HomeMy WebLinkAbout32344-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32282
Date: 04/10/07
THIS CERTIFIES that the building
ADDITION
Location of Property: 350
(HOUSE NO.)
County Tax Map No. 473889 Section 145
MACDONALDS CROSSING
(STREET)
Block 4
LAUREL
(HAMLET)
Lot 18
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 6, 2006 pursuant to which
Building Permit No. 32344-Z
dated SEPTEMBER 6, 2006
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 SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to LAUREL HILL LTD PARTNERSHIP
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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 nse:
I. 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 I % 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 Plamling Board Approval of completed site plan requirements.
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B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
.r features.
2. 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
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory 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. i/ // to! a 7
New Construction:
,x
Old or Pre-existing Building:
(check one)
Location of Property: _;:ro /'I/KOO"",ll.:l C,{;S../....'1
House No. Street
Owner or Owners of Property: L,~"'r<J. L 1-1. 'L( f?,--I,,.I~.-s#i,'
Suffolk County Tax Map No I 000, Section I "I S- Block () 0 6 LI
,
1.-,1"".-e-L
Hamlet
Lot (I I f,
Subdivision
Filed Map.
Lot:
Permit No,
i S..s~l D
Date of Permit / ()/;;, '(199 Applicant: 1)0 '0,1+1 Gn I)''> "n
Underwriters Approval:
Health Dept Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
v"'"
(check one)
Fee Submitted: $
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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.
32344 Z
Date SEPTEMBER 6, 2006
Permission is hereby granted to:
LAUREL HILL LTD PARTNERSHIP
4 HIGH COURT
MT SINAI,NY 11766
for :
CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES BP 18590.
at premises located at
350 MACDONALDS CROSSING
LAUREL
County Tax Map No. 473889 Section 145
Block 0004
Lot No. 018
pursuant to application dated SEPTEMBER 6, 2006 and approved by the
Building Inspector to expire on MARCH 6, 2008.
Fee $
150.00
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ORIGINAL
Rev. 5/8/02
I'
32-3~V6-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [~L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
INSPECTOR
"..
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2l'.'D)
. .
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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FORM NO.1
TOWN OF SOUTHOLD
BUILDiNG DEPARTMENT
TOWN HALL
~OUTHOLD. N.Y. 11971
TEL.: 765.1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEy.....................
CHECK ......................
SEPTIC FORN ................
~, ~ /' ~ I
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NOTIFY
CALL
MAIL
..................... .
Examined .p.~~. .4.~.., 19 3~ ,'" /'_j
Approved .C)~~. .~.~., 19~.9. Pennit No.I.?>.~1.Q.~
TO:
Disapproved alc ....................................
.................................,.~~......
.~~...... ...................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date. . . ~ .:-: .8.. . . ., I~ iT
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 arcas, 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 Pennit to the applicant. Such pennit
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 ]S HEREBY MADE to the Bui]ding Department for the issuance of a Building Pennit pursuant to the
Building Zone Ordinance of the TOwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Re~ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Th~ applicant agrees to comply with all applicable laws, ordinances, bUilding code, housin~ code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
. ~Sig~;t~;e 'o'(applic~~t', ~:~;~e', ir'a' c'o~po'r;t;on">' . .
.lGa. .G<2)~ ./.'.0.,. kf /H':t-;J .~P-t-
(Mailing address of applicant) ... .
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................Q.....,.N.~.................................................................
:-:ame of owner of premises . >>01 ~ 7: tI. .t". .G-:61.-Y t-:.".~. .. 20. ~.'l!'-.1. ?..<~.-.. .){4.l:r.-~ ~
I (as on the tax roll or latest deed) .
If applicant is a corporation, signature of duly authorized officer.
............. ........... ... ....... ....... .....
(Name and title of corporate officer)
Builder's License No. ..li I~ . . tj.3. 7. .7. . . . .. . .
Plum ber's License No.
Electrician's License No.
Other Trade's License No.
I. Location of land on which proposed work will be dor-e.
. . .:s. -:'.~. . .f!! 1: ~ i!?: ~.-!. .C~-!'.J'!. ~ .~.
,
...... ... ........ .... .......... ...... ..................... ........ '" ....... '" ......... ....
1I0use Num ber . Street.. Hamlet .
County Tax ~lJp No. 1000 Section .... /. .'l.L.--.. .. .. Block..... 'i. . . . . . . . . .. Lot... / S. . . . . . " " . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. FibJ Mop No. .............. Lot.............. .
(Name)
State existin~ IIse and OCcupancy of prcmiscs and intended lISC ond OCCupancy of proposed construction:
J. Exisrin~ use and occupancy
........
...... ...............
. . . . . . > ~. '. . . . . . . . ... . .. . . . . . . . . . . . . . . . . . . . . .
b. Intended Use and Occupancy
j).t;:~................... .......
...... ............................ ..
,.
II
3. N~ture of work (check which ~pplic~ble): New Building. . " . . . . . . Additicn Y.~/<- Aller~tion ........
Rep:1ir .............. Rcmov~J .....,...... .. Demolition .............. Other Work. . . . . . . . . . . . .
(Description)
4. Estimate'd Cost. . . ..;.?..<?.C!P. ... ~<? . . . . . . . . . . . . .. . . . . . Fee.. . . . " . . .. . . . . .. . . . " . . " . . . . . '" . .
(to be paid on filing this applic~tion)
5. If dwelling, number of dwelling units. . .. . . . . .. . .. .. Number of dwelling units on each floor. . . '" . .. '" . . .
If gara~e. num ber of c~rs .......................................................................
6. If. business. cOmn:erci~1 or mixed OCcupancy, specify OJture and extent of e:zh(:'pe of use. . . . . . . . . . . . . . . . . . . .
7. Dimensions of eXlstmg structures, If ~ny: Front. . . . h (,.,. . . . . . Rear . .'. . " . . . . . ... Depth. .<t.y. " '" . . .
Height '" . If.... . " . . . . Number of Stories.. . .1... " . . . . . . . /i" . . . . . . . . . . . . . . . . . .. . . . . '" . . '" . . . .
Dimensions of same structure with alterations or additions: Front '>,I P.P.<<P.~ ~..f(f.-. Rear. . . . . . . . . . . . . . . . .
D. h , ;' " ,
opt ...................... Height. . .Y. " . . . . . . . . . . . . . . . Number of Stones. . . . '" . . . .. . . . .... . .
8. Dimensions of entire new construction: Front. . . . . . . . . . . . . " Re~r . . . . . . . . . . . . . . . Depth ..............
Height ............... Nun;ber of Stories. . . . . . . . . . . . . . ~. . . . . . . . . . . . . . . . . . . . . . . . '.:.' . ~. . . . . . . . . . .
9. Size of lot: Front..... .7.5.:............ Rear.... 7..1:.............. Depth.. j.~./..............
10. Date of Purchase ..... 1.9. ?}. .. . . . . .. . . . . .. . .. Name of Former Owner .. H ./:;''''.t.b . . . . .. . . . . . . .. . . .
] I. Zone or Use district in Which premises are situ~ted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Docs proposed construction violate any zoning law, ordinance or regulation: ...............................
13. Will lot be regrad.ed .......... .&(J. '" " . ',' . . " . Will excess fill !Ie removedJron;J'remises: : Yes @
14. Name of Owner of premIses J).<:!J r!..o. t'if. ,. q t9.-k'~P~dress J:(.'k..tJ(.o-'V#.-~tJ.r~~ No. }.,'1 r.. . ;.1. ?../. .
Name of Architect.. . . . . " '. .. . . . . D. . " ... . . Address. . . . . .. .~~~7;-. . . Phone No. ............ "
Name of Contractor ,'.... .'. .'.........:........ Address................... Phone No. . .;:...:-,..........
15.Is'this propertY'located within300 feet of a tidal wetland? *YES....NO....
*If yes, Southold TOwn Trustees Permit may be required.
' PLOT DIAGRAM
LOcate c1e:J.rly and distinctly all buildings, whether existing or ,Proposed, and, indicate all set-back dimensions frorr
property lines. Give street and block number or deSCription according to deed, and show street names and indicate whethe:
interior or comer lot. '
~..
ST,\TE OF ;\E:1.:?V~~ " . S.S
COUNTY OF~.....
" . .D. ~~~i- ~c~~~;a'c~j . . . . . . " " being duly sworn, deposes and says that he is the applicant
above named.
~ A , ,
LIe is the......... .L:,..~~................................................................
(Contractor, agent, corporate officer, etc.)
)f s~id Owner or owners. and is dUly authorized to perform or have performed the said work and to make and file this
!PPlication; that all statements contained in this appliqtion arc true to the best of his knowledge and belief; and that the
VOrk will be performed in the manner set forth in the application filed therewith.
;wom [0 b~fore me [his ,
.,+, 11 \
....... ..IS 7........ .day of.. U-U-~........., 19? ']
:olarYPublic, ..~.l,~..... County~
CHIIISTWE Eo ~DE
NlUIy PIbflc. SIll. 01 New York
No. 4950818
CMlfied h Suffolk County
'Ctmmlalon flIp1r_u.ya, 19!i.J
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(Sign~ture of applic:mt)
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Lo.T NUMBERS REFER TO. "MAP o.F EOGEMERE PARK"
FILEMN THE $UFFo.LK Co.UNTY CLERKS OFFICE ON
,JULY 2,1931, AS MAP NO.. 742.
SUFFOLK Co. T4X M4P
o./ST. JQQQ SECT ~BL .1. LOT lfJ..
REVISIONS
YOUNG & YOUNG
400 OSTRANDER AVENUE. RIVER HEAD, NEW YORK
JUJd'~7'7
EC. 4, 19~~
ALDEN W. YOUNG
PAO"ES.IONAL, ENGINEER ANO
LAND SURVEYOR, H.Y.S. Lie. No.. 121!l"S
HOWARD W. YOUNG
LAND SURVEYOR
N.Y... L.le. NO. ..8803
UNAUTHORIZED ALn,u,TIOH Dill ADDITION TO
THIS SUIWEY IS A VIOL.ATION OF SECTlOH
720'lil OF THE NEW YO~I( STATE EDUCATION
LAW
SURVEY FOR:
DOROTHY GANNON
COPU:S OF THIS SOIl:VEY MAP NOT IIEARING
THE LAND SUftVEyo'f, INKED SEAL Oil:
E".OSSED lEAL SHALL. NOT H: COHSIOEiIlEO
TO lItE Ii VALID TItVE copy
AT LAUREL
dJUAftANTEE!I INDICATED HEREON SH,t,L.L RUN
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