " • • • • • • • Depth ; ~ , • • 1~m1 `sio; s,~of exrstrn":stn Nu,vith alterations or additions: Front ~ • • ' ' • ' ' ' ' ' ' ' ' Dimensions ofsamestructurel Do th Heigh[. Rear.......... Dii~n~ o('entire new construction: Front , ' ' ' ' ' ' • • • • Number of Stories . Height u Rear.........i3?.;a*iD~p'th~;•ia:~,a.. : ~ tnberofStories. . 9. 'Size of lot: Front. Rear. ' ~t0. Date of Purchase . 1!'7.x.$9...., ~ Depth''' ~Q~.~' . ' r . 1 1. Zone or use district in which p}emises are situated , . ; :Name of Former Owne; ~ r j,1,FZ~~,~1 • . ; ~ ; 13. Does proposed corrstructivn viglate any zoning law, ordinance or regulation:. t • KQ ` 13. LVill lot be regraded ~Q ~ ' . 14. Name of Owner of premises • • `;,pYi'" ' ' ' 'Will excess fill be removed fr irl premise .Yes 4 ,r(7Q,tat~e,. Y!r'r. Address ~ Name ofd S.~:Q~~u?Fhh`~.i~l „Phone Nc~$'t~2gf~'~t~2. Name of CP•ter . • ..................Address „`Phone No.4C~,. 6~+,1.r4 Qtr IS.Is this ro ert loo' •.Phone No.. If es Southold Tow '••Address....• " P P Y ated within300 feet of a tidal wetland? *YES....NO~. , * y + n Trustees Permit may be required. ~ PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate'"all set-back dimensions frotr property fines. Give street and block',number or description according to deed, and shotwstree[names an'd indicate whether interior or corner lot. 611 ~r ~ 6" l~.nt- h ^ r I 'L'1,4`-F W ~ ~ ~ ~ ~ ~ cro , 1119©al ~c~ ~I sEc• ~7 ~ ~ 16 - ~ ~ d i " ST,~TE OP NE\V YORK, I' t S COUtiTY OF , S1 ~?,r~-.1-e~~c P ' ' ' ' ' ' • • • • • • • • being duly sworn, deposes and says that he is the applicant • • . • • • • • • .(1\amc of individual si=nine tbovc named. contract) 'ic is the , ®V :Itti2,C.~...... I . f i (Contractor, agent, corporate officer, etc.) ~ ' ' ' ' ' ' • ' said owner or owners, and is duly ~Plication; that all statements contairt~~ldtlinrthis app( c~tian arc Itnrc toetl a best of lirs know! d to make and Gle this rE: will be performed in dte manner set forth in the application C.•Icd therewith. 6 and belief; and that the wom to before me this , ~ ....day of..,• .C<~ 19 ~J. otary Public. ..I:'1.1.. ~Q, (.!(J~..... County HELEN K DE ~ ~ ~~a~~ ~ Nll?AkY?U&IC, Sdb of New . Ne.4w~ara, sunon~cw . Tana Expires Much 30,1 (Signature of applicant)