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Home My WebLink About5561-z THIS CERTIFIES that the buildiag located at..M/a. 3k)rth .Sea. ~'~i3/a... Street Map No..~S~ ........ Block No..Y~ ...... Lot No..~,9.~1:.h..o.l.d. ~ .~.(.:~.. ............ : conforms substantially to the Application for Building Permit heretofore fled in ~ office dated .............Oct,. 2,0~ 19. ?L pur~,~t ~o which 'Buflr~i~f[ Permit No... ~.6.~..Z dated .............0~to. -~-.~, 19.7.t, was issued, aud conforms to all of the require. ments of the applicable provisions issued is . ~,l~,~e. eno -fa~mtly. d~elltag. ...................................... The eertif~ate is issued to . · W$11ta~ .&. Joa~. ~u.ff ...... ~s .................. (owaer, lessee o~ tenant) o! the aforesaid Suffolk Ceanty Department o! Health Approval . Jv. ly. 3,Q, · 19.7.3. by..R,..~.ill~ ..... ~aWRZTERS CERTn~C~TE No.. a .0962~1.. ~. ~3,..~.~3 ............... HOUSE ~ER... 10~ ...... Street .... No~th. ~aa. D~AVe .................... ................................................. aa~t~el4,. ~.~ ~ ............... ......... TOWN OF $OUTHOLD 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) 5561 Z Permission is hereby granted to: ......... ~ ....... .~~..&..,Te~s,..~ ................ ............. ~'~ ----~,eee~e.~,.. A,~ .......................... at premises located at .......~,~.....~.~lJ~l;Jl..~i...J)~Jl ................................... ~ ................................. .................................................. ll, e~t.~6 ....... ~,,,~.,, .......................................................................... pursuan¢ to application dated ............................. 0~ ........ tO ............ , 19...~L1~, and approved by the Building Inspector. FOF~M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~3.h:.2 ...... Date ............. August;...1.. , 19.73 THIS CERTIFIES that the building located at llt/S . l~a~th. S®a D~.ive.. Street Map No. xx ....... Block No.. lc~ ...... Lot No. ~XX. · .Scut.hold. · .I~,.~ ,. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... 0¢1~. - - lO., 19~.1. · pursuant to which Building Permit No. ~61Z. · dated ....... Oe~ · 'la' ', 19 7~ , 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 . R~ivate. one. fe. mily. dwe ;_l&n~ .......................... The certificate is issued to t;IL3~iam & Joam ~%tl'f .... Ow~e~S ..... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Ju34t..3(1 ]97~ by .Ii,..Vil!a. · UNDERWRITERS CERTIFICATE No.. If .0962.~.. June. 43..].973 ............... HOUSE NUMBER .. ]02~ ...... Street .... Nol'%h- ,%ea. D.~,iv~ .................... ..... Building Inspector / THE NEW YORK BOARD OF FIRE UNDERWRITERS alt BUREAU OF ELECTRICI'rY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the e/ec~t ~r~c~ a/equipment as described below and introduced by the applicant named o~t the above application number in the premises of ~'~: A. Cuff, n/s!de ?~orth Sea Dr., e/o Kenneys Southold, L.I. inthefollowinglocation; [] Basement [] IstFI. ~X2nd Fl. outside. Section Block Lot ~.s...~i.~°. June 11, 1973 andfoundtobeincompliancewiththerequirementsofthlsBoard. FIXTURE OUTLETS 43 13 16 AS~DTRYE RKS W. O~t FURHN p~CE GMC~.,TORS ,. e. R T~xUT~E AIPPU~ANCE %E.D:.R:. RANGES 10. SERVICE DISCONNECT I NO. Of O0 METER S TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS ~T, ~PS. TRANS. NO. OF FEET R V I C A. W, G, NO.OF HI-U~G A, W. G. OF CC. COND. OF HI-UEG 3/0 EXHAUST FANS ANiT. H. P'~ . DIMMERS qO, OF NEUTRALS A.W.G. OF NEUTRAL 1/ '~a~er t~eater: 1-~.Sk~ Ele¢.Poom heater: 1-2.Skw, " o ~ . '~-~..Okw, 1-1.Skw, 1-1.25kw, 4-1.Okw, ].-..Lw Wm. A. Cuff, 23 I~oosevelt Aw~.) ) COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. /,oo/,, 0 '© ',\ 7"',~ ,.5 7- %VILL,IA~{ A. GffJ~B']i~ "2 RF)O,c:EVI~LT AVENUE] : ' 'rIIA,M, NE%V JEI<SEY 07928 y' ~F/ILLIAkI A C'UF~' 2q [iOOBI':VI~LT A~ENUE ~"l ~2¥~A)~, NEW JERSI~JY- 0792~ (/ SUFFOLK CO~TY DEPARTMENT OF HEALTH H.D.Reference EASTERN DISTRICT, RIVERHEAD, N. Y. APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval tn construct said systems is requested,pettiest data herewith: Date_~~_~.~_ i-Applicant W.~11tp~ A. & Jo~n A. Cuff Phon~6-Sub div Address 2~ ~m~.~.*. A~ ~.*-h.m, N3 A~99~ ?-Section Hamlet . ~Ot,_~.he~_m ~'' ' To~ ~tho!~ ....... ~l~rivate well? ~-~blic ~ter supply name Distance to nearest main 4-Lot Size: Width ~fio ft. Length~ft. (also enter on center plot plan below:) 5-~elling: Single Family ~ T~ Family? / /Cellar? ~ /~!ab? / ~ Crawl S~ce? 10-Pro,seal system: Septic tank F /Precast ~ /Cesspools / /Shallow pools ~Other / / il-Septic ta~ inside dimensions: Vol~e Gals. Length ft. Width ft. Liquid depth ft 12-Puecast sections: ~ /Number/ /Sq~re Ft. Cesspools: Block sizeL~ncs.D8 ins. H 8 ins Total blocks below inlet: ~T P~N LONG ISLAND Cap~city~2 Gals ~~ G.P.M. o~ Nobth Data F~et ,, 10 1.2 ~ ~o Street North Sea Drive ~o ~ ~ Yaoant Yaeant Brt n~e ~ o · accordance with the Suffolk County Health De~rtments' current Standa~s, Bulletins, and amendments thereto, covering PriTate Se~ge Disposal Syst~ - O~er FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. ~ate s-z5 Signed I iSPEC'i]OFi SUFFOLK GOUNT~ DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL OF INSTALLED PRIVATE SEWAGE DISPOSAL AND WATER SUPPLY SYSTEMS Inspection for approval is requested, pertinent installation data herewith. Address .f.7 /~,,.r~fe/~ ~c~e Phone~_~~_4-Section No. - 2-Name of Builder ~ff/4/~z- ¢~,,,~ wo vv'm;Phone 5-Lot Number Address 6-Bldg.Permit No._~ Y-Sewage System installed by ~,;~. er~d ,~',~ e Phone ~77 C ' Address ~O7 Z,~,~,e~f ~o~c,~*~ ~$ (b)H~le~ or Village ~.~ ~ ]~ '(c)T~u ~ 9-Septic Cank-Gal L fC.W f~.Liquid Depth lO-Cesspools-(a)No.pools~(b)Blocks below inlet-1)~2) /0.~) /~ (c)Block siz~2L /~ in.W ~ in.H ~ in.(d)~reCas= pool (e)~2 3 (f)H ft. in; Dt~ ft. in.(g)Finished grade ~o cover I ft. (h)Baekfill Ma~eria~~~ . ll-Water Supply: Public Sys~ ~ '.. ; Private Well If Private, the foll~ing questions are to be answered: Address ~g/ ~, ~;~ ~ff~ ,~,'~r~e~,d 'W~ 13(a)-Total Depth of Well /9~ (b)Depth to Static Water Level 14-Diameter of well pipe. ~ ~n. 15-Name of Laboratory ~f.~, ~,~.;~6-Me~hod of Dlsinfec~ion 17-Da:e ready for insp%ctiom ; ~//~/7~ The undersigned CERTIFIES: Able sys~s have been constructed and are in compliance with the Suffolk County Mealth Department's c~rrent Standards, Bulletins and ~endments thereto. ~er - Butld~/ phone_Z~~ 19-Insert sketch of location of Water & Sewerage Facilities with accurate ~.~lmensions. , ,j, STREET FOR J~ALTkl DEPARTMENT USE ONLY Inspected by ~ -~' _/~L~ ~ ~--~.C'X_ C ,Date D ~//) ~ Based upon the info~ation ~ate~ above, ~tisfactory f6nctioning above syst~s can be expected_ wi~h proper maintenance and care. dUL 0 1 73 ~tef 0f ~eneral ~tneeri~ Se~ioes of the S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date JUL ~ 0 1973 Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disp~Q~pal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. Chief of General Engineering Services JUL $ 0 1973 ~[[ ~UILDJN~ DEPA~TMINT~ _~ ~. ~ I TOWN CLERK'S ~FICE ~ ~ ~ * I~.~... P.~it No ........................ A~r~ ........................................ , Di~d o/c ........................... ~ ..................... ........................................................................ .......... , ....................... ..................... - . ' APPLI~TION FOR BUILDING tl~17 ~: ~te ....... ~.~.~2.~..~ ............................. ,19.X~ ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted i~ duplicate to the Building Inspector. b. Plot plan showing location of lot and of bu.ildings on premises, r~lationship to adjoining premi~e~ or W..bli¢ streets or~_. areas, and giving a detailed description of layout at property must be drawn on the diagram whlch It part ~f thit appllcatlon.~ 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 appllem~. 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 Occupanc¥~ shall have been granted by the Building Inspector. ^PPLICATK)N IS H.EREBY MADE to the Building D~partrrrent"for the issuance of-a Building Per~tit'~3111~hf~ p Building Zone Ordinance of the Town of Southold, Suffolk County, New York and other appll~ob]e I,~1~:~i~ m ~ Regulations, for the construction of buildings, additions or alterations, or for removal or demo Ition, a~?~'~eli~d.' !{ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and ~mgul~tlonl. · ' (~p (Signature ~f applicant, ~r,~ame{/, If a coq~ratlon) -u .............. .....,., ................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... .~..~..~.]....1..~.~..t~.,......C~..~.~....~.....3'..~..~.~....A..s....~.A~. ................................................................. ~.~ If applicant Is a co~orate, signature of duly authorized offlcer.~ ~--~.r, (Name and title'of corporate officer) / 1 L~atonof andonwhch m osedworkw ~done Stre. and Number ~ .~*~.~..~.~..~. ............................... .... Munlcl~ll~ 2. State existing u~ and ~cu~ncy of promises and intended use and ~cupancy of pmp~ com~cti~: o. ~isting use a~ ~cupancy ............................................................................................................................ ~ ...... b. Intended use and ~cupen:', . .........eA~e~..~,~e ......................................................... :~ ..... 3. Nature of woik (check which applicable): New Building .~[~, ...... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost ...~.~..~.(~Q.o.(~). ................................. Fee ...~,0.~Q.0. ........................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .1. ..................... Number of dwelling units on each floor .....1. ...................... If garage, number of cars ............................................................................................................................................. 6. If busine~, commercial or mixed occupancy, specify nature and extent of each type of use ?. Dimensions of existing struct~,res, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~...8..~...8.t.t. ............... Rear. 58' 8" ......... Depth .,~...~.....8. ............. Height .....3,.~..!..~. ..... Number of Stories ...~,~. .......................................................... : ................................................ 9. Size of lot: Front ....1..0...0.....~..~. ........... Rear ....~...0.~...~..~. .................. Depth L~:~..~ .~...~,,~.b: ..... 10. Date of Purchase ...... 4..U..~....8..~...~...0..~....1.~..~...~. .............. Nome of Former Owner ...~...~.e...~.~.~.....~.........q.~.~.~. ................... 11. Zone or use district in which premises are situated ......A.......z/..e.~.l~.cl:..e..~..~...l..8,..1.. .............................................................. 12. Does proposed construction vio~mzt zo~.n,ing C/pl~rdinance o~,reg~lation?;~.~ ~Hoo~ els ATe__~ OeeV ........ T, ']~ ............................. 2'0I .......... 13. Name of Owner of premises ..~T.~.~,D,.Ao....(~,ff. .........Address .~,.~.~.~T~.~.~Z~~,,~., ,~- -.-~--- Phone No.6~..~.61'.. Name of Architect ........ .H..IA.~.e.....~...o..~..e..~ .................. Address '~o~.v ~'~'['"~1~t .............. ¥811p_z'tee ~ Phone No..~...~,~.~J.0... Name of Contractor o#~e~ .................................................... Address ............................................ Phone No .................... PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or propo~d, and indicate all setdoack dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior ,~c, orner lot. STATE OF NEW YORK, icrc COUNTY OF J ~i~.,....: ...... :J~' W~]~)~ .A~ ..C.~.~ .% J~ A. 'Cuff be,n I ....... ' .............. : ........................................... ' g du y sworn, d~es o{~}~4~'~ays t~ he is the opp{icont ~Na~e o~ individual signing application) above named. He i~ ~ .... O~e~ ' ' (Contractor, ag~t, co~r~e officer, ~c.) ~~~, and is duly authorized to perform or haVe' perfo~ed the ~id work a~ to ~ke ~d file this application; that all statements contained in this application are tree to the ~st of his knowle~e and ~lief: and that ~e work will ~ perfo~d in the ma~er ~t fo~h in the ~plicati~ fil~ ther~ith. ...... X,..~.,...,. ~y .................. , ........ ~ _ _ %g ......... ......... Nota~~~.~.~.~.J C~.~ I / (SignOre of applicant) Quafified in Suffo{k C0un~ ~mi~ion ~ires ~ar~ ~ lg~