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Home My WebLink AboutZ-9217FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .29217..... Date ..September.. 19.........., 19. 78 Blvd. THIS CERTIFIES that the building located at .442.5.Great-Peoonl.c -Bay. fAnd Map No ............. Block No........... Lot No................................. . E UI k'0, 0 F ILY DWELLING BUILT PRIOR TO conforms substantially to the e dated F 19. 57 pursuant to which E ,'F FI ATE 0 OCCUPANCY .... April 9lr�kt o. -Z9 -217 - dated Z9-247 dated .... September .... 19. 19..` 8 was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ....... Private. One. Family. Ir gr ling ................................ The certificate is issued to .....Donald. & .Ajj.ce.Gll,cjersleeve........... . ...... . ( owner, Ffr of the aforesaid building. Suffolk County Department of Health Approval ...... Pre -Existing ............... UNDERWRITERS CERTIFICATE No............... ... Pre -Existing . . . .. . . ... . . . . HOUSE NUMBER .....4425..... Street ...Great . Pecorlio..$ay..B1.vd ............. . .........................................Laurel,. N. Y.......................... i .................. , Building Inspector aqs- r 82,56 FORM NO. 6 Box 14C Lf TOWN OF SOUTHOLD Building Deportment 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 triplicate 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, S. 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 0 Dote .. ...�..��. �(.��. New Building .................... Old or Pre-existing Building ......\,< ................. Vacant Land ............................ 4Location Of Property...... .. ... ••••••• ••••• ••�•••• Owner Or Owners Of Property .a(.,•/• .. .. .. .. ... Subdivision................................................................Lot No. . BBlock No............. House No.--+-�7��'5' PermitNo ..................... Date Of Permit ....................Applicant.................................................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .... .. Fee Submitted $ ....X ..(7.0 ................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ....041C.–.0...�.... .. .. ......... %!............. Sworn to before me this .. .... day of ..�. ?� (stamp or seal) * c0 SSC •��, �a3/Se /�ci.---� -5 � e� Notary Public .. County ` C/�CiU iSABETM C. CONROY /-rc S NOTARY PUBLIC, State of Now York i Suffolk County No. 52•5792800 t_0t9 Z9� Commission Expires March 30, I9X THE NEW YORK BOARD OF FIRE UNDERWRITERS or BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date September. 2C, 1978 Application No. onfile 981.646, N403516 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Donald tildersaeeve,4425 n/e Peconic Bay Blvd.,Laurel,L.I, in the following location; E] -Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot was examined on Sel jtemb e r 22, 1978 and found to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES 1COOKINGDECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT I MvMAW AMT. I K. W. I AMT. I K. W. AMT. K.W. AMT. K. W. AMT. H. P. OUTLETS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRWFTJ TIME CLOCKS ULL UNIT TRANS. HEATERS MULTI -OUTLET SYSTEMS NO.OF FEET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT.. AMPS.. AMT. H, P. AMT. WATTS I 3 SERVICE DISCONNECT NO. OF S E R V 1 C E AMT. AMP. TYPE METER EQUIP• I �, 2W 1 ,{l 3W 3 ,B• 3W 3 �B' 4W NO. OF CC COND. PER Z A. W. G. OF CC. GOND. NO. OF HI -LEG A• W G• OF MAW NO. OF NEUTRALS A. W. TR OF NEUTRAL 1 10 CB FT, 2T_ I «. 1 4 NERRATUS: ranelboards il-9cir.looamp Ruland Elect, Co. Pe Oe Bax 143 Mattituck.N.Y. 3.1952 IiIAN Liee242E Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors' may be identifi their c_rallntials. CQ►jFOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTER EN.A�11f: MANNER. FORM X0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z%666...... Date ...............M&Y...1.9....., 19. ?7 THIS CERTIFIES that the building located at . X18 . Pea9a..47 Yk .. Street Map No. .?*......... Block No. A* ....... Lot No. conforms substantially to the ee►ert s O Qn ra4lzLnii built certificate of ocoup"ey dated .... before ,Apr 21.1 19.5.7. pursuant to which dated ..........!r....1 9... , 19.77., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ftl7040. Pae , faailY. d 011JAS.................................. . estate of The certificate is issued to Bordon .C.. A i A& -M., M9rrtXAU..1sWVLt0r4, of ...$pily (owner, lessee or tenant) Morrison* of the aforesaid building. Suffolk County Department of Health Approval PP ". !&4* at ..................... UNDERWRITERS CERTIFICATE No.PP!- e140i4g .............................. HOUSE NUM13ER .4425 ........ Street .... L turel . ............................................................ r1_1 _. ...................................... Building Inspector HOUSING CODE INSPECTION May 18, 1977 4425 Great Peconic Bay Boulevard R-1 Laurel, N.Y. Tax Roll: Armitage Morrison & wife Unoccupied Upon receipt of an application for a Pre -Existing Certificate of Occupancy, I made an inspection of this one-story wood framed structure. I picked up key from the office of William Wickham P.C., Mattituck, and began this inspection at approximately 2:00 P.M. The dwelling consists of two bedrooms, living room, and kitchen with dining area. Heat is furnished to building from a gas fired warm air floor furnace approximately centrally located in small hallway that allows access to all rooms except kitchen. An unheated enclosed breezeway connects a one -car garage to west side of dwelling. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: Bedroom - northeast, lamp cord outlet, Article V, Section 52-556 A (1) . Sewage System - no housetrap, Article V, Section 52-51 C 1. Living Room - Pair of electric switches, one switch not unctioning, does not remain in closed position, Article V, Section 52-56 A 1. Inspection completed at *Re 'tely 2: P.M. ully s bmitted, arindermann Building Inspector EH:med FORM N0.6 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 or topographic features. 2. Sworn statement of owner or previous owner as to 3 Date of any housing code or safety inspection of formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or 3. Copy of certificate of occupancy $1.00 lines, streets, buildings and unusual natural use, occupancy and condition of buildings. buildings or premises, or other pertinent in- land use $5.00 Date....M..ax..1.7A... 1977 ................. New Building ................ Addition ................ Old or Pre-existing Building ..... ?{........ Vacant Land .............. Location Of Property .......Northerly, side of Peconic Bay Blvd., r Laurel, New„York ............................. ..... Owner Or Owners Of Property Gordon C. and Huc�h M. Morrison as Executors of ............................................................ Estate of Emily W, Morrison Subdivision................................................................Lot No............. Block No............. House No............. Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ....................................... Fee Submitted $ 5 :00 .......................... Construction on above described building and permit m of I' db co ss egu tions. Applicant......................... .. ... . .... ............................ 5 . i Cham Sworn to before me this 17thday of ....... May, 19..7 .... ................ ............... (stomp or seal (i (� Notary Public ...... Suffol County DOROTHY HENDERSON av,tGoc.Ot�TARY PUBLIC, State of New York 'No. 3 0-68 48 1 00 Qualified in Nassau County f Commission Expires March 30, 19� m\ 0 / SERA? �NCR .., J: TION TO N'_A ':Rn ST:-- _"UCAlION S 5�=.-• Mme- 2EAR'NO -11-ZEREO Pbq I s syos OO F �o G�sq. P� fo'� � �r Ssjorr /y a �o �C�j� r fOr C�O� �Pri 1- 20�00 �� 0P �✓OTE =MONUMENT REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.Y.S. LIC. NO. 12845 N.Y.S. LIG NO. 45893 SURVEY FOR: JOHN J. BERDINKA AT !GUARANTEED TO: LAUREL SECURITY 71I71_E 3 sUAR4NTY CO. THc NORTH KCFK E. %K S TRUST CO. TOWN O� SOU s HOLD BY SI_117FOLK CO., Y. �/ / �/ �� / �j r _ � � _