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Home My WebLink About13692-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southoid, N.Y. Certificate Of Occupancy D Augu% ..a0, ' 86 No. z14816 ate ........................... One family dwelling THIS CERTIFIES that the building ................................................ ; 4.40 P.ine Neck Road ' Southold N Y Location of Property ' ' ' h3dse hid ....................................................... street ttamler County Tax Map No. 1000 Section 070 .Block 08 .Lot 01 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 13692Z' ?.%n. u. ?.v.y..9.., ......... , 19.8..5 pursuant to which Building Permit No ...................... dated .... ~. ~..n.u.....a r y 30 ..... .... .. 19.8.5., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tiffs certificate is issued iS ......... One family dwelling * 7- Andrew C. Kehl Jr. & Janet M. Kehl The certificate is issued to ........................................................... (owner, I~V~ ~hgt~stSt~t of the aforesaid building. Suffolk County Department of Health Approval q 6 -SO-ZOO N749777 UNDERWRITERS CERTIFICATE NO .................................................. Plumbers Certification datedJanuary 3,'~ 1986 · THIS CO INCLUDES 14x22 DECK AS INDICATED ON SURVEY DATED 5/15/86 BY R. VAN ~ Rev. 1/81 IPOI~'M' NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N9 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETIQN OF THE WORK AUTHORIZED) 13692 Z Date .~.,...~ ............. , 19~~'- Permission is hereby granted to: ~ .... ....... Caun~ Tax Map No. 1000 Sect,on .G~.. .......... B,o~k ...~..~.. .......... Lot No. c~.../..~.... .......... pursuant to application dated ...~..: ...... ~ .............................. , lO~and approved by the Building Inspector. Fee $.~. · .1~,~..... · ,...~'~.~ Rev.,6~30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 BL~, OE~ i. TOWN OF k'~O THOI ~ 765- 1802 .................................. APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ 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 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 occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $3.5.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C,C. $5.00 ~c>_ ~, _ ~%~ 5.Updated C.C. $15.00 Date ................... , ....... New Cons truction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................... : .......... U cz Ab House No. Street Ham/et Owner or Owners of Property ~.~/.~.~..~.:,A/...~.,...~:~.~?-{~..~z~ ....... ,?..~.Af.~.Z-.. t~... ~/~'~-././. &.. County Tax Map No. 1000 Section . .O 7 O Block O ~ Lot. /~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./. .~.~..~.~. ?'.. Date of Permit ~4...Applicant . ./~..'~?..,¢:?.-?/, . . .~..,...~. ~'~../~..z-.. ~..,.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate .................... ,Final Certificate , ... . .J/'..... ............ Fee Submitted $ ~). .... Construction on above described building and permit meets all applicable codes and regulations. Applicant ..... ~. ,g~, A ./,. , ,/~2, ... , , , ,~'.?...~:~..~ ................ Rev, 10-10-78 Estates Abstract Corp. Agent for First American Title Insurance Company of New York 217 Merrick Road--Suite 101--Amityville, New York 11701 (516) 598-0445 Telecopier No.: (516) 598-0559 Date: June 24, 1994 RE: Title Number: 51~-S-3070 EST # 8142 Premises: 440 Pine Neck Road South¢ld, New York Gentlemen: Please forward t( this office the ~esults of a certificate of occupancy search on the above captioned premises. We are enclosing, herewith a check in the amount of $ (not to exceed $5.00 Owner: ANDREW KEHL, JF~. District: 1000 Section: 070.00 Block: 08.00 Lot: 015.000 Thank you for yo%~r cooperation in this matter. Very truly yours, ESTATES ABSTRACT CORP. TOWN OF: ~OU~'~IOLD__._~ 7GS-~.802 BUILDING DEPT. INSPECTION []FOUNDATION IST [ ] ROUGH PLBG.~~ I' ]FOUNDATION 2ND [ ] INSULATION []FRAMING ~[ ] FINALc~/ ~"~-~' REMARKS:~. ~ DATE (~'~// ~'~ ~ INSPECTOR ....,~ ~ FIEgD IN'SPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: ¢ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 /)ate }'lay 15~ 198~ ~39352/85 THiS CERTIFIES THAT only the el~trical equipmertt ~ described belom and introduced by the applicant named on tho able appl~atlon number i~t t~ premises of ~lffirew C. Kehl, P~ao ~eok Ro~d (glain ~y View ~a~)~ gou~hol~, ~.Y. FIXTURE OUTLETS F RECEPTACLES SWITCHES 53 DRYERS FURNACE MOTORS 3S [] 2nd FI. Section Block and found to be in compliance with the requirements of this Board. Lot FIXTURES RANGES FUTURE APPLIANCE FEEDERS OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS MULTI-OUTLE! SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 3-~ oF .C.I. 2-Smok~ Dete(~tor S E R 'V I C E OF HMEG NO OF NEUTRALS A. W G, OF NEUTRAL 2/0 Ar their R,aroecle Main Road This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors COPY FOR BUILDING DEPAF IlS I ! OF ?ENEI~AL MANAGER Per may be identified by their credentials. 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._~3 Owner ~7~ F~L~ (please ~£i K~-)- P]_umber~~(~l~se ~'~ I certify that the solder used in the water s~pply system contains less than 2/10 of 1% lead. Sworn to before me this _~/ day of~, .... 19 ~. Notary Public. County BARBARA. STEPNOWeoK! Notaq~ Public, State of New York No, 4844752 Q~tl~llfled tn $~fo~County ~'~ Commbslon E~ire$ M~rch 30, 19,9_ · Notary Public ' FOR~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 765-1803 ................ ....... .... / OWN OF SgU (Building Inspector) ~ceived ........... ,19... APPLICATION FOR BUILDING PERMIT Date .... ~..--...- .7.--~'.., 19oC~. ·~, 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 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 heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and.r~g~lations, and to authorized inspectors on premises and in building for necessary in.~p,g~t~ons~ ,~.~/~/// admit ~ (Signature of applicant, o~-n~rn~, if a/~orporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ./~./?.~..~. ~.~..k~....~...,...~../~./.d..~.....~../~ ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Plumber's License No..7~. ~i~.~. Electrician's License No. t'e Other Trade's License No ...................... 1. Location of land on which proposed work will be done%~.~.~. · · ~. I..~t.l~.. · ~..~.C.-~. · . · .~..~. ·: .............. ~.~' .~. ta. r.~. .c? .~. .D. ~ ..... [k.2~ y . . l l . q. 7 J. House Number Street Hamlet County Tax Map No. 1000 Section ~..~.0. :. ~. - ! .5. ..... Block .................. Lot ................... Subdivision ..................................... 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 .... .~..~. C.O. ZD. 7~'..../.t?../.'". ............................................. b. Intended useand occupancy ..l...//~Z/qL .Z-.~...~.~.~A~g./.rl~ ................................... 3. Nature of work (chec~,,l~i~ 4. Estimated Cost ..... 5. If dwelhng, number of d~mng~nrts ... ~ .... 6. If business, commercial or mixed occupancy, sp?~at~ 7. D~ensions of existing structures if any~ffiq Height ....... ~.. Number of Sto~es D~ens~ons of sam~ure w~th alterations or ad~ Depth ......... - ............. Height ...~. ' .8. D~ensmns of entire new constmctmn: Front ... ~ .... applicable): New Building ..... Addition .......... Alteration .......... im'oval .............. Demolition .............. Other Work ............... i ~ (Description) (to be paid on filing this application) nber of dwelling units on each floor ................ extent of eac type o use ....~:~.. ..... ... Rear.~ ...... Depth..~c~-~...W ......... 'ont .... ~ ..... Rear ~ .......... ........ Number of Stories.._ ...~.... ........... ... Rear ...,5~..~.. ......... Depth ...~.qg. ........ Height ............ Numeer of Stories. '~q~7 .~.~../.e..~. ~/ .................................... 9. Size of lot: Front .... /..~..o.. !.~.~.~.~. ......Rear .... ./.0 ?.. )/..a.a. -.~-. i i i i.. Depth ..../..,~.o.. Z~.e?... ~ .... 10. Date of Purchase 2)..~-.C~....c~.~....f..c/..~.~. ...... Name of Fonner Owner ...~.~.O.~.:V..~.~..4~...~:.~.~.~.A/.... 11. Zone or use district in which p~emises are situated .................................................. 12. Does proposed construction vidlate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...~.~:-~_. ! .................... Will excess fill be removed from premises: Yes ~ I4. Name i of Owner of pre~ises~9~'/a~..C, ~.~'.ff~ .J..~Address ff'q'q..~..ff..~?¢q~. ~.,g. .... Phone No. 7~;..~...~..~.o.:~.."~. Name of Architect . .~.e~ O'tr~61. ] .~'. ~..-¢ P~. ~'~ .~. .... Address .7..~..~...~_..... Phone No ............... Name;of Contractor ff'E.q<~. ~.T'-~. ~;~4-/:..~-~.... Address .~.~.o.O./.~'.~7~t~, ~ff~.Phone No.~. 6. ~ ~.l ~ ~.~.. PLOT DIAGRAM Locate clearly and distinctly alI buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether 7ot .t, interior or corner lot. I' STATE OF~ NEW Y~}RK~// // iSS COUNTY OF..~ I ' ^ · · ~ ~ ......... ,.,, beingxduly sworn, deposes and says that he is the applicant (Name of individual signing contact) ' above named. '.. (Contractor, agent, corporate officer, e~c.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this apphcat~on; that all statements contmned m th~s 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 No. ~2-46024917 , ' (~ign~tureSfm hcant ~ Qualified in Suffolk Counl¥ ( g ' PP ' ) ~rmsslon Ex~lres'March 30, JUN 2 /('~HL_, ,,4rea ,,..vToon, v'7,are F'~F ct' SUFFOLK CO. HEALTH DEl=T, N.$. :'"'~-- 'C: ' " : : ' SY~E~ FoR TH)~ RESI~NCE WILL CONFORM TO THE ST~NDARDS OF THE SUFFOL~ CO. DE~. OF H~ALTH (St i A~LiCANT SERVICES = FOR APPROVAL OF CONS~R~CTION ONL~ DATE: 't '"' ~bFFOLK ~, w ~.~ ~ SINGLE FAMII D I; lNG ONLY ~ \ H.D~L~EF. NO. DA'~'~' AU~ 0 7 ~ T~ ...... ~ ~ THE SE~A~DIS~SA~ND~ _~ ,: ,.v._ -~,.,-,Eo~'~'im e ~OCATION HAVE BEE~INSPEcI: ~ ; ' rOHNn Tn ~ ~ ....... ~ ~ H~S DEPARTM ~me~ of Wastewater Management Section L