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Home My WebLink About34534-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building ,Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33631 Date: 04/02/09 THIS .CERTIFIES' that the building ACCESSORY Location of Property: 2100 ALDRICH LA LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map .No. 473889 Section 125 Block 1 Lot 2.20 ,Subdivision Filed Map. No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23, 2009 pursuant to which Building Permit No. 34534-Z dated MARCH 26, 2009 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 JOHN K SR & MARY K GRAUER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 6 Authorized Signature Rev. 1/81 Form No.6 D � � TOWN OF SOUTHOLD �f BUILDING DEPARTMENT TOWN HALL 765-1802 MAR 2 3 2009 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLOG. DEPT. TOWN OF SOUTHOLD 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 L 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: /(7 Q AIL D,� H L QN- 444).CL House No. Street Hamlet Owner or Owners of Property: Te> HAJ z!�. ry e-PAU&Z ' 1n,4AZ If'.` 044ae!�� Suffolk County Tax Map No 1000, Section l oZS Block p Lot Subdivision L AWOL �Cs-t 74 ZK'S E 7,— Filed Map. Lot: 1 Permit No.24 L Date of Permit. Applicant: Health Dept.Approval:' Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ CA �G� `J��' Applicant��qnature 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. 34534 Z Date MARCH 26, 2009 i Permission is hereby granted to: JOHN & MARY GRAUER PO BOX 217 LAUREL,NY 11948 for "AS. BUILT" ACCESSORY SHED AS APPLIED FOR at premises located at 2100 ALDRICH LA MATT/LAUREL County Tax Map No. 473889 Section 125 Block 0001 Lot No. 002 . 020 pursuant to application dated.. MARCH 23 , 2009 and approved by the Building Inspector to expire on SEPTEMBER 26, 2010 . - Fee $ 200 . 00 Authorized Signature ORIGINAL . Rev. 5/8/02 ho��OF SOUlyolo 3 --7 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: �i R- F DATE 7 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) ------7------------------------------ FOUNDATION(2ND) z 0 1 ROUGH FRAMING& j y PLUMBING x N y INSULATION PER N.Y. STATE ENERGY CODE 3- o a1 dK o ly I"�x Of FINAL ADDITIONAL COMMENTS O �Z N1 ►d C °z y k� C y TOWN OF SOUTHOLD PROPERTY RECOWP� .-CARD OWNER STREET 'off l�O VILLAGE D"IST SUB LOT ' �. kgA lei He FORMER OWNERS',bdnil&uuiC{� . '. .'N`.. E f ACR S yV TYPE-OF,$UILDI'NG` RES. SEAS. - VL. FARM COMM. CB. MILS. Mkt V61ue LAND IMP. TOTAL DATE REMARKS" C7" _ i t - - _ L 102-2 4 5 3e. - -`' Ao (p ";, t j c®cc. _ je : 7 .a: cvi c� Gru SP, 73, OM 44. /moo a o"a z Tillable FRONTAGE ON WATER Woodland - FRONTAGE'ON .ROAD Meadowldnd QEPTI-f U House Plof BULKHEAD" .Total M. ±ids• -PZP ap •4^ '.r.� :r" t=g U i,. r 'vv`... - -. - r • !r .1 al O Foundatio.P. Ext.Walls. InteriorFini'sh • - • (• i - Al NINE AN of @ .a,p .6.. "'j..w.w n*9M e.ua. _..._. "x xa n "s''k. ..•¢1.r' .S Y P {p F ■iiiiiii i�-9900 ■ii MINNIC Tt iiiMii■NEIR MEMO ®i[liiiii■■■�i�®f�iii� ■iNO■i i®mim!lsiimi� Qbb Foundation u . ` ►,fir `+� 1, / j[ i yt 1 f! r LC eIK . y r , l lr9t"7AItl •'FFF�, f , _ 1 r - �If Ge 00 � 00- pp p fig`, pg Q1 IPA D .�► `� VI " Vr may;f'��°• 'v '�'\�i .� 1 r0 '• �, �. 'Ut R. `' ,y F pQp°� `yam GCS ��p�• ',,:�p/ •�',� �� $ '°' ,`�, ems• jig. V> �'a o i dog [ Town of Southold- Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOOM 1�jyy PROPERTY LOCATION: S.C.r.M.1VTHE FOLLOWING ACTIONS MAY REQUIRE'fiHE SUBMISSION OFA STORM-WATER;.GRADING,DRAINAGE AND•EROSION CONTROL PLAN District Section Block Lot CERTIFIED W,BY A DESIGN PROFESSIONAL IN.THE STATE OF NEW.YORK. ——-.————— ————— ——— —————-—————— —— Item Number: (NOTE: A Check Mark:(4).f9r each Question.is Required fora Complete Appl!catio ) Yes No -------------------- --- , _ � � __ �. Will this Project Retain All-Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? (This item Will include all run-off created by site clearing arid/orconstructiori activit!es as well as all Site — Improvements and the permanent creation of impervious surfaces:). 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location?. This.Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl — a $ Will this.Project Require any Land F!II!ng,Grading or Excavation Where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material Within-any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ' Five Thousand(5,000)Square Feet of Ground Surface? — �j Is there`a Natural Water Course Running through the Site? a Is this Project within the Trustees jurisdiction or within One Hundred.(100').feet of a Wetland or Beach? s Will there be Site preparation on Existing Grade. ,Slopes which Exceed Fifteen(15)feet of Vertical Rise to One Hundred(100')of Horizontal Distance? — 7 Will Driveways,Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Wafer Run-Off' . into and/or in the direction of a Town right-of-way?' El. — 8 Will this Project Require the Placement of Material;Removal of Vegetation and/or the Constructiomof any Item Within the Town Right-of-Way or Road Shoulder Area? . (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred(100)Year Fioodplainofany Watercourse? . NOTE: If Any Answer to Questions One through Nine is Answered.with a Check Mark in the Box, a Storm-Water,Grading, Drainage&Erosion Control Plan is Required and Must be Submitted for-Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No Does this-project meet the minimum standards for:classification as an Agricultural Project?;. Note: If You'Answered Yes to this Question,a Storm-Wafer,Grading,Drainage&Erosion Control Plan'is.NOT Required! _ ———————————-—— -—————————-—-—— ————— ——'———— _ STATE OF NEW YORK,: lz�• COUNTY OF........G(.:.............................SS ' That I...................... ....being duly sworn,deposes and says-that he/she is the applicant for Permit; (Name of individual signing Document) 11 J And that he/she is the Sl...[.. .... 1� •` !.•�`-�,h---•..:....... . ........ (Owner,Contractor,Agent,Corporate Ofricer,`etc.) Owner and/or representative of the Owner of Owners,and is duly authonzed'to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be.performed in the manner set forth in the application filed.herewith: Sworn to-before ire this; w� .....day of D 20 ... rp .: VICKI TOTH Notary Pubhc:. ��Qc t ..NQteq(billic.Stateof.New work. No.01`f06190696 .... ..... Qualified in.Suffolk (Signature of Applicant) uffoik Count y . .._ l FORM - 06/07 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20_0_,9 Storm-Water Assessment Form D E C E E Contact: Approved �Cv,20� MAR 2 3 2009 Mail to: Disapproved a/c BLDG.DEPT. Phone: 4/� � L��>�/ Expiration 2Jd TOWN OF SOUTHOLD Building Inspector APPLICATION FOR BUILDING PERMIT �:��a � , INSTRUCTIONS Date 20-P a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. 4 e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months:Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. r (Signature of applicant or name,if a corporation) pc� A3x a l -) /- C U/ ' (Mailing a-dress of applicant) �L ALL CONSTRUCTION SHALL A4 � 7( State whether applicant is owner, lessee a��T TH R�E�9 iri3cd� �"�QQ(��ieT �1!3 rareects ciao B Number or builder pp �� F1V V�UFi1/1T E p.�l 'p -5O Ci IJ Lam/ -- �AI� �`�� BUIL;);1' t,;-�'R :ENT AT Name of owner of premises 063c, h, - ,HC (As on the tax roll o�`�1 �est,�deec�), If applicant is a corporation, signature of duly authorized officer i. I-�;�.;NLA.1 IOh•i �' i'icQU'R�D Name and title of co orate o i,e a 2. ROUGH FRE�� ` F PLU%iBINC ( �� i 11 � V d� 3. INSULP RON �' ° 4. FINAL - COPS.T �''(=TI;0I\y WST Builders License No. (� UNLAWFUL BE CrIA10 Plumbers License No. .. 1!!?P..Ir"ra '3 sir^ "�`°(� ALL CONSTFIUGT!GPI SNALL I� EET THE Electricians License No. ' " a''" ° a- � _y,_t�� ,� N!"''�� REC�UIFiEfv1ENTS OF THE C!�UFS OF NEW Other Trades License No. i" �; ,� sl' r �� n YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 1. Location of land on which proposed work will be done: . 2 ) nc) (1,-1-L 4 ,4 AJ E- AJA/ House Number Street FER&STORM WATER RUNUFF AS PURSUANT TO CHAPTER 236, - County Tax Map No. 1000 Section Block O &THE TOWN Subdivision /.,4LGe,�C. Filed Mallo'. Lot l 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Qe' �j 'S�q zl> b. Intended use and occupancy L A 406 'Zc 0 L 57ne,46A�5 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �.i E(Fee �` To be paid on filing this application) 5. If dwelling, number of dwelling units i! Number of dwelling µnits on each floor If garage, number of cars 6. If business, commercial or mixed occupancy specify nature.,and.extent of each type of use. 7. Dimensions of existing structures, if any: Front Z -`Rear - Depth f �7 Height I Number of Stories 1 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new w construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district i.n which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO t� 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this'property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C.,,PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at•l0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YO ) SS. COUNTY OF�t being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the v? A (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 'MOl/Lk' 20� VICKI TOTH °WLP1 to of New York Notary Public _No.01`f06190696 Signature of Applicant Qualified in Suffolk County Commission Expires July 28,2 0,