HomeMy WebLinkAbout28480-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28538
Date: 06/26/02
THIS c~TIFIBS that the building ADDITION
Location of Property: 1300 LAUREL AVE SOUTHOLD
(HOUSE NO.) (STREET) (HA~MLET)
County Tax Map No. 473889 Section 56 Block 1 Lot 2.27
Sulx~ivision Filed Map No. LOt No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JTJNE 20, 2002 pursuant to which
Building Perm/t No. 28480-Z dated JUNE 20, 2002
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 A/q EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
· ~ne certificate is issued to MARTIN & SUSAN A FLATLEY
(OWNER)
of the aforesaid building.
SI/FFOLKCOUlTTYDEPART~EAFTOFH]~J~LTHAPPROVAL
ELEC~%RICAL CERTIFICATE NO.
PLUMBERS C~TIFICATION DA'£~U3
N/A
N/A
N/A
~~nature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28539
Date: 06/26/02
TI{IS C~RTIFIES that the building ACCESSORY
Location of Property: 1300 LAUREL AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 56 Block 1 Lot 2.27
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JI/NE 20, 2002 pursuant to which
Building Permit No. 28480-Z dated JUNE 20, 2002
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 SHED AS APPLIED FOR.
The certificate is issued to MARTIN & SUSAN A FLATLEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF }~LTNAPPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION D~r~3
N/A
N/A
N/A
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28540
Date: 06/26/02
THIS c~TIFIES that the building ACCESSORY
Location of Property: 1300 LAUREL AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 56 Block 1 Lot 2.27
Subdivision Filed Map No. __ LOt No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JIINE 20, 2002 pL~rsuant to which
Building Perntit No. 28480-Z dated JUNE 20, 2002
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 DECK AROUND AN EXISTING INGROLrND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
The certificate is issued to MAJRTIN & SUSAN A FLATLEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS c~TIFICATION DA'£~3
N/A
N/A
N/A
ture
Rev. 1/81
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. 28480 Z Date JUNE 20, 2002
Permission is hereby granted to:
MARTIN & SUSAN A FLATLEY
1300 LAUREL AVE
SOUTHOLD,NY 11971
for :
CONSTRUCT DECK ADDITION, "AS BUILT" ACCESSORY SHED AND ACCESSORY
DECK AS APPLIED FOR. THIS PERMIT REPLACES BP#24167.
at premises located at 1300 LAUREL AVE SOUTHOLD
County Tax Map No. 473889 Section 056 Block 0001 Lot No. 002.027
pursuant to application dated JUNE 20, 2002 and approved by the
Building Inspector to expire on DECEMBER 20, 2003.
Fee $ 300.00
~t S~/~ture
Rev. 5/8/02
COPY
]FORM NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
N°.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~, z ~,. .......... ~ ................ , ,,.~
~ ...:~~./~....,,./..:~i~i .....................
.....
.... ~. . . . ~,4~. . . . . . . . ~. . ...... ~ . /. ~ . .~. ~. ,(. ,~. . . ~ z. . .~. . . . . . .~.
at ............ premises~" located ................... at ...... .~....~.........~........~....~.,..~.~'.....~.~~ ........... ' ................... -"'~-/ ............................ : ..................................... .............
County Tax Map No. 1000 Section ......... ..~....~... ..... Block ....... ~.. ............ Lot No.....~....:...'~....?... ......
pursuant 'o application dated ............. ~.~.....~...~.. ............ , 19.~.:.~.., and approved by the
Building Inspector.
F. ~..//.~......-. ...... ~,.
Building Insl~~
Rev. 6/30/80
Form No. 6
TO\VN OF SOUTHOLD
BUILDING DEPARTMENT
TO.tN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and subnfitted to the Building Department with the following:
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural o~
topograpkic features.
2. Final Approval fi'om Health Del)t. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement fi-om plumber certifying that the solder used iii system contains less thaa 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and sinfilar buildings and installations, a certif
of Code Compliance from architect or engineer responsible for the building.
6. Submit Plmming Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land u
1. Accurate survey of property showing all property lines, streets, building and mmsual natural or topograptfic
features.
2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupa
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
1. Certificate of Occupancy- New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.~
Swimming poo1'$25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50
2. Certificate of Occupancy' on Pre-existing Building - $100.00
3. Photocopy of Certificate of0ccupaney - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Cons~ucfi°m
Location of Propc~y:
Old or Pre-existing Buildln~
1300. Laurel Ave
Date. June 26, 2002
(oheck one)
$outhold
House No. Street
Own~ or Omers of Property: 'l~la~:tin & .q.~an A
Suffolk County Tax Map No 1000, Section .56.
Subdivision
Pemtit No. 28480-Z
Health Dept. Approval:
Plmmmg Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Dale of Pemfit.
Hamlet
Block I Lot 2.27
Filed Map. Lot:
6/20/02 Applicant:
Underwriters Approval:
Final Certificate: (check one) _.., .
OWNER
LAND
TOWN OF SOUTHOLD PROPERTY RECORD CARD
~TREET t.--" -
ACR. ,qzq
TYPE OF BLD.
~ :z LL: r~ PROP.
,IMP. I TOTAL DATE
REMARKS
LOT '~ ~
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
TILLABLE
~.,~OOD~AND
v, ~,x~
MEADOWLAND
HOUSE/LOT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [~J'"FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~ ,d~,
DAT£ ~~_.~.~- INSPECTOR
J~HIIM'I' ! (111 (
I'1 Jt~i I ti(,'
I"OI~H Ng. I
TONN OF 50[JTIIOIJ)
I~,lJ [ 1.1) I N(; I)Iq~AI('I'HI~NT
'l'Ol~ N IIAI.i,
~OIITIIOI,I), N.Y. 1197 I
'1'1.~I.: 765- 1802
! N.qTRIICT 1
Iff)Alii) OF III':AI,'I'II ...............
3 SET~ O1" PI.ANS ...............
SUIWI';¥ ........................
CIII~.CK .........................
SEPTIC FOIIH ...................
NO'I' I FY:
CAI.i ...................
HA 1 I. TO: ...................
] ~ts of pla.~, ac(~lrate plot plan Lo ~cale. Fee o(:coulinj~ Lo ~( ~1 le
b. Hot plml ~in8 h~nt:ir~ of lot md of I~,ihlinRn on prm~i~, ~eh~tion~hip to ;.I.ioinlnR proni.e~ or i~blic
this nl,)l icatJ(~l.
d. Illx~l o~)r(~al of lids aRflieatjon' the l~dhlini~ lnsl~Clor ~.:ill isst~ a I~liiJling Pen,it to the applica,t. ~lftJl
Ik'l~ulalions, for lhe c~lsLn~:tio~ of bfihling~, ~klili(~ls or nllerati(,is, or for ~m~nl or (~lJLi~l, as herein
descrJl~l. 'lhe appl Jemlt oBr~s to R(ll~Jy ~Jlh nil ,l]flicable l~rs, or(JJllm~os, I~dhlin~c~le, hrisin~ (:(~le.
(~)lJ~l~lture Of a~H~:nnh O~ ~u.m, if a corlx~raLion)
(Fbi I lng mldreSs of nppl icnnt) J
Slale ~elher aloft it:ant is ~r, les~, al~ent, m:chilec[, e.l~ ~r, [~el~raJ conlractor, eledricinn, l)lml~r or
..... .......
7~5~ ~902 9 AM TO 4 PM FOR
(N;~m ;,~1 title or corlx~rate officer)
OCCUPANCY OR
~, .~,,~. ~.~,=~,,,**,,, ~, .............. USE IS UNLAWFUL
.......... WITHOUT CERTIFICATE
I'lmt>m s l.i CelJ..~
......................... OF OCCUPANCY
I'~lec:l r ici;ms I.ice,.~ 1~ ......................
Fr)LL(~'WIN6 INSPECTIONS:
1. FOitNDATION . T~,¥O flEOIIIPFiD
FO!~ POURED CONCRETE
2. ROUGI4 - FRAMING & PLUMI~¢'IG
3 :N~t II.ATIC)N
4, FI[~/~L. - CONSTRUCTION
' B~ COMPLETE FOR C.C.
Ol her 'l'r;.l~, % I.ice,.,a, N, ..................... AL.L CONSTRUCTION SH/~I.L MEET
,. ,,,. ,,,,,, ,,, ,.,,,,:,, ,.,,,,, ,,,, ,,,, ,,,,.,...
· ~ -. :"IY~" R~SPUN~IBTI~' 'J~i~,~'*
............................................... D~SIGI~.OR CONSTflUCTION ERRORS
Ik~l:~? J~ ~d~er .......................................... ' ..............................
C~lnly Tax J~J;Ip J~. loll) ,~:tim .............. Ilhx:k ................ I~t ................
(~,m) ...............
(Io I~ I~id on I:ili.l~ Ihi~i .ppi
I1: Ixmi,~.. ~:,]m~rcJf~l or mi~ed ~:<:~,l.~(.:y. ~qxzcil:y ,.dt,r(t ~..I *~xl~:nt ~l: eatzh lyl~ of use ......................
I~Jl~ht ......................... I~.,l~:r of (;Io~
I)in*.,~j~j of ~ sl:lrt~:L~re ~Jlh all~atJ~ or ~.~lJ( Jolts: }~'rolH~ ............... I~ar ...............
I~q~lh .............. '.. ..... I~jl~,l: .................... ridder o1: ~;(o~Je. ............
Il. I)Jnx~ll~ii(xls o1~ e(iLito [~ (:[x)slll[:l i(xl: I~il~l: ................ I~t;Ir ............... I~l)lh ..............
IL:iI~( ......................... [&~d~r o1: ~;(o~ien .....................
9. ~;ize of: l~l~; I"i~xll .................... I~1 . ................... l~lflh ....................
I(). I~le ~f l~.~:halie ..................... I~it of Ig..t:l
12. Ik~i i. iq~.~nl c~ml~:Li~n~ vJola[~ .t~y ~xd.l~ li~, oldi~..~:e or tel~ulali~ni: ........................
I]. T/ill I()1: I~ ~el~ri. knl .................... 14il1 e.ce~, fill I~ ~es~(~c:d ~x. i.-o.i~0: YES
14. [L~i~s ~1~ (~r of I~r~ili~s ..... .... .. .................. &Lhe~t~ .............................. I]~..~ I~ ...........
I~,~: o1: ~rdlJle~:l: ..... ~ .............................. &~he~l~ .............................. I]~o,~ ~ ...........
rL.,e o1:[)~1 [aclor . .................................. ~ldle~i~ ............................... I]~o~ ~ ...........
I~J. I~ Ihis i.~1~1~ ~ithi. ~) [ee~ ~1: a I:Jdal ~lla~.l? * Yl~i .......... ~) ..~ ......
~11r YI~, ~11111~])'ll~ 'll~l~ll](l~ I]~I~11'1' [~Y I~ 1~111],:1).
I'I.OT I) I
I~x:ate cle.[ I¥ alii dJsl:Jl~:l:ly ILl I I~dhli.[~e, td~elhe~ exisl i~l~ t.' I..ix>s~l. [.~l h~lical'e all sel*-l~:k
I:~.. I. Ol~]~ly li~t~l. Give st~l: a~l bhx:k ~,,ler (. ~kt~c~ ipl i~ al:l:o~dj.l~ lo ~L~e~l, l~ll dl(~ slteo(. ~w~t[~ .;~1 J~Jic;ml~t
I;1^'11!: (x; NI.~I
d,,ly :,'~-~n,~, d~?lxl:;e~.; .,_x!..,;ay~; Ih;il.: lie i.,; I. hl: .PpI
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SIDING LAYOUTI IlII I ~ ~ I~'~ ~' I ] I
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ILLUSTRATION
REAR FRAME
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