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Home My WebLink About6821-zTOWN OF SOUTHOLD B'[.NI'.IHNC-;- DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy .... Date ............. M~y...2~ ..... , 19..~ THIS CERTIFIES that the building located at . {~&~l'~'. D~,~t~e .......... Street Map No..Fa;Lz~ay ~lock No ........... Lot No...~ ...... CutohOgl~'.. N.,.]~ ~ ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ AUg. · .~'.., 19.73. pursuant to which Building Permit No..6{~2.1~.. dated ............ AUg..2{+-.., 19.7'~, 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 . lm~vate..o~e. £ami~. clw~lling ....................................... The certificate is issued to .~dve~'d. C~, -Ab.2..'01~. Comtl'ec.tor. Ina ......... 0~rne;~ .... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval "Hay.. ~K) .. t 9~+.. by. R~..V:LLi~ .- UNDERWRITERS CERTIFICATE No.. }I..~.~26 ~6 .... &p~. {~ · · ~ 97h, ............... HOUSE NUMBER . .680 ......... Street .. -Nairvmy. I).l, tve. ....................... 1~0~..~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6821 Date .................... ~,II~IMI. I~ .......... ~. ...... , 19.~'~.. Permission is hereby granted to: ...... . .~ ~xa~.~.. JJa. L~.L ..~.~a.~.~ ?.t~.t.. ~T...e ...... at premises located at .~g.t,...~. ....... ~&~,T:t~lJi~...~.&irll~B ........................................................................ pursuant to application dated .......................... AI,~I~t; ....... ~,14-..., 19...~..~., and approved by the Building Inspector. Fee $.~.g..e J. ~. ........... PERMIT INCLUDES APPROVAL ~! .~.."~.... TO REMOVE EXCESS FILL Building Inspector FROM ABOVE PREMISES BY R~GRACING LOT DRIVEWAY CONSTRUCTION CESSPOOL COiNS(RUCTION C ~LLAR CONSTRUCTION SUFFOLK COUNT_Y_DEPARTMENT OF HEALTH Heal th Department u~PARTM£iVT OF F/£AI.I'H Reference Number R~VERt{EAD,_N..~,. ~, PROVAL APPLICATzu~ ruF, AP TO CONSTRUCT ~ PRIVATF SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY Address~ ~ m ~ ,.,_ ,~ ~ ~ .~ .,.,~' ~, % ~, 6. Section 2. Pro erty Locat~on~ ..... ~ ~,~ ~,,,~,~ 7. ot Number ~ ~ 8. Private Well Village ~,,~ ~ ~ Township _~.~ ~ 9. Public Water 3. Public Wa~er Company'N~me Distance to ~in 4. Lot size: Width~ ~ feet Length ~ ~ ~ feet 10. 11. Sewage Disposal System: ' P'r~e~s i~* ~ u i va-i en ~' Block B.~4m)achi?l~ pools: ~iumbe~ of pools ~ast .. Special Block pri!f,~t-e well, fill in the fol 1 owing9 blanks: (For Health Dept. Use) A. Tank capacity ~ ~,* gallons B. Pump G.P.M. ~ y.,~v C. Total well depth ~ D. Depth to ground water~.~ E. Amount of water in well~o The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date ~f- ~ Signed ~" ' ~ ~ 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 and Water Supply can be installed on this plot. DF~3~0 APPROVAL DATE ~ ~ SIGNE ~ _ _ ~ _ S-15 Rev. 4/1/73 THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT Ed Abitz, w/side ~airway Drive, ~00' s/w of Caoes Lane, Cu~chogue, L.I. FAirway ~a~m~ inthefollowinglocation; ~ B~ement ~ lstrl. ~ ;nd FI. out31de ~ao. m~ ~t g ~.~.~o. April ~, 197]~ andfoundtobelncompliancewiththerequirementsofthlsBoard. RANGES ~PECIAL REC'PT COOKING DECKS OVENS DISH WASHERS AMT. K.W. J A,V,T. K.W. ~RT. K.W. 1 Z.OI 1 9.1 1 1.5 TIMECLOCK$ BELL UNIT HEATER$ MULTI*OUTLET ~V,T. ~p$. TRANSi ~ SYSTEMS NO. OF FEET SERVICE DISCONNECT I NO. OF ] S R 4/0 C EXHAUST FANS DIMMERS Water heater: 1-a. Skw Motor/s: 1-3/~hp Elec.room heaters: ~-2.0kw, NO. OF HI-LEG A.W.G. NO. OF NEUTRALS A.W.G. OF HM~G OF NEUTRAl. 1 2/0 4-. 75kw, 2-. 5kw 2-1.5kwE 2-1.25kw, 2-1.Okw, P.W, Brudi, 1192 Wave~ly Aeenue, Holtsvllle, L.I. 11742 m ~ANA~ 11 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Southold[ Town Planning Board SOUTHOLD, L. I., N. Y. 119'71 PLANNING BOARD MEMBERS John Wlckham, Chairman Henry Molsa Alfred Grebe Henry Raynor Frank Coyle 3 ~Zo - I L £ The sewage disposal ~nd water supply facilities for this location have been i~sl, euLed by-this de~a~J, ment. and. foural S~v&ces Lot Arco = 40,257 sq ff. / Lo! 5 175. 00' - - _ 88°59 200.00' T~IE T. OCA~ON OF ~,'ESf. S AND CFS~;pOO~-S SHOWN HEREIN ARE FROM FIELD OBSERVATIONS AND/OR F/{OM DATA OBTAINED FROM OTHERS NOTE: ~ =MONUMENT SUBDIVISION MAP FI(ED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON FEB 15~ 1~74 A SRLE k'O ~0~. YOUUS & ¥ou 400 OSTRANDER AVENUE, RIVERH :AD~ NEW'~.~- ..o~s~,c.~. ~,~. *~o SURVEY FOR: EDWARD G ABI TZ LOT NO ~, "FAIRWAY FAR~S " CUTCHOGUE · o~ o~ SOUTHOLD Examined ...~..~. i... ~.....~. ........ , BUILDING DEPARTMENT TOWN ~LERK'S OFFI~ ~ ~U~, N. Y. - ~plication No ....... ~ ........... Disapproved a/c ........................................................ ~ ................... ( u' d'ng Ir-~oector) / APPLI~ATIO~ FOR~ BUILDIN4~!PERMIT Date ~12~ 2LF 19...~..~. .... a. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate to the Buildi Inspector, with 3 set~ 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 prem sas or pub c stree..t~ areas, and giving a detailed description of layout ofpraperty 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 work. e. No building shall be occupied or used in whole or in po rt for any purpose whatever until a Certificate of Occupancy shall have 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, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. _j~: The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to~ admit authorized inspectors on premises and in buildings for necessary inspections. ~ Edward Abitz Contractor Inc (Signature of applicant, or name, if a corporation) Mattituck N.Y. ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Name of owner of premises Edw$.~..d~$ Abit~- Contractor Tz~(3 If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... NoF. Oil Heat Plumber's License No ................................................. Electrician's License No...F...-....1~.s...$.;L~I~,I,................ ~r/',~ Other Trade's License No ............................................... 1. Location of land on whic?n proposed wo~k will be done. Map No.: F.&:Lr~ay...~.~LZ311L.,i... Lot No......LI: ............... Street and Number ....... P.l::Lv.a.te..~o&cl. ........ '....~.S...t~L3.;I.~..Ro~rt ......... ~.LLt.~,,ho~'Lte.....~.e~a ....................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy vacant land b. Intended use and occupancy O~ f i.1 d llin ............... ................... e~..... ~. .~.~. g. ....................................................... 3. Nature of work (check which applicable): New Building ...1:3::Z.~ ..... Addition .................. Alteration ................. Repair .................. Removal .................. Deh~olitic~, .............. ...~ Other Work ..................................................... (Description) . 4. Estimated Cost ............. ~.~..,~.~..0..0......_.+ ...................... ...Fee ~.0.....~.~ ............................................................. ' ................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .o...~..e. ............... 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 ..c~._.~.?. ...................... Rear .....~.~..'....~ ........... Depth ..~..-.6...../...~..6..'..10 Height .................... Number of Stories ....~.~. ............................................................................................................. 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... !!A?...~.:L&~; .................... ; .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~..O. ................................................. 13. Will lot be regraded .....~..e..~ ................ Will excess fill be removed from premises: ( ) Yes (' ~ No 14. Name of Owner of premises ......... ..~.~..~.....A..b..~...~.~ ..................... Address ........~..~.~.~?..?..~. ..... Phone No ....................... Nome of Architect ....~...~...o~....e..~...b:.~...~:.....~...]:~ ....................... Address ................................ Phone No ....................... Name of Contractor ........ ~ .......................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locat.e clearly and distinctly all buildingS, whether existing or proposed, and indicate all set-back dimensions from property hnes. G~ve street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW' YO~K,._ .. t e ¢ COUNTY OF ......... ~..~..~.z...o...J:~... ...... ~--~--~ Edward Abitz ................................................................................................. being duly sworn, d~oses and says t~t he is the applicam (Na~e of individual signing contrac~ above name. He is the ..................................... b~G~ ........................................................................................................................... (Contractor, agar, cat,rate officer, etc.) of said owner or owners, and is duly authorized to perform or h~e performed the said work and to ~ke and file this application; that all statements contained in this application are tree rathe best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. Swam to ~fore~~~me th is ~~~--~'re o~"~ .................. oj ...... Nato* Public~~.f~~n~ ... · ; ....................... ~: ~963 Suffolk C~n~ ~n ~pims Mamh 30, _I ,/ I I