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Home My WebLink About29306-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31148 Date: 09/06/05 THIS CERTIFIES that the building ADDITION Location of Property: 1090 LAURELWOOD DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 7 Lot 9 subdivision Filed Map No. Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 2003 pursuant to which Building Permit No. 29306-Z dated APRIL 17, 2003 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD HARNED & WF (OWNER) of the aforesaid building. SUFFOLK COUN~"f DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICA~ NO. PLUMBERS CERTIFICATION DA'r~u N/A N/A N/A Rev. 1/81 Form No, 6 TOWN OF SoUTHOLD BUILDING DEPARTMENT To~rN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatiou must be filled in by typewriter or ink and submitted to the Building Deparlment with the following: A. For new building or new use: 1. Final suxwey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograptfic 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 statemenl from plumber certifying that the solder used in system contains less than 2/10 of I'% lead. 5. Commercial building, industrial building, muhiple residences and similar buildings and installations, a celtificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings Iprior Io April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accnrate sui~,'ey of property showiug all property lines, streets, building and unusual natural o~ topographic features. 2. A properly completed application and consent to inspec~ signed by ~he applicant. If a Certtlicale of Occupancy is denied, the Building Iuspector shall state the reasons therefor in writing to fi~e applicanl. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ~U[tel'ations to dwelling $25.1)0, Swinmfing pool $25.00, AccessoD~ building $25.00, Additions to accessoD' buildillg $25.00, Businesses $50.00. 2. Ceflificate ofOcct pancy on Pre-existing Building - $100.00 3. Copy of Ce~ificate of Occupancy - $.25 4. Updated Cetxificate of Occupancy - $50.00 5. TemporaD' Certificate of Occupancy - Residential $15.00, (Tmmnercta[ $15.00 New Construction: Old or Pre-existing Building: ~ (check o~e) Locatiou of Property: ~ ~ ~ ~ ~ ~ House No. Street Hanflet Owner or Owuers of Prope/~y: ~~/~ ~ Suffolk County Tax Map No 1000, Section /~ -- 7 -~ ~Block Subdivision ~~P~ ~, FiledMap. ~~ Lot: eematNo. ~d ~ Date of Permit. Applicant:/~/~ff~l> Health Dept. Approval: Undemvriters Approx al: Planning Board Approx al: Request for: TemporaD' Certificale Fee Submitted: $ __~ ~"~ ~ Final Certificate: (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29306 Z Date APRIL 17, 2003 Permission is hereby granted to: R L HARNED & WIFE PO BOX 212 LAUREL,NY 11948 for : CONSTRUCTION OF AN 18'X 32' DECK ADDITION AS APPLIED FOR at premises located at County T~x Map No. 473889 Section 127 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 1090 LAURELWOOD DR LAUREL Block 0007 Lot No. 009 16, 2003 and approved by the 17, 2004. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 BUILDING DEPT. INSPECTION [ ~'~ FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL / []FIREPLACE&CHIMNEY DATE iNSPECTOR.,~/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ,] INACTION/ [ ~ FINAL [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~~ >- // _~ DATE~ INSPE~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS/,ULATION [ ] FRAMING [/~,'I:INAL [ ] FIREPLACE & CHIMNEY · ~ REMARKS. ~//~ ~~_~_~"~ DATE INSPECT~_~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] ~SULATION [ /~FINAL INSPECTOR~~/c~ FOUNDATION (1ST) FOUNDATION (2~) ROUGH ~G & ,.~ pLU'M~ING I~SUI_~TION ~ N.Y. .. STATE EN~F,.G:Y CODE ~x ' C ~D~0~ C0~ 0 TOWN OF SOUTHO[-D' BUILDING DEPARTMENT TOWN HALL ~ SOUTHOLD, NY 119~1 TEL: (631) 765-1802 1 FAX: {631) 765-9502 ~ ...... ~.'-~' www. nor thfork, net/Southold/ PER~IIT NO. Examined (~i~ .20 03 Approved ? ,20~_ Disapproved ac Expiration /'0/{7 ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey, Check Septic Form N.Y.S.D.E.C. Tmstees Contact: Phone: ~ ~ ~::>- ~ L-/~59 Building Inspector APPLICATION FOR BUILDING PERMIT 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 lbr any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. fi Eveo' building permit shall expire if the work authorized has not conunenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. .APPLICATION IS HEREBY MPd)E to the Building Department for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Count5,, 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. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. _ Electricians License No. Other Trade's License No. A/PA/lC Location of land on which proposed work will be done: House Number Street Hamlet CountyTax Map No. 1000 Section Jo27- -)~- ~ Subdivision Z/O/)~-g._/~p .~'y'~/~'~;~q (Name) Block Lot Filed Map No. 5'~'~<''' Lot fl./ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~/.7~7.A,/~-"-~-"~ '-~ b. Imended use and occupancy ~c>-~'~'/~5>~",4/~ ,~ ,~ 3. Nature of work (check which applicable): New Building_ Addition ~ Alteration Repair Removal Demolition Other Work Estimated Cost '~5"t5~ '~SY0 Fee 5. If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of &veiling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions ofex.istingstmctures, ifany: Front :5-/7~, 7 ~',~' Rear :5"z/,7 ,~"7~ Depth ~"~"~ ~ Height ~. ~, ,~'/'~. Number of Stories ,~ 9. 10. Date of Purchase Dimensions of same structure with alterations or additions: Front Depth ~ 5'~ z~'~-'- Height ,~, ~ Number of Stories Dimensions of entire ne,v construction: Front ~--2/, 7 ~ Rear 5~ ff. 7 ~ Depth Height Number of Stories Size oflot: Front ,/,~'~9 ~, Rear ./,5'-d9 /;~. Depth /~o~q Name of Former Owner .A///q~'/'Td~ )A/.,~,~A/~/~ ] Rear 11. Zone or use district in which premises are situated l 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_X 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO t 4. Names of Oxvner of premises0~/~'/'/fl~r~ M/3~4/~Address d.~4Pgl~/.43 V )/~q~Phone No. ~7o Name of Architect Z~t~-~'~c~' V2~/~/~ Address~'~r/gA~?t~:rYTJ~'"/.Phone No q77 - NameofContractor 5'~'~- F Address .L~t~'~_//V.'-[. PhoneNo. 15 a. Is this property xvithin 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ufa tidal wetland? * YES__ NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) t~]~--~]O/.~/Q/~ /L//~/~ ~a/~"'~ being duly swum, deposes and says that (s)he is the applicant (Name of individual signing contract/above named, (S)He is the (Contractor. Agent. Corporate Officer, etc.) of said owner or owners, and is dui)' authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree 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. Public SUSAN K TOOKER NOTARY PUBLIC, State of New York No. 01 T05078120 Qualified in SuffoLk County Commission Expires May ]~t ~---~)O Signature of Applicant,/ ....... ' r ~_ """ '"" j:,.~., ... ~ .~. ~., ', ~ .~ ..~ ~.~ ~:' ..,.. ~ ~ · . ,~ ..~ "' ~COUNTY LTH L ONLY )NLY TO: ~TEE.'CO. L-,AURE'L',Z,/OOD DP, iV E. FINAL SURVEY 8-12-7'7 THE WATER SUPPLy & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK COUNTY DEPT, OF HEALTH SERVICE.';;. ~ '' JOB NO. 77-30' SURVEYED F'OR t~Ot NUM E, ER 21 .;. MAP OF LAURELWOOD ESTATES. SITUATED AT LAUREL TOWN OF' SOUTHOLD- SUFFOLK (~'06NTy N.Y. Sd'ALE 1- 50' DATE FILED MAP NO. 5.5'~,5 DATE .5-17-1977 BOOK NO, LOOSE LEAF P,~GE HAROLD F. TRANCHON JR. PC. LAND SURVEYOR SUCCESSOR TO WILLIAM ~. MEIER ' · . NORT~ COUNTRY :.:.' ......~ ,- -:(,L~w .:.~o~..)'~7~;?.~.~..,.- ': ,~ . , L "' '.'" 'h';',,:: .: · F',,';~..I'.~,~,'; ,~. '.,~; .';i':" ' ':' :. ,--:,:.:~:,~5;:E'),~?~.~;'~,:~t~;~.~ 7%~-~3'~i.;.~,-., TELEPHONE FILE N.O. LAURELWOOD__.E.STS,: ADDRESS "' ~,: ,,4