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Home My WebLink About5977-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Cleric's Office Southold, N. Y. Certificete Of Occupancy No..~..~..?~[ Date ~ ,~ -,j/) k/ 19V~ THIS CERTIFIES that the building located at .... : ........ ' ....... ~ ...... btree; Map No...~ .~.. Block No.....-- ..... Lot No...~g ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... ~.~. dateS ........ ~Y. ~f~.., 19~ was issued, a~d conforms to all of the require- ments of the applicable provisions of the law. The occUPancy for which this certificate is issued is .. Tn~ ~e~tifi~te i~ i~.ed to...A~Td< ~ ~ .... ~f~f ~.~ .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval /~ DF~ ........./~7~ ..~ ................... SD ~2 ,- ~/~ UNDERWRITERS CERTIFICATE No. ,,ous,~ ~u~,,<R.?.~.O ..... s~.~.~f. ?~.~ .... :~.~Y~T .................... ........................................ ~.qZ.~ ~ ~ ~., .. ~t :~'... ............ Building Inspector FOEM NO. ~ TOWbI OF SOUTHOLD , BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH~,LD, 14:. ¥. N°. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FOLL COMPLETION OF THE WORK AUTHORIZED) 5977 Z Date .................. : ...................................... 19'""~'"~ Permission is hereby granted to: ..... fl~'...L-0....".~.:~ ........................ i ........ : ........ ........... .o....y..~.::r~.-.:.~...l.~..~../...; ...... /..1.~....7 ~ ~o ...... .0..~...~.~.~..,....~..~.~. .......... .o..~.~-...~.~.,.;.w..l..~.:~ ........ D..~.~..~..~..L~:-~...(~ ........ Bt premises located ~t ....................... , ........ , ..................................................... ~- ~. u...~ L~..~..~....&...,..~..~'.~.~.h.~..~.l~..: .................... , pu~uon~ to appli~otion doted... ....................... ~.~.~..:....~.~....., Building In~ector. Fee $...~,-.~ .............. Building Inspector TOWN OF $O~TNOLD Building Town Clerk~ 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 sewed'age disposal--(S-9 form or equal). 3. Approval of electrical instailation 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 dses, 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 us~ $5.00 -- 3. Copy of certificate of occupancy $1.00 · f /'-~ New Building Old or Pre-existing Building .................... 7 ...... ~ ~ '." '/'-'~-'~' ............. ......... .... ................. Owner Or Owners Of Property .................... ..'.~....)~.....~.f.~A~ ............. ~..c. ................................................... Subd,v,s,on ................ ,at Ua. Permit No..~..~.,Z.~.. ..... Date O~f Permi~(~/~.~f/.~*'.f.?~..~}Appl,~.(~a,? ...~~.~.../~.~...~.~,?'%~... ..... Underwriters Approval ~'~ ~/' ~' ~ ~'~ ~ ....... Planning Board Approval ~'"' Request For Zemporary,,_Certificate ........................................ Final Certificate ~ Fee Submitted $ '~ ' ~ Construction an above described building and permit DAeet~.~ll abpllca~ie codes and regulations. ^pp,,cant ...... ............................ Sworn to before me this ..f~.~.....:r- y .... 7,~,~. ~,~ . ~ ....... ~ (stamp or seal) TOWN OF $OUTHOLD Building Deportment Town Glerks Office Southold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY insfrucfions 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 baildings, p~operty lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewergge 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 iArchitect 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 formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 5 / 2. Certificate of occupancy on pre-existing dwelling or land use, $ .00 /~ 3. Copy of certificate of occupancy $1.00 ,./, ,~ / ~,/'// Date. ............... a ant La~zZ' ....~i.;~.....(~...~ ..... New Building .................... Ol~,,or~re-existing Bui)ding ........................... ~ ,q ............... ,,., .......... Locat,on Of Prope rty,.~ ,.,~, ~2,~, r~: ~%~.~..~ ~..~,.... ~¢: ....... ~'....-~ ....... '.:~ Owner Or ~ners,Of Property ~....:5~:~.~.....:~~: ........................................ Permit No. ~.T~J.~.... Date O~ Perm~7~pplicant ...... Health Dept. Approval ,:;~~:/...~Labor Dept. Approval ..... ~ .......... ....~.... ............... Underwriters Approval ~ ~ H~ P ~ ~ Boa~d Approval Request For Temporar~ Ce~ific~te ........................................ Final Certificate .......................................... Fee Submitted $ ....... ~..:~ .................... Construction on above descr bed building an~er~~able c~es and r~ulations. ..... ........................... Sworn to before me this (stamp or seal) ~, L.('~ ~' $OUTHOLD, N.Y. ~ _ ~.'"~ Examined ............ ~ ........ , 1~.~ ~ ~i~/~o. Approved ........................ ~ .............. , 19~ .... Pemit ~o. ~.Z.Z..~......~' ~ ~ Di~pproved a/c .... .~ ................. APPLICATIOH FOR BUILDING FE~IT~ ~. This appli~tion must ~ completely filled in by ty~writer or in ink and submitted in t~plicat~ to the B,ildi,~ In~ctor, with~ 3 sets of plans, accurale plot pla~ to scale. Fce according ~o schedule. b. Pict plan showing rotation of Im and of buildings on premises, relationship ~o ad]oiling giving a delail~d ~scripfion of layout of pro~r~y must be drawn on diagram which is pa~ of this ~ppli~lJon. commen~d ~fore issuan~ of Building Permit. ~. The work ~r.d by this application may no~ ~ d. U~n a~roval of this application, the Building Inspector will issue a Building Permit to the applicant. Such ~rmi~ ih.ll the p~emi~s ~vailable Jot ins~ction throughout ~he work. e. No buildin~ shall ~ occupied or u~d in whole or in part for any purpo~ wha~.ver until ~ ~ifi~t. gran~ 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 Countv, New York, and other applicable Laws, Ordinances or Regulationa, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authori zed inspectors on premises and in buildings for necessary inspections. (Signature of applicant, ~fame, if a corporation} ........ .......... State whether applicant is owner, lessee, agent, architect, engineer,~tractor, electrician, plumber or builder. Name of owner of premises .... -~,-...~........,c~..~..-~ ......... ~¢,,~,..-~..~w~. ........................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) MuniclpaliW 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: e. Existing use end occupancy .............................................................................. b. Intended use and occupancy ................................................................................. 3. Nature of work (check which applicable): New Building ....................... Addition ..................... AIteration~.: ......... Repair ......................... Removal ......................... Demolition ........................ Other Work ....~ ................ ! Description) 4. Estimated Cost ........... ./....5'... o...o..~. ...................... Fee .......... ; ...................................................................................... (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, 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 ...~..,x~. ........... Rear ........ ~. ff...,~. .. .. .. .. Depth ..~..~..e.. ...... / / Height ....................... /.~. ..................... Number of Stories ......................................................................................... 9. S,ze' of lot.' Front ..,/.~..~/' ........ 7~......, .............. Rear .....~..~...~.......¢.~° ................ Depth ~....~../.::.~../.:.~..-~ .................................... ~" ..~..~. ........... ~. / ~.~(.~...~./'-/- ....... Name of Former 0wner ...~.~_~- * ~/'~' ' ..................................... 10. Date of Pumhase / 11. Zone or use district in which premises are situated '. ............... ~ .................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .~ ................................................ 13. Will lot be regreded ~ ................... Will excess fill be remOVed from premises: [ ] Yes 14. Name of Owner of premises ~.....~./~'....~...~.......~./..~.~..s~....~.....~.......}...?..X'...~.q.~.~...~..~;~.~,~..'.....~.;~.~ ,' /~Z t ! __(Address) ~ ! / (P,hone No.) Name of Architect ............Z~...~..~)~.~/~...~.~.~. ............... .~.~...~-Z~x.~C,~......~.:~. ................................................ (ddress) / Phone No ~.~ Name of Contractor ...... ..~..~...~'~.~...~...~..(.~.....~....~....¢n~.. ............ ~.~.¢~/~'...~/~t~..~vV'~.~.... ......... v~,~..~..~.~...2~...~ (Address) / ' (Phone r~o.! . ', 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. YOR~, ~/~, STATE OF NEW ......................... ~X~,~.....~-~/~ ................. being duly sworn, deposes and says that he is the applicant abOve named (Name of indivi~si~g contrac~9~L~_~ _ ' He is the ............... '....'.j .......... ;...~.~.....~~..; (Contractor, agent, corporate officer, etc.} of said owner or owners, and i~udoulY authorized to perform or have performed the said work and to make and file this application; that all statements contained in t~;i~a~,r~.o~T~l~F~ite to. tl~e best of his knowledge and belief; and that the work w be performed in the manner ortn in the appllCatlol~fi~l(~%~qll~t~u~olk Countvx ............... ........... y ..... Nota~t Public0 .. unW ........................................ ~ {Signature of apl~Ticant) L~'£W,~FeD DtPI V~- t=80.~8 £ E~WAFeD , lot ~? ~ Area = ~I, OGG sq. fl. ~ . { ~ gew~ge ~f.~ e.~al R~ ~ter supply facilities for this lee~tien have bee~l '~'~'oo"w. Hazel ~9. Mack SUBDIVISION MAP F/LEO IN THE OFF/CE OF THE CLERK OF SUFFOLK COUN~'Y ON z~ ~. ,. ,.~ :: . u~ ~. JUNE REVISIONS YOUNG & YOUNG NOV, 90,1g79 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: HINGEWAID- ~ , ,ow. o, SOUE~OLO ~ ,.X ,. / t . SUFFOLK CO., N.Y. BY '~ ~ < I m = MONUMENT dUNE ~ ~ 1971 ~S MAR NO. ~g~. 77O Area = qlfOGG sq. ft. Haz o / Mack REWS,ONE YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ARTHUR t?INGEWAID THE ak o.,,. December THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Arthur Ringewald, s/s Leeward Drive, 150' e/o Topsail Lane, L.I. Lot: 47 [~ ~,,,~ r~. outside so,.,~o,~ RANGES COOKING OVENS [~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL~EC'PT. TIMECLOCKS BELL i.% .... K ,W O ] H p GA5 , H p 7 AMT NO [AW G. i AMT -,L~ 1 ~PS TRANS .... NO. OF .) S~RVICE DISCONNECT. INO, OF~ 5 E R V I C E *Furnaces: Oil 1-1/8bp, 2-1/12hp *Wuture appliance feeder/s: 1-3#6, Motor/s: 1-3/4bp 1-3#10 Bernie Z~mtinghaus, R2370 Artist Drive, Middle Island, L.I. 11953 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ma~ be identified by their credentials. NOTE: ~ -- MONUMENT SUBDIVISION MAP FLIED IN THE OFFIC£ OF THE CLERff OF SUFFO£K COUNTY ON dUNE 4, 1971 ~IS MAP NO. 5599. R--225..59' L. EEWA Y?O. 0~ stoke Haze I YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. SURVEY FOR: APTHUR RINGEWALD .ow.o, . NOTE: ~ = MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON dUNE 4, 1971 AS MAP NO. 5599. R=P25.59' L=80.98 "3o"6. 77006 lot ~;reo = q1,066 sq. ft. 'a.~ 'oo "w. Hazel Mack 304.~4 ' REVISIONS NOV, 20, I 972 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK SURVEY FOR: ,4RTHUR F~INGEWALD - ~or 47, "~,,~,~ ~c~sA sCALE: / o = ~0' DATE: S~ 1~, /~~ t4"'10~ , D.-O ~,1 1214. 4~ BED ~W. '! t4LO'~' / / /O'-Cf ''~ q: o'~ BED /~: 4"s'-~' D~ 9: 4" ARC FAMILY . KITCMEN -LIN (:LO, 42:8' 5'- o'~3~(-' D{ 23' c~" ~ LA~L STOI~AO£ AREA ~ 7L2" AGE' ? TWO C, A2 GARAGE GiN 4" cone SLAB w~/~'' PFCN ..... 2~1-4r; ........ {2j I:~"d~ TLo~ OVE~HJLAD TYPE FLOO2 PLAN I.II:RMAN 14. YOl~lL. RAYMOND [..SCI-I[NI~L PLAN ONE I:AMILV Ii, ~. $ I D J, IH NpT,[ S: A~ 1NIDICA?~D CEMENT FII 21:I0'~ CELLAR 6'-4", Z,4~., 12' POURED "'41'- 4" - ¢? ,U NEXCAVAT~ D LEDGE ABOVE 4" CONC, GARAGE SLAB AB~OVE OVER 4" WASNED C.~AVEL BAS~ t 4 PLAN, 2.:5L O' ¥ ~ - Z5L 8" FTC.. · RAYMOND [.5CI.I[NI~L PLAN -I ON~ I: A//, I L ¥ WOOD 'l '1 £ ONL ED LOU vr-l~ WOOD SHINGLES ' i OOD .I ,tJ PLAN' 5~¢z, r i, ,ET