The URL can be used to link to this page

Home My WebLink About19433-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219413 Date OCTOBER 4, 1990 THIS CERTIFIES that the building ALTERATIONS Location of Property 1280 PECONIC BAY BLVD. LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 02 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1990 pursuant to which Building Permit No. 194332 dated OCT. 1, 1990 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 TO CONSTRUCT ALTERATIONS AND CONVERT TO YEAR ROUND ONE FAMILY DWELLING. (AS BUILT) This certificate is issued to LAURIE ANN KROM & ANO. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H018283 SEPT. 25, 1990 PLUMBERS CERTIFICATION DATED N/A <--y r/ uilding Inspector Rev. 1/81 • . ~ YOBM N0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIY (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 1943 Z Date ../..b~ 19.~a Permission, is hereby granted to: ~.G6BiyGli l Gzi~~ °`G~-~~ ~ _ ~ ~ ~ ~;e -1./9,~f..~. at premises located at ~ ..~,aG,G^,a~.f,G'/........ t:.-'::c!.~~.l~..t. County Tax Map No. 1000 Section ...rz:.4:~......... Block ~........QpLot No.........~..~~. pursuant to application d~~ajjted .......~~F,r 19.,1.x, and approved by the Building Inspector. 7`~ ~L~ ~GT~~,-~O ~O Fee S.•~~~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......OCT :.0..1990 New Construction....Xx..... Old Or Pre-existing Building Location of Property.....128~. PECONIC.BAY.BLVD. ..LAURBL House No. Street Hamlet Onwer or Owners of Property....,,LAIIRIR ANN RROM S ANO . County Tax Map No 1000, Section.....145......Block......?.........Lot...? Subdivision ....................................Filed Map............Lot...................... Permit No.,,~,g433Z.. ,Date Of Permit..,.10/I/90 Applicant Health Dept. Approval ..........................Underwriters Approval.. Planning Board Approval Request for: Temporary Certificate........... Final Certicate,,,RR Fee Submit/ted//: ?5 check 367 ~(15~ ~~P LAIIRII6 ANN DROM /0~3/ 9Q ...............APPLICANT ~P ~ 9Y33L ~ ~~7.3Q c o z r9s~r~ gas THE NEW YORK BOARD OF FIRE UNDERWRITERS 1':Icr. `i{lr.,t)(3I ( BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 90038 - Dote ~T~P9~Ff7LaFR s,~i'1!J~IQ APPlicationNo.onfile C1{7f~(11?5~3S3Jz'+i3 N !;):#,t?2f~1 THIS CERTIFIES THAT only the electrical equipment os described below and introduced by the qpp/icont named on the above application number in the premises of RNN 2"_ KSE(71~9, 'Lain) 'P~i7gU7C 3Fi°! IiT,V1)„ t1~~TPPia,, Iu.Y, i n the following lnaatiun • /C?+J'T~ ? Basement ~ I,ct Fl. ~ 2nd FI. Section B1oek Lot Sk"".,P~`I•;trlH ls12 1 y , 'L `1'~ U wos examined ore and found to be 6e emrepliance with the`requirements of this 6oord. iIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUOPESCENi OTHER PMi K W. AMi K W PMT. N.W AMi K.W AMT H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT NEATER$ MULTI.OUTLET DIMMERS AMi. K. W. OIL H. P. GAS H. P. AMT NO. A. W. G. AMi AMP. AMT. AMPS TRANS. AMT. H P SYSTEMS AMi. WAliS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AMi. AMP TYPE METER 1 ~ 1W i ,0. 3W T.e' 3W J,a' dW NO OF CC COND A W. G. NO. OF HI-LFG A' W G' NO. OF NEUTRALS A W EOUIP. PER B OF CC. COND Of HbIEG OF NEUIPAL OTHER APPARATUS: ' kN(7 TIC.+CTAlt T)Xj'N;C`,'(',i: "Al} e71GClTf tc;~3 gar=~Pw 19as t~yr,:n miTCTw of f.2re; e~a~usr^t1 _ ~ e.he=~ttical. e,yttipute~nt ~lII this prc:mats'~s f.nd:ir:~t:er1." "D1r.= I~btT~i~inK ~ 9rnaaY.isfa~•Y.ory (y<~ntlit~inrt war, Enttsad. Ai~IV "P~ K.Rt?M T'.?.NU~ X45 TIA.TIT1}:T., A~SY, 1..19A? GENERAL MANAGER r, Per t? This certificate must not be altered in any manner; return To the office of The Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,y,~, BOAFD OF HEALTH Fonts No.1 3 SETS OF PLANS . SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL $OUTHOLD, N.Y. 11~J71 NOTIFY; _ qq TEL.:765-1802 CALL Examincd.lA~~~.... • 19/,~ MAIL T0: 2 ~ . Approved D J, 4~~. Permit No.,~,/. 5~~s•~. 7 7! .~.7.~.~..... . Disapproved a/c . ~ ~ lGO ( till g Inspect APPLIC ION FOR BUILDING PERM1IT Date .7u.~~f.l~.r........, 1x91? INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or jn ink and submitted to the Building Inspector, with ~ sets of plans, accurate plot plan tt»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 pan of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of tlris application, the Building Inspector will issued 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 Rc;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tite applicant agrees to comply with all applicable laws, ordinances, building code, ousm~ code, and regulations, and to 'admit authorized inspectors on premises and in building fornecessary i ections Signature of"applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en;ineer, general contractor, electrician, plumber or builder. ©W~?E'CL:................ Name of owner of premises .....~~t-.v~..~i.Pr.... ~[~f,~.'f:rl..~r...~~11'l... ~r.C~m . . (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. ~.On+raC-~t'n~~ \SJr~- ~C~ Ov~-~-- psr 6uU,.s"snese5 Plumber's License No . ' Electrician's License No . Otl~cr Trade's License No . . Location of land on which proposed work will be done; 1 (louse Number ~ Street. Hamlet County Tax \tap No. 1000 Section • • • • BI'vck .....Z, Lot ~ Z- ~ , , Subdivision Fi1cJ (\lap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy.... ~ ~b~".'~~:.'.. ~ ~ ~ ~go ~1 h-L~ a~~nn ~Ax rte •h~~~ B. Intended use and occupancy...........~~. ~'':1~ `~~3'r"!. `,~~:r`~y{.....~~T... ~ ~ fL.~.. x'1 a.dt _~_r~ l 3. ,.,.cure~of work (check which applicable): New Building , Addition Alteration . ,Swimming pool.. Repair Removal, Demolition ~ ~OV~"T/Q~ Tennis Court Accessory Building... ....Felice .Other Work v 4. Estimated Cost ,30; ~ L . Fee....7~............... (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units o_n each floor ~ . If garage, number of cars . 6. if business, commercial or mixed ocFupancy, specify nature and extent of each type of use , . , 7, Dimensions of existing structures, ifjany; Front . Rear Depth . . Height Numbcrof Stories . . Dimensions of same structure with alterations or additions: Front Rear . . Depth IIcight ......................Number of Stories . Dimensions of entire new constntction; Front . . Rear Depth . Height Number'of Stories . . 9. Size of lot: Front ,Rea:........ Depth 0. Date of Purchase ..............Name of Former Owner . . 1. Zone or use district in which premises are situated . . Does ro osed construct'on violate 3. will lot be regraded ~ , , , , aany zoning law, ordinance or regulation : . . , will excess fill be removed from premises: ,Yes , No . . 4. Name of Owner of premises . , , ..............Address ...................Phone No............... , . Name of Architect , , ,Address ...................Phone No.......... ~ . Name of Contractor .......Address ..Phone No.. . IS.Is this property loq,~ted within 300 feet of a-tidal .wetland? *YES....NO. *If yes, Southold Town Tlrustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nurjtber or description according to deed, and show street names and indicate whether nterior or comer lot. . AP~ AS NOTEp DATE: o a a .7~~33 FEE: 3 . BY: NOTIFY BUILD! G DEPA TAT ' 78f~-T 802 9 AM lU el PM FOR THE I FOLLt')WING INSPEC71ONS: 1. FOUNDATION - TWO REQUIRED ' FOR POURED CONCRETE 2. ROUGH -FRAMING R, PLUMBING i 3. INSCILATION ~O. C•INAL - CONSTRUCTION MUST - 8E COMPLETE FOR C.U. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERfiY COISES, NOT RESPONSIBLE FOR DESIt"aN OR CONSTRUCTION ERRORt3 - iTATE OF NEtV~O S S ~OUNTYOF... N..,o(K, ~ a u r i e K f'om ~ , , , , , , , , , being duly sworn, deposes and says that he is the applicant • (Name of individual signing contract) , ibove named. {C lS the ......Qwn~~. it (Contractor, agent, corporate officer, efc.) if said owner or owners, and is duly ;juthorized to perform or have performed the said work and to make and file this application: that all statements containld in this application arc true to the best of his knowledge and belief; and that the work will be perforned in the manner set forth in the application filed therewith. sworn to bc(ore me this 1~~.... ..day of . G~~"""a'.........., 19 ~ Votary Pu~blic~...... County ~ iKGt~2 ///r . ' R E A M. KALOUS • . NeYfY~BwM~ XswYork T ty ~a? (Signature of applicant) apNW~1n~ Mey3u18_c„