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HomeMy WebLinkAbout13909-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....2:.19.6.7. .3 ........ Date .. ?.I? .r.i.1..2. .1 .,.. 1.9. .8.7 ............. THIS CERTIFIES that the building .... .O.n.e...f .a.m. ~. 1. ¥..d?. e..1.t.i.n, g: .................... Location of Property 2600 DUCK POND ROAD CUTCHOGUE h3~ bio; ...... 's't/e3i .................... h~d, tet County Tax Map No. 1000 Section .... 0.8.3. ..... Block ....0.1. ......... Lot..p./.o.. ! .9...1.0. ..... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'fled in this office dated ..... .Iq.a.r.c..h..4.,.. ! .9.8.5. pursuant to which Building Permit No...1.3.? 9P.z. ............ dated ...ga. y..3. ,...I .9.8.5. ............ 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 ......... ..... 9.n.~...f ?.m.t..t y..d.~. ~..Z 3.t.~. g,..2.. ??F .g~? Y.a.g. ? .'..~?.d. ¥?o.~. ???.k: ................... The certificate is issued to KEVtN KNOBL0CII--RICN PEELE¥ ..................... io¥.'~'r, iif~,f~i~'X~ '2 .................. of the aforesaid building. Suffolk County Department of Health Approval .... 8.5. 7 .8.0.-. I..0 .... 6. ./.1.3./.8..7 ................. UNDERWRITERS CERTIFICATE NO ........... .lq. 7..7.8.~.7. 7. .............................. PLUHBERS CERTIFICATION DATED: Feb. 23, 1987 Rev. 1/81 FOB,~[ NO. lB TOWN OF $OIJTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13909Z Permission is hereby granted to: ...~;.~.....~ ........ ~..~.~~... ...~..~..~......~..~......~..a...: ...... ..~ ,,.,.,_,o. , ~ s.~ .. ~ ................... ~ ...... .~...~ ............... ...... ~....~~..:....~..~._~ .~' ...... ~. ....... ... at premises located at ....~L.~fl.~.....~L~ ................................................................................ County Tax Map No. 1000 Section ..... ..C~...~.....~ ..... Block ...... ..(~.....~ ........ Lot No ......... .J..~.,..L..c). .... · ~.~...~......~...~..~. ........ , 19.~.~? and approved by the pursuant to appJicatJon doted Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ¢.o. AC f 2 11987 Instructions This application must be filled in typewriter OR ink, and submitted t~ 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 applicab[e. 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 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. C. Fees: 1, Certificate of occupancv $25.00-- BUSINgSS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy , , $ 5.00, over 5 7ea~-s $ 10.00 4.Vacant Land C.O. $ 20.00 .~ .~.~.%.~ 5.Updated C.O. $ 50.00 Date .... ~ ............ OhS ...... Old or Pre-existing Building ............ Vacant Land ............ Location of Property .... ',~ ~. ~.Y~ .... . ,~,On~ .... ,~,~ ..... , ......................... Hou~e No. Street Owner or Owners of Property .~.~.~ ~. ~ ' County Tax Map No. 1000 Section ...... C~.~ ...... Block ..... .O.~ ...... %Lot. ?./.0., J.~,[(~., , Subdivision ................................. Filed Map No ........... Lot No. ~ ........... Permit No. I..G~.~'.~., Date of Permit .......... Applicant . .'~..~¥.,.~N..¥~o~. ........... Health Dept. Approval ..... .~-,S. .............. Labor Dept. Approval ........................ Underwriters Approval ..... ~ .~.3 .............. Planning Board Approval ,..I~.Q...~r¥~C~ ....... Request [or Temporary Certificate ....... ~.~ ........... Final Certificate ..... ¥.~,~ .............. Fee Submitted $ ........................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .................... Rev, 10-10-78 FIELD INSPECTION COMMENTS FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~ODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-m~, 85 JOHN STREET. NEW YORK, NEW yORK 10038 ..,~ ~,.~,~' 10, m~e .~.,.,~.,~o. No.o.~iie ~?e/86 N 778477 THIS CERTIFIES THAT only the electrical equipment as described belair and introduced by the applicant named on the above application number in the premises of Kevin KnobloCk, E/~ Duck Pond Roazl, Cutchogue. N.Y. ...s~.,.~.~do. Novanber 3, 1986 ~ 2nd FI. Section BIm:k Lot and found to be itt compliance with the requirements of this Board. FIXTURE FIXTURES OUTLETS SWITCHES v^~o. 38 5~. 35 38 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: 1-G.F.C.I. 1-SmokeDet eotor S E R ~ V I C E NO OF CC, COND A W O, PER ,e' OFCC, CONp 1 ~/0 NO OF HI-LEG AWG OF HI-LEG NO OF NEUTRALS 1 2/0 }[even Knob] ock Ncmth Road Peconic, N.Y. 11958 GENERAL MANAGER Per 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 LDIHG 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 SOUTItOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date ~% ~5~ I qs']__ Building Permit No. [%q6 (please print) Plumber ~¢0('Q ~ ~Z~ (pLe)ase 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 _ ~ day of ,~/~.. , 1.90~ . Notary Public,,I~),~P~J~ County (p~um~er's signature) BARBARA STEPNOWSKI Notery Public, State of New York No. 4844762 Qualified in Suffolk County (~. C.?nmission Expires March 30. 1~ - ~tary Public TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy.~because,of the following reasons. /_~ An application f~icate of Occupancy is not on file.~~ _ ~~k /--/ No Underwri. ters Certificate on file. ~The check ls(outd~t~/not on file.) Health Dept.~ Approval on file. / / No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # __~ A ~ .-~ ~ g Building Dept. ***/~//No Plum,s. Solder Certificate on file. ( all perm, s involving plumbing being issued after April 1,1984 ) 76S.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I' '1 'ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH pLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL INSPECTOR,/~~.,~ 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ]LST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~-% INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION XST []~ROUGH PLBG. FOUNDATION ZND. ] INSULATION FRAMING []FINAL REMARKS: INSPECTION [ ] FOUNDATION IST [ ] ROUGH [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ~FINAL REMARKS: / , ,, 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~°OUTHOLD, N.Y. 11971 TEL.: 765-1803 xamined."~.,',~'~' ~-'~ ..~. .... , pproved . . .~l.[.c~..~ ..... 19~.~.~. Permit No. ~..~..~,.9~ ~ )isapproved a/c ..................................... ...... .................... (Building Inspector) APPLiCATiON FOR BUiLDiNG PERMIT , TOWN OF SOUTHO_LD~=__ Received ............ ,19... Date ...~.-~..2-.5 ........ 19 .q~- INSTRUCTIONS a. Tins application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 ~ts 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ion. 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 fll 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 dl 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 ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or .egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to [mit authorized inspectors on premises and in building for necessary inspection~ ~, (Signature of al~lSlicant, or name, if a corporation) (Mailing address of applicant) £ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc of owner of premises ...~ety ~ ~ ~. ~x%~okcx.~ .................................................. (as on the tax roll or late'st deed) · applicant is a corporation, signature of duly authorized office]'. (Name and title of corporate officer) Builder's License ......... Plumber's License No, ~,:..~.~ Electrician's License No. 6. ?...~ ................ Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ..................................... ............. House Number Street Hamlet Lot ................... County Tax Map No. 1000 Section ...... .(~..~..~ ...... Block ..... .c~..~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... X4 ~t~.,... L, cw:x~ ................................................ b. Intended use and occupancy ..... ~.., .~".~..~o.~ac.). M~. ..................................... 3. Nature of work (check wh!~lt ~p~licable): New Building .......... Addition .......... Alteration .......... em?al, .............. DemoLition .............. Othe Work ............ ... ": ; (Description) 4. EstimatedCost ...'. ;.~{~;~.CD. ...................... Fee ...................................... r I i ~'~ (to be paid on filing this application) 5. If dwelling, number of dwelling hnits . .:~ .':i...~ ..... Number of dwelling units on each floor... :.. :-;..~. ..... If garage, number of cars ..... i. · · .~ .................................................. ........... ~ If business, commercial or mixed occupancy, specify nature and extent of each type of use ................. W--~.~Dimensions of existing structures, if any Front .............. Rear .............. 'l~;p;t~ ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth Height Number of Stories .8. Dimensi6ns of entire new construction: Front ..... ~ ....... Rear .... .~ % ....... Depth . .~'37. ......... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ....I .... I~! ............ Rear ...................... Depth ........ A2 ............ 10. Date of Purchase .'."*~t..zX',~,I .13... lq~, .......... Name of Former Owner .3.Tc~¼n.. ff~q~.~.~ ........ 11 Z di itl hal ¢ i it d . one0ruse strc nw clpr msesares uate ................................................ ...... 12. Does proposed construction vioiate any zoning law, ordinance or regulation: ...~9.(3 ....................... 13. Will lot be regraded ......... ' ~.-~ ............... Will excess fill be removed from premises: , . ~ Yes )~ 14. Name of Owner of premises .. ~.,h,~x .i.~&\e~V~ .... Address . .~3a~-l~J9 .......... Phone No..2~;% .~."qff.'2 <'- ... Name Of Architect .... . ..w-~....i ................. Address ................... Phone No ................ Name bf Contractor .~5;: .~o~t.¢ ........... Address ............... . Phone No. . .'J ~ S. v .% ~' .q. 57. Locate clearly and distinctly all property lines. Give street and blocg interior or corner lot. 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 Cooq . m or,, S OF, I s.s country OF .............. i 07 ' ............................ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sigfling contract) above named. He is the ..................... 1 .................................................................... j (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and file this appli!:ation~; 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 manner set forth in the application filed therewith. Sworn to before me this ' .... ' ............... day o ...... 19 Notary Public ............. County _ ? , ~;qrARY PUBLIC] State o[ New Yorl{ ' ~. .............. ! ~i0 4707878i Stdf01t; Cot*ntyCe~ (Signature of applicant) ~ ~,~, ~)"GLE CA~LY DWELLING ONLY SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE5 KEVIN KNOBLOCH FOR APPRO',/~L CF C,-~F,T~UCT(C~ ONLY AT CUTCHOGUE DATE: ~WN ~SOUTHOLD SCALE: '~ 50' D'" ~_/~ .x ~')- ~ 0 I b SUFFOLK COUNTY, NEW ~RK No. 854300 mE ~R~ FOR WHOM THE SU~EY IS HEAL~ DEPARTMENT-DATA F~ AP~ TO C~STRUCT A~o ~ HIS BEHALF m THE TITLE C~P~Y, GOV~N- ~F~u, P~S~gSECTIOFl 8~ ~CK~LOTP/QIglO H~E~,ANOTO ~E ASSIGNEES OF THE LEaOING ~[E AK K ~[LLINI WITHIN I00 FEET OF T~S PROPERTY INSTITUTI~, GUARANTEES ARE ~T T~SFERABLE SUB.VISIoNaL' '~.~//TJOHN a OLIVIA ~~ ~ ~ OS~NDER AVE~E NOTE: I=MONU~ENT~=~tAKERE~' ~ "~"' 'MINOR ALDEN W. YOUNG, PROFESSIONAL ENGINEER ~07 ~v. 4~ AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 FELL]NGER - I HA R" . ~WARD ~UNG, ~AND ~VEYOR HEALTH DEPARTMENT'DATA FOR APPROVAL TO CORSTRUC T NOTE: II:MONUMENT ~=STAKE RE LO*T NO. 4~ MINOR SUBDIVISION ,JOHN~OL[VIA FELLINGER- 1 HA R" SUFI COUNTY HEALTH DEPARTMENT 3LE FAMILY DVv'EI~LING ONLY H.D. REF. NO, ,~'~-~_~-/o ~ ~o~ DATE ~ THE S~AGE DISPOSAL AN~,WA~*~R ~U~PLY FACILITIES FOR TH)S LOCATION HAVE ~E~'~ tNSPEC:i'~D'~y THiS DEPARTMENT AND TO BE SATISFAC~ORY. ~water Section SANDY CLAY & SURVEY FOR KEVIN KNOBLOCH ATCUTCHOGUE TOWN OFSOUTHOLD SUFFOLK COUNTY, NEW YORK DEC. MAR .25,1985 DATE: JAN. 16~I98§ SCALE: I" = 50' NO. 85-1300 YOUNG a YOUNG RIVERHEAD~ NEW YORK ALDEN W. YOUNG: PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S. UCEHSE NO. HOWARD W. YOUNG: LAND SURVEYOR N.Y$. LICENSE N0.4589;~ L/x/{ NC? ]L~F__Lr>: ~-,.OOt-1 2.. NOTIFV~h'~II-~ING DEPARTMENT AT N NO, ~ T~ ffc°pPer tUbing is u " ~or Water distributi~c~ ~¥s~em; p/p/no shall be at types 1( or L onl~ SOLDEk USED IN WATER SYSTEM CANNOT ,,/-0 of L%'LEA& '] J L ,I 'i /Z APP~©V:~ AS NOTED NOTIFY P~ I1[ DING DEPARTMENT AT ...... ~V,IL MEET ~ : I , ' ~ I ~ ~ l~r~ ~,[~ ~ ~: ,~.' ~ , ' SOLDF-R US~P IN WATE~ ~ ~ ~'~, ' CANNOT SUPPL~ o~ °T:~o~% LEAD' EXCL'~D 2/10 If copper lubing is used for water distributin~ ~yCem; piping shall be ol types~ '(aROOVE. 5 ~" o.c r? I ':WASTE';,, DIAGRAM :,WATER ' SHEET TQ.TAL 12 $ I EL E V,~ TIO /V' 1_5.# F£& T II 5iiDil-.J~ I,¢// / '~' 2." II z/ 7 , . Jf'f''°"~'l to~/ ~-~ fr Io , .... /2 ~_, ,~,. ~ /~ ~~ ~ ,[~;~,, l/~ ~.-, -=, d~ , I ' .... ' . ~)_.gq.o,o. . -L $ £C T/O/¢ SHEET- TOTAL-'- PI~E~, ,", SZE D~CRPTON !BDF1 PIECES_ , , DESCRIPTIO_N , . BDFT~.P_R.!~! AMQUN1 , PIECES,NJ,,' SIZE - DESCRPt ON' "'~. ~ l'r ~ ' '' '" ' . i ' - p '60L,F. ' -' - ~e2 x? _5/8 ~xtemo~ Plywood ~anel S~zn~ w/ -, 8 2/6x6/8-1 ~/~" Doo~ .... __~ 2/~6/8-1 ~/~ Door U~ t~ ...... 18 P~s. lx4-18' n~n~.l nn~.¢~ ~4~ 72 - 10 Pcs. 2x10-10' ~ ..... ~ ..... , -- . . ,' q p~. 2~-~, ~.a.~__ 3q ' 160 L.F. , lx6 ~r~~ 80675aS600 So.Ft. 12"R-~8 Ce~l~ ' ' ~fie~ ~ I 5 Pcs. J ~-22' Gar~e ~ft~r T~e~ 110 5 Pcs. ~10:14 ~r.~d~ 70 .-- , I ' ~6"~12" W~7 U~i% · 36 Pcs. J ~6-14' ~ft~rs 504 , 4 Pcs. 2x4-~' ! Stazr Rail~¢ & Post .... 21 .... 1 , 18"x~" ~% Unit . , . . . ,... . , · 1196 Sq.Ft. ~ R.11 Wall Insulation ~th Vauor Barrm~ I , NOTES . ,, .. . , . RL~BI~G, ~ECT~I~r H ~TING, F40¢~ ~OV~ NIG ' ' ' the ~dustr We e~n ...... ~ however m~e ~ war ant . . y , ~., ,~ ~ r y,,~ , ,. "' nabi ty~ntmi (1)am%~ta PilfEr' ,' SIZE D~CRIPTION !BD F1 PRICE . Z._.C~I~L,T~..~,~ ~ "I" Beam Plate ~4 744 L.F. 2x4 ~ 496 ' I PIECES -- S Z'~_ ___ DESCRIPTION_ lID ~T~ PRICE., .... IAMQUN1 CEILTNG & Roof ~.~MIN6 rn~.~,d. ) ld4 L.F. 2x4 C~uti]evered Gable Lookouts ...... 96 ~.. ~ Pcs. 2~6- 1~, ~~ . _~T~_ ~ ....... ~ .... 93 160 ~.F. lx8 sah~s& ~ Soffit 29 !/3Sqs, 235¢ A nhalt Shz~~ 2 Pcs. p~%~- ~ 2, a.~.~ 48