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Home My WebLink About6198-zFOItM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z~0~7 ....... Date ...............AuEIl~t .... ~1, 19 Fl~. THIS CERTIFIES that the building located at ...S/a..Terry .Lan~ ........ Street Map No... xz ....... Block No...xx ..... Lot No.. xxx...Sou.thold...1~,1/., ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........Ont.. 21 ..... , 19.72. pursuant to which Building Permit No..6191~Z. dated ........... ont .... 26..., 19711., 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..one. ~mLllr. dwelling ....................................... The certificate is issued to .. John. ~'....Spornberger ....... .0w~.r .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health ApprovalJu..1Y..2.~...1.97~....bY..R.:..V.i.l. 1..a ..... UNDERWRITERS CERTIFICATE No... ~;.1..~.~67. ....... A..u~..].. J.9.~. ............ HOUSE NUMBER .... 1+2.~ ...... Street .. ~®rr~ .Lan~ ........................... Building Inspector [ · '0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6198 Z Permission is hereby granted to: ,o ..~..~..~...~..~.:.~.x.~...~.. ....................................... : ........................................... at premises located et ..Z4t~.~...O,..~l~+~.l~..~l))..ll~ .................................................... pursuant to application dated ......................... I~.~.......~.. ............... , 19..~....., and approved by the Building Inspector. Fee $.~? .~ ........... Building Inspi~ SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 2. Property location 6. Section 7. Lot No. 8. Private well 9. Public water Distance to main feet (Enter on center plot below) ~lla~e -~0 Township ~O~ --3.~lic Wate~Company name 8~e¢^~o~f 4. Lot slze: width /~ feet Length 10. Sewage Disposa~ystem: ~ea~atst/~Iiackl A. ~ gallon septic tank: ent Block__ B. ~.~'aching pools: Number Special If private well fill in blanks below: Tank capacity Gals. Amount of water in well; Test Hole Data F. eet 0 2 4 6 8 10 12 14 16 18 The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current stand- ards thereto." Date C9{7'0~ -2// /~?Z..- Signed ~ ~ ~ ~ ~ F OwVe/ Euilder FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Mealth Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. D a t e /~/~/x~ S i g n e d ~ "~ S-15 Rev~$ed 4/]/72 TOWN OF SOUTHOLD ~'~4'//'?:? "UILDIHG DE~RTMENT TOWN~UTHOLD, CLERK SN.OFFICE Y. ........................................ , ........ ........................................ , 19- Pemit No ..................................... Disapproved a/c ............................................................................................ ~ ,L~/'~ -~-~//~.~' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Dote ... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 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 diagram which is part of this application. 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 applicant. Such permit shall be kept one' the premises available for inspection throughout the work. ~k, e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have bee n 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, Suffotl~ 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 inspectm's on premises and in buildings for necessary inspections. State whether applicant is owner, lessee, agent, a. rchitect, engineer, general contractor, electrician, plumber or builder~ ........... ....... ................................................................................ Name of owner of premises .%~J~.~J '~' J~/~/~//~C'~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) -~ ~5 1.' Location of land on which propo~d work will be done. Map No.: ~t No, ~ Street and Numar .......... ~.....~.~ ............. v. ....... ~ ............................................ ~~ .................... ~ ~ ~ MunicipaliW 2. State exi~ing u~ and o~upancy of premiss and intended use and occupancy of propo~ con.ruction: a. Existing use and occupancy //v~/~./~ b. Intended use and occupancy ........... .~.~....~.~.~.. J~-~/'/~ ~ 3. ~Nature of work (check which applicable): New Buildin .................. Addition ..................... AIteratiom ....... .~ ..... Repair .................. ~ ...... Removal ......................... Demolition ........................ Other Work .................................... ', , . (Description) 4. Estimated Cost .'~f~...~, ..~.....~..i.{~ Fee ~.~ ~ ................. (to ~ paid on filing this application) 5. If d~lling, number of dwelling units ...... ~ .......... Numar of dwelling uni~ on each floor ................... ~ ..................... If gara~, numar of cars ......... ~ .................................................................................................................... 6. If busine~, commercial or mix~ ~cupancy, s~cify nature and extent of each Wpe of u~ ..................................... 7. Dimensions of exi~ing structures, if any: Front ..................... Rear ........................... Depth ................................... Height ....................................................... ... . Number of StOries ............................................................................. Dimensions of ~me s~ucture with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Numar of Stories ........................................ 8. Dimensions of entire new cqn~ruction: Front ...... ~ ............Rear ........ ~.~ .............. Depth ................................. He ht ~ ~' ' g ............................................... Numar of Stories ...... ~ ............................................................. ~ / ~0~ 9. Sizeof mot: Front ........... ~ ....................... Rear. .~ / ..................................... Depth .................................................. Height ~ ................................................... Numar of Stories .....~ ............................................................................ ,0. Da,e o, P rcH , ..................... ,a e For er ............................. 11. Zone or use district in which premiss are si~ated ..................................................................................................... 12. Dins propoad con,ruction violate any zoning {aw, ordinance or regulation: .~ ....... 13. Wi{{ {or be regraded ..... _~ ..................... ~ ~ C~~ ~ ~~ ..,~ ~ ~,:.' Will ex,ss fill be mmo~d from pre~i~s= [ ] Yes' ~ No ,a e o, O er o, ~ - ~ I ~ . ~ddress) / ~ (Phone No.) Name o Archi ...... .~1 ............ ~ ................. ~....; ............. ~.~.~ ...... ~...._~ ......... ~..~ ~. ..... (Ad~ress) f (Phone No.) Name of ~ntractor ........................................................................ ...... f ................ .~..x.~........~.~. ................... (Address) (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 o,r..de~ription according to deed, and show street names and indicate wheth- er interior or corner lot. LS~:~' ,¢'~'~-~4/E7~ ) STATE OF COU.T¥ 0"....~..~i.'..~.. ............................... I S~ ..................................................................................................... being duly sworn, deposes and says that he is the appli~nt above named. (Name of individ~l si~ing c~act) .e is the ............~ ........ "'~. ....... ~~ ..................................................................................... ~....~ ............................. ( ~ntractor, a~nt, corporate of~cer, etc.) of said owner or owners, and is duly authorized to ~rform or have ~rfor~d the said work and to make and file this appli~tion; that all statements contained in this application are true to t~f~knowled~ and ~lief; and that the work will ~ ~orm~ in the ~nner set forth in the application filed therewith. ~0T~Y PUBLIC, State 0f New York No, 52-6168295 ............... ~.......oay OT ~~...~.~ . ~ ~. -- -~~~,, ~ ~1/-/n ~ /, Nota~ Pub{lc. County ...... ~ ~.~:.....~.~..~.......: ......................................... THE NEW YORK BOARD OF FIRE UNDERWRITERS · '~k · BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 .~te~U~USt 2, ~97~ ~..,i~ti~.~o.o.~i,. 636~5~. ~ N 174267 THIS CE~IFIES THAT o~y the e~ ~ment ~ ~scdb~ ~ ~ int~ by t~ appli~.t ~ on t~ a~ ~pl~a~n numar in t~ p~m~s of ~ohn ~pornbe~ger, Te~y Lane~ Town Harbor Lane Southold~ L.I. a~ found to be in compliance with the requirements of this B~rd. FIXTURE / EPTA I I FIXTURES 22 r 50 25 22 / DRYERs FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K,W, O~L H.P. GAS H.P, AMT. NO, A, W, G. . SERVICE DISCONNECT NO. OF S METER (~. 100 CB x ~urnaces: Oil 1-1/8hp, 1-1/12bp RANGES ;PECIAL REC'PT DIMMERS ICOOKING DECKS OVENS DISH WASHERS TIMEAMT. CLOCKSAMp~.l/TRANsBELL . ~UNIT HEATERSH, p. MULTI-OUT~TNo.SYSTEMSoF FEET A. W.O. NO OF NEUTRALS NO. OF HI-LEG OF HI-LEG OF CC. CONO. OF NEUTRAL 2 q John Spornberger, 5 Manta Court, Oakdale, L.I. 11769 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. The sewage disposal and water supply facilities for this location have been inspected by this ~m~ tme~ aw found Chief of General Engineering Services $..uvve~ed ~ebv~c~v~ ~1, LepT I~.1' FL. Fzo~T Duz-vATlok~ J '1 0 1sT itl'' A RESIDENCE. FOR: B, BALDINO-ARCHITECT PHIL, ADEL;PHIA, PENNA~ ~.ATE ,,2 ,FOL~ NDAT 1 ~ 'l/~:'~ I .:-0~ : ~'d O.T E::: - ~IL~.OT~'O oN] E~" ~LO~.,I£ WALL~ To I'D~ wI~'FI ~OLr~II~ATiOKI \VALLO. 4'¸ 1 L r Fl RST F'LOOP.