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Home My WebLink About14660-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS CERTIFICATION DATED: IN Z15243 February 4, 1987 o .................. Date .......... ; ..................... , ... THIS CERTIFIES that tile building . .Opp.. ~..a.m.i.l.y,..d.w.e. 1..Z .i.n.&: ....................... Location of Property .,.. ! .9..6.Q.c. 9.u.n.t..ry..C.l..u.b..D.r. !y.e .......... .C.u.t.c..h p.g.u.e. ............ r~ouse tvo. Street Ham/er County Tax Map No. 1000 Section . .I. 0..9 ....... Block 03 .Lot 2.20 Subdivision..C.o.u.n..r.r.y. Club Estates .Filed Map No. 6.7.3.6. .LotNo. 15 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~.a.r..c .h.. 1. O. ~..1.9. 8, .6 .... pursuant to which Building Permit No. 14660. Z dated ~a. r..c .h.. I. 7. ,..I.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 ......... One family dwelling with attached two car garage. The certificate is issued to JOHN AND RACHEL DUELL ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval 86 - S O- 33 1 / 28 / 87 UNDERWRITERS CERTIFICATE NO. N789003 I /20/87 1/29/87 "~,//7 Buildi~ Inspector ...... Rev. 1/81 TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 14GGO Z Permission is hereb/granted to: .... ..... ...'3:;~,~..~.....A.~.~ ............................................ ot prem,,s '~oted ot..~.~.~,~ ...... ~....~.~.~..~........~.~.~ County Tax Map No. 1000 Section ..J....,O....cJ .......... Block ...... ..O.....~... ....... Lot No.....~....:..:~...O.. ....... pursuant to (JppJicotion doted ....... .Y~.(~,~k~....~..../....~.. ............... , 19.~.i~0., and approved by the Building inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 JAN 2 91987 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. Su bm it Plann lng Board approval of comp leted 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 p~operty 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. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3, Copy of certificate of occupancy $ 5.'00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConsbrucbion ...... Old or Pre-existing Building ............ Vacant Land ............. ., Location of Property [.C~(~... House No. Street Owner or Owners of Property ,~.~.~..d;L~.. ~L~,~...~.[~.~.,[[ .................... County Tax Map No. 1000 Section ...I.~?i ........ Block ...(~,~.~ ....... Lot., ~;~.~. ...... Permit No)~.~ .... Date of Permit ,. '~. '.~./~P.Apphcant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ~.~..~. ....................... Construction on above described building a~~s and regulations. Rev. 10-10-78 Applicant ...... ~,,~.. _ .~. ,~ ..... ~-~-....~.~ ~ z THE NEW YORK BOARD OF FIRE UNDERWRITERS 19~5 JOHN BUREAU OF ELECTRICr~'y STREET, NEW YORK, NEW YORK ~OO38 January 20, 415028/86 N 789003 THIS ~ERTIFIES THAT only the ~l~trlcal equipment ~ ~scrlbed below and i~troduced by t~ applicant ~med on the a~ve application number i~ the prem~es of ~s exatnined orr J~l~ary i2s 1967 and found to be in compliance with the reqttlrements of this Board. FIXTURE OUTLETS RECEPTACLEE o9 ~1 DRYERS SWITCHES FIXTURES 69 RANGES K W ;PECIAL REC'PT S R NO OF CC COND APPLIANCE FEEDERS UT R APR ATUS: ~u~oard~;l-3Oci~.~2OOam~a., ~$moke ~eCecCor~ V I C DISH WASHERS MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FANS DIMMERS OF CC. CONO, NO OF HI-LEG OF HI-LEG NO OF NEUTRALS A, W G. OF NEUTRAL P,O. ~ox Lic#242g GENERAL MANAGER 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 BU LDING DEPARTMENT. THIS COPY OF CERTIFICATE M~ST~NOT BE ALTERED INANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No./~ &~ ''(please print; (pleAse print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 19_~ · Notary Public,~o/P~Jw~/~=-COunty (plumber's signature) Notary Public, State of New Yo~ No. Ou~lifi~ in ~uffolh C~o~ Notary 76S-*1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION '~ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FINAL DATE //~:~/'/~ INSPECTOR/~~-~ FIELD IN~PE~ION FOUNDATION ~FOUNDATION (1st) (2nd) Y. ROUGH FRAME & PLUMBING II~SUDATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ... ~7~,~z_D 6'~ ~..--.e~-L~- ..~~.. ~. ~ / ,, 7~5-1802 BUILDING DEPT. INSPECTION [] FOUNDATION 1ST [~ ]~ROU~ PLBG. [] FOUNDATION 2ND lO.INSULATION []FRAMING [ ] FINAL REMARKS: ....~/~0,~,~/~ ~ DATE 765-~,802 ~"~' BUILDING DEPT. PECTION ~~ INS FOUNDATION ZND [ ] INSU~TION F~MING [ ] FINAL DATE ~iNSPECTOR Approved . .~ ~t, qQ& .}.~... 'FORM NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 0OUTHOLD, N.Y. 11971 TEL.: 765-1802 · , 19 ¢%.to ., 19 ?.t,. Permit No. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... Date ................... 19... 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 giving a detailed description of layout of property ~nust 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 constmctinn of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bu~..ug4od~de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe~va,~ ......... -"--,% ........ ................ (Signat%~f6~,t/jlpplicant, or name, if a coJrporation.) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... .??../(-..,JrJ, .~,o, ,,~.. :. ,~, ./,~'.~4... 3-(~.6/.Z¢/../---.C-. ............................. (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.../~..g~...~.0..~..~.. .......... Plumber's License No ...... 5.~.q..P ............. Electrician's License No.. ~ .~..-:~. .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done....CAD..O../d/.'~..Y..?---...c~... ~,W=.~..,..~..o..7~../.~.~?..,/-. ..... 77 ......... .co . .r-4W.-. ¢. .......... .c. ' .................... House Nmnber Street Hamlet County Tax Map No. 1000 Section .... ./.Q.~' ......... Block .... ¢..~.. .......... Lot..'.Z. ,..7-r? ........... Subdivision .C-. O/J~/C/.~V'...~.4.0.,'~.../C.~?.>.~.~.-~.~ ......... Filed Map No....~. 7.~.~..~. .... Lot ..../.~7 ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .d-. ~. 7~.....~../r'..0.,9'. ¢ ............................................. b. Intended use and occupancy .... .~./~...././q.t?../-... :6..r-7/.~/.-7..O..,6/,. 7... -.~./79..~.~../-~...,f-~Jy../~_.q. ......... 3. Nature of work (check which applicable): New Building .......... ['/~ Addition .. Alteration .......... Repair .............. Removal .............. Demolition ............ .. Other Work ............... (Description) 4.Estimated Cost .......... ¢ OOo Fee I .o. .............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... I.... Number of dwelling unit~ on each floor t .~..~ ,~. If garage number of cars 7.- . 6, If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ~ ...... ' Depth .............. Height ............... Number of Stories ............................ i ........................... Dimensions of same structure with alterations or additions: Front ' ' Rear Depth ...................... Height ......... ~ ............. Number of Stories ...................... 8. Dimensions of entire new construction: Front .. '?.'./..~.' ....... Rear . 7.o. ~... i ...... Depth . .7t2.'. ......... Height ...'g~ / ......... Number of Stories ~-- ' Size of lot: Front .. /~.~,l ............... Rear /(a[,t~7~' ........... l~nth~ ........... ;~s~t': ............... r',4x:~ h Date of Purchase~.~q..7..,. /~.~. " . Name of Former Owner ~ ~.~4~..~. Zone or use district in which premises are situated .... ~. ~ ',to : Does proposed construction violate any zoning law, ordinance or regulation: .... A/a ......................... Will lot be regraded ...... ~_.o..~.~,~ ........... Will e~,%~ss~??~lbrr~e, ~,n~,o~r~om premises: Yes Name of Owner of premises' .~ .......... .~.~..~-q..., . Address . fi'.... ! . ~.... ].. i · · · Phone No..¥72:.2. .2.r~. ..... Name of Architect ..... .,~9.,u~. ............ : .... Address .................. Phone No ................ Name of Contractor .... ,T¢~..+a/..~.U.Z.- .t:.c-: ......... Address ...~ .~..~.' .......... Phone No. :¥775'.'~.~..'??'. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from description according to deed, and show street names and indicate whether 10. 11. 12. 13. 14. property lines. Give street and block interior or corner lot. } r---] i( :! S~TATE OF NEW YORK, COUNTY OF. S.S ~/'~T ~t(Z~d,~¥ ~f-c~¢- :L ............................................... being duly sworn, deposes and says that (Name of individual signing contract) I' above named, i he is the applicant He is the . (Contractor, agent, corporate officer, etc.)' of said owner or owners, and is duly authorized to perform or have performed the s~lid work and to make and file this application; that all statements contained in this application are true to the best of his iknowledge and belief; ~nd that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me,this ,.~ ~F ~ = ~ ' ' '~ Lot 16 ~~ ~ .~ ~ '~ ~r~a = 40,055 5.E North Fork ¢ounlrY Club, Inc. $]N~_.E FAF~iLy DWELLING ONLY S,C DEPT OF SUt~ COUN~ DEPARTMEN~ .OF H~LTH SERVICE~ LOT NO. tS, ~COUNTRY CLUB ESTATES" ~P~VAL~ OF CONSTRUCTION ONLY ~T CUT~O~ Dn~E: NOV, F~ ~ ~ SOuTHOLD sc~: /' ~ ~' , M~O)H~IZEO ALTESATION OM ~DOmTION ~ mis GUARANTEED TO , k~OVED ~ ~ ~ sJU~V ~ n vi~nTioM ~ s~c~o, zzo. ~ r,~ ,- N~'~RK ~T~TE E~CATI~ LAW .... ~ ~R WH~M THE ~U~EY IS PREPARED HE~ DEPARTMeNT-DATA F~ APPR~ TO C~STRUCT A.o ~ 'His ~LF ~ THE TITLE C~Y, N THE wAYER SU~Y~ SE~GE ~AL sYsTEM ~ ~lS R~OE~ ~' OWNERST~ISTING 'bTRUC~eES ME FO~ A SPECIFIC' '/ ¢4 ~ ~' -_'", "", YOUNG YOUNG NOERAVE E. iVER A., NEW YORK ~r~: ~ = SYAK~ ~ ALDEN W. YOUNG, PROFESSIONAL ENGINEER ' ' ~SDIW~ION MAP F/LED IN T~ OFF/CE OF TEE CLE~ ' AND LAND SURVEYOR N.Y.S. UC/NSE NO. 12845 ~ 5~FFOLK COUNTY. ON OC~ 17, 1978 A5 FILE NO, 6X3~ HOWARD W. YOUNG~ LAND SURVEYOR ~ L~T~.~ ~C(W),~IC TANK(ST)a CE~S(~) ~N ~E~ N,Y.S. LICENSE N0.4589~ 8RANDIS & SONS INO, Z046 Lol/6 ',-L'D, RE DATE TITLE NO. T/284 - 4685~ SUFFOLK COUNTY HEALTH DEPARTMENT · : .~.~:~. SINGLE FAMILY DWELLING ONLY ? ~ NO. , ~8 -,~,~.~ ....... ,ID WATER SUPPLY FACILITIES FOR THIS HAVE Ei~EN INSPECTED BY THIS DEPARTMENT AND IND TO BE SATI~ [~e~n-e--~t'-S~ction --- -- CLUB J22.74' ~V. <~8 °41 'I0 "HE 154. Lot 14 Area = 40,065 North Fork Country Club, InC. SURVEY FOR JOHN V. DUELL ~ tYACHEL C. DUELL LOT NO. 15, "COUNTRY CLUB ESTATES'" AT CUTCHOGUE TOWN OF SOUTHO£O SUFFOLK COUNTY~ NEVi/ YORK DATE: SCALE: NO. ,/AN. ~1,196'7 APR. 29 ~ APR. 7, /986 NOV. ,?1~ 1984 I" = 8 4 - 1150 GUARANTEED L./. ,.! ¢OUNG YOUNG ';~LDEN W. YOUNG., PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO. 128.~.5 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE NO.45895 44)00STRANDER AVENUE RIVERHEAD~ NEW YORK Lo! 16 NO. TI284 - 468B SUFFOLK COUNTY HEALTH DEPARTMENT .. SINGLE FAMILY DWELLING ONLY H.D. ~EF. NO. . ,-5'~ '~E"~ SEWAGE DISPOSAL AND WATER e~UPPLY FACILITIES FOR THIS HAVE BEEN INSPECTED 15Y THIS DEPARTMENT AND FOUND TO BE SATISFAC,TORY, ~ ' ~C~-IeT-of" W~sT~-wa-t~ Ma-nEg-ement Section- - CP Lot 15 Areo 40,0oo Norfl~ Fork CountrY Club, InC. HEALTH 01[PARTMENT-OATA FOR APPROVAL TO COflSTRUCT N~[~ 'A~ ~ ~ELLI~I WITHIN I00 FEET OF THi~ P~OPERTY OTHER TH~ THOSE SHO~N HEREON, N TH[ ~T~ ~UP~Y A~ SE~e[ DI~AL 5YST[M ~ THI~ ~1 OF H~LTN I~IC[I, SURVEY FOR JOHN V. DU£LL ~ ,~4CHE'L C. DU£LL LOT rqO./5, "COUNTRY CLUB ~T.47~.S" AT CUTCHOGUE TOWN OF $OUTHOID SUFFOLK COUNTY, NEW YORK TICOR T ,,/AN. 8/, 1982' l~,°H, 29, AP,ri'· 7, DATE: NOV, SCALE: I"" NO. 84-1150 YOUNG YOUNG ,~30 OSTRANDER AVENUE RIVERHEAD~ NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S, LICENSE NO, 121:.{q. 5 HOWARD W, YOUNG~ LAND SURVEYOR N.Y.S. LICENSE NO.458~3 OCCUPANCy Or UsE IS :U~LAWFUTL WITHOUT CERTIFICATE OF OCCUPANCY ~ vail dimrlbuflnO ~ plplq Ihlll bi , SUPPLY SYSTEMrCANNOT r ' STATE CO,~[rt:f;Jc'rloN & ENERGY , , ' "~JGN OR CO~U~ON ~RO~ GREENPORT N.Y. 11~)4J4 ' · Phone 477-0400 ~$ M,nn Road (SRII'!NPORI'. N.Y. ~944 Phone 477-0400 '¸I T Phone 477-0400 GREENPORT, i/ Main Road' N Y~ ! 1944 Phone 47%0400 GREENPORT, N Y, 11944 " .... ' ' ""' ' " ' ",", ' ~q~,~<, ,, , ,,,~