The URL can be used to link to this page

Home My WebLink About5689-zTOWN OF SOUTHOLD Bun,r)ING DEPARTM~,NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2[...~.~/.~./... Date ............... .ff.~..r..4.....Z~'..., 19.~.. THIS CERTIFIES that the buJ]d!n~ located at .~.~. (P...L.,~.~.6....~/?f..~....?..~treet Map No ............. Block No ...........Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in thi~ office dated .........~.E..C.....~..O.., 19.?J. pursuant to which Bui]ai-g Permit No. ~.~..~.?? dated ..........~.A..~ .... c[..., 19.~..~W., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this cert~icate is The certificate is issued to . ~A].~ kk ~/~ ~ ~-~ · ~0~ ~ ~'t/~ ~,-f ~ ~.~ (owner, lessee or tenant) of the aforesaid building. _~'v -e~-rl~ ~, ,~ U~D~W~rr~s ¢~?n~ZCA~ So. ~..~J!. ~ ? .... r' !¥'' '??'?' ?'~'?'7 ....... HOUSE NUMBER ~o~l 0 Street L!-TrL-~ ................. ~./....~..~ ....... Building Inspector FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPART~EHT ' TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TFIE PREMISE COMPLETION OF THE WORK AUTHORIZED) 5689 Z UNTIL FULL Permission is hereby granted to: ',to at premises located at ""JJl~"J~J"~r:~ ......... i'"i~ ................ '~ .......... : ............................ ............................................. Sa~e~. ...... '~'~'~,~ ............................................................................. pursua:n¢ to application dated ..................... .~.~....~j~.i.,~.: ....... i...., 19.~J..., anti'approved by the Building Inspector. ~lJ~J'l ~ ;literal" t~l~: ;;~ pE~.,/,IT~* INCLUDES APPROVAL TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY qEGRADING LOT CE~SPC'OL CONSt RUCTION CELt,AR CQNSTRUC YtON ..... OTHER FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, ORDER TO REMEDY VIOLATION °ate ................................. ~.~.~...~ ..... (owner or authorized agent of owner) (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that ...~ ...... ~. ........... 'T' ......................................... ~......~...~..i~ tstate character of viol.ation) ~.~3.....~..~.....~..e...~:.~.~...s.~.~.......~.~..~.~...~.~.t.~.~.&.....~..~..~...~..u..T. ....... C I.~,F~.~ S OF OcCU c ~ ........................................... ~.~....~ ...... ~ ...... ~. .............................................................. (State section or porogroph of ~pplicoble law,~ordinonce or regulotion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the conditions above mentioned forthwith on or before the ................................... ~ ~ d~y of .................................. H.~..e....C...,..., ~..T....6 L The premises to which this ORDER TO REMEDY VIOLATION refers are situated at' 3~.tO l.~rL.e~ N~ lCe~ ~'~¢.o nt .................................................... /. .................. ....~-~u y of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable Provisions of law may conatitute an offense punishable by fine or imprisonment or both. Building Inspector FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO ...8.~,...],o.~ea,~m..~a~f~;lA.eaX...i~t~e~a= Ch~oh ot OFeenport (owner or authorized agent ot owner) ......... .~r~onpo~t~t..Ko'V. .................................. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ....... Zf:XlL:L~, ...................... Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ...04~14Fttli~:~f..&.;(LWe~..¥~,~t.O,t~t;.-: .................. ~state cnarocter oT violation/ .~..(~e~,~.~®a~ee..ei'...OeeupM~e~ ................................................................................................. in violation of ....... ~.on:~e...Azt;ie~..Z~[.Y. ........1.~.-.1..LL~. ......................................................... (State 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 above mentioned forthwith on or before the ........... ~ ................................................... day of ........... Ms, b, ............................... 19....~8 The premises to which this ORDER TO RENtEDY VIOLATION refers are situated at ..~s~..L.:L~rt~).e..Ji~o2r...~d)li&~..~l~6vh40~lZo..County of Suffolk, New 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 FORM NO. 8 TOWN OF SOUTHOLD 0 hiJdlng Depamuent Town CJesks Office bi'hold, N. Y. 11971 · APPLICATION FOR CERTIFICATE OF OCCUPANCY hutrucfions 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: I. 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 fram Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildin.g.s and installations, a certificate of Code complience 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-existin~g" 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. Dote of any housing cede 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 $~i.00 3. Copy of certificate of occupancy $1.00 If ~ ...... .... Now BL~ilding ..........~/...... Addition ................ Old or Pre-existing Build/ng.. .............Vacant Land ............. ' Locat on Of Property ......... ~ .......... .~....~.~.. ..~..~.....~ ............................. ~. Owner Or Owners Of Property ......~....iL...~..~..~.~.....~~.ii.i ...... i..i ................ iii} Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No......~..e~Dat, Of Permit (~......~.,...1~kpplicont Health Dept. Approval ............................................ Labor Dept. Approval ........... /~../....~ ........................ Underwriters Approval ............................... :;~..Plannmg Board Approva ................... ~ ............. ............. z ......................... FinaJ Certificate .......................................... Request For Temporary C~_ert'~te Fee Submitted $ .................................... regulations. Applicant ..I../8-1Z...~.......T~.....~ ~....~......~7.....; ............................. .... Sworn to ~ me th/ Notary Public~,~.....~ .......... County (stamp or seal) SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference No ~ '~'Yb APPLICATION FOR APP~JD~AL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: 9-Private well? to nearest main 1-Applicant ~-m .... J = ~J...,*.t PhoneV?~'A 6-Sub div Address ~.~--I~..-..1 ~.._. ~..~tg ...~ . t .~ . 7 Section ~et ~. ~_l ..... ~.~. 'ro~ 4-Lot Size~ Width~um~__ft. Length~A~ (also enter on-center plot plan below:) 5-Dwelling. Sing~amily ~ Tw~'~%~iy? ~Cellar? ?abV Craw~ S~ce? 10-~o~s~ ~st~: Septic tH~ { ~ecast~Cess~ols ~S~llow ~ols ~Other ~ il-Septic ~ i~ide dimen~ons. Vol~e G~ls.Length ft. Width--ft. Liquid depth ft. 12~ecast sections: ~Number~re~. Cess~ols: Block sizeLincs,.~s.H i~.. Total blocks below i~: ~1 ~2 ~3 0 e~ ~e~ ~e~&~_7, ,~T P~N' · Ind~ Nc ~te :h Data Feet 6 8 lO 12 Th~2Undersigned CERTIF,IES: "Construction ~f authorized installations will be in accordan¢~with the Suffolk County Health Departments' current Standards, Bulletins, and,amen~n~ thereto, covering Private Sewage Disposal Systems". S igned ~-~ ~ m ~J~er- -or ~ B~il~r- - ~" - - - FOR HEALTH DEPART~ ewith, it is th~ opinion of'the Health Department, that,mn adequate and satisfactorySewageDisposal System can be installed on this Plot. Date._~l~~ Signed (~o/65 a~vis.) 8-15 APPLICATION FOR APP~0VAL TO 'CONST~¢T PRIVATE SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS: Applications must be submitted in triplicate i-Means Owner or Bn~lder. Address to ~bich mail should be directed. 2-Means detailed description of prop$rty location, together with street ~ame and distance to nearest intersection of ~ain t~horofare, also Hamlet/Villa&e & .T~wnship 3-Enter name of Public Water Supply. District; ~oge~her~i~h '~h5 dista'nee t6 t~eir main. 4-Enter Length and Width of Lot u~der appropriate heading, also. enter these dimensions on cente~ plot plan shown on the face of this application. ~-Dwellings.' Check-mark ~V" items applicable to t~e proposed new dwelling. 6-Nam~ of sub-division ?-Section Number 8-Lot Number 9-Private well.' Enter ~No" if Public water supply is available. ~nter "Yes" otherwise. PROPOSSD'S~STEM~: Answers ~to Items m,~b~r' 10, 11, & ~2 please ~oD ~spl$ the Suffolk County Health Department' s Standards, ~,1 ] etins and Amendments. for SSwage & Waste ~iSPosal Part II. Reeidential Sub-surface Disposal .S~v~t~em$ ce~erin~.E~ss~oels .... Part IV " " " " " " Unusual soil conditions Part ¥ " " " " " " Shallow Lea~hlng Pools PIOT PLAN: The following information is requi~ed concerning t~e Appli~c~nt's Lot: LOt size-Length and Width i~ feet to be indicated a~ the ~ot lines of, the heavy lined square in the center of-Plot Plmn s~o~n face of this a~plication. Surface waters-Streams, Lakes, & Bays, etc., locatedi wi~ ~th~n a dlatance of ~0 feet of Applicant's Lot lines, must be shown on the~l~o~pl~n ~Iee.~~ Wells and Cesspools now on ~dJaca~t lots m~st be shown on the Plat Plan together with the distance to the Applicants pr~e~osed Se~age Di?~osal~ Systems an~ Where no Buildings~ exist on ·adjacent lo s, state ~acant" on the plot plan. Streets adjoining applicant's lot to the right, l~e~~ or rear, enter street name. WELL LOCATION: To locate t~e well ~ sewage ~disposal 'systems on App~lic~nt,g 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-lO feet min~,m distance from f?ent, and front sides of property lines Well-50 feet minimum below grade for Jwell point Well-40 fee~l~inimum into ground water'for well point Well-$ feet 6 ins. minimum below ~Era~e to well. head and lateral water~i~ ' .CESSPOOLS LOCATION: Upon determination Sf~the 1Sewage~ & ~W~ste disposal~"~ype,o~'~ Cesspool-lO feet minimum distance from lot lines to center of cessp~ Septic tank exterior must be~7~ f~et from nearest well Oesspool "C ter" =st h. fe.t distance n rest wat Cesspool "Center" must be 15 feet.fr~m house foundation Ces~poOl exterior ~Ast be ~0 feet mi~t-,,~ distance from surface ~a,~r~Stmeams, Lakes & Bays~ etc. ~ Cesspools must be 2D feet minimum distance from large trees Cesspool center to Cesspool center must be at least 16 feet Cesspool cover top to grade must be held to minimum of t food to maximem of 2 feet Bottom of Cesspool to ground water must be held to minimum of ! foot L ,~ Af O S-9 SCHD SUFFOLK COUNTY DEPARTHENT Date Bldg. OF HEALTH MAY 3 t 1974 Permit No. TO WHOM IT MAY CONCERN: The sewase disposal facilities for a structure located / (Give deed (ocation)7 have been inspected by this department and found to be satisfactory. sAY s t ~974 Chie~ of Oenerel Bnginesring Services TOWN 0~' SOUT~ ' q~l~.~ ~'~ ~,.~ - ~ ~ TOWN C:LERK'S OFFIGE · ' "'" ........................................ ' .......................................... :~v'.~ '-"~t,* ~,- ~'."-~. ~.~ Disapproved a/c ./~.j ....... ~ ........... _. ................. ~ ............................ ............................... ~ ....... ~......~....~ ..... _ _ '__ .~~~~b~'~.~ O,~l~.~. ~,~ . I~' ~ ~ .~/ ~ (Building Insp~tor)/~ ~o~ ~l~ ,..:~ .1-~, ' ' -/~ -~' /~oo~= ~ _ /Tv ~ ~,-~ /7~ ~ ~ ~'/ "-- ~ ~ ~.~,~, ~.,. ...... ~......~ ................ , ~...~L .... ~. Thi~o~li~tion must be completely fill~ in by ~p~ or in ink and submiUed in ~uplic~te to the Building~ Inspector. Or b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises public streets or~ areas, and giving a detail~ description of layout ofprope~ must be drawn on the diagram which is ~ of this application/' ' c. qhe~ork covered by this application may not be comme~ed before issuance of Building Pe~it. ~ d. Upon approval of this applicatJon~ the Building Inspector will issue a Building Permit to the applicant. ~ch'permit ~all be kept on the premises available for inspection throughout the progress of the work. ~ e. No building shall be ~cupi~ or used in whole or in pa~ for any pu~ose whoever unti~ a Ce~ificate of ~cupan~ ~ shall have been granted by ~e 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, Suffolk County, New York, and other applicable Laws, Ordinancesor Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with atl applicable laws, ordinances, building code, housing code, and regulations. (Signature of applicant, or nan~-iT'a corporation) State whetl~ppUcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .., ....... J~..~iX.~.j ~.a.......C...~...~.TL.~..c...T.0.r .................................................................................................................... N~ of owner of premises ....... ~*~Lk~.t.~..,..~..9.~.~.~.~.~...,,.~....~ .................................................................. :If ~ont is e co~omte, signature of duly ~uthorized officer. . Ma o T .' L~ation of land on which p~os~ork will Numbe ........................ ~.~ ................................................... ~ ........................................ Street and 2. State existing use and occu~ncy of premises and intended use and ~cupancy of p~osed construction: ~. ~t~.~ ~== =~ ~=~po.=y ............. ~6.C~.~.~.~....~.~.d .......................................................................... b. ~ntend~ use and ~cu~ncy 3. Nature of Work (check which applicable): New Building .................. A~ldition .................. Alteration ....... : .......... Repair ....... . ........ Z" Removal ..................Demolitio~ .................. Other Work (Describe) ........................................ 4. E~tJmated Cost '~ ~- e a o .......... · ................................................ Fee ............................ · .............................................................. (to be. paid on filing this application) 5. ' If dwelling, number of dwelling units ......0..~..~.. ............. Number of dwelling units on each floor ....0.,.N...?=. ............... ~f garage, number of cars ........ . .~'..~..?. ............................................................................................................ · ............ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: F__ront~.... Rear ............... :~ ............... Depth .................... Dimensions of same structure~.j~h~l~rati0ns or additions: Front .................................... Rear ............................ Depth ............................ ;... He,ght ...................... ;~/.~mber of St~r,es ....... ~/..~.t. ............. /7/ 7 · 8. Dimensions of ~ntire new construction:' Fron/; '1,~,~ ............................ Rear ................... : ........ Depth ........................ /.~' u r f Hei ht ................... N ~ o Stories ................................................... .~---~...~t.-. .......................................... Size Of lot: Fror~ ............................ Rear .................................... Depth ................................ Date of ...................................... ...................................................... Zone.or use district in which premises are situated ................................................. 7~"o ............................................ Does proposed construction viola~te qny zonina law; ordinance or regulation? ................ I~lame or ~Jwner or premises ............. : ........ ~ ................ ,~aress .., ........ w....~,~....' ....... ,.~:.... P'~..e I~O ..................... r~ame of Contractor ............................... ! ................... Address ......... ~.'u"re'~ev'~.~,.~/'. 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 descriptiOr~ according to deed, and show street names and indicate, whether interior or comer lot. 10. 11. 12. 13. STATE OF NEW YORK, t.. .' COU NTY._C~ .Su..~.~.~..Z~.........~~'~ ...... ~...~..~ ......... ~ ...... ~..~ ......... ~ ..................... ~.~'...~ ....................... ~i~ ~ly ~om, d~es and s~s he is t~ applicant "' (Name of individual signing a~ation)_ ~ bbove named. He is the ........................................................................................... ~ (Contractor, agar, co~orate officer, etc.) ~ of said owner o~rs, and is duly authorized to' perform or h~e pe~o~ed the said work and to ,~ke~d file ~ fhis applicafi~; t~t oil statements contoln~ in, this ~pplic~i~. am.t~ .to ~ best of his 'knowledge an~ be el; and tha~ the wore will be ~rformed in the manner ~t f0~h m ~e ~plic~i~ fil~ ~er~i~. ........ .................... No. 52-7~35315 ~mml~n Expir~ ~rch 30. 19~ ~ 4/23/76-~1 THE ~ ~pril 5, THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS · ,UR~AU o~ 'L"CTR,CrrY CO~CTIO~ OF tr277195 85 JOHN STREET, NEW YORK, NE'~N YORK 10038 ~.~7~, ~.,,,~o,o, No.o./,, ~=4z~ N 279854 ~v. W. ~. Coleman., L,tC~_ Neck Rd. Cutchogue, L.I. 3210 Little Neck Rd. int~fol~ingl~atlon; ~ B~e~ht ~ lstFI. ~ 2nd n. outside ~t~o. a~e ~t ~ezami~on M~ch ~ ~7~ a~fou~to~in~mpl~iththerequi~ntsofthhB~. RXTURE RXTURES RANGES O~NS EXHAUST FANS 4~~T[~'TS FLUO~.SCEI~K z~ 5 34 DRYERS FURNACE MOTOE$ OmER ,m*n~ms= TIME CLOCKS UfliT HEATm ~ DM4MERS s ~ n 4/O V I 'C 4/0 265 Mechanic St. SO~thold, L.I. COP~RECTION NO AMOUNT Per D THIS iS YOUR mU. FOR SERVICE RENDERED AN~FICATE OF COM~UANCE. THiS BiLL PAYABLE AT THE NEW yO~K O~qCF., 85 J(3~N STREET, NEW~y~. Y.' 10038 i~e April 5, THIS CERTIFIES THAT NEW YORK BOARD OF_FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85JOHNSTREET. NEW YORK. NEW YORK 1oO'38 ,~?~ ~,,.,.,,..o.~o.o./,,. ~4~3~ N 277195 Ex'ruRES ~ ~ EXHAUST FAJdS 2 Lite THISISY~URBIII F~R~ERV~CERENDEREDAND~N~TACERT~CAT~FC~M~UANC~TH~B~LLPAYABLEATTHENEWY~UC~8~ JOflNSTIEEET Ntl~Y4)~'N Y IQO~II f f/ ,~q CC,'" ! IFL.,' ---[ /fi-Au ~ o ~-~A %LaT To iz %,