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HomeMy WebLinkAbout5947-zFO~W~ NO. 4 TOWN OF SOUTHOLD BUll,DING DEPARTME, NT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupancy No. ~2~..h.[~2 .... Date ................~'ala..~0 .... , 19. F.~. THIS CERTIFIES that the building located at . Stars..gea~l ............... Street Map No. ao~o~d~l,e~t Block No ...........Lot No. 1.~ .... Mat. ~lo~,..]~,~., ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ J.v, lae...1,~., 19..72 pursuant to which Building Permit No.. dated ..........J.~r~...l~..., 19 .?~., was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... Pr£vat~..one. £a~ly. ~w~lling ..................................... The certificate is issued to .... F~:~th. ~tadelram_~ ...... 0~er .................... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) ... Ce.t,.. 20... 1975.. .a.. UNDERWRITERS CERTIFICATE No...l~2~0.%1~1 .... Oat...1~..-t97~ .............. HOUSE NUMBER .... $~80 ......Street... $.tal,$. lloa~ ....... ~a~ l~al.~.o~a ...... ing Inspecto7 FORM NO. ~ 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) N? 5947 Z Permission is hereby granted to: ,.!..~.~..~.~...~. ........................................ ....~....~..~ ............................................... ...... C. ellala~ ....... 1[.~.....1.1.72~ .................. ~o ...... ~M~..l~v..~a~..g, ljt,~..d~ett~_~,~ ................................................................................ at premises lecoted at ........~J~.~....'J...~. ....... .~..~..~.l~....~..~.....l~...~J~ ..................................................... ................................................... ~t,~a..li4~ ................ F~s$..lla~,.~.... # ,~.. ........................... pursuant to application doted ..................... eTIII~J.....~.~, ............... , 19..~L1~.., and approved by the Building Inspector. Fee ~.~ ~.. ............ pERM, IT INCLUDES APPROVAL TO ~,EMOVE EXCESS FILL FROM ABOVE PREMISES i~GR~,DING LOT D~,V~WAY CONSTRUCTION CESSPOOL CONS I RUCTION CELLAR CONS~ RUCTtON OTHER Building Inspector FOR~ NO. 8 TOWN OF SOUTHOLD , 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. 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), No~-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. Swam statement of owner or previous owner as to use, occupancy and coalition 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: i. 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 I-I -'7 Date .................................. Z ......... New B~ilding .....~ ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...Jt..~...~.....~. ......... .~.~.....~.~...~....i~.......~.....~....~...../...&'.....J~... .............. ..~....../~.. .................. Owner Or Owners Of Property ~..~x~....~..~:~.C.~.~/..~..~./~ ....... r~ ..................................................... Subdivision ~....~.~...~/...~..~,~.~.~.~.~.L.~. ........ Lot No ....../...~... Block No ............. House No ............. Permit No..,~..~...~..~..~. Date Of Permit ~/./.~/~,,.~-....Applicant .........~..~..../~.~..~.,.., ................................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fincd Certificate Fee Submitted $ ..~./....~..C~ ................... Construction off above described building ~Id~,permit meets,/~ applic,ablecodes and regulations. ^pp,,cont ..... .................. Sworn to before me~is ............ of ..................... .Z .......... (s,.c. or T,HE NEW,,YORK BOARD OF FIRE UNDERWRITERS ~ ,I ~ ,~ ~,, =Ir , ~ ~! ii! ' I t: ': BUREAU OF ELECTRCTY ' i i : I =II =l iii I i Date, OCte}b~ :'IR,, :~.CJ?~ ;~i ~i ~!/lppli¢~toe~No, onfile 72~68~_ ~ ~l i ,i i ~M, ~q! II o~y ~he ~l~tr~col ~jp~t ~ ~¢.~ ~w ~d ~n~r~ed by t~ ap~hca~ ~med ~n the a~ application ~umber I~ Ihe premises ~ ~ ,,~dl,~ado~agO,:~g80 Stav~ Rgad, East M~,~gn, ~,~..~ ,,, ,, ~ r~ ~, ~, ~XTU~E ~XTURE$ DISH WASHERS 31 DRYERS OTHER APPARATUS: *Furnaces: Oil 1-1/Shp, 2-1/12bp Motor/s: 1-1hp l- 4.5kw Hot water heater Fred Stadelmann, 502 Madison Ave,, Greenport, L.I. 1194~ This certificate must not be aiteree in ony manner; return Io the office of the E~oard if incorrect Per~ nsoectors may be identified By their credentials tV.'t'9~4Z'40"E. I~.1.17' ,09 ,~ 79'421 '..'iO'%V. - /gZ.l..~ Lo"7- I~ ,5~= ta' : 40'= I" SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference N c~3 ~ ~///.~~ APPLICATI8N FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: 1-Applicant Fred Stadelmann Phone8~2-15286-Sub div Stars Manor Address 370 East Drive, Copiague, NY 11726 F-Section 2-Detailed property location Stars Rd. l~4~ft Main RdB-Lot No. 1 4 Hamlet East Marion Town Southold 9-Private well? Yes 3-Public water supply name Distance to nearest main 4-Lot Size: Width 106 ft. Length 1 Q2 ft. (also enter on center plot plan below:) 5-Dwelling: Single Family ~V~ Two Family? ~ /Cellar? ~_~Slab? ~ /Crawl Space? / / 10-Proposed system: Septic tank .f fPrecast~Cesspools / /Shallow pools J /Other / 11-Septic tank inside dimensions. Volume q G~als.Length ft. Width ft. Liquid depth 12-Precast sections: ~ /Number~ /Square-~. Cesspools: Block sizeL incs. D ins. H Total blocks below inlet: ~1 !~ ~2_~3 PLOT PLAN / ins. Date May 11, 1972 Capacity 82Gals. Vacant Vacant Vacant G.P.M. I 1 . ~~ ,W.L. Vac ant ~ Vac ant 80 :at 'th Street Stars Road Data ~eet 0 2 soil 4 6 8 l0 12 sand 16 18 bOl will be in Vacant Vacant Vacant N ~ Ind5 Nc The Undersigned CERTIFIES: "Construction of authorized installation: accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewag~e Disposal Systems". Date Ma~ 11 ~ 1972 Signed ~Z ~~2-~-'-~,-~~ 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 ~-~-/~--~ Signed i~ (10/65 Revis.) S-15 $~PLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS: Applications must be submitted in triplicate 1-Means Owner or Builder. Address to ~ich mail should be directed. 2-Means detailed description of property location, together with street name and distance to nearest intersection of main thorofare, also H~mlet/Village & Township 3-Enter name of Public Water Supply District, together with the distance to their main. ~-~ter 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 Nl,mber 8-Lot Number 9-Private well: Enter "No" if Public water supply is available. Enter 'Yes" otherwise. PROPOSED SYSTEMS: Answers to Items number 10, ll, & 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 IV " - - " " " UnUsual soil conditions Part V " " " " " " Shallow ~eaching Pools PLOT PLAN: The following information is required concerning the Applicant's Lot: Lot size-Length and Width in feet to be i~dicated at the Lot linem of the heavy lined square in the center of Plot Pla~ shown on face 9f th~s a~plication. Surface waters-Streams, Lakes, & Bays, etc., located within a distance of 50 feet of Applicant's Lot 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 ~o the Applicants proposed Sewage Disposal Systems and Well. Where no Buildings exist on adjacen{ lots, state "Vacant" on the plot plan. ~ Streets adjoining applicant's lot to the right, left or rear, enter street name. WE~L LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the~ following Standards must be observed: Well-lO0 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-lO 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 minimum distance from surface Waters, Streams~ Lakes & Bays~ etc. : trees ' - Cesspools must be 20 feet minimum distance from large Cesspool center to Cesspool center must be a~lM~l l~ if~et ~ ~ Cesspool cover top to grade must be held to min~ o~ ~1 ~ood ~ maximum of 2 feet Bottom of Cesspool to ground water must be held to minimum of 1 foot .5.79°4Z 191.17 Low /,4 inspec! ~d b~' "' ' ~ '~' to be s ati~iactory.~--~ Chief of Oenere, 1 Services APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 shell be kept on the premises 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 sh~ll have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance, ofa Building Permit pursuant to the Building Zone~ Ordinance' of ~the Town of ~outhold, Suffotk County, New York, and other applicable Laws, Ordinances or RegulatiOns, f~r'the~onl~ruction buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all agglicable ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, Jesses, agent, architect, engineer, general contractor, electrician, plumber or builder. General contractor Name of owner of premises ..... Ed. ith St.a..d.e_l~a..n~.... . ...................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: .~.~.1..~. ..... Lot No .......... .1...4. ................................ ., -- Stars Road East Marion. NY Street and muml:~er .......................... i~.~;~. ............................................................................. '""'l~i~i~;"if~ .......... 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,;,-~: ' a, Existing use and occupancy .................................................................................................................................... Dwelling (residential) b. Intended use and occupancy ............................................................................................................... ~-~.-~.~.'"%~,. 3. Nature of work (check which applicable): New Buildin~ .......~...e...w. ......... Addition ' ..................... Alterat,on ............. Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) ....... $20,000.00 4. ,samamo ~o, ..................... ; ......................... Fee ......~...~;..~..'~.. ........................ . .................................................. · ' (to be paid on filing this application) If d,Welling'~ number of dwelling Units .......~ ........ Number of dwelhngunlts on ee~h~floor ..].~$,1L..~..r~t,~.tl~l...2...r~. If garage, number of cars ........... ?..n.e · · If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rea-~ ........................... 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 41 t_6" Rear ....... .~.1...'..T..6..". ....... Depth ......~.(;....r.~. ............... Height 23 ft Number of Stories two g. Size of lot: Front .....1...0...6..'..-...0.~ ................. Rear..........................................1 06'-0" Depth ........ .1. ,9. .2. .. .f. . .t. ............................ Height .................................................... Number of Stories ...................................................................................... Date of Purchase June 8, 1971 Nameof~ ..... n ..... ' W. Schreoder Zone or use district in which premises are situated ................... ~.A.'. .......................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ............... .N...o. ...................... ~ ................. Will lot be regraded .......... .Y..e.?.. ................... Will excess fill be removed from premises: [x] Yes [ ] No Edith Stadelmann 370 East Drive, Copiague, NY842-1 28 Name of Owner of premises ..m .......................................................................................................................... ~... (Address) ' (Phone No.) Name of ~,,k~.,,. H.H. York & R.E. Schenke (Address} (Phone No.) Neme of Contr, tor ............... (Address) (Phone No.) 10. 12. 13. 14. PLOT DIAG RAM Locate clearly and distinctly all buil~dings, whether existing or proposed, and indicate all s~-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 Iot.~ STATE OF NEW YORK. Suffolk ) COUNTY OF ...................................................... ) ...................... ~.~.~....~.,,~...~.~e,....]:~... ,~.,... ...................................... being duly sworn, deposes and .y, that he is the a~li~nt abo. named. fNa~ of ~i~ sing ~n~act) He is the O ontrac t or ~n~tor, ~, co~mte o~, of said owner or o~ers, and is duly authorized to ~orm or have ~or~d the ~id work and to make and file this appli~tion; ~at all s~n~ con~in~ in this application are true to t~ ~st of his knowle~ and ~lief; and that the work will ~ ~r~ in ~e ~nner ~t fo~h in the ap~ication fil~ t~mwith. ~EOR~ C. S~H ' r ~0~ P~C, State ~ew ...~ 1 3t~ ~.. ~ J~e ~o. · ................. · ~nt~ ~z~hlir~ ~d New Y~nfies - ~ .,. ........................................................... =~.~ ~. ~t~ ............................................................. 4 IL6'f ~ 12'- ~" 6'- 0" ~ 23L0'' 5'-6" ..... -' .... ,-k- .;'o" 71 II DOW$ 8;0" 3x B J,~I~S /6 o,c. .... ~ TRIPPLE 7Lo'' 7L I0' 3L6" PITCH 5 ' CONC. FLO0 R A ,] FULL BASEMENT :EXCAVATE POe 4 CONC, FLOOR ~5"o.c, -- 13~0" 5x8 J ST3 16 o,c, t5'~ 8" POURED CONC. FTNC~. (T YPICA L) TOP COURSE I2"CONC, BLOCK FOR DECK/~,EA RING / FOUNDATION PLAN SCALE. ~=t-0 A 9C6" 5"GARAGE FLOOR CONC. BASEMENT FLOOR SECT/ON SCALE ~'L_ /'-0" ETN5. FOR ';, ~ARA~ FOU~ZZ CONC, FTNG 32L0~ i \ 13~6" BEDROOM UPPER f3qRT L/V/NC ROOM UP?£R fO'-2' RT Pr~ E FA B 13 -4 FLOOR. 504 6Lo" 12c G " W~ GIRDERS '. 2xE JOISTS BEDROOM -- W)£' RAIL GA RAOE UTILITY 21L 8" 2-2v,8 6/RDEF~ F~C OM Id-lO" FIRST'FLOOR SCALE~"=i'-O" 1091 scI. Ff. 4;0"