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Home My WebLink About5659-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Map No.. ~ ........ Block No...~l~ ..... Lot No. ~1~... I~[~OIM~II~. · Il,Y, ........ conforms substantially to the Applic. ation for Building Permit heretofore filed in this office dated ......... .lie'/ .....~..., 19.~. pursuant to which Building Permit No. ~.. dated ........ l)se. · ~ ....... , 19..7~i, 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 1~o1.~. ~e. ~4~i~':~.;y .~V~"~'~g ........................................ The certificate is issued to .. Pi~I~.I~. l~cool~ ..... 0~r~er ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval &~lg...21~. :~t)~2. · b~'. R.o..~. & ..... · UNDERWRITERS CERTIFICATE No ..... ~1~.~11~ ..................................... HOUSE NUMBER...'[01~0 ...... Street ....p~eJ, Va~t,~ .1'1~1~, .1[~. ~. ........................ Building Inspector ~'l FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'$~,OFFICE SOUTHOLD~I~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISE~S UNTIL F, ULL COMPLETION OF THE WORK AUTHORIZED) N? 5659 Z ':'~e ............ Permission is hereby gronted to: pursuon.t to opplicotion dated ...... ............ ~ ........ ~ ........ .~..., 19..~.~:., end oppro¥od b7 the Building Inspector. Fee $"'J'O'~O0 ......... THE NEW YORK BOARD OF FIRE UNDERWRITERS BURF. ALJ OF ELECTRICITY I--- ~k B$ JOHN STREET. NEW YORK~ NE~ YORK 1OO38 THiS c~RTI~i~ THAT Philip ~a.bcock, Yraity bane s/s ~ain Rd., Cuttogue~ N.Y. ,.,.~..~i.~,,. November 6, 1972 FIXTURE SWITCHES 2 ~/0~ *Ex~haRst fans: 2~FHP~/ & r 2-1_/3 bps Wager F~ea~er: 1-4.5 kw 1 1/12 circutat6n *Din~aers: 6-600, & 1-2000 watts Elec he,ater: 4-2.0, ~--!~5, 2-1.25,, 10-~.0, 2-.75, & 3-.5 kws Mo~ors~ 1-1/2 hps 1-Post ~light .?- Side wal~ electric heat strips. 1.5 kw each certi,lcote must not be oltered, in ony monndr; [eturn ,o the ~,,ice of ,he Boord ;~'~,ncorrect. Inspectors mo~~~:;i:ls. ~ S-9 SCHD SUFFOLK COUNTY DEPARTHENT oF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilitie~s for a, structure located (Give deed location) hav~ b~a ~nspac~d b~ ~h~s d~par~m~n~ and ~und ~o be ~a~ac~o~, SUFFOLK COUNTY DEPARTMENT OF HEALTH . EASTERN DISTRICT,RIVERHEAD,N.Yi H.D. Reference APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISP~AL SYSTEMS Date Approval to construct said systems is requested,pertinent! data herewith: L-App can . ,4, .. Phone Address ~,.¢~'7f.~..~.¢*, ~ fT~.,,/j~./~._x . *-~¢ "~/, ¢ 7-Section 2-Detailed' ~o~p~rty l~ocati°n ~' ~r ' ' / ~ '~ 8~Lot No.. /~~ ~/~x, (~%~z.~ ~,,~3~-~ - ~~.m~.Z~ 9~Private wen? 3-P~$~c ~{%r supp~ ~e ' ~ / / Di~{~ce to nearest ~in ~-~t size: Len~h~'ft. Width~--ft. (Also enter on center plot plan below:) 10-Proposed system:Septic ta~/' /Precast~Cesspools~ohal~w ~ols~other/ il-Septic ta~ inside d~ensions:Vol~e~a~.Length~ Ft.Width ft. Liquid depth ~-Precast sections :~N~ber./F~F//Square ft.Cess~o~ :Block size ~i~ .D__~s.H / / P~T P~N - I ~'/,'¢-/ Grade Street ~k~~- ~)~, Indi No ate 'th CapacityS~ Gals ,~6~ Test Hole Data Feet 0 ~Y s~ 2 The Undersigned CERTIFIES: "Construction of authorJ zed installations will be in accordance with the Suffolk County Health Departments' current Standards,Bulletins, and amendments thereto,covering Private Sew~ge Disposa~ Systems. Date Signed FOR HEALTH DEPA~T£~NT USE ONLY. Based on the information presented herewith,it is the op~inion of the Health Depart~men-----t,that an adequate and s~atisfactory Sewage Disposal System can be installed on this Plot. Date/'/'/~,,.r~"7/Y,,, '~'"" Signed 10/65 East APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYST~Ms INSTRUCTIONS: Applications must be submitted in triplicate t-Means Owner or Builder. Address to which mail should be directed. ~-Means detailed description of property location, together with street name and distance to nearest intersection of main thorofare, also Hamlet/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. ~-Dwellings: Check-mark "V" items applicable to the proposed new dwelling. ~-Name of sub-division 7.-Section Number 8..Lot Number 9mPrivate well: Enter "No" if Public water supply is available. Enter "Yes" otherwise. PROPOSED SYSTEMS: Answers to Items number 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 " " " " " " Septic Tanks Part IV " " " " " " Unusual soil conditions Part V " " " " " " Shallow Leaching Pools P_LOT PLAN: The following information is required concerning the Applicant's Lot: Lot size-Length and Width in feet to be indicated at the Lot lines of the heavy lined square in the center of Plot Plan shown on face of this application. Surface 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. Wells and Cesspools now on adjacent lots must 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 applicant's lot to the right, left or rear, enter street name. W~LL 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-10 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-4 feet 6 ins. minimum below grade to well head and lateral water pipe C_~E.S. SPOOLS 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 cesspoo~ Cesspools exterior ~st be 100 feet minimum distance from nearest wel,~ Septic tank exterior must be 75 feet from nearest well Cesspool "Center" must be 12 feet minimum distance from nearest wate~i~ Cesspool "Center" must be 15 feet from house foundation Cesspool exterior must be 50 feet minimum distance from surface Wate~, Lakes & Bays, etc. Cesspools must be 20 feet minimum distance from large trees Cesspool center to Cesspool center must be at least 16 feet Cesspool cover top to grade must be held to minimum of I food to max~u~ of '~feet Bottom of Cesspool to ground water must be held to minimum of I foot~ lrOK~ NO. I TOWN OF soUTHoLD BUILDING DEPARTMENT TOWN CrERK'S OFFICE SOUTHOLD, N. Y. Examined ~--J~'~ ~'~ 19....~...../ Approved ........................................ , 19 ........ Permit No. ~'~ ~-~' ~-- Application No.....~...~....,~,,4..?....:...-/~ Disapproved a/c .............................................................................................. ector) APPLICATION FOR BUILDING PElt. MI.[ Date ............................................................ , 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 c~vered by this application may not be commenced before issuance of Building Permit. d. Upon apprOVal of this application, th· 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 hove 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 o/ ;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, buil~in§ code, hous~nd..d.,~, r?ulations. (S'g ature o applicant, or name, if a corporation) ....... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................... / i ...................................... .............................. " ............................... / ' ' '" If.~oplicant is.~a corpgrate, sj~lnatur~ of dulv..authorized officer. ~" "~' -- O~ ~ (Name and title of corporate officer) ×.~ 1. Location of land on which proposed, work 'wil be done Map No .... ,, ........... ~ Lot· No.: ................. ........,~ Street and Numb,er ...~....~..' ................................. ~..~..~..'..~..<. ................................. ~' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ,~xisting me and occul:ma--y .... ..................................................................................... b. Intended use and occupancy ...........................~...-m.r.w.....~ .............. ~ ........................ '. .............................. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repairt .................. ~noval~ ? ~'~', .................. ~ Demolition .................. Other Work' (Describe) ........................................ ' 4. Es 'mated Cost ........;....~ ....................................... Fee .......................................................................................... (to be paid on filing 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, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ 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 ........... ~.~. .................. Rear ......... .~.~... ........... Depth ..... ..~...~..../. ........ Height ....~./. ....... Number of Stories .................. ./... .............................................................................................. / 9. Size of lot: Front ..... ~...~..~... ......... Rear ...... ,,~....~'..~.. ................ Depth ....... .~-...~ .......... 10. Date of Purchase ........... ...........................Nome of Forme,r Owner ....~, ...~... .................. 11. Zone or use district in which prem see are s tuated ~....-~-... ~ ¢ 12. Does proposed construction violate any zoojng law, ordinance or regulation? .............. ~ ....................................... 13. Name of Owner of premises . . ress ............................................ Phone No ..................... Name of Architect ...~-~ ........ ; ....................... ,~ ...... ,,..Address .......................................... Phone No ..................... Nameof Controctor~....~..~.Address~/~[~,~'__~Z~..yx... Phone No.~'....~..~.~.~..-~..~7 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 interior or corner lot. STATE OF NEW YORK, ~ c c coy ...o ,-~.u ..... '~ (~..: · . being duly sworn, d~oses and says t~t he ~s the a hcont ............ ~ ........ ~ ........................... . pp ' (Name of ~nd~wdual s~gmng apphcation) above named He is the . ~ ......... (Contractor, ag~t, comorate officer, etc.) of said owner or ~ners, and is duly authorized to perform or have performed the said work and to ~ke 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 performed in the manner set fo~h in the application' fil~ therewith. Swam to before me this ~ ~ ..... NOTARY PUBLIC, State ~ New York No. 52-8]25850, Suffolk Cou~ Term Expires March 30, INC. (¢> ,'z. ,,.~ a .. / ,, FLOOR PLAN EX.....~? N GENERAL NOTES BABCOCK RESIDENCE NEW YORK F'LOO R PLA N SITE PLAN & GENERAL NOTES dwll no. 944'1 _EAST ELEVATION WEST ELEVATION REVIBIONe BABCOCK RESIDENCE SQUTHOLD NEW YORK EAST A. WEST EL EVATIONS R EVI'= I 0 N B S E_C_T ~ t>oot~ % SOU TH ELEVATION NORTH EL EVATION BABCOCK RESIDENCE $OUTHOLD NEW YORK SECTION A A NORTH& SOUTH ELEVATIONS I prolect ,~44. idwi ne. ..,o ~¢. ,,,. o.. mi 9 4 4 - 3 date ~T ~'~, I~.11 I