Loading...
HomeMy WebLinkAbout22357-z •l M- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23534 Date MARCH 9, 1995 THIS CERTIFIES that the building ADDITION Location of Property 1205 ALDRICH LANE LAUREL NY House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 2 Lot 1.8 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. 22357-Z dated SEPTEMBER 26, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WALTER & SUSAN GANKO (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ilding 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) Date N2 22357 Z Permission Is hereby granted to, V�1 ... ....................... ..................................... to ... - ........ .... ......... - ...... . . ... ........... .. . .... �.........:........................... .................................................................................................................................................................. ...........................................................................,........................................................................................ I. at premises located at......1.. �J........ .. ?rCr....... :........... ............................................ G2 :.✓Ze ........................................................................... County Tax Map No. 1000 Section ...../....z.` ...... Block.............::;�........ Lot No. .......4e..e'J.......... pursuant to application dated .. '............................. 19... and approved by the Building Inspector. Fee$.. ... .. .1' ...... ....... .QiL ....n c . ............ B ding Inspector Rev. 6/30/80 Y r Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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% .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. BY. 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, 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 - $20.00 4. Updated Certificate of Occupancy - $50.00. 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . .2.�.Z Z.1. . Z. . . . . . . . . . . . . . . . . . . New Construction. . . . .X . . . . Old Or Pre-existing Building /Building. . /� ddd Location of Property. . . . .JZ©S. . . . . . . . . J/�;l��. . . . . `�!itl�-. . . . . . . �`���-1� - . . . . . House No. Street . • . Hamlet _ Onwer or Owners of Property. . . . us ,t, ef-t_� , , , . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . .Z . . .Block. . . . .02 ... . . . . .Lot. . . . . . 1. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . 0 . . . . . . . . . . . . . .Filed j Map. . . . . . . . . . . . �Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.?: 307: . .Date Of Permit. . . (. . .Applicant. :!". �L�.�.'. . . . . . . . . . . . . . . • � Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .:�. ... . . . . . . . . ��a�s3y APPLICANT O��Sf�FFO(��OG y< Town Hall,53095 Main Road y Z Fax (516)765-1823 P. 0. Box 1179 W- • Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Mr. & Mrs . Walter Ganko 1205 Aldrich Lane Laurel, NY 11948 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22357-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: &2 DATE 91� INSPECTOR �� D 11DATE C041404:N7s F OUI4DATION ( 1st ) a V FOUNDATION ( 2nd ) 2 . o ROUGH FRAME & 'PLUMBING ' cn 3 . IIISULATIOPI PER N. Y. STATE ENERGY CODE . x 4 . FINAL �({� 0 ADDITIONAL COMMENTS : x� x 77 f � _ x d. m -v ;V BOARD OF REALTH . . . - - _ - i FORM NO. 1 3 SETS OF PLANS _ i` SURVEY - - 'I, TOWN OFSOUTHOLD • • - - - - - - - - - - • . . . t� i�9Q. i BUILDING DEPARTMENT CHECK - - . '_ •� I'' TOWN HALL SEPTIC . FOf(:! • _ _ _ - - _ - • . . . 1� SOUTIIOLD, N.Y. 11971 ..��qqp BLOFSOUG. T. TEL.: 765.1802 t;aTIFy oLl U —�UV 6- E -rOW xamined . _. . . . .il®F 50U7IiQLD - CALL . • . . - _ _ - . . . • . . . - . . , 19 MAIL To : Approved . . . . . . . . . ., 19� Permit N i . . . . - - - - - . . . . . . . . Q Disapproved"a/c . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . _ . . _ _ . . . . . . . . . li. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l - d -(Build- Ins , • or) APPLICATION FOR BUILDING PERMIT . Date . . . .. . . . . . . . . . . . . . 19�. 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 scree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app: 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 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 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 describes The applicant agrees to comply with all applicable laws, ordinances, buiiding code, housing code, and regulations, and V admit authorized inspectors on premises and in building for necessary inspections. (Signature of apple nt, or npame, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . M-P-4 (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . GLt • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. . . . . . , • . , 1. Location of land on which Proposed work will be done. . . . . . . . . . . . House Number Street Hamlet . • • • • • _ County Tax Map No. 1000 Section . . . :. . J. 1;�� . . . . . Block . . . . . . . . '. . . . . . . Lot . . . °° . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . ... riled Map No. (Name) Lot . . . . . . . . . . . . . State existing use and occupancy of premises an41, ended use and occupancy of proposed construction: a. Existing use and occupancy . . . : ��b. Intended use and occupancy . . . . . . . . . . . , . .... 3. Nature of work (check which applicable): �----� Repair . . . . ... . . . . . . • • Removal Nc�v I3uilding . . . _ _ • • . :addition . . �. . . tUterati ; moval . . • • • • • • . . .. .. Demolition . . . . . . . . . . . . . . Other Work 4. Estimated Cost . .. (Description) 0' . Fee . . . . . . . . . . . . . . . . . . . . . . . . 5. If dwellinb, number of dwelti;rg units • , (to be paid on filing this application) 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 rise . . . . . . . 7. Dimensions ot•existing structures, if any: Front . ' Height . . . . . . . . . . . . . . . Number . . . . . . . . . . Rear . . Depth . . . . . . . . . . . . of Stories Dimensions of same structure with alterations "'" . . . . . . . . . . ' • . . • • • • • . • • . . • . Depth . . , • : • • , or additions: Front Rear 8. Dimensions f entire . ' ' • Height . . . . . . . . . . . . . . . . . . Number of Stories . • • • • • • • • • • • • • •o ntire new construction: Front ' ' ' • • • • • • • • - .Height . . . . . . . . . . . . . . . Number of . . . . . Rear . . . . . . . . . . . . . . . Depth • . . . . . 9. Size Stories . . . . ... . . . . . . . . . . . . . of lot: Front . . . . . . . . Rear : . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase " " • • • • • • . . . . . . • • . . Depth . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which• r . . . . . . . ' ' ' • Name of Former Owner . . . . . . . . . . . . . . . . . Premises are situated . • - .12. Does proposed construction violate any zoning law, ordinance or re • • • • • • • • • ' ' 13. Will lot be regraded • • • • ; . gulation: 14. Name of Owner of premises . . . . • , • • • • ' ' ' • • Will excess fill be removed from premises: yes • - .Address NC Name of Architect • • . . . . . . • • • • • Phone No. . Address . " " ' ' • • • • • Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . ss . . . . . . . .. . . . . . . . . . . Phone No. . . . . . . . . 15. Is this propert within • • • • • • • • • Address . . . . . . , • • • • ; , , , , • . Phone No. . . . . • • • • Y 300 feet of a tidal wetland?* ,c _ • • • - • • • • • • • *If yes, Southold Town Trustees Permit may be required. ' No. . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, p whether existing or property lines. Give street and block number or description according to and.indicate all set-back dimensions from interior or corner lot. to deed and show.street names and indicate whether .V1j 14 - Gam ` �• ;TATE OF NEI :ouNTY of � CV i " • • • ' ' ' CL +• Jr,• J • � . .. • • being duly sworn, deposes and says that he (Name of individual signing contract) is the applicant Bove named. e is the . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . ... . . . . ... . . . . . . . ... ... . . .. . . . . . . . . . . . . . ... . . . . .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 beli ork will be performed in the manner set forth in the application filed therewith. ef;and that the vorn to before Inc th� o . . . . . . . . . . . . day of. . . 19 . .(.� Mary Public, �. . . . . . County CIAIRE.t,.GLOM Notary Public,State of Now York . " " a&l No.4879506 •/ • • • • • • Qualified in Suffolk Cou . . . . . . �ure•of applicant) Commission Expires December 8,8,19� (S�grra formerly Sabo D . now or 8` carol a an T. Pal y m Norm erlY or fo ett 6, p, Nam. �o vidT ge NUbbard A0000 ,� 300.0 Sian 10°11 V8210OS-1 gp N N, geo 4 - JAI ,\0RRPGO A' 2 P, as U \ _� _ r+ Z I�`\ ar A �vC STONE �Q O 1- �- formerlY IeS � ��959.fi' 1' V 44^VN 0 or lathy or ozi SG' o0 wy , 4 r Z6T a�yE flow s 8, pje r �v � zsr,,, Woyne �RS� � s 30�p D ,A C¢ 1 p°41 5 p 03N' formerly o 0 w or- ayes Gregory P HOYes �- l'inda o.o (oPgol 1. 1,0AM + � — —— h'o aV 11.o SURVEY FOR WALTER GANKO a SUSAN GANKO ✓AN. /3, /994 AUG 4, /986 AT LAUREL DATE: JULY /8,/986 TOWN OF SOUTHOLD SCALE: /,/ = /00, SUFFOLK COUNTY, NEW YORK NO. 86-628 *UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO; SURVEY IS A VIOLATION OF SECTION 7209 OF THE WALTER GANKO NEW YORK STATE EDUCATION LAW SUSAN GANKO *COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL FIRST AMERICAN TITLE INSURANCE NOT BE CONSIDERED TO BE A VALID TRUE COPY COMP YORK *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED ce NEW/t/ g�F AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- NEAREST R SUFF CO. A7(MAP DIST�OIO S CTIONC125 BLOCK 02 LOTS BUBLIC_ HEREON,AND TO THE ASSIGMENTAL AGENCY AND ING NEES OINSTITUTION THE LENDING LISTED �� �QS�w. JQ *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. OTO WNERS INSTITUTIONS OR SUBSEQUENT 1 Y 2� *THEWATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES � . 4 or ADDRESS TEL. NDER YOUNG YO U N ` D EAD, NEW YORK AVENUE NOTE: ■ = MONI/MENr FOUND ♦ =STAKE FOUND ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y_S.LICENSE NO.12845 HOWARD W.YOUNG, LAND SURVEYOR *THE LOCATION OF WELL(W),SEPTIC TANK(ST)B CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893 ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS TELEDYNE POST N01779 - RR 0 �� Pens �j �ip y��c ��F3y g P I5 �7-4 66�, P�'w. e -CY f3 �'� OF OCCUPANCY . 1 @. qq .� P...P;. t t i a 7v�4� t.S "n'• fi Pt G /�G� 4t " L E4^� 3 N'ST6a@ar tt ..9q 1t��yy C't+�ri zt�t ok ®-L..`JC�S tVY_C4 f Iz- }g 2x a t>oa f3 Le 2X$cc01 fl WaA me �r��glack r cE y. 3x$ 14