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FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219506 Date NOV. 14, 1990 THIS CERTIFIES that the building ALTERATIONS Location of Property 2300 NORTH OAKWOOD DR. LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 127 Block 006 Lot 002 Subdivision LAUREL PARK Filed Map No. 212 Lot No. 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1990 pursuant to which Building Permit No. 191122 dated JUNE 8, 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 ALTERATION TO ERISTING ONE FAMILY DWELLING, AMENDED TO INCLUDE DECK. The certificate is issued to MR. & MRS. JOHN HARRISON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N158565 NOV. 1, 1990 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/B1 awes xo. a TOWN OF SOU7HOLD BUILDING DEPARTMENT TOWN BALL SOUTtIOLD, N. lf. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ...h ..~5' 19~t~. N a X 1 1 Z Date Permission is h ~by~rant-ed~t/o®~~., i~ ~~.::~1 at premises locatod at ..ir`...~fJ...r~......~~........ ...G~~~'/.ki'~Il.......:..r:7 County Tax Map No, 1000 Seetion ...1,P.7......... Block Lot No..'.~.L.' pursuant to application doted ....~.y~,~~ 19.P~~., and approved by the Building Inspector. Fee S.`.~~°..• . /.~~~.~~~r ilding Inspector I ~ Rev. 6130/80 a _ ' ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTII'ICATE 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 unusua], 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 In~;pector 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 $15.00 November 2, 1990 Date Vew Construction........... Old Or Pre-existing Building.......,,XX :.ocation of Property.....230~.NOe.Oakwood. Drive „ ........Laurel,.,o House No. Street Hamlet )nwer or Owners of Property...,, Mr:.and.Mrs : John &Aarrisoil ;ounty Tax Map No 1000, Section....~~~......Block....6...........Lot.........?............ iubdivision .............Laurel. Park. ,.,,,Filed Map. 21.?.......Lot..................... 191122 6/8/90 Chas. Allen Const;M t. 'ermit No ................Date Of Permit....... ........Applicant............ lealth Dept. Approval..........N~A............Underwriters Approval Tanning Board Approval.....,,N/A equest for: Temporary Certificate........... Fina rtica ee Submitted: ~ .a:S C ~ r ~ ~ ~ ~ ~~Il~~ ~ G Z r y ~ ~ ~ APPLIC.ANT C©>t;•t tr wT,S ~ F2'~1-1% 2fJS i'F~TIOr~ IIpt~T~ i~ ~D n a \ •s ~ 'h FOUJIDATIO:J (1st) . C N C+J FOUFIDATI0:1 f2nd) - tia~s--C' 2. ~ o .°,OUGH FRAME & ~ , ~PLUMHING • ti ~ m 3. y ~ IIJSULATI011 PER N. Y. STATE Ei1ERGY CODE k . j ~ - FINAL - ~ c- ' - ~ o m` ADDITIOPIAL COMMEtdTS: x ~ < /o y ~ . . -ti \ x•~ • H H • O M S - d M '9 ~W~ ^ ~i _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS f7~e;ll: i l i,$CT e)~~ BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Dace Pli>VP;k2~tT;Y2 (il.,;l9~0 APPlicationNo.onfi(e ~~1~f~`f~~t3~ TS f~Mft!it•~7 THIS CERTIFIES THAT only the elec[ricai equipment as described 6ebw and introduced by the applicant named on the aboce application number in the premises of .7nNN ftP.ff~CI9e31'd, Oi3RWf34IJ I3ft1 V@i, [~7hilttl?;I,,. 2ti. Y, in thefollowinq hwatiunq ? Basement ~ Lct FL ? 2nd F'L. e)efrf Sertion Block Lot was exmnined ore ~e'~ (,}Ti h'~l .7, 4) ~ `?~I> and fowLd to 6e in complimrce with the rrr{u Bremen is q( this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS }}OUTLETS //ECEPTACLE$ SWITCHES INppCANDESCENT FIUORESCENi OTHER AMT K W AMi K.W AMi NW, qMT. K.W AMT. H P. S~ O ~ fr DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EEIL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. On H. P. GAS H. P. AMT. NO. A. W G AMi AMP AMT AMPS TRANS. AMT H P SYSTEMS AMi WAiiS NO.OF FEET SERVICE DISCONNECT NO.OF 5 E R V I C E - PMT. AMP TYPE METER 1 9W ~ ~ 3W fl.e' 3W 3,9 4W NO OF CC COND A. W. G NO OF HLtfG A W G. NO OF NEU1RAl5 A. W. G EQUIP. PER9 OF CC.COND OF HbIEG OF NEUTflAL 1. L~t~ ;.a~ z x ~ tla f a, OTNER APPARATUS: ' s ~1%~~~~ ~T)SLAf; T;I,I~C99'ft7C' LJ;(;.{~:,,dG`/°7-~: s: H'J'C1It7G4J F:, 1~YY, -x,593#) OENERAI MANAGER ' e5 Per I .l '1 This certificate must not be altered in any manner; return to the office "bf 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. r. ~ ~ ~ rss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ } ROUGH PLBG. (]FOUNDATION 2ND [ ]INSULATION ~RAMING ( ]FINAL REMARKS: 9'~~-L-~-~_ c~/~-~ ---r ~ / ~ DATE (O ~ ~ INSPECTOR /~y''~s l ~/l L-- 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG, [ ]FOUNDATION 2ND [ ] INSULA N [ ] FRAMING ~ f~ [ NAL REMARKS: t~a~'~- DATE ~'f ~ INSPECTOR E CHARLES ALLEN CONSTRUCTIOF MANAGEMENT CORPORATION P ~ (5 C ~S n 7 2 P.O. BOX 31 ~ Laurel, New York 11948 3 t g I~ R (516) 298-9157 Y FAX# 298-9157 ~ ` 4 • ~ut;~rr,~rEa October 17, 1990 Mr. Gary Fish Southold Building Department SOUTHOLD TOWN Town Hall Main Road-Route 25 Southold, New York 11971 RE: Harrison Residence North Oakwood Avenue Mattituck, New York Dear Mr. Fish, Per your request enclosed please find As-Built Drawings for the referenced residence. We have also insulated the floors as you requested. If a re-inspection is necessary please feel free to call us to arrange a convenient time. Thank you for your cooperation. Sincerely 1 Betty Perry Office Manager /bp enc. O B0.1FD OF HEALTA SETS OF PL,1;i5 FORr~N0.1 SURVEY TOWN OF SOUTHOLD CHECK ' BLDG. DEPT. QUILDSNG DEPARTMENT SEPTIC FOR2I . TOy'lgyOFSOUTHOt-0 „e, TOWN HALL $OUTHOLD, N.Y. 11971 NOT FY , ~ q y = C~/,~ ~ • • • • , • / TEL.:7G5.1II02 C LL /rJ ` . ~.,1~........, 19 .7. C, PSAIL T0: Examined /C~ Approved 19/.iV. Permit No. ? . Disapprovedalc (Buildy(ie Ins• ctor) APPL{CAT10N FOR BIJILDING PERPi11T .June 1 90 Date 15 . INSTRUCTIONS rt:~ a. Tlvs application must be completely filled in by typewriter or in ink and submitted to the Builditr~ Inspector, with 3 .sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of 6uildin;s on premises, relationship to adjoining premises or public streets br 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 6y 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 applicmt. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shalt be occupied or used in whole or in part for any purpose whatever until a CertiScrte 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. The applicant agrees to comply with all applicable taws, ordinances, building code, housing code, and rensriat:ons, and to admit authorized inspectors on premises and in building for necessary inc_pections. Charles A11en Construction Management • (Signature of applicant, or name, if a corpora;wnF°~' •••••••,P; O; Box 31~• Laurelt.NY•• 11948.'• . (Mailing address of applicant) • • • State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Charles Allen Construction Management Corporation Name oC owner of premises , • • Mr, and Mrs: John Harrison • • • • • • • • . • (as on the tax roll or latest deed) - ICapplicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Charles Allen, President yJp~,, ~ `q ~S C~.v- 3tJ Builder's Liccnsc No. - Plumbcr's Liccnsc No. • , • • 201 6-P Electrician's Liccnsc No. , • •3256-E Other Trade's Liccnsc No . 1. Location of land on which proposed work ~wiyll be done; ~G~7i'~`:l • . . (louse Number ~ Street Hamlet County Tax 11ap No, 1000 Section . ~ • • • • • ~ BlUck , ~ , . Lot ~ . .,i". . Subd v Laurel Park • • • • • , , , , , • Filed ASap No. 21 2 • • • • • • • • • ~A - i ision • Lot (Name) . State existing use and occupancy of premises and intended use and occupancy oC proposed construction: ` _ Singh Family Dwelling ; us nd a. Existing ca occupancy . b. Intended use and occupancy ...::=k:i~~.`..~de'%: s1............. ..r i S[X . ~ _ it ~'dwc~. '~m~. 3. Nature of work (check which appl;icable): New DuiWing • • • • • • ~ • Addition ~u n ' ' Repair RFmov~1 ..,.X... Demolition ..........Swimmin; poSl'..,:........ Tennis Court . Accessory Building.......... Fence • • Other tJork. _ _ _ . i 4. Estimated Cost ~ 6 r 500',.00......... • Fee (to be paid on filing this appliccaation) N/A~ 5, IC dwelling, number oC dwelling units ~ Number of dwelling units on cacti floor . . NSA.... IC garage, number of cars i N jA • , , , , , , , , 6, ((business, commercial or mixed pccupancy, spccif 95 pure and extent of each tXpc of use .D` . to . • • •27 t Ot' 7. Dimensions of existing structures,jif any: Front , . Rear , 53' 8.' p , , , , , , . . Hci:,2tt . 15'.p:'........ Nuntbi:r of Stories ~ . . Dimensions of same structure with alterations or additions: Front , ,SAME • • • • , Rcar . • ,SAME • , . • : • • , , , Depth S,APQ}i .'i. IIcight SAME , , , , , , , , , , Number of Stories , ,SAME • . • • • • . , 3. Dimensions of entire new constniction: Front N~A Rear ..N,IA.......... Depth .NJ,A . Height . N./.A , . Number of Stories . N/A . 9. Size of lot: Front ..1.20:0:'. Rcar $ ~ 3.~.......... Depth .144: 10. Date of Purchase • . Name of Former Owner DTON.E • • • • • • • - • - . • • • . • • • • • I I. Zone or use district in which prertlises are situated , .~~,~ii-der}tial, , , , , , , . . I Does proposed construction violate any zoning larv, ordinance. or regulation: N~ • • • • • • • • • • • • • - • 13. 1Vi1t lot be regraded . ' ..)`l0 , I..... , , 1Vill excess fill be removed from premises: Ycs No .X. 14. Name of Owner of premises T? fNi ,7. I#arrson:: AddressNo, • Oc~k .St..rMatt.Phone No. 298.:4898..... , NamcofArchitect F.obt.•Nkte~~an.... AddressP.4r.$•..590,,, Mi}t~ghoneNo.29B.-.577A....... Name of ContractorChas.Al.l,ekt, ~gr1~;Manmt, C~,~~cssP4B, 31,,, ,Laurel , phon yNo.299•~157.......' IS.Is this property located within 100 feet of a Cidal weCland? ^YCS----ti0.... , *If yes, Southold Town~'iTrustees Permit may be required. PLOT DIAGRAMS 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 whether interior or comer lot. SEE ATTACHED SURVEY • ~ , I I li STATGOF\EIVYORE, SS COUNTY OF ...SUFF.4LK...... ~ . charle~..Al~~n....'~....... being duty sworn, deposes and says that he is the applicant ,(Name oCindividual signitfg contract) above named. lIe is tltc CONTRACTOR . • • . (Contractor, agent, corporate officer, etc.), • of said "owner or owners, and is dulyjauthorized to perform or have perCormcd the said work and to make and file this application; that all sta[emcnts contaittcd in this application arc true to the best of his knowledge and belief; and that the work will be perl'orntcd in tltc manner pct forth in dte application filed therewith. Swom to baiarc me this ~I ~ J. ~ . ..day of . ~ 19 Votary Public. . : JLLGI;L«... tsJ- ~ /y/, g a 1 ~ ~/~k~:::: NL ~ t l' q LAURIE E. GRAEB /`y • • • • ` e~lotaryPublic,StateofNewYork ~ ~ ~ • ~ (Si;natureoCapplicant) d'M e3vao ~ alan`n I 7eNm F N?~IgePtetnbar 3~Ou,1~i~ KB:E I) 9153\ 5-73 EOSBBr ~ ~ / N 73 l5 E ~ ~ 19.37 ~ - s 53.93' 'sOo~ 3y \ Soo .30 ~ S z O +1 0 0 ~ 3a ~ y 1 0 ~ ' ~ ~ o ~ m_~ ~ C c ° m m o ~ ~ g ~ ~ ,~l G e \ N n O Z Q\ m W ~ ~ `1 O ` a .5 ~ ped O 359 S• jACk ~ u P o Y v P 9'9 ° V1 z9.b \ O N ~ 35'-' " _ - A 35appsQ ft~ ~-W\\° o ~ prey " N RpE~ A ~ZZ ~ ~ II Pq 9 . ~ ~ p''E o o 'N (T1 °3~ 5 ~ w S. °o~ Cn ed Je~^_n F p O ~ m e V ~ Q, v ? A Ir ~ ~ }r1 0\ 0o O i z ~ o o .3 Waa \ ~.a' K 1 f a_~ 1 v ~ W\ /~G 4?'-' \ 9 o n" dot Wwo_~~~ - ~ ~ ~d / O: ~ L / t!a~ 569op8~~0 ' o ; i at ` IQO ~Q lp9 88, _ ~ Ib ~ P• 2 2~' 4' ' v W, to _5 69 8 - N 1 Qt ~ a ~ {i - w o Se = I NOTE ` ~ ~=MONUMENT 1O LOT NUMBERS REFER TO'iNAPOF SUBO/VlS/ON OFL07S _ N 52 9 53 -LAUREL PARK, AND O THER PROPERTY OF Z RAVATONE REALTY CORPORATION "FlLEO /N THE OFF/CE ~ OF THE CL ERK OF SUFFOL K COUNTY ON DEC 2, 1930 ~ ASF/LENO. Z/2. I O / ~ ~ mT` tes W o ~ EgtU rn ~ b 0~ N CJ ~e~W -i ion ,".~a 0~ ~~,~SA~ a. = - _ _ _ . S~bd~VjSGo file N . ~ ~ 'vEtl Siff. < p pR m pAK~pO o ~ II NpRTN 0 0 o $ 0 P~A~E ~ 1- NEATNER REVISIONS YOUNG & YOUNG j' 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK / ALDEN W. YOUNG HOWARD W. YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SVRVEYOR. N.Y 5. 1_IC. NO, 12845 N, Y. S. LI C. NO. 458D9 SURVEY FOR: J4aU *HOFRED ALTEFATION Oft 4DDITION TO T"'" s°""" s ° SE"'°" JOHN W. HARK I SON pSE Of ryFk, 1209 OF T4E NEW TORK STATE EDUCATION L4N' ~j~ /'O CUp r, nr THIS SUR'Jfv MA? NOT 9EAPIN6 y1P'PD W' r~ THE -ANC SL'P4 EYOR $ INYEO SEAS OR O EM9055E0 dfeE SH41.L NO' BE C.ONSiDEHEL r~~ ac a iat,° roue c°vv AT LAUREL G AR NTE T TI LEG EF C t KfiE I] 93 S]e ,X58X• ~ /937' _ - ~ _ _ ~ 53 A3' sso°~ 3q \ Sp 3p ~ ps, P\~ 2 o I,` a v^ 1 ~ ~ _ o J[~\~j~ m fi _ 6_ W \ V c _ o m ` V~~~ ~ o H a ~ ° ~ ~ ~ 111 0 1` Rl N w 11~~ o ••0 <.a O i50 1EUk l 1 m - \N O i3 + N ~ ,~y 4.- P A- o ~ ° p 4` '~A re 35poo5Qf t/ ~ W~m\ o p.. n - N N ~ I~ppRGEL yTZZ ~ ~ Q E . f NTp°37~6~ E c a o\ CT\ v, e . x zp u, o - 3NV i j.''i~ a Z- a ~ G~~~ ~ 0 wo-~ ,f r o_ ~ 569°t)92p0 o a ~ ~ l N O_ ~ C/ Q S- re 16p0 Ip9~ee 1]' 4 2 ~ F °W 0 ope~~n N 569 8 N m\I Lp~ 0 w E m\ _ _v Norf. •=MONUMENT LOT NVMBERS REFER TO'bAP Of SUED/V/SION OF L OTS 52 B 53- LgUREL PARK, ANO OTHER PROPERTY OF Z RA?ATONE REALTY CORPORAT/ON "F/LED IN THE OFF/CE p OF THE CL fRK OF SUFFOLKCOUN7Y ON OEC 2,/930 ~ ASF/LENO. 2/2 --1 S - O D n N$ ~ ~~ood EsiO{ee °~.°d a - "~auTe 5g5 SebdlvlSCoeFrle No' S ~ v R,I Siff' p pRly m IINpRTN ppKWO 0 o~ i 0 0 0 0 o PLAGE HEArNER FEVISIONS YOUNG & YOUNG 000 OSTRANpER AVENUE, RIVERHEAD, NEW VORN ALOEN W. YDE NGG HOW SqD W. YOUNG RPOFE951UNRL N WEEP FNU LAN° URVEYOP LAN° E EYOP N.Y,E I-IC ry0. 12GA9 S LIG NO YSBY9 _ SURVEY FOR: ""`r'""X"XO~`<°lo° JOHN W HARRISON P(E OF NEW " New :oPV s]a.F a x 4~ r Nh EC 5 ~N..[_F S s~ eL~-,a,lE wr• aT LAUREL G Aq NTE _ i TI LEG EEC ~ _ 'rowN of SOUTHOLD ~ 'ea - SUFFOLK CO, N Y HY ' - _ _ viEl I scALE ~"=40~ °ATE~MAY 6, 1977 -254