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HomeMy WebLinkAbout34271-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP/LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33482 Date: 01/12/09 THIS CERTIFIES that the building ADDITION Location of Property: 1300 ALDRICH LA (HOUSE NO.) (STREET) County Tax ~ap No. 473889 Section 125 Block 1 Subdivision Filed Map No. Lot No. LAUREL ( HAMLET ) Lot 2.11 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 30, 2008 pursuant to which Building Permit No. 34271-Z dated NOVEMBER 3, 2008 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" ADDITION TO AN EXISTING NONHABITABLE ACCESSORY SHED AS APPLIED FOR. The certificate is issued to KENNETH & LINDA KNATZ (OWNER) of the aforesaid building. S~FOLK CO~DEPARTIWENT OF H~LTHAPPRO%rAL N/A ELECLrKICAL CERTIFICATE NO. 6764 11/30/05 PLUMBERS CERTIFICATION DATED N/A ~uthorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY '", '~' ',, Q .~"~(~ This application must be filled in by typewriter or ink and submitted to the Building Department with th~,,,follo~.I~: , ,, %%, A. For new building or new use: ',,, 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual na ,~a-al o~ 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: 1. Accurate survey of property showing all property lines, streets, building and nnusual natural or topographic 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 1. 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/~Y New Construction: Location of Property: /3 tSC~ House No. Owner or Owners of Property: /~ ~/a 1'9~,~ Suffolk County Tax Map No 1000, Section Subdivision PermitNo. 3~/~q { Health Dept. Approval: Old or Pre-exis. ting ?uilding: '~ (check one) . Street Hamlet Block Date of Permit. Filed Map. Lot: Applicant: ,.~-/;F/~.- ~'~.~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street w Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764 Application: 6764 Date: 11/30/05 Issued to: Knatz Address: 1300 Aldrich Lane Village: Laurel By: Modem Electric East was examined and approved up to the above date and was in compliance with the NEC Attic 1st Floor Residential r'~l Pool Der Garage Basement 2nd floor C,(xrmerdal Hot Tub PddilJon Smoke Switches Receptacles Fixtureo G.F.I. Range Hood Detectors Oven Carbon Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide Bell Furnace Oil Gas Heat Zones Whirlpool Transformers Meter Amps Phase Mofors ervice Change 1 200A UG 1 3ther Equipment: :)ut,Res This certificate must not be altered in any manner 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. 34271 Z Date NOVEMBER 3, 2008 Permission is hereby granted to: for : "AS BUILT" KENNETH & LINDA KNATZ 1300 ALDRICH LANE LAUREL,NY 11948 NON-HABITABLE ACCESSORY SHED ADDITION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 125 pursuant to application dated OCTOBER Building Inspector to expire on MAY 1300 ALDRICH LA MATT/LAUREL Block 0001 Lot No. 002.011 30, 2008 and approved by the 3, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [~FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT COftSTRUCTION [ ] FIRE RESISTANT PENE'fl~TION REMARKS: DATE I~" ~ ~ ~ INSPECTOR__ FOLrND ATION (1ST) © PLL~G ~ ' hNSULATION PER N. Y. STATE ENERGY CODE ~DITION~ COUNTS m TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined /[/~ / g ,20__ Approved ([[~/ ,200~ Disapproved a/c Expiration ~' [ 3 ,20 IcY PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health ~-4 sets of Building Plans Planning Board approval "5(urvey ~heck ~/o~. ,~ O Septic Form N.Y.S.D.E.C. Trustees ,' ,7, I Flo~ Permit ~ ~ ~ r!~i ,- t..'Storm-WaterAssessmentFonn 5.,! · OCT 0 ZdvO Mail to: / B~_DL. DEPT. I T~,~..~~ ~THO[ D J . Phone: ~B~uilding Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS CC;~ ](-to 200~ a. This application MUST be completely filled in by typewriter or in ink and submitted to thc 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 ~reas, 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 for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. 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 coxnply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~--' - ~'~Z ~'"~ ' (Signature of applicat~iXpr name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~-idD~tL/lq'd~c--~ A~(°j(]Z~---- (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. Location of land on,~w, hi~ch prppospd work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Lot ,2, ti Lot State existing use and occupancy of premiss and inten_d, ed ~4~e and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy lgJ 0 tS~ 5/q(¥9 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost d~ ~'* dO0 ! 5. If dwelling, number of dwelling units If garage, number of cars Addition // Alteration Other Work ~t'e-c_Jr~ C_~ (Description) Fee (To be paid on filing this application) Numbe.,r of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions ofexistin~g~tructures, if any: Front Height 9. ~> Number of Stories Rear ~ ¢ .Depth /0 Dimensions of same structure with alterations or additions: Front ,5 d Depth ,,~ O, .z. ~ Height. c65' Number of Stories Rear / Height 9. Size of lot: Front /6 0 10. DateofPurchase /~ Dimensions of entire new construction: Front Number of Stories Rear /~ O Name of Former Owner 11. Zone or use district in which premises are situated Rear _Depth Depth 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 __ NO__ 14. Names of Owner ofp_remises~/~c~2-~,~,~tdress/~0/~c~r'lcL,~<- Phone No. fl, q~'~ ~ Name of Architect ~flc~,r' Fod [c.c~ Address Phone No 5~, 5% 0 ~ ot~ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R~QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO t/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO j 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO v/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OFs: [- INO. A. '~Jt-C'~.- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0 h_l ~/0~ (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 tree to the best of his knowledge and belief; and that the work will be ~erformed in the manner set forth in the application filed therewith. · Sworn to before me this x~-Vlr' day of (~C-~O~O~('- 20 O~t Iqotary Public ! '"~t~,.,~~'~'' '-- Signature of Apt~lie~nt Tow____ n of __ $outhold Erosion, Sedimentation & Storm-Water Run-off A8SESSMENT FOI~M PROPERTY LOCATIO~N: S.C.T.M. #: THE FOLLOWING ACTION8 MAY REQUIRE THE SUBMISSION OF .~ STORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL PL~kl CERTIFIED BY A DESIGN FROFESSldNAI. IN THE STATE OF NEW Item Number: (NOTE: 1 2 3 4 5 6 A Check Mark (~) for each Question Is Required for a Complete Application) Yes No (Phis item will include all f~n-0ff created by site clearing and/or construction activities as well as all Site -- Improvements and the permanent creation of impervious surfaces,) Does the Site Plan and/or Survey Show All Proposed Drainage Strdctures Indicating Size & Location? This Item shaft include ali Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will ibis Project Require any Land Fil!ingr Grading or Excavat on where there is a chan9e to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? Will this Application Require Land Disturbing Activities Encompassin9 an Area in Excess of Five lhousand (5,000) Square Fee o Ground Sudace? Is thole a Natural Water Course Running through the Sile? is this Project within the Trusleos urisdiciion or within Ofle Hundred (100'1 feel of a Weflarld or Beach? Will Ihere be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of \/e[tJcal Rise la One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parkin9 Areas or ogler Impe~¥ious Sudaces bo Sloped Io Direcl Sto~Tn Water [?tm Off into and/or in tile direction of a Tov,'n dght-of 8 Will this Projecl Require gte Placement of Malerial, Removal of Vegelation and/or the Consln~cfi*)u of any I leto Within ll]e To vn R g -o -Way of Road Shourder Area? (This item will NOT include the Installation of Driveway Aprons,) FORM- 06107 (Signature of Ap¢~canl) ~) Sworn to be£ol e ,ne dais; ......... ~-~ ................ day oA....(1).dT~t.~ ...... ,20..C~ 9 Wilt this Project ReqlJire Site Preparation wilhin Ihe One H md ed 100 Year Fluodiflain of any 'Va e course? r~ / NOTE: If Any Answer to Questions One through Nine is Answered with a Chock Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Bui dng Pem~itl Does fl~is project meet the minimum standards for classi~cation as an Agricultural Project? Note: If You Answered Yestothis Question, aStorm*Water, Gradi~g, Drainage&ErosionControiPlanisNOTRequired! S'I'AT~, OF NEW YORK, Owner and/or rep~ csenmfive of tim Owner of Owner's, ~ld is duty audmdzed to perform or bare performed tim said work and to m~e m let file tfiis application; flaat MI smtemenls contained in fids application are mm to flae best of his ~owledge mad belief; m~d flaat Om work will be performed m dm m~ner set forOa m ~e applica~on filed herewifla. ./ KENNETH KNATZ 8, LINDA KNATZ LOT NC',2"LAUREL ESTATES EgS-',~ S~'2T.," ~ LAUREL YOUNG 6 YOUNG NOV. 21, 1986 SEPT. Ii, 1986 DATE 44343 OSTRANDE R AVENUE RIVERHEAD, NEW YORK H,," HHH F-II ,, ~¢'¢¢¢~ Neu~ Additions Built In 2004 to EXISTIN~ ACCESSORY 6'-4" ~SHED - ~ullt lqq4, C.O. Z-24155 / (2} 2x6 Header ~' D ~ EXISTING AGCED~ORY 5NED - Built lqq4, C.O. Z- 241~5 OCCUPANC:/OR USE IS UNI '/VFUL WITHOUT (,iRTIFICATE OF OCOUP/'NCY CERTIFICATE REQUI~ED ALL CONSTRUC T',3N SHALL MEET THE REQUIP ,ENTS OFTHE CODES OF NEW ', /, il( SI'ATE APPROYEr AS NOTED NOTIFY BUiLD[NC ~PARTMP~,'T AT 765-1802 8AM PM FOR THE RETAIN STORM WKI Liq , ',~ q~- FF PURSUANT TO CHAPTEH 236 OF THE TOWN CODE. r ,4 ~accesson,j shed t. , , I~enneth & Linda Knatz ~- ~6' ARGHITEGT (7) DATE: Oct. 22, 2008 A - 1 SCALE', A5 NOTED 06 - 22 Page 1 of 1