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HomeMy WebLinkAbout6254-zFOB,M Ng, 4 TO~N OF SOUTHOLD BUll.DING DEPARTME~NT Town Clerk's Ottlce Southold, N. Y. Certificate Of Occupancy No. Z713.% ...... Date ' 'Ju~.y~'' '2~ ..... ,19.70 THIS CERTIFIES that the building located at 'Watervie~ 'Drive .......... Street Map No,XX~ ......... Block No. ~ ...... Lot No.. -xx~ .... Southotd. · -N ~¥'. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..........J~ov .... 22.., 19 72. pursuant to which Building Permit No.6~%+Z... dated ......... Nav.. 22 ..... , 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 .P.r[v~te. one. family, d~ollimg ....(first - floor, only) ............... The certificate is issued to Wa~..ren. & .Jean..Rittex, .... owrmrs ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Jar~..27...1.976...by. R,..Villa. .... UNDERWRITERS CERTIFICATE No. -E27~97 ..... Apr...6..-1976 ................ HOUSE NUMBER .. 8.3.~ ........ Street ... ~aterv~ew- D~'~ve ..................... Building Inspector \ ' FOBM NO. ~ TOWN OF SOUT8OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6254 Z Date ~ , 19 ........ Permission is hereby granted t~/ pursuant to application dated ........................................................ , ........ , and a__rovedoD b_v the Building Inspector. {tl~r~-; ]l'fl'~/ ~Og-////lu O~ /O 5/9 Building Inspector FOR3~ 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 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. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). Approval of electrical installation from Board of Fire Underwriters. 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 3ertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existiog dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ....... New Building ................ Addition .......... ~ ..... QId or Pre-existing Building ................ Vacant Land .............. Location Of Property ~/~.~....T-.~..~..~..[..~....~......'~..~.._. ,' ......~...O..~...~..(~..O..L-~ ~....~.....~...: ........... ........ ~.-~,..............,-....F,~......-.... Owner Or Owners Of Property ....~..~..~~....~....~......?~:.....~....i..~...~...~.......~.....~..~..~.....~........~.~.....~.[.?...~..~ Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. ~....~'.....~....~.~.. Date Of Permit .................... Applicant ..~...~.....~.....~..~...~.......?..~..:.....~..~.....~...~,...~ Health Dept. Approval Y~ .' ..~. Labor Dept Approval -- Underwriters Approval ~~'~'/~'"'Planning B'o~rd Appr~'l ....................................... Request For Temporary Certificate ........................................ Fined Certificate ......./~... ................................ Fee Submitted $ .................................... Construction on above described building~and ~/rmit meets all o~lica gulotions. s o n to ef Qualified In SullolkCounty A ~, Commission Expi[es March ~t~-/ 0 FO1~M NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N, Yo ORDER TO REMEDY VIOLATION (owngr or authorized agent o~ owner) (address of owner or authorized agent of owner) 7 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~/~ //~'~ ...... ~...~.... ~'~' 'i'. ....... Other Applicable Law$, Ordinances or Regulotions ............................................ at premises hereinafter described in that .:.~....~~.~ ............... ~(state character of violation) ' ..... ~ ./I v , ~ ..... .'"'7'"z ...... ~"./"' ,'" in violation of .i~i.......~.,.%~....~'..~...~.....~..~....'.~...~....z.~?../..: ...~...iii.i~i~.i~i....~.....~_~ii--/ (S ate section or paragraph of applicable law, ordinance or regulation) ................... YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions/z~jbove mentioned forthwith on or before the .................................... ~,..,~.... ......................... day of t ,' , 1~....~..~.~'-~, The premises to which thjs ORDEP~, TO REMEDY VIOLATION refers are situated at Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. ~ -- Buildin FORM NO. 5 TOWN OF $OUTHOLD · BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ORDER TO REMEDY VIOLATION Date .~~~.~...'..~. ....... (owrjer or authorized agent of owner) ~z..~..~..~....-.. ...... a,.~,.~~ - (address of owner or authorized agent of owner)/ PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~,, O ~ ,~...._~ .............. Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that .~...~..~ [/ (state character of violation) ..... ~..~...~.~.....-..~;,/..-..~z~...,,.~.~.,., ~ ~ · ,~ v,o,~,o~ o~...~~Z~..~ ........ =...~ ~.~..ZZ~~ ~Stote section or paragr~h of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the I~w and to remedy the conditions ~bove mentioned {o~hwith on or b~{ore the ........ doy o{ ... ~ ............. , 19 The premises to which this ORDER TO.~EMEDY VIOLATION refers are situated at '~/...~-~.~...'~.~~"~...~...:.....County of Suffolk, ~lew York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector THE r~ate Aor; I 6~ THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY a5 JOHN STREET. I~'EW YORK. NEW YORK 10038 1976 ~4ppllcatlonNo. onfile 848652 Warren Ritter, Waterview Drive, Southold,. L.I. ,c~,s,'x.,ninedon ADr] I 5, (976 and~oundtobeincomplla~e~iththerequlremen~ofthis~. FIXTURES RANGES TIME CL~KS UNIT HEATERS MULTI-OUT~ 200 OB x I 4/0 I ~ I Elec. room heater/s: I~.Okw, l-2.Skw, 3-2.0kw, '-SFCI '-~.5kw water heater,hot I-I.5kw, I-I'~Okw EXHAUST FANS 210 31 North Dr. - : Centeroort, L.I. - - ' .~] : ::- ' Per ' D .~.,~jY2/ ~ must not be oltere~ in ony monner~ ~etu'r~ fo the o~ce o~ the Boord ff incorred Ins~ors moy be ide~tiRe~ b thei c~edentiols SUFFOLK COUNTY DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM · ~. ~,~[J ~ Phone__5. Subdiv. Address ~ FL~:~f50g~ ~O.C~T~PO~/ ~/'[ 6. Section 2. Property location ~b~/~T~i~ O~- 7. Lot No. 8. Private well ~5 Village ~OT~ Township ~v(~o~0 9. Public water 3. Public Water Company name Distance to main 4. Lot size: Width ~ feet Length ~ feet (Enter on center 10. Sewage Disposal System: A. 900 gallon septic tank: Precast~ Equivalent Block B. Leaching pools: Number ] Precast ~ Block Special__ FO ~ Street The undersigned :ERTIFIES: plot below) If private well fill in blanks below: Tank capacity~Gals. Pump G.P.M. Total well depth ~ Depth to G.W. 4 Amount of water in well L~ Test Hole Data Feet ~o~ 2 8 10 12 14 16 18 be in accordance with the Suffolk County Department of Health's current ards thereto." gZZ/dj~y ~ Date ~.~//~2~ Signed . J._ _' Owner or Builder "Construction of authorized installations will stand- FOR HEALTH DEPARTMENT USE ONLY. Based o~ 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 ~/~_ Signed ~~,~~~ 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-~aus detailed description of property location, together with street name and distance to nearest intersection of ma~n 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: h~ter "No" if Public water supply is available. Enter "Yes" otherwise. 9-Public water: Enter "Yes" if Public water supply is available. Enter 'No" 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. PLOT PIAN: The following inforwmtion 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 sh~*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. WELL LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the following Standards must be observed: Well-lOC feet minimum distance from the nearest cesspools. Well- 25 feet distance from rear and rear sides of property lines when possible. Well- 10 feet distance from front, and front sides of property lines when possible. Well- 5© 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 foundatien. 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. Examined ~ ~-'~"- Approved ........................................ , FOBM NO. I ~-/,/- ?~ BUILDING DEPARTMEN~ TOWN CLERK'S OFFICE MUTH~D, N, Y, ~ 9..~.~ D sapproved a/c ......... ~ ................................ · ,~-~ Z~ _~, ~ ~ . ~ (Buildi~ I~pector) .~.~.. ~.~ ~ .... ~. ~ ' ~ ~ APPLICATION FOR BUILDING PERMIT INSTRU~IONS ~~~ ~ ~ a. This ippli~fion ~st ~ completely filled in by W~writer or in ink and submitted in triplice~e to the Buildin~ Inl~or wil~ 3 ~ts of plans, 8~urate plot plan to scale. Fee according to schedule. b. Plot plan ~owing location of lot and of buildings on premiss, relationship to adjoining premises or public st~ or ~e~, a~ giving a detailed description of layout of pro~r~y must be drawn on diagram which is pa~ of this application. c. T~ wo~ ~vered by this application may no~ ~ commen~d ~fore issuan~ of Building Permit. d. U~n approval of this application, the Building Ins~ctor will issue a Building Permit to the appli~n~. Such ~rmit shall ~ kept the premi,s available for ins~ction throughout the work. e. No building shall ~ occupied or u,d in whole or in part for any purpo~ whatever until a ~rtifi~te of ~cupanw ~all have ~n~ gran~d by the 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 Suffolk County, New York, and other applicable Laws, Ordinances or Ragu at ons, for the construction o~. buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ell applicable law~7~; ordiF'an.cej, b~ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signatu[e of applicant, or~[nej if a c~'poration) (Address of applicant) ! ~..4 State whether applicant is owner, lessee, agent~ architect, engineer, general contractor, electrician, plumber or builder. ......................................................... ............................................................................................................. if applicant is a corporate, signature of duly authorized officer. · (Name and title of corporate officer) Locatton of I ~X~ 1. , ' and on which proposed work will I~e done. Map. No.: ..... ~ .......................................... Lot No ............. Street and Number ...~....~....~_~....~..E/..'.~....~.......~....~.. '. .~0~ ~ ~ ~~ ~ MunicipaliW 2. S~ exi~ing u~ and o~u~ncy of premi~ and in~nd~ u~ and ~cupancy of pmpo~ con,ruction: a. Exi~ing u~ and ~u~ncy ~ ~ . b. Intoned u~ and ~upancy .......................................................................................................................... 3. Nature Of work (check which applicable): New Building ....................... Addition ..................... Alte a 'o .............. ~ rtl n . Repair ......................... Removal_ . ................ , ....... Denlglition ... ....... ._. ............. Other Work .................................... · /~ ~4~'~ ~ ,~( ,/~ /'~.. ~ IDescription) 4. Estimated Cost ..../....u~,...~...u...~.~ ................... ~ ....Fee .....~.....~.~..L.'~.. ...... Z.. ...... x.~ ...................................... (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, s~pacify 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 ........................................ I .....~... ~ ~ · · ~-I0 0 O ... 8. Dimensions of entm new construct on. Front ..... ..c. ............... Rear ...................Depth ...... .~. ......... Height Number Of Stories .............................. ' o ' 9. Size of lot: Front ...,...L~..~. .......... Rear ....... .L....O.. ......................... Depth ................................................. 10. Date of Parch, ..~/..~...~/..~...~... ....... Name of Former Owl~er .../~.~.~..~/../~...,/~...J~.~..-~.~..~...~.,.:...~..~:.' ......... 11. Zone or use district in which premises are situated ....... .~...~..~ ........ '.~..; ....................................................................... O 12. Does proposedConstrdction violate any zoning law, ordinance or regulation: ......... ~ ............................................. 13. Will lot be regraded~.- ...... ....~...~. ................. Will e. xcess~f, ill be removed fro.m premises: [ ]_Yes 14. Name of Owner of prem,ses ..... .~..~/~i~..~/.....~....~"~Z~..L~. ...... ~.Z...~.....'.~'.Z~;.....~.., ...... ~.._..~...~.~ ...... (Address) ~'/~ ~ - ~ Z.~ ~lqlone No.) ,v~ Name of Architect ........................................................................ · (Address) (Phone No.) Name of.Contractor. ................................................................................................................... i~'l~'~'i ............... {Address) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali set:baCk dimensions from property lines. Give street and bio?k number or description according to dec, dx ~r~ s~ow street names and indicate wheth-': --~er interior Or co~ner lot., ...... ~ . . ~ ~-m STATE OF NEW YOL~~ COUNTY OF ...~.~.~,?. ..................... ) dul~ sworn, deposes and says that he is the applicant above named. (Name of individual signing contract} Ha is tha ....................................................... ~ ................................................................................................................... {Contractor, agent, corporate of~cer, etc.) of said owner or owners, and is duly authorized to ~:~rm or have performed the said work and to make and file this application; that all. statements contained in this application are~%T~t~ ,~t~t~O~ol~S knowledg~ and belief; and that the work will be performed in the manner ...... , public, 5 ate or set forth ~n the ap~Ucat~on filed tbe~et~f~h. -3 sufto['~ County .......... ~'[~ .................... dayof .......,~.,~~ 19 ~...~.~ __ ,,~/..~ ......................... 'SUFFOLK COu~iTY ~*n ~ ........ ~e sewage disposal and supply water ~cilities for this loc~tion have been nspected by this department and found Chi~f General' En~ineeri~ I~LEVATtOIN..., APsE BA,~O ON AN ELE, V/,T~ON 04~ 0,0' AT OP..PI N ,&P.,Y NiC,44 WATEI~ IN 8.~$E "1,7 ELMER MYDLAND 8'~ WASHBURN ET, LAKE GROVE JU 8 - 1198 CHARLES IRWIN CONSULTANT ARCHITECT L ELMER MYDLAND 82 WASHBUR~'~ ST, LAKE GROVE JU 8 - 11~8 CHARLES IRWIN CONSULTANT ARCHITECT :1 /2- ,9 ELMER MYDLAND 82 WASHBIJR,q ST. ~,AK~: GROVe: JU 8 ~ 1198 CHARLES IRWii'~ CONSULTANT ARCHITECT ELMER MYDLAND 82 WASHBURiq ST. LAKE GROVE JU 8 - 1198 CHARLES IRWIN CONSULTANT , ARCHITECT