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Home My WebLink About15136-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No, . .Z.1.5.3..2.9 ......... Date ....H.a.r.c.h...6.,.. ! .9.8.7. .......... THIS CERTIFIES that the building ..... 0 u ¢. ?.a.m..~.l.y...d.w.e.~. ~. ~_ pg. .. ................... Location of Property 345 DEAN DRIVE CUTCHOGUE' House No. Street Ham/et County Tax Map No, 1000 Section . ,l. I. 6. ....... Block ...5. ........... Lot ...5. ............. Subdivision ~.a.p..9.~..D. qw..n.s.v.~..e? ............ Filed Map No..5.5.0..9...Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated .4 u, .17. 23, 1986 pursuant to which Building Permit No. 15.1.3. 6 Z dated . .J..u.1 y.. 2. 4. ~.. 1. 9. .8 .6 ............... 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 ......... The certificate is issued to . ItENRY KOItLMEX/ER .................... ?o¥.'o;, i,h'ot' i .................... of the aforesaid building. Suffolk County Department of Health Approval .... 8..67-.S.O. = .9 .I..F.e..b ....2. 5. :..1.9. 8..7 ............ UNDERWRITERS CERTIFICATE NO ..... N789820 Jan. 22, 1987 PLUMBERS CERTIFICATION DATED: December 29, 1986 ......... Building Inspector Rev. 1/81 I~OR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/v~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPL~'I'ION OF THF. WORK AUTHORIZED) 15136 Z at premises located ot County To× Map Ua. ~000 Section ...... I.t..¢. ........... ~lock ..... ..~.~ ...... Lot No....,~'T... ............. Building Inspector. 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 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 ~r land use $ ls-/$5.00 3. Copy of certificate of occupancy $1.00 Date ....... New Building .. / Old or Pre-existing Building(Z) _.,= fVacant Land i ..... Location of Property , . , .~ ...................... ~. . .~'1 ....... House No. Street ;~Vuner o_r aOW. nets ol Property .... ~. · . ~'~-~ .................... nty / x [wap N . 1000 Section .... / .......... Block ,.. ~ .......... Lot...~-~. .......... Subdivision...~ .......... '. ................ Filed Map No...~,~. ~ ~..Lot No... ¢ ......... Permit No.'.~'. ! ~ .~..~..~3~ ('~ Date of Pe~,~it'~/~' .~. ~..A pp licant_7 '"%~'q i-'-J'' Health Dept. Approval. '¥' "~'' '?'7' '% /'' ...... Labor Dept, Approval ...................... Underwriters Approval .~,¢~'~. Z~/7~'?~"30 .Planning Board Approval .. .~ ,.~ Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted $ ......................... Construction on above described, building an~,~ee~al! a~a~e~co~,~, and regulations. Apphca t.: .{. .................. [ooo~74 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICIT~ * JOHN STREET, NEW YORK, NEW YORK ~0038 ..,e ,~nu~r~, ~,~.9e7 ~..,,~.,,o. No.~.~,,e 4~e~/~ N 789820 THIS CERTIFIES THAT or~ly th~ electrical eqtzlpmertt as d~scrlbed below and introduc~d_bx~he ap~li¢~nt~ n~rped~on the abov~ a~pliEa~io? n~umb~e~r i~the ~rem~$ of ~enry l{ohllney~r~ ~/F3 Dea~ Dr., o~ New ~t~o,~ ~ve. ~ ~u~cnog~, t~o SERVICE DISCONNECT F NO. O I S E R Smoke Detector-1 Future Appliance Feeders-l--2~l~, 1-2-12, 1-3~6 I FLUORESCENT ~T K ~. -- COOKI_N~-CKS OVEN~DISH WASHERS FIXTURES RANGES 35 19 18 EXHAUST FANS MULTI-OUTLET SYSTEMS NO. OF FEET 3. DIMMERS OF NEUTRAL 4 Eeoo Eleo. Cor.(Cllff Cornel],) W_llow Po±ntRDo 325 ~ Southo!d, NoY&, I1971 lio. ~2816E This certificate must not be altered in any manner; return to the office of the Board if ,incorrect. inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT FICATE MUST NOT BE ALTERED IN ANY N~NNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date December 29t 1986 Building Permit No. 15136Z Owner Henxy & Connie Kohlmeyer (please print) Plumber Frank Pazienza d/b/a Bay Plumbing & Heating (please print) i certify that the solder used in the water supply system contains less than 2/10 of 1% lead. /-' ~p~ber~na~) Sworn to before me this ~ day of ~FOOJ-~ , ! Notary Public, ~t)Y%-O(~County Notary Public, State of New York No, 472~113 Qualified in Suifolk Colmly Commission Expires gnn. 31, 1939 FIELD INSFECTtON FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL C~OMMENTS'. Tr, S.'180~: BUILDING DEPT. INSPECTION []FOUNDATION AST []ROUGH PLBG. []FOUNDATION 2ND []INSULATION []FRAMING []FINAL REMARKS: DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION :)ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND £ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 2'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS :, FINAL DATE INSPECTOR/~~ BUILDING DEPT. ~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION DATE '~'~>& '~ INSPECTOR~ FORM NO. 11 TOWN OF sOUTHOLD BUILDING DEPARTM 'AT~T TOWN HALL S0b~HOLD, NY DAE;EL0 PMENT PERMIT Permission is hereby granted to: tO ' ' at premimee located at ~ ~/S'- ~~ ~ County Tax Map No. 1000 Seotion /IG' Block O_ ~7 Lot by Ohe Building Inspector. Building Permit i '1 $& 4180 Building Inspector ,' ~' ' ~- _ ...~... X ~ / .' ~ N-~:~ ,,~ x.-'~,:~-~ ,,,- / . . ,', , ........ ~/J .................... i(j6,,,-jB, " The Iooatlon~ of the water suPP~ andlOr ,sewage dlspqsal faclllti~ on this property have not been verlfi~. ' , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ' Approved.. .... Disapprowd a/c .......................... : ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS JUL 2 31986 Application No .................. Date .................. a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 Occupa~acy 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 admit authorized inspectors on premises and in buildings for necessary inspections. INLAND HOMES~ INC. (Signature of applicant, or name, if a corporation) ...B.q.x..~.!7.,. N.a.t.*~.t u¢[c, ~..~.,..li9~2 ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G~]3¢~a 1 .C.(ln t r a.c t o r ........................................................ Name of owner of premises Henry Kohlmeyer ' (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 .......................... Plumber's License No. 517-P .......... Electrician's License No. 2816 Other Trade's License No ...................... .,~ ~6.~ 1. Location of land on which proposed work will be done. ~. I)¢.a.n..D..r.i.v.e. ............................ 2.~J:l~a_ ~,. ~. :.:~,.~-¢-. ~: ...... e Cutchogue, N · Y · House Number Street Hamlet Cohnty Tax Map No. 1000 Section 1.16 Block 5 Lot. 5 5509 4 Subdivision Map of Downsview Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... I Family Dwelling b. Intended use and occupancy ......................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair Removal Demolition Other Work : - (Description) $ 50,000. O0 F 4. Estimated Cost ........................ ee .................................... i (to be paid on filing this application) 5. If dwelling number of dwelling! units ............... Number of dwelling units on each floor ................ If garage number of cars ' · · 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front. ............... Rear .............. Depth ............... Number of Stones ' Height .................................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. pth ................... '~.. ight N~121he De He ......... 7'~ ! .......... r of Stories ....... 26 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ..1..8 ........... Number of Stories ....1 .................................................... 9. Size of lot: Front . .1.7.2. .... : ..... Rear ....... 1.QO. ............ Depth ...~$5 ................ 10. Date of Purchase .......... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which pr~misos are situated ..................................................... Does proposed construction vioilate any zoning law ordinance or regulation: no 12. , ....................... ' ........ 13. Will lot beregraded ..........................~ . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . .H....l.<9.h.l.m..ey.e.r. .... Address ...Pp.r.l...J.e.f.f.e..r.s.o.n. Phone No.4.7.~-:9~.8.4. ...... Address Phone No Name of Architect ............................................................. Name of Contractor ;rn].g¢~t. ~HQ¢9.s.,.. ID.... .. Address .Mg.~.~%~'3. k~ .N,.Y.~ Phone No.2.9.1~v9~,9.fi ...... Locate clearly and distinctly al property lines. Give street and block interior or corner lot. STATE OF NEW YsQ, J~,OLK COUNTY OF ................. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether ....................... Rol~.e.~$. I~....}:t$;1.t.~ ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Contractor He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul authorized to perform or have performed the said work and to make and ~e this application; that all statements cent: tined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne? set forth in the application filed therewith. Sworn to before me this ~ 23~d , ~ July ..... , 19.8.6' .......... .# ........ t · ,~:lay o~ ............... ~/ /.,~ ~ '~J~Sa~I, Suffolk Notary. Puh!~f~,, .~. · ./.I.'. ~.., ................ Coun /~/ No~y Publlo. ~5~te of New TOm No. 4674306; Suffolk County SUFFUL;..: ~*.,SNTY HEALTH DEPARTMENT SINGLE FAMILY DWELLING. ONLY .,......o. ql , , : Tt]_E NO.T1286-~I48 THE ~AGE DIS~L ~D WATER SU~Y FA~ITI~ FOR TH;~F ........... L~Tm~ ~VE ~E~ I~SPEC~ ~Y'~ ~R~T ~ / ., ~i~'~' ~water M~e~t ~cnon .... -I, ............ '- .._~, r- ....__ ~¢-¢r*t't c TANKS SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ~- STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH S~RVICE$. (si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. l,~o.. ~. ~O- APPROVED: SUFFOLK CO. TAX MAP DES4GNATION: DIST. SECT. I~_OCK PCL. LOOQ 11~ 5 5 OWNERS ~: 4'7a- ~EAL /o ,~.~ ~ .... The Iocat ohs of the water suRply andfor · sewage dtspqsal faciltti~ on thss prope~Y have not been verlfi~. . A., .E.A' ~8.i4 ! 5. FT ~O~ERICK VAN TUYL, ~.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLII~,~.~ r"~e'P.,3'.,., OELEtEA~TH SERV CES (si 3~ ~,--; ..... /~'~ COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DtST, SECT. BL~K PCL. ~ LI6 5 OWNERS ADDRESS: PO 'F JEFF DEED:L.N~ HOLE STAMP SEAL t I r·, OCCUPANCY,?OR USEiS UN~WFUI~~" WITHOUT CERTIFICATE OF OCCUPANCY 8Oi. l~lf iI~ED IN WATER ~1J~l' ~1~ CAAWOT PLUMBER CERTIFICATION- ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY AI~ROVED A~ NOTF..~ NOTIFY BUILDING DEPARTMENT AT 756-1802 9 AM TO 4 PM ~Ofl THE FOCI.OWING INSPECTIONS: 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING 8' PLUMBINO 3. INSULATION 4. FINAL CON~;TRUCTION MUST BE COMPLETE FOR C.O. ALL CON$'~UCT~ON THE REQUIREMENTS OF THE N.Y STATE ~ONSTRUC~ON 8, ENERGY CODES. N~T RESPONSIBLE FOR 7' I T %oc ,'..t% BE b GL. x. ooxt i