HomeMy WebLinkAbout39519-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
631-765-1981
CERTIFICATE OF OCCUPANCY
No: 37412 Date:
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1600 N Oakwood Dr, Laurel,
2/11/2015
2/11/2015
SCTM #: 473889 Sec/Block/Lot: 127.-6-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/3/2015 pursuant to which Building Permit No. 39519 dated 2/3/2015
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:
enclosed porch and open stoop to an existing one family dwelling as applied for.
The certificate is issued to Fuchs, Asenath & Fuchs, Scott
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A ed ignature
Permit #: 39519
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
Fuchs, Asenath & Fuchs, Scott
19 Green Meadow Ln
Huntington, NY 11743
Date: 2/3/2015
To: make alterations and build an addition on existing dwelling. Replaces BP 5409.
At premises located at:
1600 N Oakwood Dr, Laurel
SCTM # 473889
Sec/Block/Lot # 127.-6-10
Pursuant to application dated
To expire on 8/4/2016.
Fees:
1/1/1900 and approved by the Building Inspector.
PERMIT RENEWAL $5.00
CO - ADDITION TO DWELLING $50.00
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT'
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISIrS UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N'V 5409 Z Date .... ...... ................ J124........1. 3......,
Permission is hereby granted to:
............... Laure :....................................
to4r�alte�..]c,.vu�t..&...i......i,gA••At..>.�.1..,�..3.111�.
at premises located at ............ Lat..50.... LaUr el. 1> ...........................................J...
.................................... �.. 1�#1rt r .. ?ar........ W±01....... ]R OIt........................... bT rr � �-1 l l �
..................................................... ................................................:.............................C-'..ce-e .'Ar..........
_Q _
pursuant to application dated...........................,�.............. i9.."., and approved by h� d
Building Inspector.
Fee $.5.0.f .............
.... 5/,...' : ........... ..........�"•�, . +:
;Building Inspector
Form No. 6
TOWN OF SOUTHOLD
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 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 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 unusual 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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. `� h1t
New Construction: Old or Pre-existing Building: \ (check one)
Location of Property:l O�/�%
House No. Street Hamlet
Owner or Owners of Property: Jai' flu ,S'1--
Suffolk County Tax Map No 1000, Section Z Block (o Lot ) y
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
L�5
Applicant Signature
FOUND,ATIOPT (IST)
FOUNDATION (ZND)
ROUGH FiAB
fNCF &
PLUNMINO
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL ,
I�
�o
z
I�
/psis['na 1 7,1/73 WP
TOWN OR SOUTMOLD -2// V761 "t- A4-d r ?xj-_& Qn�Z
.BUILDING QETARTMBNTGz7*��
' TOWN CLERK'S OAIq �.
Examined.. ..... ... [..!�....... 19 / SOUTNOLD, N.. Y. �'i I 9" ~4 �o 14
E
.. . , r Application No.. 1.
Approved............. ..........:............ �9,.. �... P•rmit,No...:�,...y �
{,D1saPpnowdlo%.,... ............�...,.: .,G........:.1.. ,�..a��.A;�
................................................... :...•..
.....».........»....................................
..(Building I
f
' AITLICATION, FOR BUILDING PERMIT
O
C j Date ................. .... ....:/..............., 19�. �.......
INSTRUCTIONS
a. This application must be Completely filled In by typewriter or In Ink and submitted In duplicate ro the Build :
Inspector. I^D
b. Plot plan showing location of lot and of buildings on promises relationship to adjoin! remises a Ik street: or
areas, and Ghft a detailed description of layout of property must be drawn on the diagram whh it part of this application.
c. The work coveby this application may not be commenced before Issuance of Building Permit.
d. UMapproval of this application, the Building Insp�ctor will law a Building Permit to the applicant, Such itA
shall be ek pt an the promises available for Inspection throughout the progress of the work.
e. No building shall by Deco ed of used In yrhole or in part for any purpose whatever until a Certificate of Occuponcy'O..
shall "e been the Builds " I ''
,, ,., . pr°r�ted ¢Y ng nspLcttlr.
V
APPLICATION IS HEREBY MADE ro.th. Building Doortment for the issuance of * BuNding h mit Pu «
Butidtrip Zgn• Oridtnona. of the Town of Southold Suffolk 5oun York, and other applkobl•
Regula► f L tMp, oorufn+etion of buildings tions or ons for removal or demolition, n dsscrleed.ti
The applkanl , bgrees ro comply with all oppll I• lows, roe ding nes code, ktions,
:4 c ,
....
_ (Slgnaturo of Opp ant, or' , if a corporation)
... Qaki
4.4f...der...T.+�li7.'.A ...AjA�..A...............
(�ddroa of applicant) 9 Y8
State whether applicant is owner, leges, agent, architect, enI ' lmoer, gemral contraeto-t" iledttlwan, Pk -oe builder.
✓ 1 ,i
••........QURI........................I..uu.....m..u...u.wwu» ......n»... u»........ u.......n..•».nnuu•................ .•n.un..a........... I—— ..........
Nome of owner of premises Richard ................................. ............. ................................... I....... I......
L'.....Haxsa .
If applicant Is a corporate, signature of duly authorised off ker.. I ��
.............................................. I........................................ ......... l v
(Name and title -of corporate officer) 1
1. Location of land on which proposed work will be done. Map No.Laurol Pax'k 212 9 EC 5Q
f.................j...... Lot No.c�......................
Street and Number 1600 North Os:ropd
................................................?.4.5.......................................AC1l......................................
'Munlelpolity
2. State ncisting use and occupancy of promises and intended use and occupancy of proposed Colo on,
'~
o. Erid
xisting use Dred occupancy ...........e .....4a�1�......L74.�..... VA4..SXO.#; RI....................................
b. Intended use and occupantNfA,AIA...........................................................................................
.........................
3. Nature of work (check which applicable): New Building .................. Addition ........ Y....... Alteration ..... Z......:..
Repair........ X....... Removal .................. Demolition.................. Other Work (Describe) ........................................
4. Estimated Cost *. ...............Fee 00
(to be paid on filing this application)
5. If dwelling, number of dwelling units ......-0Ae..............Number of dwelling units on each floor ............................
Ifgarage,, number of cars ........................... .............................................................................................................. .....
6. If business, commercial or mixed occuponcy; specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front Jtlo ....... a.Q........ Rear .241 ...... 1Qt......... Depth .461....121
Height ..20.1.........7.1. Number of Stories ... 1j......1 ....... (.fdXat...Ligan...he:u"V... 2Ad..,poanhou.se.)
-Dimensions of some structure with alterations or additions: Front ..it.Q ..........12!.......... Rear .2!1.+.........12!....
Depth ....!46!..........161.... Height ...20.t ........ 91....Number of Stories ..........1.x.......1.......
8. Dimensions of entire new construction: Front .................................... Roar ............................ Depth ........................
Height .................... Number of Stories...................»...........................................................»....................................
9. Size of lot: Front ....166 ............... Rear ........1601................... Depth 27JV...U14hi:.252 North
10. Date -of Purchase .........Moxe..1930 .........................Nome of Former Owner..Batat*n&.2ealt:y..................
11. Zone or use district in which promises are situated ... Usidential... !.............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ........ esu ..:...........................................
13. Name of Owner of premises R3.char4-Hamel..... Address X, Dakmod:.R4••Laur--bone No. Z98..$Zi 02.
Nameof Architect ......................................................Address............................................ Phone No.....................
Nameof Contractor ....................................................Address............................................ Phone No.....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set4=k 41mensions from
Property lines. Give street and block number or description according to deed, and show street names and indicate
.whether interior or comer lot.
�t
I neer open. stool I
•I I
^1 I
I � I
I new enclosed I
I porch I
I
I
`q
� •present opeI
I -7tt stoop
present front line of house
110,
present
I Greenhouse
I
I
I
�I
Al
I
.I Iextended
Greenhouse 1
L. --------I
12t extention of
concrete block
(32* high) wall
for use as
buttrose and
coldframe
STATE OF NEW y� OF 1 S.S
COUNTY : ,I1y�..�.�......1 '
Richard. L. Ht and ....... „being duly swom, ds�osesjandisoys that he is the applicant
..... ..... . .....
(Nome of indM4L!gl signing application)
above named. He is the ....... 11A'1RX......................................................
(Contractor, agent, corporab officer, etc.}
of said owner or owners, and is duly at{thorized to perforrp or how:f,»rfocp�ed the said work and to make and file
this application; that all stote,nents eronfoined in: this appWatlori tiro true ro the best of his knowledge and belie • and
that the work will be performed in the manner set forth In the appl filed therewith.
Sworn to befgrs me this
......../. ...:..... Cloy of ............ auly........ ....�......., 197'1...
Notary Publlc,o"Aa:. ........ ... .. ... ................
..
••• ••••••• • •.•••.••... County �. (Signature of appHcont)
R E ZALESKI
NOTA i IC,
,ScountywYORK
RW in Suffolk
No. 52.4378200
commission Expires March 30, 191