HomeMy WebLinkAbout31672-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31367
THIS CERTIFIES that the building ACCESSORY
Date: 01/03/06
Location of Property: 205 ALDRICH LA LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 125 Block 2 Lot 1.23
Subdivision
Filed Nap No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 7, 2005 pursuant to which
Building Permit No. 31672-Z dated DECEMBER 13, 2005
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 "AS BUILT" ACCESSORY HORSE BARN AS APPLIED FOR.
The certificate is issued to NEIL & MARY TIGHE
(OWNER)
of the aforesaid building.
�.ynnu��n;�.;�ro, r r•� n:i Jed;Y r � r+, r ii�]:�:r.�Nr r: �c� �� uwin �ai�
ELECTRICAL CERTIFICATE NO. 6653 08/23/05
PLUMBERS CERTIFICATION DATED 01/03/06 NEIL TIGHE
Authorized Signature
Rev. 1/81
aqs _ s,3o�
"- Form No. 6
TOWN OF SOUCHOLD
MN S BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building 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 from Health 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 the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
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 (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses:
L Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
.1. Certificate of Occupancy - New, dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accesspty building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50-00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. /02 la9l5
New Construction: _ Old or Pre-existing Building: r// - (check one)
%
Location of Property: �z0-5 f9 _,C,
House No. Street Hamlet
Owner or Owners of Property: /W/� p� Jye, L_Ale--
Suffolk County Tax Map No 1000, Section _� Block �O(Go2 _ I.ot_( Z� Qd .3
Subdivision Filed Map _ Lot:
Perinit No. _ -3 1 6 �:>Z __-Date of Pemtit. _ - Applicant:______
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: i.
Com. X 156 5
Co -e 3I3G?
/_
pplic t Signature
FIELD INSPECTION REPORT i DATE
COMMENTS
FOUNDATION (IST)
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--------------------------------------
----------------------------------- FOUNDATION (2ND)
FOUNDATION
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ROUGH FRAMING &
PLUMBING
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INSULATION PER N. P.
STATE ENERGY CODE
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FINAL.
ADDITIONAL COMMENTS
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Nassau Suffolk Electrical Inspections, Inc.
5.A Canal Street •
Center Moriches, New York 11934
• Tel: 631-878-3500 • Fax: 631-878-3764
Application: 6653
Date: 8/23/05
Issued to: Tighe
.Address: 205 Aldrich Lane
Village: Laurel
By: Rockv Point Electric
License#:32644-ME
was examined and
approved up to the above date and was in compliance with the NEC
Monoxide
Attic
istFloor E Residen<ial191
Pool Det Garage
Heat Zones
Whirlpool
Basement
2nd floor Cannudal
FU Tub Addition
Transformers
Meter
Amps
Phase
Motors
Switches
Receptacles
Fixtures
G.F.I.
Sub Panel
Smoke
Detectors
8
4
8
1
27
Fans
Dishwasher
Washer/Amps
Dryer/Amps
Oven
Range/Amps
Carbon
,1 os<sau/1. �lectrunl.%� inc_ �,
a�,�� �rreidueG
This certificate must not be altered
in any manner
Monoxide
Furnace
Oil
Gas
Heat Zones
Whirlpool
Bell
Transformers
Meter
Amps
Phase
Motors
Other Equipment:
Detached Barn
Out,Res
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Building Permit No.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Owner: Aue, L of f l fq(,1
(Please print
Plumber: ()GI M1/ 0 \r— -
(Please print)
lead.
Date: / 13 k
Fax (631) 765-9502
Telephone (631) 765-1802
I certify that the solder used in the water supply system contains less than _I 10 of 110
Sworn to before me this
day of JAA-u A 20Oj�
Notary Public, SuFFock County
/G
— A. �/ -
(Plunit6ers Signature)
Nd 36Cali
a
rk
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 31672 Z Date DECEMBER 13, 2005
Permission is hereby granted to:
NEIL & MARY TIGHE
PO BOX 487
LAUREL,NY 11948
for :
RRy18//N�Tilil `xY�l ii Lil l e;=\ i�f�717 �1i�17
at premises located at
205 ALDRICH LA
IV-11S1N1N
County Tax Map No. 473889 Section 125 Block 0002 Lot No. 001.023
pursuant to application dated DECEMBER 7, 2005 and approved by the
Building Inspector to expire on JUNE 13, 2007.
Fee $ 469.20
Z w...�,I
Authorized Signature
ORIGINAL
Rev. 5/8/02
314 7al— z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [,Q FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
rAl
DATE / ��°2l INSPECTOR �i
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/ STRAPPING[ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR
TORN OF SOUTHOLD
BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION CHECKLIST
TORN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802 l
FAY: (631) 765-9502 y,J
www. northfork.nefitSouthold/ PERMIT NO. 3V(e 7a- Z,�
Examined /3 , 20 OJ—
Approred 20Q_S
Disapproved a c
Expiration 4 b 3 , 20 D7 n n
Building Inspector
Do you have or need the following. before applying?
Contact:
Board of Health
4 sets of Building Plans
Planning Board approval
Surve\
Cheek_
Septic Fc
NN.S.D.
Trustees
Mail to:
Phone: 35 e S`
.APPLICATION FOR BUILDING PERMIT
Date gr tz.h 5 ,20
INSTRUCTIONS
a. This application MUST be completely tilled in by typewriter or in ink and submitted to the Building Inspector with 4
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 wateneays.
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 for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
E Every, building permit shall expire if the work authorized has not commenced 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 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.
(Signature of applicant or name, if a corporation)
PD ,6H
(Mailing address of applicant')
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises/'ci 2, / r/ /,km /- V / _-,/e,
(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
1. Location of land on
House Number
work will be done:
.G�
Hamlet
County Tax 1\Iap No. 1000 Section Block Obo •2 Lot [jO / • c1« S
Subdivision Filed Map No. '-/7 _' `J� 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[J%i r A J
3. Nature of work (check which applicable): New Building �_Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(Description)
(To be paid on tiling this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
U
7. Dimensions of existing structures, if any: Front Depth
Height Number of St ries
Dimensions of same structure with alterations or additions: Front
Depth Height Number of
S. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO
13. Will lot be re -graded? YES NO—Will excess fill be removed from premises? YES
ozzl14. Names of Owner of premises /Yxa�a tl cr L / i S kAddress o�05 A��,���7°w rNo.
Name of Architect
Name of Contractor
Rear
NO
ash ,yG�
No aof Z/ -I L .
No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland^ *Y"ES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAYBE 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)
S
COUNTY'
e4s
being duly sworn, 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 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 tiled therewith.
Sworn to before me this
.dav of ,
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Not�rl PC, ¢, Sol. -of Naw Yak
No 01005M7852 9
aualdi.d in Suffolk County •;�
Commission Expires Sept 13,
-T tgrtature of Applicant
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SURVEY OF PROPERTY
SITUATED AT
LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-125-02-1.23
SCALE 1"=40'
AUGUST 8, 2000
SEPTEMBER 28, 2000 REVISED PLOT PLAN
OCTOBER 27, 2000 REVISED PROPOSED HOUSE
JANUARY 20, 2001 FOUNDATION LOCATION
JULY 20. 2001 FINAL SURVEY
SEPFEMBER 2. 2005 UPDATE SURVEY
AREA - 130,678.16 sq. ff.
3.000 ac.
CERTIFIED TO
COMMONWEALTH LAND TITLE INSURANCE COMPANY
NEIL TIGHE
MARY TIGHE
'e.AUIHORIZEO ALTERATI.N OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
E rl
SCTmN 7209 OF THE NEW vDRk STATE
EDUCATION IAW
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS INKED SEAL OR
EMBOSSED 5EAL SHAH NOT AS CONSIDERED
TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHOLL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
I5 PREPARED. AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENSING INSTITUTION LISTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INS1-
TUDI CERTIFICATIONS ARE NOT TRANSFERABLE
FOR SUCH USE BY THE
TIRE A550CIATION �
THE MINIMUM
As ESTABLISHED
AND ADOPTED
RN STATE HAND
FIT No 49668
__—
REAR ELEVATION
— - LASPHALT SHINGLES -- -- -
1:3 13
- - �VINTL BIDING
FRONT ELEVATION
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RIGHT ELEVATION
LEFT ELEVATION
– TOP OF PLATE
– TOP OF SUBFLOOR
– TOP OF PLATE
– TOP OF PLATE
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– TOP OF SUBFLOOR
– TOP OF PLATE
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--�---- GRADE
MEAN HEIGHT OF ROOF
--- GRADE
SCOPE OF SUBMITTAL:
AS BUILT DRAWINGS FOR EXISTING
HORSE BARN WITH HAY LOFT
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– TOP OF PLATE
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--�---- GRADE
MEAN HEIGHT OF ROOF
--- GRADE
SCOPE OF SUBMITTAL:
AS BUILT DRAWINGS FOR EXISTING
HORSE BARN WITH HAY LOFT
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PAGE:
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