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HomeMy WebLinkAbout12615-Z / �f FOl'fTown of Southold o 1p G 9/28/2015 ;ate s P.O.Box1179 r 53095 Main Rd • �yfj0 ao�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37800 Date: 9/28/2015 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 8675 Great Peconic Bay Blvd, Laurel SCTM#: 473889 Sec/Block/Lot: 126.-4-16.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/9/1983 pursuant to which Building Permit No. 12615 dated 9/17/1983 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 and alteration to enclose an existing porch on an existing one family dwelling. This updated Certificate of Occupancy replaces COZ-12937 issued on 10/26/1984. The certificate is issued to DiPippo,Philip&DiPippo, Irene of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N 631742 1/27/1984 PLUMBERS CERTIFICATION DATED A 7ie: en-14e FORM N0.4 aLA.,±k:At TOWN OF SOUTHOLD BUILDING DEPARTMENT n £ [ nr I+�' Office of the Building Inspector /meTown Hall CpL Southold,N.Y. A116 • S tf6-e& KLA-'44, ti‘,& 40 Certificate Of Occupancy n ciri No Z12937 Date October 26 19 84. THIS CERTIFIES that the building Alteration Location of Property 8675 Great Peconic Bay Blvd. Laurel House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 04 Lot 015.001 2 ••• L--110. 4 ; s -i- rip # Subdivision X Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Sept. 9 , 19 .8 3 pursuant to which Building Permit No. 12615 Z dated Sept. 17 19 .$3 ,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 (Enclosing An Existing Porch On Pvt, 0.11e pyvg3,1.,) The certificate is issued to IRENE MILLER (owner,-1essea-orwant) of the aforesaid building. • Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO N631742 L!(•// Building Inspector Rev.1/81 -t-a4 /81a4 Form No.6 -- --- _ TOWN OF SOUTHOLD —Th BUILDING DEPARTMENT n �� TOWN HALL 7654802 f� i I SEP 1 8 2015 - APPLICATION FOR CERTIFICATE OF OCCUPANCY — This application must be filled in by typewriter or ink and submitted to the Building Departm nt with the folldWifigF'f I r, A. 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 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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 $15.00 correction of C/0 for BP 1112615 to include deck Date. 9/18/2015 New Construction: Old or Pre-existing Building: * (check one) Location of Property: 8675 Peconic Bay Boulevard, Laurel House No. Street Hamlet Owner or Owners of Property- Philip Di Pippo & Irene Di Pippo Suffolk County Tax Map No 1000,Section 126 Block 4 Lot 16.4 Subdivision 1 Filed Map. Lot: Permit No. sep ra9bnvPri Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted:$ 50.00 Applicant rgna re r Deborah Doty, Esq. for owners k;V5-0 ,00 _.. . . - , / ; IL' / 1 ii f'/°*j.------------ Li '20o 6 Y' LoT3J WO IZT N.. 6 1 Z ___....-------*( 2,0 N4PeotioItift- ___—_.____ ---- 51. 0'ev....\..._. , s)),Z.6 r a cV /...o7 LC t_0 7./ \.P 1 >\'‘ Tr %-' cytit' g" (21C\ 1 - I \ ..pcs.c'\--j 'i• 4, r, - , Q \U Z 31•0 0,2 43 D 13 kb‘ 0 /4 -(4) 177°A7 14'7. P , 0 XI ' el I ,/. 0,672; , VI 4'4f \J\ th) T:/kV 4 ry fraf*,oe 04 6--- //1'12-'4 ' Tb - rAz___A4E-V`i .1...61P t "qoAr./ 21 ..,- ?oct_..c.) k li-‘13kAA-t.,. „ Ai 1 ( q_ C432-Q- 0.\zer ..95341eg,'W /1‘.,50.' 4 NDULAIA- 413 - ----• , E-C 0 Ai /C OAYi i LVD "*". ;!. ,, :, ' ')‘ 4 -'- ‘-.1:: ' -•, - „‘ ,,..,'/, e:74, L,CieDwAiS ; 1:14-1 LEO /yei/ 02g AT 1-44/Ra-4.) A+1.`1, 0 bolvyvaA44 NT / "- Eliot LI L4L.'y' Z 4 z>7 A:RASA 19P,Seda .647, Awl: te4AA1tiev Pe244041F) RE• 414,S. 4,,,Z.P3 ,45041691r0444-• 470(4417"Y rAx 14 of 440, (_,44 Li 02.E t. , Al.% //9446 01,-, 7 ,04010,) .1dEc /26)/Skit empe i•or / 4 • "6,75 ..0.01E.c•Ai/c- 48 A,"ftr A -.....:-..,-,1: ,• - • _ - - -- • Y Y , - ....—....-7--^ } i f j `/ v ' , fir,... • • I '' VTOWN OF SOUTHOLD . PROPERTY RECORD CARD /60,3 - /Q2G - V OWNER STREET '`,-7,5 VILLAGE DIST. SUB. LOT NS —4 rl ry / /� 1• ' r - t " _'i • / },"dam. f ,-_,60%.11 ._I l • i CJ /t-C til1 FORMER 0 NER N E ACR. — - ... 0 35 4jten, l s'/ er4 cera , S _ W TYPE OF BUILDING S. ) El:M=1MM FARM COMM. CB.ye MICS. Mkt. Value ; LAND IMP. TOTAL DATE REMARKtSt a' V 041, ,fes / O J 7 iffil= S/13/ ,2 6-7_7; r407c 0/ t .4C - CO ----— /ZGU J6G76 J / 6LUCa 1" k) i' 310 �' , �t".t.4f,•i rJ . "'C ' 'v1 . P -2)[1k�/ 2 _ • Irl/ air v "10 2.' is 30=o G-460 ' IIEEMFMVIAIM • 2VC.7 - I-i scar 6,2646 r 55a - DOW Ks 4o BYetv.1 V-r H Wfr ' 150 ' '6/6 v 6 0 4://,` -;.' - Cow 61 i-t ed p:=e '4, _ M ` ,�/a 3 c�6et '4.17cS o O ��'„Lu Yi O 10,.I/C j/ ^-roc' r . ino lP',/,'-s-/ Cc„.(//-, die le,./_..a 6'. (7 '-'()°' ) i/Vc) c/ iirgA-MrdilitIve)7c.4Se por[4 1 /e. `41 /a 04 aura 3 . AGE BUILDING CONDITION 17 /:_,,/9C) - 1�-- 1. )6.)n-, pc_-)7. " NI; H �G�Y -1.c., Go l last l,r cY ,i 0N:3 -59;760 4 NEW NORMAL BELOW ABOVE "i'- 6 ( -- �'`'� 1 a( i -�t'� 11(.x•,/,v i11 V tf' 0/ S ,�c(`1g��'O z��i�-- L11 �'I1 p _,<:-i(- � \f FARM Acre Value Per Value pp }} //�� �,y� ,/ , Acre f 1 QCT—Li l 13p055. 1'ul n h`l o- 5. VO f /3 g/ o�5r Tillable FR NTAGE ON WATER >/ /o7.72evlb 2 earca,/s 026-4-/S-,,(/#6,3)Woodland FRONTAGE ON ROAD `7 7"d /z_— et. Meadowland ■_■_ DEPTH 4.//5 /7,17 d 2— I-louse Plot BULKHEAD Total .� y A✓ '_ DOCK TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT -I0nr - au 14 MaY14.ci A• f;?,;Le. Gt Pec can<< tgay et tki Lctu re-i t 2 ACR. RE A KS � o r��'i/0(9 -L1z'/r3e zei ,47 acres 7Crd J ddario / TYPE OF BLD. Po . 60, 8e Pope 3CinVS V ,�f dci trc0 PROP. CLAS LAND IMP. TOTAL DATE /SO aft? l50 L)r107 - i FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL d I f.411 Yr4' , ! 1z � . . i, — TRIM w- z= COLOR •C.� • .is l •! t 1TJ ..j ._.-- ctea' r LI 1 . - ( —, - . M. Bldg. 17 >C3/ = 3i 71, - Extensian6 x . 7 - /e a i.),C ' 9/3 / Extension — - , �a Xaa sz= � - - Extension 2, Foundation - Bath lid Dinette Porei SFY C) 55 CJD{.. -. 1 , v, ., _ .7 ,.,,a � .. ....,14.6--/basement �r Floors ©, K. P_ i5 X l� _. ZZ") . V 5 .5'e, Ext. Walls :�!, -.4.- _ Interior Finish 1P .f �- LR. eway Fire Place /E 5 Heat `t;.) DR. I, !' �2 1 4"../. � ,Type Roof ,.- Rooms 1st Floor BR. Recreation Room Rooms 2nd Floor FIN. B �M`.' f ala' 'a Dormer Driveway 1 e I 1y ,, .e- /1: I/ C if. `,1 0 . ,i / Kf /D I_JJ i e c / Z Td Zy • . c >1 5 74 c_ %/ e 7 c, f C 7 . .. ... rte. / \J �w �J 17;)<9 � !S7:5e �j8/�1�i ��S 5 7044) ��}� J � Vd / S/ S ,� ...„it...._ __ � e s)1 e--1z 7L If-- c74 t! li F_Y - r / /� r ft Ili t ,i-,K if '� Al 6' Pec.. r t t /ra► r / __ ll Q. y cv u n 7 IQ : : � Y - 4 / • I r 4./ , , , N...., _.,, ,:/ , ,., , 0 --4, ' itilli. (t'1:::.4....... ..6....,,,Le.11--, '[....• 4,.......), /_. ._... 'i / __ -- / . _ ' rF f- - A_7 ,.- fUe+ r _0,4-:4T . • -. • /, i I • i t • i • i --..., ��- 1 /i // . . • "1 I ri C i� b 1 Sy 'r ! jl ' tl' c., 1 1 N A' UTI1011FLtw 4alu.nnUfI vl.AWITIOII i •.10 THIS SLMtVEYIS A VIOLATION OF \ L $a~f1ON 7209 SAF THE NEW YORK SKI. __._____ ..:._ __ .. ... _ _. _ .-_-Leo. ✓j' -. t ___ £D 4TCN LAW. < :- ' /0-4-,,- ('i/-i'>o• 'w =Fin OF THIS SURVEY MAP NOT!E.NW fi*E LAND DURVFYOR. INKED SEAL OE F ` F M80SSED SEAL SHALL NOT SE CONS:0E9H f -_-� KO U A VALID TRICE COPT ,--` . 1`''`• 49,4:-7 '' '`...')tf/7_. vre\Q 0 GUARANTEES INDICATES HON MALI r. ONLY TO THE PERSON FOP WHOM THE S IS PEEPARLD.AND Qt_,_HI.1_BCHALI TU IN - ^----- _ __ JITLE COMPANY,S OVERHMENTAM AGES• LENDING INSFITJTICN LISTED HEREON , fu THE ASSIGNFES OF THE IENDlw3 i. 4 r. 1 4, „� ,r1! 7,; • r".------. � -' "- mow,CIUARANTEPS APE NOT TL•+• ........... .. _ !-. �� T I. OWNERS, • :..,i/A. .__ f„: •' r.../'. /(•.:i-------.. ''41,1(.7:7 7,--7/ 114I •,..” ,1-+%!�%. .>-A,,' i-r.' F._ •`f-,.,"o0L-/A/ • ` •,_�-?/1•• ----/" ;f A T -i:21.- , ,'lay. - -29758: . 'ci r`(0 r'> ID I7''c...1 GOO'Ya1 '!!1!'t t+0 . +1"0C we.i i y Urine' ot l Ki1amiti¢`r co- .r - atiS ,''o 6o,u.thol i. a 3rn �� �: . ��;; !l7rQ� " �r�J►,+ify elS SUrVeyltd "pet/ I0, 11 . L.. t v� 1 tile c' /11 -/,die k'!G `> 77.,., 4/.,f " Stt : u 7 ill k C.,01/,.9?`J f ,r /"r k •_ z /. .4, r , '.' 41tvj.. . ..4: ' • C ree4p) - ;,I`IVk. FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 12615 Z Date4.1,$ \` .2-j' ' ! I , 19� L Permission is hereby granted K1 ,.. ......4.L.g-- -? tO 4 l at`Q r d}L.CA 1711 �'� r 'kei-LI n-) . or- .�... _ 'i-P,.. ..... at premises located at �Slier -� ' ,45,.E , e.a4LArtvL County Tax Map No. 1000 Section ....j..:a(9 Block ... Lot No. .1 s.n.e 0 pursuant to application doted .... , 19:9..a.4and approved by the Building Inspector. Fee $ 4 Yit ui! ing Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date `3/4 / `�G.................. New Building ... Addition y Old or Pre-existing Building ...X Vacant Land Location Of Property ...A..�?_. 5..../..:-� 't c .- 1e ,, ` Owner Or Owners Of Property :1:f e, Subdivision Lot No. A-574" Block No. House No /� Permit No�" /S z Dote Of Permit .9/7A3.Applicant 4.'7 ., ��� �� 7�tYo� 7/( d • Health Dept. Approval Labor Dept_ Approval Underwriters Approval /" 3/ 7 Planning Board Approval Request For Temporary Certificate Find Certificate x Fee Submitted $ Construction on above described building and.permit meets all a licable odes and regulations. Applicant ... / . . .. 5! �� Sworn to before me this 7�'=` Jam ' t1�� �� day of (stamp or seal) Notary Public County 6_L d At:•-k;kti.i.J:xv..i.:LSI:.kst:ox'J_.�J: %.1%:Agl_:...J_: .1:7.91:Jsl:.tiost.1_.`1_,.vtoI.':t.%:ti..i.... ;Ac--..in ,:.$.TI.'P1.'m.'Sx....c.m:)_T.:xst:m' .i:J).T..C•.ti.•1::.i..?:S.J'.kTA.7.w.'A:S.t4:0..,!; 1.'7..9...";;I .i_10./.:"!!_.g....".:\%:..m\tl_.).".!.l�.C.%_J: 0 10001,1 THE NEW YORK BOARD OF FIRE UNDERWRITERS .Y - , nsBUREAU OF ELECTRICITY y 85 JOHN STREET, NEW YORK, NEW YORK 10038 r• Date January 77 , 1984 Application No.on file 9 47134-83 rj f Y ,. THIS CERTIFIES THAT 3 .). = 7. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .>- w Trent? : tiller , 18'45 Peconj�_ Bay. Blvd. , Maw titT.�ck , N .Y. -•.. -c, ,a -- "kr, r � in the following location; n Basement 20 1st Fl. ❑ 2nd Fl. �i C C Section Blocot a k L i was examined on January 23 , 1984 and found to be in compliance with the requirements of this Board. ;z- �; FIXTURE RECEPTACLES SWITCHES µeac FIXTURES unRANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;� OUTLETS INCANDESCENT FLUORESCENT av AMT. K.W. AMT.e<I _ K.W. AMT. K W. AMT K.W. AMT. H.P. .Y 2 ,;.- ,; 'y ..3 ,T smo ` - DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS ' . .▪-- BELL SYSTEMS •Y ".•" e AMT. K W OIL H P. GAS H.P. AMT NO. A.W.G AMT. AMP. AMT. AMPS. TRANS. AMT H P. NO.OF FEET AMT. WATTS ' Iw 4 , • _ c ,v .s..c, SERVICE DISCONNECT NO.OF S E R V I C E r AMT AMP TYPE EQUIP 19 2W 1 3W 3 0 3W 3 6 dW NO.OPERCgCOND. OF ACMND. NO OF HI-LEG OF W. G. NO.OF NEUTRALS OF NEU RAL Y - - :.5....P2 - rC, T. "-{G Y OTHER APPARATUS: �+ r -C .T { 1-Post Li. r .. . :{,t+ �r w c, Ir y - ,_- Y {; Paul Burns f :Y = Tow: . Harbor. Lane o I ' y , ,., <' Southo3 d , '�.Y. , 11971 LTC. 12s:2 ERAL NAGERr r y ,4.. 11 --- -c; Per = r ; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifie Ae' '%credentials. r ._ z.-_, T.-/www/Tiv 15117C�i1`+k�Cdilidr9'CiI'r . . . , - - . -..- -=--=•i,.-y:-- ----- ----- -- -- - - - •- --.- --.--„-'T y cl'"Y-.Y-.Y Y Y YY- Y`f,Y Y.Y Y, 7. COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIELD INSPECTION IIDATE II COMMENTS P s 1 . m (', H �1� FOUNDATION ( 1st) c D FOUNDATION ( 2nd ) r�nl 2. ' z O ROUGH FRAME & PLUMBING -r) 1 H Ii INSULATION PER N . Y. . 1-3 STATE ENERGY CSODE . m b a°° x G • r 1.4 4 . — �' ti FINAL • ADDITIONAL COMMENTS : • - - o H J y H O v' z • m r x � m -o FORM NO. 1 I TOWN OF SOUTHOLD c k �� glow 91�! 4 3 BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined . \, , 19``''3 Application No. Approved 11 , 19.A.3.. Permit No. J Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT p? Date ...Qf ( , 19 2 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 application. 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 issue 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 buildings for necessary inspections. (Signature of applicant, or name; if a corporation) S/5 7/ Sf G V ' Yc2.1t�o yf`<i� (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............0Qh e v L( 74"), Name of owner of premises ....—T e't If applicant is a co orate, si nature f duly authorized officer. (Name and title of corporate�l� officer) 32' Builder's License No. g.tc/ /rr�h ^`c 46 Plumber's License No. /(41-`-...— / Electrician's License No. i4/6'f'---- 1. /l/( F/escv' Other Trade's License No. l�'6"``` 1. Location of land on which proposed work will be done. Map No ..2� Lot No. /5--"17‘ Street and Number /3ecox/4. 7-fa./ 4'/✓¢, Municipality 2. State existing use and occupancy of premises/ and in•ended use and occupancy of proposed construction: a Exisiting use and occupancy ...G/(.s—e h.ft.,c b. Intended use and occupancy @ t-‘--c(//n, 3 Nature of work (check which applicable) New Building . Addition Alteration Repair Removal Demolition... .... ...... .. Other Work (Description) 4. Estimated Cost/5(74 0 OC) 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, speci nature and extent of each type of use 7. Dimensions of existing structures,if any.Front Rear .7 z Depth Height /,6./ Number of Stories / Dimensions of same structure with alterations or additions: Front 5 ''t Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 5..a.it.& Rear Depth Height Number of Stories -� 9 Size of lot: Front 00 r Rear ? Depth . 2,3 7 10. Date of Purchase Name of Former Owner .ji: c.!:C..... t((R 11. Zone or use district in which premises are situated ....1) �Y��-� 12 Does proposed construction violate any zoning law, ordinance or regulation. No 13. Will lot be regraded /Y4 Will excess fill be removed from premises: ( )-.Y_es (c-} No 14 Name of Owner of premises. •Y�31'N tit(('y Address e°x'� 44'11.4-Phone No. 47g-57g---3 Name of Architect p /1 �^ Address Phone No. Nome of Contractor!1[ca'e—bi.i!. c.. N.f/...4 Address .1fe? '57LG,Vt.. Phone No. ±27-a.8 PLOT DIAGRAM 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 corner lot. • STATE OF N'•• PRK, i 1 COU ; 0 �.��• 4 ..... S.', : ............. ... being duly sworn, deposes and says that he is the applicant (Name of individual signing •ntract') above named. He is the (Contracto, agent, corporate officer, etc) of said owner or owners, and is duly ...-- 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 612751'' day of ....�.... .� , . •f, Public, ,=��••, CotInty V � , ••- Q�--� / / , � / (Signature of applicant) MAWR Wray firmly nem:sits.fat‘!Nowa* 4o.5241758* Tom;EtcretS. —— . . . i I - r . ! Mt 1.-------=-------:=1-7-7--il • s I , 1 , , - , , , ________ _, . _- 1 IL II 1 , . _ _ . 5 1. . , . , -S . . . l 'i cell:V.1,r . '. . f I J - . .,.._ •- .4. !1-------- --1 ....... . -.............. , 4 , ir.L. 1 _ _ .„.. . .. !,... , , 1, , ct,,_2_,, . . , . , , 1 , , ---,-).,_.-- .„,_\ QA..., ,k) , - - ._. T . . . ' - ,, .. .., , ' ii I 1 t1 1 yt-..1, 't,'" 1 V,2 ' .--,4;/4 A I.,,,, , C ,1,'. _..4'711/.1vul..,111.e,t/c,k -;.. v,..ip,..-.!!'` ,;...- . ( ''( ' " • • . . { * —— ———_ -- - — 7 - .44 =-12:...'-1 - __ __• . - . •(..'' ____,.1.-•.?:_____ ... .......-„ FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z12937 Date October 26 1984 THIS CERTIFIES that the building Alteration Location of Property 8675 Great Peconic Bay Blvd. Laurel House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 04 Lot 015 . 001 Subdivision X Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Sept. 9 , 19 .83pursuant to which Building Permit No. 12615Z dated Sept. 17 19 .83 ,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 (Enclosing An Existing Porch On Pvt, . One 'pn}, ,pwg],1,) The certificate is issued to IRENE MILLER to wn er,.lessea.orsanant) of the aforesaid building. • Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO N631742 00,0Vul^7 Building Inspector R ev.1/81 FORM NO. I 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) N° 12615 Z Date t? L i , 19 Permission is hereby granted i t t s,. , azi £i.‘- 1.1 -- to ..t-nCc& Q.2 a-,1tctiLLAo-n 8—"0 ;2,,,A_Li Th.)ktit-e-f-tA",. 30,.- Q.A2 ,0 ' . • /0--k- . at premises located at .v �9 -c-' QA- , Sa-44-Arteg--, County Tax Map No. 1000 Section ....j...s�. `P Block 1............. Lot No. .....: 00 I pursuant to application dated ... � �r 1..........., 195.3 and approved by the Building Inspector. o Fee $a S. )jrCi .l WI ing Inspector Rev. 6/30/80 • FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date `3/4 New Building Addition Old or Pre-existing Building ...X Vacant Land Location Of Property O /v 75..../.. - /C ( Owner Or Owners Of Property c72-C:11-0 Subdivision Lot No. 145-4"'i Block No. House No �y Permit No7c2 /5- z Date Of Permit .yl/745..Applicant /�4C: - �� 1�.... Yarr4 16/2; Health Dept. Approval Labor Dept. Approval Underwriters Approval //6;3/ 7-1/, 02 Planning Board Approval �/ Request For Temporary Certificate Final Certificate X Fee Submitted $ ..:5�° Construction on above described building and permit meets all a lica�hle odes and regulations. Applicant ...6:51.41%/- j_/-2 . . .... �i ✓� Sworn to before me this day of (stamp or seal) Notary Public County i oq CD .� 131-1 �, �olz�tN t Iec 11 �'� 4A_LA AA ,4 . _ {, 1000171 THE NEW YORK BOARD OF FIRE UNDERWRITERS — ' t' c BUREAU OF ELECTRICITY y n'' 85 JOHN STREET, NEW YORK, NEW YORK 10038 r Date January 7.7 , 1984 Application.No.on file ?G7134-83 N 631 '47 r ,. THIS CERTIFIES THAT a.t — r only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ,- Lrene :Tiller , 18'45 Peconi.. Bay Bivd. , `Iat�it :r1c , N.Y. � _ i, in the following location; ❑ Basement attic Section - ❑ Ist Fl. ❑ 2nd Fl. Block Lot {i was examined on January 2.3, 19 8 4 and found to be in compliance with the requirements of this Board. f s n Y, FIXTURE MERCUFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS Y YI OUTLETS RECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT MERCURY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. `i -' 9 6 3 2 r ; _ ,. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS — '' — SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. I NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT. H.P. NO.OF FEET AMT. WATTS z _ 4 _ c(. — I ••• SERVICE DISCONNECT NO.OF S E R V I C E E p AMT. AMP. TYPE EQUIP I d 2W 183W 383W 384W NO.OptCRCBCOND. Of CC COND. NO.Of HI-LEO Of rile NO.OF NEUTRALS Of EU RAL _ 4' W 4' Yi -2' OTHER APPARATUS: -e . ;‹, 4. -Q _ 2 G. 2. C. ... . — c, l'^ .(1 T w Y� Y .'- 4' J _ T {j Paul Burns = Tow.. Harbor Lane o I L ; Southold , N.V. , 11971 LIC. J282 ERAL 'MANAGER ; l1 X. •i PPer � --' ::; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifie. . 1 `'credentials. r 'I " - YY' "'- 'Y IYY?ti Y -.-Y"f' Y' YY YY"` `�'" """'""'. ' -.'YY YY'YYYYY YYYYYYY9YYYYYYYY',YYY�YY�YYYSYYYYYYYY YYYY Y' COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _. it FIELD INSPECTION `I DATE II COMMENTS ro 1 . U, ' 3 H 1 FOUNDATION ( 1st ) _ ( D FOUNDATION ( 2nd ) 2 . I � , 0 ROUGH FRAME & PLUMBING a • ' — H pp 3 . � S m INSULATION PER N . Y. H G STATE ENERGY QODE ' ter a b 4 3 c. • r m 4 . m Anin OX LUC FINAL r � 0 ADDITIONAL COMMENTS : n; c=, x H H J H H 0 V\ • x m a C- r H Z C m -a H LI rl - oq(7\9 FORM NO. 1 - "leI TOWN OF SOUTHOLD Qk goo• 9!`ti 93 BUILDING DEPARTMENT Y.: TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .it `1 , 19`'3 Application No. Approved ' 1 , 19.A . Permit No. I a'(12 .1 Disapproved a/c -\\Cit..c.t.4., 1-00-4.4. (Building Inspector) APPLICATION FOR BUILDING PERMIT p\ Date ... R,,d1 7 , 19 U INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 application. 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 issue 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 buildings for necessary /inspections. / 4cMfe✓ !1 ay/rt J q,,e Cr (Signature of applicant, or nam(,if a r/, corporation) .2/ Gy / ' Jl/s 7 yte,y,o y/`�f on (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. gQN e v al Cosi f va-e {2'7/ Name of owner of premises Y e"r? e A.(./.1.. .../ If applicantis a co orate, si nature f duly authorized officer. . . (Name and title (off corporate� officer)��T Builder's License No. 5nt,,(//.°l .lo/# rP44-11 I c # 32/ Plumber's License No. Na'"e.. Electrician's License No. Ala/r/ 57ec=r v, c / Z ca - y — / 5', O U j Other Trade's License No. g9"i° 1. Location of land on which proposed work will be done. Map// No.: ..2/ Lot No. /51/7‘ Street and Number M?CC>x rG. flay Si cr, Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ... it e ni.te.c b. Intended use and occupancy @ We ///nG r✓ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolitior Other Work • (Description) 4. Estimated Cost t74 0 00 Fee- ' -- (to be paid on filing this application) 5. If dwelling, number of dwelling units l Number of dwelling units on each floor ..... If garage, number of cars l 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front 5 r Rear .5.-22 Depth ..f! Height Z!.� Number of Stories / Dimensions of same structure with alterations or additions: Front 5 2 3,1. Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front I.a.m..* Rear Depth Height Number of Stories r r 22 9. Size of lot: Front /001 Rear 7 .;E,. 7 f �7� Depth 2 d 10. Date of Purchase Name of Former Owner . e c.K.t... .A'llg7'� d�es 4�34 eto n vcat.7A 11. Zone or use district in which premises are situated ....1.1........ / 12. Does proposed construction��viiolate any zoning law, ordinance or regulation: o 13. Will lot be regraded 46 Will ,excess fill be removed from premises: ( ) Yes ( t-YNo 14. Name of Owner of premises .Iv enc. A (%Ile" Address Pc"tic t .:ahone No. Z9$'S763 Name of Architect •4 tickles/ / �^ Address Phone No. Name of Contractor ticCtl./1 e✓ /..ltc'x•c•.T /•• . Address 56 W4 YfGi!t. Phone No. Y727P..`F.'.�'{� PLOT DIAGRAM 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 corner lot. / af/ do 4-e r 5'Nes 71_.x STATE OF N •• eRK, /j0 t S.S COU - O — . .. ��4. .... �i ,,,,..,.. ,,. „• 121.--'" being duly sworn, deposes and says that he is the applicani (Name of individual signing ..ntracf) above named. He is the Contracto , agent, corporate officer, etc.) of said owner or owners, and is duly ..I -- . -- 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 / gel-) day of . ."o . ..., 19' / / . . Public, ......... .... ... �'4- ,, County VVV r ' .. / / i4 / (Signature of applicant) f /7 � i •. NNW Fllsffc i_•ofei ON* Mo. 524t75s*. T•'T; Firir t A--y e"1. 'e �1: �Is v �1 .'� /� K/ S /J , l c7 ! ci ht, p L -,----rt .: 71Vc,cT />-t 6 e ✓ ;T•srs 5)440h/Zss 7, I'd" n 1 ...„--.1 !"° 2X2 f rGii1 e :, � dl1I3' 2 / 56 Id S= do Ior), % 1 X1y /" 10 ; L (2. >)1 e-i1 t ca,.. / / i; j. _lc (,, 7 ri- ^ '' 6- Dec. , ,{ _ ,`a a /-� .; Q, ydur7J 1)l � i \�`� � , Tl .2x6 To Al fm 1 2 1 / I yU , / v . r 1 i /v/ ' `... t ' E y ` ,./a y AI _ I( r i L ' p t ti \ // .r1 J/ � E fi I if ' (1.) rf C t^ p J t, I `„` Cl I 1 v IN.rr.`H 1s •1 ly v e , V r- 1 � 'SidvE` 41 1 t' i. ' r,E LIIr t=et+e i /1< KR ORAD NORILkW.14I4.AIIVTI La.AWIIIOLI 40 MIS SURVEY.IS A VIOEA TION Of =nom 7102 Of THE NEW_ RK STATE .._ I 12O ^..... 1 EO. O WIRCATEON LAW. .'4- - FCYC if ' IA/`/OPS• • COPIES Of THIS SURVEY MAP NOT as tint IME LAND SURVEVCR'S INKED SEAL 01 OIROSSED SEAL SHALL NOT BE CONS 01411, r -' C Kok A VALID TRUECOP!. -- -- - �' - ""'- GUARANTEES INDICATE;HTR:ON ;HALL e: ONLY TO THE PERSON FOP WHOM THE , IS 1EEPARBD AND Qtr_HI1 BEHALF TO TR _ _ .._....._. __ _- ..-. VILE COMPANY,GOVERNMENTAL AGE.' .. . . _ -.___. �._...__.._. __ SORONG INSTITUTION 115th)HEREOI. O.)THE ASSIGNEES OF THE LENDIW i. /`4,ft 11 Ct _ r ,r't >, ^ f, r:. MOW,GUARANTEES APE NOT It 4, - /- ... .- 7 y t�r R9 AEIOl'•TOHAI Wirt T.n,r.. .... , T . OWNERS. - A 54-1,:r•... 4 ' ..,..:i., //C L__ ny// VAL. T•_/,-7, ,i(...,4.' ,rr' frA%/<'^i/ !-i{r )' ;1' Lf _ I. L. V^;.01/4/ 4/ T " . {e4 7:1er :Vo. S - .297.E e. i ^ -F 1./1 /1734-'-L NY ter r , ) `( - --- Guaranteed to Sec urs ty title it dooKaaeristsi Co . V: ¢. L. , i; /err Act ct r - )0//,, l�ia and to Southold.. sevT " sank. r— 10 i,/dap c1 . Z. surveyed Apvi l IQ,t96t. reilG>/ �T U vyn s " Ale 1 �" F 11 71,4e- 'V `t / 111f and Son 5 // . / C G _ /.. vK� 1��� r,• i OltC Es:' �iAr, t`r/. /. �L/Cens .w Orrj t '. .`r. 6. reen,''it ) ;stk. 4 . i _II L _ I _ I j11 r {I ; 1 � ' — ,f i1 ised1 1C e/ Slane It dower _ bath . 4Xt-S ) !V- I 1 ' 6' Patio clr. 9f yg e---O� 11 Ck15-2- tZ \�oS.td C,Lcest i N i 1 1 i ti t 4i t;er 11 l ..,y - fCa Te ✓ vInc ' 4LiY. Y 5/c 77`7- , -- ;:. �. ,,, i :fes/.'f %• r ' . / ✓�� :,