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Home My WebLink About10669-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Occupancy ~o. Zl1617 Date .../~1~ .r./.1.. 1 ~ ..................... 19 .8.3. THIS CERTIFIES that the building ................................................ Location of Property 2530 Great Peconic Bay Blvd. Laurel County Tax Map No. 1000 Section ...~.2.8. ...... Block .0..6 ............ Lot 14 & 15 Minor Minor Subdivision..9.~..~r..i.d.g.e.n. ................. Pited-~atrNo. 2~6 .LotNo. 3 conforms substantially to the Application for Building Permit heretofore fried in this office dated April 28 10669 Z ..................... , 198..0. pursuant to which Bracing Permit No ...................... dated .... ~a..y..1.2. ................. 198.0.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy mr w~ch tls ceRificate ~ issued is ......... a one-family The certificate is issued to ECCLE$ ?RIDGEN ............ (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval .].0r.S.0. v.2.4.,..3../.~.6./.8..3.,..R. 9.b.~.'...A:..V./..l~.,. ?.E. Planning Board, of-Way is to be tions. UNDERWR~ERS CERTIFICATE NO ......... ~. ~.1.~ ~.8 9 ................................ REGARDING ACCESS: The existing driveway use was approved by the April 27, 1981 until a lot is sold, then the Right- constructed along the easterly side per epecifica- ,Building Inspector Rev. 1/81 FORM NO. 2 TO~N OF $OGT~OLD BUILDinG DEP, AR'I'~NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERARIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED) N? 10669 Z Permission is hereby granted to: .... ~/~.~.~.~....~,....~/. o.r. ~.~. O..~. ...... ... ~,~z,~....,~.~ ~..~ .~..~/,2.;,..~...~..... to ~ ~~ ~~ ~.~/~' ~ ............... .... ~~....zz~=~..-~~~ ~ ~_~ ~ ~_ ~ ~ ............................................................. .................................................................................................................7 pursuant to application dated .~p.~.~(--.....~..~ ............ , lC~., and approved by the Building Inspector. Fee $..~.~..::~.... ('} /// FORM NO. 6 TOWN OF SOUTHOLD Bui~dlng Deparrmen~ Town Hall $outhoid, N.Y. 11@71 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcat[on must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tot ,,v~th the following; for new buddings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or to~ograohic 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 Llnderwritet% 4. Commercial buildings, industrial buddings, Multiple Residences and similar ,buildings and installa- tions, a certdicate of Code compliance from the Architect or Engineer responsible for the building. 5. Submi~ Planning Board approval of completed site plan requirements where aopl cable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildines and "pre-existing" land uses: 1. Accurate survey of peoperty showing all prooerty 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 buildines 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 ~/r land us~ '¢>/b 5 00 3. Copy of certificate of occupancy $1.00 / Date ..... , .. New Building . . .;,vsV.,I~ ..... Old or Pre-ex sting Bud ng(X) /Vacant Land - ~v ~ ........ ~ . . ........... Locat,on of Property ~,~..-~-x.~\C,~ c~>.¢5~./ ~L~. LfMJ~-~L HousoNo. ' ·'' 'r ..~r. L .......... ~ .... "~-~'. ......... Owner or Owners of Property ........... _ ~ountyTacMapNo. 1000Section ..~.; ...... Block O~ . Lot t¢~ [~ . ........ · ............ - .... .... . Health Dept. Approval ....................... Lgbor Dept. Approval ...................... ,.. Unde~riters Approval .......... ~t ~ ......... Planning ~oard Approval .................. Request for Temporary Certificate ..................... Final Certificate ..... Fee Submitted S ....................... Construction on above escr~bed buitdmg a~rm~t mee~s ail apo~cabl~o~es and regulations. .:;'f'T_ ....'~'.:: ' - .... ' : ' ' - THE NEW YORK BOARD OE FIRE UNDERWRITERS BUREAU OF ELECTRIGITy 85 JOHN STREET, NEW YORK, NEW ,Y~.~RK 1OO:38 only the electrical equipment as described below and introduced by the applicant natured on the above application number in the preznises of in the following location; ~ Base~eat FI. ~ 2nd Fl. ~0 4~[ ~:F~,, Section Block Lot and found to be tn compltance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 45 43 DRYERS SYSTEMS NO. OF FEET OTMER APPARATUS i-10 ~s~ (~'{~e disposal, COND A W O NO OF HI LEG PER ~' 1 4/o Dett~:r ~lec. Co,, Pd.we~:he~i, ,N.Y, 11901 This cerhflcate must not be altered in any manner return to the office of the Board ,if COP~F~OR Bq!/~ING~ THIS COPY OF lic.643-E C A W O NO OF NEUTRALS A W O OF Hi-LEG OF NEUTRAL J. 4t0 OENEI~AL ~r MANAGER may be idenhfied by their credenhals. ANY MANNER. PI TO D HENRY E RAYNOR. ,Ir,, Chairman JAMES WALL BENNETT ORLOWSKI, Jr GEORGE RITCHIE LATHAM. Jr. William F. Mullen, Jr. Southold, N.Y. 11971 May 1, 1981 TELEPHONE 765- 1938 Mr. David Horton Kouros Road New Suffolk, New York 11956 Dear Mr. Horton: The following action was taken by the Southold Town Planning Board at a regular meeting held April 27, 1981. RESOLVED to approve the one-way loop driveway which exists on the property of Hilary Pridgen for access to both residences on the property at the present time. If any lot is sold a right- of-way is to be constructed on the easterly side of the premises in accordance with specifications of the Planning Board Inspector report #169. Both accesses are to be shown on the minor subdivision map. When I have received the above maps, this matter 6an proceed. Yours truly, HENRY_E. RAYNOR, JR.~ cHAIRMAN SOUTHOLD TOWN PLANNING-BOARD By Muriel Tolman, Secretary INSPECTION REPORT TO: Henry E. Raynor, Jr., Chairman Southold Town Flanning Board FROM: John W. Davis No. 169 Date: April 20, 1981 Re: PRIDG~N PROPF~q?f (Peconic Bay Boulevard) R.O.W. Construction' 1. Present access fo Lot No. 3 consists of a one-way looping driveway lO ft. ~in width that meanders through Lots No. i and No. 2. to the new house on Lot No. 3. I ossume it was used for entrance and exit. It consists of bard- packed original ground. Could see no evidence of other material in this driveway. However, it appears to have handled house building equipment. If it is th be used for any future purpose, I would recommend upgrading with the addition of 6" of bankn~u with 20% gravel. 2. Proposed 25 ft. R.O.W. along easterly property line: ~his R.O.W. would require Tree removal both large and small, including stumps throughout. 'ibpsoil would ~have to be removed for e driveway width of say 15 ft. Also~ some grading will be necessary; the ground is higher at Peconic Bay Boulevard. After grading would recommend a 6" course of bank run containing 20% of gravel. Could see no drainage problem along the east property line. 3. Proposed R.O.W. along westerly property line: ~he same existing conditions as to trees, topsoil, etc.~ as noted for the easterly R.O.W. are found here. I would not recommend this R.O.W. due to a low area in the northwest corner of Lot No. I. Fill would be re- quired to meet Peconic Bay Boulevard and might create a drainage problem. FOUNDATION FOUtkBATION (2nd) e ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CO E FINAL ~- - ' -- ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Application No:~ ...... Disapproved a/c ...... ~-. - . :~. ............ (Build~ng Inspector) APPLICATION FOR BUILDING PERi¥11T Date .......... C....2y..~: 19. INSTRUCTIONS a. This application must be completely filled in by typewriter or ~n 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 must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application 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, bltilding code, housin, g code, and regulations, and to admit authorized inspectors on premises and in buildings for necessar~spe,c,t~9/as.//~ ///' /, o~ ~0 (~ignatul~oi~ ~pplicant, or name, if a corporation) ~ (Mailing address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...C.w.. ..................................................... Name of owner of premises, i(l~/~ .~..~. ~1~$ · · . ~.~'.C. E · ~ ¢*.~. · .~.~.F¢. · D.E~.~'J,--~ .................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. '.~.} t~.e/l~, t-~..(. O/-;~a. TT. ..... Plumber's License No. ~ )~.'~UT~t¢ ~- ~4~f. yb'~ .~Cr .~.c...~ ~ .... Electrician's License No. ~UC~ ~ ~ ~ Other Trade's License No ...................... 1. Location of lan. d on which proposed work will be done ................................................. ~/~ "= "° ....... '-~"~' ~ ""-~ ~t ~'~t House Number r Hamlet County Tax Map No. 1000 Section .... i~ .-.~.'.<~ ........ Block ......... .c?. (.~. .... Lot..(.~..~..t. 5~ ....... Subdivision ....... .~... ;~ .". .................... Filed Map No ........ ~. ...... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .O/,d~. t~'~//~./~.c~....~....~'~.///~A~.'~:7 ~, ............................... b. Intended use and occupancy ~ ]./~..C, .'U.'..-./,..,.~. Q'~ (~.~ .~?. ~.. t~/../'~~. ...... 3. Nature of work (check which applicable): New Building ....~. .... Addition .......... Alteration .......... Repair .............. Removal .............: Demolition .............. Other Work ;~. ............. os~.<~.~' , ' ~ /' - - I ~ (Description) 4. EstimatedC ~O.~ ..... ~ ~ ' Fee ~ ~[ ~ ...... · ~ .................... ~L.> ........ .' 1" ' "" I (to be p~d on filing th~s app ~cat~on) 5. If dwelling, number of dwelling Cnits .... ~ .......... Number of dwelling units on each floor ................ If garage number of cars ' . ........... ' ............................ 6. If business, commercial or mixeO occupancy, specify nature and extent of.each type of use ..................... 7. Dimensions of ex~st~ng stmctures,~f Front ~ Rear ... Depth .... any: ~.~V ............................ Height ............... Number of Stories ........................................................, Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... ~.. HeiSt .... ; .....D [ ......... Number of Stories ...................... 8. Dimensions of entire new construction: Front ~. JT. [.~P~. Rear ............... Depth ............... HeiSt ............... Number of Stories ........................................................ 9. Size of lot: Front~q..~, ......... Rear ......... . ............. Depth ...................... 10. Date of Purchase ........... , ................... Name of Fomer Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does pmposed construction viohte any zoning law, ordinance or regulation: ...~O ..................... 13. Will lot be regraded ......... ................... Will excess fill be removed from premises: Yes 14. Nme of Owner of premises ..................... Address ................... Phone No ................ Nme of Architect .......................... Address .. .................. Phone No ................ Nme of Contractor .................. ~ ........ Address. ........ Ph0n o'~ ........... PLOT DIAGRAM Locate clearly and distinctly ~2 bulldogs, whether existing or proposed, ~d~ indicate all set-back dimensions from prOpe~y lines. Give street and block.number or description according to deed, ~d show street n~es and indicate whe~er interior or corner lot. :. STAVe OF NEWff-qRX,,.-r-- - - ........ ~4~.. '~ ;..[..~ ~ ....... being duly sworn, deposes and says that the applicant ~(N~ ifidividual--'sig~ing contract) abow~ named. He is the ................. ~ ~ ..................................................... ~ (Contractor, agent, Corporate officer, etc.) of said owner or owners, ~d is d6ly authorized to perform or have perfomed the said work and to m~e and file this application;that all statements contained ~ this application are true to the best of his ~owledge and belief; and that tho work will be perfo~ed in the m~er set forth in the application filed therewith. Sworn to before me this / ........ ~. ~. ....... day~f ....... ~.n>. l ..... ,19~ Nota~ Public, ........ I Termi E,p,res C, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY HEALTH DE~R~M~T-DATA FOR APPROVAL TO C~TRUCT I = MON~M'ENT-- SURVEY FOR HILARy PRIDGEN AT LAUREL TOWN OF SOUTHOLD suFFOLK COUNTY, NEW YORK NUN~U~HO~IZED ALTERATION OR AODITION T~ THIS SURV[~ ~ VIOLATION OF SECTION 7209 OF THE .;w VnRK STATE EDUCATION LAW '~COpI~ ~ THIS SURVE~ NOT BEARING THE LAND SURVE~OR~ ~NKED SEAL OR EMBOSSED SEAL SHALL NOT a~CO~SlDEREO TO &EAVALID TRUE COPY ~GU&R~NT~E$ iNDICATEDJHEREON ~ALL RUN ~LY ~ THE ~RSO~ FOR WHOM ~HE SU~EY IS PREPAREO ANO ~[HIS BEHALF ~ T~E TtTLE COMP~Y~ GOV~N- MENTA~ AGENCY AND LENDING INSTITUTION LISTEO HERE~ A[~IO TO ~E ASSIGNEES Of THE LENDING INSTtT~TI~ GUARANTEE~ ARE HOT TR~SFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT DATE OCT. 8~ 1979 SCALE' I"= I00' NO 79- 560 YOUNG YOUNG AVENUE ALDEN W YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S UCENSE NO 12845 HOWARD W. YOUNG, LAND SURVEYOR NYS LICENSE NO 45893 8o ,! SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF~CONSTRUCTION ONLY DATE__ APPROVED~ HS REF. NO. H.~ALTH {~EPARTMENT- DATA FO~ APPR~)vAL TO CONSTI~U~C T ~e~kN THO~E SHOWN HER~O~ WILL ~RM TO THE STANd,DS O~ THE SUFF~K COUNTY DEP~RTMENT oF H~ s~v~c~s ~ ~ F~E~ ~ATIONS ~O~R~ OeTAINEO F~OM OTHERS : !~ SURVEY FOR HIE, ARY PRIDGEN AT LAUREL TOW Ni OF SOUTHOL D ~FF~LK COUN~TY, NEW YORK ALTERATION OR~DITION TO THIS A VIOLATION OF SECTION 7209 OF THE ~STATE SDUC~,TION LAW NOT BEARING THE LAND MSOSSEO SEAL SHALL ~I~REON FROM PROPER*YLINE$ ~Y LINES OR ~OR THE ERECTtON ~ FE~ ' ' ~L¢IN ~.mUNG, PRQFES~IONAL ~NGINEER A~ LAND ~URVEYOR N Y.S ~CENSE NO 1284~ ~WARD W. YO~G~ LAND SURVEYOR DATE OCT. 8~I97g SCALE I"=100' NO 79-560 AVENUE RIVERHEAD~ NEI~ YORK %%%\ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUC 1' # REAR[ST WATER IIIAIN~MI. - ~ SOURCE OF WATER PRIVATE v/'PUBLIC __ '~ ~ MONL~MENT ~ THE: LOCATK~I OF WELL(WI, SEPTIC TANK($T)~ CESSPOOLS(CP) ~HOWN HEREON ARE FROM FI[LO 06S[RVATIONS ANO OR DATA OBT~,INED FR'OM OTHER S SURVEY FOR HILARY PRIDGEN AT LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK JAN 30, JULY F, 1980 DATE OCT, 8, SCALE: I"' I00' NO, 79- 560 II,q/YOUNG a YOUNG ALDEN W YOUNG, PROFESSIONAL ENGINEER ANO LAND SURVEYOR N %S UCENSE NO 12845 HOWARDWYOUNG~ LANOSURVEYOR N YS LICENSE NO 45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK ENE2G'T I,M Fl bTF-AT ION :,u · .LLuO\~EPj 0. o1~ 98'7 ~. L. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOL LOW,,[NG rNSPECTIONS: 1/FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ~ FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O. .... ALL CONSTRUCTION SHALL MEET ,_ '- , u TS~/ET~EcQ~If.~T~EuNcTT~oi~F &THfENENf~Gy~ ~ I co~s. .OT ~s.o~s~..~ ~o~ 13 USE IS IJltLAVI[:UL VlffHG~JT CERT'I[:ICA,TE 0[: OCCUPANCY ,! ,,t LIPPB.I~