HomeMy WebLinkAbout3293-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17507
Date NOVEMBER 10~ 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 8460 PECONIC BAY BLVD. LAU~Wl, f N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 11 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 28~. 1966 pursuant to which
Building Permit No. 3292-Z dated OCTOBER 28f 1966
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 FAMILY DWELING WITH ATTACM~ BReeZEWAY & 2 CAR GARAGE*
The certificate is issued to
MRS. ROY F. TRAVER
(owner, X~)
of the aforesaid building.
SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*UPDATES CO Z-2822 dated 8/30/67
NOTE: PREMISES APPROVED BY BD,OF APPEALS
Rev. 1/81
8/25/1967-R. VII.LA
'-~uilding InspeCtor
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥.
CERTIFICATE OF O~OUPANI~.Y
No. Z :~822 Date --A%l~t%S~; ~) , 19~..
THIS CERTIFIES that the building located at ~/~ PeaoD.~_c Bay B~I.V~. Street
Map No. X:I(X Block No. ~ .Lot No,:tO~ .La,a~.eil · N,Y., ..........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated OCT,, , 28 , 19 66 pursuant to which Building Permit No. 3293. Z.
dated OC'C,. 28 , 19 66 , was issued, and conforms to all of the require-
ments of the apphcable provisions of the law. The occupancy for which this certificate is
issued is P.~'~V~%e One. family, dwel-~.i~g .....................................
The certificate is issued to ~, & ~s. ~]3a'y. ~, .~Ctll~eE' ......... 0~e~l'S .......
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .
Building Inspector
FOR~ NO. 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFIGE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 3293 Z Dot, ......................... eet~es.-.~ ...... , ~--66.
Permission is hereby granted to: To/ly Norklull A/C
Flowel~"H~'~"l'"Bu~tdLng'~]orp"~'ol'"lfaury· J, Schuler & W
.................... Ol-~enti"~l'iY; ...............................
to ...,lhi,l,~d...ne¥.. on~.. ~.am.'l.l.~.. &,l,e'l.)...~r,..~. ................................................................................
at premises located at '-O/~'-Pec~ni'c'"Bay"Blvd ..........................................................................
................................................ I~lu~'~l'~'"l~ ;'~; ...................................................................................
pursuan¢ to appJicatJon dated ............................. 0'~'~,{~/~ ....... ~.., 19...(3~, and approved by the
Building Inspector.
Fee $....'1.0.~00 ........
Building Inspector /
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
Thru application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec-
torw~th the following; for new buildings or new use:
1. Final survey of property w~th accurate location of all buildings, property hnes, streets, and unusual
natural or topographic features.
2. Final approval of Heatth Dept. of water supply and sewerage disposal-iS-9 form or equal).
3. Approval of electrmal installation from Board of Fire Underwmters.
4. Commercial buddings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $100.00
3. Copy of certiflcate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5. Updated C.O. $ 50.00 Date ...N.o.v.....1.0, :..I .9.8.8. ........
NewConstruc~;zon ...... Old or Pre-e×isting Building ............ Vacant Land .............
Location of Property 8460 Peconic Bay Blvd. Laurel
Hou~ No. Street Hamlet
MRS. ROY F. TRAVER
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section l 26 Block ! ! Lot 2 1
Subdivision ................................. Filed Map No ........... Lot No ..............
lO/ 18/66 HENRY ~I. SCHULER
Permit No. 3292Z Date of Permit .......... Applicant
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
UPDATED
Request for Temporary Certificate .................. ~F,~lXl~tificate $50.00
Fee Subm ~tted $... 5. .0...0.0. ....................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant PATRICIA A. FLECK, ATTY
Rev 10-10-78
Flower Hill Building Cozporation
~ Jg'RI~HO YURNPIN~'
August 29, 1967
Mr, ~erry
~ou$~old, New ~ork
Dear Mr. Terr~:
I am enel~ a copy ~f Depar~men$ of ~ealth apparel for
~11 y~u kindly issue the certificate of occupar~y and
nail it to ~al,.
Very tru~ yours,
Wal~er
S-9
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Date
Bldg. Permit No. ~%P~-~
TO WHOM IT MAY CONCERN:
at
The sewage disposal facilities for a structure located
~'~ive deed/ location)
have been inspected by this department and found to be satisfactory.
Dlst~'ict P~ngineer
District Engineer
COUNSEL
FLORIDA COUNSEL
FACSIMILE
N~W YORK CITY OFFICE
FLORIDA OFFICE
November 9, 1988
Town of Southold Building Department
Main Road
Southold, New York 11971
Attention: Georgia
Re:
Building Permit No. 3293~.
Section 126 Block 11 Lot 021
8460 Peconic Bay Blvd
Laurel, New York
BLDG. DEPT.
'~JVN OF SOUTHOLD
Dear Georgia:
Please find enclosed herewith che~ in the sum of $50.
for an updated certificate of occupancy on the above premises
adding the breezeway and garage.
If possible I would like to have a messenger pick up
the updated certificate from your office on Thursday afternoon.
I will call you regarding this.
Your attention and cooperation in this matter is most
appreciated.
Very truly yours,
FLECK, FLECK & FLEQ~
PAD/cf
Encls.
/
bclAp OF L~NO
FOI~,M NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Appl,cat,on No ..... ?...~ ....
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This apphcat~on must be completely filled in by typewriter or in ink and submitted in duplicate to the Bu~ldin
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adloimng premises or pubhc streets ~
areas, and g~wng a detailed description of layout of property must be drawn on the d~agram which is part of this apphcat~o,
c. The work covered by th~s application may not be commenced before ~ssuance of Building Permit
d. Upon approval of this application, the Building Inspector wdl issue a Building Permit to the applicant Such perm
shall be kept on the premises available for ~nspect~on throughout the progress of the work.
e No building sh~ll be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupan~
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the tssuonce of a Budding Permit pursuant to t~-
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances ,
Regulations, for the construction of buildings, additions or alterations, or for removal or demoht~on, as here~n describe,
The apphcant agrees to comply with all applicable laws, ordinances, budding code and regulations,-~
...... ...............
(S'g tu ~,~f apphc?t, or name, if a corparat~on)
(Address of applicant)
State w~hether app~licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
Name of owner of prem,ses .~...~.....~....../.~~. / .M .~....~.~-'~.... ...........................
If apphcant is a corporate, signature of duly authorized officer.
(Name and t~tle of corporate officer)
1 Location of land on which proposed work wdl be done Map No ........................... Lot No.' .....................
Street and Number ....~:..~~....~...~...~.....~'~~ ................. ~~ ....................
(/ . . Mumcipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction
a. Existing useandoccupancy ............ ~,~ -~'~ ..............................................................................................
b. Intended use and occupancy ...... ~.~..~....~' ......................................................................................
3. Nature of work (check which applicaNe)' New Building .................. Addition .................. Alteration ................
Repair .................. Removal .................. Demohtion .................. Other Work (Describe) ........................................
4. Estimated Cost ...~..?.-~?....°...~.t~.°...~ ................................. Fee ........................................................................................
(to be paid on fihng th~s application)
5 If dwelling, number of dwelling units ..... ~/. ................... Number of dwelling umts on each floor ../ .......................
If garage, number of cars .........................................................................................................................................
6 If business, commercial or m~xed occupancy, specdy nature and extent of each type of use ..........................
7 Dimensions of existing structures, if any: Front ........................... Rear ................................ Depth ...................
Height ........................ Number of Stones .........................................................................................................
D~mens~ons of same structure with alterations or additions Front .................................... Rear .........................
Depth ................................ Height ........................ Number of Stones ..............................
8. D,mensions of enhre new construct,on: Front .... /~..q..°..]..~.;.'. ........... Rear .....q..q.]../.~..L~ ....... Depth.
Height .....]..?....z. ....... Number of Stories ..... /' .................................................................................................
9. S,ze of lot' Front ..... ~..~...'. ............ Rear .... ?..~.../. ............ Depth ...... ..~,,...?..~....t. ...........
10. Date of Purchase ...................................................... Name of Former Owner .......................................................
! 1. Zone or use distr~ct in which premises are s~tuated . ~ ................................................................................
12. Does proposed construction violate any zonmfl law, ordinance or regulahon;~ ..... ..~..~.. .....................................
13 Name of Owner of premises .~,..~..~..~..~ ...... Address .~~. ............. Phone No'~...~..?...'t..~.~,.~..:
Name of Architect .~....~..~ ........... Address .......................................... Phone No ...............
Name of Contractor~'~/~" '~ -~-- ~ '-- ~r~.~ Z/~..~*..~Address'~''~ "~.~.~..~....~.!.... Phone No
PLOT DIAGRAM
Locate clearly and d~stmctly all buddings, whether existing or proposed, and red,cate ali set-b~ck dimensions fror
property lines. G~ve street and block number or description according to deed, and show street names and ind~cat
whether interior or corner lot.
way
STATE OF NEW YORK, 1, c c
COUNTY OF ................................ $ ....
(Nm of' d v~ffua] s'g ' g app' )0,b~
above named He ~s the ...................................... .~ ...;.~,~ ..............................................................................
(Contractor, agent, corporate officer, etc.)
of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and
th~s application; that all statements contained m th~s application are true to the best of his knowledge and behef; ·
that the work will be performed m the manner set forth in the apphcation filed therewith
Sworn to before me this ~ ~
....... day ..... ........... , --F
Notary Pub,,c,. ............ ........ ........ ......................
~ / ~OTARf [' I ~ 'c' STATE OF NEW YORK
:; )il ,-.
, dOB NB.
:1
FLOWER HILL HLHC. CORP.
GLEN LANE
GLENWOOD LD6~
dOBNo.'
£_
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FLT~'IER ~T~.L BLDG.