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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 218580 Date NOVEMBER 21, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 4714 (R.O.W.) OFF PECONIC BAY BLVD. LAUREL House No, Street Hamlet County Tax Map No. 1000 Section 128 Block 04 Lot 16 Subdivasion Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed zn this office dated OCTOBER 16, 1989 pursuant to which Building Permit No. 185672 dated OCTOBER 16, 1989 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 ALTERATIONS TO ROOF AND CLOSE TN OPEN PORCH OF EXISTING SEASONAL DWELLING. The certificate is issued to ARTHUR & MARIAN MORMILE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING SLIP 11/20/89 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 108M N0. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8 ~ 6 `7 N ~ Z Date .1..Qjl.,/~ 19 Permission is hereby granted to: at premises located at ..,~..7f r~........1~ 1.1.~ .....~'.K!r~c?~, ..4G<......sS./........~;1.:~~G'rC f..^~. County Tax Map No 1000 Section l.P~.rt~.... Block ~ Lot No........~kr........ pursuant to application dated ......I~ ?.,~.Q 19u..~r., and approved by the Building Inspector. / 00 Fee 5.....c:f~~ .,~.b !ice.. :lt_................ Buil g r Rev. 6/30/80 A } TONN OF SOUTIIOLD 'rjh~,. ii BUILDING DEPART2ICNT TOY7N HALL BLDG DEPT TOWNUFSOUTHOLD SOUTIIOLD, NEFI YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY nnTE------•----•----• NEW CONSTRUCTION ....._.OLD OA PRE-E%TSTING BUILDING. ~...VACAIiT LAND........ Rr'~' ~t,IIR~ ~7I~......F?£C~*,~((G-BR~_QLv_D _~r9UR~L Location of Property. _ _ HOUSE NU/.~ ~I ST REEgT p / HAMLET Owner or Owners of Property.lY~~i'*.Q~~R~.~~~.~~~LT~~..M~14^~~FE County Tax Map No. 1000 Section Block Lot f Subdivision Filed Map ........Lo[...._..... Permi[ No.~Q~~*.~~.._Date of Permit ./.d.~~'.o7_Applicant .I'~mRC"!C~-~'...... Health Dept. Approval Underwriters Approval.._........... Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ APPLZCANT.ji~..~lY~'.._ l~ 3 ~~3% ir`yl f8y ~a Z/~S ~o rev. 10/14/88 - 14 _ II _ =ouuDATlo;r c~~t) - - - - - 1~ = OUt1DATI0;J (2nd) 1 - 2 . .'.OUGH FRAIfE & -PLUMSI;dG v 3, I c INSULATIOf1 PER N. Y. I - • STATE EflERGY CODE m a w, ~ y ~ _ F I;rA~L ~ - ADDITIOCIAL COuPfE11TS: m ' x ^a N q H H O [i7 • r - _ ~ H - - - o _ ~ m .a l~ ~ 765-1802 l BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST t } ROUGH PLBG. FOUNDATION 2ND ( ]INSULATION [ ]FRAMING ~ FINAL REMA/RK/S: L~ DATE t ~1 INSPECTOR !S U~'~U~ ILL Wtu.>(.~ot.c~ -1 t oCf~ ~ ~at~t~It~ fll~+" ~XtaL ~ `-~/"uGf~ .t, , _ . R tL b,/tz.ti: a v c ~ h ~a t .~c a~a 6 /cam ~"A ~',k' ~,,'ru..;~ X~ y ~ ~,~tsr~ ~6 ~ l7' rva -..`'`-~-/-~~,f..`.~1~1''~--....,,~ yLf~~~ i~~,~~'13, l1~Ga.u,~y.•rJ.lalt 1f ~ ~ ~1xU ~~H, ftyy a~ C~~~ ftu vc - ~ Q' If I { r i! 4E ~I.C :ae5 ~tnlt~ i 51vGf t' l ~ t i C.I~X.S~earGt,,. I~"ctt~,. C?-- I r ~ ?j,:_ f. i ~ t, rt ~ iE r ~ ! ~ ~o,vG`uaE~ ..i.~g `y ,t„t..,< ~ P ~ n ~ ~.r^^•,,,,,~,,,,,,, ~.Ki.~7'/~ f_,i tG(: r~f'l. UT.Yrr i..Y~\,~' '~jL /~„''~f~{'_Ht~tg 'r~(a fJ ~73`w ; j ~E~ , R.~ , ~,,j~ J~d~i Go02 IN e"-Crr~r^~, ~EHC.~ - ~ ~ , - N~4u t4ooti -~ors~~ ±~'co T~: GYr~~:r~ Gnat . % ~ 1 ~ ~ t r / Ii I y ~ , i a~ Atl to f .~W~~~p~ypp ~ ~l~ ~"rDISC/9L oT E.X~:,ri^'~ _?.~isJrn~r .~c'~ckf 9~ ,Grc.'re y kt~9.ws o ~ E.aCcy't"t~~~.a.~c G~ ~ ~ ~ j I FC-~~z. ~.1eiJ5l ~ f 1 ~c` r~lt> f.~GY'{ j ~ d`~h' 1 S r'e+.~'r 4~ N E A G~ C~ ~ ~ r~~ ~ , ~ Q 72~auc v~~.~ L.. l ' ~ E ¢ G9oa~ ~t~A•RrcC14 ~ S E j ` ~RA° ' ~ ! ~ _ _ vGR•ti4° !/fir'' 7 ` G ~ ~ E NCI: J:.J ~}C~, a_ N ~ , Y A~{~ta2~i2tA.t.t~.r~ g~ g~o8 8+.u~,, ~.©,w, tuf ~L~X?~ut~~Es 765-1802 ~~~~2~Z,t~~Y, BUILDING DEPT. AJ~ti~ `Zg-~-`~ INS~PECTI4N po A S tied ~ P.©. 8oK 7a [ OUND ION 1ST ( RO H PLBG. [ ] F DATION 2ND [ ] SULATION [ l MIN [ FI L REMARKS: ~ U ~ ~ 1.~~ ~ I.td, i 1 ~~.~7~ ~8i Cdu~ t~trl~. DATE ,2! 4" INSPECTORI~LG~ti ~ c THE NEW YORK BOARS OF FIRE UN'DEIiRITE~S PArr: !008088 iEUtM~wu Or BLeCMtGrtr BE JOHN ETI![tLT. NBW YORK. IVlW YOIIIK 1003E pnk D$C$NB$R 01,7.989 A'ylinttonNo.onfil' b6"11.3989/89 N 105336 rvML?a teRrlRles rw?T ~1 -I _ Mtly tk• ri~ObiMI MlllpnMlK Y drlClikr~ tNtOY Nd il[tI'9jYerd by the AIy.iClltt Mlnrd M tha tyEON.1~/bNtlOlt n1fMk[ri,A-tRrrlrRntNr q NORNIL$, 4114 P$CONIC 9AY BLVD, I,AUR$L, H.Y, f~ ®IAt l1. ? fnd fl. SArtton Hoek Lot tw tk.fottolein/k,ntloni ? Bwment taw a+antLka+i on NOYENB$R 29, 1.989 Fwd f~~ to 6e in compliance frith the reyui,rmewts q(ti~ tMCd. R1f4YRl 4. OUM! ffhT~ I1110[lICUIT.. OTMVI AMT. Rw. AML k.. M. NAT. [.W. MN. EWE' AMi. IA I. 2 3 3 ORVtttl - R1l1RAC/.IftIfTOK tV1Yf1:ANYAIIIERMMi aCn 1ffR~i0elef. uttttwuuif ,.°tlMlllitt , AMi. L W. pl ~ K?. OAf M.I. AMC Iq. A W.0. AMT. AW. MIT. AAkM.' TfAMt~ AMT. M.I. . AMC WATIt _ - fMVli? N0. f ! R V 1 C i .tA,MD. w. A. w. --A. w. AMr. Aw. - riMl l A tw l i tw t.r tw t,r « Mo,~e~i no. a MFLNS a Mtk g111N AIMRANF R$NIRING OF $RTSNSION ONLY-1 t G.F.C.I:-1 ~I °l BOB'S $LECTRIC S6RVIC$ LIC.+694-$ a0 POPLAR AY$. FARNIN6DAL$, NY, 11'135 B/~l tM'l1flYBft t~ 11'' ~ to ,n~ Pr - N1i1 onlMlflfl._a1~v _ <Ar M. tlMn. to Jkf 4Niu, ~:1M ia~ard N intaracl. ~ ilil ~ ;1~.~rtnMMak.__i C~ , . . _ ~ , FORhi NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date October 4, 19._.89 Mr 6 Mrs. Arthur Morr.~ile TO (owner ar authorized agent of owner) O.,Bos 69 .........,..attituck.t..,__.:Y:........11952 . . (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of Zoning Ordinance ~ CHAP. ]00 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in Yhat AN OPEN PORCH WAS ENCLOSED AND ~ (state character of vio(otion) ALTERATIONS WERE MADE TO THE BUILDING WITHOUT A BUILDING PERMIT. . . in violation of ARTICLE %%VIII CHAP. 100-281 (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the low and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at 4714 GREAT PECONIC BAY BLVD. ,LAUREL County of Suffolk, New Yark . SUFFOLK COUNTY TAR MAP ;f 1000-128-04-16 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both .l~u~ ~:.~J ORDINANCE INS CTOR VINCENT R. WIECZORER ~~t;. ~ R ..-r`' ~E`" BOARD OF HEALTH 3 SETS OF PLANS FORM NO.1 SURVEY TOWN OFSOUTHOLD CHECK ' BUILDING DEPARTMENT SEPTIC FOR?1 ~ TOWN HALL SOUTHOLD, N Y. 11971 NOCALL Qg =g ~4•~• • - • - TEL.. 7G5-1802 G MALL T0: Exammed~~l!~~'.//.........., 19~j Approved ..,rf~.Jl6..... 191~Permit No.~~'~~.~0.~ Disapproved a(c// . . . . ~ ~'fi / ilding Inspector) APPLICATIUN FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit 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 ad~oinmg premises or public str or areas, and giving a detazled description of layout of property must be drawn on the diagtam which a part of this ap cation. c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Fermat to the apphcant. Such per 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 Occupai shall have been granted by the Building Inspector. APPLICATION IS HEREBY h1ADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance= Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regularions, and admit authorized inspectors~}o~-n~ltpremises and in building for necessary insoections. lk3 <<+~ ~lt{' !~t'~~ iA'~ ` +Fq"(+N/Y ~ lJfli' Y/,i"~~ . y, q (Signanire of applicant, or name, if a corporation) ''~1~ryr~.,:.; !~.!?.•13.o.x.,(G j~../17i~~frTt~'rd; !tE xNj "tt i ~ (bfailing address of apphcant) /l¢~•~ State whether apphcant., tgg gWner Iessep, agent, architect, engineer, general contractor, electrician, plumber or build ha`,IS*•,, r ~v.u~-~~/' '-r 1 , r ri Name of owner of pr~~prl~eS, ,,..(.:U`L~L~y 9" : :d~!>t'~ . . (as on the tax roll or latest deed) If apphcant is a corpomtidn, s'iohsture of duly authorized officer. `..^t Loo t.. S ` (Name and~tiflte dt*~oYporafe officer) ALL CONTRACT0.R"~tMl1"$'~'B SUFF LK COUNTY LICENSED ' Builder's License No Q ~ . Plumber's License No . . Electrician's License No . Otitcr Trade's License No . . . 1• Location oCland on which proposed work will be done. • . f?,~Ca?/Y~,G ~~r ~L~~ House Number Street Hamlet County Tax lvlap No 1000 Section ~m ~ a....... Block . / ahg Lot . /6, , , • • , , , ; Subdivision Filed flap No Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construe tioII' a.Exaunguseandoccupancy..~~/~./.'%~~'.~,~....:~.~~~'j~d _ b. Intended use and occupancy G.w~~V~ l~ad~^`~ , , . ~ , " &k rt „ 3. Nature of work (check which applicable)' New Building Addition Alterat~t Repair Removal Demolition Other York . l..~.Pt~.j (Descnpiion) 4. Estimated Cost ~Qdlydf Ut7 Fee ` (to be paid on filing thu applicallon) 5. If dwelling, number of dwelling units Number of dwelling units on each floor , If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensip, i any Front . Rear Depth . Height Stones............ Duriensio eratrons or additions• Front Rear . Depth ig}tt ......................Number of Stones . 8. Dunens fe~'~t Front Rear............... Depth Height .........Nun er Stones 9. Size of (ot. o Rear . Depth . 10. Date of*Fuee .Name of Former Owner . . I Zone or use distnr_t m which premises are situated . 12. Does proposed construction violate any zoning ]aw, ordtnance or regulation : . 13. ~Yill lot be regraded . 1Vill 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............... . 15. Is this property located within 300 feetyof a tiidal wetland? *Yes Noel,'.,," *If yes, Southold Toom Trustees PermitPL07"DIAG1ttlMed. Locate clearly and distinctly all bui}dmgs, whether existing or proposed, and indicate all set-back dunensions from property lines. Give street and bock number or descnption according to deed, and show street names and indicate whether •ntenor or corner lot. A~ ROV D AS NOTED pATE:~~ /to B.P.N IJ~JrC~7y~ FEE p o NOTIFYS~ DE ENT AT 765-1802 8 AM TO 4 PM FOR THE FQLLOWfNG fNSPECTIONS: 1 FOUNpATtON - TWQ AEQUIREO FOR POURED CONCRETE 2 ROUGH -FRAMING i4 PLUMBING 3 tNSULATiON 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y STATE CONSTRUCTION ~ ~MERGy CODES. NOT RESPONSIBLE FOR ucSiGN OR CONSTRUCTION ERRORS ;TATEOFKEtY~WRF~' S.S (rl~.. ,~U rYYT ~ being duly sworn, deposes and says that he is the applicant (tiamc Of indn•idual signing contract) oovc named. 3c is the (Contractor, agent, corporate officer, etc ) f said owner or owner, and is duly authonzed to perform or have performed the said work and to make and file this cphcation, that al[ statements contained in this application are true to the best of his knowledge and belief, and that the ork will be performed in the manner set forth m the application filed therewith. worn to before me Ihi~ ...............C.~ ~ ~ay of . ~(J/',~~..Count l9~ otaryPu6lic, •Y~,,,K.~~-~~.:..~.~\~~~~~~ Y ~'J~~ CLAIRE 4aLEW L!~!~/!~9!J/Y . NofsryPa6lie,t~tsosofNwryalc (Signature of applicant) aratlHed in 3r CanmisNon Expires Oseem6ar 8, t9Lt-~'