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Home My WebLink About6162-zNO. 4 TOWN OF $OUTHOLD BUll,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZF311* ...... Date ........... (}ct .....~ 9 .......,19.. 76 THIS CERTIFIES that the building located at .. E/.S. Grathwohl. Road .... Street Map No..LC ......... Block No.. xx ...... Lot No..x~c..New..$ul'f~lk .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... Sept...b~.., 19..7.2 pursuant to which Building Permit No. 6.1.6.2.Z... dated ............. 0et, .... .5., 19~a.., 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 . .Private..Qne. fa~lly..dveLting ...................................... The certificate is issued to . J. oJ,flQuck .... 0~ler ................................. (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval . Attg...1.2...1.97b~. · by. R, .Villa... UNDERWRITERS CERTIFICATE No. 1t307081~... 0nt.8...1976 ................... HOUSE NUMBER ........ -~720. Street .. Gra.l~h,~oh.$ .Rd .......................... Buildin~~ ....... · O~,~J NO. *) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI),EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6162 Z Permission is hereby granted to: .... ~ .s..t,.~.~ ~.~....a:... ~ ~&.~.],...i~m~e,j' ............... .............. .~.~.~.l~J~. ............................................ to ....~.~1~ ..~w...a~e..~s~l~. Awna l~n& ................................................................................. at premises located at ........ Z/a..~,uJ~..lla..&..tl/J..lle~.~re~..J~ .......................... ................................... K.~.....~.~t~.o:l~ ........ A.L,. ........................................................... pursuant to application dated .......................... JJJ.~Jjlt,......J(' ............. , 19..~,., and approved by the Building Inspector. Fee $~4~,.~ ......... SUFFOLK COUNTY DEPARTHENT OF HEALTH APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date Approval to construct said systems is requested,pertinent data herewith: A~Elress~(- 2-Detailed p~%~y !%~a~i6n ..... ' - 8-Lot No. Hamlet~_ .~_ e~. ....... Town~_ ,~..~ · ~ 9-Private well? 3.Public ~a-~ s~p~iy ~na~' ~ ..... ~is~ance to nearest main 4-Lot Size: Width~ ft. Length~T.~'Tt. (also enter on center plot plan below:) 5-Dwelling: Single Family ~ Two Family? ~__~Cellar? ~Slab? ~ ~Crawl Space? ~ · 10-Proposed system: Septic tank ~__ Precast ~A~_~Cesspools ~Shallow pools il-Septic tank inside dimensions: Volume~ Gals. Length ft. Width--ft. Liquid depth ft. 12-Precast sections: ~'yNumber/ YSquare Ft. Cesspools: Block sizeL.___incs.D ins. H ins. Total blocks below inlet: Street PLOT PLAN .G ~d~ GW.L. Capacity Gals. --~ G.P.M. :~te Data Feet 0 2 6 8 10 12 76 Indi No 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 System~". Dat Sign FOR HEALTH DEPARTMENT USE ONLY. Based on the information ~r'~es?nted herewith, it is the opinion of the Health Department, that an a ory Sewage~D~o.sal can be installed on this Plot. Date Signed (10/6~ Revis.) S-15 APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMB INSTRUCTIONS: Applications must be submitted in triplicate 1-Means Owner or Builder. Address to which mail should be directed. 2-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. 5-Dwellings: Check-mark "V~ items applicable to the proposed new dwelling. 6-Name of sub-division ?-Section N,,mber 8-Lot Number 9-Private well: Enter "Nom if Public water supply is available. Enter '~es" 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 1~ " " " " " " Unusual soil conditions Part V " " " " " " Shallow Leaching Pools PLOT 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 Let 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. 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-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 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" must be 12 feet minimum distance from nearest water line Cesspool "Center" must be 15 feet from house foundation Cesspool exterior must be 50 feet minimmu distance from surface Waters, Streams, Lakes & Bay~, 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 1 food to maximum of 2 feet Bottom of Cesspool to ground water must be held to minimum of 1 foot THE NEW BOARD OF FIRE UNJERWRITERS BUREAU OF ELECTRICITY j--ak 8E JOHN STREET. NEW YORK. NEW YORK 1003B THIS CE~IFIES THAT Jeffery Co~ch, e/side Grothwhol St., 500' s/o New Suffolk Rd. New Suffo~, L.I. ~ .~exam~..do. October 5, 1976 a.dfound,obelnco.pHance~iththerequ~reme.t, of~hisB, rd. FIXTURES OUTLETS ~ECEPTACLES SWITCHES ,NC~OES~E~T ~[~ESCE.T ~0~ 1~ 1 8 ' DRYE~ ~RNACE MOTO~ ~TURE A~ANCE ~EDERS ~ ~w. ~L H.P~ GXS H~P. ~T. ~O. ~W.C UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS A~T, WATTS NO. OF FEET A. W.G. AWG Motor/s: 1-3/~hp 3 G.F.C.I. 2 Smoke Detectors 1-15.0kw Elec.furnace 1-~.5kw Ho~ water heater J & J Elec. Co., 1368 West Main St., ~This certlficote must not be oltered in an, manner; return ,o the office of the Board if incorrect~. inspectors may be identified b~credenfials. ~ ' IeOB~M NO. 1 '":2, ~ __ ~ -- .._. TOWN OF SOUTHOLD ,,, ; --, ~, .- ~1.;'~' BUILDING DEPARTMENT ., _. -" ..................................................... ~ ...... ~'Z'7~"~ ~ ~ ~o~ D,sepproved o/c .............................................................................. . ........ .~..- ~ ~ ~0 Ig'°~ '/ '~1" 1~ Date ...... ~.~..~ .................... , 19.~ ..... ~. This applicotion must bo compl*tely filled in by ~pewriter or in ink and ~ubmittod in duplic~, to th~ b. Plot plon showin~ Ioc~tion. of ~t ond o{ building* on premis~s, relationship to ~djoinin~ premi~e~ or public oreos, and ~ivin~ o detoil~d description of layout ofprop~ must be dr*wn on tho dioorom which i~ ~ o{ thi~ c. Tho work cowred by thi* ~pplic~tion m~y not bo comme~ed befor~ issu~nco of Buildino P~rmit. d. Opon opprowl o{ thi* op~lic~tion, ~ Buildin~ Inspector will issue ~ Buildin~ ~ermit to th~ ~pplic~nt. ~ch p*rmif sholl be kept on the premi~*s ~vail~bl~ for insp~tion throughout th~ profess o{ th~ work. e. No buildino ~holl be ~cupied or u~d in wholo or in p~rt for ony purpose whatever until ~ ~i{ic~t~ ~holl have bee~ flmnt~d by th~ Buildin~ Inspector. A~PklCATIO~ IS HfiR~BY ~D[ to tho Buildino Depo~ment {or the issuonc~ o{ o Buildino P~rmit pumu~nt ~uildin~ Zono Ordinanco o{ th~ Town o{ Southold, Suffolk County, ~w York, ond other ~pplicab!~ L~w% Ordin~nc{~ Reoul~tion% {or tho con~trucNon o{ building% ~ddition~ or olter~tion% or for r~mov~l or d~moliti~, ~ h*r~in Th~ ~pplic~nt o~r~es to comply with ,11 applicable I*ws, ordin*ncos, buildln~ c~e, housln~ c~e, ond r~ul~tion~. . (Si~n*tum o{ ~pplicont, or n~e, if ~ co~omtion) ......................... '~X~?;~; ~,';~g;i St*re whother a~plic~t i~ owner, I~ssoe, o~ent, *rchit~ct, onoineer, oenerol controctor, eloctricion, plu~r or builder~ .......... :. ........ ~i ............................................ : ....... ~ ............. o, o, ........................................ I{ opplicont is ~ co~or~te, ,i~noture of duly *uthori~ed officer. ............. : .......................................................................... 7 } 1. L~ation of land on which pr~os~d work will be done. Map No.: .................. ,..../~ .............. Lot No; .................... Street and Numar ..~.~ ...... ~~~..~ ............... ~ ~.~ .................... 2.State existing use and ~cupancy of premises a~ intended use and ~cupancy o~pr~osed construction: a. ~isiting use a~ ~cupancy ................................................................................................................................. b. Intended u~e ~nd occuponcy ' 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair .................. Removal .................. Demolitior .................. Other Work (Describe) ........................................ 4. Estimated 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 ...... ....~.....'~'...x~...~..../.~../,./...~.~.../.......Nome of Former Owner ./.~...~.~...~....~../c~/ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................... Name oi Owner of ,-remises~d'tr'~' 'i~-~..'~ ~.,~ddress ..~...~ ~- ...~....O/...t~.....~......~ne 13. ~' ............... '~',~ '0' T--~ ........................................................ ,' Name of Architect ...................................................... Addre~ ............................................ Phone No ..................... Name of Controctor ..................... ?..~..~'.. ............... ^cklress ............................................ Phone No ..................... 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~YOI~, .~ ! ¢ c COUNTY OF .~~...~........~'~'~ ............................... /./. ........................... ................................... being duly sworn, deposes and says that he is the opDlicant (Name of individual signing application) above named. He is the ......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements conta,ined in this application are true to the best of his knowledge and belief; and thor the work will b~ performed in the manner set forth in the application, filed therewith. Sworn to be~fo re meday th iSof ~ ' 19~7 '"~'--'~......¢.~--.~c~~. Notary Public, . ........................................................... County (Sigrm'fure of applicant~r ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS (~E, BUREAU OF ELECTRICITY ~ ES JOHN STREET, NEW YORK, NEW YORK 10038 ~,. ,',ov.~er =o. 1~73 A. pl,ca.o. No.o.,,ic 6,~3~ N 128683 THIS CERTIFIES THAT only the electricoJ equipment as described he~o~ and introduced by the applicant named on the above application number in the premises of Daniel Smoley, ~/s Grathwohl Rd. ~00' s/e/o !,;ew Suffolk Rd., Cutcho~ue, L.I. inthefollmvlnglocation; [] Basement [] lstFI. [] 2nd FI. ourse, de Section Block Lot tvas examined on ~ove~e~ l~ · .~c)~ andfoundtobelncomplioncetviththerequlrementsofthisBoard. RXTURE SWITCHES iNCANOE~ OUT'TS ~ECEPTAC~S DRYERS FURNACE MOTORS AMT, K,W, Ot H.P. GAS H.P. FIXTURES ~ FL~RE~EI~T FUTURE APPUANC$ FEEDERS AMT. NO. A. W, G, RANGES u~. K.w. SPECIAL REC'PT ICOOKING DECKS OVENS DISH WASHERS AMT. K.W. [ AMT. K.W. ~T. K.W. TIMECLOCKS I BELL IUNITHEATERS MULTI-OUTLET · , TRANS. .~ SYSTEMS ~T ~P$ NO. OF FEET II SERVICE DISCONNECT NO. OF S E l~" 2o0~" c~"~ ~"~;' '~ ~w,.×~w~. ~.,w .o.o~ COND. ffHER ~ARATUS: R V I C EXHAUST FANS DIMMERS OF CC. COND. NO. OF NEUTRALS 210 ¥/.B. Ruland ~!attit uck, L.I. m ~N~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, SEC ON 7209 OF THE NEw YORK 51^TE ~lON LAW. TITLL~FA ~ ~,VERNMENTAL AGENCY AND ~0~0 ~; TO ~ ~.O / ' ~~ o ~ / N.~Z'I~'FO"W.- lO~.S3 ~, *TEST HOLE- " : - :~U~VEYED TOW!J OF ~OUTH~LD. N.Y. LOT NLJIA ~ S 40' ~ ,SALE, ~ c~ssPoou VAN TUYL DATUM = O.O WATEE LEVEL lB T~ST ~OLE ON P~MIS~S ~EEHPO~T, NEW.~O~ SUFFOLE COUNTy MEALTM DEPAR?~fENT disposal aafi wate~ sUnply ~"~: locatios have been by this de ar Service~ "> 0 14. ~Z' I~'~0'%'. ,-40'Z.S3 MAP OF PROPERTY SUKVGYLrD FC)! SITUS1 TO~,¥N OF SOUTI.IO!A:), ~LY SCALE° 40'.-[" · B =' MONUMENT '~NOTE: DATUM ~ 0.0 WATEr. LEYEL tM T£ST HOLE ON t 48" o,C, ~ 0'-4 u L~ II U U [3 U / ' ~ ,.lO'~ P3Z oc/~s Foy~ dSZ ~'' c ~I O ,%~ U