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Home My WebLink About12439-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No...Z122.8.6 ........ Date ...... ~9.B.r.u..a.r¥. 22 ., 198..4 THIS CERTIFIES that the building r.-.r~w..d.w~.l.l.i.n.g. - ..... Location 405 Wendy Drive Laurel of Property/~$~s~ ~oi ....................... ~r'e~t' ....................... ~/e~ County Tax Map No. 1000 Section 127 .Block 0 B .Lot 019 Subdivision ....... X. ....................... Filed Map No.. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... J..,3.n.e..1.7 ......... 198.3. . pursuant to which Building Permit No. 12439 Z · dated ....... J.u.l.y...2 ~ ............. 198.3.., was issued, and conforms to alt of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... a private one-family dwelling. The certificate is issued to ELLEN H. KELSCH (owner, les.~'o?'"tc~hTitTt] of the aforesaid building. Suffolk County Department of Health Approval .~..~7.s.°.r .~9.2.,..2../.~2/..~.%. Y.°..bR....~:..v.i.~..~.a., V.E. UNDERWRITERS CERTIFICATE NO ......... ~..~.~l.~?.~r. N6 3 4101 . Building Inspector Rev, 1/81 FOF,~ NO. ~ 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) N? 12439 Z Permission is hereby granted to: ........ ~L.L~ ...... ~.-..L:.....k;~z~;J.e.~i .......... ......... i~..~ ........ ~.~ ......................................... .......... L~u~.- I_....,...I~.,...~.., ...................... ~o ........... . .~. Q ~ ~. . ;~ . .~. ~. .~.~. . . . . . ~ . . . . .~. . .~. . ~. . . .~. . .~`~.~.l . L~ ~. ~ . . ~. .~.`~L L.~ . ~. . .~-:t ............. County Tax Map No. 1000 Section ....... J..~....~., ..... Block ...... ,..O~,..Z .....Lot No ..... .~..~,..C/, ........ pursuant to application dated ...... ~.~....i~...~_.,.....l...~. ..................... , 19.2~, and approved by the Building Inspector. Fee $..L.[..~,~..~. PERMIT INCLUDES APPROVAL TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY REGRADING LOT ~ DRIVEWAY CONSTRUCTION ,/'__ CESSPOOL CONSTRUCTION ~/' CELLAR CONSTRUCTION ~ OTHER Rev. 6/30/80 TOWN OF $OUTHOLD , Building Depn~mnnt Town Clerks Office $ou~hoid, H. Y. 11971 APPLIGATION FOR GERTIFIGATE OF OCCUPANCY instructions A, This application must be filled in typewriter OR ink, and submitted in DUPLICATE 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 disp0sol--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, /V~ultiple Residences and similar buildings and instalJatlons, a certificate of Code compJJence from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where ~applicoble. B. For existing buildings (prior to April 19S7), Non-conforming uses, or buildings and "pre-existing" ~and uses: 1. Accurate survey.of property showing all property lines, streets, building~s 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 formation required to prepare a certificate. C. Fees: 1. Certiflcote of occupancy $5.00 2. Certificate of occupancy on pre-existing dwel)ing or land use $5.00 3. Copy of certificate of occupancy $1.00 New Bt~ilding ....../........ Addition ................ Old or Pre-existing Building ................ Vacant Land ..~. Subdivision ................................................................ Lot No....' ......... Block No ............. House No ............. Permit No,/e~.~,.~.,~., ..... Date Of Permit .,'7.,/~-../.~'..-g.,Applioant .... /;..?.~K.~......~.,.../.~'~./...~..~s ....................... Health Dept. Approval ............................................ Lobar Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FinoJ Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and~Dermit meets all applicable c, odes and regulations. · Sworn to before me this /'~/~, '~ ~ ~.....~.,...~ ada~'......~.~.~~.t../..,~?/ (stamp or seal) ~ ~ ~ ELIZABETH ANti NEVILLE looo258 THE NEW YORK BOARD OF FIRE UNDERWRITERS rt~ BUREAU OF ELECTRICITY ~- 8E JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equtp,nent as described below and introdoced by the applicant ~a~ned on the above application nu~nber in the premises of ~ Gruhill Cons~:., N/S Wendy Dr. 300' N/O Peconic Bay Blvd., Laurel, N.Y. i~ the foIlowlng Iocation; ~ Basement f~ 1st FI. ~.~ ~.,.i.od o. F ab ruary 10, 1984 24 47 28 DRYE~ FURNACE MOTORS ~ 2nd Fi. , Section Block Lot and found to be in compliance with the r~quiremet~ts of this Board. RANGES COOKiNG DECKS : OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTi-OUTLET DIMMERS SYSTEMS NO. OF FEET S E R OTHER ~PARATUS: *Future Appliance Feeder$:l,-2~14, 1-2#12, a W,G, 400FNEUTEAbS A,W-G- OF HI.LEG OF NEUTRAL 1-3#8. : Electrical Ventures P. O. Box 151 Center Moriches, N.Y., 1.1934 This certificate m?st not be altered in any rnanner~ return to the office of the Board COPY FOR BUILDING DEPARTMENT, li may be identified by thelr credentials. MANNER, FIELD INSPECTION COMMENTS FOUNDATION ( 1 st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 June 17, 1953 TEL. 765-1802 Miss. Ilona Teich Re: Ellen H. Kelsoh Proposed new dwelling Dear Miss. Teich: On June 17, 198B, we received an application from Mrs. Kelsch to construct a one-family dwelling on premises located on Wendy Drive, Laurel, (County Tax # 1000-127-08-019). The application, plans~ and required permits from other agencies involved have been reviewed and found to be in order. Due to the back log of building permit appliations, we were unable to issue a permit when applied for, however, a verbal approval was given to start construction. Their appli- cation has been slated for issuance, and when their's is reached on our list the permit will be issued. Y Edward F. Hinderman Building & Housing Inspector EFH:ec 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: FINAL [ ] FOUNDATION 2ND [ ] INSuLATIoN [ ] FRAMING FINAL REMARKS: DATE ~INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [] FOUNDATION 1ST [~ ROUGH PLBG. ~'~ [ ] FOUNDATION 2ND ~. INSULATION ,~'~ FRAMING REMARKS: FINAL INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Disapproved a/c ................ .~. · .- ....... ~ ...... ~ ~ / ,~[t7 (Building Inspector) ~ ~ APPLICATION FOR BUILDING PERMIT / a. ~s application~ mustus be comple~y filled' ~n' by ~pewr~ter .... or mmk and submitted to the Building Inspector, with 3 sets of plans, accurate plot pl~ to scale. Fee accord~g to schedule. b. Plot pl~ showing location of lot and of build~gs on premises, mlahonship to adjoining premises or public streets or areas, and giv~g a det~led description of layout of property must be drawn on the di~mm which is pa~ of this app,- cation. c. The work covered by t~s application may not be commenced before issu~ce of Bu~d~g Permit. d. Upon approval of this application, the B~lding Inspector w~l issued a Bulldog Pemit to the applic~t. Such pemit sh~l be kept on the premises ava~able for ~spection ~rou~out the work~ e. No bufld~g shall be occupied or used in whole or in p~ for any purpose whatever until a Ce~ificate of Occup~cy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to ~e Build~g Dep~tment for the issuance of a Building Pemi~ pursuant to the B~lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordin~ces or Regulations, for the construction of ~ldings, additions or alterations, or for removal or demolition, as here~ described. The applicant agrees to comply with all app~cable laws, ordinances, building code, housing code, and regffiotion~, and to admit authorized inspectom on premises ~d ~ build~g for necessa~ inspections. (Signature 0f applicant, or name, if a corporation) ..... (Mailing address of applicafit) X~ ~ State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. PERMIT INCLUDES APPROVAL TO REMOVE EXCESS FILL FROM ABOVE pREMiSES BY (Name and title of corporate officer) Builder's License No. ~ ~.q~. ~.l. il.. C~. Plumber's License No....-~.1.O....~..~...~.'/..~.<-~..'"~.~.r/ Electrician's License No. It u Other Trade's License No ...................... REGRAD NG LOT DRIVEWAY CONSTRUCTION CESSPOOL CONSTRUCTION CELLAR CONSTRUCTION OTHER Location of land on which proposed work will be done. House Number Street | Hamlet County Tax Map No. 1000 Section .... 1t. (~.'7 ....... Block ...... x0.~. ....... Lot .... .~...,/..~ .... ( .... Subdivision ..................................... Filed Map No. " Lot . x/ .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constr~ction: a. Existing use and occupancy..... V~.~ ~;.C~. ~/¢~.'~ ................................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........... R psi ~al Demolitio Other W rk e r .............. Remo ..... , ........ n .............. o .,.,.,..,... ....... (De dpti 9 F '-.: on) 4. Estimated Cost,.,.,, : ....,... ................ ee ........................... (to be paid on filing this application) 5. If dwelling number of dwelling ~nits.....,.........\ Number of dwelling units on each floor ................ If garage, number of cars ...~. ~ .................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. D/mensions of existing strueture~, if any: Front ............... Rear .............. Depth ............... Height ...............Number of Stories...-: m ................................................ D/mensions 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 of Stories . .~..~.~ o ................................................. 9. Sizeoflot: Front 5~t¢/.0¢9 ' Rear ~l~i~5}~t~ Denth t/ 10. Date of Purchase g~q~,~q-~..c.~.~.':,~..-~..~.\)t .(o... Na~e of Former Owner .-x.~..e ~'~-k-'~',.q~-...-~....~ .~.~..~.e~\~c~ 11. Zone or use district in which premises are situated /iq~.r: ,~, ........................................ 12. Does proposed constructio~ violate any zoning law, ordinance or regulation: .~>~. .................. ~ · ....... · ~ ~ % ; . . 13. Will lot be regraded ...f ..... : ................... Will excess fill be removed from premises: (,Yes'~ No 14. Name of Owner of premmes ; o ~. ,~ r~ - Address Phone No ' Name of Architect .......... : ................. Address ................... Phone No ................ Name of Contractor . .~r~k',~.\... r~.~.%..Q~.*.~.. Address . .~.k'~a~..~. ~. ~ >/ . Phone No. PLOT DIAG~M Locate clealy ~d dis~ctly al ibufld~gs, whe~er existing or proposed, and, indicate ~1 set-baak d~enmons from property ~nes. Give street ~d block number or desc~ption accord~g to deed, ~d show street nines and ~dicate whether interior or corner lot. : STATE.OF NECK, ! 'S S ~a~e;fdndividu'~ig~ing c~ntrac0) . being duly sworn, deposes and says that he is the applicant above named. 3e is the ...................... :' '~t'r~;t~, 'corporate ' '~'~-~'--~ ~'officer, etc.) . ~~*~;t~ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this :day of (Signature of applicant) ~ ~ ~ ~ TEST HOLE . ~ ~ ,~ '~' "It sh~ ~ not~ that since th:s ~ ~S.50 ~ property ~s located m an agricultural . ~' ~ ~ area, the possibility exists that the oO5¢,W~~0~1~~ weter supply may contmn trace p¢O omounts of pesticides ana/o~ ~OLX gOU~ DEP~T~NT OF H~TH S~FOLg COUNTY, NE~ ~OR~ ~0. ~9-~64 HGUARANTEES INDICATED HEREON ~ALL RUN ~LY ~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT THE ~RSON FOR WHOM THE $U~EY IS PREPARED r~ / ~ OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTI~S OR SUBSEQUENT ~ .... a ~¢ "*'¢" ~*~-*~*~ YOUNG ~ YOUNG ~OSTRANDERAVENUE RIVERHEAD~ NEW YORK ALDEN W.YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR NY.S. UCENSE NO. 12845 HOWARO W. YOUNG~ LAND SURVEYOR arty Alex°nd*r F,' . , . or fOrm ~ , ~ no~ ~ ~ ~ · I ~ J ~4 , ~. ~ ~ ~ TEST HOLE · · TOP SOIL oON tO SU~O~ C.OU~TY H~LTH DEPARTMENT SURVEY FOR ~ FEB.1 5 1984 m ~. R~. ¢~~ PAUL KELSCH ha ~e'~n d't~mom,;~ a~d w~ter ~u~ly AT LAUREL OATE: FEB, 13, 1984 aei[Itle.; ('c,r t!'M t~ lo(:~t, J oa have ~een ~WN OF SOUTHOLD SCALE: 1"=40' ,]¢part~ ~ fo~ suFFOLK COUNTY, NEW YORK NO. 84- nspected bv t - ' - ~COPIES ~ THIS SURVEY NOT SEARING THE LANO ~V~OO~ SURVE~R~S INKED SEAL OR EMSOSSED SEAL SHALL ~' NOT BE CONSIDERED TO 8EA VALID TRUE COPY ~CUARANTEE5 INDICTED HEREON ~ALL RUN ~LY ~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT I' THE ~RSON FOR WHOM THE $U~EY IS PREPARED AND ~ HIS BEHALF ~ THE TITLE C~P~Y~ GOV~N- N NEAREST WATER ~AIN__MI. ~ N SOURCE OF WATEr, ~I~TE ~PUBLIC __ MENTAL AGENCY AND LENDING INSTITUTION LISTED ' ~.~ H S~F CO. TAX MAP ~T/,oo SECTION /z7 B~CK ~ LOT /? HEREON~ AND TO ~E ASSIGNEES OF THE LENDING ~THE~ ARE ~ DWELLI~ WITHIN IOO FEET OF THIS PROPERTY INSTITUTI~, GUARANTEES ARE ~T T~SFERABLE TO ADDITIONAL tNSTITUTI~S OR SUBSEQUENT OTHER THAN ~HOSE SHOWN HEREON. OWNERS N THE WATER SUP~Y AND SEWAGE OIS~AL SYSTEM F~ THIS R~IDE~ N DISTANCES SHOWN HE~EON FROM PROPERTY LINES WILL C~FORM TO THE STAN~RDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING ETRUCTURES ARE FOR A SPECIFIC OFHEALTH S~VICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH A~LIC~T, PROPERTY LINES OR FOR THE ERECTION ~ FENCES AOORESS YOUNG YOUNG I= MONUMENT ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR NY.S. UCENSE NO. ~2845 HOWARD W. YOUNG~ LANO SURVEYOR ~ ~ L~T~ ~ W~L(W),SEPTIC TANK(ST)a CESS~OLS(CP) SH~N HERE~ N.Y.S. LICENSE NO. 4589~ ARE FR~ FIELD ~SE~AT~ONS ~D OR DATA OBTAINED F~OM OTHERS TDY POST E0494 copper tubing is used for water distributing system~ piping sha[[ be o~ ~/peS K or L []l--l,~tll Il . · OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Ill Ill I: LOOI:;Z l:='L~ lq. '"'-6&-" 5'ECT~O h4 [or water distributing syslemi piping shall be of types K or L only 4" MOT TO ~CA!j~ No¸ COLONIAL' For ~UIqlLL COMST.~COR'P~_..~ ~: L F- v ~,X ~ o N S ,~ / 7 2 =0