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Home My WebLink About16407-zFOI~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17581 Date DECEMBER 8~ 1988 THIS CERTIFIES that the building. Location of Property 28545 MAIN ROAD House No. County Tax Map No. 1000 Section 018 Block 6 Subdivision Filed Map No. ONE FAMILY DWELLING ORIENT, NEW YORK Street Hamlet Lot Lot No. p/o 24 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 1987 pursuant to which Buildinq Permit No. I6407-Z dated AUGUST 30~ 1987 was issued, and conforms to all of the requirements of %he applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH GARAGE The certificate is issued to ROBERT & SHELLEY KEHL (owner, of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 12/8/88-86-S0-197 UNDERWRITERS CERTIFICATE NO. N 039272 - OCTOBER 13, 1988 PLUMBERS CERTIFICATION DATED NOV. 31, 1988- PECONIC PLUMBING & HEATING Rev. 1/81 Building Inspector FORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~ ~- ~// t , I /~ ....................... premises located at .. ,~,. ...................... ..~ ........................................................................... pursuont to opplication doted .... ~.,.~z~g,..,,~T,.....,.,~,,~,, ........ , lO..~,.~.., ond approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ 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 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 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 informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancv $ 5.00, over 5 years $]0.00 4.v.o.nt o.o. 0.o0 5.Updated C.O. $ 50.00 Date .................. ~.~ NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .c~.c~...5~..~... ./77~i/.~. /~/ Owner or Owners of Property ........... County Tax Map No. 1000 Section... ~.~ ..... ,lock .... .G ........ Subdivision .... ~~...~. ~.~..Filed Map No ........... Lot No ............ Health ~eOt. Approval ......... ~. ............. labor Dept. A~roual ..................... ... Unde~riters A~proval .......... ~ ........... Plannin~ Board A~roval .......... ~equest for Tem~orar~ Certificate .................... Final Certificate ... Fee Submitted $ ..... .................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .. . Rev. 10-10.78 TO~LN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /6 /7~/0 7Z Owner ~/~ ~//~ ~e~ (please ~rint) ' / / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (pl~b~r's signat~ure) Sworn to before me this ~/~ day of f'?~/(~//~ , 19~. Notary Public, ~i/~f~//~County BARBARA ST~PNOWSK~ Notary Public, Stere of New York No, 4844752 Qualified ~n Suffolk County ~ Commission F. xpire~,~a~me~, lg,Z~ UNDATION ( ls t) UNDATION ( 2n~ ) UGH FRAME PLUMBIN~ SULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [/FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. INSULATION [ ] FINAL [ ] FRAMING DATE /~///J''* INSPECTOR /~./ ~;/ BUILDING DEPT. ~/~ INSPECTION ] F.~JNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DAT£//'///~///~ ? INSPECTOR ~~~/ 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [] FRAMING [~FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION~ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [)~/INSULATION .FRAMING [ ] FINAL REMARKS: THE NEW YORK BOARD OF FIRE UNDERWRITERS eUR~AU OF EU-:CTRICrrY I---- 85 JOHN STREET, NEW YORK, NEW YORK 10038 TI'Il~: CER~'II~I~$ THAI ~ e~umi~ ~ ~nd~nd ~ ~ in ~mpti~nce ~ith the ~ui~menl~ o~ th~ ~rd. RX~UI~ IqxTuI~ FANS DRYIlIS FURNAC! MOTOIS LqJTUBII A~qJAHCB ~ TIMIC~OCKS MIATI-mmIT DIMMIIIS FIOTOR$: !-. 50 H.P.,t~I '~¢t0K F 01~ TECTOR: *. f~ IF~ACK I IGHT]NG;-8 R V I C E ~, OF HI-LEG / o I 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. ~ 2) HEATING CONTROLS TO ~'z' 7813.13 RANGE 45 TO 75 DEGREES FAHRENHEIT. :3) WATER HEATING pER 7813.31 THRU .38. 14) PIPE INSULATION 7813.19 i 5) WINDOWS - DOUBLE GLASS. iS) ~UCTION TO MEET N.Y.S. I~qERGY CODE. A A. EA 0.17' 2./8~ /~_/ o, o.o_~ g ~/~ 0 ,~-3 8 O.SS /~ o ~ o 0.05 0.05 ~_oTZ. /'7 5'00 A z.,z. 0 \v'E.", /57'(3// TO THE BEST OF MY KNOWLEDGE, BELIEF, AND PROFESSIONAL ~ THESE PLANS ARE IN CCMPLIANCE WITH THE CODE. FORM NO 1 TOWN OF SOUTHOL6~20, BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 T-EL.: 765-1803 Received ........... ,19... Disapproved a/c ................................ ./~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This 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 gjving 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 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 necessary inspeqtions. admit authorized inspectors on premises and in building for ......~ '~": 'J~;' 'i ...... (Signature of applic~dnt, or name, if a corp rat'on) ........................ ~.3oc~_'4-~ / 0 ~ ~cj 119-7/ ........ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or ......... ............................................................................. Name ofowner ofpremises ...~.Q.~?..C ·~. 'z)'7~J D '~ ./~...~-7.,..~..----~..~. ]~'~--]~- (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... I .'~....~. .~ .-?..~.. ~ ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No .................... ... c~9~'~- c//,~'''~ 1. Location of land on which proposed work will be done. /~//:)/A/' /~0/a-/2 O~/~5,/V" ./~ ltouse Number Street ~ Hamlet Ol~) County Tax Map No. I000 Section .... .-. ;.¢-. ........ Block .................. Lot .... Subdivision ~;~/~ ........... ri]~u ~a~ ~o ...............~ot...... ................ (~'a~)' '/" " ....... Sta~e existing us~ and occupancy of pr~mises and in~ended use ~nd occupancy of proposed construefiom a. Existing use and occupancy ................................................ b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New Building ......... Addition ..i. Alteration Repair .............. Removal .............. Demolition ........... ~... Other Work ............... i (Description) 4. Estimated Cost ........................ ;. Fee .......... i ............................ (to be ~aid on filing this application) 5. If dwelling, number of dwelling units ....... Number of dwelling uni!s on each floor . . . ./ .......... If garage, number of cars ..: ....... i~-ii i .......................... , ........................ ,.. i 6. If business, commercial or mixed occupancy, specify nature and. extent of each ty~e of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ~ ....... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ............ 1 ..... Rear .................. Depth ...................... Height .......... ~' :,t/ ....... Numb~er.gf½Stories ........ : ,' ~-. ~ ......... 8. Dimension.~.qf ontire new construction: Front ....... ~ .~. .... Rear ... ~."~. ~ ....... Depth . .~C.D...i .... ~.... Height . .~.(~ .......... Number of Stories ...~. ....... · ................ i ......... /. ....... 9. Sizeoflot Front ....a~...~.¢ Rear 3'."/1., ~.~ Depth ~.ii~-..Z~.'.. ...... i. 10 Date of Purchase Name of Former Owner ' 11. Zone or use district in which premises are situated ..................... : 12. Does proposed construction violate.a~,~ zoning law, ordinance or regulation:---- .... i ......................... .~, 13. Will lot be regraded ...... rr~ ... ~-- ............... Will excess fill be removed from premises: Yes (N(~') 14. Name of Owner of premises r4.~r~.~. ~..he.//~ ~.~.Address f~ ~..O J~>~. ~. Phone No.~ ~ ~ 7..~t.~ Nme of Architect ....................... Address ............... , .... Phone No ...... ~. ........ Nme of Contractor ~b.~ ~ ~g~Address ~:O ~. ~.*~. ~ .... Phone No. 7.~.~..~7~. 15. Is this property located withinl.00 feet of a tidal wetland? * yes ..... No ..... · If yes, Southold To~ Trustees Permit maybe required. PLOT DIAG~M Locate clearly ~d distinctly ~1 bufldMgs, whether existing or proposed, ~d~indicate ~1 set-back d~ensions from property lines. Give street and block number or description accordMg to deed, and sho, ? street nines and indicate whether intefior~or~corner. ~ ............................ ~ ................... STATE OF NEW YORK, S.S ...... .~.. ~.~.i ?.'. ?.' '.~'~(_. ...... being duly sworn, depoies and says that he is (Name of individual signing contract) above named. t (Contractor, agent, corporate officer, etc.)I of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application are true to the best of hisi 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 the applic, ant SUFFOLK CO, HEALTH DEPT. APPROVAl_ H.S. NO, ~ ~ THE WATER SU~LY AND SEWAGE DI~AL SY~EMS FOR THIS RESIDENCE WILL O~/~N~, ~, ~' CONFORM TO THE STANDARDS OF THE SUFFOL~CO{sj ~~DEPT* ~ HEALTH SERVICES. ~ ~.._ ~, 0~ ~ SUFFOLK COUNTY DEPT, OF HEALTH SERVICES -- FOR APPROVAL OF RO~RICK VAN TUYL. P.C. LICENSED LAND SURVEYORS GREEN~RT NEW YORK N 7B°34'40"E, P/,~C ONI C SURVI (516) 7'65 - 5020 RO BOX 909 MAIN ROAD 50UTHOLD, N.Y 11971 N/O / F MAY WATSON PLOT 3 0 PLOT 2 AREA = 1,79 acres S 79028'40" w MAIN 5 LIC N0,49668 ENGINEERS ~ P C ROW 227 8l' S 78°54' 4O"W ROAD ( N YS ROUTE 25) CERTIFIED TO FIRST AMERICAN TITLE INSURANCE CO OFNEW YORK REM ABSTRACT CORP ROBERT A KEHL SHELLEY G KEHL TITLE NO 585 S 0131 pLOT N/O/F GEORGE L YOUNG SURVEY OF PROPERTY AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY , N.Y. Jo00 0~8 06 P/O 24 SCALE I" : 30' AUG 31 i 198 7 Oct. 2~ 1987 ( Ioundalion location ) 87 - 669 (2) N,78o34'40"E N/O/F MAY PLOT WATSON OLD _ _ PLOT 2 AREA = 1.79 acres S.79o28'40"W NEW WELL 57156' pLOT I 185.0' 227. 81 ' S 78034' 40"W. 56.05' N/O/F GEORGE L YOUNG MAIN ROAD B. O. H. # 86 SO 197 NYS ROUTE 25) CERT, tFIED TOt FIRST AMERICAN TITLE INSURANCE COMPAN¥~OF NEW YORK TITLE NO, 605 S 5414 PECONIC ABSTRACT ~NCORPORATED LONG ISLAND MORTGAGE CORP. ROBERT A, KEHL SHELLEY G. KEHL SURVEY OF PROPERTY AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY , N.Y. 1000 018 06 P/O 24 SCALE I" 30' AUG. 31 , 1987 OcL 2~ 1987 ( foundation location June 2, 1988 (final) N Y.S LIC,NO 49668 ENGINEERS , P C PlOT NUMBERS REFER MADE FOR HOWARD L PO.[ SOUTHO LD, Il 971 87 - 669 (2) OCCUPANCY OR WITHOUT CERTIFICATE ~ ~_ FOL~ [~,~IG ;AIAPECTIONS: EXCEED 2/I0'~ ' ~ ,:.XX~.UL.r~O~ S~ M~ ONI~AD'CO~E~ BEFORE ~ ~ r~U~O~ ~ ~ CER~YFI~TE OF O~UPANCY .LL ............ ~ .... f