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HomeMy WebLinkAbout26359-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26993 Date: 03/20/00 THIS CERTIFIES that the building ADDITION Location of Property: 1895 DELMAR DR LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 4 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 29, 2000 pursuant to which Building Permit No. 26359-Z dated FEBRUARY 29, 2000 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 ALAN D. & PHOEBE A. REY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Auth tri zed Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26359 Z Date FEBRUARY 29, 2000 Permission is hereby granted to: ALAN D. REY & WF PO BOX 224 LAUREL,NY 11948 for CONSTRUCT A DECK ADDITION AS APPLIED FOR. at premises located at 1895 DELMAR DR LAUREL County Tax Map No. 473889 Section 127 Block 0004 Lot No. 007 pursuant to application dated FEBRUARY 29, 2000 and approved by the Building Inspector. Fee $ 75 . 00 or' ed Signature COPY Rev. 2/19/98 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. c�J BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) WN? 2076OZ Date ................ ���.........................., 19...I� Permission is hereby granted to: ......?Vwxg-. /.,�....lE .. ....................... ld, s........ 4. ..................................... C©.✓sre�cc lfydDiryo�J dA 4f'�C�ED !c.:................................................................................. .......................................................... at premises located at .......... .. �5 �� G M A2 ...........................................................4.1gr�.4..........t .......................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ......lv.,12....... Block .....(11,,x. ........ Lot No. ......d7 pursuant to application dated ..............(0/cpl ........................1 19/...y, and approved by the Building Inspector. Fee S: •••... ilding Inspector Rev. 6/30/80 _ Form No. 6 /a 1.2 r E� TOWN OF SOUTHOLD ( BUILDING DEPARTMENT it! I' { �f7' I i TOWN HALL MAR ■N p Q 765-1802 �M SLOG.DEFT. ttTPLICATION FOR CERTIFICATE OF OCCUPANC TOWN OFSOU7HOLD m A. This application must be filled in by typewriter OR 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 12 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. 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. 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 lhC.I..G7/+�CO� Q . . . . . . . . . . . . . 'w Construction. . .. . . . . . . Old Or�Pre-existin Buildin� )cation of Property. . I�qC. SDpt Haar. . r.: . . . s )• 1. •�• House N-o{-n�,.`n �, //�� St entIamlet ewer or Owners of Property. . J. l./lJeh.✓.^G.-. TC. : . . ' 4t V. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unty Tax Map No 1000, SectiOn. . (� .F . . . . .Block. . . . .//� . . . . . . . .Lot. . . . . . . . . . . . . . . . . . bdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ^^.Fil d Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . rmit No. . . . . . . . . . . . . . . .Date Of Permit.�Ae 19 a-:Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . alth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . anning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . quest for: Temporarr}y�Certti� ifficcate. . . . . . . . . . . Final Certicate. .x. . . . . . _ Submitted: $. . . .`.tid. :. . .... . . . . . . . . . (? . -SWT . . . . . . . . . . . . o-8a6 APPL1c� 'T C 993 OSEPH 0.11,23'40 11 '4o E ^' N w � s rn_ o N 0 0 O A p NOTES ■=MONUMENT a — SUBDIVISION MAP F11 /N THE OFF/CE CI 7. 181 3 6 m JUNE 22,1970 AS NAPERK OF FNO. 5486NT Y ON U I 3 JLf J 2 5 1' 92 o OG. DEPT. � N O tr w TOWN OF SOUTHOLD - en x w 40 i �Ot \ REVISIONS YOUNG & YOUNG OCT.18,1971 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK JAN'It,1972 AL.DEN W. YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR t LAND SURVEYOR, N.Y.S. LIC. NO. 12845 N.Y.S. LIC, NO. 43593 SURVEY FOR: WILLIAM KEINATH & JOAN KEINATH LOT 14 If LAUREL COUNTRY ESTATES 'I A.T LAUREL INTER-COUNTY TEED TTITL£ GUARANTY 8 MORTGAGE CO. TOWN OF SOUTHOLD WILLIAM & JOAN KEINATH I SUFFOLK CO., N.Y. BY �ozvzz2�( fcJ' 1 SCALE: I"=401 DATE SEPT.24,1971 NO. 71-558 DIETZGEN l35 11848 - i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR -•.1=LJ I c.C 7 LNT^ FOUNDATIOJ ( 1st ) sl c I � c � n FOUNDATION ( 2nd ) _ — m 2. I o \� ROUGH FRAME & ',`.i5 PLUMBING a y h H 3. m n INSULATION PER N . Y. I j STATE ENERGY I CODE 316 40 (A) S r 3 4 . 1 y C\ i _3 FINAL AXD L, o ADDITIONAL COMMENTS : x M m • x � r � Xl . H 1 C, x c c- IMP c m • 'i,i ' S FI, Pr�� BOAc:O OF HEALTH . . . . . . . . . } i j FORM NO, 1 3 SETS OF PL.I. i)1 TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . Jul JUN 2 51992 BUILDING TOVVNHARTMENT ClIE:CKSEPTI - • - • • • - • - • . . . . . . • • • _�.���! TOWN HALL SEPTIC FOR:I . . . . . . . . . . . . . . BLDG. DEPT. SOUTHOLD, N.Y. 11971 1 TOlAiN OF SOtITHOLDTEL.: 765-1802 NT i FY i i/ C�) CALL Examined . . . . . Q�.O/.�/. . . . .. IA` HAIL TO : . . . . . . . . . . . . . . . . Approved . . . .4o/ltf . . . . . .. 19Y. !Permit No. z2e).?0-?7. . . . . . . . . . . . . . . . . . . . Disapproveda/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B ' ding Inspector) APPLICATION FOR BUILDING PERMIT Dat a . . . . . .. 1911,?- I INSTRUCTIONS a. This 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 :)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- .ation. 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 :hall 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 ;hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ?egulations, 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 dmit authorized inspectors on premises and in building for necessa ectionst (Signature o£applicant, or n me if a orporation) (Mailing address of applicant) J Q d hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . .O.co./2i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dame of owner of premises . . .4 1;-y. . . . . . . . . . (as on the tax roll or latest deed) At��ROV'DAflOTfD' f applicant is a corporation, signature of duly authorized officer. DATE:$'C. 6cr %� • �cs FEE: BY: - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOTIFY BUILDING DEPARTMENT AT (Name and title of corporate officer) >. "" "� 7654602 9 AM TO 4 PM FOR THE i h,n FOLLOWING INSPECTIONS: Builder's License No. . . . . . . . . . . . . . . . ... . 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Plumber's License No. . "" ` ° 2. ROUGH - FRAMING & PLUMBING . . r b_ �":-73' INSULATION Electrician's License No. . . . . . . 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Other Trade's License No. . . . . . . . . . . . . . . . . ALL CONSTRUCTION SHALL MEET . THE REQUIREMENTS OF THE N.Y. Location of land on which proposed work will be done. STATE CONSTRUCTION & ENERGY . . . . . . . . . . . . . L70ES.' 'Ndi• 'RE3PON+S(IB�Lf • FOR I. � . . . . . . . .�� f I �QrC LV. !. . . . . . . . . LLLLPP�j5SIGI�( RNt U RRORS House Number Street / Hamlet /y County Tax Map No. 1000 Section . f ��' . . . . . . . . . Block . , `f , , , , , , , , • , , , , Lot . . . .7.`. . . . . . . . . . . • . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) State existing use and occupancy of pr nises and intended use and occupancy of proposed construction: a. Existing use and occupancy J Y. { m. /> . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . .��� , . 5 !C�!T �.Q . . . • , � . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Budding . . . . . . . . . . Addition . . . • • • • Alteration . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition Other Work . . . . . . . . . . . . • Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . d0 `� (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . If garage, number of cars • • • • . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Hcight . . . . . . . . . . . . . . . Number of Stories . . f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . .... . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . .'. . . . . . . $. Dimensions of entire new construction: Front . .[a2-X 19-.'. . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . 10. Date ofPurchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner U)M•.tle.1 oa'6 . . . . . . : . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . .nG) • • • • • • • • • • • • • • • • • • • . 13. Will lot be regraded . . . . . . .nQ. Will execs fil be re(�oved fr premises:�y/ Yes to 14. _ Name of Owner of premises A'f*X'rJ� Address/ hone No.�C7 �`�Z�7� . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . Ne. ✓. . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM' Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 6&urt1�t� U , FATE OF NEW Y¢t IUNTY OF . . . . ?,v .` . . . S.S t7.2�. . . . . . . . . . being duly sworn,deposes and says that lie is the applicant ( ame of individual signing c ntract) ,ave named. isthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Qct a}e y!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lication; that all statements contained in this application are true to the best of his knowledge and belief;and that the k will be performed in the manner set forth in the application filed therewith. om to before me this Cq . . . . . . 2? . . . ay ..v+>r.. . . . . . . . . . . 119 ? SJI.W\V . iry Public, . . . . . . . . . Coun ROBERT l SCOTT. NOf 4RY f�BU of KY. . . . TNo.et.72 �y31.19 Sgnatureofapplicant) urs ' �Ieak aw. r Key Poor r-aLL' Lt n eg4 - J4 Y\ Gar5 r"..j x � sL.Du. DEPT. Tp"N OF SflUiHOLE) _. Floor UU Eli BLDG. DEPT TOWN SOU7 FOOL 4 AI- pitCd E+. ..-� {4 2 y � Vic' i � r � � > .;,;_,...1k �# �.: V �•` s i f f t t 3 t �______—__...._...�,._..._......,.._.��_.._......_..............e_.....,,.,........�..�w::............._....w�..,r•................�_.w.....»:.._....._._..._...w...... .»....-a..:.......... ....,.«....., _......--a..-».._.�..LR....wxv..: t P� y 1 j 1