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Home My WebLink About13279-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy NoZ13392 Date ~pril 26 THIS CERTIFIES that the building .... 9.n.e...f.~,m.i. 1. ¥..6.~. ? .~.l.~.n. $ ..................... Location of Property 1860 ABEOWHEAD LANE PE~0NIC House No. Street Hamlat County Tax Map No. 1000 Section ..... Q 9.8 .... Block ...... 2. ........ Lot . Subdivision. ~..~ FP. Eh. ? .a.d.. C, 9y.e .............. Filed Map No, ~ .8.1.Q...Lot No. 2.7...&..2.8. ..... conforms substantially to the Application for Building Permit heretofore flied in this office dated .... 4 .u.n,q. ! .6 .......... 198..4. pursuant to which Building Permit No, . .1.3.2, 79,g, ............ dated ..... dl~.e., 16 ............... 198..4., 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 ......... ·..Qu~..£~.~..v...dw.e.% [..~.n.g, ..................................................... The certificate is issued to WILLIAM C. BLAKE (owner, ~ ~'~.X,)X X of the aforesaid building. Suffolk County Department of Health Approval ......... lfi.~S..0.-.1.3. 2...A.p.~..~.1..2.6. ~..1.9.8..5 ..... UNDERWRITERS CERTIFICATE NO ................ /~.N. 6. .6 .8 .5. 7. 6. . . .N. qy?.m.b.e.~., .2.0.. 1984 FLUMBERS CERTIFICATION 12/31/84 Rev. 1/81 Building Inspector IK~RM' NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COA~PLETION OF THE WORK AUTHORIZED) N? 13279 Z Permission is hereby granted to: ...... ~.~...~..~ ............... ..j....-~..o....x.....t .~.~ .............................................. ~....~~...~..:~:.....u.~.~ ............... .... ~, J'~""~ ...... i'~'~;' ........................ ~'""~'i'~ ............. ct premis s oc d c~ .................... ~ ......................... ,/ ........................... County Tax Map No. 1000 Sect,on ..... ..~..fi..~.. ........ Block ....... ~ ..........Lot No....!..~..'~...!...~. ...... purSuant to opplicotion dated ..... ..~.~....~. ........................... ,19..~...~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Inspec- tor 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 suppIv and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial bui{dings, industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 pZoperty 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 informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 .~..~.. Date .......................... New Building ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property House No. Street Hamlet Owner or Owners of Property ....................................................., . · · County Tax Map No. 1000 Section .... 2 .~. ..... Block cTL_ Lot..I :~. o_~zl2~ L ~/. Subdivision.. ~, ~t~. c)/~..~I%Ra,%u.~, ,~.~. .~o. ,u ,~;~..Filed Map No ........... LOt No .............. Permit No. !.? .g..~. ?.z:. Date of Permit ./.G,-..~Applicant..~..(./~..~.[. ?, f,~., .~.':..~. [ .~..~..~..'~-. · · Health Dept. Approval ........................ Labor Dept. Approval ........................ e 1~ ~?~ ~5--~ ~/~ ~~ .X-~b ./~, ~ ~ ~' ~- ~/~ Planning Board Approval ...... tit ,~pproval~/ unoerw ............................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ................................................... Rev. 10-1o-7a ~ =~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY J ~, 88 JOHN STREET, NEW YORK, NEW YORK 100~8 Da~e -, Appllcatio~ No. on file "r.,~ ~,..,-,,=~'~R'~P .~o, X~ a~/~ N 668576 only the e~ctrlcal equipment as described belo~ and introduced by the applicant named o~ the above ~pplicat[o~ ~u~ber ~*~ the premises of FIXTURE FIXTURES RANGES OVENS I)ISHWASHERS EXHAUST FANS 28 44 36 2~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E 2/O NOOF NEUTRALS A W. G OF NEUTRAL 1. .~otor/s: I-F F~o 2~F,F, Io ~oke Elec. Raem Hea'~er/s: :L~ This certificate must not be altered in nny manner; return to the office of the Board if incqrrect. Inspectdrs may be identified by their credentials. coP~ FOR BU~LO,nO DEPABTME.T TH S COPY OF CE.T F CATEML [LT~.EDiN ANY t~ANN~R. TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~L ~ ~ (please print) Plumber,~(~J ~ O w/ (please print) Date I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~ ..day of ~ ," Notary 'c Publl ,~L~z~/,~'~-- County Notary Public Ed .,: t./ ?orw j ff~,:t 7 ;,-t~ '-fO, dDO ' ~ ' :) /?. t~W YOR~ STATE DEPAP. TMENT OF E~{VIP. ON$~NTAL CONSERVATION P~gulatory Affairs Unit Bldgo 40, SUNY-~.Room 21~ ........ "-[51~) 751-7900 Mr. & Mrs. William C. Blake 2150 Arrowhead Lane, Box 189 Peoonle, New York, li958 June 6, 1984 18: SCTM # 1000-98-2-15 and 14 ]~ar Mr. & Mrs. Blake A review has been made of your proposal to: construct a house and otherwise develop the reference property. Location: West side of Arrowhead Lane diagonally opposite Campfire Lane. New York State Department of Environmental Conservation has found the XXX parcel ~proJect to be: xXXGreater than 300' from inventoried tidal wetlands,located to the west. xxxLandward of a substantial man-made structure the road to the east greater than 100' in length constructed prior to September 20, l~Tj:~ ... Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope, .. Landward of topographical crest of bluff, cliff or dune in excess of 10 feet in elevation above mean sea level. .. Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental Conservation Law) is required at this time since the current proposal is beyond State mandated J.~risdiction pursuant to this act. However, any additional work or modifications to the project may r~quire a perm~it. It is your responsibility to notify this office, in writing, if such additional work of modifications are contemplated. DJL:RNT:cz Very truly yours, Danlel J. Larktn Regional Supervisor of R~gulatory Affairs FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southoid, 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 inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, stree'~s, 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 installa- tions, 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 survev of peopert¥ showing all property lines, streets, buildings and unusual natural or topograph ic 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 informa- tion required to prepare/a certificate. Fees: i. Cerz)ficate of occupancy SB.O0 2. Cert(ficate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date.. ~'l New Building ............. Old or Pre-existing Building(Z) .......... ~ iVacant Land .......... Location of Property ( . ~0~,_~. 0 . .f~.. O~,')-~=f)~ ~zd~ ......... .................................. ..... ,.. . Owner or Owners of Property WlCCI~ ~, ~ ~l~l~ ~., ,~~ ....... County Tax Map No. 1000 Section ~ Block "~ Subdivision ~~ .~ ............... Filed Map No. ~/~ .... Lot No. ~.~.~.~.. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept Approval Labor Dept Approval ' Unde~riters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate ........ Fee Submitted $ ............................. Construction on above described building and permit'meets _aU, app~cable~codes and/~egulations. Applicant ...... ,,...._~....~' ~.~-,.' .~,.~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ........................... 19 ..... . ¢i:>~i,i;~: ~,Z. ~ 958 ...................................... 5/,,., 92.. PLEASE TAKE NOTICE that your application dated .......... for ~co~stmct ............................... Location of, Property h~s; ~o. ~ ~ County Tax Map No. 1000 Section .............. Block .............. Lot .............. · Ce¢~~ 3~'0 Subdivision ~ ~ I~ERB . Filed Map No. Lot No. is returned herewith and disapproved on the following ~ounds ............................ ; · · Bulldog Inspector $~an&~d N. Y. B'r U. Fo~m 8001 · 6-?0-15M--Bargahl and Sale Deed, without Covenant ~sain~t Gr~nror'$ Acts-huhvidua[ or Corpolation (single shee~) 7115 ~ IHDF~UR~ made the ~ ~ day of ~ebrua~ , nineteen hundred and BE~ NA~NIEL O~ ABE~ON, residing at 54 East 91st Streetb New York, N~w York, ~ny of ~h~ nrs~ par~, ~nd W~L~ C. B~ ~nd PATRIC~ L. B~ his wife~ residing at ~6 Brompton Road~ Garden City, Nassau County, New York~ pa~y of the s~ond pa~, WFI'N~S~ that the pa~ of the first pa~, in consldemtion of ten dolors and other mlmble mns~derafion paid by the ~rty of the second ~, does hereby grant and rel~se ~to the ~ o[ the ~nd pa~, the or successors ~d assi~s of the ~rty of the s~ond ~n forever, A~ ~at certain plot, piece or parcel of land, ' ' ' -- ' ...... lying and ~ing in the ~o~ Of 8ou~hold~k ~¢W YoFk~ ~O~ and designated .as ~t~o~;~'~ on ~ha~ certain map dated December 1~ ~962 en%~led "~ap of Arrowhead Cove a% Ind~an Neck, Pecon~c, To~ of Bouthold~ Suffolk Co~ty~ ~e~ ~ork" f~led ~n ~he of the g~erk or Suffolk Comx~y on J~e 20, .1963 ~n F~le go. Abstract No. ~323. t,[ALE, [,,.~ ,, , , SLAT[ OF * ' ' " with the appurtena~<es and all the estate and rights of the party o~ the first part in and to ~id pr~mises; TO HAVE AND rO HOLD the premises herein granted unto the party of the second part, the he,rs or successors and assigns the ~y of the second part forever. FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: / "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved'i..~4~ .... ].¢ .....19~..~. Permit No.)..~.?'?.~. ..~. Disapproved a/c ....................... i ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ..J~ne ........... ,1¢.~. INSTRUCTIONS a. Tins 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 meal in whole or in part for any~ purpose whatever until a Certificate of Occupancy shall hav? been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departme~t for the issugnce of a. Building Permit pursuant to the Building Zone Ordinance of the Town of S6uthold, 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 building for necessary inspections. ·: ,~ (Signature of~appli~cant, or name, if a corporation) .... P, .0...I~ox..18 9 ~ P. acon£.¢, N, ¥...119.5.8. ..... ... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~d:[,l.].~gra..~, 8 ~..o,]<;~ ................ : ............................. : ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~t~ .Qd~. ~'t~.. Plumber's License No ........................ Electrician's License No. ~ ..~. e~ .g. ct.v[ .~ ...... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. Suffolk Co.Tax #1000=98-2-13g1~ /~ Arrowhead Lane,Peconic~N.Y. Map of Arrowhead Cove 003810Lots 28~27 House Number Street Hamlet County Tax Map No. 1000 Section 98 Block 2 Lot 13gl~ Subdivision ..... .A.r.r.o.w..h.e.a.d...C.oy.e. ............... Filed Map No. 003810 Lot 28~27 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy vacant land,unimproved b. Intended use and occupancy .... s.i..ng.l.e.. ............................. 3. Nature of work (check which apphcable): New Building; .?:; K .... 'Addition .......... Alteration .......... Repair .............. RemOval ........ . ...... Demolition .............. Other Work ........... ' -~ (Description) 4 Estimated Cost .~. <~ ?., ~?~, ' ! .~..~..: .~..0. ............. Fee ......................... (to be paid on filing this application) 5.If dwelling, number of dwelling hnits ...... t ........ Number of dwelling units on each floor ................ If garage, number of cars .... ~ · a.~tae.bed · 2..ear ................................................. 6.If business, commercial or mixe~i occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ................ Rear .............. Depth ............... Height ............... Nun~ber of Stories ........................................................ Dknensions of same structure with alterations or additions: Front ................. Rear .................. Depth. ................... !.. Height ...................... Number of Stories .._.~. .................. 8. Dimensions of entire new construction: Front ~. ~. :~. :' .~.v./2 ~s ~'..~ ~ .~ ~..*'f~. 15'epth ...~..~. ~ c.,, ~ Height C~/o!.*o~.~..~ Number of Stories ~- ... "' ........... · · · :"' 2' 0, .............. ............ 9.Sizeoflot: Front ....... ' ........... tqear ...................... 10.DateofPurchase ...... i ............... ¢ ~ ~aq~ tS)~g ........ am, fF rme w r, .... · , . . csx e ~a n. dul~cu~&l ................... 1 1. Zone or use district in which premises are situated ....................... ri(5 ........................... 12. [)oas proposed construction viotate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded . ~ ~. i.%B?.tad ................... Will exf~4%fil~ ~ r~t~od/s0, [rOm premises: 7 3 ~ '~s9 ~ ~ 14. Name of Owner of premises w; ~.'Blak'a ......... Address /:~..')..~..~..~: ."..~'.'.~.". Phone No ..... ~ ...... .wy.. Name Of Architect ...... t.-/~,~, ,~e~,~d. '~d. :~.~ ' .~,~.. Address ................... Phone No ............ ~ .... Name of Contractor ~',.-/P¢.~ .¢;~ O.~: .rt!':("%~qf4'.e, Address ............... Phone No .~/.q.q.~.0 ~.~. .... ~'~ ' ' "~ ~ ' PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot , ~ ' ,' STATE OF NEW YORK, S.S COUIXh~P~ OF ... ............... i (Name of individual signing contract) above .named. He is the ...................... i ................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 mannei set forth in the application filed therewith. Sworn to before me this : ............ .~. .......... day off .... ~ ............ 19~ Note, Public,.. County NOTt~RY PUBLIC. State of New York (Signature of applicant) No. 47078~8, Suffolk Cmolty 22 % % >, ~, vd::f~Clt?"i~ z I in .q ~ 'r