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Home My WebLink About19598-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19945 Date JUNE 5, 1991 THIS CERTIFIES that the building ALTERATION & REPAIR Location of Property 2850 PECONIC LANE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 74 Block 3 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 18, 1990 pursuant to which Building Permit No. 19598-Z dated DECEMBER 20, 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 E REPAIR TO EXISTING THREE FAMILY DWELLING - FIRST FLOOR FRONT UNIT ONLY. The certificate is issued to OLIVE HURRAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-188675 - MAY 24, 1991 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 i trosec rro. e TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT RH15 PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPl.E1'ION OF THE WORK AUTHORIZEOI N"_ 19 5 9 8 2 Date ...!.~r..~:-~.!:~:.....:~-~..........., 19 90. Permission is hereby granted to: • Q~7yy?....~n.....1~'.... ~.l~....~a:7EN4..y.. ~?..:~,......1~..I.`~.~. t....... to ..I.~O:-.1Q~:i:!:....~^^~.....~-tr~l:~.....~:~1~.l::td!4~-esq... .....~?~4~.9.~....A~!~....~~ at premises located ar a$5..........~..~.4,tr;:ue ...$..~'.r~...'..~..:~:...................... • ......`.~:~......~..~.~.....~..~~....~j .w~,0.~ County Tox Map No. 1000 Section .......0..1r.7..... Biock ~ Lot No.......~..~.......... pursuant to application doted..R..Sf.L?^.^.~s.•••••~••~•••••••••••, 19..52, and approved by the Building Inspector, Fee 5....~~~....'~~ ~ c..~ p;:~: . Building Inspector Rev. 6/30/80 ~'1~~ n~'~o~'o~ ~3~ "5 U-o I Form No. 6 -,°.,---......,.,.»r-...,,.a _ ~ ~TOSJN OF SOUTHOLD 7~ ~ ~ ` . Il~ ~ BUILDING DEPARTMENT tlr1 [l TOWN HALL ~1~', ; ' 3 ~9JI ,,11 765-1802 E;;,_ ' r~ t rc`;', , _ , n - ~~S-~(v~? 7 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ - ' 1. This application must be filled in by typewriter OF, ink andsubmitted 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings aad installations, a certificate of Code Compliance from archi':ect 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-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. Zf a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 ew Construction.........~~.11. 0 d Or Pre-existing Building ocation of ProperC}r7f~U..~-~.4;~~.~.1'....~:-.Q-~:4-:..,..~-Q.~.~?Y~:.~:...j-.~ :L:.~.n:~... House N Street \ Hamlet awer or Owners of Property.~.~~V~L:..~:~~~.5:°.? ~ aunty Tax Map No 1000, Section... .~.~"....Block.....~........Lot...,l.~ ibdivision .Filed Map.. .Lot.. ~rmit No ................Date Of Permit................Applicant............................. ~alth Dept. Approval ..........................Underwriters Approval......................... arming Board Approval 'quest for: Temporary Certificate........... Final Ccrticate....~..... ~e Submitted: $~P~.1.~~~ C l7 ~ ) 9 9 ys APPLICANT _ _ THE MEW YORK BOARt'X f~F flRg U:NQERWRITE~ PAGE 1 1000918 OR Et./c'HNCfiY 63 JOHN E S- ET. ~NEW YORK. NEW YORK 10036 _ ww KAY 34,1991 AylMationNo.onfife 73239091./91 N 188675 rHla ul~imfniss rHwr - awl? M,rt elastried pu{~wewt «/aeeri6ed heloao surd iwtradwee/ 6Y tha t woe.rrd an tM show a~pMoettow waa6er iw the /trtwiwa s+f OLIVE NURRAY, PECONTC LANE, A~mPryT. ~2, PECONIC, N.Y. in thrfaYtaeinlf ~ua^; ? naent L~J /at Fr. ? Ynd F1. OUT .4artiow iHwch Lot .esa examined on NAY 14 , 1991 and found to 6e in complisna~e uitk the wyuireaaewta q/tkiG&tard. ACYi fY117CMf NYO . M ItU[MtCMI aTNtF AMT. K. W. AAT;. t. W. AMi. LW. a t. W. AMT. N. t. 19 9 21 17 0lYili RiWiYp /A910K Banns hrwrttfa RiMi lNpht rC'H wr Mµ INMTiiNNi ODUWf AMT. t. W. nN N. tA1s M. AMT. ND. A W. 6. NAT. AW. AMT. NAK. ~ MAT. N.I. ~WAiTa sue, w.~s s s s v i c E MAT. Ar. rvt a / aw t l aw a l av/ al nv w, a . ca+o. A W. No. a NFUO A vA w. a NH11tA16 ~ of re4teAt G.F.C.I:-5 SNOEB DETECTOR:-2 WARNER ELECTRIC CO. LIC.~319-E - 194 ii00Di.~A>1N AVE. ST. JAMES, L.I., NY, 11.780 Yl~lfAhNAM 1.1 Pe, 71w a~elR~yp aa#_-~.M..~ +.!Mwn To tM .Nit. of 1M;..11-. if i•._inr~,.l°!ar.._~... _~a•" ~t~iN16 .1i~ ~Y ~ 1~?I' #E i~ ~ A11~. d. ~ _ . _ ~ ~ _ _Y.u.. , ~.__-.~._....Y... ' ~~~~i~(~C~~M 2~~ ~ BOr\RD OF HEALTH ' FORMN0.1 3 SETS OF PLdNS ~ P OWN OF SOUTHOLD SURVEY . . . ~ ( ~ ~ 8A11 ILDING DEPARTMENT CIIECF . . . . TOWN HALL SEPTIC Foarl ~U~.. BLCC. cePT. UTHOLD, N.Y. 11971 Q.~ , TOWN OF SOUTHOLD TEL.: 765-1802 t70T i FY CALL ;7,71 ...3~0..... . Examined 199. MAIL T0: Approved ~ , 19 Permit No.~ q ~ 9.~.~r . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT 90 Date ! L 7 19 . INSTRUCTIONS a. This 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 or 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 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. 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) L~jpO tM~l¢ Co, ~ LH~2 Ca.r~~ vLf'~ S (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. GPY!P~u! CcX-r~fc+~ Nance of owner of premises f{~rrslar? r/hurrq~ (as on the tax roll or latest deed) If applicant is a corpor signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~~P" 34z- Plumber's License No. , ~V~F . Electrician's License No. ~ 19.E ' Other Trade's License No . . 1. Location of land on which proposed work will be done. Z.1ds~ ~w.vrG C.i? !`CCV"~/G House Number Street Hamlet County Tax Map No. 1000 Section ......~y Block ....3 Lot . f 7Z............... . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~3,, ! Q ~ b. Intended use and occupancy ..r''.9'~"~ i s ~ w i N . ~L ~m'' 't'/~ 5'on ~Pea'no F/o/din/ Co. /nC~ i e ~.ef~.rs N 53 ° /8 ' OS " E /!o!o . 8 ' 3. x ~,vie• 2N ~ Npf t r i rv J , ;~c,~kt rn ..:y ago, ae.r, 7' ~ c V W ~ att. 1.. Y e c a ~ ~ . ,,..i ~i ~ti, ~ ~ 0 N z0-r~ ~ i~rJ Q ~ ~ ? u^fory Hood Fi-o~t S>`icrf~ne p; a` J N 6D~9• rr... M I+r, ~ ° - ~R'k. ff ~ \ Y V b ~ ~ ~ ,x` `I` tFw.f ~ }~l' J 1~ S 55 o s '~"s ZO 'W ~7T' L . / . R . R . MA/N L/NE (M. T. A,J • ~ 3 0 r--- i,.J-074-3-17 SURVEYED 24 FEORUARY (99i.. SCALE /"=?0~;.. SURVEY OF ~ ~ ~'~hp ~~nosdnr+laoi ~E.ci~.RIBE~ ~1 PERTY 1~} ,g~ ~a7e I S/TUATE ~ i 6 . ' - ~I~ PECON/P-TOWNs'OF...SOUTNOLO ~It 4GI~a;,' 019 Z 8dW ' ~ SUFFOLK COUNTY • NE6Y YQ4K n ' 1• . 'li7 ~~-~7~ ~ SURVEYED FOR• OLIVE RA/RSTON HURRAY ~ I' u'`'~ - ,.il ~ ~i en~i ? 'TEED TO. ~ SURVEYEO BY: .L_ HA/RSTON HURRAY STANLEY,/ /SAKSEN,?R. -'~'I 9ST AMER/CAN T/TLE /NSURANCE~COeN 7n~Otad hen m aha0 rur Copies of lhir survey map rot bearing P.O. BOX 294 'ERLING F/NdNC/gL $VC$ ~ ro fhe ~Aq1 for wlwm the wrwy the Land Survsyors emhoned saa4 dwg " I'~.~ h pnpend, and w Wa behalf ro the pW ba condderod fo bs a valid five NEW $UFFOL H, N,Y. //956'.. )WN OF SOU 7HOLD glb company, Goven.ental Agermy, Dopy. - lending fnatiiWpn, tt grtod hereon, and fo the anigmer e( IM IsndH,g hngbdjofy UnaoNwdaed ellaretbR or addgion b ddr Geormdeea an not tranf•rebla b rurny h e Wolation o/ Sedton 7799 M jr eddflknol hftiMlonr or. f hs.queM ewMra fhe Yew York SIo1s Edutelbn law. / L/CENS ANO SUR R N.Y.S. L7 . O. 49273 90R432 i 3. Nature of yvork (check which applicable): New Building Addition Alteration , . Repair Removal . Demolition ..............Other Work , . k ~ (Description) 4. Estimated Cost ...?S:q°. v , , , Fee . (to be paid on filing this application) 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. Dimensions of existing structures, if any: Front Rear Depth . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front .N%1! Rear . Depth ...........:..........Height ......................Number of Stories . S. Dimensions of entire new construction: Front ..%?lk , Rear Depth . Height ...............NumberofStories........................................................ 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase Name of Former Owner 1 I. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: .N•~? . 13. Will lot be regraded ..N. D Will excess fill be removed from premises: Nip Yes No 14. Name of Owner of premises .......Address z~s°. ~:«":^.L'':.pf'~7°~. Phony No. ?6S Name of Architect .r'~"~ .................Address ...................Phone No............... . Name of Contractor .C~;~ s°''S .................Address ?y~p.,Mid~te cy;.2i trip ~hoMne No. L.~b.-~~?.f: 03°°. . 15. Is this property within 300 feet of a tidal wetland? *yes........ No,~i...... *If yes, Southold Town Trustees Permit may be required. PIAT DIAGRAM Locate clearly and distinctly al] 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 corner lot. ~n~~,~ t~E~Ct~PANCY o~ ~q.~ Ups UNIA~YFUI SYe-e-1- vo~l~ '+~~~~Cfi CF~fiiFICATE ~y~~,,rd , wo r 1c_~ OF OCCUPANCY gPPRO9ED AS NOTED DATE: ~ B.P # FEE: s~-_' BY NOTIFY B[JlLDiNG DFPARTMEh1T AT 765-18G2 y AM TCi n. F.i' FOSJ THE FOLLOWING INSr'EGTlQN 1. FOIJNGATION - Tv'JO REOUIf,ED fOR POURErJ CONG~RETE 2. k~C73JGH ~ FRAMING & t'LUM8ING 3. INSiJJL Gy'ION 4. Ftf~~E\L ~.gCaSTP.lifT40N MIDST 6~ C'CTP19Pi_ETF FOF; GO ALL CCr(~3:~TRLJCYION SHALL MEET TFIE rSFOU1;~FMENTS OF THE N.Y. g~Al'E GONSTRUGTtON & ENERGY GC)DS NO7 RESPONSIBLE FOR ~NpEpYrRIT STATE OF NEW YORKR GON5TRUCTION ERRORS COUNTY OF S.S • • • • • • • ~ • • • • • .~,j/.~E ~nl- • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ~D~t ~c~a!L . (Contractor, gent, orporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this /.~~/..n....day~o/f ..nN?,c-............, 19 .CIO Notary Public, !`~?~!~-'..7.f , "''.p County ~i .......~.7.}.~ ..........................PP....j yS-EN 1C ~ y~ id~~ ~ (Signature of a licant NOTRRY PUAIiC, State of New YaAt Ne. 4Z0)87A, SuOoik CounifL ~vm EMpirea March 30,19-XL .