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Home My WebLink About5220-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Of[ice Southold, N. Y. Certificate Of Occupancy No. Z4340. Date August 20, THIS CERTIFIES that the building located atw./S Beebe Dr ire Moose Map No. Cove Block No.xxxx Lot No. 11 Cutchogue, ,191 Street conforms substantially to the Application for Building Permit heretofore filed in this office dated Apri~L .6, , 19 71 pursuant to which Building Permit No. 5b~ 0 ~ dated " 8, , 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 prig, ate. one family .dwelling .............. The certificate is issued to Wil&iam. a .Natty. Higqins ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .July 15, 1971, .Robert A Vil&a House % 1455 Beebe Drive Fire Underwriters Cert. % N 894673 FOI~M ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) ~? 5~20 Z Permission is hereby granted to: ..... .~..~.2.....~.:...~.z...z..s...~.~.e....~Z.e. ........................... Nesconset to ...l~J.~Ld..~,ew...c~ne..le, m:~ Z~....dwe.!Z~ ............................................................................... at premises located at .........~..~..~.....1.~ ........ .~..o..o..~..e....0..~..~..~ ..................................................................... .......................................... .~.e...e.~.e....p.~.~ ........ ~.q~..o.~.e. ............ ~:.~.:. ............................................. pursucm¢ to opphcQtion dated ..................... /~la~',~,~ .......... ~ ............... , 19...~..1., and approved by the NOTE: Permit subject to average setback of bl~ck. Building Inspector. Fee $...~..0.....,0..0. ......... 1 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be fdled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the follow,ng; for new build,rigs 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 dispcsal--(S-9 form or equal). 3. Approval of electrical installation from Board of F~re Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, 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. B. For existing buildings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 inspechon of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .. ~ .'g. ~.. ~..~.....2.~.., ....~. ~.?.. ......... New Building .................... Old or Pre-existing Budding ...... ~ ................... Vacant Land ............................ Location Of Property ~./.~...~...~.~..~..~.~.~.(~..~.....~.~.e...~.~.e..~....O...~.~.g..~..o.~...e..~....~..e.~..~.~ ............................... Owner Or Owners Of Property ...,,..~.,...~,..,K,,.O.~,...~.....~..T,. ..... .(.~,e,.~...,o,,~...~,?..,e.?..i...s.,e...s,~ .................................. Subdiwsion ................................................................ Lot No ............. Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ........7- ............................ FeeSubmitted$.~.t.~ .......................... ~Z~~ ~t~// ? Appficant ..~..t~...~r....~ ......................................... William Wickham~ ~.sq., a~y. £o~ Ow-~e~ Sworn to before me this ..... ,~.~..~..~. day of ...~.~.~g,~.~.~..~,9.~.;~ ............ .o, ary Pub,ic .... ounty (stamp or seal) JOAN HINDERM NOTARy PU,ILIiC. ~,_ _~ ANN No. 5~ '_~'~0__r_ New York ~alffied in~'vomSOSuffolk Coun~ Term ~plre, Ma~b ~0, Zg~ FOI~M NO. 6 TOWN OF SOUTHOLD Building Departrneet Town Clerks Office Soulhold, N. Y. 11971 AFPLIGATION FOR CERTIFICATE OF OCCUPANCY Instruction, A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector 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 dispcsal--(S~9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Mulhple Residences and similar buildings and installations, a cert,ficate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property 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 inspechon of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-exist~ng dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .......... X New Building .................... Old or Pre-existing Building ........................... Vacant Land ............................ ,ocation of Prope,y ............................... AI~A t~'¢)NAt~_~Z (~arteZ· on p=em~ises) Owner Or Owners Of I~roperty ...~ ........................................................................................ ~..,~ ...... Subdiv,sion ................................................................ Lot No ............. Block No ............. House'~o~.~. ~ Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate.~ .......~.. .......... Fee Submitted $ ?..:.~ .......................... / ~"~'~' "~;'~"~? Construction on above described building ~~ations. Applicant ~ ~.~ ~0... Tr?j..E~ ~... ~ ~ b_~.. ~.~.~.~ ............. Sworn to before me this 2~Lr~ day of August, 1772 Suffolk Notary Public ......~ ................. q~; .... County (stamp or seal) JOAN HINDER NOTARy PUBL ,~ ~ MANN Q~ahf~ed i~ Suffol' ~0 Te,~ 'Xp/re, Mere: HOUSING CODE INSPECTION August 28, 1972 5220 Stillwater Avenue Cutchogue, New York Tax ~o11: Anna Konarski Unoccupied Upon request of the Southold Town Building Department I made inspection of this one story framed dwelling and found the following violations of Local Law ~1, Housing Code of the Town of Southold; I picked up the keys at the office of William Wickham, attorney, Mattituck, N.Y., and let myself in through the front door, beginning inspection at approximately 10:35 A.M. Living Room - No light switch on entry for controlling a light - Section 529b; no lighting fixtures - Section 529a. Bedroom - southeast - no light fixture - Section 529a. Bedroom - northeast - no light fixture - Section 529a. Cellar - No light switch available at bottom of outside stairway (only means of access to cellar) - Section 529b. Open junction box not secured, laying on girder - east side of cellar - Section 528a. Rear yard accumulations of refuse against rear of building. I completed this inspection at approximately 10:55 A.M. R~ectfully su~itted, ~ Inspector EH:tle $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. ~r"~o~.O ~ TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satis,~c~ry. Chief of General Engineer lUL 15 1~77 SUPPOLIC COUNTY DEPARTHENT OF HEALTH EASTERN DISTRICT Co~Bty C~nter, Rivarhead, Ney York PA 7-4700 H.D.Ref. No.4~f~ - ~O APPLICATION FOR APPROVAL OF INSTALLED PRIVATE SEWAGE DISPOSAL AI/D WATER SUPPLY SYSTEMS Inspection for approval is requested, pertinent installation data herewith. Address p, ~ ', , , ¢ ,,,, ,, - ~- ~ ~}0 - Phone ~ k-Section ~.}~ - ~3c ~' 7-Sewage Syst~ i~tall~ ~y ~r;~.CT.. , r ~L, .ce, .,. Phone ~,) ,~ a - L(~ ?~ Address ,/, ; ',f ,~. ~,, L~ ~,,t<; ,,,-,_ . 8-(a)Deed location of prope~iy,-' ~ , :!~_ % ~ ~ ~.-.-. '.., (b)Hamlet or Village C ~ L ¢ }~ ,? 9-Septic tank-Gal__L__ft.W ~ ~t,'~iquid Depth__ t ft.. lO-Cesspools-(a)No.pools__~(b)Blocks below inlet-l) , 2) .~) (c)Bloek sise-L /~ in,~ ~ in,~ .~ i~,(d)Pr~ pool (~)1 (f)H ft.__in; Di~ ft. in.(g)Finish~ grade to cover ~ ft. (h)Backfill Material :~ '~ ll-Water Supply: Public Syst~ ; Private If Private, the fo~l~in8 questions are to.be answered: 12-Private Water Supply Syst~ i~talled by /~, "~' :. ~ ' - + ~ ,~ .. ,.~ . ...... ~ Phone ~ , Address ~, ~ W ' , ' 13(a)-Total Depkh of ell ~ ,1 ' . (b)Depth to Static Water Level .. 14-Di~eter of veil pipe ~ 15-Name of ~boratory.i:- ~ ,, ~ k a~ ~. 16-Method of Disinfection ~ 17-Date ready for inspecii0n 2~:.. The undersi~ned C~TIFI~S: Able syst~s have been co~tructed and are in c~pliance with the Suffolk County H~lth De~rtment'~ current Sta~ards, BulleCi~ 19-Insert sketch of ~,~i~( e;;]_.,: . ~,~ "~ location o~ Water & Sewerage Facilities with accurat~..e, d_tm~io~.'. STREET ~.~' ~ ~ ~' <L A.~ ~ Inspected by Date Based upon the info~i~ation stated above, satisfactory functioning of the above systems can be expected with proper maintenance and care. Date '"t § 1971 Approved Chief of General EngineeringServices S-Se b I0 EASTERN DIsTRICT, R1VERHEAD,N.Y. APPLICATION FOR APPROVAL TO CONSTRUCT PR,IVATE SEWAGE DISPOSAL SYSTEMS Date APproval to construct said systems is requested,pertinent data herewith: on¢ J o ? -Sub div.. 2-Dataiked property location~. ,~de~ 0~; ~e~%'' ~P~ 8-Lot NO. ~o~ ~e~e%lC ly~-~_hma u~_. Town~o.* %~o ~(~ 9-Private well? 3-Public ~ter suppl~ name -- Distance to nearest main ~ $ , . 4-Lot Size: Width~/Q ft. L.e~gth Jo ft. (also enter on center plot plan below.) 5_Dwelling: Single Family ~Two Family? ~ /Cellar? ~ ~S~ab? ~ ~Crawl Space? lO-Proposed system: Septic-tank ~_~Precast ~ yCesspools ~_/Shallow pools il-Septic tank .inside dimensions: Volume Gals.Length ft. Width~ft. LiquAd dept~ft. 12-Precast sectmons: ~ yNumber~JS%~re Ft. Cesspools: Block sizeL~ incs.D $ins. H~ins. Total blocks below inlet: ~1~2~__~_~3 Ind~ Nc :Data" ~eet A~#~ 2 6 8 ~0 ~2 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". Da te ~/~ / "~ / Signe~/~ ~..~o~~ ~ or U Builder FOR HEALTH DEPART~NT 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. Date $'~y (10/6~ Revis.) s-is Signed b Examined ....... , ........., Approved '~' 19:.! ..... Permit Disppproved a/c ........................................................... (Building I nspect/l(r) Application No. ~'")"'~ c~ APPLICATION FOR BUILDING PERMIT Date ....~..~...(..J ............. ..~.., ..................... ,, 9...~.../.....~ INSTRUCTIONS a. This application must be completely filled In by typewriter or in ink und submitted in d~plicate to the Building~ Ir~oector. b. Plot plan showing location of lot and of buildingt ~r~ pre~iSei, relationship to adjoining premises ~r public streets or a rea~, ~ g!ylng a ~ajled ~ rlptlan of layout ~f~rope.r~y m c; The:.~ c~vered by this ~pllcotk)n may notJ)e commer~ed d. Upon approval of this application, the Building Inspector will Illue a Building Permlf.~'o:ff~ ~l~l~.~J~'h'~m f shell be kept on the premises available for inspection t~.roughout the pragre~ of the work. e. No building shall be occupied or used in whole or in port for any pu~ose whatever until · Clrtlfl¢~te o~ Occupancy shell have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance o~ a Building Permit I~mUont to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, end other appllcabll I.awi, Ord nantes or ~.egulotions, for the construction of buildings, additions or alterations, or ,for removal or darnel tlOno al here n deist bed /ne opp!lcont agrees to comp y, w th all applicable laws~ ordinances, build,ng code, housing code, end regulotl~nl. ~ ' . ~ ~"~uL~u~'~----fSignature of applicant, or name, if a corporation) d%..~.,, ...-~.., l.¢/.t..L. ...~. :Y., "~ r U ........................... ~......%~..~.l...~.,r:JO.~......~... (Address of aDpllcont) 'J State whether applicant is owner, lessee, agent, architect, engineer, genera! contractor, electrician, j~lumber or builder. ...... ............ ............................... Name of owner of premises ...,.~...I..]..I./...~....~? ........ . .~........~l...~...t~...~....~ ....... tJ-.~.l...,,~...~..J..~....~... ....................................... If~pplicant is a corporate, ~gnature of duly authorized officer. ' ............. o':::::::::::::::::::::::::::::::::: ................. 1. Location of land on which proposed work will be done, Map No.: ...~).~.~...~.-~?m.,~,~,.~,:. Lot N~: Street and Number ............................................................................. ..~.~......~,,..,~,.,,.~., ............ .... .................... Munleii llt9 2. State existing use and occupancy of premises and intended use and occupancy of propaeed comtruct on: a. Existing use and occupancy .......... .~....q.~..~ ............................................................ ; ....................... ...................... ...... ...... b. Intendeduseondoccupon:, . ................................. ~ 3. Nature of Wink (check which ~plicable): New Building ..... ~ ...... Addition .................. Alteration .............. Repair ................. .~Removal ............ ~s'-'" Demolition .................. Other Work (Describe) .................... ; ................ 4. Estimated Cost ....... ~..)....e.....~;.~.~. ...................... , ...... Fee ......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... C)..,~....~'. ........ Number of dwelling units on ~ch flor ..... ~ ............... If garage, number of ca~ ........... ~.....~..~..~. ............................................................................................................ 6. If busine=, commemial or mixed ~cu~ncy, speci~ nature and extent of ~ch ~e of use ............ ~. ............... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ........... Height ........................ Number of Sfori~ ................................................................................................ Dimensions of ~rne st~ctum with ol~rations or additions: Front .................................... R~r ........................... Depth ...~ ......... Hmght ........................ ~.Nymbe[, of Stories ......... ~'"r ........ ~; ....... 8. Dimensions of entire new construction: Front ...... ~.....~ .............. Rear ..~.~.....~ ......... O~th .~..:~.~ .... Height ...... Numbe of S ries ...... ....................................................... i ....................... .................... 9. Size of lot: Front ...~.~ ........... Rear .../.~=..~..~ .............. Depth ..../.~.~......; ............. 10. Date of Purchase ...~....~..I.~.).%~.Q ....... ~ ......... No~ of Fo~,, ~ner~.~;...~....~,~4~,~ .......... Zone or u~ distri~ in which premises' are situated ........." ~ --..~..=..~.~..,o.~.~..~.J 11~ 12. ~s pr~os~ construction~ Violate any zoning law, ordinancet or regulation? ....~.~. ................................................ 13. Name of ~ner of premises ~' - ~-- ~~.~.l.l~...~.(.~.~.~Address~.~..L.~.~.~.~.~; Phone No.~.~.T.~.~.~-- Name of Architect ............... A~ress ~.~.Z.~...~.~?~one No. ~.~.~.~.~ Name of Contractor ~'~.~.~.[~A~r~ ~.~.~.....[~.,~[~1~--~' ~ ....... ~* d~or¥ ond divinely o~1 buildings, wh*th~r *xi*/ino or ~r~m~, ~ indic~t~ ~11 ~k dlm~n~ion~ {rom ~h~h~r lnt~rior or ~*m~r lot. STATE OF NEW Y~l;~,~n. I ? .... ..... ~~~ .................................... :~ei~ duly sworn, d~oses and says t~t he is the applicant (~ame of individuaPsigning application) . ~ ~ ~ ~ a~ve named. He is the ........................................................ ~...~....~ ........ ~...~.~ .......................... ~ntractor, ag~t, co~o~te officer, etc.) of said ~ner or owners, and is duly authorized to perform or have perfo~ed the said work and to ~ke and file this application; that all statements contained in this application are tree to the ~st of his knowledge and belief; tha~ the work will ~ performed in the manner ~t fo~h in the application filed ther~ith. Swam ~ ~fom ~ ~is ~ a / . / ~ ~_.. ~ ~l,~l ........... ~.1.~.....~....~~ ......................... ~ h ~ffo~ ~ ,