HomeMy WebLinkAbout9235-z �o�%AfF 11.IW( Town of Southold 11/6/2024
a P.O.Box 1179
0
53095 Main Rd
oy` �a Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 7960 Date: 10/18/1977
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 2570 Route 25,Laurel
SCTM#: 473889 Sec/Block/Lot: 125.-3-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/6/1977 pursuant to which Building Permit No. 9235 dated 5/6/1977
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:
private one family dwelling_(approved by Bd.Appeals)&pvt. garage.
11/6/2024 Corrected for address only.
The certificate is issued to Schott, Stephen&Kristianna
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R.Villa 10/14/1997
ELECTRICAL CERTIFICATE NO. N358639 10/3/1977
PLUMBERS CERTIFICATION DATED
A o i d ignature
Karen A.Hoeg
Partner
69
Twom- ,
� Latha'
mkhoeg stiff x2aykhoeg@suffollclaw.eom
SHE-A, KEL'LEY, DU BIN & QUARTAR,ARO, LLP 33 West Second St.
P.O.Box 9398
Riverhead„NY 11901
.October'31, 2024.•..
BY HAND DELIVERYa�
Town of Southold Building Department .- 4 2024.
54375 Main Road
—_PO Box_1-1-7-9__ --- - --- - - - --=- -'� :� '" - - -
Southold,NY 11971. 51 Rl1A ,:•:.d...a
Attn: ' Susan P6ntino, Senior Office Assistant
Re: 2570 Main Road,Laurel,NY
SCTM# 1000-125-3-3
Dear Susan:
Our law firm represents Stephen and Kristianna Schott, owners of 2570 Main Road,
Laurel,NY. Recently, it has been brought to our attention that the certificate of occupancy for.
the single-family dwelling and garage (Z7960), a copy of which is enclosed, references the
wrong house number. As such, we are seeking to have the CO corrected to reflect the correct
house number of 2570 Main Road.
Please let me know if you have any questions.
Very ly ours,
ar oeg
FORK NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .Z79L0 . . . . . Date . . . . . . . . . . . . .act• • • •18. . . . . .. 19.77 .
THIS CERTIFIES that the building located at . .R R.O...w.. . s1s .Main .Rd. . . . . Street
Map No. . . xx. . . . . . . Block No. .xx . . . . . .Lot No. . .xx. . laural . .N...X. . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . .N.xy. . 6• > 19. 77. pursuant to which Building Permit No. . .9235z
dated . . . . . . . . . . . . N:aY. . . 6. . . ., 1977 ., 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. .£amil.y. .dwPllin.g. .(ao^roved. by . Bd. .Appaa�s). A .Pv.t Qarage
The Certificate is issued to .Marvin. & .Lil.11an• .Qualls• • .Owne.rs • . . . . . . . . . . . . . . . . .
_"--
--� (owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Gct... .14. .1.977. . .by. R.Villa . . . . . . .
UNDERWRITERS CERTIFICATE No. k 35.F:439. . . .Qvt.. .3,. 1,977. . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . . . . .2050. . . Street . . .i:air.• •Road. . . . . Lau rel• . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N*. Y.
BUILDING PERMIT
(THIS PERM[T MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK ^UTHOI~IZED) -
N? 9235 Z
Permission is hereby granted to: , ~ . ~ ~
........... · ~..~....:..,..,~a~, ,~ :~ ................. _ :...'
.......................................... ,.~...t ....... ~..~...~.~ .... [~ .........................
premises l~ated at .... ~.~ ~ ~ ............
.
~u~u~nt to ~pplicotion d~ted ........... ];..;:.~ ...... L.~....~ ............~ ]9;~.~,..~ ~nd approved by the:
FORM NO. $
TOWN OF SOUTHOLD
0 Building Department
Town Clerks Office
Soutbold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. Th~s applicohon must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
]. 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 af electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Mulhple Residences and similar buildings and
installations, a certificate of Code comphance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed s,te 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 in-
formation required to prepare a certificate.
C. Fees: 1. Certificate of occupancy $§.00
2. Certificate of occupancy on pre-existing dwelling or land use $§.00
3 Copy of certificate of occupancy $1.00
.......
New BHilding ................ Addition ...,~.' ...... Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property .X~....~ ..... ~ ...................................................................
Subdivision ..................................................... , .......... Lot No ............. B~ock No ............. Ho,gse No .............
Permit No .~c~..~.~... Date Of Perm, it ...'~.~...~'/.~.2Applicant .~ ..... ~~-~..., ......
Underwriters Approval ~..~..~.v/~.....~...~... .................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate .... ~...,... ....................
Fee Submitted $ ..~.......'~....Z..: ...............
Construction on above described building a~oermit meets/~/o~le, codes and regulations.
Applicant ~¢~/~...~~ ...........................................
Sworn to before me this
......... /...nay of ..........
Notary Public ....... ~.~..... County
(stamp ~s~l)
f
vm,'~THE NEW YORK BOARD OF FIRE
rills CERTIFIES THAT
onty the e~ec~ric~l equipment ~ de~crlbed below ~nd lntr~uced h~ ~he app~ant ~m~ on the ah~e ~pticatm. .u~e~ i~ th~ pr~i~ ~
Mrs. Lilllan Qualts, Main gt. Rt.2~, Southstde,
¢ XTURE .......... ~ _... F XTURGS
UT EtS RECEPIAC~S 5WITCHES ~ ~'- ~T ' .....
,,~ ~otors:l-1/2tI.P.
I- ~.F.I,
227 E. 'Breakwater Rd.
Mattituck, N.Y. 11952
~s ce~f~catq 'must not be oJfered
_\
Examined ................. ~ ................ ,
Approved n ~ 1927..
TOWN OF SOUTHOLD ~/x/ ~ ~'~ ~ A
TOWN CLERK'S OFFICE
SOUTHOLD, H.Y. ~U,¢,~,~.,__.- ,~
Apphcation No..,?.,.~:.,.~.....~.....*~,. .....
Permit No ~')- '~ ~- ~-~-
Disapproved
INSTRUCTIONS
a. Th~s application must be completely f, lled ~n by typewriter or. in ink and submitted in triplicate to the Buildi~
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buddings on premises, relationship to adjoimng premises or public streets.
areas, and giving a detailed descriphon of layout ofproperty must be drawn on the diagram which ~s part of this applicatio
c. The work covered by this 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 inspection throughout the work.
e. No budding shall be occupied or used in whole or in 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 issuance of a Building Permit pursuant to tF
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances,
Regulahons, for the construction of buildings, additions or aiterahons, or for removal or demolition, as herein describe.
The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and:
admit authorized inspectors on premises and in buildings for necessary inspections.
(Signatu/e' of applicant, or name, if a corporation)
(Address of applicant)
State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
Name of owner of premises ............. ~.~ .......(~..~...~ ............................................................................................
If apphcant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ............... ~../~.. ..............................
Plumber's License No ...... .~..:~.../......~.. ..................... ~ /~ ~ - ~- ~
Electrician's License No ............................................. ~/'D' '~'~
Other Trade's License No ............................................... ~ '
t e~t and Number .~~...~.... ........ ...................................... ~. ........
MunicipaliW
2. State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction'
Repa,r .............. Removal ............... Demohhor ......... Other Work .~Z~'...~-- ¢/-"--" ................
~ ~ ~4'//~ ~ (Description)
4 Est,mated Cost ¢~/ Oz~.~. ................................ Fee ..~....~... .......... ..?....~..!' ~ ......................................................
(to be pa~d on flhng th~s applicat,on)
5. If dwelhng, number of dwelhng umts ............. Number of dwelhng units on each floor ........................
If garage, number of cars ...... ~ ..................... ~ ..............................................................................................
6 If business, commercial or m~xed occuponc),, spec*fy nature and extent of each type of use ........................
7 DImerssons of ex~stmg structures, ~f any' Front ........................ Rear ................................ Depth ...............
Height ........................ Number of Stones ........................................................................................................
D~mens~ons of same structure with alterations or add,hans Front .................................... Rear ...............
Depth .......................... Height ...................... l'lumb, er of Stones ............... , .........
!
8 Dimensions of ent,re new construct,on' Front ......... ~¢~ ............... Rear ..... ¢~..~.. ............. Depth ..~?.~ .......
iii '~, .~.'..ii.. i E~eth; ~.~..~.. ..........................
He,ght .............. Number of Stones ....................... .-
9 S,ze of Io, Front ...~ .... /.~.42~, Re,~r .' . ........................
10 Date of Purchase ................................................... Nome of Former Owner .......................................................
1 1 Zone or use district ~n which premises are s~tuated ......................................................................
12 Does proposed construchon wolate any zoning Iow, ordinance or regulation: .......................................................
13. W~II lot be regraded "~'~'~__ - .A~.Wlll excess__ .~ --/~fill be removed from premises: ( ) Yes f~ No
14 Nome of Owner of prem~ses/~.~f~.~-~.. ¢~.~.~ldress ~.~7~,¢~_..~(... .......... Phone
Name of Architect ............................... Address ................................ Phone No .....................
Name of Contractor ........................... Address ................................ Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether ex~stmg or proposed, and mdzcate all set-bock d~mensions fror
property hnes Gwe street and block number or description according to deed, and show street names and in&cat
whether interior or corner lot
STATE OF NEW-~O~ //~ ~S S
(l~r~e '~Y'"~"i~J'~ol s,gn,ng .............. contract~ i ..... be,ng duly sworn, deposes and says th4at he ,s the apphcor
homed
He ~s ~he ................................. ~ ...............................................................
(Co~actor, agent, corporate officer, etc )
of sam owner or owners, and ~s duly authorized to Berform or have performed the sa~d work and to make and f~l
this applicohon; that oil statements contained m thru apphcot~on are true to the best of his knowledge and behef, an
tha~ the work wdt be performed m the manner set fo~h m the apphcabon filed therewith
Sworn ~o before me thru
........,---~.~ ....... day of .....~/~Z .. ., 19
N ora W Pub ' ,~¢~.f¢...~~ ....... Coun~ ~~.~~
(Signature of applicably .....................
~RY E DAWSON
NOTARY PUBLIC. State of New Yo~
~o. 52-464372~, Suffolk C~un~
Term Expires A~p-~, 3~ 2~
SUFFOLK COUI~TY DEPART~fE]~T,T OF ~IEALTH SERVICES-
APPROVED
The water suppry & sewage dmposul sys-
tems for th~s res~der~ce w~ll conform to the
standards of the Suffolk Count]/ Deparb
mant of Health Sen/mas,
"W
Unauthor,zed alfer(:hon or addthon to thru survey is a VIOIQhOD of
sechon 7209 of the New York SlaVa £ducat,on Law
Cop~os of tl,~s ~*m,cy rr~p nat bc% ~, ~ ¢ e I-, ~ s'rrwyor's inked
scs, I c, ~l,' ' ~ I ',/i r,:' '~ c' ~ L~o v~d copy.
r.. ct ~' ,, ~ .. ~' ~ ' ". n,n only Io the
here.m.c.r d to ¢.o css~nc=~ o~ the Icud,.g mshtuhon Guaranlees
or ce~hf~cohons ~ro not tronCeroble to odd~tton~[ mshluhons or
subsequent owne~.
SURVEY FOR
M~IRVIN E. gl III&lAN QU~&I_S
AT LAUREL
TOWN OF SOUT~iOLD
SUFFO~LK COUNTY~ N.Y.
SCALE: I'= 50'
APRIL 27, 1977
REFERENCE:
~UARANTEED
L
RIVERHEADt N.. Y.
~/~SL,~onzed alferoh6r~ or addition to this su~ is a violation
~hon 7209 of the New York State Educohon Law.
Cop~s of t~as su~ey meg ncl bearing the land su~eyo~s ~n~ed
Gua~:nt~es or cm.~chc. Z :cl~d he :cq ~ha run only to~
pemen far whom the t~ w' ,: [ rapareJ, end on h~s behalf to
~ n~t transferable to ad&honal mshtut~
0q
All dmtances to wells and ces~poals are
by Iocahon from house owners and field
observahons, since most wells and ce~-
pools are not ws~ble these dimensions
cannot be cerhfmd.
suRvEY FOR
MARVIN E. gl LILLIAN QUALLS
AT LAUREL
TOWN OF SOUT~IOLD
SUFFOLK COUNTY, N.Y.
SCALE: I"~ 50'
APRIL 27'~ 1977
AUG. 15, 1977
REFERENCE'
eUARANTEED TO~
IIIVERHEA-])~. Y.
Office Of
Gordon K. Ahlers, P. li:.
.1