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Home My WebLink About23365-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31329 Date: 12/13/05 THIS CERTIFIES that the building ADDITION Location of Property: 2300 ALDRICH LA LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 1 Lot 2.22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1996 pursuant to which Building Permit No. 23365-Z dated APRIL 11, 1996 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 ONE STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & NANCY SHAW (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-408643 01/05/97 PLUMBERS CERTIFICATION DATED 04/04/98 ROBERT SHAW Au i d Si nature Rev. 1/81 (' 6 y �s 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 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 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$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. 0 0 New Construction: Old or Pre-existing Building: (check one) Location of Property: �� '�dr�C� House No. S,t,(reet Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section /C>2-Q Block Lot a°a a Subdivision Filed Map. Lot: Permit No. a Z Date of Permit. l Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate . Final Certificate: \ (check one) Fee Submitted: $ (Z�,2� Applicant Si ature THE NEW YORK BOARD OF FIRE UNDERWRITERS P AGE,'1 1135107 BUREAU OF ELECTRICITY F— 85 JOHN STREET, NEW YORK, NY 10038 Date JANUARY 15,1997 Application No.on file 12626196/96 N 410864a 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 ROBERT & NANCY SH�CJ, 2380 A.LDRICH LANE, LAUREL, N.Y. go in the ollowin location a�, go f g , ❑ Basement LJ. /st Ft. ❑ 2nd Fl. OUT .Section Block 01 Lot 13 X0 was examined on JANUARY 10,1997 and found to be in compliance with the National Electrical Code. Ka FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.-W. AMT. H.P. 10 18 15 10 2 3' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P NO.OF FEET SYSTEMS AMT. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER I�,YW 3W 3,�3W 3,0'4W NO, CC.COND. A.W.G. NO.OF HI•LEG A•W G. NO.OF NEUTRALS A.W.G. EQUIP. PER AY OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: i PADDLE FANS-Q HOTORS:4--F H.P. G.F.C.I:-2 SMOKE DETECTOR:-3 J'ANES MURRAY LIC.##3653 L P.O.BOX 305 LAUREL, NY, 11948 GENERAL MANAGER 1.1 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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. o�oPO-11aFO(,(�oG L Town Hall, 53095 Main Road y �2 Fax (516)765-1823 P. O. Box 1179 %�55 Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: f� Building Pet No. Owner: '(please -print) Plumber: (please print) - -I certify- that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) 5164 4 Mcg. #4832323 ,&,dy,4 e54& Sworn to before me this day of 19 Notary Public, County souryo�o courm,N�' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: co G DATE �� ®� INSPECTOR 765-1802 BUILDING DEFT. t I NSPECTION tlNDAT10N iST [ ] ROUGH PLBG. T [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ?� 76!i-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• Ll DATE G�INSPECTOR - l 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ �OUGHLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 12 DATE INSPECTOR 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] RO PLBG. [ ] FOUNDATION 2ND [L INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: R DATE 0 -INSPECTOR Tss-isox BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ FO I�IDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE INSPECTOR .� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ;] ROUGH PLB FOUNDATION2ND [ INS TION FRAMING [ IN AL [ ] FIREPLACE & CFIIMNEY REMARKS 00 DATE INSPECTO I'l IiLI)= I tl:i------ ---kI;PUII f= - Un_I'li III ----=ntI __PORT ixj •c I I I rn I n+r 1 Off ( I s'r) I'UUNnA'I'I ON (2ul) I cn � rt-0/4 --- .� _ IMUGII FRAM , 6 —,_-- - ------- ---------- -- --- zo I'(.(I M I{I N C --------- -- - ------ -- - N S I I I.A'I't O N I'f;R N. Y STATE ------- ---- -- - -- - - - (:Oul? _ -_ _, FIIIAL Al I , ------------------ =__=====1 = -.,a s __— nunl'f I OVAL COt1MIM-US: �_______ �______ _ ___—_______�,______________ ----------- Pj O _ o ------------------ ICI U -t 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) N23365 Z Date ........................ ..........................., 19... � Permission Is hereby granted to; r(,7t'rf ....................................... ... .. � ........................................... ,` .� - ...... .... /, '..................... to ............. .r��-...........�7........... ,��'......t /!�.,.... .....e J .� r ..........�.7............... .......... =......../��.........::/. ...........J', /r-' li ............... f......... , .......... .,��..r....................... ................................. .................................................................................................................................................................. ....................................................................5� ............................................................................ at premises located at............ ) ...... C �� Clf....... `.................................................. ....................... .......................................... 1?- ...................................................... . ............ County Tax Map No. 1000 Section ...../az. ........ Block........�O`.......... Lot No. .... ... ......... pursuant to application dated ............... .,✓................................. 19....�0/p.., and approved by the Building Inspector. Fee$ G..��.(�-... ... ............ ............. .: . . ............................... ilding Inspector Rev. 6/30/80 BOARD OF NKAU111 . . . . . . . . . . . . court no. I — 3 SHTS OF PLANS. . . . . . . . . . . . . . . . a -- ej t 1'OIJN Oi? SOUT1I01.1) SURVEY . . . . . . . . . . . . . . . . . . . . . . . . 11U 11.0I NC IMPARTHRM'1' ,r- CHECK APR _ 319,06 p+i�� TOWN iIALi. SI'sl?'1'1.C.FORM . . . . . . . . . . . . . . . . . . . 1 SOU'1'1101.0, N.Y. 11971 � ( '1'm.: 765- 11102 NOTIFY: l�i OPd�,!N� seUT e!_ �—_ cn1L 19. ��//�o p rinll.. TO: . . . . . . . . . . . . . . . . . . . . Allwaved....... j��r..., 19.1P Petrrrit: flo. .... . .......................... ........ . . Oisalrltroved a/c .................................. .................................... ...................................................... ............. (lhtil711)'111, x�ctor) APPLICATION FOR 111111.U1NG PERMIT : Date. . . . . . . . . . . . . . . . . 19. . . . 1 NS'1 RUC'1'iONS it. 11rirr applic.lHoo nur,L ite ccwrgilel.ely filled in by cylxsariter or in inlc aril sulwnitl'ed Lo the ihtilding 1nsl:ecl:or with 3 reLs of plmnn, accurate p1oL plan to scale. Kee according; to nche(htle. b. Plot plan showitrg locativo of lot- aril of Ixtil(lingn cxt lrroitises, velationship to adjoining; pretnisen or Imblic streets or wrens, arxl givity; a detailed description of: layatl' of property mist he drm-m cxn the dingran which in part of this appl ic;iL[on. c. 'the wctrlc covered by this aplilicaliotr vxty ool: be ccamr_tx:ed Before inscuttCe of 1kiildin8 Vennit. d. Illxat npprovnl, of this al-liMcot.icxt, the lklildinl; lnnliector will insue a Ihnildirrg i'ettnil to the applicnnl:. `i,x•h petmiL shall be kept oo the pretises available for inspecticxt lhvotjtjtatL the work. e. No Imilding 141,111 be cx:rupied or used in wtrole or, ill part for nay lxtrlxme whatever until a (',erLificnte of: Oc-milw-trx:y stall. have been granted by (lie Building inspector. A11I111CA'1UM 18 IILilUi11Y Ms to the ihtilding Department for the insumn:e of a ihnllding Permit ixtrsuant to the Ihtilding Zwte Ordinance of the '1'mm of Sxitlold, Suffolk Gxnity, New York, aril other applicable ).awn, Ordioartcen or itegttlaLloos, for Llte ccxtstrucHoo of Ixtildings, acklitiotts or alterations, or for rettctval or ckinoliLion, on herein dencrilx_-cl. 'Ilse applicant' agrees to r_cwtily with all nlylical le isms, ordinalx:en, Ixtildinl; c(xle, IKxtsing code, mil regulatAotrs, atx.l Lo.wivill mAltorizecl inspeclorn ors pre,nisen mxl in Imilding for cessary inspections. \1 .................... (Siprtature of aigtl' aril, or name, if a corlm-at ion) (Mailing; a(ItIvens of: aitiil.lcnnt) Slate whether nllAicanl is crane lessee, agent, ardiit:ect, engineer, general ccintracLor, electrician, plurber or Wilder. .........................................................................)......... ................................. ... .. .. Ncwrte of (carter of prerni res ... o�e�-f..�.!" /l ...��`^'. ........................................... ..... - (fin cxt the lox rol i or 1 nl enl: (geed) If n1jiliconl' is it corporatist, sigtraLure of duly mil.borized officer. ......................................................... (Man-- nrxl Lille of corlx)rate officer) lhtilders License r1o. ......... /�J. ....... 111(wrb>ern License No. ........ V....T ...... I?lectricians License No. .. �!�.. Outer '1'rrxle's i..icertse No. .................... 1. 1Mgt'icxt of: larxl ors taltidl proposed work will. he clorre.............................................................. cMU................0� Ml �1 .... C / .................................. Ikxtse t xiber Street I!<�nlet 0xrtiLy Tnx Kip No. llO()O)/ SecLiott ......a5..... 111rwk .......Q gip..... l,oL ......°A�'�!.. S(rlxlivisicxt _..�L!-.tC [.. ��-'. � ..... I-IIell I-Vip Ikt. &,09: .l.... l.oL .. ......... �. 2. Stake exinting; one arxl orc-upaw:y of premises atxl iiynLe�rxleed Lire mil m:culnarx:y of proposed coonLntction: :t. 1?.xinLirtg tine nrxl oc:colmmy '.... .. ...................................................... b. lntemled use aril ocault(tncy ....v '�-.. ..1 U�.. �6 ........:................ 7. hal III c of ►Alrk (check ►allcll alg)licahle!). lk,r IkIlldinl, fuldll'loo .Y-1. .. ... Atteral.ioo ..... .. Il(:i,;Ilr. ........... . Ik-llx►I It:Ioil ... . ...... .. Other Iloik . . ............. ........ . ... .... .. . (Ik'_acr I pt I(xl) /I. IE:;I.illclled ('oSI: .... . �`-'......... fee ........................... ...... ... ...�. .. .... (to Ix! paid on fiIIog IItIa nl,pli ma:Ioo) (Iln:l I lnl,, Ixul)er of (1wel.l inl, unit a . ......... . . IAnIIer of (kohl l ltil, tint(a on each flexor' ... .. ........... ll.` l4arl'lle, ►xnl>er of earn ........ ........... .. ...:............. . 6. If Ixulllx:nn, romilercial or nixed oc:copalwy, specify naltire mul extent of each lylx: of tine..... . .. ...... .. ...... 7. Iliaxlunlexu: of exisl:illg al'r►►CLures, If nay: Froul:.. ... .. ... ... ... Itear ............... Ileplll .. .. ............. Ikli Lb)►t .................... ..... Unih:r of Stories► ... ... . .. ...... .. ..... Oinx:naicns of scale ahiwture Wlth alteral:icx►s or cxkliCiona: Front' . .. . ... . .. . .... Itear ......... ...... I),:pll► .................... Ik:i1;JIC P>taher of S(orlen .. . ............ It. Iliax:nnions of: entire oeQw cxx►SLr►x:ticx►: Frcxlt Itear 1)(: )l11 .. . './... Ik:ll;lll: ..... ......... ... I•An(u!r of Slorien . ..../... .. .. .... ... 9. ;line of lot: Fir rxIL ............... ..... hear I)apllr .... .... ....... ..... 10. Ikll a of INIrc hium. ..................... Naha of Former ()` oar ... .. ...... .... ......................... I. Mite or tine diaC'rict in wl►icl► praid nea are nilunte(I . .. . ....... ..... .. . ..... ... . ..: . .... ................. ...... .. . 12. Ikx:a prolx►aed ccx►sl:r►x:tIon viulnCe any zoolnl, Inw. orditimx:e or re(,ul fit.loft: . . . ....... . .. ...... . .... 17. NIII lot lie rellrcxlecl Will exceaS fill lie resrxwed fran prc-1uiaea: YIE(i N(1 nn66 M. Malea of: (),ax!r of pranlsea !V. **,** e�t`,5 q k 1 can kr 0A 111a1x: tkr. c Him-. of Arc:llllecl: .. ........ ..... .. (4klrenn ... . ... .. ... ..... . .... ........ Mona 140. .. ... ... .. . Nrale of (cx►I:rncl'or �I�... .......... ..... Aeklre:Is .............. ...... ...........1LoI►e Ike. . ...... .... . . . IS. Is (Ilia Prnixlrl:y within Xx) feel' of a C1dnl mu.1111,07 * Y09 NO :..... .... *1F YES, SU111UND '10M '11111511aiS 11 R-11'1' HAY M I11E(i1 ilo). PLOT I)IACIIAlI icx:ol.e clearly alul diatil►ctly all Imild(nl,a, %A►elller exlal:lnd or proposed, mul Lxlicnee all net:-hank dlurinatona flcyn prolx:rl'y lines. Cove atreet aril block rxriber or dencript:10" nccardinp, La ileed, aexl ealot ntreeL nsxllen al►cl hlelicnfe ►,AIellher inferior or rorlx:r lot:. rOC> C41 ! I 115�IV" w9 1,. �6s — c� t'1e� N a�lfo� 01111I1Y (x ,l/(,. ... ... �n.c. . .S� G... . ........ .. . ..h(:inl, duly c;�xn'n, deiwSea alxl anye: that he in the appl(cant: UhIlx! of ilxlividual. : il,niul, c:anC.racC) ahove 111olvd, . ne .... ... .. ..... .. ....... .... ... ...... ................... .. ((bnl:rnctor, nl,ult, c:orlx►rule officer, eCc.) Of anid cnnx!r' or c,4xx:ro, olxl in duly ocllhorized to 1mr1onu or h:lve lx!rfolux!d Ihc! Mild Wcnlc alxl to IM11M IIIHI llle Ihtn npplicai(Aoni l.ImL nil nlalulleoLa cgllfallt(hl in (thin appiicafioll lire Irlx! to the heal: of Ilia klxrc+ledpr.. mxl Ixilief4 nlxl Ihnl. the rnllle Will Ix! I)erfornled lit the ncanwr net: forth in ilia applicnHoo file(I IherLmilh. !")Io to Ix:fj2( - it ! thin ��JJ ..... .....may• .... C. ? ` dEry of: v 19. Kit:Icry 11Ii)1' ... ............ ....... I / CLAIRE L.GLEW 031gI al:ure of Apt I icon ) NotsrY Public,State of New York Qualified oin Suffolk County :a Commission Expires December$,119q� �G SRO _ Q 2 0 0 fzz� ° p� col o \ gym,ti -c ° L S G Bsr 6\ 'aQ Oiy �'' �• c�yop . O' Q ` G G^ O -J05. J` , O a '�O zi� tk� - - D� 3- 30�9 °o OPO F� SURVEY FOR ROBERT SHAW a NANCY SHAW NOV. 15, 1989 LOT 13 "LAUREL ESTATES EAST SECT. I DEC. 12,19 88 1 , AUG. 15,1988 AT LAUREL DATE: JULY25,1988 TOWN OF SOUTHOLD SCALE: I =50' SUFFOLK COUNTY, NEW YORK NO. 88-0867 R UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO: SURVEY IS A VIOLATION OF SECTION 7209 OF THE = FIRST AM NSURANCE NEW YORK STATE EDUCATION LAW COMPA (0. R *COPIES OF HIS SURVEY NOT SEARING THE LAND ROBE R� IV O� SURVEYOR'S INKED-SEAL OR EMBOSSEO SEAL SHALL MOT BE CONSIDERED TO BE A VALID TRUE COPY KGUARANTEES INDICATED HEREON SMALL RUN ONLY TO NAN Y HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED SOU *1 S S AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- NEAREST WATER ■AIN_MI.t *SOURCE OF WATER, PRIMATE '�PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED O *SUFF CO. TAX MAP DIST 1000 SECTION 125 BLACK 01 LOT 2_22 HEREON,AND TO THE ASSIGNEES OF THE LENDING �( *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY' INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT *THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR HIS M131DENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES OF HEALTH SERVICES. TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND APPLICANT- PROPERTY LI R NESORN FOR OT T HEEERECTION USED TO ESTABLISH FENCES sFA LAND IL6 ADDRESS TEL. YOUNG a YOUNG RRIIVOERHEAD, NEW YORK OSTRANDER E NOTE: L=STAKE ■ = MONUMENT ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUBDIVISION 'MAP-FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 SUFFOLK COUNTY ON APRIL 4 , 1985 AS FILE NO.7870 HOWARD W.YOUNG, LAND SURVEYOR *THE LOCATION OFWELL(W),SEPTICTANK(ST)SCESSPOOLS(CP)SHCWMHEREON N.Y.S.LICENSE NO.45893 ARE FROM FIELD O§SER%TIONS AND OR DATA OBTAINED FIrWr OTHERS BRANDIS & SONS INC. 1046 l s I _ ; i ; ' t � !� -- i --i t - i f - I--- -I-- i i I j i - - I�i ^• i - -��--- -- ---- V It , • 2�`� x�'�; 2•gxCv'� T1 Z`k''x6'K �_ -r Va- __ • - O-S7-b- i - - --- - • 1' f i - � ; ,— ; �x� M g—, --- ' _Tip — -- •-- - -- , : 1✓ f- I ---�T -.-�I I i i - -i I f I --'��yy-1�/-�� j� � �T1 1 `T D��,i_.�, -� ,I--�- •-----` --- i , ✓Z y, Cagy x �� -- — — � — >---- -- - . I.y. ., ,.F),. -.._Vy V U Iz /-51b Fe l� --- — --= -- IF - j i - -�- --