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Home My WebLink About32180-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31816 Date: 09/14/06 THIS CERTIFIES that the building ALTERATIONS/ADDITIONS Location of Property: 350 (HOUSE NO.) County Tax Map No. 473889 Section 145 MACDONALDS CROSSING (STREET) Block 4 LAUREL (HAMLET) Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 2006 pursuant to which Building Permit No. 32180-Z dated JULY 17, 2006 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 WINTERIZE EXISTING SEASONAL COTTAGE AND ADDITIONS AS APPLIED FOR. The certificate is issued to LAUREL HILL LTD PART. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-090062 09/05/89 PLUMBERS CERTIFICATION DATED 05/14/90 MATT I TUCK PLUMB.&HEATING Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 2/1 0 of I % 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 existiug buildiugs (prior to April 9, 1957) nou-couformiug uses, or buildings aud "pre-existiug" laud uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. q-) - ofo New Construction: Old or Pre-existing Building: )( (check one) Location of Property: :3 !>o House No. I'>A<. 0 OIJA La (' r oSS; / ':'7 Street LIt<.i.......[ Hamlet Owner or Owners of Property: /-I"j<(...e-L H,'L-L L+.I> PArT. Suffolk County Tal' Map No 1000, Section i.VS- Block 600'1 Lot o,g Subdivision Filed Map. Lot: Date of Permit. 7 -/ 7 - 0" Applicant: /HII,.., 4S I/. G-q.1I n." T fL , Permit No. j.2/ eo Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: ............. (check one) Fee Submitted: $ c~~ ~.'-)Or~5 cO"~ 3['0 lIP FORM NO. 3 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) PERMIT NO. 32180 Z Date JULY 17,2006 Permission is hereby granted to: LAUREL HILL LTD PART. 4 HIGH COURT MT SINAI,NY 11766 for : WINTERIZE EXISTING SEASONAL COTTAGE AND ADDITIONS AS APPLIED FOR. THIS PERMIT REPLACES 17515. at premises located at 350 MACDONALDS CROSSING LAUREL County Tax Map No. 473889 Section 145 Block 0004 Lot No. 018 pursuant to application dated JULY 17, 2006 and approved by the Building Inspector to expire on JANUARY 17, 2008. Fee $ 75.00 ORIGINAL Rev. 5/8/02 I BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 i .1 [H_in ;~, THE NEW YORK BOARD OF FIRE UNDERWRITERS Dotf> THIS CERTIFIES THAT only the electrical equipment 113 described below and introduced by the applicant named on the above application number in the premi.ses oj ,':: ~.PT;:~ Hj< I, f., r; :,'; (~ . ;, --~ /:~: ,,( Application No. on Jilt> THOMtlS & D()RTHY G~,N)\i(lf-! ED(;r,1'1ERB l'j:;,f(~( -'\'i'_~;~:::: 'j'f. 6, 'j .,?:IJi{F:I" ia " in thefoUowing loca~Yfr.h~;'IDL f!~!flfqt was examinf>d on . ~l1itf'l. D 2nd Ft. t.';". S(>('tion Block Lo. and found to be in compliance u'il,h the requirement.'! of this Board. ~ ,; FIXTURES INCANDESCENT FLUORESCENT '::0 AMI. K.W. AM!. H P fiXTURE OUTLfTS Ee!PT ACLES SWITCHES OTHER RANGES fW,T. K.W. COOKING DECKS AMI. I(,W. OVENS AM! K.W DI~H WASHERS EXHAUST FANS ?b ~7 ~i F AMI. K.W. AM'. A. W. G. AMT. AMP. AMT AMPS. BEll TRANS. UNIT HEATERS MULTI.OUTLET SYSTEMS AMT H. P NO. OF FEET DIMMERS DRYERS FURNACE MOTORS FUTURE APPlIANCE FEEDERS SPECIAL IECPT TIME CLOCKS 0" H.P. GAS H.P. NO. AMT. WATTS " ..~ n AMI. 1,12W lK3W 3K3W 3KJ,W NO. OF cc. COND PER 18 R A.W,G OF cc. COND 2/ r) V C E m>' NO. OF METER EQUIP. 1 S E SERVICE DISCONNECT AMP. NO. OF HI-lEG A.W.G OF HI-lEG NO. OF NEUTRALS A.W.G. OF NEUTRAL } /;1 ,-;00 CB " x OTHER APPARATUS: 8LEC. lATER HEATERS::]-4,~ I.M, \;.f.C.1:-5 SI'(IK ,; OF-rECTOR: -] ld,.~X1,.lofDER BOX ;{Z2 A(lm~BOGIl,~ G _ HHJ1BA~~ll [,Ie, *104 b ~f~ L.I f~Y,119jl ~ Per. \ may be identifi~d _ MANAGER II This certificate must not be altered in any m !In'tri.rettrn to the office of the Board if incorrect. Inspectors by their credentials. COpy FOR BUILDING DEPARTMENT. THIS COpy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. IE ----- _._--_._~_._---_.._._-- TEL. 765-1802 TOWN OF SQUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 ':~;:, '~U~L~~~-.~c 5 _i~90 _,~ BLDG. DePT. TOWN OF SQUTHgLP. C E R T I FIe A T ION Date sJ/~ /qO I I Building Permit Owner PlL:::-.ber ~ ~~{..~ Carf I certify that the solder used in the water supply system contains less than 2/10 of l'lead. ftUI(;;~ft~eJ Sworn to before me this ;:c,/tlffAlrff day of /J!ny / 19~. !lotarj' Public. ~S't;'rrc~ /ff~oi~~ County 1Ilml1'. oMCIlIClN NalIIr NlIo, .... III" Ylllll ... 4I2lI7I8 CluIIIed .. SulIaIc eac.., . TIlIlI &pha F.b. 18, 1. . . li 3 ; I rot TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [~L kv [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ~/~/ot INSPECTOR . j " z ~ Z A. 0 - t2 :z: I- ~ " ~ ~ ~ ..I ~~ ... ~ C I: Z J - 0 ::" U ... ~ .z ,....., ! 2i III '---' '---' '-- ~ I- a A. ::!G. '" '" z z n. ;cn ... N - ('<\ Z Z t Z 0 0 J - !c - !c - " ~ a a z z z - .. ~ ~ ~ :IE '" 12 f = ~ ~ I: \.--., ......., ... ; ,....., r-- ,....., '-" '-' III '-" I: III - !c a - -- ~ A ('C\ j h ........... ~ A - z .0 [- N~ ... !" U · Z III ! ~ A- icn Z - ~ ~ ~ -i' Z o 5 ;:) "'" (I) C Z ! - II. i.....-J 1..-... to- Cl (I) Z ... N Z Z o 0 - - !C !C " Cl Cl ! Z Z ::E ;:) g ~ ~~~ "-' "-' "-' '4 .. (I) ~ Ill: C ::E .... Ill: ~ Ill: ~ A- (I) Z - - .... !C Cl r i 7J!.Jc ~-0 ~ ")0 765.1802 BUILDING DEPT. INSPECTION [t-{F~UNpATION 1ST [ ] ROUGH PLBG. B~. U1 FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 1-~tJK (), Ie. DATE I{)!ZO/?~ I.NSPECTOR tl~ tdryJ !>J-/fpc- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~TION [ ] FRAMING I STRAPPING [ rrFlNAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION Q REMARKS: J~,~ t--J~~\ ~ vJ"k- - S )~r~ ~7 ~ ~~ DATE 7/').-1 / ()(P ( I INSPECTOR ~'lSLD I:;S~;2C::0:; " .. 1. ,OUtJDA TION & ,OUNDATION (9) ? ~ . ROUGH FRAME / .PLUMEIN/' 3. INSULATION PER N. STATE ENERGY CODE 4. FINAL ~tAAJ'iA,~ IID';';:;;:'!I COKM[NT.o, K / ~ ~ ... .,,' C'l ~ ~ I "" ~! 2: ;:'VJ ~ GT) ~IJ' ",' , ~ 1 , . - , ! . :I: r<1 ,.. ~ r- .., :I: t:l r<1 ." l .., . "" *" 'f1J~Qtlv~' ...-.A~' 2'.'8 '" y.,- ,,'^# C,. Ill<f r aff.M FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765.1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... S E P TIC F 0 RH ................ ;.1.' ~t'~~i\l,' ,;~. 2 ':,". . ,." Examined .~~~.l.., 19{~ Approved C)~~.. 'j.., 19\<:)'Pennit No. .1.7.~"7~~ NOT 1FY CALL HAIL . . . . . . . . .. . . . . . . . . . . . ~ TO: Disapproved ale ..............................::::::'0 ................................:~~:~~~.... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . ., I!:I . . . 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 applicabie laws, ordinances, building code, housin~ code, and regulations, and to admit authorized inspectors on premises and in building for neces:a~ ~n.:~. . . .t~. . . (Signature or applicant, or name, if a corporaIlon) . ~ ~:""!. . ~::: .!. ~ . ~1:, .~\.~~, H~~. ~. . ~~. (Mailing address of applicant) 1'\ Vj \ \ l>l V () ~. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..,..,..,........ T.ht>.,".",~... #,: I/./.-f.e.r:-:....... .. ................. ...... .:................. Name of owner of premises ,.. .J?~ .~.~.!.r:.~... .~.(1.r:\.h .Q.lcl................................... (as on the tax :011 or latest deed) If applicant is a corporation, signature of duly authorized officer. ...................... ..... .................... (Name and title of corporate officer) I Builder's License No. ../1./.. .-'13.'7..7..... .. Plumber's License No. ..,..................... Electrician's License No. Other Trade's License No. .............. /. . . . . . 1. Location of land on which proposed work will be done. " ,a~~. . . . .!>1. ~.<:,..~RJY.19 ./~: . .Ct'.qS~~~. . .................. J~ ",.''1- ~.v. .~.c... ...'.'.~.~............ .A:1."..(f;:ff.J.<'--l<................ House Number - j.c". / Street Hamlet County Tax Map No. I (l00 SeCJi()n ..... /.'i.~:'-. .. ... Block .......7.':......... Lot...I. r... .. . . .. . . .. / .....- Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State existi~g use and occupancy of premises and intended use and Occupancy of proposed construction: a. Existing use and occupancy..... R.eSJ.d(.Y7'<-' ..;.............................................. , ~ b. Intended use and occupancy . W.'. ,y7ilc.J."~.. .. i . . . . . :~. . . .? ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building.......... Addition....-{..... Alteration. .<1'..... Repair .....:J....... Removal . . . . . . . . . . . . " Demolition ;I.:............ Other Work. . . . . . . . . . . . . . -J> -- (Description) 4. Estimated Cost ./~~:.... ..... ........... ..... Fee .~:....... ..... ...... ..... ......... (to be paid on filing this application) S. If dwelling, number of dwelling units. . . . . .1. . . . . . .. 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. . . ...;z ~ . f. f. . . Rear ....,;{~..+. i:. Depth.. 7. ~. . . . . . . . . Height... /.t;......... Number of Stories ... J................................................... Dimensions of same structure with alterations or additions: Front ................. Rear.................. Depth. . . . .. . . . . .. . . . . . . . . . . Height. . . " . . . . . . . . . . . . . . . . . Number of Stories. . . . .. . '" .. . . . . .... . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear............... Depth ............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size offot: Front.... .. ~(). f.l:......... Rear.... .~;;:I." 1(:1:1'.. ..... Depth ... ./.~-:I,.7.I........ '" 10. Date of Purchase ........ ./.9.7.7............... Name of Former Owner........ .rI~.':?:).............. II. Zone or Use district in which premises are situated. . . . . I'l./? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ #0. . . '" . . . . .. . . . .. Will excess fill be removed from premises: . Yes ~ 14. Name of Owner of premises .,o"rr~r.ry:Jf-~M'!.At. . . Address .o(lI''I.'-''I,.c'~ .I',,~ . . . . Phone No. ~/.([,; l1~-'-.7,,-7.Z. Name of Architect ........................... Address .. . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. ................ 15.Is this property located within 300 feet of a tidal wetland? *YES.;<..NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleariy 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 corner lot. .. ~. - g~~~$~~:~~fi:Jl<. S.S . . . . . . . . ( .1-:1. q .~(o: f. . ./ f... . . G:.~.~.0-:~ . '!-:. . . . . . . (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~.... .................................... . . ....... (Contracto agent 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 ~ .......... . /) IJ-?"':' .day of .. 0... .......... 19 ~ NOlaryPublie,~.......... . . . . '" County CLAIIlI L GLEW ..., NIlIIr..... 01"-"" No. 4878eOll ~/ OueIilIed In Suffolk County '6 IS Cammlssion Expires December 8. ,~ -., ~,N'~. ~ '~........... b ~ II ~~ Orv-O II~ o - .... ~ O~ ... .... '? :z t!.. :L " CO' "b ~D o <<> ~ ~ o ~ 1i:. <<> 0 o ~ ~ ~c::.. <> - o '?", ...... ~ ~ -:. ~ o ~ ~ "V....t..-:. ~ O-s:.. "::) ~ ~ ~ ~ ~ ,,-(. ~9- ~ 9-' ~ "VL ~ "7c ~ ," O~ ~G ~ flOTE: . :MONUMENT LOT NUMBERS REFER TO "MAP OF EOGEMERE PARK" FILEDIN THE BlJFRJLK COUNTY CLERKS OFFICE ON .JULY 2, 19~/, AS MAP NO. 742. REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK JULY 20,1977 ALDEN W. YOUNG PROFESSIONA.L ENGINEER AND LAND SURVEYOR, H.Y.S. LIC. NQ, 1284" HOWARD W. YOUNG LAND _UflYIEYOR N. Y... Lie. NO. 4B..3 UNAUTHORIZED ALTf"ATION Dill ACDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7208 Of" THE NEW YORI< STAn EDUCATION CAW SURVEY FOR: DOROTHY GANNON COPIES ..OF THIS SU"'JEY MAP NOT 8EARING THE LA,..O SUltVEYOR'S INkED SEAL OR EMBOSSED SEAL St4AI-I. NOT liE CONSIDERED TO er A VALID TRUE COPY. AT .-Gl./AfII...NTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PltEPAREO, AND ON HtS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL "GENCY AND lENDING INSTITUTION LISTED HEREON, AND TO THE A'SI6NEES OF THE LENOING INSTITUTION. GUARANTffS ARE NOT TRANSFERABLE TO AOOITIONAL INSTITUTIONS OR SUBSEQUENT OWNIRS. LAUREL TOWN O~ SOUTHOLD SCALE, ''':20' " ~