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Home My WebLink About11653-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . zJ~.9.9. Q ..... Date October 15, .. ~.6. .................................... 19 THIS CERTIFIES that the building One family dwell.lng . 800 Laurelwood Dr;ive Laurel, N.Y. Location of Property ~/~ ~ bio ......................................................... s . Street Hamlet County Tax Map No. 1000 Section 1 2 ? .Block 07 ....... Lot 07 H/o Laurelwood Ests 212 23 Subdivision ............................... Flied Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .g.p?.i.l..27 . ,19?2. pursuant to which Building Pennit No. 11653 Z dated ....... ~a..y..17. ~. ............. 19..8.2, 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 dwelling with attached garage. The certificate is issued to Helen C, Munsen ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval ...... 11 -S O- 144 N590958 UNDERWRITERS CERTIFICATE NO .................................................. Plumbers Certification Dated August 25~ 1986 Rev. 1/81 FOII~ N~O~ ~ TOWN OF~ S~U HOL] BUILDING DEPARTME ToWN HALL SOUTNOLD, N~ ~. Perr~ission' is herebyg~anted to: pu~Oant tb application doted ( ~.~...;.~..~{;,[~....; 19...~ ~and ~pprov~ by the Fee $ BUILDING PERAR.~ i (THIS PERMIT MUST BE KEPT 0N TH,~'PREN :ISleS UNTIL F~LL COMPLETION OF THE WORK AUTHORIZED) FORM NO. 6 TOWN OF SOUTHO/D Building Department · Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~a ~ 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. For existing buildings '(prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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. 1. Certificate of occupancy $5.00 2· Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated CoO. $15.00 New C on s t; ~u c % i on ...... Old or Pre-existing Bu ilding $15.00 Date ......... ............ Vacant Land ............. Location of Property ....................................... . . . . .. ... House No. Strae t Hamlet Owner or Owners of Property .. '~.~. ~, .~.~ ..................................... . County Tax Map No 1000 S ction ~ Block Lot ...~... Subdivision ............................... Permit No ........... Date of Permit ........ Health Dept. Approval ... · Filed Map No ........... Lot No .............. .Applicant...~.C..~.~.~ .Labor Dept. Approval ........................ Underwriters Approval ....................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building,and permit meets all applicable codes and regulations. Applicant .............. Rev, I0-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date August 25, 1986 Building Permit No. 11653 ~wner William Munson Plumber Metro Plumbing Z I contains certify that the solder used in less than 2/10 of 1% lead. the water supply system Sworn ro before me /~'+~ day of Notary Public, this ~ ~57~,} ~i Notary Public ~ County BARBARA DIACHUN NOTARY PUBLIC, Store of New Yo~ No. 4635190, Suffolk County Commission Expires October 30, 1968 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORE$C~NT 63 DRYERS 62 SYSTEMS NO. OP E~ET OTHER APPARATUS: Motors ~ 1-1 H.P. 1-G.F.I. 2-~oke De~ec~ors 1-Post Li~e. i G & S ~lectric P.O. ~ox 115 ~ou~hold, N.Y., 11971 Li~.#578 il must not be altered in any manner; return to the office of the Bqard if incorrect nspect0rs may be m Bu,~,.~ .~p~"T~a,.T. m,s cO,-, p~ ~'%~EJ~ .P~ ~ ~E,~, iooio?i THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY [--- es JOHN STREET, NEW YORK, NEW YORK 1OOSB ~, L~el~ ~, ~el, N.Y. in the followlng location; ~ Basement ~ 1st FL ~ 2nd FI. Section Block Lot ~3 ~. ,~,,,.~n~d o, j~ry 18. ~983 and found to be in compliance with th~ requirements of this Board. ~TEVE G. T~ONTAKI~, P,E. Engineering Consultant; Drawer 1440, Middle Rd. Mattituck, N.Y. 11952 (516) 298-4533 June 8, 1982 Mr. E. Hindermann Plans Inspector Building Department Town of Southold Main Road Southold, N. Y. 11971 RE: Building Permit #11653Z. Dear Ed: Enclosed please find three (3) copies of a modified drawing for the referenced project. You will note that the modification is the addition of a screened porch on the rear of the structure. I trust you will make the necessary adjustment in the inspection, and the fee. Yours truly, Steve G. Tsontakis, P.E. SGT/d Encl. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING REMARKS: ] INSULATION DATE INSPECTOR FIELD INS~ECT£ON COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY GODE ADDITIONAL COMMENTS: Builder's Copy ~c)O. 0 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DE?ARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ^ppro,.e 1 .4. Perm" (Building Inspector) APPLICATIOIkI FOR BUILDING PERMIT Application N o Z ~. ~'.~..~X ...... INST RUCTIONS a, This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule. b, Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strc or areas, and giving a detailed description of layout of property must be drawn ou the dia~am which is part oi~'this ap' cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d, Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such per:, shall be kept ou the premises available for inspection throughout the work. e. No buildiug shall be occnpicd or used in whole or in part for any purpose whatever until a Certificate of Occupar shall have been granted by the Building Inspector. APPLICATION' IS HEREBY MADE to the Building Department for th~ issuance of a Building Permit pursuant to Building Zone Ordinance of the Town 'of Southold, Suffolk County, New York, and other applicable Laws, Ordiuances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descrik The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build .... .................................................. , ................... . ..... · Nmne of owner of premises ................................................ .:. , ,J. :!.~i !:.4 ;..;,.,,... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly aothorized officer. (Na ne and title of corporate officer) Builder's License No .... ~.~..~... Plumber's License No ..... .'~-...~. I.?. ............ EI~ctrician's License No.' '"C1~ (~> Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............................................... House Number Street Hamlet County Tax Map No. 1000 Section ~ ~) Block ~.'~ Lot.. -- . Subdivision..~~ 2. State existing use and occupancy of premises and intended us~ and occupancy of proposed construction: a. Existing use and occupancy ................................................................ ' . b. Intended use ~d wtncl,. ..... Alteration .. J. Natureofwork(chcck ' ~appllcaSle): New Building ..... Addition ................ Repair .............. R. o al .............. D~,moht,on .............. Other l,ork ............. .: ~ ~r/¢~ ~ ~ (Description) 4 (to be paid on filing this application) $. If dwelling, number of dwelli~g nnits ....... [ ....... Number of dwelling units on each floor... If garnge number of cars ' ~. If business, commercial or talked 'occupancy, specify ~ature and extent of each type of use .................. 7 Dimension~ ofexistingstmcthres if any: Front ~[~ Rear Depth Height ............... NU ~ber et'Stories ..................................................... Dimensions of same st~cture with alterations or additions: Front Rear Depth .... ~ .............. .... Itm~t ...................... Number of Stories ............. a. Dimensions of entire new construction: Front · .'~.Q. ~... Rear . .~.~ ....... D ..... Height ~[ ~ Ntunber of Stories [ ~ ' 9 Size of lot: Fron* }~ ' ' Rear I ~ ~ Depth 10 Date 6fPnrchase ' Name of Fore, er Owner il. Zone or use dist~ct in ~vhich premises are situated t2. Does proposed construction v:iolate any zoning law, ordinance or regulation: ..... ~ ~ ................ 14. Name of Owner of premises ~'~ ~.~$~ A~t{ .Name of Architect . ,: ...... ~.~...~ ......... . AddressVDc N~ of Contractor C¢-~ ~, 14~t~ Address ................... Phone No. PLOT DIAGRA~ Locate c early ~d distinctly ~1 m ildings, whether existing or proposed, and. indicate ~1 set-back d~ensions fro~ property hnes. Give street and blo~k number or description according to deed, and show street names and indicate wheth~ ~ntehor or corner lot. ~rATE OF NEW YORK, C. ouN'ry S.S .... · ~..~3~.%W.--.....~.~..-C.,~ 9~7~ ~ 7' ~7'. ....... being duly sworn, deposes and say~ that he is the applicmz (Nanie or~ndM~ual si~aing con'/~ct ' above named. ~e is the .................... ~ ................. (Contractor, agent, ........... corporate' ....................................... officer, etc.) of said OWner or own'e~, and is d~dv authorized to perform or have performed the said work and to application; that alt statements con'taiaed in this application are true to Ibc best of his knowledge and belief; and that th W'ork will be performed in the manner set forth h~ the application filed therewith. ~orn to before me this : Motam Public ........ ~ .'.X~ff~ ., ' ...... : 4" ~q' $~ ~t ' ' ' ' (Signature of appliean' Builder's Copy SUPFOLK COUNTY HEALTH DEPARTI~ SINGLE FAMILY DWELLING ONLY ~ H,D. REF. NO .... .//-.5o-//¢ .......... DATE ~ , ~[I~ ?~ I~,~ ........ THE SEWAGE DISPOSAL AND WATER SUPPLY FACILITIES FOR THIS LOCATION HAVE BEEN INSPECTED BY THIS DEPARTMENT AND FOUND TO BE SATISFACTORY,. - 5' , .... ., , .... -- 'Chief of Wastewater Mar/a~ement Section NOTE; I -- MONUMENT 0 -- PIPE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY IZ', 19,~1 AS FILE NO. 5595 Lot 23 ..nsq.ft' .. 6uv /),red ' SURVEY FOR WILLIAM MUNSON LOT NO 2.~, "LAURELWOOD ESTATES, SECT I" AT LAUREL DATE: TOWN OF SOUTHOLD SCALE: SUFFOLK COUNTY, NEW YORK NO, dAN./2, 1~85 I = 50' 82 -821 ..... N R AVENUE YOUNG e YOU~IG~ ALDEN W. YOUNG, PROFESSIONAL ENGINI~ER ' , AND LAND SURVEYOR N.Y.S UCENSE, NO. HOWARD W. YOUNG~ LAND SURE ' : ' ~ ' N.Y.S. LICENSE N0.45893 '4¸ FOLLOWING IN~ECTIONS: ,1. FOUNDATION - ~O FOR POURED CONCRETE 2, ROUGH - F~MING & PLUMBING 3, INSULATION 4, FINAL - CON'STRUCTION MUST ~E COMPL~E FOR C.O. ~LL CONSTRUCTION SHALL THE ~EQUIREMENTS OF THF N, STATE CONSTRUCTION & ENERGY CODES, NOT RES~ONSIBL~ FO~ DESIGN OR CONSTRU~N E~ LE PT ,~__...LE"/AT ! OH Unauthorized alteration or I'ddltion to this document is a ~iolatlon of section 7209 of ~he New York State Education ~apies of this document not be~dng the eng[nee/s inked seal er embossed seal shall not be considered valid copies, STEVE T$ONTAKI$ CONSULTING ENGJNE~=R NYS P£# 428].7 ,k_ rye ,.',Lc. 4 d r Un~uthdrized altmatlon or ,ddition'to this document is ~ ~0 mddition to this document is a violation of section 7209 of the New York Store Educ,tion Copies of this document not be considered valid copies, ,, I .STEVE TSONTAKIS OONSULTING ENGINEER NYS PE:~ 42817 J ,) L~-J. H · ' '. ,. ' : ' i-' ' ,,L: "', law. ' ~ J: ' ' ' ' £ ' ' ' ' :r ' r ~opies of this document OCCUPANCY OR U~ JS UNLAWFUL WlTIi~T CERtiFICATE OF OCCUPANCY 7~5-1802 9 A~ TO 4 P~ ~OR FOLLOWING INSPECTIONS: ¢. FOUNDATION - ~0 REQUIBEB FOR POURED CONCRETE ~. ROUGH - F~MING & pLUMBIN6 3. INSULATION ~. FINAL ~ CONSTRUCTION MU~T BE COMPLETE FOR C, O, ALL CONSTRUCTION SHALL THE REQUIREME~S OF TNE N, ~ATE CONSTRUCTION & ENERC~ CODES. NOT RES~NSIBLE D~IGN OR CON~RU~ION NYS v o~atlon of section 7~Z09 the t~ew york -~, aPrlng the STEVE TSONTAKIS CONSULTING ENGINEER NY$ PE# 42817 j iL- '6 Unauthorized ,Itnrntion ot nddltlon to' this document is t viol.tion of section 72.09 of the New York State Educatie~ Copies of this document nat bearing the eng~neegS inked seal or embossed seal shall not be considered valid copies. d STEVE TSONTAKIS CONSULTING ENGINEER NYS PEtl~ 42817 STEVE T$~T~I$ CONSULTING ENGINEER NYS PE# 42817 Unauthorized alteration or laW· ~opJes of this document not bearing the engineer'S inked Un~fhorlzed alteration or &~lilion to this document is · violation of section 7209 of the New York State Education Copies af this document not , bearing the engineer's inked lell er embossed seal shall not · ' be considered valid copies, ~-1802 9 AM TO 4 ~O~LOWiNG INSPECTIONS: 1. FOUNDATION "~O REQUIRED FOR p~URED CONCRETE 2. ROUGH - F~MING & pLUMBING 3. INSULAT]QN 4, FINAL - CON'STRUCTLON MUST BE CQMPLE~E FOR C. O, · ALL CONSTRUCTION SHALL ME~ THE ~QUIREME~S OF TH~ STAT~ CONSTRUCTION & ~NERGY CODES, NO~ RESPONSIBLE FO~ DESIGN OR CONSTRUCT ON ERROR~ STEVE CONSULTING ftYS PE~: TSONTAKI$ ENGINEER 42817 violation of sect/on 7209 of H~e New York State Education STEVE TSONTAKI$ N¥S PE~ 428]L7 :,1 :i ~amtho~ized alterahon or i~llr~mt fo this document is' · ~aiIt~on of section 7209 of 7 ST:EVE T$ONTA~Ki$ CO,N,$ U LT~ NG 1 _L. % 2 UnB~tborlzed alteratton or iddltion to this document is a ~vlo~atian of section 7209 of NeW Ye~k S~ate Education ~aw. ~pies of this ~acument nM ~ng th~ engineers inked ~I ~r embossed seal ;hIIl ~ot ~ ~midere6 valid coples.~ '1 -j 8ddition to this document is a ,"3 (I ' se~l o~ ~mbos~ se~ sh~!t not OCCU?ANCY OR US~ IS I]NLAWFUL l~)ii~¥ CERTIFICATE OF OCCUPANCY NOTIFY BUILDING D--EPAR?MENT AT 7~5-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ,). FOUNDATION _ TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING ~3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C, O. ~,LL CONSTRUCTION SHALL MEET 'THE REQUIREMENTS GE THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, STEVE T'S 0 NTrA KI S, CON'SULTING ENGINEER NYS P.~'# 728~7 Un~uthorlzecl ~lteration or violation of section 7209 of NY$ PE# 42817 d Unauthorized alteratio~ addition to this document il ~" violation of section 7209 o~ the New York State Educnti~ Taw. Copies of fhls decumenf bea6ng the engineer's inked seal or embossed seal shall b~ considered valid q~i~t STEVE TSONTAKIS C:ONSULTING ENGINEER NYS PE#' 42817 II, ...p Unauthorized alteration e~ addition fo this document is ~ viobtion o{ section 720~ o~ the New York State Educatio~ Copies oF fhb document nor bearing the englneeFs inked seal or emhossed seal shill not be considered valid copies. STEVE TSONTAKiS /CO'N~OLTING r TSONTA;{I$ ENGINEER ~-2817 ~ . __2L~' Unauthorized aiferaflon addition fo this document violatlon of section 7209 of q ,&.~PROVED AS NOTED ,~ NO¥1F¥ ~UILDING 'DEPAR~V~ENT 765-1802 9 AM TO 4 PM FOR T FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRSD FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE f Y. STATE CONSTRUCTION & ENF~mrY CODES, NOT RESPONSfBLE FOR DESIGN OR CONSTRUCTION ERRORS, Unauthorized alteration or addition to this document is a violation af section 7209 of the New York St8te Education Copies of this document not be,ring the engineer's inked se,I or embossed seal sh,II not be considered valid copies. STEVE CONSULTING NYS 42817 i mdditlon to fhis document is a violation of section 1209 of the New York State Education STEVE TSONTAKIS CO N S~LI LTl N G ENGINEER NYS PE~ 42817 4 .T 4 // d .'0 Copies of this document not ~r i`4 . addition to this document is a violation of sechon 1209 of the New York State Education STEV[ TSONTAKIS CONSULTING EN.G NEER NY$ PE# 42817 J'SONT:.' r,"lS CO['~$ULTIAG ENC, INEER iddition to this document is a violation of section 72.09 of the New york State Education law. Copies of this document not bearing the engineeFs inked be considered valid copies. 'r