HomeMy WebLinkAbout20680-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32738
Date: 11/19/07
THIS CERTIFIES that the building
ACCESSORY
Location of Property: 1995 ALDRICH
(HOUSE NO.)
County Tax Map No. 473889 Section 125
LANE
(STREET)
Block 2
LAUREL
(HAMLET)
Lot 1.17
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
pursuant to which
Building Permit No. 20680-Z
dated
JUNE 2, 1992
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 ACCESSORY GREENHOUSE IN THE REAR YARD AS APPLIED FOR.
The certificate is issued to ROSE M. FILASKY
(OWNER)
of the aforesaid building.
SUFIroLK COwou DEPAR'1'MEIIT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE I!IO.
3041853
11/08/07
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
J
11/15/2007 1022 FAX 8312985119
ANDREWSTVPEREAlTV
I;!I 003/003
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Fortn No, ~
TOWN OF SOumOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY I
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This applicationlDust be filled in by typewriter or ink and submitled to the Building Department Wilh the following;
A. For hew building or new use:
I. Final survey of property with accunte location of all buildings, property lines, streets, and un\lsual natural 01'
topognphic features,
2. Final Approval from Health Depl. of water supply and sewerage-disposal (S-9 form),
3, Approval of electrical installation from BOlld of Fire Underwriters.
4, Sworn statement from plumber certifying tll.t the solder used ill system contlins less thin 2/10 of I % lead.
5, Commercial building, industrial building, multiple residences and similll buildings and installations, a certificate
of Code Compliance from arChiteel 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-collforlnlnll uses, or bulldb'lls and "pre-exisling" land uses:
1, Accurate survey of property showing all property lines, streets, building and unusual nalUral Or topo!ltl1phic
features,
2. A properly completed application and consent 10 inspect signed by the applicant. Ifa Certificate of Occupancy is
denied, II,. Building Inspector shall stale the reasons therefor in writing 10 lhe applican\.
C. Fees \.
I, Certificale of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, A1leraliolls 10 dwelling $25,00,
SWimming pool $25,00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50,00.
2, CertifiealeofOccLtpallc)'onPI'c-e~islingBuilding_ SIOO.OO ~,\ ~
3. CopyofCel1ificateofOccupancy_$,25 'r\ ~ C\S
4. Updaled CertHicate of Occupancy - $50.00
5, Temporal)' Certificate of Occupane)' - Residential $15,00, COl1unercial $15,00
"/,.r/o,
,
Dale.
New Consh1lclion: __ Old or Pre.existing Building:
Location ofP"opc\'ly: _I ~ c? ,(' . j) 1 In rC,." L n~-
House N", Street
OwnerorOwnersoiPropcrty;/isW.. . f RoS"l. 1Y'IIf:(I....-
v
(check one)
dJn-f-f,' -Iue /L (/.,-.,0....) )
Hamlet
&:.-t~la Ry--,
-If-
,
I
Subdivision Filed Map. "...;.. Lot;
Pennit No, ..:2. ~ k...t.O -7 '-::r~~;~-:::m~l,'_'l~,_bx.. Applicant: L. &N-.J") 17~l5:t
~
Suffolk County Tal( Map No 1000, Section _I ~ ~
Block
Lol
I, /7
liealth Dept. Approv.l: ... .._._.._
PI.lIning Board Approval: _.. ,._..
...,._... Underwriters Apprt)v.):._ ,_
Request for; Temporary Certificate. ., ____... _ Fill.1 Cerlilicole; _ .~_ _ (check olle)
Fee Submitted: $~ ~ ~ _~.__
~/~""", ~4Z-N"l CO. 1-8
/....Il..J::> p./,."" l.J.y <f).--
L;.,e~/V",
3 6 f3t2..~ ~/-c..Y r:> fZ- ,y' ,p:>-K.
Sl,*IL-h~"", d";A1;,j'
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Applicant Signalure
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n.. NO. I
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)
N2N9 20680 Z
Date ............~/~................................., 19.~i.:-
Pennlssion is hereby granted to: .
..~.Q-:..tt.t.d..:..2J~...........
.....L7...'?-?.:.......~:{..:~...~.....
..........~..J"'...I.!!::~...................
, ... .-r + A._ ~<" "'-/ ..~ / A'.-
to....~........~.............................. ..../.. .... ~......~::-...c....................
..........~~.(.!.....~..~...........................................::.......................................................
"p.....-......" ._L.".l!1!:~._..~_.~-"..__...._.._.._..
..................................................... ...............................~..~.....................................................
................................................................................................L...............................................:...........
County Tax Map No. 1000 Section ...16[;;.:::;;... Black ....e~......... Lot No. ...1.!/.1.........
pursuant to application dated ...................~~f......................... 19...9.k and approved by the
Building Inspector.
Fee $....~2...~..
.~)i.~~..._._..._..
! I,
Rev. 6/30/80
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V I - V ,":",:::-,i't:l:;~~!fii~?';~~~.
S. ~_I. I 'T TOWN OF SOUTHOLD \PROPERTY"RECORDqCARD:~~~i~~~'Rb~
STREET VILLAGE DIST. SUB. L9T 4
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f \OClO-
OWNER
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N E ACR.
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S W TYPE OF BUILDING ,j
Cy (
RES. SEAS. FARM COMM. CB. MICS. Mkt. Value 'J
10
" LAND IMP. TOTAL DATE REMARKS "
00
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#-000
OPAR
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Tillable I , 33 ~
Waadland
Meadowland
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J tj'tJ FRONTAGE ON WATER
FRONTAGE ON ROAD
;11
"'600 DEPTH
BULKHEAD
I 90 ,
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House Plot :
Total
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M. Bldg. 1 {; lC 4:;.. ~ /050 .J:: 1;0 [;775 Foundation PI' Bath 2-
"''':1 re.-r.t". , . . 7'6 <is
Extension 2 (,'f. 9 = ;U. 5 350 Basement Full Floors
Extension I:xt. Walls I" ShAke Interior Finish
. ,. 'II'.S
Extension Fire Place Heat n,') BB
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P. ov.4Q~O /;). i b :: Pool
orch 2.~7-... .50 U~ Attic
Deck /'104"- 33<0 .25 'iff.{ Patio Rooms 1 st Floor Cc,
Breezeway Driveway Rooms 2nd Floor G
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Garage 1) \( ).5-== K; ~o /.}..s t,~~
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
ESTATE OF ROSE MARIE FILASKY
36 BRADLEY DR
SHOREHAM, NY 11786
ESTATE OF ROSE MARIE FILASKY
1995 ALDRICH LA
MATTITUCK, NY 11952
1995 ALDRICH LA MATTITUCK, NY 11952
3041853
Application Number:
Certificate Number:
3041853
Section: Block: Lot: Building Permit: ~ 0 ~ '6 b BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
greenhouse,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 8th Day of November, 2007.
Name OTY Rate Ratin. Circuit ~
Miscellaneous
as built "greenhouse" 1992
Panels
60
4
Wiring and Devices
Switch
Fixture
Receptacle
2 0
2 0
2 0
General Purpose
GFC!
Flourescent
An as built inspection, afthe delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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715-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBC.
[ J FOUNDATION 2ND [ ] I~LATION
[ ] FRAMING [4INAL
REMARKS:
DATE tjp 1ft
INSPECTOR
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7U.1802
BUILDING DEPT.
INSPECTION
[~NDATlON 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
DATE /0 / ! hv
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INSPECTOR
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FRAHE &
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STATE ENERGY
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IK COUNTY DEPARTMENT OF HEALTH SERVICES
JL ~'tYl~~\1IlY DWELLING ONLY
. H.S. REF. NO. 9050/32
':'p.e di,cosal ~nd YI3ter supply facilities for this
. ha~e he~'n Inspectod by this Department and/or
~~I . a foulltt.b~ctn.
IIrc"" .r '., '.lawater Management
SURVEY FOR
LEONARD G. FILASKY 8 ROSE MARIE FILASKY
LOT NO.4, "MAP OF RICHARD J. CRON"
AT LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE;
JUU ~
MAR
NOV. 2
SC ALE'
NO.
I": 100
90-0~
,. tJHIUTH0t!'1![D 'Ln"AfloN 011I ",OOIfION T'O nus
SUflV[T . " VIOl.ATION CW neTlo" 1201 OF THE.
Mf. 'Ollt. STAU (DUCl'll)H !.A.
M CO'U:, rI ,"I' tuftyl" NOT .,...., TH! L&ND
SUIlIV[YOII", INK! 0 stAl Olit (MlaUlD SlAt SHALL
NOT I( COH'IDlilttD TO II A vALID T"u( COP"
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j K COUNTY DEPARTMENT OF HEALTH SERVICES
L ~~L~'lILY DWELLING ONLY
H.S. REF. NO. 1tJSO /32
I. '~ge disposal ~nd water supply facililies lor Ihls
'1 have nern illspected by Ihis Department and/or
'.1 a foulIIHo blKllisfacl~
I\).' ~1.6. .:c.
.' .;rl 01 IIre~1I _f'" '.Iawater Management
SURVEY FOR
LEONAftD G. FILASKY 8 ROSE MARIE FILASKY
LOT NO.4, "MAP OF RICHARD J. CRON"
AT LAUREL DATE.
TOWN OF SOUTHOLD SCALE
SUFFOLI< COUNTy I NEW VORl< NO.
JUtl :;0;,
MAR 28.
NOv'20.
I": 100'
9O-0~1
IIY "fiT -IlA T& FOIl """"0IAl Tn r.......DII r ,
.1JfIM,UTMO.UU:O 'Lft~"IOH Oft 40011l0N m THIS
Su"vtT .., YIOLATION ~ UellO" "0' OP' THt
Hr* "0". U'U tDUcAtlON 1,.10*
. CO~'U tit' tN,. Wlvtr NO' .U.... '.1 .'..
SUhl"lO_" '''''10 .tAL O. tlllOUID 'ra. '..u
MOT .t coft.IOIMb TO II' "'LtO TlItut co,.,
.GU".....Tttt tHbtUttD NtM:ON SMALL fIIulll 0Nl1 10
TMf "ft_ ~. WHOM tHE .u.wry I' P"l."A"IO
~'D ~.. @@!m.\~i:,-'.
! I! Ir' ..,
\ t'\l MAY 2 91992
U\L..,
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765.1802
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEy...................... .
CHeCK ....................
SEPTIC FORM ..............
TOI/Nit::.".;.,;:; "
Examined... .<<~......., 19 9~
Approv~d . . . . .~/~. . .. . ., 199.~ Permit No. .-?c?~ft,). ~
Disapproved ale .....................................
. .cl.~F:-:. ~2;1. . . . . .
TO:
. . . . . . .. . . . . . . . . . . . . .
. . . . . . .. . . . . . . . . . . . . .
............... ... ........ ......::..~.~;~.. .... ...
.............'7~~g Insp~ctor)
. APPLICATION FOR BUILDING PERMIT
--
Date... .,~r......., I9'!.~
INST~UCTIONS
. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
;ets 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
Jr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
;ation. .
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 Permino the applicant. Such permit
.hall 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
,hall 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
luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
fhe. applicant agrees to corn ply with all applicable laws, ordina~~g code, Iho~gte. a~~.reg lations, and to
ldmit authorized inspectors on premises and in building for necesf. ~.,..~~;;(~.. .'?ri!.. .............
.. . (Signature'~~~;licant, r name, i corporation)
.... '0' ..... ..... .......... ...................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.. P.. ~V C/,. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . .. . . . : . . . .. . . . . .. . . . . .. . .. . .. .
,,," of OW.o< ofprem;,~ v l ~/.(lM ~ . . . (, . i, !A".,f 1.< . . .." :if'M~~~.~ ~ . . . . . .
(as on tJ{e t:vc roll or latest y B.P." ~O t:
If applicant is a corporation, signature of duly authorized officer.: FEE: :yj. ID Bv:dM)~
. NOTIFY BUILDING DE ENT AT
765.1802 9 AM 10 4 PM FOR THE
FOllOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH - FRAMING & PLUMBING
3. iNSULATION
4. f'INAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
I-\LL CONSTRUCTION SHAll MEET
"HE REOUIREMENTS OF THE N.Y.
"""TE CONSTRUCTION & ENERGY
. . .YWS NOT RESPONSIBLE FOR
I. Locatlon,?f land on whIch propo~ed work ":'.111 be done. .................... r'F';L~r,' 'nH CONSfR'UCTION'ERRORS'
.!~'r?...........:... . Ill) f\ /p}( /-:1/'!."-:.......... L /J-:-VJ.r.e. .1./, N.yJ.--:l9.p......
1I0use Number Street Hamlet
County Tax Map No. 1000 Section ...!.. ~ f.. . . . . . .. Block ...;~............ Lot I: (? . . . . . . . . . . . . .
Subdivision ~f(;I. cPJN,. ~?P:~~~. 1:.1-.1\.0."!.... Filed Map No. .............. Lot. .Y............
. r (Name)
State existing Use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy... .~d ~S C. . ..... ........ .............. y.n":\.:~lAl::'..............
r f? -e...e./ J 110 (/S < O-R 0 w r 1/ *'"y(~€:'9"'''4:.''ci'.'';;;:~~/~#
b. Intended use and occupancy . .\? I J................. ......... ,;7.. .Q>\'ff'~'l'~~ ...1d",~,~~\'l" ........
. - _ e r .E ~::jroi.;: '~~Q ::-;.:y.:q~(:J nf)i,?;'immo.."
. .........,........:... ... ....... .. .. . ......... OCCUPANCY OR
(Name and tItle of Corporate officer) USE IS UNLAWFUL
Builder's License No. ...................,.. WITHOUT CERTIFICATE
Plumber's License No. .......:................ OF OCCUPANCY
Electrician's License No. ...................... '.nlIM1I
tIJI (I_IUllI....
Other Trade's License No. ..................... .-
. /li c: /~SJ,'
.' 3. Nature of work (check which applicable): New Building 6~~~JA:ddition . ... . . . . .. Alteration ..........
Repair .............. Removal . . . . . , . . . . . . " Demolition .............. Other Work. . . . . . . . . . . . . . .
~ .. . ~, (Description)
.4. Estimated Cost. . . <?.J::~ : .c.:? . . . . . . . . . . . . . . . . . . . . .. Fe~... . , . . . . . . . . . . . . . . . . . . . . . . . . . . .
. (to be paid on filing this application)
5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . .
. If garage, number of cars ...........................,...................,...,...,............,...
6. If business, commercial or mixed Occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . , . . . . . . .
7, Dimensions of eXisting structures, if any: Front. . '" . . . . " . . . . Rear. .. . . . . . . . . . .. Depth..............,
Height ."............ Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimens: Qf same structure with aIt~rations or additions: Front ............... '.' Rear.............,..,.
Depth. ,'. . . . . . . . '. . . . . . . . . . . . HeIght. . . . . 'r /' Y . .;. . . . . . . . . Number of Stones. . . . . . . . :L;~f' . . . . , . . .
8. Dimensions of yntire new construction: Front. J.?>. . .')r, . . " .. Rear .~ .n :. . . . . . . . . Depth ~Ir.':.......,..
Height "~?:"""''';:' Number of Stories. . . .. . .. . 'if'/' . . . . .. . .. . . . . . . . . . . . /0' f' y l' : . , , . .. . .. . , .
9. Size of lot: Front .I.~~... X"i' .9i..... Rear., /.?................ D~~~ ':~.;r,?!&,.0" L:j~'"
I O. Date of Purchase ...~.... ./. .f.. . . . . . . . . . . . .'. . Name of Former Owner c;: If.. '. . . . . . . . . . . . . . . . . . . . . . . . .
II. Zone or use district in hich premises are situated. . . . .IY~. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction yjolate any zoning law, ordinance or regulation: ...,..............................
13. Will lot be regraded .... .1. P.......~. r"'';:;;; " fro Will excess fill be:;moved fro~lpremises: Yes ~
14. Name of Owner of premises ?-.Cfl. 'Y fI.W. . ~..ll. W~ddress ./.f.// JI~iJ. . '~~/~~."\o/hone No. .zfi-. ;-.4f1.:t.7., .
Name of Architect ........................... Address .. . . . . . . . . . . . . . . . . . Phone No. ............,..
Name of Contractor ............ ..,.,....,.... Address.............,.,... Phone..No. ...,... .........
15. Is this property within 300 feet of a tidal wetland? *yes........ No.~.....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or deSCription according to deed, and show street names and indicate whether
in terior or comer lot.
TATEOFNE~RI<CI'~:S iA!i\'=ilI.:'}'.' .. .
OUNTYOF.~.~U
" " . (.~Qn...CLr:d. .. ....n .l~ ~d7tJJ.a'J uIuly sworn, deposes and says that he is the applicant
(Name of individual signing contra~"I~UIl3lI .
Jove named.
. . .' '\
e IS the. . . . . . . . . . . . . . . . O~ N. J/.. . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . . . . . . . . . . . , , . .. . . . . . . . . , ,
' (Contractor, agent, corporate officer, etc.)
. said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
'plication: that all statements contained in this application are true to the best of his knOWledge and belief; and that.the
Jrk will be performed in the manner set forth in the application filed therewith.
vom to before me this
. ........... ~~~.daYOfJ
ltaryPublic, ..~?':.~...
.,19~.J-
.. coun:~~.~A.?~ . .........
I~' /.~Signatur of applicant)
ClAllIE L QlEW.
NaelMy Public. S- of...."*
No. 48795011 LJ
QulIlIlIed In Suffolk Councy a;;..-'
Commllllon EIIpIrw o-IbIr" ,._
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