HomeMy WebLinkAbout17122-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18223 Date JfILY 28 1989
THIS CERTIFIES that the building ACCESSORY
Location of Property 1420 LAURELWOOD DRIVE LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 127 Block 5 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 8, 1988 pursuant to which
Building Permit No. 17122-Z dated JFJNE 17, 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 INGROUND SWIMMING POOL & FENCE AS APPLIED FOR
The certificate is issued to ROBERT & BARRARA LOCKMAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-023197 - Ji3LY 25 1988
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FO8D1 NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
70WN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(TH15 PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N o 01712 2 Z Date max,.... ~...7 I9..~.
Permission is hereby granted to:.
~..~.3..~{..
~ x.1..9 S.?-:
to C.~r.~?^^rR.t~.'.....Gt!?n....1..~~~ol.....~J.~4.:~'~. ~..~-!5.~.....~.......U__U
.
of premises located ot /,7,o~2O.....,t„,(.4~~T~t?)X:......!..?'~.<.........
' County Tox Map No. 1000 Section Block .....Q.~........ Lot No.....QJ4
. pursuant to application doted .......~..dl~M..A......~ 19.4.4..., and approved by the
Building Inspector.
Fee
' Building Inspector
Rev. 6/30/80
~ A
„ FORM N0. 6
TOWN OF SOUT[lOLD
BUILDING DEPA$TMENT
TOWN BAtL
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. '7.'his application must belfiled in typewriter OR in& and submitted to the Building
]:nspector with the follo~jing; 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 9eal;th 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 solder used in system contains less
than 2/10 of IZ lead.'
5. Commercial buildings, 'industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the Architect
ar Engineer responsible for the building.
6. Submit Planning Board~~Approval of completed site plan requirements.
B. For existing buildings (P;rior to April 9, 1957] non-conforming uses, or buildings
and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 19$7.
If a Certificate o£ Occupancy is denied, the Building Inspector shall state the
reasons therefor in waiting to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, ar other
pertinent information ~equired to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
I. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior Co April 9, 1957 shall also accompany
the application. If a~;Certificate of Occupancy is denied, the Building Inspector
shall scale the reasons therefor in writing to the applicant.
D. FEES: ~i
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwel~ing $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accesspry buildings, $25.00 - Businesses $50.00.
2. Certificate of Occj~pancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. oacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
rev,',. 10/ 14/38
Y
TOWN OF SOUTDOLD
BUILDING DEPART2fENT
TOWN HALL
SOUTIIOLD, NEW YOILK !1971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY QLy
DATE I 2~~ .
NEW CONSTRUCTION ..~_..OLD OR 1P RE-E%ISlTING BUILDING...._.VACANT LAND......_.
Location of Property..1:1.2~_,.L~-~l.(~+.W_p~.~.~.___.._..._
_ _
HOUSE N0. STREET HAMLET
Owner or Owners of Property.:(~~~!;~~.a.!Ja('~dll~_LQC~rn~+ n...-"-•.--••
County Taa Map No. 1000 Section .~2 Block Lot
Subdivision Fi/l'ed Map ........Loty~..........
Permit No. .:~.I~,ZU~.3~ate of Permit .~'3~F?~.Applicant f.:~ .~~~YYIQ,Y}
Health DepC. Approval Underwriters Approval..?~°~',s(~~
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: $
APPLICANT
rev. !0/14/88
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INSULATION PER N. Y.
STATE ENERGY
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THE NEW YORK BOARD OF FIRE UNDERWRITERS p'~~F 1
iGQ73Ri
BUREAU OF ELECTRICITr
65 JOHN STREET. NEW YORK, NEW VORK 70038
,l[,t1~Y %5,79fSR 5S99~t4RR1RR M RFi9~
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipment as described 6ehne and introduced by the applicant nomad an the oborre application number in the premises of
ROHP~N'i' i~Or'KttAN, '1~2G LAIJ'k.E;L N(xJl?, I,h4JNF;L~ N.'l_
in thefollouinq bFCa ant ? let Fl. ? Ynd FT. loll'! Section Bfock Lot
_ reas exomined on and found to 6e in compliance with the reyuirernents of thia Booed.
NXTURE RXTURK RANGK COOKING DKKS OVENS DISH WASHERS lXNAUST FANS
OUTIETS ACLES SWITCHES INGNDESCENi FIUGRFSCENi P AMT. K. W. AMT. K. w. AMT. K.W. AMi. K. W. NAT. N. P.
I ~ 1
DRYERS FURNACE MOTORS FUTURE AFFUANCE RIDERS SFKIAI REC'FT TIME CIOCKS RELL UNIT HEATERS MUITI-WIIIET DIMMERS
AMT. K. W. W l N. P. GA$ N. P. NAT. NO. A. W. G. AMT. AMI. AMT. AMPS. TRANS. AMT. N. P. SYSTEMS AMT. WA1T5
\ NO.OF I@T
71f .1 ~Il
SlRVIQ DH~CONNECT NO.OF S E R V 1 C E
AMT. AMP. TYPE ~F 1 / TV i O JW 3 A SW t p AW ~R $COND. ~ CC. COND. NO. GF N4LEG ~ ~ HI'~~ IVO. Gf NEYTRN$ ~ 'NWEUTNAL
O7HHI AF?MATUS:
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A fSW1 MM7NG P(mi,) 'rhi cttrtificat. t~
~ravrr~t C.olnplaanrl? at thn dace ~y,
~irr_~~erfirxrF only. &ec~ttee of unasua?.
?nvirr<nmPhtr~ i e i.e advi5a~rile rF.
li:TV4~ 1rPquent. test/and or rr•p:ti.rw
r~a~le by a quali.fi~d p»rsr,n.
Jt)nY YtJM 1 Ll,t)
l'A1' I,.ilNk:
M:A9"f'1''I'Ul'h:. 411'. :!.195?, OdrlAE MANAGBT
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!,L('f~NS7: N0. :?3'~0 F, Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may ba identified by tMir credentiols.
WILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT dE ALTERED IN ANY MANiER.
l 7l y v 7~_~SO2
BUILDING DEPT.
INSi~ECT10N
[ )FOUNDATION 1ST ( ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~ISU4ATION
C ]FRAMING [~/]/FINAL
REMARKS: LO
DATE o~ INSPECTOR
Fonnr too. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date ........JulY...~.~~ 19..89.
Robert & Barbara Lockman
TO .
(olw~~P~ ~raurel°voocF $iive of owner)
Laurel, New York 11948
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance CRAP. 100
Other Applicable Laws, Ordinances'or Regulations
of premises hereinafter described in that A swimming pool is being used without a
(state character of violation)
Certificate of Occupancy.
in violation of ARTICLE XRVIII- CHAP. 100-281 6 284.
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
1420 LAURELWOOD DR., LAUREL,
...............................................................................County of Suffolk, New York.
SUFFOLK COUNTY TAX MAP 1000-127-OS-06
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute ,an offense p nishable by fine ar imprisonment or both.
Building Permit f~17122-7
f a i
ORDINANCE INSPE TORv
VINCENT R. GIECZORER
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S 23 ~QPNc~`N~v~'i- ~ N~TiF"YS~)ILpING UFPARTMENT AT
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O~CV FOk' POUREf3 CONCRETE
Q~ ~ 2 ROUGH FRAMING & PLUMBING
~ /1`~~ 3. IN5ULAT'ION ~
Q. ~~G,~/1 4. FINAL - CONSTRUL~ON MUST
U~' BE COMPLETE R C.Q~
"o AlL CONSTRUCTI SHAid MEET
o~ ~ THbRE0U1REME OF Q1bE N.Y.
rnl 1 STAB CO !1 ENERGr
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N•23 LP
i• BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. 1 SURVEY .
TOWN OFSOUTHOLD CHECx
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
vOUTHDLD, N.Y. 11971 CALL
TEL.: 765-1802
• MAIL T0:
Examined ...~.lv!~!6• 1 19 ~ 8
Approved dAratu, . 19 Permit NoJ. 7 ~ ~0~/~~
• ~
Disapproved a/c ~ • n
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ...6~~.........., 19G7
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
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 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 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 Laws, 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, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signahire of applicant, or name, if a corporation)
. t....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..i.?9!3.~???".1.~''" • • • • • • G Ue ~ d/it/- • • • • , , , • • • . . . . . .
(as on the tax roll or latest deed)
If a lic is a corporation, signature of duly authorized officer.
(Name and title of corporat ffi~r)
ALL CONTRACTOR'S MUST BE SUFF03,K COUNTY LICENSED
Builder's License No.....2.r-/2 -...H,1........ .
Plumber's License No. ...!.°t.a~~AC!~ . ~.~'.e%~ L C.
Electrician's License No. ~ .
Other Trade's License No . .
I. Location of land on which proposed work will be done. . ~~nN L .~t??~
ff r~~ /
........-1•
House Number /S~tr~e7et Hamlet
County Tax Map No. 1000 Section ....../l~` I• • • • • • Block Lot .
~ Filed Map No. Lot .
Subdivision ~ • • • • p/~2tc G ~ ~ • •
(Name)
2. State existing use and occupancy of premises~/and intended use and occupancy of proposed construction:
a. Existing use and occupancy / S•G'~i /.!er'•hzT7.f1?-- . .
b. Intended use and occupancy ..........,d2.~•r ! !l.
Z....GJ !.?.y... l~Otl ~ .
5 W /H, vq, i 7OZS L
~
3. Nature of wFSrk (check which applicable): New Building Addition Alteration .
Repair Removal Demolition ..............Other 1Vork .
h/~ ~ (Description)
4. Estimated Cost ......~V.~~ rQ~ Fee .
` (to be paid on filing this application)
5. If dwelling, number of dwelling ynits 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 r.:...` . .
7. Dimensions of existing structure, if any: Front Rear Depth .
Height Number of Stories .
'Dimensions of same structure with alterations or additions: Front Rear .
Depth : .Height ......................Number of Stories .
8. Dimensions of entire new constriction: Front Rear ...............Depth .
Height ...............NumberofStories........................................................
9. Size of lot: Front ...........i.......... Rear Depth
10. Date of Purchase .................Name of o~ner Owner .
11. Zone or use district in which premises are situated 1~~'J ~4??!~~ z-
12. Does proposed construction violate any Zoning law, ordinance or regulation:
13. Will lot be regradedp ~ ...Will exc ss fill be remov d from premises: Yes
14. Name of Owner of remises 6?4~'~1~..... Address ..~f/.?~ .y.. Phone No .
Name of Architect ..7 Address ...................Phone No.......... .
Name of Contractor ..A .12~ y t.-..5~?':!~ .Address . `'tZ:~7~~rS-Q,l~ ..Phone No.~ (~':~tf.U ~0`.''.
15. Is this property located within 300 feet of a tidal wetland? *Yes No ,
*If yes, Southold Town Trustees Permit map be reqqu~ired.
PLOT DIAGKAM ,
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.
STATE OF NEW YORK, S•$
COliNTY OF .
• • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Heisthe
'i (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
.......................day of .~~,/..n..l¢//-:....., 19
Notary Public, ,~~?Y...TJ.: V~ . County
T~R4~8
AiS~uh9f~3~Cou
~ . , .
a.^.Y,~ ( g ature of applicant)