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HomeMy WebLinkAbout3750-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. P. EI~.TIFIP-ATE DF OI:P-UPANI:Y THIS CERTIFIES that the building located at . J~/~... ~;.QI~. ~.0~. ~ Street Map No.....~.. ...... Block No .... ~ ..... Lot No. ~ ..... ~..~;.t~,~'~l~k .... lg...~. ~ ...... conforms substar~tially to the Application for Building Permit heretofore filed in this office dated ........... ~ .... ~ ...... 19..6~. pursuant to which Building Permit No. ~7~.0..~. dated .......... ~lelg... ~ .... , 19~7., was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The occupancy ~or which this certificate is issued is ...[~..~.?.~.~.8....0~....f...~...~...d.1~.~..~L.~l~l~ ......................................... The certificate is issued to ....~..*d.~l~..]~1~ ......... 0~l~F. ......................... (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval .~...3~, .]~ .... ~..~,~-lgIL~I~ .... TOW-~ OF SOu-r~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUT~OLD. N. Y. CI~RTIFICATI~ OF' .OCCI_IF~ANCY THIS CERTIFIES that the building located at . ~..~l~, ~,~ Street Map No...]~.., .... Block No.., J[~[~ ..... Lot No. ~[~ ..... ~[~[~...~.~9 ...... eonforrns substan.~ially to the Application for Building Permit heretofore filed in this office dated ,.~., .,....~. ~...f. ..... :9:~. p~u'~nt to which Building Permit No. dated .......... J~...~ .... , 19~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is, .~.V~..~.. ~.11~., .J~ll~. AM.~ ......................................... The certificate is issued to ...~ .~ll~ ......... ~ ....... .,, ................ (owner, lessee or tenant) of the aforesaid building. Suffolk Co ~unty Department of Health Approval .~1~:..~ .~ .... ~ ~.l~k .... "~ t 6MI ........ Building Inspector. FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3750 Z Permiss~ion is hereby gronted to: ....... ~L~k~y,. &~ ~,.,~..,,,~,~,..~..:~ ......... 2.~.~....I~a,~;,~.~..,~ ................................ .............. .~.~...~i.~:Le ....................................... to ~.q..~.r,~d...~.e:~...~.p.~¢...£~e~,~,~:~:..~:~:L~g ............................................................................. at premises located at .,t]/2..LU~,o~,..~.~..~oa,~[.....L~.'~[..~l ................................................ ....................... . ............ ~t,C£~'~...k~.~ ........................................................................................ pursuan¢ to application dated .......................... [~1~ ....... .~ ................. , 19~...., and approved by the Building Inspector. ,Fee $..~.~,9.,O. ........... Building Inspector / Disapproved a/c .................................................. --' ........... ................................. APPLICATION FOR BUILDING PERMIT Date ....... ~..@..C..e...m..b...e..r.. ............ .~. ................... , 19..~...? ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 port of this application. 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 progress of 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 and regulations. Arkay Associates, inc. (Signature of applicant, or name, if a corporation) 249 Montauk H~ghway, w. Sayv~lle, NY (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. BU1LDER Name of owner of premises Edward Hanus If applicant is~a.co~f~u3rate, sigpature of duly authorized officer. --(~qame and title of corporate officer) N/~ Private Road, 620, g/o ~arra~,ooka Road Lot 1. Location of land on which proposed work will be done. Map No.: ........................................ No.: ........................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy None 3. Nature of work (check which applicable): New Building. ,L...~. .......... Addition .................. Alteration .................. Repair .................. Removal Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...... ~....2.~.~..0...0..0..; ................................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .0.g..~ ............... Number of dwelling units on each floor ....~ ....................... If garage, number of cars ..... A..~.~..°.?-...e.~...7....;~...°..a.?. .............................................................................. ; ................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .......]~.9.~.e. ............ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ..5.~.~....~.~! .................... Rear.. ~.~..I.. 5" Depth 27t 9" Height .....2.5.! ........ Number of Stories .......... ~ ................................................... ' ....................................................... 9. Size of lot: Front ......]...0..0...~ ............... Rear ........ ~.~.P.~.~.~ .............. Depth .,~..,8.?.?.~..~.......~..~.~..... 23~.28 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ I 1. Zone or use district in which premises are situated .... .~...G.~..i.~.e...D.~.~.fl,,~. ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....X~ ................................. 13. Name of Owner of premises .~0,1q~l,..~.aD.~ .......... Address .~.~t.~.D....~..~.~...~..~..~...~..~..u:..~.~. Phone No..~?...~..-.,$.~..0...~. Name of Architect ...................................................... Address '"2'~9'"~'t'~J~JlC'~[~';'" Phone No ..................... Name of ContractorJ~')~a~...~.~.9..¢.~.~..~..0..* ..........Address ...~,,2R~.~$.'LI~t..}[,.~.... Phone No..3.~;~.-..~.0.0 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether i,nterior or corner lot. STATE OF NEW Y.~RK. .: COUNTY OF ..... ~.?..~ ..~.. ........ ..................... /...: .............................. ~ .................................... oemg duly sworn, deposes and says t~t he is the applicant (Nam~ of individual signing application} above named. He is the .......... ~.~ ........................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perfumed in the manner set fo~h in the applicati~ filed therewith. ~ Sworn to ~fore me this ~ -- // ...................... --' ........................ - .................. Nota~ Public, . ..............................- ' 'z ~ ~ , (Si ure ~applicant) .... lic~~,.. , -~ / -(Si~u~ ~applic 9+. 3S WAY MAP OF LAND EDV~'AI~D A. ~ 02T~UD ~A~TITUC~ TO~ OF SOUT~OLD , N.Y. B. HANU$ · SUFFOLK COUNTY DEPARTMENT OF HEALTH · FASTERN DISTRICT,RIVERHEAD,N.Y. H.D. Reference No.,~O-i~/Q ~ APPLICKTION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date ]_~)-67 kpproval to"c0,nstuuct said systems is requested,pertinent data herewith: ~ '~' 6 -6600 6-Sub div · . ^ ~ 'es Inc. Phone 3 3 1-Applicant4Ar~av .~ssog~ates~ -- , .~-~ vv ~ Address Z~~~7---~ - ,~, ~. ~ -- ............. ~ £~iv'at~ Nd., ~.o.4~' ~/.~ 8-Lot No. ~a ntoo%~8 ~d~ ~ i'r~%ti%uc~ ~!'Y' __ 9-Private we~? Yes 3JPub]~c ~ter supp~ n~e Distance to nearest ~in &-~t size: Length ]~6] .~ft. WidthlO0 ft. (Also e~%er on center plot plan ~ ~-~ell~g: Sin~le f~lv~/~T /~o~ty~/ /~ellar?~Slab?~Orawl ~pase ~ ~'~ ' ~ low. ols oD~er 10-Proposed system:Septic ta~/ /Precast~Cesspools~ __/ohal ~ ~ ~ ~-Septic ta~ inside d~ensions:Vol~e~a~.Length Ft.Width_.~t~Liquid depth__ft~ . ft .C p ~-- -- -- ~-Precast sections./2../N~ber'/l~Square ess oo~:Block sizeL ~.D ~s.H ~s. 10/65 PLOT PLAN' O0 O0 0 0 Grade Capacity~_h~2Gals Test Hole t _ 2~ Indi [ate N~ th The Undersigned CERTIF~r]S: ..Construction of authorized installations will be iu accordance with the Suffolk County Health Departments' current Standards,Bulletins, and amendments thereto,covering Private Sew%ge, Disp~o. sal .Systems".~ Date ~_z-go-6? Signed ~_~ - --- ~r' 6~.' Builder FOR HEALTH DEFAa~T~N~ USE ONLY. Based on the information presented herewith,it is the opinion of the Health Department,that an adequate and satisfactory Sewage Disppsal Bystem can be installed on this Plot. Date ~'~ ?/~, ~ Signed_ East FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined -~.!.c Approved " 19....~.J., Permit No. ~.../....r?.'..~.~... Disapproved a/c (Bui~lIng Inspector) --~ /5; © Application No..~..,/.. ...... : ............. APPLICATION FOR BUILDING PERMIT Date ....... ............ ................... , .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a deCailed description of layout of property must be drawn on the diagram which is part of this application. 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 progress of 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 o 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 and regulations. A~k~ Associa~es~ Inc. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder. ...................................... B~J~ LI.I~R ......................................................................................................................................... Name of owner of prem sea ~f[~a~.~ .~fl~l.~.~. ....................................................................... f applicant is a carp, orate, signature of duly authorized officer. · .. (~ame on, title of corporate officer) ]~/~ P~T~ ~O~di ~01 ~/0 1, Location of land on which proposed work will be done. Map ~No.: ........................................ Lot No,: ........................ Street and Number Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ....... .~.~..~.~'.~..~..~,..~.~ .............................................. 3. Nature of work (check which applicable): New Building ...... .~. ......... Addition .................. Altera.tion ........ , ......... Repair ........ : ......... Removal .................. Demolition .................. Other Work (Describe) ........................................ -.z~:" Estimated Cost ..... .~...~.s.l~.~.~ ........................ : ........ Fee .......................................................................................... (to be paid on fiting this application) 5. If dwelling, number of dwelling units ....... .0..~.l...~. .............. Number of dwelling units on each floor .................. ! .......... If garage, number of cars At,~,~O~e~ - 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ........N...O..~..G. ............ Rear ................................ Depth .............. ' ...... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with a.lterotions or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................. 8. Dimensions of entire new construction: Front ~[~t ~w Rear ..5~ 5# Depth 27~ Height .....~..? ........ Number of Stories .......... .~. ............................................................................................... i .......... 9. Size of lot: Front 100t Rear 9&,~5' Depth ]~/*~ ~:l).C~ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? ....~ ................................................... 13. Name of Owner of premises ~t~l:~l, H~lt~8 Address ~ll~!~ ~. b~at, t,~,il~lc Phone No. Name of Architect ................................................. Address ........... Phone No. 'L". '. - ..................... ~K8 A~O~., Li~, A dr Name of Contractor ........ .~, ................. ~..,: ................... d ess ...~,Sa~..~.[1]Le.,..~,~.,.. Phone No..].~.?..~..6...~. PLOT DIAGRAM L.acate clearly and distinctly all 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 i,nterior or corner lot. STATE OF NEWYORK/~ _ , i, ce COUNTY OF ............. e).~..~..~....~...4' .... ........................................................................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing_application) above named. He is the .............. ~.~.f ............................................................................................................................ (Contractor, agent, corporate officer, etc,) of said owner or owners, and is duly authorized to perform or have performed the said work and to make qnd file this application; that all statements conta,ined in this application are true to the best of his knowledge and belief; and that the work will be perfor~d in the manner set forth in the application filed therewith.~-'- Sworn ~o before me this ................... uu . , ..... .................. ...... ............................... : ............ Notary PublJc~,~~.l~ , Z, (Signature of applican¢) i opr~o k~,L' t I I~LO'' ,.., I1'- 9" .,. , TEI~ACE q'- 4" i o~ ~" e~e sL~(~o~) , ~ ~ __~ ,, 5'-lo~ ~OTE: ~ Io'-o" ~" If-o" &' ~ ~ ~ ~ ~ ~, ~,,,,~. o~ I ~ .LIVING ~. I ,, I ~ ~ J ~'.o' ~ - DAT~: ONE FA~I LY- ",RES1 DE N~E .~V,S,ONS: HERMAN H. YORg ARCHITE~T F/~ST FLOOR PLUM P[,N No.,.~ D~T r--: UN E×CAVATED / MOTE: ilo"7'-7" ~ I ~ V¥ ¢ I L.C',.LV I ~L%74~ ~- 4- --1:7 , WOOD ' ----T NOTES: DETAIL OF OPTIONAL 7'- ~" CELLAR, EM'[ RY ON[ FAMILY .NE/RMAN,,H. YORK. ,ARCHITECT FOUNDATION ..... '" 5 KEY ATTIC- o- . ~ ~-- 7:: .... ~.~ ~ , .2_ - ~ ~ DIM. R~. ~ ~ , , LIVING R~ ~.~ CROSS SECTIOM DM. 'Two DED P,~. ~ 4 BED RM.*' 3 I0L O" BED ,] CLO. ~ 17t°' BED P.~, ~ I 0 SE.CON,ID FLOOR. PLAN WiLL ~F_.CT ION .AT KEY ELEVATI O M, ~) ETA, I L DECTI Oki ELF_VAT I 0 N S OF FIR, EPLACE. WALL DAT F.: RI:VI SI ONe": ONE FAMILY EE.$1DENCE ~;~?AN FI. YORK .ARCHITECT VZ~ p~o~ F_~2T ~OtU II WOOD LOUV I qOTE: LEFT SIDE ELEVATION CUPOLA --- A~ P~A LT 'fOP OF ~ OF g. IDGE F, BOX COppER ROOF FRO~T ELEV/~TI O h4 DAT~: ONE HERMAN J FAMILY RE~.I DEN CE. H. YORK. ARCHITECT PLAN NO .................. DR.'S/lNG NO. 4 or 5 i I l G"' '~' q"o' _,ALTERNA,'fE FD. OIq T F'OR TWO CAR E.K/TP. Akl C E. GA RAG E,~ DATE: · REA. P, ELEVATION GCALE ~ ¥¢"~ ILO· · .EIGHT SIDE ELEVATIOk/ ~O~LE: Y4.' ,- ILo' FAN I I l ~ I'h IIA II~'~lift ONE FAMILY RESIDENCE HERMAN H. YORK ARCHITECT SCHEMATIC DIAGRA,,%, LAUMD~Y F-LEVATI'ONI ~ NO ~ DRAWlN& NO.,,~°? 5