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Home My WebLink About11332-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy ................ A ril 13 No. Z11616 Date ...... P .......................... 19.8.3. THIS CERTIFIES that the building ................................................ L ....:__^cD ....... 8280 Peconic Bay Blvd. Laurel House No. Street Ham/et County Tax Map No. 1000 Section ...1.2.6.. ...... Block ....1.1 .......... Lot ..... 0.1. .9 ......... Subdiwsion ............................ Filed Map No ........ '.Lot No .............. conforms substantiaIly to the Apphcation for Building Permit heretofore filed in this office dated .... 1. 5. ........ , 19~. ?. pursuant to which Building Permit No .... 1. ]..3.3.2..Z. .......... dated ..... ~..ug.us ~.. J.2. ............ 19.8. J, was issued, and conforms to all of the requirements of the apphcable prowsmns of the law. The occupancy for which this certificate is issued is ......... ..... .ap..~.n.g?.qu.n..d..s.w$.m.m.~.n.s p.qo..1 .. ............................................ The certificate is issued to BALA H. FILLAI (owner, ~~} of the aforesaid building Suffolk County Bepartment of Health Approval ...n./.a ..................................... UNDERWRITERS CERTIFICATE NO. N 5 6 7 1 3 2 Building Inspector Rev. 1/81 I~OBI~ I~10. ~ TOWN OF SDUTHOLD ;uILDING DEPARTJ~E~l TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT PERMIT MUST BE KEPT ON THE P~,E/~,IS~S-- UNTIL F (THIS COMPLETION OF THE WORK AUTHORIZED) No. 11332 ULL Z Date .. ~ .................... 19.. · Rev. 6/30/80 ~ ......... ~...~.z~.?.~..~ ~ ........... ..... zc....~....Z.....~,~r~,.. ...~.~2~~.....~ ..... ~.~ .......... -~&....~ ..... ,.~.x.~ ~....~: ............................ Coun~ Tox ~op ~o. 1000 Soction .... ....... Bloc~ .~....~.~ ........... lot ~o .... ~ ........... pursuant to application dated .......... ~ ....................................... , 19 ., and approv~ by the 8uil~lng Inspector. ~ ,..~.~.2 ......... ............. ..... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhoJd, N.Y. 11371 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec- tot ,,wth the following; for new buddings or new use: 1. Final survey of property with accurate tocat[on of all buildings, property lines, streets, and unusual natural or tooograohfc features 2. Final approval of Health Dept. of water supply and sewerage disposel--(S-9 form or equal), 3. Approval of electrical mstaltat~on from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar ,buildings and installa* tions, a ceruficate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site 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 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 [nspecnon of buddings or premises, or other pertinent reforma- tion required to prepare a cen:~flcate. / C. Fees: 1. C~ertificate of occupancy $5.00 2. C.rtd~cate of occupancy on pre-existing dwelling land use 3. Copy of certificate of occupancy $1 ¢/% S5.00 Date..4/"/~.,~_. New Building ............. Old or Pre-existing Building(Z) ,K /Vacant Land ' Hou~ No. S~re~r Ham/er County Tax Map No 1000 Section /~-~ // 0{9 ............... Block ............... Lot ............... Subdiws~on ................................. Filed Map No ........... Lot No. Perm,t No. ~ 5,~.~ .... Date of, _r ............... Health Dept. Appraval ....... -- _'''"'"'''~ ...... L~borDept. Appraval ...................... ,.. Request for Temporary Certificate ..................... Final Certificate ... Fee Submitted $ k , Construction on above described budding and permit'meets all ~Pp~bl~o an 1OOO221 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 .ate JU~ 25, 1982 173014 - 82 A, ,lication o.o. fi,e N 567132 THI~ CERTIFIES THAT only the electrical equipment as described below and introduced by tke applicant named on the above application number in the premises of Dr. Bali H. Pillai~ ~/~ Pecornkc Bay Blvd~, BI:ay Ave. & Maa~erz Rd. ~ tn the followzng location; [] Basement wascx.ml.edo,z J~ 21, 1!)82 FIXTURE OUTLETS tECEPTACLES SWITCHES [] 1st Fl, [] 2nd FI. OLt~i(~ Section Block and found to be in compliance with the requtrements of this Board. FIXTURES RANGES FLUORESCENT OVENS DISH WASHERS Lot DRYERS SYSTEMS OTHER APPARATUS E R V I A ~N G NO OFNEUTRAI A W G OF HILEG OF NEUTRAL (M~aming P(~i) This c~rcificage covers c~m~ltance ag t~ ~te of ~pec:ion only. ~ca~ of ~1 ~ro~n~s it is ~s~le go ~v~ fr~ ~est ~d/or repairs ~ by a q,~ified person, Dettrmr Elec. Co, ~~~~ P.O. Box 482 This certificate must not be o feted n any manner, return to the office of the Board if J correct, , inspectors may be 'identified' by t~;,r credentlaJS~. -' COPY BUILDING DEPARTMENT. THIS COPY OF cE~i~IC~TE MANNE~. ~.~atory Affairs Bldgo 40~ S~f ~ Room 219 S'hony Drook~ Ne%~ York 1179~ (516) 751-7900 P~ODERTFo PIACKE Co~nu%ssioner As a result of your inquiry concerning the above referenced parcel~ ~his Department has conducted an on-site inspection. We have found f~he parcel or (project) to be and P _e~n3/~tions of the State of N~ York~ Section 661.4 (b)~ no permit under Article 25 (Tidal Wetlands) of the Environmental Conservation Law is rec0]iredo DAlfrF~', Jo T~P~gIN Regional Permit Administrator FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Subdivision. '~ Filed Map No. ~ Lot No .... is returned herewtth~ and disapproved on the following grounds. ~~..~~ RV 1/80 FIELD FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: COMMENTS ~,~ ~ . ,~ a. T st be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, ac'curate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjmnmg premises or pubhc streets or areas, and giwng a detailed descHptmn of layout of property must be drawn on diagram which ~s part of th~s application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this apphcat~on, the Budding Inspector wall issue a Budding Permit to the apphcant 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 m part for any purpose whatever untd a Certihcate of Occupancy shall have been granted bv the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcab(e Laws, Ord[rta~ces or Regulations, for the construction of buildings, additions or al/orations, or for removal or demohtlon, as herein described The apphcant agrees to comply w~th all apphcable laws. ordinances, budding code, housing code, and regulations, and to admit authorized respecters on premises and in buildings for necessary inspections. (Stgnature of applicant, or name, ff a corporation) {Address of applicant) State whether applicant i~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises If applicant is a corpora[e, signature of duly authorized officer. I Name and title of corporate officer) ~ Builder's License No .............. '..L~,.,~'?=.7..,.1~.. ....... ~,.h..!?,..~.,.r~.. ¢ ~- Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... o~l~ ~'~'(~- -~. J)~- iJ.~. Lot ....................... 1. Location of land on which proposed work will be done. M~ .............................................. No. Street and Number ....... = ................................................................................................. ~ ~ d~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....................~.~..~...~ ................................................................................................. b. Intended use and occupancy .~c c'//J/,tJ/~/~ ~d ~ [ / ~ ~ ~ ~ 3. Nature of work (check which applicable): New Building .....~..~..~2...k: ...... Addition ..................... AltEration ...... .;. ....... .. Repair ......................... Removal ......................... Demolition ........................ Other Work ........ 4. Estimated Cost ..... .~,., ,~,,q ................... Fee ..... ./:-~., .................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ................. Number of dwelling units on each floor ......................................... If garage, number of cars ......... ! .................................................................................................................................. 6. If business, commercial or mixed occuoancv, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .....~;.,c),,,..?, ..... Rear ....... .~,.,.,'~.;,.~.. ....... Depth ....~,../. ........................ Height ......................... L..~...~,...i ..................... Number of Stories ............... ,/ ........................................................... 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. ,,~',~. 82C~,~, ..t?. ,L,~ .......... Number of Stor es ........................ 9. S~ze of lot. Front ................... ..~..~....~,5'~1..... Rear ................. ~'...'~....;~. .......... Depth ........ .~.~...~ ................................ 10. Date of Purchase ..................... ' ................ Name of Former Owner ............................................ ~ ...................... 11. Zone or use district in which premises are situated ........ ~.~.;.~.....~. .............................................................................. 12. 'Does proposed construction viblate any zoning law, ordinance or regulation: ......... ..~'....~'. .......................................... 13. Will lot be regraded .......... !..~{...."-~.. .......... Will exces~s fill be remove.al, from premises: [~ Yes [ ] No . 14. Name of Owner of premises ,.!~, ................... ~,....,,~l..j. ....... i:~ ................................. .~,,,~,. .......................................... (Address) (Phone No,) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor ,.../~ .~,.,.V',,~.'~(,,,~,. ......... ,,.~_,O..~,.~..,.e>. ....... /./,.~-?.;,,,,Er~,,,r~,.,tr,,-~,,,~..C,,t,f,,~,,,/,~.,~,.M,,,,, ,~,,,?,,,/~.,,~,7.,.,.,~"-J,~.,?~[~ (Address) (Phone No.) 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 wheth- er interior or corner lot. STATE OF NEW YORK, ) SS ..... ~ ~. L...~.. ~.~. ~...j,,.k~....~...~] ..~ ...................................being duly sworn, deposes and says that he is the apphcant above named. (Name of ~ndmdual stgn~ng contract) , , (Contractor, agent, corporate officer, etc.) of sam owner or owners, and is duly aulthor~zed to perform or have performed the said work and to make and file this application; that all statements contained in this apphcat~on ~re true to the best of h~s knowledge an~d belief; and~that the work wdl be performed in the manner- set ........... forth//t~n the~t~applicaBon~~hled therew,thl ' ' 19 ..~...../~' '' ~// ~ .o.aryP b,, ............ .......... oouo,y ........................................................................ = , J lei,,, E, xpir~s Ma .... O, t9~'./ tx (Signature of applicant) I (tea TITLE NO, 8108- 085163 IOTE. I=MONUMENT SUFECO.~XMAP-OIS[IOOOSEC[126BLK. IILOTI9 ~=S~KE SURVEY FOR BALA HARI PILLAI AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 'R UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION ?ZO~ OF THE NEW YORK ~;TATE EDUCATION LAW ~ COPIES OF THIS SURVEY NOT SEARING THE LAND SURYE¥OB'S INKED SEAL OR EMROSGED SEAL SHALL NOT DE DO~ISIDERED TO RE A VALID TRUE COPY ROUARANTEE$ INDICATED HEREON SHALL RUN ONLY YO THE PE~GO~I FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL ASENCYANO LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING IRSTITUTIO~N. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. ~" DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING GTRUCTUBEG ABE FORA SPECIFIC PURPOSE AND ARE NOTTO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCED. YOUNG e, YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y,$. LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE NO. 45893 JUNE 21, 1982 MAY 4, 1981 DATE : APR, 27, 1981 SCALE: 1'=40' NO. : GUARANTEED TO: SUFFOLK COUNTY NATIONAL BANK CHICAGO TITLE INSURANCE CO. iDER AVENUE RIVERHEAD,NEWYORK