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Home My WebLink About5243-zFO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No: Z-29254 Date: 02/06/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 5388 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 19, 1971 pursuant to which Building Permit No. 5243-Z dated APRIL 16, 1971 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 SINGLE FAMILY DWELLING WITH SECOND STORY DORMER, ATTACHED WOOD DECK, ACCESSORY GARAGE * The certificate is issued to HELEN RAYNOR of the aforesaid building. (OWNER) SUFFOLK CO~ DEPARTMENT OF HEALTH APPROVAL SO-806-R.VILLA ELEC~fRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *This Up4ates COZ--4472 dated December 6, 1971. o8/18/71 N/A Signature Rev. 1/81 FORM NO,. ~ TOWN O~ $OU'~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL. COMPLETION OF: THE WORK AUTHORIZED) 5243 Z Permission is hereby granted to: at premises located at .............. Jk=D~,~.,~..~£~...E~..~.e~l~..~iit~..~l~ ................................... .................................................. ~et ........ :']~-~ ............................................................................ pursuon~ to application dated ............................... J~R~..: ....... .1.9 ....... , 19...~.1[, and approved by the Building Inspector. Fee $....'[~ ........ uuilding InSpeCtor ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy l~o.g 10~'2 ..... Date .......... Dec.. 6 , 19..~.1 THIS CERTIFIES that the building located at R.0.W.~ t~/~ Pee Bay Blwl Street Map No. x~ ..... Block No..X~t .... Lot No. II:IiX...IJ~lAre~l,. N,Y, ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... 14&l~. '~9 , 19 7~t pursuant to which Building Permit No. ~2.1+~ dated ........ AI~Ti]... 46. , 19 71, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is i~riva~;e· orre- family' dwe]:l~.r~g .............................. The certificate is issued to . -D;t~ i · tl~yriox~ .... 0wi&ex- .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval House ~ 5390 Pee Bay BiWd · Aug. 18.,..197.~. · · by..R,. Villa ..... Building Inspector [ TOWN OF SOUTItOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEt~POi~R~ Certificate Of Occupancy No. Z.t~3k'3... Date AIt~ THIS CERTIFIES that the building located at . R,0,I¢.. B/S Pet,. Map No. Y~¢~. Block No..:KI~ Lot No. ~X L~ll~e:l. ~3 ,19 F1 Bay Bl~ql~reet .. ~t.7/, . conforms substantially to the Application for Building Permit heretofore filed in this office dated ~2a~ah 1 ~ 19 71 pursuant to which Building Permit No. ~2be3Z dated . Ap~'il. 16 , 19.71, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is P~iva.te, one · family, dwelt.~ ng The certificate is issued to D, S, Rayner .. of the aforesaid bnilding. Suffolk County Department of Health Approval ~ouse ~ Gwaer .... (owner, lessee or tenant) ~390 ?ce. BZvd....~'V.d/.~..(.. --~_.~... ~w[ Building Inspecto$ SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference No~ --%0 Date~.~__ Capacity GI. P.M.~ ~ O ~ accordance with the Suffolk County Health Departments' curren~tandards, Bulletins, and amendments thereto, covering Private Se~4age Disposa~ Syst~m¥'. Date~_~ Signed FOR HEALTH DEPARTMENT 'USE ONLY. Based on~e information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. Date ~'/J'-~' F/ (10/65 Revis. ) S-if Signed The Undersigned CERTIFIES: Indi No "Construction of authorized installations will be in :ate -th Data F~et Te~ S~,~ o ~ 2 6 8 ~ 10 EASTERN DISTRICT, RIVERMEAD,N.Y. APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: t-Appltcant~ ~. ~? ~ Phone~6-Sub div Address~7-Section 2-Detailed property locatf 8-Lot No. Hamlet , ~/~,G'~ ToWn__~~__.9-Private well?. ~-~-.~ 3-Public water supply name ~ ~ Distance to nearest main 4-Lot Size: Width__~_~ft. Length~_~ft. (also enter on center plot plan below:) 5-Dwelling: Single Family ~Two Family? / !Cellar? ~lab? / ; Crawl Space? / / 10-Proposed system: Septic tank ; /Precast ~ /Cesspools~(/Shallow pools / /Other / / 11-Septic tank inside dimensions: Volume Gals.Length ft. Width ft. Liquid depth ~ ft. 12-Precast sections: / /Number/ /Square Fb. Cesspools: Block sizeL--~ incs. D~ins. H~ns. Total blocks below inlet: ~1/~4~2 /~-D~3 PLOT PLAN S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date MAY oO~LRN: i NO T£ : ~ -' MONUM~N T REVISIONS YOUNG & YOUNG SURVEY FOR: VEL f/IA CA TROW, PHYLLIS MOORE D STANLEY RAYNOR AT LAUREL C, LJA RANT E. ED TC~ ! TOWiN OF SOU THOL D SUFFOLK CO., N Y. J I NO 'tOWN OF SOUTHOLD ~""~"~ BUILDING DEI~ARTMENT TOWN CLERK'S OFFIC! SOUTHOLD, Disapproved a/c ............................................. / . __ (Building Inspe~or) APPLICATION FOR BUILDING PEI~I'I' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Building."(~ Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premiee~ or public streets or areas, and giving a detailed description of layout of prapmty must be drawn on the diagram whleh is part of ~hle appll~ll~tion. c. The work covered by this application may not be ~ommenced before issuance of Building Permit. ~ ~ TL' d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. ~h,pe[mi shall be kept on the premises available for inspection throughout the progress of the work. ' e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certifi~lte of Ooc~oancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanct' of O Building Pmmlt I~nmant to the'( Building Zone Ordinance of the Town of Southold, Suffolk County, New York, omi other applicable Law~ Ordinances or Regulations, for the construction of buildings, additions or alterations or for removal or demolition, al herein deecrlbed. The applicant agrees to comply with all applicable laws, ordinances, bui ding code, housin and .... (Signature cf applicant, or name, If o coq)oration) 1~ ............. (Addresg of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. _ ........................ Nome of owner of premises ............. ...~....~......~...:.~?~..'~....~.~.J~. ......... :.:.:..::: ............................................ If opp~antIs a cor~oratJ,, signature of duly autl~orized officer. ~ ............. and ' (Name ~ltle 'of cold, rate officer) ~. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ............ Sir, and Number .~-.%-.,~)...v~/...~....~`~..~.~..~j~h~L~..~;;.~D~L.j~.J)~M~.?~:~.~J~..~.~z~.~ ................. ~unlc~pallfy 2. State existing usb and 0~cupancy of pmr, nises and Intended use and occupancy of prapaled comtmctlon: o. ,st,ngu. o*occupa. - ...... ........... "-' ........................................................... b. Intended use and occupona', .....%~.~,.I,.~.~.~.....~..':T.//~'l~.Jk.~,~..~..'.l.?t.~'~J.~,.J~/.~.~' -- ~' "' .......................... f~,: ..... 3. Nature of work (check which applicable): New Building ,.~.. ...... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 2_5 4. Estimated Cost ................... , ....... .~..., ....................... Fee .......................................................................................... (to be paid on filing thais application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on eacl~ floor ............................ If garage, number of cars ................................... ~ ................................................................... i::~ ................................. 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 of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ...,....~ ....................... 8. Dimensions~ of entire new construction: Front .;:'...~..~). ........ ....: ....... Rear !....~..~ ...... ~ ....... Depth ...~...'7...~. ........... Height ...~.*~ .......... Number of Stories ....... ~l...~'~- ................................................................................................. 9. Size of lot: Front ..... [.~,~ ............. Rear ......... .~..(~..~ ............... Depth .....~.~.../. .................. 10. Date of Purchase ........................................................ Name of Former Owner ...: ..~..z...~.Q.q~. ....................... ] 1. Zone or qse district in wl~h 'p.remises are situated ..................................................................................................... 12. Does prop6sed construction ¥iolate any ~pning law, ordinance or regulation? .-..I ....................................................... 13. Name of Owner of premise, s~.~..~..,.f..~.(~.~..~...Address-- '' '" --~X~zI.N..[f.~.~.~.~Jl~..~kl~Phone No Name of Architect ........ ..Z..."~....~:.....~& -- ................... Address ............................................ Phone No Name of Contractor ~l~...l.4~....~'.~..~....~',~.i~;~...A/.~...Address ..~[/~l~'~.~.~.___~ ...........Phone No~;~IL~.."?..~.~'~,~ .................... PLOT DIAGRAM eLocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from prc~erty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YO]~K, ! ,.,. COUNTY OF I .-, ....... ...~,~: ...... ~)~-..~..~.,)l~.~t~..~.,~..)J~,.,beJng' drily sy(orn, deposes and' says ,hot he is the applicant lr~ame of iridlvlaual signing OPPlJcatior~ ' above nam,d. H, ,s the ................... '::.~ (Contractor, agent, corporate off car, etc ) o.f sad .owner or .owners, and ~s duly auth?~ito perform, or ~have performed the said work and to make and file this application; that all statementS contai~ this application are true to the best of his knowledge and belief; and the work will be performed jn the martne.r] ~ forth in the'~aplication filed therewith. th~r the w~ .... ......... ................ Pub',c. t. ............. ~ ELIZABETH ANN NEVILLE -/ #OTARY T~BLIC, S~ate of New York ' tdo.l~,~ ~1~ ~1~ $0~ ~o~52-8125860, Suffolk L~UILBING CON STR UL;~'IO['~ Ni/,T'FITUCK, NEW YORK L BLBLD~NO coNSTRUCTiON