HomeMy WebLinkAbout16971-zFORM NO. 4
TOM OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17532
Date NO%q~MBER 21, 1988
THIS CERTIFIES that the buildin~
Location of Property. 2195 ALDRICH LANE
House No.
County Tax Map No. 1000 Section 125
ONE FAMILY DWELLING
LAUREL
Street Hamlet
Block 82 Lot 1.15
Subdivision RICHARD J. CRON Filed Map No. 7975 Lot No. 02
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 22, 1988 pursuant to which
Building Permit No. 16971Z dated MAY 12, 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 ONE F~4ILY DWELLING~ GARAGE AND REAR DECK.
The certificate is issued to JOHN F. GUNTHER
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-06 NOV. 7, 1988
UNDERWRITERS CERTIFICATE NO. N039581 OCTOBER 13, 1988
PLUMBERS CERTIFICATION DATED HAMPTON BAYS PLUMBING & HEATING 11/17/88
Rev. 1/81
Building Inspector
TO~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~_16971 z
Dote
Permission is hereby granted to:
~.~...~..~...~z~ ...................................
,o ................ ~~ ~ ........ ~ ....... ..~ ~...~~, ~ .~~~ ....
~ .
~,~ - ,,~,ed~, ....... ~......~~..~ ...................................................
County Tox Mop No. 1000 Section ........ ~,, .~,,~. Block .............. ~?T~,,... Lot No ...... ~.z,.?,.,.~..,~....
pursuant to application dated ........................................................ , 19 ........ , and approved by the
Building Inspector.
Fee
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~-- 85 JOHN STREET. NEW YORK, NEW YORK 10038
oc'roBgl~ ~ ~ ~ 98~ ~682928~/88 N
THIS ~E~IFIES THaT
EPTE~B~ ~0,'
w exami~ ~ and found to be in ~mpliun~ with the ~uimme~t~ of th~ ~rd.
FIXRJIIE FIXTU!l( IAN~S O~reN$ FANS
FURNACE MOTORS FUTURI AFfUANCI FII~RS TIMEGOCKS
DIMMEIIS
S E R V I C E
C~CC~CO~D. O~ CC. CO~. ~. W..
' 4/O
7.0~r~UTn),tSt/( ^, w, o.
gASTMANOR KLgC'rR[C
P.O. BO~ 192
MANOgVlbl,~:, NY, 1.1949
MNIIL4L
hlCKNSK NO. '~691E
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by tlmir credentiob.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No. /~ 97/ ~
Owner ~ ~l~ ~ 7~/f~/?~
(please print)
Plumber ~/~x ~ ~(~,WV~4~
(please pr~nt~' '
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
/(p~ber s sign~ure)
Sworn to before me this
/ / of
19 ~(~. ~),, ~,,,/~_,.~ Notary Public
Notary Public ,xT~--~ ~- '~ounty ~
BLDG. DEPT.
TOW.
FORM NO. 6
'OWN OF SOUTHOLD
Building Department
Town Hall
~outhold, N.Y. 11971
765 - 1802
:OR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with 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-IS-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar bu[|dings and installa-
tions, a certificate 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:
I. 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.
C. Fees: Additions $25.00 POOLS $25 . 00 ALTERATION $25.00
I. Certificate of occupancy New Dwelling,$25.O0, Accessory'iS 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date...~.'¢~./'.~..~.
NewtOns truction Old or Pre-existing Building Vacant Land
Location of Property ~ / G~ .' . ... 4~'..~: ....... . .~.,~')
................... ................
Houm No. /, /'7 Street Ham/et
Owner or Owners of Property .~J. · .~, .~. ~ .9:~ ~
County Tax Map No. 1000 Section ./ ~ .5.~. Block 0 --~_ Lot.
Subdivision ................................. Filed Map No ........... Lot NO ......
PermitNo..~G.f.~..~.~. Date of P_.ermit ..... ..Applicant
. ~, ~P ~9.o~ '~ .......... '' ' ' ' '
Underwriters Approval ~ ?.-?..~.".~/ Pla ng ar a. ~/~x~ . .
.................... nni Bo d Approv I ...................
Request for Tempor~xV Certificate ..................... Final Certificate . ,~ ...................
FeeSubmtted$, ,'.~,0,,, ............. ., , ,,. ,
Construction on above described building and permit me~a~app~cable
c~d~nd
re?uJ~tions,
App,cant .......... . ..........
...,o.,0., %?:p
3U~4DATION
DUNDATION
(2nd)
DUGH FRAM/
-PLUMBING
~SULATION PER N.
STATE ENERGY
CODE
Ye
FINAL ....
'3
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ]
FOUNDATION AND [ ]
FRAMING
REMARKS:
ROUGH PLBG.
INSULATION
[ ~FINAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[ ~/~RAMING
[ ] FINAL
RrMARKS:~, K,, ~ ~
! -
DATE
765-~[802
BUILDING DEPT.
INSPECTION
FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION ZND [~I~ULATION
[ ] FRAMING [ ] FINAL.
REMARKS:_ , ~ /
DATE
INSPECTOR
TOWN OF SOUTtlOLD
OFFICE OF BUILDING INSPECTOR
P.O, BOX 728
TOWN HALL
SOUTIIOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because ~of the following reasons.
/~ -~An ~ilu~Li- ' ' cupancy
is not on file. ~~.l
/-~/ No final inspection has boon made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # / & ~ 7 .,/ Z
Building Dept.
_ ~',~,,~3~bq~,Solde~ Certiflcaee.0n~',~ile.
all permits involving plumbing being
issued after April 1,1984 )
· ov-/77
Examined~
BOARD OF HEALTH"~--....-
3 SETS OF PLANS ..-~-...
'FORM NO. 1 SURVEY
Town OF SOOT.OLO CH CK .::...:.
gUILDIMGDEPARTMENT SEPTIC~u~t~
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971
CALL ................
TEL.: 765-1802
MAIL TO:
Disapproved a/c .....................................
APPLICATION FOR BUILDING PERMIT
DateAprit 22, 1988 19..
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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, an~/iPegulations, and to
admit authorized inspectors on premises and in building for necessary inspections//~/
(Signat~e/df applicant, or name, if a co poration)
y....q...
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner ..........................................
Name of owner of premises John Gunther
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) .
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No ..... .~.~..~..~. 5. ~.. ,/v/.~.2~4r~'/b~ ~)~ gZ~
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will be done~ .................................................
......... ~ I cP.~~ .Aldri.ch .7u.~p_e Laurel, N. Y.
House Number Street Hamlet
County Tax Map No. 1000 Section ...1.~5 ............ Block . .2. ............... Lot..~ :.1.5. .............
Subdivision..t~ .~...~./[. ..... /.!~./.~,.)....o. fff .......Filed Map No...~...~..?.A.~[. .... Lot ...~...~. .......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy vacant land
................................................ . .~.- .~ ....
family ': !i
b. Intended use and occupancy ..... ~.~ ~£.d~ell~;£al. omc .......................... :, ...................
X
3. Nature of work (check which applicable): New Building .... ' Addition .......... Alteratior, ..........
Repair .............. Removal ...... Demolition ....... r~l ...... -- ........
i ~ [/~ ~ ~ ~'~ ~ scriplion)
4. Estimated Cost $ /...d~../. ~ . . Fee
......... z' ................... , ..../[~1 r.'" '.;" -;.i: ll[[ ..... . .....
~ /q~ ¢e ~ ~ilis~ :ation)
5, If dwelling number of dwelling units .o~e Numberofdwell~n~nitso~e~c~fl~..[~ 4 .
If garage, number of cars ,: ~q ....................... ~., .~_ [: '.~.
6. If business, commercial or mixed~occupancy, specIv nature and extent of each~ ...........
7. Dimensions of existing stmctures~ if any: Front..[. 5 .......... Rear . .'.~ .......... Depth ...............
Height Number~of Stories
D~menmons'of same structure w~h alterations or additions: Front ................. Rear ..................
Depth ..................... ~. Height ...................... Number of Stohes ......................
-8 Dimensions of eatire new const~ction Front 6~[ - . Rear
Height .. ~.~ Number of Stories ..... [~ ............................
9 Sizeoflot' Front ~75~ '. Rear ~75~ "'n~;h 572~ .............
,- _ ·: .... . ...... .. ...... : ...... ......................
. Zone or use d tnct m which premises are situated .....................................................
12. Does proposed construction viollte any zoning law, ordinance or regulation. ~.O ..
13.Wflllotberegraded~ - - - . ....
, Ol uwner oi premises ... { .... ~ .......... Aooress ................... Fnone mo .............. :.
N,~e of Architect . ~ ~} ~.f~ ~.../. ff~.t.~.. Address ................... Phone No ................
Nme of Contractor ....... ~ .............. Address .... : .............. Phone No ................
15, Is this property located ~th~n 300 feet of a ~Sdal wetland? ~Yes ..... No ~ ....
· If yes, Southold Tom Trustees Permit maybe required.
PLO~ DIAG~
Locat~ ~l~ariy and d~sfincfly M1 bulldogs whether existing or proposed, and~lndica~e ~1 s~-ba~k dimensions from
prop~r~y Hnes~ G~v~ s~re~t and block number or descnphon a~cord~ng ~o deed, ~d show s~re~ names and ~nd~a~ whefl~r
integer or ~orn~r
STATE OF NEW YORK, $.S
COUNTY OF .................
............................. ~ ................... being duly sworn, deposes and says that he is the applicant
(Name of individual signi ag contract)
above named.
He is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dull 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
................~ ~"~'.r .... day ofi
Notary Public,..~.. t~-..~.~...~..t~... ...... County /~ .~.~.~..~..~~.
~Etm K. pE VO~ i ......... · ....
NOTIRY PUBUC, State of New Yolk , /// (Signature of applicant)
' Term Expires March 30,
SU~Y FOR
JOHN GUNTHER
LOT NO.~" RICHARD J.CRON" ~UNE 6~1988
JAN 6 ~ 1988
AT LAUREL DATE SEPT 28,1987
~N ~ SOUTHOLD SCALE I"=100'
SUFFOLK COUNTY, NEW ~RK ~0~ 87-1465
.~U~H~Z~O ~c~[~o~o~o~m. m ~s GUARANTEED T~
* COPIES ~ mis S~VEY NOT ~A"~G THE LAND COMMONW~LT~ ~E~RANCE
NOT IE CON$1OERED TO ~E · V&LID TRUE COPY
~GUARANT[ES INDICTED'HEREON
HEALTH OEPARTMENT-OATAF~ APPRO~ TO C~STRUCT ~E ~ FO~ WHO~ THE SU~EY IS
ANO ~ HIS BEH&LF ~ THE TITLE C~P~Y, GOV~N-
~ ~F CO. TAXMAP ~ST~SECTION 125 ~CK 02 LOT 1,15 HE~E~, AND TO ~E ~SSIGNEES OF THE LENOING
M~[~ A~ ~ ~[LLI~I WITHIN I00 FEET OF T~S P~OPE~TY INSTITUTI~ GUARANTEES ARE ~T
NOTE: I: MONUMENT
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON SER 50~1985 AS FILE N0.7975. AND LAND SURVEYOR N Y.S. UCENS/ NO ~2845
~ L~ ~ ~L(W),~IC Ti~K(I*)I CE~OLI(~} ~ ~E~ N.Y.S. LICENSE NO 45893
......... , ,, SURVEY FOR
'SU~OI~ t~)IJN1~ I~PARtI~B~IT ~ HE~ ~ JOHN GUNTHER OCT. ~5,
.JUNE 6 ~ 1988
SIN~E FAMILY DWELU~ O~ LOT NO. 2," RICHARD d. CRON" JAN. 6,1988
DA~ - 7 1~ . H.S. ~F. NO. ~~ AT LAUREL O~TE: SEPT 28,1987
The sewage disposal and water supply facititi~ f~r ~h ~WN ~ SOUTHOLD SCALE: I"=100'
location have been i~t.~ected by this Department end/or SUFFOLK COUNTY ~ NEW ~RK NO. 87- 1465
other a~ a~, feun~td
~ d Ba~ of, Wa~wa~r M. ] SURVEY ~ * VI~ATION ~ SECTION 7Z09 ~ THE JOHN G~
ana~ HE~ YORK.STATE E~CAYION
O[PARTM[HT
-OATA
F~
APPn~
C~STRUC
N KAREST W~ I~IH--MI. ~ NSO~CE ~ WATER: ~I~TE __~IC__ MENTAL AGENCY ANO ~EHOIHG INSTITUTION LISTED
~c' ~ NEW ~RK
NOTE = · = MONUMENT ~ ~AKE ~ ~ TM ~ ~ '~
SUBDIVIS~N MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG~ PROFE~IONAL ENGINEER ~ '~
SUFFOLK COUN~ ON SER 50~1985 AS FILE NO. 7975. AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 [.,
HOWARD W. YOUNG~ LAND SURVEYOR
~ ~ ~J~ ~TI~S ~ OR ~TA O~TN~O F~ OTHERS
0
SUFFOLK COUNTY DEPARTM~ C~ H~ALTH SERVICE."
FOR APPROVAL OF CONSTRUCTION ONLY
h~~' $ ,
HEALTH DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT
M ~F CO. T~MAP miT ~$~CTiO~ 125 ~CK ~ LOT~
~[M A~ ~ ~1~$ WITHI~ ~00 F~T OF TWS P~OPE~TY
OTHEN THAN T~OSE SHOWN HE~EO~.
NOTE: I=MONUMENT ~=$TAKE
9UBDIVI$10N MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON SER ~0~198§ AS FILE N0,7975,
SURVEY FOR
JOHN GUNTHER
LOT NO. 2~)" RICHARD J. CRON"
AT LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTYt NEW YORK
l I YOUNG YOUNG
I~II A~O,AND SURVEYO, ~.Y.S. UCENSE,
& [] HOWARO W. YOUNGi~ LAND SURVEYOR
'f Im N.Y.$. LICENSE N0.4589.3
dOHN G[
ALDEN W. YOUNG,, PROFESSIONAL ENGINE ER
AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845
JAN Zb 1988
HEALI'H ,SERVI'OE~
,JAN. 6 1988
DATE: SEPT. 28) 987
SCALE: I":100~
NO. 87- 1465
400 OSTRANDER AVENUE
RIVERHEAD, NEW YORK
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPI Y ~'$ TEM CANNOT
EXCEED2/10 of fg~ LEAD.
I~ eel~er tubing I~
for ~ dl~,ibutlng
of lypel K or L only,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APPIIOVED AIIOTID __
BE COMPL~ FOR CIO .... : :' ,
A~ CONS~U~N 5~ ME~
THE REQUIR~E~ ~ ~ N.Y.
~ATE CON~ ~ ~ERGY
CODES. N~ ~8~NSIB~ ~R ' ~
· Phone.437,0400
032254-1
Main Ro~d
ENERGY CODE CALCOI ATION5
I
3) WAT~ H~TING P~ 7813.31 T~O .38. IN ~LI~CB