Loading...
HomeMy WebLinkAbout4813-zFORM NO. 4 TOWN OF SOUTHOLD BUll:DiN6 DEPARTMEN~ Office of the Building Inspector Town Hall Southold, N.Y. UPDATED Certificate CD[ Occupnncy No..ZI0~15 ...... Date .... l~arJ~l~. :18..... ,;. ............ ,19.8.~. THIS CERTIFIES that the bufld~g ............... I~EC.~ED. O~ .~l~. ] 7.~.. 19~ ~mtion of ~op~y ...6.00 .............. ~q~ .~9~ .............. ~99 g~old Hou~ No. ~t ~unty T~ Map No. 1000 ~ction . 0~ ....... Bio~ . 09 ............ ~t.. ~ ........... Subdivision.. ~$d~..~gr~.~q9 ........... F~ed Map No. ~P~..,.~t No. ~ ........... confo~s substant~lly to ~e App~cation for B~ng Pe~t he~tofore Fd~ ~ ~ offi~ .... J ~R~. J 9..' ....... ,19 7 ~. p~s~nt to w~ch B~g P~it No.. b.~ 1 ~. ~. ............ dated .... ~BD.~. 1 9 ................ 19~., ~s ~sued, ~d confo~s to ~ of~e ~ments of the app~cable prov~iom of the law. ~e occup~cy for w~ch t~ ce~ifi~te ~ ~u~ ~ ......... .... · . ....................................... ~e ce~ificate i~ issued to ...... OrR~g. A....~g~r .................................. of the afore~d building. Suffolk County De p~tm ent o f He~th Appw~ . P 9~. ~. g ~. ~.. ! ~ ~ ~. ~ ~..~ 9 ~ 9g.~. ~ :..~ ~ ~ ~ ~.. ~ERWRITERS CERTIFICATE NO. ~.. ~..~.~ .................................... · Thia ia an update of B.P. 4813Z iaaued June 19~ 1970 ~o John JJ~. C,O. Z5130 ~aa ~ssued Ha7 7~ 1973. Rm. 1~1 FO~ NO. ~: TOWN OP $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4813 Z Permission is hereby granted to: ............... ~...e~tta.....~.~ .............................. .......... ~! ....... ~..~ ................................. to ... ~.llJ~Jg..~lJ~l...tllg/i~l[r...~d]~l~...i ........ .~ ...~..~...~..~11.....l~....t~....~ ......................... at premises located at [~t 2~! ... ~,i.~.e ~el't~,~l~ pursuant to application dated ......................... ; ...... ~l')al~ ....... :1.~ ...... , 19.~.., and approved by the Building Inspector. Building In~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi[icnte Of Occupnncy No. ~L .~¶~ .... Date ............. I~... THIS CERTIFIES that the building located at . 8~1~1'. ~ .............. Street Map No.~'~;L.d.e. ~.~.1'~1~ No ........... Lot No. 21 ..... 8o~lt, ho15..I~,][, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... ~1~.. '$9", 19.~0. pursuant to which Building Permit No. 1~8~1.~.. dated ........... J~ll~...19.., 194/0., 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 . .P~.~t~..O~¢. $~1~t,~,y..5.~t~L.l.t~. ~ ....................................... The certificate is issued to ~.ohn. 1~,. (h~1;$. Jl~. ....... 0~l~el*. ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...Deo...2~t.. UNDERWRITERS CERTIFICATE No... p~4J.~g ~,,] -~- 07-- ~ ~ HOUSE NUMBER.. 600 ....... Street ..... ~1'. ,~ ............................... Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH EASTERN DISTRICT, RIVERHEAD,N.Y. APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: DateF /7. i-Applicant ~o4~ ~J. ¢~oc~2_ PhoneT.~y~l~- 6-Sub div ~ u~'~ Address ?-Section ~ ~ A~ ~J 2-Detailed property locationWs.£~..e.~ ~,~m.~?¥,~-~ 8-Lot No. Hamlet ~4~ ,~. Town ~,,.~k ~,lJ, 9-Private well? 3-P~blic water supply, name ~. . Distance to nearest main 4-Lot Size~ Width/~ ft. Le)~gth ~.I~ft. (also enter on center plot plan below:) 5-Dwelling. Singl.e Family iVi Two Family? / /Cellar? ~ /.S19b? ; ICrawl Space? I ~ lO-Proposed system. Septic tank ~_./Precast ~.._/Cess_~.~ ~_/Shallow pools ~ IOther ~ l -Septic tank i id.e dimensions: Vol e Oals. .Z $t. Widt __ ft. Li id depth 12-Precast sections. / FNumber/ /Square Ft. Cesspools. Block si~-eL/& tncs.D ~ ins. H~ ins. Total blocks below inlet: ~1.____~2 ~3 1~ ~c~ ~ ~o,c. ~ ~ ~e~') PLOT PLAN '- Capacity Gals. ~ ~.P.M. · t~. ,W.L. Street J~-~-.~ l ~. The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage. Disposal Systems". FOR HEALTH DEPARTMENT USE ONLY. e~ the Bas information presented herewith, it is the opinion of the Health Department, tha~an adequate and satisfactory Sewage Disposal System canDate ~7~~be installed on this Plot. Sign~~. /~/Z_ (~o/6~ ~evis.) s-~ APPLICATION FOR APPROVAL TO CONSTRUCT PRi-~AT~ SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS.' Applications mast be submitted in triplicate 1-Means Owner or Builder. Address to ~kich mail should be directed. 2-Means detailed description of property location, together with street name and distance to nearest intersection of ~ain thorofare, also ~amiet/Village & Township 3-Enter name of Public Water Supply District, together with the distance to their main. ~Enter Length and Width of Lot under appropriate heading, also enter these dimensions on center plot plan shown on the face of this application. 5-Dwellings: Check-mark "V' items applicable to the proposed new dwelling. 6-Name of sub-division F-Section NumBer 8-Lot Number 9-Private well: Enter 'Non if Publie water supply is available. Enter "Yesn otherwise. PROPOSED SYSTEMS: Answers to Items nnmber 10, 11, & 12 please consult the Suffolk County Health Department's Standards, Bulletins and Amendments for Sewage & Waste Disposal Facilities. i.e., Part II-Residential Sub-surface Disposal Systems covering Cesspools Part III ~- " n # " " " Septic Tanks P~rt ~IV " " " " " " Unusual soil conditions Part V~ # ,, . n " " Shallow Leaching Pools PLOT P~AN:__The following information is required concerning the Applicant's Lot: bt Size-Length and Width in feet to be indicated at the L~t lines of the heavy lined square in the center of Plot Plan shown on face of this application. S.u_~face waters-Streams, Lakes, & Bays, etc., located within a distance of 50 feet Of Applicant's Lot lines, must be shown on the plot plan also. W&lls and Cesspools now on adjacent lots mast be shown on the Plot Plan together with the distance to the Applicants proposed Sewage Disposal Systems and Well. Where no Buildings exist on adjacent lots, state "Vacant" on the plot plan. Streets adjoining ~pplicant's lot to the right, left or rear, enter street name. WELL LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the following Standards must be observed: Well-100 feet minimum distance from the nearest cesspools Well-25 feet minimum distance from rear, and rear sides of property lines Well-lO feet minimum distance from front, and front sides of property lines Well-50 feet minimum below grade for well point Well-40 feet minimum into ground water for well point Well-$ feet 6 ins. minimum below grade to well head and lateral water pipe CESSPOOLS LOCATION: Upon determination of the Sewage & Waste disposal "type of systems" required, the following Standards must be observed for the location of same: Cesspool-10 feet minimum distance from lot lines to center of cesspool Cesspools exterior must be 100 feet minimum distance from nearest well Septic tank exterior must be 75 feet from nearest well Cesspool "Center" mast be 12 feet minimum distance from nearest water line Cesspool "Center# mast be 15 feet from house foundation Cesspool exterior must be 50 feet minimum distance from surface Waters, Stream~ Lakes & Bays, etc. Cesspools must be 20 feet minimum distance from large trees Cesspool center to Cesspool center must bc at least 16 feet Cesspool cover top to grade must be held to minimum of 1 food to maxi,am of 2 feet Bottom of Cesspool to ground water must be held to minimum of 1 foot 34.3 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This applicat on .must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- ·tor with the fol[bWing; 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 wbere 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 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: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.O0 February 24, 1982 Date .......................... New Building ............. Old or Pre-eXisting Building XX Vacant Land ............. 600 Summer Lane Southold Location of Property ...................................................... Hamler House No. Street Craig A. Richter Owner or Owners of Property ..................................................... '~"~" - County Tax Map No. 1000 Section 078 Block 09 Lot 020 21 Subdivision...]~a¥~.i.c~e. T~.~'.a??. ............ Filed Map No. 2034 .Lot No ...... ~', :~' ,' Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ P arming Board Approval ..................... XX Request for Temporary Certificate ..................... Final Certificale ...................... Fee Submitted $. ?...q0. .... .J. ................. Construction on above described building and per~ Applicant ¥~.¥ ii~~'~'6 ~ .... n~.~0-10-7a Craig A. Richter S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Gi6e deed loca~ion) 0 have been inspected by this department and found to be satisfactory. BUILDINGDEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 600 Summer Lane Southold (number & street) (Municipality) Subdivision Bayside Terrace Map No. 2034 Lot(s) 21 Name of Owner(s) Crai~ A. Richter Occupancy R-1 (type) Admitted by: self unoccupied (owner-tenant) Accompanied by:. self Key available Albertson Realty Suffolk Co. Tax No. 078-09-020 Source of request William H. Frice,'Jr. Date 2/24/82 DWELLING: Type of construction Foundation cement Total rooms, let. Bathroom(s) 1 Porch, type Breezeway Type Heat oil fired Fireplace(s) Mobile home with a wood addition block FI 5 #stories Cellar partial Crawl space 2nd. F1 3rd. F1 Toilet room(s) Deck, type Garage Warm Air x No. Exits 1 Patio, type Utility room Hotwaterl Airconditioning Domestic hotwater yes Other This is an update of Goetz. Jr. C.~. Z5130 $CCESSORY STRUCTURES. NONE Garage, type const. Swimming pool Other TyPe heater gas B.P. 4813Z issued June19, issued May 7, 1973. Storage, type const. Guest, type const. 1970 to John VIOLATIONS: Housing Code, Chapter 5~ ..Location Description Art. Sec. kitchen gas stove--no shut off V 52-52-E, 6 front door storm door broken III 52-30-C 2 bvoken windows ... III 52-~0-C Remarks: Inspected by: ~ ~/~..~Q~; Da~te of Insp. 3/17/82 Curtis W. Horto~n Time start 3:30 end 3:48 Approved ........................................ , 19 ........ Permit No. A~/°cC~/ -~ Z--- · ow. o, Eout.o'. BUILDING DEPARTMENT TOwN cLERK's OFFICE Disapproved a/c ............................................................ APPLICATION FOR BUILDING PERMIT (~. D,te ....... ........ !.?. ........................... ..... 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 premieos or public streets or areas, and giving a detailed description of layout of pmpert~ must be drown on the diagram which Is part of thle 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 pumuant 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 lows, ordinances, building code, housing code, and regulations. (Signature of applicant, or name, If a corparatlon) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........~....~...;.....R:......~.......~..../:I ~ -- ............................................................................................. // -- If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) I. Location of land on which proposed work will be done. Map No.: -Y/ o~ ..O....~....~. .......... Lot No.: ...~.~/ ................. ~' Municipality 2.State existing use and occupancy of premises and Intended use and occupancy of proposed comtructlon: a. Existing use and p y ............................ b. Intended use and occupancy' ' ............................... 3. Nature of wmk (check which applicable): New Building .................. Addition ~ Alteration . Repair .................. Re~oval .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ................ ~go , Fee ............................................................................. (to be paid on fi!ina 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 mixed occupancy, spec/fy nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front. .......~..O. .............. Rear ........... ~...~. ............... Depth ......./....'~.. ....... Height .~..~ ....... ~ ....... Number of S!ories .......... ./. ........................... Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ ,/ " 8. Dimensions of entire new construction: Front ............. .~. .................... Rear ......... ./..~. ...... Depth - Height ...~...?.....~..i~'.P..~- Number of Stories ........................ J... . .......... Size of lot: Front ....... ,/..6...~. .............. Rear .......... /.....o:~.. ................... Depth ....... ./...~..?.:.Z.O. ........... Date of Purchase ...... .~-..fi..~. !.q..,../.~.~[/? ..................... Name of Former Owner .~./,,~.,~,..~..~,..~..~....r.Z q.o..vI ........... Zone or use district in which, premises are situated ................................... Does proposed construction violate any zoning law, ordinance or regulationP Name of Owner of premises ........................................ Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicute all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or cOrner Jot. 10. 11. 12. 13. STATE OF obove homed. He i~ th* ..................~ ................................................ ........... ; ...... of ~aid ownor or ownors, ~nd is du¥ ~uthori~ed to perform or h~v~ per{ormed th~ s~id ~ork ~nd to ink* ~nd ill* thi~ opplic~ti~n; that ~11 ~totem~nts contoined in thi~ opp~ic~tion ~r~ tru~ to th~ best o{ hi~ ~owled~* ond b*li~{; ond tho~ th~ work ~ill be performed in the monner set fo~h in the ~pplicoti~ filed therewith.