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FORM NO. 4 TOWN OF SOUTHOLD Bl7ILBING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-20313 Date OCTOBER 29, 1991 TF3IS CERTIFIES that the building' ADDITION Location of Property 1665 BRAY AVENUE LAUREL N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 8 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10, 1989 pursuant to which Building Permit No. 28299-Z dated JULY 12, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to CRARr.RS KAYTON (owner) o€ the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~G/~~i ilding Inspector Rev. 1/81 aoaai[ xo. s TOWN OP SOUTHOLD BUILDING DEPARTMLNT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ ~ g 2 ~ ~ Z Date ..........~.r4~L~S~.......i. ~ 19.9.. Permission is hereby granted to: n~ . . . . . . . . 1. /4 . . ~ ~ . . . . . ~ . ~ ..Q. ~~.s ~ ' " 1 . . . . `tea. ~.F..:!'.:i!~,-~?'~.....~ to ....L~..°.1^iA~r!:4:Sd......n,......5~.~.......9Md4R141-Y..t!~A!a.....1.~1....~.^.'.1......?::R.^..:'?~"~....a~~.. ~...~~sQ~-~,Q. . of premises located at ~..~.°......5. ...~Z+Z~.s. ~....~.A.r~.l' ~..tiCr~:c.:~Z.................. County Tax Map No. 1000 Section ......~.~::.lv....... Block Lot No.. ~ ~ pursuant to application dated ~ 19~.~.., and approved by the Building Inspector. Fee S.•~•:•• ding Inspector \ Rev. 6/30/80 - - ~ Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION POR CERTIFICATE OP OCCUPANCY This application must be filled in by typewriter OF, 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-o, 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. .iccurate 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 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ::ew Construction.. ~t:5,,. Old Or Pre-existing B~u/ilding Location of Property../,G.~.~........1'~.:".~.'~....IZ.~..~" ::..............f:~T:J.':;~_L_. House No. Street Hamlet•.••••~ Unwer or Owners of Property., f ~.(.~.......~~.r !?y . ~ ~~C;- 4`',h ~ r S K .............~y:.T County Tax Map No 1000, Section..J.~ ~:......Block.....0~...`~.'......Lot....../. Subdivision ....................................Filed Map............Lot...................... Permit No.?.~.?.Y.~T......Date Of Permit.cT.r?„`~:/6,7`r&.Applicant !Iealtt~ Dept. Approval ..........................Underwriters Approval......................... :Tanning Board Approval i:equcst for: Temporary Certificate........... Final Certicate........... ;'ee Submitted: „ e o ~ a o3 r3 APPLICANT i .~,T..-P.. ~~9 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING _ [ FINAL , REMARKS: L,~- ~ ~ ~ , r / r DATE l ~ INSPECTOR 'ij 1~LD i;:S: cC:.U; ~~'J,;.:. I~ :;G:'tMENTS ,.O - - - H .9 OUtlDATIOtJ-~ (1st) ~I a ?OUtdDATION ( 2nd ) m~~ o .',OUGH FRAME & 6- N~ PLUMBING ~S 3. m m IIlSULATIOP! PER N. Y. STATE EPI£RGY CODE I 4 . H FIidAL ~ ADDITIOtJAL COMhfETJTS: m S x . m ' x ro• H ~ ~ 9 H H O ..q • m a ' - / H .GT d m -o H INSPECTORS Principal Building Inspector ~O~OSUFFOt:~CaG Curtis Horton = y~ SCOTT L. HARRIS, Supervisor Senior Building Inspector y z Southold Town Hall Thomas Fisher v- P.O. Box 1179, 53095 Main Road Building Inspector ~ ~ ~ y~ o~ Southold, New York 11971 Gary Fish O,( ~ Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector 7~Q,, Robert Fisher - Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION ~-c.~~-~~ Date: OCTOBER 1, 1991 a TO: Charles Kayton ~ C~~-KL/L- 590 WILLIS AVE. WILLISTON PARK, N.Y. 11596 ~i~~ n n PLEASE TAKE NOTICE there exists a violation of: G%~~ Zoning Ordinance - CHAP. 100 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: BUILDING PERMIT #18299-Z HAS EXPIRED AND A CERTIFICATE OF OCCUPANCY HAS NOT BEEN APPLIED FOR., In violation of ARTICLE XXVIII CHAPTER 100-284 YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 1665 BRAY AVENUE, LAUREL, COUNTY OF SUFFOLK, NEW YORK, SUFFOLK COUNTY TAX MAP #1000- 126-08-11 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. i~~~-- ~~~R~ INCENT R. WIECZORE ORDINANCE INSPECTOR INSPECTORS PrincipaltBuilding Inspector O~pSUfFOLkCOG Curtis Horton =Z' y~ SCOTT L. HARRIS, 3upervisar Senior Building Inspector y x Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspectrn ~ • ~ y O~ Southold, New York 11971 Bu d ng Inspector ~~1 ~ Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: OCTOBER 1, 1991 TO: Charles Kayton 590 WILLIS AVE. WILLISTON PARK, N.Y. 11596 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - CHAP. 100 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: BUILDING PERMIT #18299-Z HAS EXPIRED AND A CERTIFICATE OF OCCUPANCY HAS NOT SEEN' APPLIED FOR. In violation of ARTICLE XXVIII CHAPTER 100-284 YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with. the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 1665 BRAY AVENUE, LAUREL, COUNTY OF SUFFOLK, NEW YORK, SUFFOLK COUNTY TAX MAP #1000- 126-08-11 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.®!(///~~ d VINCEN~. WIECZO1~YrK ORDINANCE INSPECTOR i 4 i- n O o~ i t Js ~ ~ ~ cL J ~ ry ~ Q1 en x. ~ vF ( d ~i ~ sar J 6', ' ~ U; M; L4 ~ El ,gyp ~ S, W. ~ 7 ~ q o ~ vR {u ~ ~ ~ ? ~ i ' ~ ~ 0.~~ 3 ¢ 3 0 N ~ ' ~ O~K~a3~ti ~ ~ 1S ~ y~ ~ Fps - ~ Z T ~{T- M~~o c~ l ~ 4 ~ Os MIS ~J I 1___ 1 ~ 1_ ~ ~ s ~ { '~S~tL1Ct~5 ~ ~ , ~ ~ ~ _ ~ ~ _ ~ ~ I _ o~ - r a J ~ ~ - a ~ d ~ ~ ~ ~ _ ~ V ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ~ ~ V ` ~ v ~ ~ N ~ ~ ~ ~ ~ R ~ ~ _1 "~~`~"C ~ iv ~ . I ~ N ~ x ~ - - - - w I~~ ? ~ '~sxs~o)' 8 x z ~ IY A 1 ~ ~ i'- ~ ~ ~ ~ ~ -~~v nom--. rm~3? ~8~ ~ ~ ~ { s - ~ ~ i" a ~ d~ 4 ~ ~ ~ ~C 3 ~ °~a ~ b~ oQ. p ~~LtC4-NSE, U 6- ~ h° iJ v ~ ~ ~ ~ ~ ~ ~ ~ N N U v ~ AU? ~ i.1 _ ~ ~u L.~ ,0 ~ ~ -r-~ 'c r n ~ _ s V'~~~ a q ~ 4 'P v ° ~ ~ ~ z s i cS „ ~ w l~ ~ a. ` ti~ ~ ~ ~ ~ N ~ J rn or 4 ~ ~ ~ N ~ ~ ~ ~ ~ ' ti ~ ~ t z J ~ ¢ ~ ~ ~ ~ ~ ~ d ~ w ; k 2 ~ ! N ~ x ti ~t INSPECTORS Principal Building Inspector o~p$~FFO(k~o0 Curtis Horton y~ SCOTT L. HARRIS, Supervisor Senior Building Inspector o= Southold Town Hall Thomas Fisher y a P.O. Box 1179, 53095 Main Road Building Inspector d • ~ Gary Fish y~0 a0~' Southold, New York 11971 Building Inspector ~ ~ Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: OCTOBER 1, 1991 TO: Charles Kayton 590 WILLIS AVE. WILLISTON PARK, N.Y. 11596 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - CHAP. 100 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: BUILDING PERMIT #18299-Z HAS EXPIRED AND A CERTIFICATE OF OCCUPANCY HAS NOT BEEN APPLIED FOR. In violation of ARTICLE XXVIII CHAPTER 100-284 YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 1665 BRAY AVENUE, LAUREL, COUNTY OF SUFFOLR, NEW YORK, SUFFOLK COUNTY TAX MAP #1000- 126-08-11 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 bath. ~ VINCENT R. WIECZOR ORDINANCE INSPECTOR FORDI NO. v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date .........Q.Cr~a.....~ 19..t.~.. (owner or authorized a ent of owner) 5RO wtc Lt s aR gUt:- w.l.~ L: ~szQ.~......P ~.~:~..,..ti(.~..LL.......... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists o violation ot: Zoning Ordinance `.....C-LI.~ 1~:... (.d.~ Other Applicable Lows, Ordinances•or Regulations at premises hereinafter described in that .~.Ui.lL..i~..LU;C~,,,,,~~d~1.Ltt„i....,,.1.~ ~,r(,.`~•~. F/N$ (state character of violation) . .~/Lt~l u~ ~?e.•ill=lceq-7"~;,......o.r:...4?.~:~:.6%1.F.'.ta~AO~!1......FI~4.S.....!`cD..!:.. 1~~~AI in violation of ,l,`~?L7,LGC.F....l:..k.!~.(.f1.......~:~: ~~.0... '~-S`~ e (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at ~~,~,~~,,...j~!2o4.`~...,~~~.~...~::.G~.!a:.f(L:r~.:L::.~ ...................County of Suffolk, New York. SUFFOLK COUNTY TAX MAP ll I O®®° l ~ 6 ~ Q Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Inw may constitute an offense punishable by fine or imprisonment or both. ~a+4di»~-Inspector Oat-~3, FORfit 1V0. v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date ......JITNE...~~ 19_..89 CHARLES RAYTON TO . . (owner or authorized agent of owner) 52 PEMBROOR DR. ...........MIN80LA.,...N.. X_....1.1.50.1 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance CHAP 100 Other Applicable Laws, Ordinances•or Regulations at premises hereinafter described in that , A DECK ADDITION HAS BEEN CONSTRUCTED (state,,~7character of violation) `/-~~~7 } .,..,.,.,.WITHOUT A BUILDING PERMIT. / L ~,rJt,(, - lt~Zl.-t~ r in violation of ARTICLE %%VIII, CHAPTER 100-281 (State section or paragraph of applicable low, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the low and to remedy tfie conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at 1665 BRAY AVE., LAUREL ,County of Suffolk, New Yark. SUFFOLK COUNTY TAX MAP k 1000-126-08-11 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. ORDINANCE INSPEC R VINCENT R. i1IECZORER n r~~ BOAaD OF HE,~LTH • • U FORM NO. 1 3 SETS OF PL.1N~, , * SURVEY ¦ TOWN OF SOUTHOLD CHECK ~.1.~ , , , , ,~r,8 , BUILDING DEPARTMENT SEPTIC FOarl . BLDG. pEpT. ~ TOWN HALL TOWNUFSOUTHOL[7 SOUTHOLD,N.Y.11U71 NOTIFY nn ~ q TEL.: 7G5.1802 CALL , , , , , C-xamincd ..~,.f~J 19 ~q1 r1AIL T0: ~~~5 , Approved .l 198 1 Permit No.>f. ~.'Z`~.l .Z1.'. , '~@-~,, Disapproved a/c 1~.:~~:4 "_".~C~ (Building Inspector) APPLICATION FOR BUILDING PERMIT JJ . Date ....d./:~'Y,~,..~~?.... 15~. INSTRUCTIONS a. Tltis 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 ar areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ~a 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 shall be kept on the premises available for inspection throughout the work. r 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. ' APPLICA ,,QQ~~rr~IS HEREBY MADE to the Building Department far the issuance of a Building Permit pursuant to the 3uilding Zo O~~dfia-~ee` of the II'own of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Rcgula[ions~~3{(}e construction~~f buildings, additions ar alterations, or for removal or demolition, as herein described. The app ~#a~rkees to comply't'4ith all applicable laws, ordinances, building code, housing code, and regulations, and to dmit au~nz~d~~s~e~tbrs onremises and in building for necessary inspection,~s. ~ t + ~ . ~%lu,~--ems. ~ ~ (Signature of applicant, or name, iI a corporation) (Mailing address of applicant) ' Slate whether applic~a>nt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name oC ownertc5f premises G /f,C~,~'l ES ~G'4~T°N (as on the tax roll or laces[ deed) 1C applicant a corporation, signature of duly authorized officer. e•;s (A'ame and title of corporate officer) Builder's I;ic w~i'se;Nq . Plumber's ~icc~se,,No. . Electrician's License No . Otter Trade's License No . Location of land on which proposed work will be done. ~ s ~~Ar. NI-~; rr~ r-~ .....1. . !~c~~~L house Number • Street ? ~ Hamlet ~ • . • • ~ ~ ~ ~ ~ ~ ~ ~ " County Tax\IapNo.10005cction ....~Z~:........ Block Lot., j~,,,,,,,,,,,,,, Subdivision Filed 1<lap No. Lot . ..(N~tttcj' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,L LS C--TiTi'4L b.tntended use and occupancy ..............r......................... , .ra:~ w~EV -1.~sr:`~ . t'ai'+::it`rA, ~ r 9 .....fit ,i nL%t .,~1.^- r ....463 a. t~, . 3. Nature of work (check which applicable New ' Repair [3uilding Addition ~~1Jtt~on Removal . Demolition II''~~ • • . . 4. Estimated Cost , ~,7lJ©`~, • (Doz<cription) Fee...........................:......... 5. IC dwcllin„ number of dwelling units (to be paid on filing this application) If garace, number of cars • ' • ' ' ' Number oC dwclltng [toils on each floor • 6. If business, commercial or mixed occu anc ~ ~ • ~ • ' ~ " " " " " " • P Y, specify nature and extent of each type of use , , , , , • • • 7. Dimensions of existing structu}cs, if any; Front . Hoigltt . Nuptbcr of Stories . ' Rear Depth • . Dimensions of same structure with alterations or additions: Front • ~ ~ ~ . • • • • Depth. .Iieight. Rear.................. ' Dimensions of entire new construction; Front , • ' ~ ' ' ' ' ' • • • • • Number of Stotics ~ ~ ~ • • • • ' ' Hei;ht Number of Stories ' Rear . Depth ' • • . • . 9. SizeoClot: Front 10. Date of Purchase Rear Depth " " ••••••••••...Nameof Former Owner 1 1. ZonePor posedsconstruchontvioemiscs are situated , , , , (?c'SS i ' ' ' ' • • ] 2. Does ro P ~~Y.?1.~ 4- . late any zoning law, ordinance or regulation: • ~ ' • • ' ' ' ' ' ill lot be regraded nGo 14. Name of Owner of premises ~'/i<;~el,liS , ~9y(o;.Y ' ' lyE, Name of Architect ' ' ' ~Vtll excess fill be removed from premises: Yes , .Address .Phone No.. f/ Name of Contractor . .................Address ...................Phony, No............ IS.Is this ro ert """',,,,.Address .Phone No . P P y looted within 300 feet of a tidal wetland? *YES....NO. *If yes, Southold Towry Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existin or , property lines. Give street and block number or description acco dingto deed land shaWtstreet names and d care whethe.• interior or comer lot. _ ~ r- / rX7' 1 _ a 1 1 OCCUPANCY OR • USE 4S tiNLAW~Ut ~ ~ ~ ~ W~?HO OCCt1pANG~t Ofr S'cAl~: lu~4nt ! E~hst'. ~ ' s: 4~a { ~ APPROVED AS NOTED ~ ~I rw D PATE: 7 / ~P tt ~ tZ". ' ~GcK FEE: ~.~___,sr. NOTIFY $lJft.pING DER4RTMENT AT 765.1$02 9 AM TO e} p~j FOR THE 'XIS i; fOLL.OWING iNSPECTIOM$; 1. FUUNOATION - TWO REQUIRED ISCd FOR POURED CONCRETE 2. ROUGH - FRAMING S PLUMBING 3. YNSULATION 4. FINAL - CONSTRUCTION MUST J BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET ~ _ J off.. ~ _ - THE RFnt nueMENTS OF THE N.Y, ' l32~~ A~v'E STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FDR T,1TL OF \E~4' YOR1:, DESIGN OR CONSTRUCTION ERRORS 'OUNTY OF S.S _ T o`c ' ' • ' ' • ' ' ' ' ' ' • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) name[[. c is the ...........UCJMG`-~L- (Contractor, agent, corporate officer, etc.) ~ ~ • said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle this Placation; that all statements contain4d in this application arc true to the best oChis knowledge and belief; and that the Irk wdl be performed in the manner sort forth in the application Glcd thcrowith. 'om to beiorc//mc this ..........l.fO..... ...day of. --R_'........ 19~'.~ ' tat}, Public, ~Jj, ~''2-L~ Co my NehtYPUbuo.State'~Nwvlbdt tI~~t~ gggg~~4~ (SignatureoC~pplicant) A !t . EomtnW~fan 0.~