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Home My WebLink About5756-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . 1~1~' .DI':Lv~ ............ Street Map No. J, all-~ .C~;y--gal~lock No ........... Lot No ..... ~2 ..... v.al~el- - l~]~, ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Ma~"o' 20'" 19.72. pursuant to which Building Permit No.. ~. dated ............ b~r' · -21' ' ', 19'72', 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 ... Pl'lvate · on~ -£ae~.i4.y- el~l].lng ..................................... The certificate is issued to . .h~.oh~i- & .Doll~le®...l~l~&.. · · Otm®l~ ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ,/~1~ · ~..].97~. · .by. l~o..V~.'i.~& ......... UNDERWRITERS CERTIFICATE No..~. 62098 .... Deo',20' 1972 ....................... HOUSE NUMBER... 'l'1'[0 ..... Street .... DO22v. aI" I)I'~.Vl ............................... : . g '[ · ~ FOF, M 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? 5756 Z Permission is hereby granted to: ...... · l~d.e ~,~'~ ..& ..;>~u~':L~ e...tJ, ei;T~a ............. .............. 10 ~,. · -O~'..~.nee e..D.l,, ................................ ..................... ~.~ill~t~ezm..~ ...................... to . J~ul.~4 ..~e~.. e~e...~e~ ~.~y..~l~e.~-~i~.~ .................................................................................. at premises located at .......... ~.~......~.. .............. ~l{IZL,~el..J~.~UZ~,~.~..]~t,l~f~ ............................... ................................................. T~.~2zae~'...~.~.~e .............. i,mu~e&..~i~f, ......................................... pursuant to application dated ........................... J,~a~....~qJ) ............... , 19.~{~.., and approved by the Building Inspector. Fee $....{~. ....... 1~0~..~ NO. $ TOWN OF $OUTHOLD Building Deportment 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 disposal--(S-9 farm 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 19§7), 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- formatior~ required to prepare a certificate. New Building ..~..~'... ............ Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ..'i~,~.~1'~1~ .~.....O.L~.....,.....~..~L~..~..~.~..i..l~....~.. .................................................... Owner Or Owners Of Property ...1~)..~{~ .~..d....~.....~..~r~l.~.CL!..~....~...f~.i~.L.~..~{ ..................... Subdivision ........ ~.,LJ.C~.~, ............................................ Lot No...,~'~.. Block No ............. House No ............. Permit No...~..7.,~,~O, ..... Date Of Permit .3/~/.,~, ,'~..Applicant Health Dept. Approval ............................................ Labor Dept, Approval ................................................ Underwriters Approval ...... [~/~Q.J.~ ................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ..... .~. ........................... Construction on above described building and permit meets all applicable codes and regulations. Sw~2t~_~o before me this ..... ~ ......... d~y.~of ....~.%.~.~..~....~..~..~...5... (stamp or NOTARY PUbLiC, State of New Yor~, ,~ ,~ ~0mm~ssion [xp~r~s ~,~rch 30, 19 FORM NO. 6 TOWN: OF $OUTHOLD Building Deportment 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 Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, 2. 3. 4. in triplicate to the Building property lines, streets, and unusual natural or topographic features. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). Approval of electrical installation from Board of Fire Underwriters. 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. New Building ........ ..~'... ....... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ...~.~.J.Lr~c]I~....[~).~. ...... L,i~.tJ..~..(~.l../..~.....~.. .................. ................................... Owner Or Owners Of Property .......................... Subdivision ........ ..~.~.~.(~ .......................................... Lot No....5.~.. Block No ............. House No ............. Permit ...... gate Of Permit Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ...... !.¢~/z~.C~)./..'7...~ ................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .....~.. ............................ Construction on above described building and permit meets all applicable codes and regulations. Applicant Sworn to before me this · ..~.. ........... da~y..of ..... ~:~.....~x-x~.....\%...k%....~....~........c~. ~ (stamp or seal)~ TERRI LEE [LAK NOTARY PUBLIC, Sts',e al New York BUILDING DEPARTMENT TOWN CLERK'S OFFICE 6/.¢/7Z SOUT.OLD,,. .......... , ~ro~ed ............... '.,L..,L~, ............. , ~..~ pe~t ~o ..................................... ~i~approved Q/c ........................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. or public streets or b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises areas, and giving a detailed description of layout ofproperb/must be drawn on the diagram which Is pert 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 Occupancy shall hove been 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, Suffo~ County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable lows, ordinances, b~.~ding code, housing code, and regulations. 7~"' (Signa'~re of applicani;"~' nar~;, if a~'orporati;~i ........ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....J~'.~-,~-~ .~...~.....(~.,...C].~I~J.....J~.C~"~I.['~J.J.(~.~...~.~.¥.~)- .................................. if applicant is a corporate, signature of duly authorized officer. --~J ~ .................. ......... %,,, 1. Location of land on which proposed work will be done. Map No.: .....~..~J...~.~. .................... Lot No...~'~ .............. Street and Number ........... J~.J.~ .~.....J~ .~..J.~.J~.,...J,~.ld.~..~.l...~.J~L....-~)~.~.Jr~l~JJJ~J.,..J.~..~. ....... ! / ~lg Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Exisiting use and occupancy ....... .~'..(~.~..J~.J~l.~..,..I.C).[~d ............................. , ................................................ b. Intendeduse.andoccupency ....... t.....C..Ocr:~d.¥.,.....L~.~.Q~....x/....C~a~;t ,c:~ ................... : ....... 3. Nature of work (check which applicable): New Building .....~.. .......... 'Addition .................. Alteration ....~: ........... Repair .................. Removal .................. Demolition. .................. Other Work (Describe) ................................... 4. Estimated Cost ..~.~.O,.~..[~&~).(~) ........................... Fee ~.~" D ~ ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ../..~.C'~.l.L~....Number of dwelling units on each floor ..... If garage, number of cars ..........-~.U~I.~. .................... !~ ......................... ' ....................................................................... 6. If business, commercia~ or mixed occupancy, specify natur~ and extent of each t~pe of use ............................ 7. Dimensions of existing structures, if any: Front .................... ~'. .... Rear Depth Height ........................ Number of Stories ....................... .......................................................................................... Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .....'~....7. l.J.~.'.! ........... ,.. Rear - i ,, · ' ,, ..... ~.~..I.~. .......... Depth ...~.L.~. ........ Height ....I.~.I. ......... Number of Stories ..... ~. ................................. ~ ...................... ; ...................................................... 9. Size of lot: Front ..... I...~.~.~.~.[~. ....' Rear ...... ~.~.~. ~. .............. Depth ....J..~.~.,..~.~. ......... 10. Date of Purchase ...~..0.~[...~.~..~..[..~..~.J ........... Name~I Former Owner ..~J.r~J~..~Lr~:~-..~..~..[J~ .... 1 I. Zone or use district in which premises are situated ...~c-~,~..C.m.'~..~..~. ........................................................... 12. Does proposed construction violate any zoning law, ordinance or reaulation? J~C~ ................. : ............................. 13. Name of Owner of premises Ji~Ct~.~[~.J~_.Y.... Phone No . ~e~o .~Xt~_ 'n~'~ Ret. ' ............ Name of Architect ...~.~IT.~...[~,~..~Y..~.1~.~ ............Address ..J~t.J~C~.o.'t~i,..~.~.~.COJ~ ... Phone No ........ ..~ ........ ~..~CC~--~C~QI~. ~ , -. Name of Contractor ...~L~i~)J~..[~(~.J.~(~ ........... Address ..... LC~'~C~,.~,.y. Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock d mens OhS from property lines. Give street and block number or description according to deed, and show street names and Indicate whether interior or comer lat. STATE .OF NEW-~pJu~, ~, t ¢ ¢ COUNTY OF .-~.V. Zg~....r'~:.~ .............. $'"'" ~T~I.(,/~,~E/Z...~/~.E&~.~:~.. ....................................................... being duly sworn, deposes and says that he is the applicant (Name o~ individual signing application) above named. He is the ~.~.//.~Z[....~./~....~/~e~'~7~.~.~ ............................................................................................. (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 all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manr~qr set forth in the application filed therewith. Swam to before me this .......... ...... .......... ....................... Notary Public, ~..~t~':'"' County (Signature of appllc~f~t) PUBLIC, State of New Yodl No. 52*1419677 0~alifie~ iff Sufflgk Cemm~n F. xpir. Ilaml~ 197,~ - SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference No EASTERN DISTRICT, RIVERHEAD,N.Y. ~PLICAT,D~ FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date r C 7~ Approvsl to construct said systems is requested,pertinent data herewith: i-Applicant '~ , I ~ , ~ I , ik/~ ~, ~ Phon~6-Sub div 2-Detailed property location k£;+,gQ.L~,~ O/st!ntr,~ ~C~8-Lot No. Hamlet i, ~, ,~ ! ,,'l~,~/p,'\,[i,~h-,Town ~? ',~[I[ ~f'~ ,, ,9-Private wellr ~-Pablic ~ter supply name ~=t J~-~ .... ~ 2:~[Z~istance to nearest ~in a-l,ot Size: Width : ft. Len~tB~,/ ft. (also enter on,center plot plan below:) 5-~ellin~: Single'Family ~'.~ Two~amily? ~ /Cellar? /~7~lab? ~Cra~ lO-Pro~sed s{stem: Septic tank ~Precast ~Cesspool~ ~,, /Shallow;~ols i i-Sep~,ic tan~< inside dimensions: ~Ot~e~f~als. Length ,y ft. Width ~t, Liquid depth $'-ft. iL-Fre~ast sections: ~W/Number~S2uare F?. Cesspools. Block s~zeL ~ncs. D ,~ns.H blocks be]ow inlet: ~1 ~2 ~,~3 PLOT PLAN ¥ apacity,~Gals. ,Srade OW.L. ~te th _~_~u]~_~ ~__ Data 'eet 0 2 10 12 Indi Nc The Undersigned CERTIFIES: "Construction of authorized installations ~ill be in accordance with the Suffolk County Health Departments' current Standards, Bulletias_~_ and amendments thereto, covering Private Sewag_~e Disposal Systems". Date ~/'~)/7'.~' Signed W'~A ~ ' / / ~er or Builder/ q ':5ALFH D~,A.~vX,,I U3E O.~Y. Based on the information presented herewith, it i~ .,,~ .~inion of the ~ ~" ~a~n De~rtment, that an adequate and satisfactory 3ewage Disoosal Zystem can be installed on this Plot. Date Signed (I0/65 Revis. SUFFOLK cOUNTY HEALTH DEPARTMENT ". O. ~F. ~S~:'~ disposal and ~,~ater supply ~l~ t~'~is location have been f this d~partm~nt.and fo~d x ~to y Chie:? of G~neral Engineerin~ Services Lot ~ .EV,S,ONS YOUNG & YOUNG NOV. 14,19?2 400 OSTRANDER AVENUE, RIV£RHEAD, NEW YORK ALDEN W. YOUNG LOT 5~, LAUREL COUNTA Y '~ ~,~ +. ~. / AT ~ ~°w" °~O~T~O~D ~'~ SUFFOLK CO., N.Y. COLUMBUS HN 7046 EL DINING ROOM 10-2xli -6 BR'FAST AREA 9-0,,x7-6 KITCHEN, '9-0x12~0 I PATIO' ' FOYER LIVING '""~"'K~Jr~ ' ' ", ::'"," 112011; 2 1.2, 2 ' '"' LANDING ,,, ~ ~ ,~,~, ...... STORAGE GARAGE 20-0x21 ~8 PLAN 1108 V./A T g E 14 Tr~. COLUMBUS HN 7046 EL iiL 4." i '1 // / / X J FLooR "HOMES FOR MODERN LIVING" II This houqQ has been desg~necl to meet the National Go.Id I [v~c, clal[ion Home Standarcls as pubtished by N.E,M,A. a~ d /. .: F 0 LI lt'..!,lb A'T I q) kl .P L A k~, T B,,RI~ K VENEE' AIRSPACE -- ANGLE sLOCK- CONT. ALUM. RIDGE VENT ~' ' ', , . ,- ~.~ :. ROOFING~q SPECIFIED .... '"" ..... RIDGE BOARD ' ' LS. ASPH~ SAT. FELT . 45°MIN. 2 x 4 COLLAR BEAM 4' O.C. 4 PURLIN-NOTCH'BR~CE 8/4", 4 BRACE 4' O.C. x( ~.~ ,./w! csnmo lois'rs. 2 -2x4PLATES BEARING WALL SLOPED SOFFiT SHEATHING A~ SPEC. - [k~uLATION/s sPEC. IIN'rI~RIOR FINISH AS SPEC. FOR: ALTERNATE OVERHANG DETAILS HEADER ~ In~SULA~.~ON Il IF/A t FOR ~O~T OE' Il j~//j I C~"nLEVER G.I. Ctrt=fER DOWNSPOUT TIES 16" O.C · 3/8" EXT. OR,/~DE pLYWOOD tFiT ~I'J.H CONT. -- ~TAL ~ SEE P~S FOR B~CK V~EER t ~o~ szz~ DING AS SPEC. BLOCKING /,,~SIDING AS SPEC. SHEATHING TURN FLASHING UP 2" BEHIND SHEATHING AND CAULK ROW LOCK BRiCK VENEER (SEE FOUNDATION PLAN FOR )OisT SIZE +~D SPAC,~G VENEER 4' O.C. CACAOS SL~(B INTERIOR FINISH SEE FOUNDATION pLAN [AS SPECIFIED |~X_4 STUDS 16" t , FORJOISTSIZE AND SPACING SEE ELEVATIONS FOR .' . " ' - . COLUMN '- - .... ~ :_17'~ CONe. BLOCK I/2" EXP. JOINT I I'll Ii2" CLEARANCE - INSTALL FLASHING CAULKED [ {},APPROVED METAL ANCHOR SEE pL.MqS WEEP HOLES 4. O.C.3. ~ DEEPEN EDGE O~ ] , i2 X 6 p,.T. PLATE WATERPI~FI~G ~, ~,,2=_ .... . ~- CONC. sL~ WtTH l~r=--~l' '" '~"' B~-='~v'~ :LEARANOE ~ I{~ CONC. BLOCK n_ 2x4 P.To WITH / ~/~# 10WiREMESH ..., .. ::.,,[.' ~. :~·:.:~.: ~, ~. ~ · ~ I,£m.?-,.~L "·. :.[ CARPORT SLAB .' ;:",'"'" ! :~ ": '" ;:' 'i "" EARIUER WI-IEEE SEq'U.. · ~',..;..;..'.'.'. . · -' .- · :.'.',.' "' · "' ~ '"l" ,i. ' ', '..: " s" CONC. FOOT~G~ (~-~,0" · 8" cohc~ vob'n~-6' - 2o" ~, s"'~..v6d'r~:. ;' FOUNDATION DETAILS FOR CRAWL_SPACE BRICK VENEER CONSTRUCTION DETAILS