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Home My WebLink About9370-zFOR31 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9067 Date June '15 ... ........................................ , lg. 78 THIS CERTIFIES that the building located at .8.~.0. H.e.n.r.Y.~.~. .L..~..e. ........ Street Map No.. ~l. S1 ...... Block No ........... Lot No ..... 29: .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. J..~.Y .... a,;~ ........ , 19..7.7. pursuant to which Building Permit No .... .9.~.7.0. Z dated ...J .~.Y .... 2.~ .......... , 19..7.7., 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 PRIVATE ONE FAMILY DWELLING The certificate is issued to ....... Z. a0.h.a.~f..&...M.~..~.ha..K.~..a.~. ....................... ( owner, ~ of the aforesaid building. Suffolk County Department of Health Approval .... .7,'~80.-?.Q3. ~-.-.-.-.M.ay.. 5.,..!97.8.. UNDERWRITERS CERTIFICATE No ..... .N.~.Sff.2.0.5. ............................... HOUSE NUMBER .... 8~ ...... Street ........ .H.e.~..ry..'.~...L.~..e. ................... Peconic, New York Building Inspector (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 9370 Z ,, Permission is hereby granted to: · Cla~s~..~st~ao¢~om.'~o~....~.C..~.'~, & ~, ....... ~.~.O......~.~...~[.~,.e.l~....~.~.~ ....... .~..e.~¢e..~... ]~,~0 to build new one familE dwellin~ at premises located at ....~Q.t;...29. ......... ~.~I~.QI~C..'~O~I~IItL ................................................................ pursuant to application dated ........................ ~T:l.l~t ....... 2~J .......... , 19~t.~.:i:, and approved by the Building In~spector. Fee ~..~...~'~ ......... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector 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 installations, 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 df 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 · ? ~'.~. Date ./~.~ ........... New Building ......... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ......~...,.~.'..~.....~.~..,<..~...~..~.....~......../~....~....~....~.~,..........~.....~,.~...~.~../,'"~% .................... Owner Or Owners Of Property .....~.~...~.<.~.....~....'~.~',......~.....~..~...~..~.~....~.."~....~......~...'~.....'~....~.;...~.,.~: ......................... Subdivision .....~...~..~..~...~....,;.'.~..(.~.....~.x..~ ........... Lot No. ~ c,7 Block No. House No .~. :D~ Permit No..4~7.~...../~..~.....~... Date Of Permit..~.~.~..~.Z~..Applican, .~ .~..~...~..~...¢~....~....~.../~..~'..~.....~.~.~...~...~..... J~. ~,,~< / Health Dept. Approval~/~....~6..~..7...~....~..:....?~'...~.....Ldbar Dept. Approval ................................................ Underwriters Approval ..... ~ .................... : .............. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate / Fee Submitted $ ...... ..~.Z.~..~ ............... Construction on above described building and permi~j~neets all a~p~lic~able codes and regulations. Applicant Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted in duplicate 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date.. ~...~..~f...~..~. ~ .... New Building ............. Old or Pre-existing~uilding ..... ~ ..... Vacant Land, . .... e ....... Location of Property ~.~7~. ?. ? 5...~,..~../'.~. · · .~..0.~. ..... //~.. · .~. · .~'. [~/?~, .~'..~'./?~.. .... /~. · ~..~'. House No, ~x __ , . . Street ~ I t~/'larnlet Owner or Owners of Property .~...~../.~.~i .'.~.. i'~. J;3 .~. ~7..&..L../~./. ~ .e~...` ...~-'~. CounW Tax Map No. 1000Section /~)c', O --/B~://O -- ,~"- ,,7 ~) ............... lock ............... Lot ................ Subdivision ................................. Map No ............... Lot No ............... Permit No. q~. .... 7. D-ate of Permi~.~.~/~:-.~pplicant .. ~.~..~ .... ~..,~.~', ~.c~. ...... Health Dept. Approval ..... ~;~.: ........ Labor Dept. Approval ~~ ........ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... ~.~.~.z. ~ ................. Construction on above described building and p~rmit meets al[-applicable_cpdes and regulations. Applicant...~.~.~...~'~7... ,~~...~.,...~,~ ...... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o,dy t;~ e/~t,~ u' . 'b~d tad '. /~, ~ ' n4 /,er' inthefollowin~loe~tion; ~B~sement ~ lstFt. [] 2nd Fl. OUtSide Section Block May 1P, 1978 and found to be in compliance with the requirements of this Eoard. FIXTURE ~[~EPTA L [ [ FIXTURES ou,~s ~' c ;sI sw.c.,s i,.~..~E~~L~E~.r I ~ ~7 I~ 27 27 DRYERS FURNACE MOTORS [ FUTURE AFFUANC~ FEEDERS ,U~T. K. W* Oft { H, P, GAS H.P. AMT. NO. A.W.O. RANGES ! 30 SERVICE DISCONNECT [ NO. OF ] S E Lot EXHAUST FANS DIMMERS R V I C E 1/o 1 1/o Motors: 1-3/~ hu Smoke deteetou Mount Sinai Elee. Inc. ]15 ~4t. Sinai Ave. Mt. Sinai, N.Y. 11766 Lie. 898E ~.% This cediflca~ mu~ not ~ a~red in any manner;, return ~ the office of t~ ~a~ if incorr~. Inspectors ~y ~ i~i~ by t~r c~e~i C~Y FO~ BUILDING DEPARTMEN~ THIS COPY OF CERTIFICATE MU~ NOT BE A~ER~ IN ANY MANNER. s , THE NEW YORK BOARD OF FIRE UNDERWRITERS ?~' BUREAU OF ELECTRICITY I-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT in the following location; ~ Basement ~ l~t Fi. [] $.d Fl. Section Block Lot was examin~d on Decembez' 2].~ ]..gT~ and found to be in compliance wlth the requlrernents of thls Board. FIXTURE I 1~ OUTLETS ECEPTACLES SWITCHES FIXTURES DRYERS FURNACE MOTORS FUTURE AI'~UANCE i~DERS A/~T. K, W, OIL H.P. GAS H.P. AMT. NO. A, W. G ~ANGES COOKING D(CKS OVENS DISH WASI~ES TIME CLOCKS ~LL UNIT HEATERS MULTI-OUT~T C EXHAUST FANS DIMMERS D~vid Main Rd. Southo!d, L.I. [1971 11 This certificate mU~t not be altered in any manner~ return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNIL THI= NI=W YORK BOARD OF FIRI= UNDI:RWRITI=R$ PAGe, I 1(~1275 BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 D.te JANU/~RY O6,1999 Appllea...No...~le 17462399/99 N 476185 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applleant named on the above application number is in the premises of .~CH~Y KAR~, 830 H~NRY' $ I.d~.. , PP. COI~C, ~' in the following loeaaon; [] Basement [] Ist FL [] 2nd Fl. OUT Secaon Block was examined on DECgHBER 29,1998 and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS RECEPTACLES 1 FIXTURES SWITCHES INCANDESCEN FLUORESCENT OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W. O, ASMETR. VICEAtS,?O"NE~yC~'E ~OE~iEOpR.F iR,W 1R'$W SRSW ,R4W S OTHER APPARATUS: Lot RANGES MT. K,W. fPEClAL REC'~I'. AMT. AMP. R EXHAUST FANE AMT. H.P. DIMMERS TIME CLOCKS I UNIT HEATERS MULTI-OUTLET BELL SYSTEMS AMT. AMPS. TRANS, IAMT. I H,~. NO. OF FEET V I C OF CC, COND. OF HI-LEG NO. OF CC COND. NO. OF NEUTRALS A. W, G. PER S OF NEUIRAL 3 TON AIR CONDITIONER-1 AIR HANDLER-! 60 A DISCONNECT-1 G.D.A. ELECTRIC CO 1991 LOUIS KOSSUTH AVE LIC. $2724 RONKONKO~{A , NY, 11779-6422 GENERAL MANAGER 11 This certificate must not be altered in uny 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. APPLICATION FOR BUILDING PERMIT ., ................ ,,9.......... .. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets qf plans, accurate plot p!an to ~cale. Fee acco[ding to schedule. b. Plot plan showing Ioc6tion of lot and of buildings or~ premises', relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced befo[e ~issua. nce of Building Permit. d. Up0~ approval of this application, the Building Inspector wJJJ issue a Building Permit'to the applicant. Such permit 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 c~pplicable 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ............................ :d;,,~;:i;;;;';;~",;,;b,%;;,';i'"'~:7~,'~'~' ...... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................... i ......................... ~..~...'. ......................... : ...................................................................................................... Name of owner ,of p;emises .~..,~.....~.,..d.~.....~....~...~..,~....~.[..~.,..,~..~..~...,(Z/.,~....~......~.....~,. ................................................. / If applicant ~ corporat~ signature of duly authorized officer. ~'l~lame and title of corpor e officer) Builder's License No ...................................................... Plumber's License No ............................. ;.....L ............. Electrician's License No ............................................. ................ '..' .................... ' ...... ×'.._.....~ .. ,~,~___/.u., ','"',v '~-~ .,.,.,~ Other Trades License No Location of land on which proposed.work ~ill be done. ,Mep No.: .~...'~.~o~' No ..... ~.....~/.. .......... ......'~ '~" ~ ~.~....~/...~..~.~K. ............... ~;~'- '~ >' .~..~...~..~...~..-...:...~..-.. ......................................... Street and Number / Municipality State existing use and occupancy of premises and intended .use .and occupancy of proposed construction: / / a. Exisiting use and occupancy ................. .~.....~.....~.. ~....~....~... ......................................................................... b. Intended use and occupancy ....... X~.~..~.~ ...... ~'"~'"~'"'"~'""~'"/"/"~'~7 ................................................. q . 3. Nature of work (check which a~l cable): New Building, · ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... 4. Estimated Cost ........................................................... ee ........................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... /'.. ............... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If busfness, commercial or mixed occupancy, specffy 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. ~,ntire new construction: Front ........................ Rear .................. Depth ......~'....'~.. ............ Height ....L....~... ...... Number of Stories ......... ../'.. ........................................................................................................ 9. Size of lot' Front .,/..../'..~. Rear ./../'~' Depth /.~...~.. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. 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 from premises: ( ) Yes (/,,~ No 14. Name of Owner of premises ~',4~.~4/~..~....~...~...4~'~..~.~.~'....,L.~Z's~..,/~...~.~..4~.~N~ ............... Name of Architect ....................................................... Address ................................ Phone No ....................... Name of Contracto ........ ddress ................................ Phone No. .. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate ,vhether interior or corner lot. STATE OF NEW~, ,//r ~' 'S S I COUNTY OF ..(~..~.~./,g:f:...~3. .......... f ' ........ ~.~...~.~.~ ....................................... b~ing duly'Sworn, deposes and soys that he is the applicam (~ ~Name ~f individual sig'ning contrac~ ' ' He is the ...................... ~ntra~"~,"~rporate officer, etc.) ...... of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th~s application; that aH statements cont6ined i~.this qpplicatien are true to the best of I~is knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. ................... APPLICANT: ADDRESS _ TEL NOTE' I = MONUMENT SUBDIVISION MAP RI£O IN THE OF£1CE OF rile CLERK OF SUFPOLK COUNTY ON OCT 14/1964 AS FII E NO. 4181 THER£ ARE NO DVIELL/NGS VI/THIN I00' OP THIS PROPEt~TY OTHER THAN THOSE SHOWN HEREON NEAREb~r V/ATEf~ MAIN- SMILES Z WATER SER V/CE - PRIVATE REVISIONS APr, 27, 1978 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: ZACHARY KARAS & MARTHA KARAS LOT 29 ' PECON C HOMES" AT PECONIC --T;::)WN o~' ~OUTHOLD SUFFOLK CO., N.Y. SCALE: I" :-40' DATE'JULY 19~ 1977 tGUARANTEED, TO: BY NO, 7?-490 COUNTY DEPARTMENT OF HEM.TH FOR APPROVAL OF CONSTRUCTION ONLY .?/~/n . .s R~F. No.'~ - / .%. NOTE: ~- s --MONUMENt ~.I~OIVI$10N MAP FI~EO IN rH£ OFFICE OF ?'H£ ¢£E&~N OF SUFFOLK COUNrYON OCE 14/1~4 AS FILEA~. 4101 tHERE ARE NO DWELLINGS WITHIN I00' OF ?'HIS PI~OPE~rY o rNE~ tHAN rHOSE SHOWN HEI~EON NEANES'I' WAr£N MAIN - $ MILES REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE. RIVERHEAD ALDEN W. YOUNG NEW YORK HOWARD W. YOUNG SURVEY FOR: ZACHARY KARAS ~ MARTHA KARAS LOT 29 "PECONIC HOMES" AT PECONIC ou^.A~ TOWN OF ~0UTHOLD SCALE: SUFFOLK CO., N.Y. I"--.40' °ATE:dULY 19,1977 NO. 77-490 CL~_X,'P-,'¥ C:)I'-,I ^pp~v~ ^s HOTIFY BUltJ~dqG D~PARTM~NT AT ALL ¢ONS'fP, UCflON MUST MEI~T REQUIREMI[i~ITS CF N.Y. STAT[~O~-~.)~ ^.~, tow..ous~.G coD~C~7o~E~Z~ r~ It/ FI~ 0 N '-Joe. ~^~'£, ~o/~-5' -¸7 PLA ~ ~ 4