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Home My WebLink About19877-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26829 Date: 12/13/99 THIS CERTIFIES that the building ADDITIONS Location of Property: 870 BRAY AVENUE LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 1 Lot 15 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22, 1991 pursuant to which Building Permit No. 19877-Z dated MAY 17, 1991 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 ADDITION, DECK ADDITION AND SECOND FLOOR ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRED & MARY MILNER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 508826 12/07/99 PLUMBERS CERTIFICATION DATED 12/02/99 PERFECTION PLUMB. & HEAT. Rev. 1/81 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT gl'HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N_* 19877 Z County Tox Map No. I000 Section .... ./....~-....~. ....... Block ....~.../... ........... Lot No ......Z'..~... .......... / pursuant to application dated ...... . .~/./...~......?~,. ............................... , 19..~./., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~pre-exieting" laud uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect si~ned by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees Certificate of Occupancy -Hew dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swdtm, ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occnpancy on Pre-existing BntldfnR - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy '- Residential $15.00, Commercial $15.00 ./.~/ .~ Construction .......... Old Or Pre-existing Building ..... ~.' .......... ........ ......... House "~7'~''~' .......... .... No. Hamlet ..... . ......... z: .... ~ry ~ ~p ~o ~ooo, Section./.~k../:z>....~oc~ ................ ~ot ...... ~. '~(.J '~'~ t ~, ...... Lot ............... "~ lbdivision .................................... Filed Map ............. ............... ........ .... Applicant .~Ith Dept. Approval .... '~'f~'.4./ ............... Underwriters Approval ......................... ~quest for: Temporary Certificate ........... Final Certicate~.~. ...... · . S,h.,tted: $....~..~.>..-~ .............. ..- ' c,J,-., ~= ~ v~ ..... THE NEW YORK BOARD OF FiRE UNDERWRITERS RAo z 35 o7 MU.EAU OF EcEcT.,C, Y ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date DECE~ER 07,1999 Application No. onfile 3.9472'199/99 N 508826 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above applica~on number is in the premises of b~%RY & FRED HILNI~R, 870 BRAY AVENUE, MATTI~UCK, in the following location; [] Basement [] 1st FI. [] 2nd FI. Section Block Lot was examined on I~OV~}'[~ER 30,1999 and found to be in compliance witlt the National Electrical Code. SERVICE D SCONNECT NO. O~I AMT AMP WPE ~1~'~, I ~ 2W I e 3W 3 e 3W 3 e 4W OTHER APPARATUS: *(SWI~ING POOL) This certificate covers compli~ce at the date of inspection only. Because of unusual environments it is advisable to have ~re~ent test/and or repairs made by a qualified person. FIXTURE RECEPTACLES; SWITCHES ~CANOESC~t~1 FIXTURES DRYERS FURNACE MOTORS FUIURE APPLIANCE FEEDERS S JA~S MURRAY P.O.BOX 305 LAUREL, N¥~ 11948 RANGES ;PECIAL REC'PT. R AW , CC* C~ND TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET TRANS· NO. OF FEET NO. OF HI-I. EG OF RI-tEG EXHAUST FANS AMT H.P.. DIMMERS L~C.$3653 GENERAL MANAGER Per 111 This certificate must not be altered In any manner; return to the office of the Board If incor~'ect. Inspectors may be identified Dy their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER· THE NEW YORK BOARD OF FIRE UNDERWRITERS [],9§08~ BUREAU OF ELECTRICITY ~ BS JOHN STREET, NEW YORK, NEW YORK IOO38 Date THIS CERTIFIES THAT Only the electrical ~ulpment ~ ~seribed be~w a~ introduced by t~ applicant ~med on ~he abo~e application number in the premises of in the fottowln5 location; ~ BasemenE ~ Ist FI. ~ 2,,d FL OUT Section Bilk Lot ~sexaminedo~ [{ g.R {~, ii 22,1993 a~d found to be in compliance n'ith the requlrements of this Board. FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS FIXTURE OUTLETS SWITCHES FtUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET ~{OTOR~q; 2-'F H.P. R V I C A W O A W O. NO, OF NEUTRALS A.W. O, pER ,~ OF CC. COND Of HI-LEO OF NEUTRAL 1 C[ITCHOGUg~ ~Y, 11935 GENERAL MANAGER I'[~[s certificate must not be ohered Jn any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 F~ (516} 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD cERTIFICATION Owner: ~.WD. ~//~<~. nt' (please pr~ ~ Plumber: (~iease pti ) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signatuz'~) Sworn to before me this Notary Public, _~/~ NOTARY PUBLIC, State of New York No, 01ST6008173, Suffolk Co.u~ty Term Expires June 8, TOWN OF SOUTE~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Building Permit No. (please prznt) I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system Sworn to before me this County (plumber's signature) TOWN OF sOUTHOLD BUILDING DEPARTMENT TOW%; %L~LL 765-1802 APPLICATION FOR. CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submi~ted-rgo, the bu'i~ inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existlug buildings (prior to April 9, 1957) non-conforming uses, or buildings amd Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~--,~ng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00- Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - , 4. ~pdated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00 ..... : .................... Construction ........... Old Or P_re-existing Building. ~. ~.tion of property...~.~.0. ...... .~.%~ ...... ~V.~ ............. ka~.~,~k ............ _ _. ' ....... / d~.=o~...Q.k ......... ~o~ .... J.~ ........... ...... Filed ~p ............ Lot ............... f ...... .l~l ....... a,,~,c~.~. ~. A~ ~.~.{ .~it No ...... i ........ ~lth Dept. Approval .... · ............. .8~ng Board ~pproval ~est for: Temporary Cort~f~cate ........... ~nal Cor~caee..~. ,If 'F used; p~ping Sha. II be /~ ~B 765-1802 UILDING DEPT. INSPECTION ~~[ ] FOUNDATION 1ST [ I ROUG~. [ I FOUNDATION2ND [ ]/~ILATION [ ] FRAMING [///]~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~///~'~ I N S PECTO R fiELD l~,S~ mb.lO,~ IIDATE CO~gNTS FOUNDATION ( 1 s t ) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [/"~INAL [ ] FIREPLACE & CHIMNEY REMARKS :._, ~/'~_/-*~`--..z --/~ -~'~- ~-~'-- /~c~ DATE INSPECTOR S A M U E L S & S T E E L M A N May 20, 1991 Building Department Town of Southold Southold, New York 11971 Re: Milner Residence Laurel, New York Dear Sirs, We have been asked to review the design of a 16'-0" long beam to be installed at an existing bearing wall between the first and second floors of the Milner Residence. We have determined that a 4" x 12" glue laminated wood beam will be sufficient to carry the second floor loads. We have advised Mr. Milner to provide 3-2x6" solid wood posts under each end, and to fill the cavities of the block foundation wall below each post. Thank you for your consideration of his application, Sincerely, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels, Principal ARCH [TECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (.516) 734-6405 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING REMARKS: ROUGH PLBG. INSULATION [ ] FINAL DATE 765-~.802 BUILDING DEPT. ~o~~NSPECTION ION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND~] INSULATION FRAMING [ ]FINAL DATE INSPECTOR~'~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~NDATION 2ND [ ] INSULATION [/,~"FRAMING [ ] FINAL REMARKS: DATE INSPECTOR PLUMBER CERTi~iCATIOIV, ON LEAD CONTENT BEFO'R~ 'CERTIFICATE OF OCCUPA, NC¥ SOLDER USED IN,WATER' SUPPLY SYSTEM CANN~ O, T i 0 0 SRN2AV ! L~]~ : !: TOWN OF SOUTHOLD ,_} u[ ............ , ............ SOUTHOLD, N.Y. 11971 T~)'~'~,~ OF S"~I:~(Y, r TEL 765-1802 3~sapproved a/c /~ 7 7 ~ APPROVED AS ~0T[0 ~ ~ FOLLOWING ~NSP~CT~ONS: APPLICATI~ FOR~UILDING PERMIT I. FOUNDATION '~VO REQUIRED FOR POURED CONCRETE 2. ROUGH * F~MING & PLUMBING 3. INSULATION* iNSTRUCTIONS BOAKD OF HEALTH ......... 3 SETS OF 'PLANS .......... SURVEY ................... CIIECK ........... 2 .... i''· SEPTIC FORH ........... CALL ................... HAIL TO; ~-e ~.-:..a'.~.. ?/. ...... 4. FINAL - CONSTRUCTION MUST a. TI~ i~t~.j~lro~j~.l~.completely filled in by typewriter orin ink and submitted to the Build~ Ins ector with 3 ~ts of~ns~$~l~tc~e according to schedule· g P ' t b. ~t ~flhg~c~ l~nd of build~gs on premises, relationship to adjoining premises or public streets r area~ ~~ ~s~yof layout of property must be drawn on the diagram which is part of this appH- xti°n-CODES. N~ RESPONSIBLE FOR c. ~~~~n may not be c~mmenced before issu=ce of Building Pemit. d. Upon a~i~hq'%'i't~fi ~[~ation, the Building Inspector will issued a Build~g Pe~it to the appScant. Such pemit t~l be ~d~ on~t~.pmm~a~afl~ for~spection throughout the work. e. ~building shall b~ccupied or used in whole or in p~t for any purpose whatever until a Certificate of Occupier ,an ha~,~--~'f~ ~~cto~. APF 6 ' ' '~ ~ ~ · · . ,_~ ..~ ~ ~ , E ~the Bmldmg Dep~ment for the issuance of a B~Idin~ Pemit g , ._ ......... i .~ ~~g ~'t/i~ , es, umld~ng code, housing code, and regulations, and to m~r a}~¥~'erOB'~n~ie~g~'3~ ~ build~g for necess~nspestions. -BE CO[VlPLETE FOa ~.O. (Signature of applicant, or name, if a corporation) ALL CONSTRUCTION SHALL ME~ STATE CONSTRUCTION & ENERGY (Mail~ address of applicant) CODES. NOT RESPONSIBLE FOR tate ~ ~T~,E~agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ..~E.._~%' ~'"~3L~a~' ... amc of owner of premises ......................................... ~r~.. :~..~....~ . . (as on the t~ roll or latest de~) applicant is a corporation, signature of duly authorized officer. ,' (Name and title of corporate officer) Builder's License No..0..v~. ~.-~.. ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... L°cat~_i°n °f land on which proposed work will be done ...... L &.~ ti'~.~,,..~.~.,.~.'~ · o. o ............. House Number ~cet Hamlet ................... County Tax Map No. 1000 Section ... ~ .~.. .......... Block .... ~.~ ........... Lot.. ,.~.....[: ....... Subdivision .......... Fil d M · · ......................... e ap No .... L (Name) ........... ot ............... State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: '. Intended use and occupancy .~,. ,YYh. k.~ .x.~..u,).~.~.\?,b ' . .. '. 3. Nature of work (check which ~ · applicable): New Building .......... Addition ....... Alteration .......... Repair .............. Removal .............. Demolition Other Work I escrl ion 4. Estimated Cost .... (to be paid on filing this application) 5. If dwelling, number of dwelling U'nits..3..t~e6t~:~'~.,A... Number of dwelling units on each floor ................ If garage, number of cars ..... t ............................................................. ~' ~ibm~S~sn~oS~' c°,.mm, er. clal °r mlxedloccupancy, specify n_at~tre a ~nd ex tent o f each ty,pe of use ........ '... · _ ~soj~exutlngstructures, ifany: Front .... ~ 4) Rear . .~,~ /" 13o.~h ~"~t-,, ~/~ Height t ~)'~igg'~x ~-rul-,, .... ' ................ ,' ............... .... ~ ..... ~, -per ol~tones ...... 1 ........................ Dimensions of same structure with site-~ ...... -'-.:,' ~, ~ ' ' ~k; '~ ',-,, ......... ~,:; ..... Depth .t-,j~. . He' '-' 51 c4~,~ ' '""~'"~ ........ ~,~,- .~,~. 4. ..... ....... ' ......... I' lgm ... ~ .~,~,.~.~ .......... Ntuuber of Stories . ~ .... o. olmenslons o! entire new construction. Front ~*2 ~[ ,, ,,~ t ,it ..... ~ ~'~; ..... Height ... ~.&.~ ........ Numl~er of Stories F<~'~. Yj ...... /,ea.r..e.~O ..t. ....... Depth ...,t-/O: ........ 9 Size of lot: Front ,,,,qTO~ i. . '-~' ' ' ~ 't ...................... :;~ ' ' ! .......... ....... ' ,,,.F);,: ·i ........ t~ear... ~D ............... Depth ./,h P. .... tu. oate o:vurcnase ..... ~/. ~.~..i .............. Name of Former Owner :~ ' '. ...... ~Zone or use d{strict in which prerpises are situated.. ~4c~.~ ........................... 12. ~oes proposes construction violaie any zoning law ordinance or regulation' ~,)~ .. . 13. Will lot be regraded ~.,~. / ......... ' .................... <. ....... ~-'"~,:. ',2' ..... ,' e · · L~ ..... Will excess Illl De removed from premises: Yes 14. NN~: oO~ AOrWc~Oc~ premises · .D~'O;: 1~.}.~ .~..~:... AA~ddr:ss.' ~1~.. ~i..~t..l~,~mhone No.~ ?.~l~.&h ...... ...... ~ .... .......... r ss ............. U ..... Phone No ..... . ... Name°fC°ntract°r"~'~'"r'~'~'~ ....... Addre~ ~w,-, 'I~,~,. a,~,,. . 2n~';2~'M .... Is this property w±th±n 300 feet of a t±dal we~a'n'd"0'~""..i;, ta,~.~.rn3~rnon,.~.~e.~o.c4*/O.~.gq,%l ..... ~ ...... ~zes... ~[... No..,f..~--..., "~z yes, ~outho£d TOwn Trustees Permit may be required.-- PLOT DIAGRAM u//dhngs, whether existing or proposed, and. indicate' all set-back dimensions from tuber or descriptions according to deed, and show street names and indicate whether Locate clearly and distinctly all ~ property lines. Give street and block nt interior or comer lot. (Signature of applicant) ................ being duly sworn, deposes and says that he is the applicant (Name of individ ual signing Icon tract) bore named. is the ..... ... i (Contractor agent corporate officer etc ) ........................... said Owner or owners, and is duly at thorized to perform or have perforated the said work and to make and file this ~plication; that all statements containe, in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner seI forth in the application filed therewith. ,yom to before me this j Il' J\ HEALTH GEpARI'M£NT'DATA FpR APPRO.mL TO CONSTRUCT M~[M ~ ~ ~E~l WITHIN I00 FEET Of T~S P~OPEATY NOTE' /~= STAKE O=PIPE SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERK OF SUFFOLK COUNTY ON dAN. 15~ 1929 ,AS FILE NO. 861 SURVEY FOR ' ',. GERARD P. GOEHRINGER & BARBARA GOEHRINGER FEB. Z?, LOT NO. 30~'GEORGE I TUTHILL, SECT. I' OCT ~)5, 1985 MAy Z4~ 1985 AT LAUREL DATE: MA~ 3, 1985 ~WN ~ SOUTHOLD SCALE= I"= ZO' SUFFOLK COUNTY, NEW ~RK No. 85-407' N U~UTH~IZEO A~TK~A~ION On AODITiON m mis 'GUARANTEED SunvEY ~ A VI~ATION ~ IECTION 7Z09 ~ THE SOUTHO ~VI. NE~ YORK STATE [~CATION kAW ,..,,~.,.. o......., .,,.,,,.,~, x, i~2_ ,// TO A~ITIONA~ INSTITUTI~S OR SUBSEQUENT 1YOUNG s YOUNG ' RIVERHEAD~ NEW YORK ALDEN W. YOUNG) PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845' HOWARD W. YOUNG! LAND SURVEYOR 'N.Y.S. LICENSE N0.45893