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Home My WebLink About5799-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No...z6281+ .... Date ............... Ja~ .... 9..., 19. THIS CERTIFIES that the building located at . .S0uad .Vie.w. Road ........ Street Map No. 0rl~nt. b.y. S~l~ek No ........... Lot No. 2~ ..... 0right.. NoYo ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... March ..Ma2~. 6 1971~ . ~262Z · , 19.~7~. pursuant to which Building Permit No. dated ............ ~-t~ri~-~. .7., 1~9.~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.i. vat~ .o~e..f. amtl. y .dwelling ....................................... The certificate is issued to .. ialv. a~;o~.e .&. tarrlet. Iaaaa a ........ .o a r.l ....... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) · · D~. · 30 · 197~-. by .R ,..V.11 la .... UNDERWRITERS CERTIFICATE No... N..1.66y$~ · · June. 2.1~ · · 19.7~ .............. HOUSE NUMBER ..... 8~% ..... Street .. So,md..vie~e .Rea4 ..................... .... ,(... ........... Building ~nspec~o[ FORM NO. i~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KFPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5799 Z Permission is hereby granted to: ...... k].~ ..&..~'~.t~t.. Zmlnn~ ....... .............. ~R~....O~~..&w .................... ................... ~.sZ&p...~e,,-',z,~ ............................. to ......... ~u,t,3,a,..a~r...e~e ..,t'.aa~...d~e],;k.~$ ............................................................................ at premises located at ...... ~..~J~ ....... e~L~l:~O..]~,..'~]3e.~& ....................................................... .......................................... · ~..1~!~ ................ Os,$.~'""ll ~':: ................................................ pursuant to application dated ................................. ~I~"~A.....~..., 19~..., and approved by the Building Inspector. Fee $~'a,~' ........... APPLICATION FOR CERTIFICATE OF OCCUPANCY ~,,.........~;/:~ ......................... ~ ..,~.~,~' ~,~,~ ~..,,~,~.~.,.~,~,~.~,~,~,,.~.~ ~ ~,~ ~.~ ............................... ................................................................ ~ ~, ,~,~,,,, ~ ~ ............. ~ ~ ............. ,,~,,.,.,~ .............. ,~. ............ ~ ~. ~m~ ................................................ ..L.~..~..~..~. ................... ~,--,~, ~ ~,~,, ........................................ ~ff~ ........................................ ~ ~fi~ .......,~ ............................ .................................... .............................. Sworn to before me~is~ ............ .~ ~o~ of ~~..m...x.... Notary Public ........... ~. ,/~..~ounty (stomp or seal) 85 JOHN STREET. NEW YORK. NEW YORK 10038 ~- ~une 21, 19Th 652017 THIS CERTIFIES THAT I ~/ ~alva~oDe iaGanza, uoun~vaewnu., e 'xnrue .u~*'.-~.., ....... , ,,. · i,~t&e.follmelng~oeatlon; [~ement .[~ ~,t~. [] 2,a n. Outside s~tio, mo~k Lot ICOOICING DECKS J OVENS I mSH WASHEI~ 1 6.1 1 ~.6 [~,~ i H.p. SYSTEMS ~?. ~ - ~ TRANS. NO. OF FEET EXHAUST FANS DIMMERS O~ S~RVICE DISCONNECT I NO.O~ S 1 20 CB OTHER AIh~ARATUS: Water Heaters: 1-~.5KW Electric Heater: R V I C 3/0 2-3.0KW 6-1.SKW 8-1.OKE 2-.65KW 1/0 Mike Siliri8 Main Rd. East Marion, N.Y. 11939 FOR BUILDING S COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. SUFFOLK COUNTY DEPARTMENT OF HEALTH No ~[~,-/C~9 H.D. Reference EASTERN DISTRICT, R~RHEAD,N.Y. APPLICATION FOR APPROVAL TO GONsTRUcT. PRIVATE SEWAG~"DISq~AE ~¥STEMS : ~ate l~e]~ 2m ].972 Appro.,val to construct said systems is requested,pertinent data herewith.~ ~ Sal~$to~e and ~let ~ P~n1'~8 6 Sub div'~zq ~r ~, 7-~ Address R~ m..-~,,~ ar. v.l~ ~-~-~-_.~ ~ 7-Section / 2-Detailed property l&~a{i%n- ..... - - '- 8-Lot No. ~ Hamlet m.~ ..~ Town m.~ m 9-Private w~l? ---~--qY{stance to nearest main ~-Pmblic ~- ~upply name ~-Lot Size: Width_~£to Length__~_tkl (also enter on center plot plan below:) ~-Dwelling: Singlg~mily ~ T,~ /Cellar? ~_~ Slab? / /Crawl Space? lO-Proposed iyetem: Septic tank~~Cesspoole ~/Shallow pools Il-Septic tank insi.de dimensions: V.~lume Gals,Length ft, Width ft, Liquid depth ft, 12-Precast sections. /~_~/Number~quare Ft, Cesspools: Block si~.eL incs,D ins,H ins, Total blocks below inlet: ~1/{~ ~2 ~O ~3 PLOT PLAN Street Capacity G.P.M. -i Indt e Nc 'th 'r~ ~ Data Feet ~-~#d' ~ 6 q,'a~'el 8 . 'tO . 1.2 ~6 18 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 Sewa. ge Disposal Systems". 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 (~0/65 Revis.) TOWN 0F sOUTHOLD ~ BUILDING DEPARTMENT SOUTHOLD, N. Y. Examined ..................~. INSTRUCTIONS a. This application must be completely filled in by typewriter nd submitted in duplicate to the Building Inspector. b. Plot plan showing location, of lot and of buildings on premises, relationship to adjoining premises or publLc streets or areas, and giving a detailed description of layout ofproperty must be drawn on the 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 on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occuponcy1~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pen~tt pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinonces~L. Regulations, for the construction of buildings, additiOns or alterations, or for removal or demolition, as herein described:: The applicant agre~s to comply with all applicable laws, ordinances,X~building code, housing~j~c,~lA,~.~,~code, and regulation~ ' i (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~AL.VAT.O/~E..A~D..Y~/~P*IKT...IA/)A~Z~ .......................................................................... .~ ........................................................................................(Name and title of corporate officer) ~-~ ~'~,~_. ~ 1. Location of land on which proposed work will be done. Map No.: .~.7]'.7. ............................. Lot No...~-J~, ................ · Street and Number .... ~und...V~,aw..Ro&d. ....... [.~'~l]~.¢~...D,O.~.. ~I,F, JO.I~I...~ ~,~ ........... ~.. .................... ~..... ~:;>~,-' ~ Municipality 2. 5tote existing .use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... ~zI~.Y~..'ID.Y~ ..................................................................................................... b. Intended use and occupancy ...... D'~I~i~.~I~.>..D~e..t'I~.~ .......................................................................... · Repair .................. Demolitio~ ..................· Other Work(Describe) ................. ~.~.. ................ 4. Estimated Cost " ~.. ~ ..... y.~ ...................... Fee .......................................................................................... (to be paid on filing this application) 5. f dwell f dwelling units ..... 9~ ............... Number of dwelling units on each floor ...0..,.]~... .................. ......................................... ................................ 6. If business,' ~)rnmercial 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 ............................... 6 flt~ ' .......,,~.,....~..?.?..~...... Depth 8. Dimensions of entire new construction: Front ..... !~. ............................ Rear ........................ Height ..~.~',~.~.~.. Number of Stories ...... .9..~...t. ........................................................................................................ 9. Size of lot: Front ..]:~.~..?.?.?. ............. Pear ].3~.68 Depth ..l~..~.~...~.~.~..~..~........e~t ~6~ 10. Date of Purchase .....~...../~. ....................................... Name of Former Owner.. ....................................................... .1. ]..*..Zone or. use..distrtct .in.which premises are situated .................................................................................................... 12. Does~prpposed constructjon_viola.te pny. zo,mng I_aw, ot~lmaBc,~or,.r_egu_l_at~_~_,~...~:: ............................................... 13. Nam~o--'r~o:Eprem|ies ................................. ._.~.~4~ldLreS~,iL,~ ]~14~1~ .. Phone No ................... Nome of Architect ~T~II~.II....]~I~.,,~, ,~. .................... l!l~/Z,~ ............. : ............. Phone No ..................... Nome of Contractor ............................................. ~ ...... Address ..... :.'.. .......... . .-,..!,'..:' ...... : ........ Phone No ..................... PL(~ DIAGRAM ., . Locate clearly and d~stmctly all butld~ngs, whether;:ex~sting or prepused,~,~nd~cate all, set-back d~menslons from ~pmperty.lines.: Give street and block number or desAription according tb/d~-/end show street, names and indicate whether interior or corner lot. 5 ST^'r ~. COU~ OF ...~,..~ ' ~t .... ~ duly s~rn, d~s and says t~t he is the applicant above nome& He is the .......................... ~ ...................................................................................................... (~tmctor, agar, co,orate officer, ~c.) of ~id ~ner or owners, and is duly authorized to perform or hove peffo~ed the ~id work and to ~ke ~d file · is applicati~; t~t all statements contoined in this rapplic~ am t~ to the best of his kn~ledge and belief; and ~a~ the work will be performed in the manner ~t fo~h in the ~plic~i~ fil~ ~er~i~. , ....... ......... . ............ : ....... ~ ~ JUDITH T. BOKEN ~ NoIaF Public, State o~ New York No. 52-0344953 Suffol~ Coun~ Pc./ of s~d~O., ~.~, o; - ~ot~no. o~ j.~ Lo-r O-weI{ (-A LoM. ',F L A~ i NJ G, 'CODES:ALL FEDERAL, STATE AND LOCAL CODE$~ " ORDINANCES. REGULATIONS ETC., SHAL:L BE 'Lr~EVATIONS OF GARAGES, PORCHES, . ' TE:RRACES, STOOPS, GRADE CONSIDERED AS PART OF SPECiFiCaTiONs FO~ ON PLA'NS, ETC.. ARE suBjECT TO CHANGE THIS BUILDING AND SHALL TAKE PREFERENCE OVER ANyTHiNG SHOWN, DESCRIBED OR ' TO MEET TOPOGRAPHICAL CONDITIONS. ' ' . IMPLIED WHERE SAME ARE AT vARIANCE. C~LiMG ' I=IM. 1399. i O I_ C,'' ~'~7LG" T~j~ICAL uP .I L_ L/LC F- L g'"~ /0" JDIST¢ - tG" O,C J_ I /4[0" 2 "x/O" JoI5 T5 - 16, '/O,~C; ,~RIDG ED .] ~3" PRD._'YF-.C 5?Lo" BOt 0" CONTRACTOR TO VERIFY ALL DIMENSIONS 'AND MAKE WORK AGREE. T~o~ ~Y C) ALL A~,O~Jk,l~ . PL A~V ,SCALE ,, , gq -0 'X ]<t T 'HEM ,.ROOM LtVthTG ROOMI 5'-o" 3'-G" IZ'-0 ~ED ROOZWi ~ ~eD N t / ~ 0 NOTE 5: f) ALL E~F~IOI~ WALL5 ~HOW&I TH/CM. Z) ~LL I~ZTEZ/O~ Wa. tS FHO~/A/ TH/C< COUT~'4C?D~ TO VE~IFY AK[ 13q? ' ~ IL FA I L-LB Z" (z) -'" " ~5~H A LTU ,k/1 DWGi