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Home My WebLink About14250-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. Z-16405 Date November 13, 1987 THIS CERTIFIES that the building . ONE FAMILY DWELLING & GARAGE WITH · '~T3.'C'HED' WOOD' 'D'E CK ........................ Location of Pmn,rtv 200 First Street, Laurel, N.Y. House No. Street ~l~r~/e~ County Tax Map No. 1000 Section 126 .Block l 0 .Lot P / o 7. l Suhdivi~inn M/O G.I. Tuthill Sec. #1 861 95 & 96 ........................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Pennit heretofore filed in this office dated August 7, 1985 14250 Z ..................... pursuant to which Building Permit No ...................... dated September II, 1985 ............................. 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 & GARAGE WITH ATTACHED WOOD DECK The certificate is issued to JOHN J. EGBERT, JR. ..................... ?o¥,,'d-, 'tZ ;f x .................... of the aforesaid building. Suffolk County Department of Health Approval 85- S O- 151 UNDERWRITERS CERTIFICATE NO ..... P E N D I N G October 7, 1987 PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FO]It][ ~qO, 0 TOWN OF SOUTHOLD BUILDING DEPARTMEN'T~ TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14250 Z Permission is hereby granted to: /,~ , ; ~ ,~ ..~.....~......., ...... ~ ................................................ ~.~~.,..~..~ ..................... ,~ ..... -: .................. ........... ;:~ ...... r~:-"~"'~'"~ ....... ~ .................... ~ .......... ;~ ................................. at premises located at ......... ~.....~.~..~....~..~.....~,,,~ ................... "~/;'"'~';"~'"'~"~'"'¥'"~'~ ......................... iiii ...... iiii ...... iiiii'i""iTi"ii"Tii'iT .................... " .............................................................................................. ..~'~""1 :"' '"~/: · County Tax Map No. 1000 Secflo/~.....J...~..~.. .... Block ....... ./...~.. ......... Lot No........~., '.~/.'~.' pursuant to application dated .... ~~...~. ................... , 19.2..~..,'~and approved by the Building Inspector. Building Inspector Rev. 6/30/60 TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECI'OR · P.O. BOX 728 ToWN HALL sOUTHOLD, N.Y. 11971 TEL 765-1802 cERTIFICATION Building Permit --o_~ {pLease pr~n Plume ~ .... tint) (please I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber'S signature) S to before me this of 192· Notary Public,--- loo1~8[ THE NEW YORK BOARD OF FIRE UNDERWRITERS I~UREAU OF ELECTRICITY J~ 198J~$ JOHN STREET. NEW YORK. NEW Y~ Nov~r 18~ , THIS CERTIFIE~ THAT o~ly the electrical ~ulpment ~ ~scribed below and i~t~uc~ by t~ a~plicant ~d on the a~ve application number in the premises of John J. Egbert Jr. F~rs~ Street~ Bray Aven~ ~x, ~.Y 126 10 06 ~s examined on ~0~ 9 ~ ~ and found to be in compliance with the require.tents of this ~oard. RX1URE OUTLETS SWITCHES 19 40 28 NCANDE$CENT 19 FIX'lURES RANGE5 COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TI~E CROCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS OTHER APPARATUS: Y~torS: ~-lhp 4-G, F.C.I. 1-Smol~e Detector NO, OF CC COND, Awe, ~ PER ~ OF CC COND ~ 2 NO OF HI-LEG AW.O, OF HI-[EG OF NEUTRAL ' 2 Jody Pumillo Pat Lane Mattituck, 11952 Lia. 2300E GENERAL MANAGER Per This certificate must ~ot be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their ~ BU~LmNO DEPARTMENT. ~mS COPY OF C~RT ~ ~TE~b~UST~HOff ~E~TERi~D N ANY ~NN~R. t'±E~D. ~N~FECTION OUNDA~TION COMMENTS 'OUNDATION .(2nd) ~OUGH FRAME & FLUMBING INSULATION FERN. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [, ,] FOUNDATION ZST E ] ROUGH PLBG. '[ ] FOUNDATION ZND [ ] INSULATION E ] FRAMINQ E ] FINAL DATE 765'1802 BUILDING DF. PT. INSPECTION lO'FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL / / 765-38O2 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ,~n o£ ~outhotci O. I~x ~z~ To~n ,%11 ~fl-n~ Vi~obr Les~rd, E×~c, 4dmin. o290 Z~/~e.,,,'~' ,4v~nu8 Rockvi/l¢ Of, c, ,~v ,,~,~o ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ...... .~k. ~.~. \.X..., 19 ~.(. Approved .~..%.~..'~...k'3~.. ......... ~).., 19 .$fi. Permit No. ).~.~.~?...~. · Disapproved a/c ..................................... ................................ ....... APPLICATION FOR BUILDING PERMIT / Date . ?(//i ............. , 19~.1~'~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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- :ation. 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 issued a Building Permit to the applicant. Such permit :hall 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 ~hall 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 ! uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. e applicant agrees to comply with all applicable laws ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspectio!l$. . . . . .//. : dJ(. . . . /.v_:. '(Signature of applicant, or name, if a corporation) (Mailing address of applicant) !State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. N ne of owner of premises 5.d. :1--7. ................................ (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. ...... ~...°..~7.. ... : .... ¢74. (Name and title of corporate offic&r) Builder's License No .... [.3 ................... Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done.. W./~. .... i3.~.~.;&...~. '/~ ~/~ .'., ................... ... ........................ .... /Iv..<, ........ House Number Street Hamlet ,~_ ~ ..~/ //o 7,1 County Tax Map No. 1000 Section .. [..~'..~. .......... Block .... Z.~. .......... Lot..7..c~.. ............ Subdivision. ~.~P..~.%~-.../...w. ~.4'iSS.~.q¢ ........... Filed Map No..8..~'. J ........ Lot...~.~!-~...qT..~.~.. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~.A..¢. ~./.-).~..' .................................................. .b. Intended use and occupancy .... /~................/¢/9/q/I l& ~. b~.~..~..¢./. ~./.~'(. ~;~~.~ ........... Nature of work (check which a )plicable): New Building ....~..... Addition .......... Alteration .......... Repair .............. Rerr oval .............. Demolition .............. Other Work ............... ~,[ ~[' :~:!~ (Description) 4 Estimated Cost .~. ~ q?.~. ~ ~ Fee ~' (to be paid on filing this application) 5 Ifd 11 ....... il' ' ' N fdw fl · we xng, number of ttwe ln~ umts .............. umber o elling units on each eot ................ If garage number of cars . 6. If business, commercial or mixdd occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... 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 ............... Number of Stories ........................................................ 9. Size of lot: Front .......... [ ............ Rear ...................... Depth ................... 10. DateofPurchase ......... , Name of Former Owner 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation' .. 13. Will lot be regraded .... ~ .o .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~.~'./~¢1.~/~5-7.,. .... Address ................... Phone No ................ Name of Architect ......... i .................. Address .................... Phone No ................ Name of Contractor ./). ,,~ ~.& .c.~. d:-fp~.~ ...... Address .,AY.. ~-..~.: .-F...2~.f~... Phone No, ~,f,'d( ',-, ~,~..~. ,~,-,, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ....... ./~..O..,f~..,(m.........'~ ~.~ .,ff..ii. ./f.~c'~:/.....£ L..~.. ·. ·..... being duly sworn, deposes and sags that he is the applicant (Name of individual sig~ing contract) above named. He is the .................... ~ ............................................... ~, (Coptractor, agent, corporate officer, etc.) 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 ...... ~ ......... , 19... Nota eublic, ............ County .... [~gn~xure o~ appucanc/ su~y Fo~ SUFFOLK CO~N~ DEPARTMENT OF H~LTH SERVlCE~ JOHN ~. EGBERT, JR. L~S 958 DG~"GEORGE I. TUTHILL~ SECT. I" ~ ~ ~ : FOR~A~OVA~ OF CONSTRUCTION~ ONLY~ <~ ,, ~;~:~, ~ ~ "~ ~ ~ ~ ~WN ~ SOUTH~D SCALE: I" =~0' DATE ~ HS REF. NO. SUFFOLK COUNTY~ NEW ~RK NO. 85-568 HEAL~ DEPARTMeNT-DATA F~ APP~ TO C~ST~UCT ~ ~R~ FO~ WHOM tHE SU~Y ~~'Tu~'~ ~/'" ~'-~*"- YOUNG 6 YOUNG ~OS~NDERAVE~E ' ' RIVER~AD~ NEW YORK NOTE, J = M~NUMENT AR~= 15812 SE ALDEN W,~UNG, PROFESSIONAL ENGINEER oFSUBDIVIS~b NSUFE CO. oNMAPJAN. 15~ 1929FILED IN THEAs FILEOFFICENo.OFTHE861 CLERK ANO ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W'YOUNG, LAND SURVEYOR N~ L~ ~ ~W),~lC TANKJI~ICE~I(~) ~ ~J~ N.Y.S. LICENSE N0.4589~ BRANDI8 & 80N8 INI~o 1046 FORM NO. 6 TOWN OF SOUTHOLD . Building Depar~men'[ Town Hall ' Southold, N.'/. 1 i@71 ,L_ TOWN OF $OUTHOL ,- CAT ON FOR CERTIFICATE OF OCCUPANCY Instructions ' ' A. This apol catfon must be filled in typewriter OR ink, and submitted in duplicate to the Building Insoec. tor with the following; for new bui!dings or new use: 1. Final sup'ay, of,,~,property.~ with accurate location of ail buildings, property lines, streets, and unusua natural o. too~,aohl~ features. 2. Final apDroval 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 building~ and installa- tions, a certificate of Code compliance from the Architect or Enaineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirerner~ts where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildines a/~d "pre-existing" land uses: I. Accurate sur*zey 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 condldon of buildings. 3. Da~e of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a ce~ificate. C. Fees: 'L Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Bui/d~ng ............ Old or Pre*existing Building(Z) ........ = /Vacant Land .......... o ~r~e ~ Harn/er County Tax Map No 1000 Section Under',vriters Approval .............. , .......... Planning Board Approval .................. yC ' Request for Temporar ertificate .... . ................ Final Certificate ........ - ......... Fee Submitted $ ............................. Construction on above described budding and per. c~it'meets all aP_j:_.L~caL~J.e~codes ~ regula_t.ions. Rev. 10.10-78 SURVEY FOR SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ JOHN d. EGBERT, JR. LOTS 95 ~ 96~"OEORGE I. TUTHILL~ SECT. I" FOR APPROVAL OF CONSTRUCTION ONLY AT LAUREL ~ DATE: dULY II, 1985 DATE SUFFOLK COUNTY, NEW ~RK ~0. . es-5~e ~PPROVED NOTB[ CON$1OEREDTO BEAVALtD TRUE COPY ~GUaRANTEE$ ~aOI~TEO HEREON ~L aU~ ~LY ~ HE~ DEPARTMENT-DATA F~ APPRO~ TO ~STRUC T ~E ~R~ FOR WHOM THE SU~EY IS PREPARE0 OTHER THAN THOLE SHOWN HEREON. TO A~ITIONAL INSTITUTI~S OR SUBSEQUENT NOISTANCES S~WN HEREON FROM PR~ERTY LINES ~~ ~. ~?~v?~ YOUNG ~ YOUNG ~o,~.o~.~v~ . ~ - RIVER~AD, NE~ YORK NOTE= ~ = MONUMENT AR~=I581~ ~E ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUaDIVIS~ON MAP FILED IN THE OFFICE OF THE CLERK AND LAND SURVEYOR NY.S. UCENSE NO. 12845 OF SUFE CO. ON JAN. 15,1929 AS FILE NO. ~61 HOWARO ~.YOUNG, LAND SURVEYOR N~ L~L(W),~IC TANK(S~a CE~S(~)~N ~E~ N.~S. LICENSE NO.45893 ME ~ FI[~ ~TIM$ ~ OR DATA Olt~MO F~ OTHERS ~ S.C. DEPT. OF HEALTH SERVICES HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT #THERE ARE NO ,~O~E.L. LINO$ WITHIN lO0 FEET OF Tiffs RROPERT¥ OTHER THAN T~OSE ~SHOWH H~R[ON. MTHE WATER SU~ SE~GE OI~AL SYST~ ~ ~IS R~IDE~ WILL ~FO~ m T~ STAN~ OF THE SU~K CO~TY DEPARTMEHT ~ H~LTH NOTE= · = M~NUMENT AREA=I5812 SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERK OF SUFF CO. ON JAN. 15,1929 AS FILE NO. BRANDIS & 80NS INC, 1046 JOHN :J. EG~,ERT, JR. LOT-S 9§,~gg;GEORGE TUTHILI, SECT. I" ~N?~ ~OUY~D , SCALE: U' g&LK cauNY , NEw .o. SEPT. 16 1987 MAY 8, 1987 JULY 2;5~ 1985 dULY 11~1985 I": :50' 85-568 G U A R A N T E~,,J;~,==T,,I~i,~ # UNAUTHON1ZEO ALTERATION OR ADDITION TO 1~115 SORVEY I$ A VIOLATION Olr SECTION 7209 OF THE qSURANCE CO. YOUNG S YOUNG O .OER VE E RIVERNEAD, NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR NY.S, UCENSE NO. i2845 HOWARD W. YOUNG, LAND SURVEYOR N.Y,S, LICENSE N0,4589~ SURVEY FOR JOHN d. EGBERT, JR. ,, MAY 18, 1987 LOTS 95 6 96,"GEORGE I. TUTH ILL, SECT. I JULY 275, 1985 AT LAUREL DATE, JULY II, 1985 TO~tN OF SOUTHOLD SCALE: I" = 30' SUFFOLK COUNTY, NEW YORK NO. 85-568 fl UN~UTHONIZED ALT[RATION OR ADOITION TO THIS GUARANTEED TO: l~E P~,R.~ FO~ WHOM THE SURVEY IS PREP&J~EO HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT A~o ON HIS BEHALF TO THE TITLE CO*MPA~Y, GOVErN- ii i~-~'~b: Eaa*. ~.T ,ooo ~CT,O. ,~ .~.oc~ ~ LOT ~ .~E~.*.o To ~ .~.~.~. O~ ~.E L~.O,.~ i, .~ YOUNG YOUNG ~L. ~~ ~ RIVER~AD, NEW YORK NOTE, ~ = MONUMENT AR~=I581Z ~E ALDEN W. YOUNG, PROFESSIONAL ENGINEER 5UBDIV{SION MAP FILED [N THE OFFICE OFT~E CLERK AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 OF SUFE CO. ON JAN. 15~Ig29 AS FiLE NO. 861 HOWARD W. YOUNG, LAND SURVEYOR ~ ~ k~ ~ ~L(W),~IC TANK{$T)a C[~OL${~) ~N ~E~ N.Y.S. LICENSE NO. 4589 3 PI. UM#ER O# I. gAD COlttTE~ ~EFORE CERTIFICATE OF OCCUPANCY' SOLDER USED IN WATER SUPPLY SYSTEM CAJVNOT EXCEED 2/I0 of 19~ I.F. AD. OCCUPANCY OR USE IS UNMWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPFiO¥;:D AS NOTED FEE: NOTIFY ~-D _" ~,~"'"~IEN'i FOLLOW}NG D&, 1 FOUN;AT~ON ' 'UIR~D 2. RvUCr~ ~- "-" ' ,'- & PLUMBING 4. FINAL C~STRUCTION MUST BE COMpl gTE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF STATE CONSTRUCTION & ENERGY CODES. NOT RESPOh S BLE FOR q"