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HomeMy WebLinkAbout16906-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17966 Date MAY 18, 1989 THIS CERTIFIES that the building. INGROUND POOL Location of Property 2500 ALDRICH LANE LAUREL House No. Street Hamlet County T~xMap No. 1000 Section 125 Block 01 Lot 2.24 Subdivision LAUREL EST. EAST Filed Map No. 7870 Lot No. 15 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15~ 1988 pursuant to which Building Permit No. 16906Z dated APRIL 21, 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 POOL WITH FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to MITCHELL & KATHLEEN MARKOWSKI (owner, ~3~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N013022 MAY 18~ 1988 ~rOB~ NO. ~ TOW'H OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_o 1 6 ?,'g~ 7 Building inspector. Fee $..../....c _. ~.~ Rev. 6/30/80 VICTOR LESSARD EXECUTIVE P~DMINISTRATOR (516) 765-1802 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 3, 1988 Mr. & Mrs. Markowski 2500 Aldriah Lane Laurel, New York 11948 Dear Mr. & Mrs. Markowski: We have received your application for a building permit for the accessory building and a deck on the building but we have not received an application for the deck around the pool. Please submit an application for the deck along with construction plans and a survey showing location of pool and deck. Very truly yours, SOUTHOLD TOWN BUILDING D~PT. Vincent R o Wieczorek Ordinance Inspector VRW:gar TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN EALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE...:'j' ..... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ......... : ~--~. ~c~z,,~ (.I ItOUSE NO. STREET HAMLET . owner or Owners oX Propert~ .... /~.~'~.~...~..~.~. ..... //.~^~.~,~.. .... Subdivision... ~..~.~.~.~ ........ Filed Map ........ Lot .......... Permit No ........ Date o£ P~mi~ .......... Applican~ ................. Health Dept Approval ..... ' ' ................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ .................... rev. I(}/14188 i,~,~,~! THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN BTREET, NEW YORK. NEW YORK 10038 ~ ~pplicati~ No. on file TMIS CE~I~IE~ THAT ~ examin~ on and found to be in co~npliance with the r~uiremen~s of th~ ~. RXTUIIE RXTUI~$ RANG~ OVENS DISH WASH4R$ FANS FUIINACE MOTORS IqJTOl~ AFf~AN~ NI~RS S E R V I ¢ OF CC. COND. 1,1 Per [his cedificate must not be altered in any manner; return re, the office my be identified by their COr-f FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MIJST NOT BE ALTERED IN ANY MANNER. OUNDATION (1st) 3UNDATION ( 2nd ) DUGH FRAME & .PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FINAL DDITIONA'L COMMENTS: SOU 4,, BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK -~....a..q ?~.._~., .,~3a¢ /...~-' .2- BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 CALL ................ TEL.: 765-1803 Examined .. ~.~.,,~7-'/ ........ , 19 .~4~. Approved . ~.~.~. ....... , 19 ,~, ,~Permit No./~. ?.~, ,~.. ,~, Disapproved a/c ..................................... ................................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS MAIL TO: : ~4 ~:D~ATELY" ;C~MPLETION Date .... .~/ff.. ......... 19 .~. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets oft?lens, accurate plot plan to scale. Fee according to schedule. 13. ':*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 Bulld[~gJv3sl~r,..v~ill i~ued a Building Permit to the applicant. Such permit shall be kept on the premises available for iri~ec, hg.2~rougho t~t, q ~prk. . e. No building shail__b~e oc_,q~p~md or used m, ~h01ex~r i.~ p~( ~r ~iny purpose whatever until a Cemficate of Occupancy shall have timllll~ _~dmg Inspector. ,, ~ . ~ · ,.j APPLICATIOI~ISWIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t e 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 r,eg ,ulafions, and to admit authorized inspectors on premises and in building for necessary inspections. ~_.~ p , ~,~ ~!~ :' ,. ~ ~ '~ V ~,' ~ (S~gnature of ~4~'~jan~,~?rm~me' ~f a corporation) ~.~)~)~t,f~l~ ." . ....... ~, ,-z~ev:"~' 'z , ...... : ...... .m . ./('e:. .4,e?. . . .~. .q /. .~.,~.z-/zz~. .~.-. i,. /.~?,~.~. . . ........t'& .~i~,1 ~;~^q]q~*~ ...... :¥I~ ........ ~t,3~L~'"""' ,,~rt~ ~,,~ (Mailing address of applicant) State whether applicant ~(A~J~tr(~fll~:~la~e~/t~i~chit¢ct, engineer, genera[ contractor, electrician, plumber or builder. ............ CA.~~9~~ ,. '.,'.~ .................. , .... .nn.~)~e'-~.~ ~ -~. Name of owner of premises ..... ~~. · ,~. · · ~/~ ~ ~,:; ~~ ~ .... T~:~) ~O)~'"}u~ ~'' ~, )') ~': y '~ 6 (as on the tax roil.or latest deed) Plumber's License No ......................... Electrician's LicenseNo ....................... Other Trade's License No ...................... 'OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 1. Location of land on which proposed work will be done: ...~.~ .~...~.g.cf.~....~..~..~(.~.~... ~ ~.. . ............... ........... L ............. House Number Street Hamlet County Tax Map No. 1000 Section .... 1.'~ ......... Block / Lot. d,~ Subdivision ..................................... Filed Map 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 ~&~ r ~F/~& ~ 2 ~ ~OOL ' " 3. Nature of work (check which applicable): New Building ' .. Addition .......... Alteration .......... Repair .............. RemovAl .............. Demolition .............. Other f/~ ~ (Description) 4. Estimate Cost ......... ~. ................... Fee ........................... . ........... ~ ~' (to be paid on filing this application) 5. If dwelling, number of dwelling ufiits .............. Number of dwelling units on each floor ............... If garage number of cars 6. If business, commercial or mixed bccupancy, specffy nature and extent of each type of use ..................... 7. Dimensions of existing structures,!if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions'of same structure witfi alterations or additions: Front ................. Rear .................. Depth ..................... i' Height ...................... Number of Stories ...................... "8 Dhnensions of entire new construction: Front .... '. · · D pth ......... Rear ............... e ............... Height ..: ............ Number of Stones ........................................................ 9. Size of lot: Front ~i ......... Rear ...................... Depth ...................... 10. Date of Purchase ............ i ................. Name.of Former Owner . ............................ 1 1. Zone or use district in which premises are situated 21~/ 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................ ............. Wall excess fill be removed from premises: 13. Wall lot be regraded i./~/(~ Yes 14. Name of Owner of premises .... ] ................ Address ................... Phone No ................ Name of Architect ......... I . Address Name of Contractor . ~&?¢i i i i i. Address ' i~.~.~.~-)~ .... Phone No. 15. Is th±$ propert:y located w~th±n 300 feet of a t±dal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Perm±t maybe required. i PLO'T DIAGRAM Locate clearly and distinctly ~/1 buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nhmber or description according to deed, and show street names and indicate whether interior or corner lot. U;'oNCL°SE POOL TO COi~' -- "IMMEDIATELY,, ENCLOSE ~00~ TO CODE UPON COMPLETION BEFORE "WATER" OCCUPANCY OR USE l# UNLAWFUL WITHOUT iCERTIFICATE o[r occuP^ Cy STAVE OF i~E~ YORK, COUNTY OF 8. INSULA'nON/~ 4. FINAL CONSTRUCTION MU~T BE ~M~ FOR CO. ALL CONST~N 8~ ME~ THE REQUIR~ M ~ m,~ STATE ~Ne~ i ~V CODES. N~ ~N~ ~ $.8 ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signihg contract) above named. He is the '. (Contractor, agent, corporate officer, etc.) of said owner or own6~s, 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 manne~ set forth in the application filed therewith. Sworn to before me this Notary Public ........ HEL~ K DE VOE " ...... NOTARY PUBLIC, Sta~ of New York ' (S~a~'t'~ of apphcant) . lerm Expires March 30, ~8.,..i~' ~ ~Z° ~'3o"l,V CedlfJc,~je~, i,~diented hereon shall run only porsoe for ~.,hom ~ = · bdm[f to t'~e, ti~e company m~ le~di~g i~stitnt o~ )ist~ ~e~om a~d to ass,shoes of the lencfl;}g ms~tiiufio~. C~rfific. a~on not t~ansferable to addi[mnal subsequent owners. , Unauthonze~ a~terat}on or addifioh o[ ttds sorvey a wotation of Section 7209 of the New York Stat~ Education Law. Copies of this survey ~ap not bearing ~he Surve~rs inked sea~ or embossed seg shall not be cousidered to be a valid true copy.. POSE AND US~ A,v~ H;~.~,~E THE E~C~ION OF;~ TANNING ~ALLS, POOLS P~NTING AREAS, ADDIT ~NST~UCTION, J :,.,, :'.'