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HomeMy WebLinkAbout18808-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CBRTIFICATE OF OCCDPARCY No 8-25127 Date JULY 9, 1997 THIS CERTIFIES that the building ALTSRATIOR Location of Property 10575 LAIR ROAD BAST RARIOR, R.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 4 Lot 15.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRDARY 8, 1990 pursuant to which Building Permit No. 18808-Z dated FSBROARY 22, 1990 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 ALTERATIORS TO E%ISTIRG ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to LORRAIRB MARDEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R/A UNDERWRITERS CERTIFICATE NO. R/A PLUMBERS CERTIFICATION DATED R/A Buildin inspector Rev. 1/81 10BM N0. f TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N 18 8 0 8 2 Date 19.90 Permission is hereby granted to: ct premises lacated at ......~Q...~.-r...7:.~..~ ...........................................~...sn.......................................................................... ........................................................................................................t.~..................................................... Caunty Tax Map No. 1000 Section ......,.~.1......... Block .......T............QLot No.....1 s.?`.~....... pursuant to application dated ............~~d•• 19...~.d and approved by the Building Inspector. ~f d Fee S•••~°~~~~ Build I for Rev. 6/30/80 F'tsf-9t No. 6 TOWN OF SOUTHOLD ~ a BUILDING DEPART:~NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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 1~ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cade 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 525.00, Additions to dwelling $25.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building 525.00, Additions to accessory building 525.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - 550.00 Temporary Certificate of Occupancy - Residential 515.00, Commercial 515.00 Date ~ 3 4 ~ New Construction........... Old Or Pre-existing Building..... Location of Pro ert ~S ~ S M ~4 i~ ~ D R I o ti P y.....~ ~A................... House No. Street Hamlet Onwer or Owners of Property.... L ~ .'Q~?i1 i iJ.E'. iJ i~ E L County Tax iSap No 1000, Section....3.~. ~ .....Black ................Lot...................... Subdivision ....................................Filed Kap............Lot...................... Permit No..~. ~.~.d ~.~'.Date Of Permit....Z/~: v`9~.Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Tempo~r/ary Certificate........... Final Certicate_..!~...... Fee Submitted: S.f~S ~ ~ ~ ~ cv. ~ ~-P-c.-~3Ia ~ APPLICANT Co was /a go~~ I~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] 1 ULATION [ ]FRAMING [ FINAL [ ]FIREPLACE & CHIMNEY REMARKS: . „ DATE ~8~1NSPECTOR '1!..J L~...V:. IIJn?D II vV ~t'.~f: ~V l.~. t . ~ ~ H ~1 _ I ~ °h FOUtIDATIO"I (1st) - ~ 1~ C 67 FOU!lDATI0;1 ( 2nd ) _ - 2. z ~ 0 p ROUCH FRkh1E & V PLUMBING H 3. ~ m a II7SULATI02J PER N. Y. STATE Ei7ERGY ~1 CODs I - ~a ~ `I~ 'Y r ~ ~ FI:I AL o ADDITIOPIAL COt4MENTS: x cn x ~ H 9 a 1" ' H H O m r - x a m -o B0.\RD OF HEALTH • • • • • - 3 SETS OF PLj\NS ? FORM NO. t SURVEY .)r. 17 . • • • • . TOWN OF SOUTHOLD cllecx .4 ~~6~5........... . BUILDING DEPARTMENT SEPTIC FORM TOWN HALL $OUT{10LD, N.Y. 11971 NOTIFY : ~7 ~ __a a TEL.: 7G5~1802 CALL . ~ .3 . ~ h1AIL T0: Examined . 19 ~ . Approved ~ 19~~Permit No. ~~f~,©~~ . Disapproved a/c " uifdin^ specterl APPLICATION FOfi BUI! DING PERMIT Date 2/£51......, 159 . INSTRUCTIONS y" - a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Buildin;, Ltspector, 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 throu;hout 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 Larovs, Ordinances or Regulations, 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, 6uildin^ de, hou~in, rod°, and r e eons, and to admit authorized inspectors on premises and in building for necessary inspe •(Si~nature of applicant, or name, if a corporatron) Q71tt~ ?A fl~~'°,. 10575 hicci.n Raad, F. I.lahi.an, N. Y. - _ ~ A.P. _ (Mai]ing address of applicant) State whether apph'i:,~h`lj~pt~j~;~e`s~ent, architect, en;ineer, general contractor, electrician, plumber or builder. ...`,r-. s 7iRltlCr'~'~ y~ g ' Name of owner of premises .,Lo{~jin d4;~ : . •?Ntn~a+,1 s - • (as on the tax roll or latest deed) - ICapplicant is a corpo a;ion, signature of duly authorized officer. ' rli.,, a,.,.. ..;.r.,.. (Narrit: t1"~ eq~ Qfr,F~rl Y ,~~~~a Builder's Liecns~.~,~qq"1~~ t1 Plurnbci s Liccnsc 1~~~~a . Electrician's License No . ' Otltcr Trade's Liccnsc No . . Location of land on which proposed work will be done; ' ' . ,1.0575 M,ai.n Raad,, h4aiu.anr . N: y:...:. . (louse Number Street Hamlet • County Tax \talr No. 1000 Section ....~'.l Block 4............ Lot , . ~ $ , ~ , , Subdivision Filed htap No. Lot . (Name) State esistin^ use and occupancy of premises and intended use and occupancy of proposed construction: o a. Existing use gwutge •8 wohlLSho1? , • • , • „ . and occupancy b. Intended use and occupancy ~yonhkilal?, . • • t, Nature oCwork (check which applicable): New Ouitding AdJiticn Alteration . Repair .X RFmoval Demolition ..............Swimming pool.. _ . Tennis Court Accessory Building..........Fence .......Other Work:........... . Estimated Cost...'~.4,000 Fee (to be paid on tiling [his application) IC dwellin„ number of dtvclling units Number o(dwclliltg units on each floor ICgarace.numbcrofcars ...J i, IC business, commercial or mixed occupancy, specify nattlte and extent of each ty~tc of use . 1. Dimensions of existing structures, if any: Front a8.~ Rear . •sZd......... Depth ..4C?Z . . Hci=ltt ...9z~......... Number of Stories . . Dimensions oC same structure with alterations or additions: Front Rear _ . . Depth Iiciglt[ Nuntbcr of Stories 3. Dimensions of entire new constnlction: Front Rear , Depth . Hci__lit Number of Stories < _ , . ' Siic.oi lot: Front Rc_- D:.pth ~.e . J+tc o. Purcaase .Name of 1=onncr Owner RobP~. LQt1g . . . 7pi~~a or use djstrct zn which premises arc situated A. hP~3:~~l~~-¢9!u-~~~~ . . Does proposed cansttuction vioia[e any zoning law, ordinance or regulation- . nQ . . . 3, Hill lo[ be regraded !T:a, Nill excess till be removed from premises: Yes NoX . 4. Name oC Owner of premises ,Laitiw;t:ne M'aiide~~ - ~ ~ ~ Ivi,C Lane, _ ,Phone No. 4ZZ:2223...... . . ..._.......Address1Q99._..4~..... Name of Architect ...Address P}lone No...... Name of Contractor ~ ........Address ..Phone No.... . S.Is this property located within 100 feet of a tidal wetland? *YES.._:NO.X•• *If pas, Southold Tovn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from' roperty lines. Cive street and block number or description according to deed, and show street names and indicate whether Zterior or comer lot. ~~~~i~lcru>7~ ~ ~ ~Dd2~ ~ t o/~ ' ~~~,frUg a- a Ate. ~~X6~ uffild~.oc? ~ ? w;7-H y'/y~~d~ ~ ced~,w~ sffi9r~e., . A D At NOTED DATE:~B.RN ~ NOTIFV~D~E~MIITM AT 765-7802 9 AM 10 4 PM FOR THE FOLLOV1flNG INSPECTIONS: t. FOUNDATION - flIW REdJIREO FOR POURED CONCRETE 2. ROUGH - FRAMING i PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF TFIE N.Y. STATE CONSTRUCTION i ENERGY CODES. Nl7T RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATL• O F ~ ElV YO RI: COUNTY OF S4b~aQfz , S.S • • , p?<tRh: ~ being duty sworn, deposes and says that he is the applicant • (Name oC individual signing contract) above named. Hcistllc....... Qeb!See (Contractor, a6cnt, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wort: and to make and file this application: that all statements contained in this application arc true to the best oC his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to beiorc me this ~~yy ~ p a.........day oC..~/~.7.~~ 19 9a Notary Public, /.-~~.L.~.~L. County SUSA.., ive RnI~ON.' . L'il~, k~~~~~/~ . NOTARY PUBLIC, State of New York ~ ~ ~ ~ ~ ~ ~ ~ + No. <882799 Qualified in Suffolk County (Si~namre of applicant) ,Commission Expires Jen, 20, 19 q1 - a = I ~ ~ ~ ~ ~Q yF ~ I ~rZ ~a = WH w~ ~Q I 1~ 3 w ~y Fw ~o ' c ~ W 0~ LLY <LO~ i~ ~ t ~ ~ K 9! ~ Ol IJOW OQ F02ME121"Y N ! O W O W O~ ~ Q DEED L ti7;2 q, 53' JOHI-1 E LUL ~ 4~ Q~ 3 Q 3~ I 3 Q / T OW 02 FORME2LY DOROTHY E COOk - 'REFERS T016 RIGHT P5A20U DAIC ICJ S ~ 9! ~ w ~ ~ ~ O ~ ZtL ~y ~ w N OF WAY . $ ~ 1 J I '6'RIG MT OF WAY ~ / nLL ~ u a N / 8'RIG HT OF WAY d Hp ~ ~ i 1. __570.85' 1231x.50 10°OI " ~ H ~ vL9°Z71 .1 E.' ~l ! i - .,D IRT_ _RDAD _ _ - - _ - - - r 00 E, x ZCx 3.3Co - ~ i ~.-M'~.^w.r- 6 00.00 - - - _ - _ % _ B' RIGHT OF WAY \ 122.26 t _ ~ ~ 130.1 ~ ~ 15 REFERS ~ r b.10'DI' O'~E:~ b~~_~i-O-O ~-~9 , NAY ¢ ~ ~ ~ r~ ~ P ~ - ~ w ~ W V ` ~-(y~ (ail U ~ 'O W \11 V p) Q w S (n m ° ~ '0 o r` ~ ~ w ~ s Q~~ O C c m J ° cn r L ~ m 3 H 4? rU 0 Z N.t2 ~'S0"W. 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