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Home My WebLink About6292-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at R.:©. '..~:...E./.8. ~. t.~.l.~. .E.ec~ ~reet Map No...x~.. ........ Block No....x~. ...... Lot No....x~g.......~..to..h.o...g)~..' .l~ ?.Y.. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... .D. eo .... ~.~..., 19.?~. pursuant to which Building Permit No. dated ........... D..e.~.. ?.2. .... , 19.7.2., 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~.~t$..mm. £matl¥..~L~.lng ........................................ The certificate is issued to .C.h.a.~.l.e..s..~..~..$~..Y. ...... . .~_kn. e.* .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval J. tll~...lit. ~ 9.7.3.. b~.. g.*..V.~,ll~ ..... UNDERWRITERS CERTIFICATE No....ll...~3.8~...,..1~. ~..., .1...!973 ..................... HOUSE NUMBER. '16,~ ...... Street... {.~.e.O.e..~/.e)...~..~.'l;.t;~.e ~I.e..e~...R..o~,~. ............... Building Inspector FORM NO. l TOWN OF $OUTHOLD 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? 6292 Z NO~E z Permission is hereby granted to: Legend ~,oods Inc A/C Charles G. Tangney ....... ,~.....~..o.~.?..~.e.~,..~ ............................. ............... ~..o..~L.~s.~ ~.~ ~..o.~.....~..,.~:......H.7.7.?. Build new one fa~:~ily ~welling ~.0.,,!. off ,~/~ Little ,¥eck Road at premises located at ............................................................................................................................ Cutchogue h .~. pursuant to application doted ........................D..~,......1..1, ............... , ]97..~...., and approved by the Building Inspector. Fee $.!..0..~ :. ?...0. ......... Access road nust be imoroved and completed before a certificate of occupancy can be issued. Building Inspector FORM NO. $ TOWN OF SOUTHOLD Building Delm~tment 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 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, 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 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 $5.00 3. Copy of certificate of occupancy $1.00 Date ...... .6./,.~. ~. ~. ........................... New Building ..... Z.. ............ Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ~.~.~*...~.~.W..*.~.O.~.~.~./..~.~.~.~.~..~.~.~..e.~.~...~..~.~.~.~.~..O.~~A~t~* ............ Owner Or Owners Of Property ....q.~....a~/...]...e..s.....G........?...8~..~...e..~. ........................................................................ Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No.....~..2..~.2.. ....... Date Of Permit ..]:..2../..]'...2../.~.2. Applicant ...q......?...~....~...e..~'. ........................................ Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ..~.~.~.~0 ................................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ..Z ..................................... Fee Submitted $ .................................... Construction on above described building, and p~rr¢~' n~ets aJJ applicable codes and regulations. , ./ Applicant ..J~.~,-/d,t~b./T... ~,,~.~.!,,.~ ............................. ~BY: Rob6rt Z~e~end.~e (V.P.) ......... Sworn to before me this ~ day of~ Notary Public ........... 1~ ......... Coun~ No. 3~7476~50 (stamp or seal) SUFFOLK COUNTY DEPARTHENT OF HEALTH H.D.Refersnce APPLICATION FOR APPRC~ALTO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: Date 1-Applicant ~4~ ~ M $ ~/~o ~, ~,¥ ~, Phone ~ ~-~ ~/ 6-Sub div ~ - Address ~/_A~wd,~ D~,.~ ' ' ~ .- , , ~. ~ 7-Section 2-De~il~ p~y location ~/~ ~/~, ', ", ~?~ '~=/~'-.~ "- ,- L~8-~t No. ~mlet C~ ,~,~ To~ , 9-Private well? ~= ~ 3-~blic ~ter supply ~me ~s~nce to nearest ~in 4-~t Size: Wtdth3Y~ ~ ft. Length~ Y~ *ft. (also enter on center plot plan below:) 5-~elll~: Singl~ Family ~ ~ Fa~ly? ~Cellar? ~lab?, ~Crawl S~ce? ~ ~ 10-~o~s~ syst~. Septic ~nk ~f~eca~Cess~ols ~S~llow ~ols Y YOther ~ / ll-Septlc ~ i~tde dimensions~ Vol~/~als.Len~th ft. Width f~. Liquid depth ft. 12-~ecast sections: ~Num~r~Sq~t. Cesspools: Block size~znc~.D ins. H ins. Total blocks below i~et: ,1 ~2 ~3 ~ ~ ~' ~ ,','.~ ,~ ~? P~N Ca,city v ~ls. G.P.M. (~,. ~.'3 W.L. Street Data Feet 0 2 4 6 8 10 12 ~6 18 _ , ,: ~.~ Ind~ :ate authorized installation~ will be in The Undersigned CERTIFIES: "Construction of accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sgwage D~s,,p?sal ,Systems". o~, ~ilder 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 /~/~-- Signed (10/65 Revis.) S-15 MOOSE '. ANE ~. ~ SU~TOLK COUNTY BEALTH DEPARTMENI~ Michael Savlle The sewage disposal and water supply o ~oilities for this looation have been " speared b%r this department and found / be satisfacterF. ~ ~e~Ices J ~ Z~ne~/ ~ I ~ i Proposed Helen B. Andru s k i -i Way N.89°17'00' Vt. Area= 4.215 Acres Paul Dunhuber (/~,.. £,'~ 39/.58' / 41W. 40' Jessie Baldwin · -' MONUMENT FOUND e=MONUM£NT PLACED DEC. 5, 1972 FEB. 8,197'$ JUNE ?, 1973 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERH£AD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: CHA RL ES G. TO ~[ A AT CUTCHOGUE TOWN OF SOU THOL D SUFFOLK CO., N.Y. SCALE: I" =100' DATE:NOV. 17,192'2 W2-9~4 D E pA RTM ENT.,~'~-.,,~ BUILDING TOWN CLERK'S OFFICE ......... , ..... ........ ............ , ......................................................................... ,...~....~ ..... .................... (Building Ins~) ~ ' &FFLIC&TION FOR BUILDING FERMIT " ' " ' INSTRU~IONS a. This application must be cqmpletely filledip ,by typewrite~ or in :ink and submitted in trip!i~ate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acbording to schedule. b. Plot plan showing location .of. Jot apq of buildings on premiss, r~lationship to adjoining premises or public streets or areas, giving a detailed description of layout of I~roperty must be drawn (~n diagram which is part of this application. ~- c. The work covered by this application may not be commenced before issuance of Building Permit. d. Ul~on approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit.shall be ke the promises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have 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, Suffoik 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 las1~ ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspectio(~J Y~eKe~ I/eels+ Xae. {Signature of applicant,~or name, if a corporation} (Address of applicant) 11777 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... Name of owner of premises ..~rAI, R,T~,.q~..~,....~II~IMI3r. .................................................................................................. If applicant is a corporate~lignature of duly authorized officer. . ............ (Name and tfl~e of corporate officer) Builder's License No, .,,,~,,o,.=,.,e, ............................................. Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No.~...e..s..c...~..~..~..~.~,.....Z~'.~.~..'lrd[...Lot No ......... ~.~ ............. Street and Number ..... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................ ,.... b. Intended use and occupancy .O~e.._~a~l.l~r,~.e~L, ~e ................................................................................. 3. Nature of work (check which apl~licable): New Building ...... [ .............. Addition ..................... Alteration ............... Repair ....... Removal ........ Demolition ........................ Other Work .................. (Description) 4. Estimated r,~ ~8sO00*OO Fee~. /~5-, ~ (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~o,o .... .......~°ll-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 ...~..~..,."..8..". ......Rear ....z[-~..".8.?. ............. Depth .....~t.~..2. ................... Height ...... ~/~..."..0..". ............................... Number of Stories ...... ~. ................................................................................ .~1~.,.~0. .......................... Depth .....~k~2,o.~! ............................. 9. Size of lot: Front ....,~9-].~ ........................ Rear e 10. Date of Purchase ....~.~/~.~.J~2. .............Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed cohstruction violate any zoning law, ordinance or regulation: ..... ~l[fl .................................................. 13. Willlot be regraded-,~,~, ........................... Will excess fill be removed from premises: [ ] Yes [Z] No 14. Name of Owner of premises ..... ~ll~-e, fl...~ll~eT.....2~..~:na~..,~.~..,~is~tq}ph~l~o~a~No~...~_____ .... (Address) Name of Architect ...,~a~..,~:ge;l~ ............ ~jL.ff~,l~..J~cl, d~.~s~:tE~,&~l, .......... ~(l~no~?~o.)~ ............ Name of Contractor ...~..~.~.~.~....~.9.~.~.J...~lR~'~...~.~..J~l~.~.~.}f...~.t.*..~.~.~-~ ............ ~..~..~..~.~. ............... (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 or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW YORK, COUNTY OF ......................... J 19. ?Z,; ........... '(' of individual 's'i~;~'~'} ................... being duly sworn, deposes and says that he is the applicant 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 ell statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the n~anner set forth in the application filed therewith. I~a ~blic, State of ~ew ~ ' ................. ,.,......-.. .......... ,ayof ......... / .otary pu ,,c. ................ "~ ~ ~/ (~t~m of applic~t) I~O0$E tRAIL FA Michael Savlle Mary Zeneski Proposed 50' Right of Way · . ~-.-S. 89',54'/0",E. r® ~'**' ,. ~ ~: ',l, Helen B. '~...o. ..! Area= 4.215 Acres N.89~17'00'' Vt. Pau/ Dunhuber $91.58' ~ 41Z40' ~ Jessie Baldwin IVO TD ·: MONUMENT ~OUNO e=MONUMENT PLACED REVISIONS DEC. SURVEY FOR: CHA RL ES G. CUTCHOGUE TOWN OF SOU THOL O SCALE: SUFFOLK CO., N.Y. YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG ! ~1~ 'Z~ -% r/rL~/~u& (~0. = ,oo' I DATE: NOE 17. 19X2 I N ~7~_ 924 , t -? F R£VISION5 .o r,^v£ ev J"~ ~ i' , .$.=; 7-", ' ?., f .1 L~ ?.:L