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Home My WebLink About6911-zFO~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~2~ ...... Date ............... ~ar ..... 11~.., 19.7.~. THIS CERTIFIES that the building located at .Arr~wl~ead. Lar~ .......... Street Map No. A.r.r. ~rhe a~l. ~oVc~k No ........... Lot No.. 21 &22.. P.e¢ on!e.. ~.,Y, ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... Oct ..... ~...., 19.7'3 pursuant to which Building Permit No.. 6.9ll Z. dated ........... 0¢.t....9...-, 19.?.3., 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 . P-riva.~e. one -family. d. wett.~.n.g ..................................... The certificate is issued to . Al. ber~;..Garb~de ..... Own~m ........................... (owner, lessee or tenant) of the aforesaid building· Suffolk County Department of Health Approval · Mar...%i~....].97-~ .................. UNDERWRITERS CERTIFICATE No .... l~. ] .~.~ ...... M.~r.. ~... ] 9~.be ........... HOUSE NUMBER .. ~.700 ....... Street . .Arrowhead · ~.ane ....................... · (~ak..~o .b~..~mp1~te~) .................................................... ............. ~ Building Inspec~r I~RM N~o 2 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BU IL~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6911 Z Permission is hereby granted to: ............... ~t~.L~m. ........................................... ...: ................ .( ~.~.~.o.~.e.~...~.z....~........~.~..e.~..z.L..~.. ~.....~...~...~..e.~...~.e..~...~.....~ ). ................................ et premises located at .~.jll~,....~J.~...~.~. ....... ~.~.~.~.~.1~,~.~...~.~.":~t ...................................................... .................... .~/~..~.~..~...~ .......... ~.~mt~.....l~.~.~. ........................................................ pursuant to application dated .................... ...Og...~. ......... ~. ............... , 19..~.., and approved by the Buildi6g Inspector. ~ Fep *..t~;~B.-~O ....... ?OWN OF SOUTHOLD Building ~ T~ Cle~ ~ce ~old, N. Y. 11~1 APPLICATION FOR CERTIFICATE OF O~CUPANCY Instmd'ion. 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. 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. ,~ccurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Swam 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 3. Copy of certificate of occupancy $1.00 $5.00 Date ....~....~...~../..~....~.. ...... New Building ............~. ..... Old or Pre-existing Building ............................ Vacant Land .....~....:~ ......... ~ .... Location Of Property ......~./~...~/?,~~...~/2R~...+~~~~/.~..~ Owner Or Owners Of Property ...~-~....~~.~...~ .............................................. Subdivision .... .~T~A~..~.....Lat No.'t..~..~..~'.Z-Block No. ~.~.~...0.. House No.~..~.....~ Permit No..~..~....~J.....~.. Date Of Permit .~.?/~.~Applicant ..~...~..'~Y....~! ........... ,.,th Dapt. APp o, ........ bor App. a, ......... ......................... Underwriters Approval ...~.:..~/..~...~.. ............. Planning Board Approval ~'~'~i .............. : .......... Request For Temporary Certificate .................................... ;... Final Certificate ..~..:~ ............ Fee Submitted $ ....--~.,..~..~ ..................... Construction on above described building and permit meets ~/~'cable.. ~od~s and regulations. Applicant ....... ~....~ ......................................... Sworn to before me this ........ of Notary Public .................................... County (stamp or seal) THE NEW yORK BOARD OF FIRE...UNDERWRITERS ~N BUREAU OF ELECTRICrTY., ~ eS JOHN STREET. NEW YORK, THIS CE~IFIE~ THAT ~y t~ e~t~d ~mp~nt ~ ~cd~ ~ a~ int~ by t~ ~t ~ ~ t~ ~ ~ num~ in t~ p~m~s of Albert Garbade, e/s Arrowhead Lane-South end, s/of Indian Neck Lane, Peconic ~L. I. gXTURE LB{~PTA ,, I IT I RXTURES OUTLETS ~R ¢ S ~ OrES INC:AHIrcSCENT FLUORESCEI~fT ~ 37 68 31 37 RANGES i w. COOKING D~CKS OVENS DISH WASHERS ,,~t. K.W. I ,~T. ,~.w. ~T. ,c.w. 1 6.q '1 9.1 1 1.5 "MECLO~.SI BELL ~ MULTI. OUTLET EXHAUST FANS DIMMERS V I C E NO. OF CC. COND. A,W.G.. NO. Of HI-LEG A,W. G. A,W.G. PER ,~ OF CC. COND. OF Hr*LEG OF ~EUTRAL 350MCM OTHR AF~ARATUS: mExhaust ~ans: 1-1/3bp, 2-Fhp Water Heaters: 2-~.5KW 1Service DlsBonnect: 1-200amp CB, 1-100amp CB Motor/s: 1-1/2bp Elec. Room Heaters: 3-2.0KW, 5-1.75KW, 1-1.SKW, 2-1.25KW, 3-1.0KW, 1- Post Light 350MCM 6-.75KW, W.B, Ruland, Electrician Mattltuck, New York { COPY FOR BUILDING' r ' --' . . -~,* ..... DE/_ ARTroom. mm___~ COPYOF CERTIFICATE Muir .... 'N. OT BE ALTERED INFY MANNER, _ PLOT PLAN Capaeit~ Gals ~.p.M.I~' Teat Hole nata ~eet /, 0 6 16 The Underaigned CERTIFr~: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standard~,Bullet~s, and amenc~aenta thereto,covering Private Se~?. Dia~al.~$yst~ms". ~'~ Signed ~eer or Builder ~ ~LTH ~PA~2~E~T USE O~Ll. ' Baaed on the t-eor~ation preae~tet herewith,it ia the opt-ton of the Health Department,that an adequate and satisfactory Sewage Disposal Syete~ can be installed on thia Plot. ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TOWN CLERK'S OFFICE ~ ~ -~ ~ ~UTHOLD, N. Y. ......................................... 19 ........ / .... ~prov~ '~ 7..... ........................................ , ................................ APPLICATION FOR BUILDING PERMIT Date .... ..~... ........................ , 19~..~........? INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, w :3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and,~f.~uildings on premises relationship to adjo n ng prem ses or pub c streets or areas, giving a detailed description of layout of proper'(~; must be drawn on 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 perm t sha be kept 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 be~ granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Ordinance of the Town of Southold, Suffotk County, New York, and other applicable Laws, Ordinances or Regulations, for the constructio~ 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 ,e whethe applicent is o nt, architect: engin r..neral con,ractor..,=ic, . If applicant is a corporate, signature of duly authorized officer. IName and title of corporate officer) Builder's License No. ~' Pumber'sLcenseNo .~C-.J~.. ~ ' Electrician's License No...i!~.~...~ ...... Other Trade's License No.. . ............ I. Location of land on which proposed work will be done. Map No ....... ~;~..~..../....O.. ..................... Lot No.,~...~.,.~....2:......~...___.. Street and Number ..~k4~:~ .~..n.~,~_.. ('~ ~ ~..~. ~' ~' · ~ .......................................................Munici~---....~;~i.~7 ...... 2. Sta~ exi~ing u~ and occupancy of premiss and intended u~ and ~cupancy of propo~ con~mction: a Ex ~ ng u~ and o~u anc ~ ~ ...... p Y ....... . ........................................... ............_............................................ b. Intended u~andoccupancy ...~..~.~.~.~~..~...~.~ .................... 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ......... ~. .......... Addition ..................... Alteration ............... Repair ........................ Removal .................... Demolition ........................ Other Work .................................... · ' .... (Description) o ...... ................. :.... ..... Estimated Cost .........~......4 ............................. Fee (to be paid on filing this application) If dwelling, number of dwelling units ..... ,./. ........ Number of dwelling units on each floor ............. ~,~. ......................... If garage, number of cars ........................................ ~ ................................................................................................. If business, commercial or mixed occuoancy, specify nature and extent of each type of usa ....... ..--. ........................... Dimensions of existing structures, if any: Front ............. --. ....... Rear ............. ~ ........... Depth ...-. ............................... Height . . ~ Number of Stories Dimensions of same structure with alterations or additions: Front ...... .-=. ................. Rear ....... .'.. ............................... O ~L "- . He -hr -' .. Number of Stor es ..~.. r · ',J ..... epm ......; ......... ,.., ....................... u ......... '~":";"7 .......~ ........ o_. ,* · Dimensions of entire new Construction: Front .....~.,..~. ............ Rear ..... 4~...~...'. ........... Depth .**~....~.T..~. ................. _Height ....... ~..~..0...~ ....... , ............ Number of St.orie.s ._.. ....... ~ .................:...5..~f~,.~..~.. ............ S,ze of lot: FrOnt' ......~,,--~.,~. .................... Rear ..... J....~....~ ........... : ......... .,... _DaSh ;;,~.~.,~..e,-¢~,...~ ............ Date of Purchase ...~~.~..~:,~ Name of Former O, wner .~....~ ................................. Zone or usa district in w~ch premises are situated ...J~_la~,,~l~ ........ : ................ .i~..--..-~--: .... \ 'Does proposed construction violate any zoning law, ordinance or regulation: ....~.......'7~. ~ Will lot be regraded -~~. ............... ~ .__.'_ ~jWill excess fill be removed from premises: [ ] Yes ~ No Name of Owner of pmmisas§..~.;~c.c~"'-~'~L'e--.'~~"~'"""'/"': Name of Architect .............................. ........................................... (Phone No.) ~ C~ ~ ,q ,-, · ~((A~dress) .... ~ ' ~J ~ · ~~ ~ ,~ :..~..,... 2.~ .~..~. ~ .£~. ....... i~lame ot c;ontracl:or ..~ .............................................. ['/~l"d;~)" ..... ' 7'- ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. COUNTY OF ....~......~"/~-'-'-'-'-'-'-'-'-~.... ................ ) ..... ~...~..:...:;:.....';.... .......... :.... being duly sworn, deposes and says that he ,s the applicant above named. (]~ame of individual signing contract) ~ .... He is the ......................................................................... ~~ .......................................................................................... (Contractor, agent, corporate officer, etc. ) of said owner or owners and is duly authorized to perform or have performed the ~id work and to make and file this application; that all statements contained in this application are true to the best of his kno~l~ Tan~mrr'[bl~f; ~a~ that the work will be performed in the manner set forth in th# application filed therewith. Nola~' ~u~lic. ~es~t{{~wC~r,t~t,4~ ........ ...................... ...... ........... ' ~ ............. (Signature o~applicant) iNOIAN NECK ROAD 2 4~ 4~ Lot pS 5--~-' ~.~o*#~'~.~,tr. rr'--'~'~,;oo NOrK: ~ = MON~MK~ SUBDIVISION MAP FILED IN 0~ ~NKOF~UFFOLK G~NTY ON _. ~ I~ ,' / ..v,.,o.. ,ou.o .,ou.o ' I ~ 5/ :. / -q AU~.~",I97~ 400 O~TRANDER AVENUE, RIVERHEAD, NEW YORK (,,' - /~*. ~ ,,~.,¢,,,,, ,.o,...,o......,...... ~0..¢0.~ % /:¢ J { ,,...,,,,o,...,...,.,.,o..,.,, ~ -¢eo,~ / P ~ ALBERT M. GARBADE Co~ ~ ~ /~: x LOTNOS.21'~22',"ARROWHEAD COVE : ~'0~s ~ /~~ ,' P E C ON I C NOME TITLE DNISlON OF CHICAGO TOWN OF SOUTHOLD SUFFOLK CO., N,Y. SCALE: I" = 50' IDATE: TITLE INSURANCE CO. $OUTHOLD SAVINGS BANK MAY 17, 197;3 NO. 7:5-419 765.2&60 9AM TO 4PM FOR REQUIR. ED INSPECTIONS: '~. BEFORE BACKFILLING FOUNDA- TION OR ST,~RT FRA~ING 2. BEFORE COVERING PIP£LINE 3. FINAL WHEN JOB COMELETED NOT RESPONSIBLE FOR DESIGN OR COh~ ~TRLJCT ON ERRORS K IT 9_0 ' 8" . 0 4-0-0