HomeMy WebLinkAbout17473-zFORM NO. 4
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ,2,17,456,,,,,,,,. Date.October 26 1988
THIS CERTIFIES that the building ... ,ACCESSORY
.......................................
Location of Property . ?.500 ALDRICH LANE LAUREL
House No. Street Hamlet
County Tax Map No. 1000 Section ..12.5 .......Block .. ~.1...........Lot . ?: 24 .......... .
Subdivision ...............................Filed Mttp No. ........Lot No. ............ .
conforms substantially to the Application for Building Pernrit heretofore filed in this office dated
SEPT; 21, 1988
.......... pursuant to which Building Permit No. .] 74 7 3 Z
.................
dated SEPT . 29 , 1988 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 shed with deck as applied for.
................................................................................
Tlie certificate is issued to , ,MITCHELL & KATHLEEN MARKOWSKI
(owner, 7Gl~C~ef6k'1~iI~)
of the aforesaid building.
Suffolk County Department of Health Approval ......N /A ................................ .
UNDERGVRtTERS CERTIFICATE NO ............. .N/A
PLUMBERS CEKTIFICATION DATED: N/A
Building Inspector
Rov. 1/81
rows 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)
No 017473 Z Date .... ~a.1` ..................................... 19.~d'
Permission is hereb~ anted to:
~.........s~~ . 3 ...............................................
ro .Gsf!?x!~~... ....~...~~~A~... ... ..
. . .. . . .. .. . .. ... .. . ... ~ Y l . ~ ... .. .... .... .. .., . , . . .. .O.. .. .......... .... .. . .... . . . .. .. . . . . . .. . ... .. .. .. . . .. . . . . . .. . .. .. ...... ..... .
of premises located at .....a'~.1s.l..d.D.....~"!•••• ~~ ~~.... ,~~'d?P ...................................................
...................................................OL.ti~~'.....'""1' . _"'.....................................................................................
............................................................................``.............................//.....................................................
County Tax Map No. 1000 Section/~.....,t.`rl..il....... Block .......,.f............ Lot No....~.,,~~.~'T
pursuant to application dated .....:./. ..~,~ ...................................... 19.O..f,~., and approved by the
Building Inspector.
Fee $..ps.~ O.~/
Rev. 6/30/80
:'TEED It:SP?C:IU17 ~~UAiE ~ i;OMMENT~
t. m
~
'- s i
H
y
FOUIJDATION (1st) - - \
c
:OUNDATIOIJ (2nd) ~
2.
., z
0
ROUGH FRAME & ~
PLUMBING
~
SS
H
3. ~ ~
c~
IIJSULATION PER N. Y. • • '~
STATE ENERGY
CODE ~
x ~
4 . l~ ~~
'~ r
y
FIiJAL
ADDITI017AL COMMENTS: z
x
~~
' m
x
ro\G
H ^\
~ 11e
H
O
.
• h7
A
r
H
[ O
T]
ro
H
~1vo.,;g_,~ ~nx tPf~3
~u~u,P,Y1'~~ I~rfif~
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~~~ to the Building Inspec-
torwith 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 or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
r
C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00
' 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$ ]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $100.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.0 0
4. Vacant Land C.O. $ 20.00
S.Updated C.O. $ 50.00 Date ........1~":.:7Y,-.Q'~......
New Construction,,,,,,01dorPre-existing Building ............ Vacant Land .............
Location of Property ... ..~°~.-0 ~.......~.(.Q:^:~L` .....~.".^:,~'...........L-~:`:-':c.!'.
.. ....
House No. / / Sheet Hamlet
Owner or Owners of Pro ert ~. ~Gfti.¢~~ `~ ~~-~ ~ ~ '
County Tax Map No. 1000 Section .... ~.~:5...... Block ......~........ , Lot ....~ : ;~ .~ , . , ,
Subdivision .................................Filed Map No. ..........Lot No. ............ .
Permit No. ~ ~~. y.7.~, , Date of Permit ..........Applicant ................................. .
Health Dept. Approval ............~~..........Labor Dept. Approval ... ,-1" ...................
Underwriters Approval .............:~ .........Planning Board Approval .:~ .................. .
Request for Temporary Certificate ........ ~ ...........Final Certificate ...................... .
Fee Submitted$.....,i.p,.`.-",,,,,,,,,,,,,,,,,,
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ....................................................
Rev. 10-10-78
~ ~~o a/
~.a. ~~i~~{sk
. ''
t
O
'~
_.~..w.....__~ ~„
i
i,
`,~
c ~
i
I~
~~,
~I
_i
j
~~
~~
m
,~
~'' __
.N 'T1
~ 1
U3 r,
~ ~ ~
~ ~ ~
~ a
~ ,~,.
,.
~~
8
~ *~' I
~~
i~
i... ., _ ..__._,,, ..-.-...___. ~ _ . _......_ ._R.
.%
'F ~
_...}}~1-
T1.
Y
9[
Mx'~
o-~~
~
g
~~s9 M+
~"8~ '°v®
~
~ tl R
®
2.~m8
~
~,~++ ~~
'~osuA
a
~
~ q,
Ww~+w
~
'
~*~'''{~
n ~ ~m
~xr~ ew:
n
~~ ,,yy**
my~>
ll +~
C+m
® 9
'
EA~.'~/ 1
~aa
6 _
~~m,«~y g
~.maa
4'~~A $~.~.,.. ~..
f
1-- "'
X ~ ~
.J
} ~
f. ~I
~~
wr
`~S
~ f
I~
:Y4 a `Y,
S 34~03'oo""E ror•39"
t
1 v ~~
_-mil __
~N
•/
Q)
m
I~OT 15
''0^
YI
Q~
m
~:
c..w v~~'c.. ~.5T.a9T~5 ~.~+5r
P'r~e~c I ,ga/e,t_ 4-, rimes
Fl~e< ..io. -7C '7o
.'SV pFOa~1C COVL/TY T.4Y A/figP j
i
(~15TBICT ~ /000
SE CT, 04/ /25
Piq 2C EL ~ Z. Z4
,q Q EA = 4- O~ O a Oj ~ . Ft. .
rt`
,.~
~?
,~ ,- ~ ,
4y',~a
wooo a~cr
ew,e . ~ -w"a.e' ~ p
i Y.~ .~. /7.! ~
.O FR. RES. ~ 0 _ -
"o O•!C(.
?~ OIL C ,.STK. "".tea.-.-..~-,y.~_y~..,..,.,f,~,.~~.. _ _ ~
~ o C ~ ,^
~ y, 4.
.~
~ ~ Q ,
~ ~ ~:
r:
~ ~ r~ :,
W ~~
~^ y
~~', r'a J dA +,~.. ~,
` _a
'a
~Q ~. '
y
N ~~
L ll
STK. 3~C -/ 2.5 IO C/ ~OJ , ~ 2;
r:
i+e
i9 L ~ ~ ~ ~~ ~ ind c,~~d h rnc~ =hall cio onl~o~ ~ ~
f ,' r?_.
~~~ aged an on his
RpL Srnw It est~ ~ P
I beha to the ~ ~ ~., ~ aeI ~~ antal zgency
/ ul~ '/ z° (8 ~ ~ Ye^ ~~ and ro the
/'" and lend' ~ i;~.; Certification is _
rJ IJ ZVEYEO: JuU! ZA, 19E 5as~ignecs ~~~ ° ~ - 1, il,;!Itpt'OnS Of A~/4 Rs OF PROPl4TY ~
not tfa ~y „
si.hszauz~ c !<o~ ,~ O~
~~~~~~'L t
Unauthcn~ r ~~ .n ai th„ surve is C AT H L EEr.I A/Li4 ~J[ ~ R
a rioiation ut ;,c. _ ' ~~ she ."iew Yak State .'S 1TV ~4'
Education Lan. ~ ''
~OA/ALp J. TASK
i f~.t1A/0 31,~lVEY~R Copies of this serve map not bearing the Land ~" ~(;~"P°~~'
Y T qa~r /~'~~~~• s ov rw o..rs }
G af,~('rE1C Iva e11~ e c N!S ~ ~. fr eyors Inked seat or embossed seal shall not be
~ideretl to M a valid troe copY• .~'~s`~c C~uvTY, ti/ r~~
z ~~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [~INAL
REMARKS:
DATE ~ ~ ~0 INSPECTOR
4 h'"
:.. ,e:
~~
FORM N0. 1
_ l.-./
~~~ TOWN OF SOUTHOLD
r3~t><, iii{~+'
TwOUn
t
c BUILDING DEPARTMENT
~
y
YO~N~c??r`,
" TOWN HALL
"""~ SOUTHOLD, N. Y. 11971
TEL.: 765-1802
i
d
~~~9
E
9~~
ne
.
......., 1
xam
Approved .. !/.~......., 19G~1 Permit No. I.7~?~~
/
Disapproved a/c ..................... ..............
.
BOARD OF HEALTH ~/.......
3 SETS OF PLANS P:K;,•,,,,
SURVEY ..........a:ll:..,,,,.
CHECK ..... ...............
SEPTIC FORM ................
NOTIFY
CALL .....~......3........
MAIL TO: ~p~ 7l0
//~/~//~(Bui n; I_n7`s~p~e/c/tor)
APPLICATION FOR BUILDING PERMIT
Date ....-S~P:~ -~. /...., 19b'~
INSTRUCTIONS Gtr Hi#'~ ~
a. This application must be completely filled in by typewriter or in i~i4~~t~ s Spector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule. BlV3~ ,~
b. Plot plan showing location of lot and of buildings on premises, r~`~fi i tsar public streets
or areas, and giving a detailed description of layout of property must be~~l~~ ~+ rch is part of this appli-
cation. y~
c. The work covered by this application may not be commenced bef edit `p udg P'e~rBm~it~l
d. Upon approval of this application, the Building Inspector will issud "t~,et~ , ~ ~~,q~t~i. 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 pu~~q~i~~er-un - •l~of Occupancy
shall have been granted by the Building Inspector.
i a;~ : ~..;,tt'.iS'}~ tt?.;kr£'a ?14:)i+1L!:
APPLICATION IS HEREBY MADE to the Building Department for the is's`ir`ahce ntflaA~u~ld ~?t~ i~~ursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New'York,?g'~~~~~~er,~'~Y~'.•I,~'~s;•Ordinances or
Regulations, for the construction of buildings, additions or alterations, dr` for iemoval or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code; `riouSYh~s'LDt1e; ate` regulations, and to
admit authorized inspectors on premises and in building for necessary inspe tion
....`~.c .. ~. . .
(Stgnature of ap//plicant, or name, if a corpo{ra~yt/ion)/n
... ~.Q 1C...~4~. tel.... L, l!-. 44 f2 L ~ .. /:: F . ~S .l ~~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .....~rl'CGk-~ ~~, ,`~, f.\.~-~ `~,C; y, , , , f!(!j,G~;`,~C,c? w S k
(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 . ..................... .
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 .....~~ ~....... Block ....... ~ - , , , , , , , , Lot ..~
Subdivision .................. . .................. Filed t\lap No. .............. Lot .............. .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
..... ......
...
a. Existing use and occupancy • • • • • • ...... ,
.......... .............................
b. Intended use and occupancy ..... ~L
.............................................................
(lucagdde}o amleu5{S) . • .
'~i ~rr^
~I'OE4atay-yy ~~
~tlloNaS'8L )
N+aA MeN -a e[ryg "JI78 d AHY1 ~ ?t I ,'
30A 30 71 N313H ' f ..~ ~ .
.Cluno~ .. ~~,ia,~„%, • , - ...... ,a'ignd ~.tclo,V
G 1 ........... 'r r'~/xy
~~ -~-a~,.w ... ~o r(rp........J.~ ............. .
"`"~,~' sn{l aw aiotaq of womS
•t{ltinalat{3 pa{r1 uopcalfddc aril u[ t{llo3 las .tauucw at{; u~ pauuo,l~ad aq 1I!m .ysom
aql lcgl puc:3at{aq pue a9palmouy stiff}o lsaq at{3 0l anil aae uo{lca{[ddc snp ul pou{cluoa sluawalcls lic lcyl :uopca{{ddc
sn{3 alJ pue axew of pucy.tom ptcsiagl pawto,i~ad anrt{ io tuto,;iad of pazuoylnr. ~tinp s{ puc `s~aumo so saumo pics ,io
(•pla `.taa~33o alesod.toa `lua3c `.tolacaluo~)
........................... ~ ..........................................................at{1sIaF1
•pamcu anogc
lucoridde aql st at{ legl s~Ces pue sasocYap `u.toms .trop 9ulaq (loctluoa Su?uSis 1rnprntpu{,;o autt:N)
.................................................
....... 30 ,C.LNI1O~
S S . • .. `}{210.0 A13N 30 d.L~.LS
lllbilplr YO Nfll83Q
Y~I ~ '83oQ~
~o~ ~ aivis
'/l'N ~Nt ~ lNl
.u~w rivNr Nau.~arvtaNa>' pie
'O'a YOd WOE 38
1~fIW NWA~ntl18N0~ lVNl~l 'b
NON1V"In8Ni 'B
ilN19WfY1d +r tNIIWYYd ~ HENW!! 'Z
~1fY3NW o8dnOr tlOd
oBYNTfliltl Or\~I, ~• Na~voNnod ~ ~
~BNQIlJ8dSN1 }JNIMOIlOd
3H1 tlOi Wd V Ql WM 6 ZO$L•99L
1 J J.Hdd3Q QNI "II AdIlON
'A8 oe 33~
~+ ~t~Z~"~' k id'8 ~ 6 31YlQ
aatow sr a3 na da
n~aJ)~ ~~
•lol .tauioa so .coualul
iat{lat{m alea{pu{ pue satucu laa.tls mots pue 'paap o; $ulp.toaae uollduasap .to iagwnu Xaolq pus laazls aniO •sautl ,CUado.td
woi3 suotsuauap xaeq_las lp: alealpul pue 'pasodoid so 2ullslxa saglat{m 's~taptln4 IIc dllaullst.P Pue di.teala alcaol _
p Y1IV2IOdIQ .LO'Id ,
a
N"•'SegN.. Lud~'•~a~•ainba.z aq dam u?mxaa saalsn,xy utaoy pioganog 'sa6 ;I~
....~...... r I T?P?3 e•;° aaa; OOE a?q~?K pa~aaol daiado.xd srt{1 sI'Sl
o auo ssa.tppd • iolaezluo o aura
................oN auot{d ................... ssa.tPPV ..... ~ .................... O3 11
oN auogd • •-~''_•r )~ • ao S L~ ' ssatPPa' ;.. .... ) qXl ' d O 3o awe
' • • . • • . • • .sastwaid wo.l an laal{t{a.td 3o auteN
°H sa,0 ~wa.t a t ssaaxa t ),'~ M ~" i'"'~ sastwa.[d o.taum 11 bl
.....
....
d P 9 I[.3 If M .. ' " " " " " • • • •0 .......... papezHa~ a4 lot IIIM '£ I
................ ~ ry' • •~' :uopc(n5at.to aaueuipto'me{ 3uluoz duc al loin uo13an.tlsuoa pasodo.td saoQ 'ZI
........ ..... ..................
' ~ ' ~ ' ' ' ' palcnlls a.te sasiwa.td Halt{m ut laulslp asn so auoZ ' I 1
...... ' ...................... iaumO .tatu.tog ~o awfeN ................'............. ascga.tnd ~o aleQ '01
• ql a ...~, /
............ J. ~~~:... tlldaQ.. .....~.~. ~L~!, .....tea21 , ..... ~ ~ ... , luo.t3 aol,lo az{S •6
............... d ... ~ _ , .tca ' sauolS3/haqufnNf .....1..~ ... It{u{ag
Q ............... ~ .........
...
........ J, , , , , , , , , , S ~ J ~'/ . ' luo.t3 :uopan.tlsuoa mau a.ti3ua 3o suolsuawtQ •g .
... ica.... 1S 30 .tagwnN ............ ....... 1tly~all ...................... t{3daQ
..................
~ uo I' ' ' ' ' ' ' ' ' luoaJ :suo{llppc .lo suogc.talic Ohm ainlatuls awcs }o suo{suawtQ
................... sauolSlola um ~ •Q L
... Q .......~ ~ q N .......... lg9{ag
llda '••••
........~~'.. t. • • . • ... 3... l ... iea2l ........ ..... luo.tJ :,Cur. }{ `sanla~uls Surls[~J" o suo~suatm
' asn o a'
... • • . ' ' ' ' ' ' ' ' . • •t{aca,io lualxa puck nlcu ,t3iaads `6aucdnaao pax{m so irtazawwoa `ssawsnq 3I '9
.............. oll
U 4 7 ........................................ s.tca}o tagtunu'a~ctc9dl
(uodcar[dde sap Bur{rJauo po ~ 9 Su[i[amp,la lagwnK ................ shun Suplantp~o.taquinu'9ug[amp3I 'S
.................
....... aad ......................
...
.. .. ~~ /....... iso~ pPlcw{lsg •b
.............. x1OA1 .taglO ..... !, ....... uollgowaQ ........ , ..... icnowau ~tcda
......... uol cJal ...... oq~
PPV " "'x" ' SulPfina maN :(algcal{ddc ya{tln~ xaat{a) .ylom 3o a~nlcly '£
_ ul