The URL can be used to link to this page

Home My WebLink About10623-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z I0270 Date November 26, 1980 THIS CERTIFIES that the building ............................................... Location of Property 3540 Gt. Peconic .B.ay. Blvd. Laurel, N.Y. h3~sb ~o ................... 's'~/e3i ...................... h3,~i~i County Tax Map No. 1000 Section .... ~.~.8 .....Block ...6 ............ Lot.. 5. ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...fl..~?~.e.m..b.e.r, .2.?: .., 197.9. pursuant to Much Budding Permit No...l.Q6..2~..g. ........... dated ...A.p..r.i.1..8. ................. 19.8..0, 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 Private Dwelling The certificate is issued to Ralph Dickinson ..................... ?o¥.'o'r~ .................... of the aforesaid building. Suffolk County Department of Health Approval ....1,.1./.1.8../.8.0..9, .o.b.e.r.~.. ?.,..V..l.l.l.a...9.--.S.0.-7.97. U DE WmXE S CE XFICA E NO. E .5. 99 .7.? ....................................... Building Inspector Rev 4/7g TOWN OF 50UTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 10623 Permission is hereby granted to: ~ ~ ........ ~..~/..~..~..~- c~....-. ............. ,o ....~.u~.~...,~.~...c...T.........~.~.~.....~,~.,~...z'~.rT......::~,x~/lz,~.~ ............... ~.. ......... ,~:z.~t./ ~..~.~,~.~o..~. .......... ~ .......................... : ................ o, prem,ses ,oco,ed ot~./..~ ....... .~.~..~,,~.~..~.;,,.?....~4'~ .............................. ............................. Zxa.~.~c~/-,,...x~..,~... Building Inspector. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcation 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 ail 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 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. 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 New Building .............. OJd, gr Pre-existing Building ............ Vacant Land ............. Location of Property .~.. ~/~....d~.~q .~.~..../.~..~ ./7.//. ~: .~..,Z.~..~.~. ?..~..~.%...~/..~.~?.../?~./.. ~./~?..~ Ho~se No. Street Nam/et Owner or Owners of Property . ,I~)' .~,C /~, ) ~)~...O../~J..' ......... County Tax Map No. 1000 Section .... ].~ ~ ....... Block ~ Lot ~ Subdiwsion ................................. Fded Map No ........... Lot No .............. PermitNo. J.°?.',z'.~,A, Date of Permit ..... Applicant .~:,~.t~.,A..~ .-~..~.~.../??...././,V',.~,.., Health Dept. Approval.. J!/./.~..l.~. ?. :.. ....... Labor Dept. Approval ................. Underwriters Approval .... ////z./~' O Planning Board Approval Request for Temporarv Certificate ..................... Final Certificate ................ ...... Fee Submitted $ ........ .~.~ .~ .0. .............. Construction on above described building and permit meets all applicable codes and regulations. ~0 I~ App,icant ..4. ......° ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 ~ate Royster 14~£980 ~ppllc-tlo,~o. on¢'~le 09~1 N THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application na tuber in the premises of Dr. [~lph Dick~zon~f~2va~e P~l. 3ounl~y~ }~d,, 300 * a/o P~onic Bay- Bl~d. ,!mural ~t,,e/otlo~in~oc~.o,. ~ "~,,~nt ~ '~t ~,. ~ 2,,d ~l. Section ~lo~ was examined on ~OV~..~I~., 12 ~1~80 and~foundtobeiacompliancewiththerequirementsofthtsBoard. FIXTURE FIXTURES RANGES OVENS FAN~ OUTLETS FLUOFtE$CEN¥ 42, DRYERS SYSTEMS E OTHER APPARATUS Mot~=e ~ 1 ~F Paneltx~m:d~; 1~26~. ZO0~ 1-4.~ H.W.H, AWG OF HI L~G NO~F NEUTRALS AWG OF NEUTRAL 4/o Joaeph D~ lWaz, z~i 227 Waw~rly Ave, ~edfox~l~N,Y, 11763 Th,s certificate must not be altered ~n any manner return to the off,ce of the Bo6rd if FOIl FOUNDATION (~st) FOUNDATION 2. ROUGH FRAME & PLUMBING (e~) INSULATION PER N.Y. STATE ENERGY co~ FINAL ADDITIONAL COMMENTS: Mr. william wickham, Attorney tMain ,,Road 'Mattituck, L.I. ~ New York 1~952 Dear Sir; The Planning Board, after considerable ~lscussion, approved t~e revised map~of lan~ of meter warner, south s~d~ of Peconic Bay Blvd., Laurel, New Yo~k, ~ted May 1~, 1968 as prepared by Otto Van ~yl and Son Engineers. We have this In our recor~ as minor subdivision % 3. Henry ~ois~, Vice C~airman Sou~old Town Planning Board FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL File No ................................................................. Date PLEASE TAKE NOTICE that your application dated ...................................................................... 5treet p ................................................................................. Lot ................................................ is returned herewith and disapproved on the follow~ng grounds I Building Inspector FOBM[ ~TO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL File No ................................................................. Date ........................................................ , ....... ................................................................................ ' ~P7 g~ P~E TAKE NOTICE t~at your applicati~ dated .................................................... , 19 .... For permit to construct ...................................... ~t ~he premises I~med ~t .................................... ................................... ..~ .............................. Street / ~ Map ................................... ~.~ .......................................... Lot ................................................ is mmrn~d h~r~w~h ~nd d~so~roved on ~he ~ollow~n~ ~rounds ............................................................ Building Inspector Southold, N.Y. 11971 HENleY E RAYNOR. Jr.. Ch~irr~, FEEDERICK E. GORDON JAMES WALL BENNETT ORLOWSK[. Jr. GEORGE RITCHIE LATHAM, Jr. October 31, 1979 TELEPHONE 765-193S Board of Appeals Town of Southold Southold, New York 11971 Gentlemen: I have been directed to inform you as follows regardirgthe Minor Subdivision ~3 of Peter Warren. As far as the Southold Town Planning Board can determine, this is an accepted subdivision by the Town. Therefore, any changes of the right-of-way within the subdivision comes under the jurisdiction of the Planning Board. The Planning Board informed the Building Inspector in letter of October ll, 1979, that it approved the revision of the right-of-way. As it is within a subdivision, the Planning Board Inspector will make recommendations as to the improvement of the right-of-way. Yours truly, Copy to building inspectors/ Muriel Tolman, Secretary Southold Town Planning Board FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ?~, ~.~ SOUTHOLD, N.Y. 11971 Examined .~ ............. ,19 Approved ..... l .Permit No. Disapproved a/c ........ ~ ~....' '.- ................. ? .~ · - (B~,ilding Inspector) INSTRUCTIONS Application No../.fi?.: .(.-.~.. ....... Date ..... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property inust be drawn on the diagram which is part of this appli- cation. c. The work covered by this appJ~cation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will 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 applicable 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... /g...o../.+.~ ?..~.. ~. .................................................... Name of owner of premises ... t~..~. ./7 ./~....~.*.... ~../~ .~.. ,~..~.".'f; .&..A/. ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate offic[r) Builder's License No ...... ./. ~. ................ Plmnber's License No ......................... Electrician's License No ...................... Other Trade's License No ...................... I. Location of land on which proposed w~gj'k will be done ..................................... .. ........... · ............. y.. ........... ....... House Number Street Hamlet County Tax Map No. 1000 Section ./.'~..~. .......... Block .~ ............... Lot...--.~..~. ........... Subdivision .................................... Filed Map No ............... Lot ............... (Name) 2. State cresting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ./~./~.('../~./?. ~. ...................................................... b. Intended use and occupancy , ~. ./~..~ .~/7 ..............................~./.. 3. Nature of work (check which applicable): New Buildi~-,--~... Addition .......... Alteranon .......... Repair .............. Removal .......... :, . .~-~'~Demolition .....; ......... Other Work .......... . ..... : (Description) (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage, number of cars .. ~. ................................................................ 6. If business, commercial or mixejd occupancy, specify nature and extent of each type of use ........ 7. Dimensions of existing structures, if any: Front .... /.~. / ........ Rear ..... ./.o../ .....'l~;;t'h' i i~.' ~ i ...... t/.~ ~. N mb fSt t/. ' Height ........... u er o ories ................................................. Dimensions 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 ........................................................ 9. Size of lot: Front .......... i ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... : ................... Name of Former Owner P.,..~. t~..~/%.c.4) ................ 11. Zone or use district in which plemises are situated.., tq: ............................................... 12. Does proposed constructmn wolate any zomng law, ordinance or regulation: ................................ 13. Will lot be regraded ...~. o..., i .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ]~ ~.. ~).J.~./~. I .)4~ .~..~.... Address ................... Phone No ................ Name of Architect ......... i' '~. .............. Address.. Z/~ X V.~. ~/i ')fi'~-~" Phone No. Name of Contractor t0. :t~../.tn. 4 ?..,~?.~..~J ..... Address Phone No..~'.~. 6'. ?.~fl.?..~... 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 whether interior or corner lot. STARE OF NEW xi~])RK~, ~.,~ (Name of individual signing contract) above named. .eisthe .............. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dOly authorized to perform or have performed the said work and to make and file this application; that all statements cogtalned 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 ~ .... '. ' 19 ~..~ ~ bf ........ ,. .day ............. Public, .... !. ~IQT~R' §2-81258§0, (Sig~ure of applicant) [: ' TiTLF~ tZgOZ$4 LAU~[L ~O~VN of ~OUTNOt~, : ~ ~ SEAL SHALL NOT BE CONSiDeRED ~ ..... .t_ ............................................................ ~' ........................................... , _,:. ~ ,x ........................................ ~-:7- ' ' .......... ~ .... . . ~ _ --c:~:--~ ......... : .............. ~- "-~"~ ~~ ~~~ . '_ ~...' .',~~ ' ' ~ K' L~> ' .' ~~ ~~~~ ~ . '~ ~ ~,.. ,. ~,~.~ . ~. ~ ~ ~ -, ~ ~. ~ , . . ~ . ~ ., '. [ ~ d , ~ ? 4~,) ~ ~~, ~ :: . ~; L , , . . , x: r~ ,,. / ~.,. : L z~-O ' ~ 1~8-~ ~ 8~:~0 ~,~e~¢C~/~_~ ~ / ~ ~-TF"~'--~- l-- ~ ' , [ u~ -- ' - - .... ,.~,~..~ ~.: ~ ~4~ ~1' ~' '. ~" ~ ~ ~ ~ d~Y co~~ AP~pVED AS NOTED 23 :H" ~~PC.~,'A~ ~"~ ~ALL Y co~,~ , T.,z,& I,V ~ .~ ,, , F "C /4ROUA/~ A~ .I .4 N. ..4 //'_,,I." i 7:0" T 'b 0 ,OZ _ ~c,~z~ .' k~';/-0"_ Architect and Engineer's Seal and Signature only good for initial use of d~awmg. Changes a!terations or re- Visions tn or re.use of drawings vnth. out Architect ot Engineer's Approval roms Seat and Signature on same. ~'Alteration of this Document except by an Architect or Licensed Profes. sional Eh§inner, is illegal". Section 7209, Subdivision 2, N.Y. State Education Law. -~ OU/vD~ T/O A/ ,oZ,~/V /'//o~: ,,vc& fo, ,,DO. xPA z ,o/-/ /D / C /C ~ /V. r O /V Z ,4 (.,',~¢ z, AZ.)'/'. ALBERT A. SACCO A,¢ GORDON K. AHLER. S AaCHI'~ECTS & ENGINEERZ, ~i~1655 M'~IN ~.OAD SOUTHOLD, N. Y. 11q71