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Home My WebLink About6151-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . .Vis~ .P1- &. GteIm. C.t ... Street Map No.. Vista. ~luffi~lock No ........... Lot No...~ ..... Cutchoglm ... N.,Y: ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Sept .. 29, 19.. 72 pursuant to which Building Permit No..61~1Z. dated ........ $.~.p$ .... 29 .... , 19.72, 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 .. Pr. iva.t~, one..family, d~elllng ........ The certificate is issued to .WilJ. iam..G,. ~lhell~ ..... .O~er ...................... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) .June. ~.....~9.73...b. lr..~....v.:l..l!.~.,, UNDERWRITERS CERTIFICATE No .... 2~/7.~... by .J ,. KUbacki ............... HOUSE NUMBER... 29-5 .... .V.i~e4~m~ ...................................... ~0 ~lenn Court .... .......... ~ Building Inspector[ FORM NO. 2 TOWN OF SOUTHOLD 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) 6151 Z Permission is hereby granted to: ~t& .l~..G..¥J ...................................... .......... il~..il~:l~.~ ............................................. to ...~A.~d.. ~e~la~" x'~aJ~X.V'-dwe'Zt.~l~g .................................................................................. at premises located at ..... l~ll~..~[. ............. ~.~ .............................................................. .................................... $~s~a..t~leee..&.~.e~..~tl~ .............. ~tel~gel ................................... pursuant to application dated ............................. J~PJ'"'JJ9 ....... , l~j....., and approved by the Building Inspector. Fee ~l.{X~sd)~ ........... · ~ Building Inspector / · OB~ NO. 6 TOWN OF SOUTHOLD Building Delmt~ment Town Clerks Office SouthoJd, N, ¥. ]1971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 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 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 April 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 inspection 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-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 /~,J~/iv'/::- '7 -~ Date New Building .................... Old or Pre-existing Building ............................ Vocant Lond ............................ T C - G'L£ M co,'ir V/-~ A~ ~/_/~ ~. q Location Of Property ............................................. ' .............................................................. t ......................... ~ h/I H E Owner Or Owners Of Property ....... ~ .................... ~ .................................................................................... Su iv s on ............... ........................................... ,at ,o ............. B:ock ,o ............. House Permit No ..... ~./.2/....~-Date Of Permit ...Z...q....-.~...7..~p:icant ...... ../~..~ ....... /~..(..L...~...E....L..~ .................... Health D~pt. Approval ......................... I .................. Labor Dapt. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ...... ~...~ ................ Construction on above described building and.~ermit meets all op,,~olicabl,~cod/es ~n~d~eg~ula~ns. ._- ~/~/~ (stamp or seal)~ ~0~ Sworn to before me this ........... ........ · ..... Notary Pubhc ~ounty T£RRI LE£ £LAK NOTARY PUBLIC, State al New York FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerfi[icale O[ Occupancy No. Z~I~).~. ...... Date ............ ,1'111~0...1.ii ...... , 19.73 THIS CERTIFIES that the building located at ...Visit .Pl.. & .Gl.cnn. Ct; .. Street Map No. ¥.~.J.t,~. ~1, .~1~'. ~{lock No ........... Lot No.. ~ .... . .~$~;0h0glgO...N~.. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Sept.. 29, 19.72 pursuant to which Building Permit No. dated ........... S~l~t ..... ~9, 19.72, 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~iva~.. cae. family, dwelling ..................................... The certificate is issued to ~/.~,!l,..~.~.. Go I/i~hel.~ of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) .June.. 1.~.. A~3..by ii.. Villa... UNDERWRITERS CERTIFICATE No...pOl:l£1ing ....................................... [lOUSE NUMBER. ~0 ........ Street... 0tl.Ol~ll..~t .................................... 29~ Vista Pl Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM Be 4. 10. 727-8934 1. Applicant william G. Wilhelm Phone Address P13. 1750 West Main st. Riverhead 2. Property location Vista Place and Glen Court 5. Subdiv. 6. Section Birch Hills 7. Lot No. ~ 8. Private well yes Village+~4~k~~Township_~lLL$2~.~9. Public water Public Water Company name none Distance to main ~/a Lot size: Widthll~~ feet LengthlS~ feet (Enter on center plot below) Sewage Dispose, System: A. /~90~0 gallon septic tank: Precast '~ERuivalent X Block B. % ~ffeaching pools: Number ~ Precast ~r(JBlock X S~e~cial O vacant ~ w ~cant vacant ~ s t re e t v~nt stree~ The undersigned CERTIFIES: be in accordance with the ards thereto." "Construction of If private well fill in blanks below: Tank capacity 82Gals. Pump G.P.M.7.5 at 40lbs Total well depth lO0~ Depth to G.W. Amount of water in well Test Hole Data Feet 0 2 4 6 8 l0 12 14 16 18 authorized installations will Suffolk County Department of Health's current stand- Owner or Builder 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. Date ~ ~_~ S igne~ S-15 Revised 4/1/72 APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS: Applications must be submitted in triplicate 1-Means Owner or Builder. Address to which mail should be directed. 2-Nmaus detailed description of property location, together with street omme and distance to nearest intersection of main thoroughfare, also Hamlet/Village & Township. 3-Enter name of Public Water Supply District. together with the distance to their main. 4-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-Name of subdivision. 6-Section number. 7-Lot number. 8-Private well: Enter "No" if Public water supply is available. Enter "Yes" otherwise. 9-public water: Enter "Yes" if Public water supply is available. Enter '~o" otherwise. PROPOSED SYSTEMS: Answer to Item number 10, consult the Suffolk County Health Department's Standards for Sewage And Waste Disposal Systems Design of Residential Subsurface Sewage Disposal Facilities. Part I-Residential Subsurface Disposal Systems covering cesspools. PIA)T PLAN: The following information is required concerning the Applicant's lot: 1. ~-~ size-Length and Width in feet to be indicated at the lot lines of the heavy lined square in the center of Plot Plan shm*n on face of this application. 2. Surface waters-Streams, Lakes, & Bays, etc., located within a distance of 100 feet of Applicant's lot lines, must be shown on the plot plan also. 3. Wells and cesspools now on adjacent lots must be shown on the plot plan, together with the distance to the Applicant's proposed Sewage Disposal Systems and well. 4. Where no buildings exist on adjacent lots, state "Vacant".on the plot plan. 5. Streets adjoining applicant's lot to the right, left or rear, enter street name. %~LL LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the following Standards must be observed: Well-lOO feet minimum distance from the nearest cesspools. Well- 25 feet distance from rear and rear sides of property lines when possible. Well- l0 feet distance from front, and front sides of property lines when possible. Well- 50 feet minimum below grade for well point. Well- 40 feet minimum into ground water for well point. Well- 4 feet 6 inches minimum below grade to well head and lateral water pipe. CESSPOOL LOCATION: Upon determination of the Sewage & Waste Disposal "t?pe of systems" re- quired, the following Standards must be observed for the location of same: 1-Cesspool- 5 feet minimum distance from lot lines to exterior of cesspool. 2-Cesspools exterior must be 1OO feet minimum distance from nearest well. 3-Septic tank exterior must be 75 feet from nearest well. 4-Cesspool exterior must be 7 feet minimum distance from nearest water line. 5-Cesspool exterior must be 10 feet from house foundation.. 6-Cesspool exterior must be 1OO feet minimum distance from surface waters, streams, lakes, & Bays, etc. 7-Cesspools must be 20 feet minimum distance from large trees. 8-Cesspool exterior to cesspool exterior, must be at least 8 feet. 9-Cesspool cover top to grade must be held to minimum of 1 foot to maximum of 2 feet. lO-Bottom of cesspool to ground water ~xst be held to minimum of 2 feet. TOWN SOUT.OLD BUILDING DEPARTMENT TOWN CLERK'S OFFI~ ~.~ ~_~. ~r .r~' Examin~ ...... ~..f..- .~..~ ........ , 19..~..~ ~ ' ~ Application No..~.[...C.[ ................. '~ 19 ~t Pemit No ~~.~/~ ~/x~ ~.. ~ ~/~ ~.~ ~r~ ~pprov~ a/c ............................................................................................ ~oo/~ ~ ...... ........................................................................ , .................... ........ ~ ~ ~ ~ APPLI~TI~ FOR BUILDING PER~ _ ~~ ~ !' ~ . ume ........ ~~.~....( .......... , lY ............ ~. lhi~ a~limtion mu*t ~ eompl~t~l~ filled in b~ ~writ~r or in ink and ~ubmitt~d in tri~li~t* to th~ Buildino In*pector~it~ b. ~lot ~l~n ~howin~ I~tion of lot ~nd of buildin~ on ~remi~s, rel~tion~hi~ to adioinin~ ~remi~ givi~ a ~tailed description of layout of pro~r~ must ~ drawn on diagram which is ~rt of this applimtion. c. T~ work ~md ~ this application may not ~ ~mmenmd ~fore issuanm of Building Permit. d. U~n ap~oval of this a~lication, the Building Ins~ctor will issue a Building Permit to the appli~nt. Su~ ~rmit shall be kep~m the premiss available for ins~ion throughout the work. e. ~ building shall ~ o~ed or u~d in whole or in pe~ for any purp~ whatever until a ~ificate of O~pen~ shall have gran~ by t~ Building Ins~ctor. 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, SuffoB~ 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, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. q- ........ ................................... X (Signat~'e o_,f apJ~licant, or name, if a corporation) · ~'c,4~,,e.,.,.__ // .nut ,.,....~-..,,.,,...,., ..,,.,..~ ~....'~.d,~..¥... ~m~..~ .. ~ .~. · ........... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ o~ez' ~ Ke~ez'&l oont~'&ot, oz' Name of owner of premises ...... Id~.~,,~.~,~...Pd'.t...W,~,~.~1. ................................................................................... ~.. ....... If appliCant is a corporate, signature of duly authorized officer. ~ h ..................... ...................... 1. Lo~ation of land on which propo~l work will be done. Map No.: .lf.~..~.~. .......... Lot No ......... .~ ................................. Street and Number ......~.~..~.~..~'.~,.e,..~.~....~3~..~..1.~A..~g.g~..~. ........................................ .~.~.~.9.~.q~g.9 ....................... ~,~------'~ ~ ~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .v...e:..o....a~..~ ............................................................................................................... b. Intended use and occupancy ...D=J.~a.t,e.,...pz~e..~mld.~...ham~ ..................................................................... ~ 3. ' Nature of work (check which applicable): New Building ....... · ............. Addition ..................... Alteration...*...; ........ Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost .....~.~.2..,..0..0...0. .......................... Fee .../...0...O..~.....~... ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units .7.._wooma Number of dwelling units on each floor .2...OzL./'J.:'.a.t;~ .............. ' If garage, number of cars .oz~e .................................................................................................................................... 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 .......... .2...2..~...3-..0..". ......................... Number of Stories ..........2. .............................................................................. Height ...~ ................................................ Number of Stories ...................................................................................... 10. Date of P~..~.hase ..]....6......D~...O........]:...~.~..]:. ....... Name of Former Owner ...[?.~.a..~.q..~...,O~l~.q.~.§.~.~ ................................... 11. Zone or bee district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ?..0. ................................................. 13. Will lot be regraded ~.g ..........................Will excess fill be removed from premises: [ ] Yes ix] No 14. Name of Owner of premises ....~..l..]-...1../....a~......G..,.....N.~..]...h..e...1..~.~...~ ./}~...~...~..1.~....1.~a..~.[~.~.s...[[~§~ (Address) 727 8~q' (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) (Address) (Phone No.) PLO~ DIAGRAM Locate clearly arid distinctly all beildings, whether, existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or descriptio~n according to deed, and show street names and indicate wheth- er interior or corner lot. ' ~ ~_/~ hlc/~=~- .c~(] ~/'' ~-.~-~ Y'~' ~ .~'~(~ O STATE OF NEWYOR~ ~.~ ) COUNTY OF ............. ~/~..~. ................... ) .......................................................................................................... being (Nqme of individual ~igning contract) Ha is the ................ : ................................................ (Contractor, a of said owner or owners, and is duly authorized to perform or have performed the statements contained in this application are true to the best of his knowledge and belief; and that set forth in the application filed therewith. "~ ......................... o, ............... ................... Notary Public ...................................................................... County applicant above named. and file this application; that all work~nner (Signature of applicant} ~.~'1' 00' W.- ll*~.f E. LOT- 6 SUFFOLK COUNTy HEALTH DEPAR~N~ ig~%ion have been Services LI(. E, LI ~ED LAkiD G U~LVL¢~O 0.~, THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY F- 88 JOHN STREET, NEW YORK, NEW YORK 10038 1:~ February 7, 19'/'4 4.p,icot,o.~o. onf.~ ~C,~ N 142205 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant homed on the above application number in the premlses of Cutchogue~ L. I. in the following location; IX Basement [] 1st FI. [] 2nd FI. Section Block Lot wasexamlnedon PEbrua~y ~, tg?Zi andfoundtobeincompliancewlththerequirementsofthlsBoard. FIXTURE / EPTA LEI W I RXTURES OUTLETS ~EC C S S ITCHES INCANDESCENT FLUORESCENT ~VEI~RY RS FURNACE MOTORS FUTURE AREUANCS FEEDERS SERVICE DISCONNECT L NO. OF 1 2 0 0 C~ METER. RANGES SFECI~L aEC'PT, $ E R 1~2w J~'3W 3~3w 3~4W NO:C~CRC~.COND' COOKING DECKS OVENS DISH WASHERS i ,* i [ T.I I,* I RA NO. OF FEET V I C NO. OF HI-LEG A. W* G. NO. OF NEUTRALS OF HI-LEG · *FurnaCes: Oil 1-1/Shp, 1-1/12bp EXHAUST FANS DIMMERS AMT. WATTS OF NEUTRAL 4/o William a. Wilhelm, w/side Vista Place, Cutchogue, L.I. 11935 GENERAL 11 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ri'¸ DEN 0 25~ 8' -,- Ki DINING 2/'-0" RM. /£'- 0" BD~'RM~ HALL DECK .., ,'t I , LE_F. T _SIDE , , 'LOT. ,$ LOT- 5 LOT- 9 LOT:- 10 ./ 5 PLOT W~,G,,Wl LHEE M CUTCHQGUE NoY~