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HomeMy WebLinkAbout47613-Z oQS�fFOIAf Town of Southold 6/11/2022 �� P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43147 Date: 6/11/2022 THIS CERTIFIES that the building DECK Location of Property: 1900 N Oakwood Dr.,Laurel SCTM#: 473889 Sec/Block/Lot: 127.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/30/1987 pursuant to which Building Permit No. 47613 dated 3/28/2022 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: deck additions and alterations to an existing single family dwelling as applied for. The certificate is issued to Neville Family Living Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47613 5/10A022 PLUMBERS CERTIFICATION DATED 0 '�N �\ U Au riz d ig ature , suFfa TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE y • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47613 Date: 3/28/2022 Permission is hereby granted to: Neville Family Living Trust 186 Nettles Blvd Jensen Beach, FL 34957 To: Construct a deck addition to an existing single family dwelling, as applied for. Replaces BP# 15841. At premises located at: 1900 N Oakwood Dr., Laurel SCTM #473889 Sec/Block/Lot# 127.-6-7 Pursuant to application dated 3/28/2022 and approved by the Building Inspector. To expire on 9/27/2023. Fees: ELECTRIC $90.00 PERMIT RENEWAL $75.00 Total: $165.00 Building Inspector TOWN OF SOUTHOLD ��g11FFQ��y BUILDING DEPARTMENT N TOWN CLERK'S OFFICE "� • �,, SOUTHOLD, NY BUILDING PERMIT 40 (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47613 Date: 3/28/2022 Permission is hereby granted to: Neville Family Living Trust 186 Nettles Blvd Jensen Beach, FL 34957 To: **No offic file Construct a deck addition to an existing single family dwelling, as applied for. Replaces BP# 15841. x`612/2022 AMENDPer 1 :fit to include as-built deck additions and alterations to original deck permit. At premises located at: 1900 N Oakwood Dr., Laurel SCTM #473889 Sec/Block/Lot# 127.-6-7 Pursuant to application dated 3/28/2022 and approved by the Building Inspector. To expire on 9/27/2023. Fees: ELECTRIC $90.00 PERMIT RENEWAL $75.00 1VIE1�fi.MEXT Total: $399.40 Building Inspector FORM NO. D 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) N2 15841 Z Date .......... ...... ....................... Permission is hereby granted to: ' 1 �ci�a;; .Y.U...• .e ruct;..PV�v' ..... 1 I pp Ili gZa AJ: .......�.�9.q. ............. ... . ................................... . to . - '....�... ?�.fir......... ........... . .. . . .. .. ..... ...........:.. .. :. ....... .. ......Vi..�. ....... ......' ..�. . 11-Y..... ..w. ......J4".�:1�:................... ................................ 1 cv/ atpremises located at ...�. ....!�.�.. ....©... ....... ............ ........ ... ................ .................................................................................................................................................................. .................................................................................................................................................................. County Tax Map No. 1000 Section .....L-27........ Block ......©I?....... Lot No. .....c: -7............ pursuant to application dated .. . . ...... .................. 19 7.., and approved by the Building Inspector. I. Fee ................ .:................. ................................................. u Building Inspector Rev. 6/30/80 FORM NO.6 OCT 2 61987 TOWN OF SOUTHOLD Building Department OLD Oe, Town Hall TOINN OF SOUS®� Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ®to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, 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 pxuperty 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. stj C. Fees: Additions $25. 00 1. Certificate of occupancy New'Dwelling 2 Accessory­$ 10.00 Business $50.00 2. Certificate of-occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5 .'00 , over 5 'y e a r s $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 5.Updated C.O. $'-50 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . NewConstruction. . . . . . Old or Pre-existing Building . . . . . . . .... . . Vacant Land . . . . . . . . . . . . . Location of Property . . . . . . . . . . . . . . . . . . . . . ob . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property �. . . v ��0 lea . . . , �Q�.�, , , , , . . . . . . , . County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . .. Subdivision . . . . . .pp. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit NJ-76M 2 Date of Permit IB-7Applicant �• . . IDSA)Ark . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . .�. ": . . . . . . . . . . Underwriters Approval . . . . . . . . G . . . . . . . . . .Planning Board Approval . . . . . . . .1U? '. . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . .. . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . �,•. . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Rev.10-10-78 i pF SO�jj�®l o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a� sean.devlina-town.southold.nv.us Southold,NY 11971-0959 olyCOUNTI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Neville Family Living Trust Address: 1900 N Oakwood Dr city:Laurel st: NY zip: 11948 Building Permit#: 47613 Section: 127 Block: 6 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Rear Deck X INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer Post Lights 2 Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 1 21 4'LED Exit Fixtures Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " Rear Deck Wiring Inspector Signature: Date: May 10, 2022 S.Devlin-Cert Electrical Compliance Form 765-1802 ztl .Q BUILDING DEPT.INSPECTIONi�- I ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE z-3 1,5 7 INSPECTOR # TOWN OF SOUTHOLD BUILDING DEPT. �`ycoorm ` 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]. FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ']' FIREPLACE & CHIMNEY [ ] FIRESAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [. ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: axi lfc�4 Ov&fs CA ceja//o//s rcS DATE INSPECTOR OFSOGIy�� - "� # # TOWN OF SOUTHOLD BUILDING DEPT. °`�courmN�' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINALle4— [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �VDnm' It RA 14 ih,� ot- n/ wlt DATE INSPECTOR i , f •�� .. • lot x ,�.•�`. n�• No how Y. �C A 4� f� a t x_11 i - AID r r � +...•V.•L llv• �.Va �VII✓.l l... �� V1.l...•.i.. v .. OUNDATION ( 1st) OUNDATIOtd ( 2nd ) a o ,\o OUGH FRAME & - PLUMBING �e c - y D3 INSULATION PER N . Y. STATE ENERGY CODE . x _ a FI14AL v I 0o In ADDITIONAL COMMENTS : x .t rn X , _ H • r H -ti _ y . OUNDATION ( 1st) OUNDATION (2nd ) Z r OUGH FRAME & PLUMBING C>`� :iISULATION PER N. Y. STATE ENERGY r r CODE y FINAL l � ADDITIONAL.COMMENTS � Co \ • cc. SM .Go Q.1� P6 Z A Ax c,(Rc-+ CPL� + GJ °z y . d C�1 • b H V' A�o�g�FFoCgcoGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownU.gov '1F Date Received APPLICATION FOR BUILDING PERMITI r____� I DJ E C � � �I �s (.,� /- 2 For Office Use Only q qry PERMIT NO. / 7(el ,5 Building Inspector: JUN O LOLL E. BUILDING DEPT Applications and forms must be filled-out in their entirety Incomplete TOWN OFSOUTHOLD applications Will not`be�accepted.-'Where the-Applicantsis not.:the owner,.an . O,wner's•Authorization form(Page 2):shall be completed. Date: 31st May, 2022 'OWNER(S)OF,PROPERTY Name: Virginia_R. Neville_.__.___ scTM#l000- 127.00 0006 - 007.000_ „y Project Address, 1900 North Oakwood Road, Laurel, N.Y. 11948 Phone#: Email: Mailing Address: 186 Nettles_Boulevard, Jensen-Beach, FL. 34957 CONTACT PERSON: Name: Nigel,Robert Williamson Mailing Address: P.O. Box 1758, Southold, N.Y. 11971 Phone#: 631 .834.9740 _ _ Email` nigel_architect@hotmail.coym_____. DESIGN PROFESSIONAL-,INFORMATION: Name Nigel _Robert Williamson R.A. Mailing Address: P.O. Box 1758, Southold, N.Y. 11971- Ph one 1971Phone#: 631 .834.9740 .__ _. ._. __.. EmaiI nigel_arch itect@hotmail.cozm CONTRACTOR`I N FORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION.OF PROPOSED`CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: j90ther As-built decks 255 sq.ft.&38 sq.ft.to existing deck $ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes El No 1 V : PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R40 this property? 11Yes RNo IF YES,PROVIDE A COPY. 1@r�hd&,B6x After"Ai dii" The owner/contractor/designprofessional is rrspons�6le for all.dremage and storm water rssues as provided by fl apter 136of theTourn Code,cAP 6&601%1 IS,HEREBV MADE to the Building Depakt#ootfor Op issuance of a Building Ppanitpgrsuant to the Buddgig Zone Ordinance of theTown of SoutFiold,Suffolk County,New York and oth era pplicable Laws,Ordinances ocRegutatioris,for the construction of buildings, - addmons alterations'or for removal or•demoldrori'as herein desaibed The applicant agrees to comply with alt applicable laws ordinances,building ode, housing code and regulations and to admd authorized inspectors oq"premises'and m fiuilding[s)for necessary e mspect+ons:False statemer�madherein are .: punishable a§a Gass A mistlemeanor pursuant to sec6od230 45 ofthe New_Ybrk'State Pena(Law Application Submitted tflnt�name)�: gNiel Robert Williamson BAuthorized Agent ❑owner s►— Signature of Applic Date: 3.I 7 1 202-1, STATE OF NEW YORK) SS: COUNTY OF Sv :ro`1L ) Nigel Robert Williamson being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, Agent(S)he is the } (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 a pp' lication;`that•aI f`statements contained in this application are.true to-the=best of his/her knowledge and belief;and that the work'will be performed"in the manner set forth in the application file therewith. Sworn before me this '1 31 Srday of 1� ,20 2-Z Notary Public BRIAN A. ANDREWS Notary Public,State Of New York PROPERTY OWNER AUTHOROZATOOM No. 02AN5014509 Qualified In Suffolk County (Where the applicant is not the owner) Commission Expires 07/15/= e z 1, Virginia Neville residing at r�lo /JF-rLES BLVb._ CSP - 342-5-7 do hereby authorize Nigel Robert Williamson to apply on my be 'a to'the T&irn _fSouth- d'Bui ing Department for approval;-as.described herein. Ovu is Signature - :._._ -. Date Ulr �� cyl::. 0 III Print Owner's Name 2 ;:. BOARD OF HEALTH . . . . . . .; 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY . . . . . . . . . . TOWN OFSOUTHOLD CHECK . . . BUILDING DEPARTMENT SEPTIC FORM . - - . - - - - - - - - TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 -997: -�s-71�- - - TEL.: 765-1802 CALL MAIL TO c?•$ 79 ?.(XJoc ,at Examined . . . , 19$1• Z f 4 Approved . (� . . . . , 19�.�Permit No. .1. . . . . . . . . D 9d Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . mAR3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) - APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This applicationmust- d completely:fllddlin=-by,typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate'plof plan to scale. Fee according to schedule. b. Plot plan showirig:location of,lot and,of buildings on premises, relationship to adjoining premises or public street, or areas and giving a detailed `descr do.,,of;la ,out,of property must be drawn on the diagram which is art of this a h g g P Y p P Y b p pp cation. w C. The work coueied by this•application may not be commenced before issuance of Building Permit. d. Upon approval of this application;the'B'uilding Inspector will issued a Building Permit to the applicant. Such permil 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances of Regulations, for the construction of buildings, additions or alterations, r for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, b ding,code, hous• g code, and regulations, and tc admit authorized inspectors on premises and in building for necess _ ections. • , rre*oif �✓ ( iS gena can applit, namecorporati o , if a on) . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is-owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . ©. .!.N !=. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UlLLL 1LN14 L V.i�Ginj/ A Name of owner of premises . . y.�. . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;VC/� !.N. . D. .' :X wV.0 . . . . o �J. . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section �. . . • . . . . . . Block . . .19 /�!�! . . . . . . . . . . . Lot . •v•0 Subdivision . . . . . . . . . . . . . . . • . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . �J��YS a ✓�v�� !!� S C� . . . !Y. . .� zv S. . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . 2., °-'? n �,Y. . . . . . . . . . . . . . . . . . . . . . • • • • • • • • • • • • 3. Nature of work (check which applicable): New Building . ... . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . o,9 -L (Description) 4. Estimated Cost . . . . . . . Cs D . . . . . . . . . . . . . . . . . . Fee . : .-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . r. . Ifgarage,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 . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions-of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . -8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . Depth . . . . . . . . . . . . . . . . 10. Date of Purchase . . . !.� 1?./. .6'.6. . . . . . . . . . . . . . . . Name of Former Owner !�R.y.k, i�o s rid 11. Zone or use district in which premises are situated ... . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . /�,� . Will excess fill be removed rom premises: Yes No 14. Name of Owner of premises fib.4�.u,vi?G,it'dtO. Vtile Address . .�Y(?. ,1&Yt.►oa.A. .,K4 . Phone No.-7. Name of Architect Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . .. . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from ?roperty lines. Give street and block number or description according to deed, and show street names and indicate whether .nterior or corner lot. 67 PUM CY NOTIP� EWILMi J_ rAN - 't l AA TO 4 pkg FOR T14EeUSE IS . �NLWFUL FOIJIIIIATIM�_, FOR P0UR'ED �°om $7E-I.F W� THOUT1. ":+,N S�'1�31�C OINi.; 68i� "j C UP"A N CY ' OFU TATE OF NEW YORK SS '``T`a'Tl- . _ 'OUNTY OF . . . . . . . . . . . . . . . . . �:�1'.�1 ;� 'NOT. TrICS'L�7r+aE'1Y�;..� rs . . . . . • • • . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that fie is fhe3�Rignt (Name of individual signing contract) bove named. - :,...-< �•_ leis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . (Contractor, agent, corporate officer etch) T p.;: f said owner or owners, and is duly authorized to perform or have performed the said wor a'and to inake,an'd file this pplication; that all statements contained in this applicati6n;are`true to the best of his,knowledge.and_belief and that the Cork will be performed in' the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . G . . . . . . . .day of. . . . . . . . . . . .. 19 lotary Public, . .! . . !a2 Ft?... . . . . . . . . County HELEN K QE WE NbTAHY PUBLIC.State of mew York (Signature of applicant) No.4707878,Suffolk County c Term Expires March 30,19 f �guX ` C BAR g J1)12 B I G DEPARTMENT- Electrical Inspector rfFOt P� TOWN OF SOUTHOLD au►®F SaVoHall Annex - 54375 Main Road - PO Box 1179 a ` ®vNN Southold, New York 11971-0959 y Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr -Dsoutholdtownny.gov - seand(a-)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: . Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information R Iquired) , Name: V ' ISI(`'a' VP Vic VI Address: f 9 if d �Jlo aWel) we ZU u �� 1 Cross Street: Phone No.: l q i-lS'-jalj Bldg.Permit#: email: ftt P-,7-, I hPi2 &fq vl<' 0011 Tax Map District: 1000 Section: Block: Lot: BRIEF DES RIPTI N IF WORK, INC DE SQUARJE FOOTAGE (Plea 'Pri t Clearly): JP Square Footage: Circle All That Apply: Is job ready for inspection?: U YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 F H Frame Pole Work done on Service? M Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT N Address: Switches Outletsll G FI's Surface Sconces I 1 ' H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments A / JE C �E119I 4ti s ffItlk BAR a 2�'l2 B I G DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Bu►OF o�U �l-lall Annex - 54375 Main Road - PO Box 1179 ToWo Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a)southoldtownny.gov seand(a�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information R quired) Name: V A)( /( P V1. Address: 19 Ud /Jam, n a Kwou we -zu 4 1 1 Cross Street: Phone No.: cl, ] q q Vs—_3alj, Bldg.Permit#: email:. Rd. 9.7,W f i Afq RvU C�bt� Tax Map District: 1000 Section: Block: Lot: BRIEF DES RIPTIQN .JF WOR'Vic, INCA DE SQUAR FOOTAGE Plea Priq Clearl ): Gut �tl �CI� b r 1 �p�;l ��%- ^� � y Square Footage: Circle All That Apply: Is job ready for inspection?: U YES ❑ NO u Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New service[]Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground LateralsF-] 2 H Frame Pole Work done on Service? R Y RN Additional Information: PAYMENT DUE WITH APPLICATION 39 '�� �X1zmr,� TEL. 765-1802 NOON UIQ SOUTH®LD 01TICH OP BUILDING INSPECTOR P.O. BOX 728 y TOWN HALL SOUTHOLD, N.Y. 11971 November 18 , 1987 Peconic Development Corp . P . O . Box 594 Mattituck , New York 11952 Re : Michael & Virginia Neville To Whom This Ma Concern, Wo are un,Zblc t.o complete your Certificate of Occupancy because .of:, the following reasons . An application for Certificate of Occupancy .is not on fil.c . /xW mo underwriters Ccrtificate on file . / The check i:, (()u(-datcd/not on file . ) No 11cal.th Dept . Approval. on file . Nn final inspection has been made. PI (--ase contact our office on this matter. Thank you for your cooperation. hu•.ilding Permit 0 1 5 8 - 4 1 Z Buy. lc] ihU DQpL' . No Plumber Solder Certificate on file . ( all permits involving plumbing being issued after April 1 , 1984 ) NOTE : DECK IS LARGERT THAN APPLIED FOR. AMEND FOR ADDITIONAL DECK DISTANCE FROM SIDE LINE. 0 C� s r � 13 • 1�b �� %0A air A2 // — �. 10 o1v S' N f•.s I` o fr- 0 %oPA ®� i Y �t 9 • MONUMENT , SUrFOLK CO TAX MAP At 1000 SECT IU BL.91 LOT 2U TOTAL. AREA = 16959 S,E Z NUMBERS REFER TO MAP OF SUBDIVISION OF LOTS 52 C-53- LAORE,l_ PARK,AND OTHER PROPERTY OF RAVATONE REALTY CORP" F14ED W THE OFFICE OF THE CLERK OF SUFF. COON DEC. 211930 ASIMAP 212. r I • SURVEY FOR MICHAEL NEVILLE & VIRGINIA NEVILLE AT LAUREL DATE= • OWN OF SOUTHOLD SCALE= SUFFOLK COUNTY, NEW YORK NO. N UNAUTHORIZED ALTERATION OR AODITION to TNRSI GUARANTEED TO= SURVEY 4 A VIOLATION Of SECTION 7200 Of THE I NEW YORK STATE EDUCATION LAW MICHAEL a VIRNo *COPIES Of THIS SURVEY NOT SEARING THE LAND A®UEBOG � IMAQ ' SURVEYORS INKED SEAL OR EIASOSSED SEAL SHALL! 6 NOT RE CONSIDERED TO K A VALID TRITE COPY 1601MRANTEES INDICATED HEREON VIALL RUN ONLY T0, b'S; i FtASON FOR WHOM THE SURVEY IS PREPARED � � (r_-" K ALP TO THE YITLE COMPANY,GOVERN-; bo, + / 401%, ENCY AAO L.ENdOWq INMTITUTION LISTED i AMU" rl TO TK A 11Re304KEII Of TfIE LENDING E i �' s � t�ital$�::-.:w4 �RI±$ �t��� ..ICY 'r, NFsa•1[ad�na.r I !•1rr+r 1 apt p� ; 69op�,� `65p0 IQs � � n O 0) N 1 r''''r59A' 1 400 va z ?O '3 1 a 0 1/ v-vo QUA, •E e • MONUMENT , SU�FOLK CO TAX MAP f DI 1000 SECT lU BL.Qfi LOT 2M TOTAL AREA= 16959 S.F. LONUMBERS REFER TO"MAP OF SUBDIVISION OF LOTS 52 L153- , A IAr'I -90 A&IM ftn^r%C=TV^"=AUAY^M17 =CAI TV^^OlMll I Z 0 a) �• a �9 AZ 1 D tal 19 �G i• , O0. `o �• c�O.o O � '. ^ 1 .E E9MONUMENT SUFOLK CO TAX MAP ' { DI 1000 SECT JU BL.91 LOT 007 TOTAL AREA= 16959 S.F. LO NUMBERS REFER TO"MAP OF SUBDIVISION OF LOTS 52 053- LA RE-i PARK,AND OTHER PROPERTY OF RAVAT®NE REALTY CORP" FI SED lid THE OFFICE OF THE CLERK OF SUFF.CO.ON DEC.2,1930 AS MAP 212. • SURVEY FOR MICHAEL NEVILLE 81 VIRGINIA }NEVILLE AT- LAUREL DATE= TOWN OF SOUTHOLD � � ' �S.CA E:' SUFFOLK COUNTY1 NEW YORK 1NO. f N UNAUTHOR12E0 ALTERATION OR ADDITION TO THIS GUARANTEED' TO SURVEY 0A VIOLATION OR SECTION 7209 OF THE MICHAEL $' VIRG N N NEW YORK STATE EDUCATION LAW *COPIES Of THIS SURVEY NOT ®FARING THE LAND AOUEBOGU ESTRAQ SURVEYOR'S INKED SEAL OR EM61OSSED SEAL SHALL Qy� NOT U CONSIDERED TO GE A VALID TRUE COPY i THE PERSON EFNGUARANTEDA WHOM THE SURVEY INDICATED HEREON SLPREPARED ®��RUN ONLY 70 �® 04 HIS KFALF TO THE TITLE COMPANY,GOVERN- €0TAL lSfrEUCY AND LENDING INSTITUTION LISTED WN RB NLAxA Tt3 Y�NE :SES�It7dN S OF THE LEIND1140 APPROVED AS NOTED OCCUPANCY OR DATE: if L c_q-—cl A- e-P. SHALL, USE IS UNLAWFUL r)iljl ;'Q 4' 11 i3e LZESS THA p) FE WITHOUT CERTIFICATE (T4 J_ 4- BY: NOTIFY BUILDING DEPARTMENT AT - ; 1 765-1802 8 AM TO 4 PM FOR THE OF OCCUPANCY FOLLOWING INSPECTIONS: FOUNDATION -TWO REQUIRED LATri c.F-.' L�,b,.T r r,c FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL = CONSTRUCTION 'MUST b,6 Bol LT DF-GV- BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE CON4PLY WITH ALL CODES OF DE REQUIREMENTS OF THE CODES OF NEW NEW YORK STATE & TOWN CODES Front Elevation- 6C.-ALE ' Y4" It-a' YORK STATE. NOT RESPONSIBLE FOR AS REQUIRED AND CONDITIONS OF DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN ZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC 15 EYTcjr. Dez v- . . 255 ;a. Fr. (iKCL. STEPS) / 4-8f8ll 5TEPS. 5a, Fr. &S-B U I LT tsc v-, 71 - ----- I, \X` Lm L \ \ Deck Plan r-4 vc 1_7 3!- 0 77 z Z11 E m 0 2:'x. 8" LEDGER._ 4 72 Y_ r 0 00 -1 1A ,k o x 0 CID z 'ILI 0 2:'x 8 is coocP_F_tt. (TV) w 4:K A:' pC%.5T5- 0 < z r POSTS (2)-2:•x$" G I Q D F_Z Coo cpm A As-built decks for for _ - _ A,5- 501LT DF-Ck- I # I C. N arMrs. inia Vkg R. vil ���:,� 4J�,� �w L 1900 North Oakwood Road, La.urel, N.Y. 11948 Foundation Plan .���- - Lltj�_ OF Dtck­ �,AS-�u,�T S.C.T.M. 1000-127.00-06 6-r-c_*_ .00-007.000