The URL can be used to link to this page

Home My WebLink About22330-z t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23847 Date SEPTEMBER 1, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 1895 ALDRICH LANE LAUREL NY House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 2 Lot 1.18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 1994 pursuant to which Building Permit No. 22330-Z dated SEPTEMBER 15, 1994 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 AN ABOVE GROUND ACCESSORY SWIMMING POOL AS APPLIED FOR. The certificate is issued to FRANK & DOREEN KRUPSKI (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H045743 JUNE 6, 1995 PLUMBERS CERTIFICATION DATED N/A Building Inspector 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) N ® 2233 Z Date J ...�r........................................... 19/. Permission is hereby granted to: � . . .. ..... ' �..�.......................... ......... ....�.................. . . .............. ........ � .. ....,....��- ........ to ..... /Nr ee'.�.... Via..........�� ............ - ..�.. .................................................................................................................................................................. .................................................................................................................................................................. ................................................................................................................................................................... at premises located at..../.. ........... .................................................... ............................................................................... County Tax Map No. 1000 Section ...../; �., ...... Block.........��.............. Lot No. ...../..,.10........ pursuant to application dated .........IF al`'................................. 19./ ........, and approved by the Building Inspector. Fee$...�r. ...................... Building Inspector Rev, 6/30/80 } i Form No. 6 TOG114 OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL -AUG I995 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector 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 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 1.7 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 a 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, 44<itions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool 21_I , Accessory building $25.00, Additions to accessory building $25.00. Busi.ne s $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial •$15.00 Date. _ �OR5. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-exi tin . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . House No. Street Hamlet 0 n w e r or Owners of Property. :��J C�v� �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . :ounty Tax Map No 1000, Section. . ..l . . . . .Block. . . .Q. . . . . . . . . .Lot. 1: �.V. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .F:i1.(.!d Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . :1ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . .V - - - • - - 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / �tequest for: Temporary Certificate. . . . . . . . - . . Final Certicate. . !�. . . . . . . lee Submitted : $. �W)'A-F, . . . . . . . . . . . . . . PAC ;4--JOv.CQ D THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8054415 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date ,TUNE 06,1995 Application No.on file 07257495/95 H 045743 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of EF1ANK J.KRUPSKI, 1895 ALDRICH LANE, LAUREL, N.Y. in the following location; ® Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on ` UNE 02,1995 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT 1.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT.. K.W. AMT. K.W. AMT. H.P. 2 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1.•2W 1 U 3W 3 0 3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: G.F.C_'.1;-1 FRANK KRUPSKI 1395 ALDRICH LANE LAUREL, NY, 11948 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR S ,IILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 7ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [;F' INAL IN TION FRAMING [ [ ] FIREPLACE 8 CHIMNEY REMARKS f A�foz/ r",&e DATE /OJ INSPECTOR ?=LD i;:Si EC:10 11DA,:.. TS 1 _ H Q .OUNDATION ( 1st ) FOUNDATION ( 2nd ) 2 . z o ROUGH FRAME & �y 'PLUMBING ' 1 ti 3 . �r m IIISULATION PER N . Y. STATE ENERGY 1 CODE . 4 . - y FIIdAL ADDITIONAL COMMENTS : x ' x H 0 x . d. 'O H D M R 0 U .f2 BOARD OF 11EALTH . . . . . • . L5 FORM NO. 1 ] SETS OF PL A:iS TOWN OF SOUTHOLD SURVEY . . _ _ _ _ _ _ . . - !2i5!� BUILDING DEPARTMENT CHECK . . . . _ . _ _ _ , . , . _ . . E' TOWN HALL SEPTIC FORK BLDG.DE" SOUTHOLD, N.Y. 17971 'rOWNO SO OLD TEL.: 765-1802 N 0 T I FY ; Examincd CALL . . . . . . . . . . . . . . . . . . . . . . . . . ., 19 MAIL TO : Approved . .�/•. . . . . . . ., lS�yPermit No. . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +. (Bull ng Ir ctor) APPLICATION FOR BUILDING PERMIT Date . B:Y;) _ 0. . . . . . . . . . . 1 INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stiee or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appi 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 Permit to the applicant. Such perm: s'-all be kept on the premises available for inspection throughout the work. ' e. No building shall be occupied or used in whole Orin part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th• Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of-buildings, additions or alterations, or for removal or demolition, as herein described The applicant' agrees to comply with all applicable laws, ordinances, building code, housing co e, and regulations, and tc admit authorized inspectors on premises and in building for necessa iltspections. (Signature of applican _ name, if corporation) .8. . . . . . .. .��C� ems.. . L0�. . ..l. . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . S` .: . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . ... .. . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . .... . . . . . . . . . . Name of owner of premises � • • , , L- . . 0- 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. Plumber's License No. . . . . . .... . . . . . ... Electrician's License No. . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. .d/ 1. Location of land on which proposed work will be done. (louse Number Street Hamlet County Tax Map No. 1000 Section l . . . . . . . . . . . . . . Block . . . . . . . . . 0 . . . . . . Lot . . . . . . . . . . . . . . . . Subdivision . . . . . . . Filed )`lap No. (Name). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot . . . . . . : . . . . . . . , -': State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .1�1�(�\�� , , , , , • , , . (�\ Y. b. Intend d use and occupancy • . . . . . . . •3. Nature of work (check which a I ble): PP ica New Building Repair . . . . . . . . . . . . . . Removal • . . . . . . . _ Addition . . . . . . .Ajtera'tion . . . Demolition . . . . . . . . . . . . . . . Other lV ork 4. Estimated Cost (Description) • . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . (to be p aid on Gli . .Ys.. ... . .: . . . . . f dwelling,number of dwellirlb units . . . • , , ;,;firth 5. I #`a;p;piic 'lion) If garage, number of cars • • • • • • . Numbcr of dwelling units on each moor .�~N xed• . • � • � � • " " " " " . . .. . • • • - • • • - • • • • . • . . . . . 6. If business, commercial or mi occupancy, specify nature and extent of.each type of use . . . . . . . . 7. Dimensions of existing structures, if any: Front . Height . . . . . . . . . . . . . . . Number . . . . . . . . . . Rear . . .... . . . . . . . . . . Depth . . . . . . . . . . . . . . Dime of Stories • • • • • • . Dimensions of same structur; with alterations or add' . . . . . . . . • . ' ' ' ' ' . • ' ' • . Depth . . . . . . . . itions: Front Rear . . . . . . . . . . 8. Dimes o . . . Height . . . . . . . . . . . . . : . . Number of Stories . . . . . . . . Dimensions f entire new construction: Front ' ' • • - .Height . . . . . . . . . . . . . . . Number of Rear . . . . . . . . . . . . . . . Depth . . 9. Size of lot: Front Stories . . . . . . . . . • • • • • • • • • - 10. Date of Purchase Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which . . . . . ' . ' ' • Name of Former Owner . . . . . . . . . . . . . . . . . . . . . 1 premises are situated . . . . . . , • , , , ' ' ' • . • - 2 Does proposed construction violate any zoning law, ordinance or r r • • • • ' 'I3. Will lot be regraded ebulation: . 14. Name of Owner of premises . . . • . ' ' " ' ' ' Will excess fill be removed from premises: Yes • . . . Name of Architect . . . , _ • • ' ' ' ' ' ' •Address . . : . . . . . . . . . . . . . . . . Phone No. . . NC Name . . . . . . . . . . . . Address . . . . . . . of Contractor . . . . . • * ' • " Phone No. . . . . _ 15. Is this propertywithin . . . . . . . • " ' ' • • • • • Address . . . . . . . . ; • . . . . . Phone No. . . . .300 feet of a tidal wetland?• ,�� _ ' - • • • • • • •• • • • No. . . . . . . . . *If yes,- Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or property lines. Give street and block number or description accordingto deed, and howroposed, and. lst eecate t lnamesand ndicate wheack dimensions rh interior or corner lot. cr f AP 0 D AS NOTED S.P#' FEE BY.- NOI[IFY t3UILOING DEPARTI AT 1 76511809 9 AM TO 4 ply F R 1fHE P()I�LS3�'�fIr�IG INSPECTIONS: �(� I. Ot�NDAT10r� - nVO REQUIRED fsR POURED CONCkETE 2.•ROUGH - FRAMING & PLUMBING V 4.. iNAL CONSTRUCTION 1VIUr E COMPLETE FOR C.O. YO r ALL CONSTRUCTION SMALL 6�.ilEET' [� THE REQUIREMENTS OF THE N.Y. STAI E CONSTRUCTION & ENERGY COP:S• 140T RESPONSIBLE FOR DES;33N OR CONSTRUCT1106i1 ERRORS STATE OF NE YOIC :OUNTY OF . (e1.11 �� S.S Ko-w- . . . . . . being duly sworn, deposes and says that he is the a licant (Name of individual signing contract) pp Jove named. eisthe . ... . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, 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 Ilis knowledge and belief;and that the )rk will be performed in the mannerset:fortli in the application filed therewith. .•orn to before me this • . . . . . . . . . ..day of. . . . . . . ., 19* tart' Pdbl• i CLAIR GLEW Count Notary Public.State of New York \ No.4879505 . . . . „ • „ Qualified in Suffolk County ' ' ' ' ' • • • • • • - • • • . . . . . . . . . . Commission Expires December 8,19 (Sig ature of applicant) 10 CERTIFICATE 8E p Ic ERW�RITERS k REQUIRED +fit•f 167 V. s A yf Co 0. ' � � �•^'L �� '�'� b�q�y 'y��"! _ '�FT OO OO ry� a N ' � —D 0. Y � .,�� - p`\� %1 g OTy`I f pNpGE i • T%•��- - ' �� O N�Og2 96 r s Ase No�s�O G r� z• — 00 d S L' -1g (P O Z .z ,y sPCC eg s `zA Zo / "i S..VL. 0 E ,� ,`"�. •�'4'�.` o'';.-"'^' �� -Y ;6 ..� ., w. '„vt:y�,.'nr��zC ". , 6 _ rr;; _ s a Y 0 CD 1 kui 1-01 N r Rat Y G�+ IN -,z f' s f. m.. r l-v r 4"�3i r'CI�• .. \v� \ - ne ,�'€�' i � - n h .- ryj^•�cr. . SURVEY FOR T =x� FRANK KRUPSKI Q DOREEN KRUPSKI !.; 1 APR. 16 1991 v7F r ' _LOLN_0_.5_,_.MAP_0_F_RLCHAR.D J._C_RQN BAN• 22_1991 c> NOV.-26, 1990 f ;'a AT LAUREL DATE: AUG. 20, 1990 TOWN OF SOUTHOLD - SCALE: I"=1oo' SUFFOLK COUNTY, NEW YORK No. 90-0607 •-„~ .__ - 0UNAU TH OR Ix CO ALTERATION OR ADDITION TOrHu CERTIFIED TO: '• SURVEY Is A VIOLATION OF SECTION 7209 OF THE SOUTHOL Y.II®51®E' .. NEW YORK STATE EDUCATION LAW 000►IES OF THIS SURVEY NOT BEARING THE LAND SECUR 1ST1 R Y CO. I' .3URVE YOR'3 INKED SEAL OREMBOSSEO SEAL SMALL MOT BE CONSIDERED TO BE A VALID TRUE COPY A 9,f KGUAAANTEES INDICATED ME RE ON SMALL RUM dNLY TO HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED 2° G AND CM HIS BEHALF TO TNI TITLE COMPANY,GOVERN- �' 'j. 1 •NEAREST WATER MAIM—MI ! Y30URCE OF WATER PRIVATE—PUBLIC_ MENTAL AGENCY AMC LENDING INSTITUTION LISTED 0 1 ■BVF CO TAX MA/DIET 1000 SECTION 125 BLOCK 2 LOT 1.10 HEREON,AND TO THE ASl IONEES OF THE LENDING RT11LK ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE HOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON TO ADOI iIONAL INS TITUTIO113 OR SUBSEQUENT M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS AESID[r M OWNCRS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT R DI lTA MCIf SHOWN HEREON FROM PROPERTY LINESel h0, 4 $ OF NEALTN SERVICES TOEX.ISTING STRUCTURES ARE FOR A SPECIFIC APPLICANT. _ ►URPOSE AND ARE MOT TO BE USED TO ESTABLISH �••' ` /ROPERTY LINES OR FOR THE fR[CTION OF FENCES , RAN VE ADM I SS TEL 400 YOUNG a YOUNG RRHEAD,NEWYORKNDER E sow-;Mglg— NOTE: �=STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER SUFFOLK COUNTY ON SEPT.30, 1985AS FILE NO.7975. AND LAND SURVEYOR N Y.S LICENSE AO 12845 • ��L�.. :. HOWARD,W.YOUNG, LAND SURVEYOR ' R THE LOCATOR OF mL(W),SE"IC TANKIST)B CESS►OOLSIC/)SNOIrp M[R[aw N.Y.S.LICENSE NO 45893 Z ARL FROM FIELD OBS[111IRTIONS AMC OR DATA OBTAINED FROM OTHERS ' t p• BRANDIf A SONS INC.. `C '; 1��'�SYS r..N•,r• ..r. n,,,R _3�it� .ti.. . . 4 .F � .0 .R'"x. "GSS :s'r€s `."4iE�wx3"B .fl,�F .iw.`' "s4:=:=�'.ya` �.•.a.s°",f..: b s-r`,i:.µ;;-c+ h'{..• r;*s�9 ':w: xa ..-,,._.i..w,e 'd kns--='ecs....::_:�:.;• .�ii3z