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Home My WebLink About14720-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No,. z-15610 Date April 9, 1987 THIS CERTIFIES that the building One Farai ly Dwel 1 lng Location of Property 570 Pine Tree Road Cutchogue, New York - - h3i~s'~hio~ ....................... 's'tle;i ....................... 0 I 009. I County Tax Map No. 1000 Section 104 ,Block ............... Lot Subdivision..u./.o..t,l.a.s.s.a.u..Y.a.r.m.s. ............. Filed Map No. 1179 .Lot No. p/o 124 conforms substantially to the Application for Building Permit heretofore filed in this office dated Mar.ch 25., 1986 14720Z ...................... pursuant to which Building Permit No ...................... dated ..... ...... Ha r c h......3 I , .... I 98.......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 ......... ONE FAMILY DWELLING The certificate is issued to ARTHUR DRAKE ..................... ?o¥,,'~;, ~r,W~ ~4~ ..................... of the aforesaid building. Suffolk County Department of Health Approval 86 - 50 - 61 N769795 UNDERWRITERS CERTIFICATE NO .................................................. March 5, 1987 PLUMBERS CERTIFICATION DATED: Building Inspector Rev, 1/81 FOB, M NO. ~1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT CT*HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) ~.o 1472O Z Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUP~ 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 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 peoperty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 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: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 / land use $/s'/$5.00 Date New Building ...... .~. ..... Old or Pre-existing Building(:~) ......... ~ ZVacant Land Location of Property u~'/0 ~ //JE ~/,- .,~¢~.,. ~~ Hou~ No, Street ' ' ' ~ ' " H~mlet Owner or Owners of Property ...................................... County Tax Map No. 1000Section., /~ .~. Block ~/ ..... Lot · ~..~.~z~ ... .... ~......,,,~ ~,, ~o. ... zz~. ~ .~ot ,o.__~ ~(~..~/.*¢ Subdivision, . . . .... .% ..... Health De~t. Approval ........................ Labor De~t. Approval ......................... Unde~Hters Approval ........................ Plana[n~ Board A~proval .................. Bequest for Tem~orarg Certificate ..................... Final Certifieato ................. Fee Submitted $ ~~ a~bl~~la~o~ ........... CO~ FOUNDATION INSULATION PER N. STATE ENERGY ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 1{)00771 BUREAU OF ELECTRICITY 1~ B5 JOHN STREET, NEW YORK, NEW YORK 10038 ..t. September 18,1986 ~pp.,?.,,o. No....r, le4oo17o/86 N769795 THiS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application nurnber in the premises of' Arthur F. Drake, s/$ Pine Tree Rd., 700' e/o Skunk Lane, Cutchogue~ N.Y. in thefolfowing h,c.tio.; [] Basement ~ I~t ICl. ~ 2nd FI. .%ction Bfock Lot ~s exa,nined on ,~ ~ t emb e r 11,19 8 6 and found to be in compliance with the reqalre.tents ~f this Board, FtXTURES RANGES OVENS FIXTURE SWITCHES 39 42 28 39 DRYERS FURNACE MOTORS APPLIAt~CS FE~DSRS TIMECLOCKS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVIC~ DtSCONNECT S E R OTHER APPARATUS: Motors~l-lH.P. Smoke Detector-]. OF CC COND C NO OF HI-LEG E OF HI-LEG OF NEUTRAL 1/o Ruland glec. Co. P.O. Box ]43 Hattituck, N.Y., 11952 lic.#242B GENERAL MANAGER P~r~ This certificate must not be altered in any man,er; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR E, UjLDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner f/~(~/ (please print) Plumber ~T~=~ 14~ Nl (please~print) 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 19~ · Notary pub 1 ic ~/~/~/~ __Count Y Not~y Pubic LINDA J, COOPER Notary Public, State of New York,~ C/ No. 4822563, Suffolk County Term Expires December 31, 19 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-! 802 RE: Arthur Drake, 570 Pine Tree Rd., Cutchogue To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /_---~/' An application for Certificate of Occupancy is not on file. ~d~~ /~L_ No Underwriters Certificate on file. /~/~ The check is(~tc~d/not on file.)~-.O O /_~ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please con~act our office on this matter. Thank you for your cooperation. Building Permit # ~ ~ Z~ ~_ Z Building Dept. ***/~/No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 7GS-'f 802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND '~]~INSULATION [ ] FRAMING [ ] FINAL DATE ~'~~///~/ INSPE~rOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ ROUGH PLBG. [ ] FOUNDATION ZNDr[ ] INSULATION [~ FRAMING [ ] FINAL REMARKS, ,, DATE 765-X802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND £ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL 765-180~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ~I~FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: ~'~'~ ,~, DATE ~___~._~__ I NSPECTOR' ~' ~INGLE FAMILY ~E~ING ONLY ~T ~OWN 0 ? ' ' .... - PLEASE NOTE maintain ~quate samta~ distance between all water supply and sewage disposal facilities. / -,-r:- ................................... ~ - Cop~es o~ this SUW~ map n~ SUFF. CO. DE:PT, OF HEALTH ~II[RVICli:~ STATEMENT OF INTJ~NT SINGLE FAMILY DWi[t_LING O~LY ~~ DENCE WILL CONFORM TO THE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 ....... Examined.. ...,l .¢¢'/. Permit No. Approved ............ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received...~/~..~ .... ,19.~.. INSTRUCTIONS a. T~s application must be completely filled in by typewriter Or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plgn 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 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 admit authorized inspectors on premises and in building for necessary insr~e~tions. ..... 3'b. . , ....... (Signature of applicant, or name, if a corlSoration) · (Mailing address of applicant) State whether a~plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of preznises ........................................................ (as on the tax roll or latest deed) If appl~ora~tion/~ignay~ofv'. ,.-'/~,~duvl.y,aut~lzed officer. (Name and title of corporate officer) Builder's License No .......................... Electrician sLicense No..~.t~/y~./p.. Other Trade's License No ...................... 1. Locationoflandonwhichproposedworkwillbedone..~f~'.~-q~*'f......~..: .................. .............. ................................................ House Number ::~ ~7{~ Hamlet County Tax Map No. 1000 Section /0 ~/ Block / Lot .~ ~.. Subdivision ..... .~..~. ~....~..~tt...~.~. ~.~. ...... Filed Map No. Id.> .~. ........ Lot . . ~..,~.¢ ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~.~.~~M. b. Intended use and occupancy .... fff~... ~'g'/'t ]'5 .... '~'/~' '/~/' ~ '~' ~'"': , 3. Nature of work (check which ~pplicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ' ZZ~' ~ (Description) 4. Estimated Cost ..... ~..d,.~.q..~w. ..................... Fee...~(. ............................... .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 mix,ed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing smctu~es, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Sto~es ........................................................ D~ensions of same structure ~ith alterations or additions: Front ................. Rear .................. Depth .................. ~... HeiSt .......... i ........... Number of Stories ..................... 8. Dimensions of entire new conltmction: Front .... ~). ....... Rear ...~.~ ' . Depth ~ ~ Height ............... Number of Stories ..... ~ ~ .............................................. 9. Size of lot: Front /o~O ~ ... Rear ~' Depth . ~ ~ ~, ~ ~ 10. Date of Purchase ...... ~ ................... Name of Foyer Owner ........................... 11. , Zone or use district in which p~remises are situated ..................... ' ...................... 12. Does proposed construction viOlate any zoning law, ordinance or regulation: :.~ ........................... 13. Will lot be regraded . .~ ............ ... Will excess fill be removed from premises'. Yes 14. Nme of Owner of premises . ~a~.~. Address .~.~.~ ./~. > ..... Phone No ..... ~ ~ "~'a" PLOT DIAG~ Locate clearly ~d distinctlg ~1 build~gs, whether exist~g or proposed, ~d. indicate ~1 set-back d~ensions from prope~y lines. Give street and bloc ( number or description accord~g to deed, ~d show street nines and indicate whe~er inte~or or comer lot. l~.e ~.~.~.[ ............ being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. &.~ ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work w~l be perfo~ed in the m~n~er set forth in the application filed therewith. Sworn to before me this ~ ~,,~J~ ~ ~ ~ ' (Signature of applicant) f~l' water distributing ' 'h ib?e ~vs~arn~ ~iplng__ s a of types K or L only I~LU, M'BEB CERTIFICATION'. ON LEAD CONTENT BEFORE~ CERT[zv~,CAJ:E OF OCC'U}~ANCy sO~D-z ~ US ~ ~ J~ ,WATER, ~UPPL ~,SYSTEM CANNO~ " , ' ~":':~.' . " : . ' - FE Y,*~ ' ;:' ;- : , ,, . ,NOT~ SU~L~ING,OI~-P,~,~/~_~_NT_AI , ,. '. ..... ~ ~ ,' ' ~ "~ , 765- 802' 9 AMTO 4 PM FOR'~ ', ~ ~ j ~, ' _ ~-'~ .... "' .... ' 2. ROUGH'~ F~MIN~ & pLU~IN~ '~ , , ~. INSU~TION _ ~ '" ,' , ":~ ~4. F NAt , CON~TRUCTION, BE COMPLETE FOE C.O. ~LL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N.¥, STATE CONSTRUCTION & ENERGY CODr-8, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. --l