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Home My WebLink About34530-ZFORM NO. 4 TO~q~ OF SOUTHOLD BUILDING DEP~TMENT office of the Building Inspector. Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33630 Date: 04/01/09 THIS CERTIFIES that the building ADDITIONS Location of Property: 875 HENRY'S LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 1 I~t 15 Subdivision Filed Map NO. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25, 2009 purs,,mnt to which Building Permit No. 34530-Z dated MARCH 25, 2009 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 SUNROOM AND DECK ADDITIONS, WITH ABOVE GROUND SWIMMING POOL & FENCE TO CODE, TO /LN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN M SR & LAURA C HELF ( OWNER ) of the aforesaid building. SuFfOLK COUNt"f DEPARTMENT OF HE~J~THAPPROVAL N/A ELBt-£KIC3%L c~KTIFICATH NO. 1077725 09/11/02 pLiERS C~KTIFICATION DA'r~ N/A A zed Signature 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, and tmusual 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: 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. ~/~qF/~9~ New Construction: Location of Property: Owner or Owners of Property: ~.f~ ~ / ~.2q'z4~ Suffolk County Tax Map No 1000, Section 7~ Block ~ Old or Pre-existing Building: House No. Street / (check one) Hamlet Subdivision Health Dept. Approval: Filed Map. Lot: DateofPermit. ~A~/~ff Applicant: ~/d~'J /7~(, Underwriters Approval: ~ Planning Board Approval: Request for: Temporary Certificate Final Certificate: / (check one) ~// Appficant Sig~nature Fee Submitted: $ FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. Y. BTATE ENERGY CODE FINAL COMMENTS: BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 Upon the application of CERTIFIES THAT JOHN HELF 875 HENRY'S LANE PECONIC,NY 11958 Located at Application Number: 1077725 Section: Block: Described as a Residential 875 HENRYS LANE PECONIC, NY 11958 Lot: upon premises owned by JOHN M HELF 875 HENRYS LANE PECONIC, NY 11958 Certificate Number: 1077725 Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 11th Day of September, 2002. Name Additional Charges FINALED ON 9/11102 BY INSPECT R. RICHERT Wiring and Devices Outlet Receptacle Switch Fixture Paddle Fan QTY Rate Rating Circuit Type 2 Fixture 6 General Purpose 3 General Purpose 2 Incandescent 1 seal i of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ~7~?~ BUREAU OF E'ECTR,C,TY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date AUGUST 13,1998 Applicaaon No. onfile 16503798/98 H 060972 THIS CERTIFIES THAT only the electrical equipment as desc~bed below and introduced by the applicant named on the above application number is in the premises of JOHN & LAURA H~, 875 HENRY LANE, BECONIC, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block Lot was examined on d~JLY 3~, 199E and found to be in compliance with the National Electrical Code. ~U)~LUEI~,~ RECEPTACLES $~ITCHES INCANDESCENT F[~oX~REUsRc~NST OTHER ~MT~ANIE. Sw. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. AMT. K,W. OIL H.P. GAg H.P. AMT. NO. A.W.G. AMT. AMP. SERVICE DISCONNECT NO. OF S E . . ~ . . OTHER APPARATUS: TII~ CLOCK-~. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT. AMPS. TRANS. NO. OF FEET I C E OFCC. COND. A. W. G, NO. OF NEUTRALS NO. OF HI-LEG OF HI-LEG EXHAUST FANS AMT. H.P. DIMMERS AMT. OF NEUTRAE JOHN & LAURA HELF 875 HENRY'S LANE PECONIC, NY, 11958 GENERAL MANAGER 11 Per. 'his certificate must not be altered In any manner; return to tho office of the Board If Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATe:' MUST NOT BE ALTERED IN ANY MANNER. 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. 34530 Z Date MARCH 25, 2009 Permission is hereby granted to: for : JOHN M SR & LAURA C HELF 875 HENRYS LA PECONIC,NY 11958 SUNROOM POOL & DECK ADDITION AS APPLIED FOR. REPLACES EXPIRED BP # 28627 ~ at premises located at 875 HENRY'S LA PECONIC County Tax Map No. 473889 Section 074 Block 0001 Lot NO. 015 pursuant to application dated MARCH 25, 2009 and approved by the Building Inspector to expire on SEPTEMBER Fee $ 316.20 ~Au~ized i/9(n~ ORIGINAL Rev. 5/8/02 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. 28627 Z Date AUGUST 5, 2002 Permission is hereby granted to: JOHN M SR & LAUP~A C HELP 875 HENRYS LA PECONIC,NY 11958 for : SUNROOM, POOL AND DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BUILDING PERMIT # 24386Z at premises located at County Tax Map No. 473889 Section 074 pursuant to application dated AUGUST Building Inspector to exq~ire on FEBRUARY Fee $ 316.20 875 HENRY'S LA PECONI C Block 0001 Lot No. 015 5, 2002 and approved by the 5, 2004 . r~ ORIGINAL Rev. 5/8/02 IPOmM' NO. J TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y, BUILDING PEP, MIT ~-~.~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2~ Z Permission is hereby granted to: :~........z~..... .......................................... .......... _ ..~a~....~-....~.....Z~Z~ .......... .. ,o ..C~....,~., ............ ~.........~5~......~......~ ....... ~.-,:~ ........... ~.~ ............... ...~.~.........~........~.;.~.~ _ .~...~.~.'/~ ....... ~?.~,......~z~....~.......~ ...~~......~.~~..~... ...... ~~....~ ......... ~..~ ..~ ........ ~..'~ ....... ~.:,,~. ............................................................................... at premises located at ............... , ,~,,,,,~,~...~,~,,,~..,,~,-~,, ........ ~,,,.~ ......... ~~ ......... Count~ Tox Map No. 1000 ~ction .... ~., ..~,,. .......... Block ..... ,,,~,Z ........ Lot No ...... ,~,,~ ....... Building Inspector. ~.~....~.~ .......................... Inspector Rev. 6~30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]/~OUNDATION 2ND [ ]INSULATION [~/]- FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/~~ DATE ~/~ INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ CIII~.(~K ......................... !lO'l' I I~Y: t1^ I I. TO: .................... ;i. 'l|Jhi iii)l~li~-;nti~ iiiili[ Ii~ (:~l]l)htlely I-il h!~.l ilv hy lyl~,z~ iter m- i~ ink i.~l mnl..illed Ii) the Iklildhq~ hl3~l~.l'll)l Ib'l?lJlll J~n,!J, fiji II~ Clxl~LitKl;J{~l I)~ I~lJJlJilll~t, ix~lJl;J(xut ol llll0lill:J{lllll, Ill' Jill' [(~,~wlll IJr lioll'lJ il Jllll, ll!l II(~ll~ill ...... O'.tiill~ ~t"~' D~I '; ' t{' ,~ I ~'~ ~i~ % ' ~ ' ' '. ................................................................................ ~'i~%i:~{ ii~'iT'":: ;., i;;;, , ~,'~ ..... 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'","',: ,',,'~' ,,~,,,,,. ,,,,,,-,,,,, ,,,~,, ,,,,,, ,,,,,, ~,(~ ~,, ,,,,, .,1,,, ,.,,,,, ,~ i, ,,,,~ ..... ~'~--~ No~ Pubfl*, Stat* o! Now Yo~ SOUTtlOi,I), TF, I.: 765- 1802 .~OT I FY: (;Al.! ................... flA 1 I, TO: .................... AI)I'I,I(~^'I'ION Ir()E IIUII,I)IN(: I'Eltl41T I NSTPJI{;T I ()NS n. 'lT,bl ~l~pl|c;iLh.l .~l~t IK~ co,~)lel:ety filled i. h~ lylXX..'iter or in ink ~..I mll~nJtl~l t~) the I~til*li.l~ hml~('lo~ ~lJlh ~. ~ I~lildi~q~ ~fllnll I~ ~1~1~1 or u~ed hi ~x>le or hi ~rt for ~.l~ j~lrjx~e ~lnleve[ until ~ AI'I'I,I(~'I'I(~ IS I~IQ&IIY t~l~.to IJ~ I~lJl(li~ll~ I~l~llli~nl: for Ihe J~mla[K'e of fl I~lJJ(lJn[~ I'elmit i~lrl~lulnl. Io the Ikii I(linl~ 7zx~ 0r(ih~,K-e or the 'l~l ol~ ~lholtl. ~l[[()ll~ (~llll ~) ~ Yoli~) m~l olh~r fli~)l Je~lJ)l~ I;~, ()l~JJllnl~e~ ()r ...... i' ~' ;' ~bO~ ' ': ................................................................................ g ............................................................................. ii. ...... ' A~.'~Iio~ . 755-1802 I AM TO 4 I1~ II011 1NE FOU,.,O~INe ~ 1 FOUNIATI011 - ~ ~ FOR POUIBD CONalifll 2 ROUGH- ~ &~ 3. INSUI.~/tON 4 FINAL . CONSTRUCTION MU~I' BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION IL BNl~q13Y CODES. NOT RIESPONIIILI FOR OWNER TOWN OF SOUTHOLD LAND SEAS. ; VL IMP. i -.9CC liable -'7 ushland Acre iouse Plot STREET y / .~ N 'oral ~ROPERTY RECORD CARD ' DIST. VILLAGE SUB. > -, ? ;' . E ACR.~ , ~PE OF BUILDING Mkt. Value - W FARM iCOMM. CB. MISC. LOT ~ /'- TOTAL DATE REMARKS I FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH IBULKHEAD DOCK 4. Bldg. ×tension .xtension 'orch 'orch 3 reezewoy .~orage ~atio ~otal ;7' '"i ii'f l '" ' i. ,.. ~'/~ ~t. Walls CW,~¢~i~.¢A Interior Finish F~, ~¢c[. LR. Fire Place ~) ~o~ qeat ~. DR. type R~f ~. ~ A, Rooms 1st Floo. :BR- ~ecreation R~mRooms 2nd Flor FIN. B. Dormer Driveway I LOCATED AT LOT MAP OF/CZPEco~//C SCALE 1" = ~o' · SUFFOLK CO. TAX MAP DATA:- DIST. /QOO , SEC. BLK. ~2/OC) LOT O[F.EETS Fa. GM SIR. UCiu<Lb TO RELATIVE BOUNDRY ON SURVEY, ARE FOR SPECIFIC USE ONLY, AND SHOULD NOT BE USED FOR CONSTRUCTiOh! OF FENCES OR OTHER STRb~TURES. , TOWN OF , SUFFOLK COUNTY N,Y. I/.7 ~ NYS LIC. 34408 , CO. CLK. NO. j., FILE NO. ,(_~ZO~ FILED c0C77 I~/~ UtiDEI~'WRff~S CERTIFICATE REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SURVEYED._~/._,4. ~__~,~/ 19~ BY RAMPART SURVEYING P.C. P/O BOX 377 JAMESPORT, L.I., N.Y. 11947 PAGE ~-~'<:~ GRID~ - ,~0 ~oo~t t BLDG. DEPT. ,? G LOCATED AT LOT C~ MAP OF/z~cot, J/~ SCALE 1" =.~o' SUFFOLK CO, TAX MAP DATA:- DIST. /OOO , SEC. 8LK. O/. OO LOT OFFSETS FROM STRUCi'u~.J:S TO KELATIVE BOUNDRY LINES. ON SUEVEY, AP, E FOR A SPECIFIC USE ONLY, AND SHOULD NOT BE USED FOR CONSTRUCTION Ol: FENCE5 OR OTHER STRUCTURES. , TOWN OF , SUFFOLK COUNTY N.Y. · CO. CLK. NO.d/cS'/ ~ zT'~o',~o-~' 7 ,, ,~ O~. P7 NYS LIC. 34408 FILE NO./~ / SURVEYEDJ~/,~. ~_~. lg~ BY RAMPART SURVEYING P.C. PlO BOX 377 JAMESPORT, L.I., N.Y. ;I 1947 PAGE ~'4~' · GRII:)C~- ! .!