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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