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HomeMy WebLinkAbout6872-zNO. ,1 TOWN OF SOUTHOLD BUll,DING DEPARTMENT Town Clerk's Office Southola, ~. Y. Certificate Of Occupancy (I~eDonald R~) THIS CERTIFIES that the building located at ~l~ivate Rd ~2 ...... Street Map No. tklgol~0re .Pl~lock No ........ Lot No.% Lallrel I~.,Y, ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated Sept . 19 , 1973.. pursuant to which Building Permit No..6.87~. dated ...... Sept .20 .. , 1973 , 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 Prlva.te .~)D~ .fo~a~,ly ~lw~llilag ........................... The certificate is issued to .. gt~liala .&. ~4J, ldr~d l~ayak .Q~vaera ............. ; (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Apl' .26. i9,~., by R, Villa ...... UNDERWRITE~ CERTIFICATE No. N..~..~.9.70 ....~r?.~.~...~.0.. ! 97.~ ............... HOUSE NUMBER . .2~. ..... Street .. P. xl~ale. ~a~. ~..2.-. 8eDonalt. Rd... ........... i,' ............................ ././ ............. ' ZLLLz' -: .......... .~ Building Inspecto( FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH*OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) No. 6872 Z Permission is hereby granted to: ~a~zl...~ehe~... ~ts s~e~..A/fC.. J~...Ba3mk.. &. Wife ..:t 392....F. Lttth..Lan~ ............................... ...... ~t.~on ................................................. to Bu~L~ r}, .new...o~e.. ~_.~i~L~.. d.~l l.~n~ ..................................................................................... at premises located at~.~L...l~;~. ........ ,l~glMl~'~..~.a~ll~ ................................................................ ....................... ~.~.C~t~...~ .....(~ .. ~O~.. ~ ....... 3..... ~Ur~t.....~.~ ............................... pursuant to application dated ..................... ~4~1~ ..... .~.~ ................ l~r..., and approved by the Building Inspector. NOT~I )/~ll~y tHit r~l~e~t t~ ~el*m:[t ~3~ St&ll~ ]~re 00~, Dlipt, Fee ~.. ~ ~.~. ............ ................... t~ulldlng inspector ~ WlCKHAM & LARK, January 8, 1974 Mr. Howard Terry, Building Inspector Town of Southold Main Road Southold, New York 11971 Re: Building Permit No. 6872 Z September 20, 1973 Lots 4 and 5 Edgemere Park Julian M. and Mildred Bayuk Dear Mr. Terry: We represent Southold Savings Bank which is taking a mortgage on the above property. The building permit has the following note: "May be subject to permit from State Env. Cons. Dept." In order for us to make any advances under the mortgage~ we would request that this note be eliminated either by the issuance of a supplementary building permit, or a statement from your office that the property is not subject to a permit from the State Environmental Conser- vation Department. WW:mld SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant'-'~~~~P~onet-k'~.'~t~'l_~ ~ 5. Subdiv. Address%.-~ ~ · ~.~. ~.m~'~k~~6. Section~~ 2.~roper~ Lo~tlon~u~ ~e~ ~ ~ 7. Lo~ ~~~v~. ~ ' ~ 8. Pmvate,.,~~ Village~ Township~~. 9. Public Water 3. Public Water~~ Distance to ~i~ 4. Lot size: Width~jfeet Length~'~..~.)._feet 10. Sewage Disposal System: (For Health Dept. Use) A. 900-ga]J~n sePtic tank: Precas.t~Eq~iv~i!ent Block ll. B. Leaching pools: Number or. pools ~r"jm Precast_~llock Special_ If private well, fill in the following'blanks: A. Tank capacity gallons B. Pump G.P.M. C. Total well depth D. Depth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction o~tnstaltatlons will-be in accordence with the Su.ffolk County Department of HealtlJ's current~t, and~=~ thereto. This application will be valid for ?ne.year from the date.of~pproval inJhcafed b~qw and may be renewed if a current local Building Department Permit is~in effecJK ~ ~Y Date ~(~ · ~, -'~'~,'"~ Signed~ ~~ ~ ~k~ ~'~/'~/'~/'~/'~/'~/~. , 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. APPROVAL DATE ~ SIGNED~ S-15 Rev. 4/1/73 NIG DP:TZGEX 135 )1846 I.of SUFEOI~ ~OUNTY HEALTH DEPARTMENT The sewage ~tsposal and v,ater facilities for this loeat!on harm been inspected by t~is department and found ~t~f %~ner~r ~n~'~,,~ SerTic~a bot 5 ~' 6 UNAUTHORIZED ALTERATION OR A6DIT[ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 DE THE NEW YORK STATE EDUCATION LAW COFIES OF THIS SURVEY MAP NOT BEARING THE LAND SU£VE'/OR'S ~NF,.LD SEAL OR EMBOSSED SEAL SHALL NO% B~ CONSIDERED TO B~ A VALID EgUE COPY GUARANTEES INDICATED HERLON SHALL RUN dULY 19, 1973 NOV. 14, 197~ DEC.12,1973 APR. 15, 1974 NOTE. · -' MONUMENT SUBDIVISION MAP FIL~'D IN THE OFFICE OFTNE CLFBK OFSUFFOLK COUNTY ON dULY2, 19$1ASFILFNO. 742. YOUNG & YOUNG SURVEY FOE: JULIAN M. BAYUK ~ MILDRED ~YUK LOT NOS. 4 85 "EDGEMERE PARK" AT LAUREL TOW, DY SOUTHOLD SUFFOLK CO., N.Y. SCALE: I" : 40' DATE' MAY 3, 1975 75 - 343 p[ codlC ~of ~ bot 6 TITLE NO. 07-T2516 REVISIONS dULY 19~ 1973 NOV. 14~ 1975 NOTE' · -' MONUMENT SUBDIVISION MAP F/t. ED IN THE OFFICE OFTHE G~EBK OFS~IFFO£K COUNTY ON dUL Y 3, 19$1AS FILE NO. ?42. YOUNG & YOUNG 400 OSTRANDKR AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUN~ HOWARD W. YOUNG SURVEY FOR: JULIAN M. BAYUK 8~ MILDRED BAYUK LOTNOS. 4 ~5/ "E DGEMERE PARK" *~ LAUREL eu~o~ ~* ~* AdER leAN ~E [~ ~0. Tow. OF SOUTHOLD co., ISCALE: [ = 40' ~OATE: MAY 3, 197 bOf 4 6 Lof Lof § NOTE ~ -' MONUMENT ,~UBDI~/I$10N MAP F/lED IN THE OFF/CE OFTHE C£Et~t¢ OFSUEFOI N COUNTY ON JU£Y 2~ 1951AS FII £NO 742 REV,S,ONS YOUNG & YOUNG~ ALDEN W YOUNG ~ p,.~C~'A.O ~URVEy FoR j ~OT,OS. 4 S~ ,, M-~,,¢ / / EDGEMERE PARK ~UARANTEED TO AT LAUREL GUARANTEED TitLE DiVISl0N OF AMERICAN TitLE INSUR~CE ]ow~ Of SOUTHOLD S0UTHOLDS~WNGS .... ~BY ' / ~ ~" = 40' ~Y~ mAY ~, 197~ ~o 73 - a. This a~licatm must be completely filled in by ~pewriter o~ in ink a~ s~mi~ed in triplicate to the BuiJding~ Inspector, with 3 ~ of plato, aocu~te ~ Plan to ~ale.. Fee acCo~ng to ~u~. ' ~, b. Plot plan showing I~tJon of lot and of buildings ~ Premises, relationship to adjoining premises or public streets o~ '~' areas, and givi~ a detailed description of layo~ ofpr~e~ must be drown on the diogram which is N~ of this application. c. The work c~ered by this ~licati~ may n~ ~ ¢~me~efore i~uonce of Buildi~ Permit. ~ d. U~n approval of this ~pli~tion, the Building I~t~ will issue a Building Permit to the applicant. Such permit shall ~ ~t ~ the premi~ ~ailable ~r i~tim thf~gh~ the work, e. No building shall be ~cupied or u~d in whole or in part ~pu~ose wha~er until a ~ificate of ~cupancy~ shall have ~en grant~ ~ the Building Ink,tot. / ~-/2' ~ ~/ ~/~ ~ ~ APPLICATION IS HEREBY ~DE to the Building De~ment for ~ issuance of a Buildin~Permit pu~u~t to ~ ~ Building Zone Ordinance of the Tow~ of ~uthold, Suffolk County, N~w-York, and ~her applic~le ~, Ordi~c~ or ~ R~ula~ions, ~or the co~truction of buildi~s, a~itions or alterations, or Jot ~m~al or de~litio~, as he~i~ described. ~ ~e applicant ogres to comply with afl ~li~able la~s, o~ina~, ~uildi~ c~, h~si~ c~, and ~ul~i~s, ~ lo admit authoriz~ in~o~ on p~mi~S and i~ ~uil~i~ ~ ~W i~ectio~. ~ State whether ~t is_o~er, lessee, agent, ~jl~itect, engineer,.~genjr~contractor, electrician, plumber or builder. Name of ~er ol ~;2~;~~i..~~;;i;];]~~.~..~ ............................................. Ileitis a c~si~re ~ ~horiz~ officer. (Name ~ tit · of co~ra~ ~icer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ~ll?~J~ ~JJJ~ ~"~'"~ "~'.~i~.~iIii I. Location of land on w.~os~ worla,wi,l u_ a-_- Map No~.iii~~ i] ii]iiiiiiiiiiii Lot ~"o ~ . Street and Number ~"tl~'~'m~'"'4m~J"~' .............. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ............................................................................................................................ Nature of work (check which applicable): New Building .................. Addition .................. Alteration ' Repair .................. Removal .................. Demolition .................... Other Work ................................................ ~.r.. 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. Dimen 'n f ent re new construction' F-- t~i....~....~.. Rear ~1~..~.. Depth ..~.~. 11. Zone or use district in which premises are situated ................................................................................."" "' · "2'...'_. 12. Does proposed construction violate any zoning law, ordinance or regulation: ."....~....~... ..................... 13. Will lot be regraded ......~.~..~ ......... Will excess fi l be removed ~ I:~l~L~es_.' ( _)~Yes__eJ~ j~l~o 14. N meof~nerofpremis~,~~~A~re~~~n Name of Archtec . A r ~ ~ ..........~'"'~'". ................ ~ ......... ~ e--~..~~~ne No ...................... Name of ,Contracto~..~~...~~re~.~~Phone No.~.~ ~ ........ Locate clearly and distinctly all buildings, whether existing or pr~osed, and indicate all set-~ck dimensions from prope~ lines. Give street and bilk number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEV~ Y~RI~',/, /~//~ J c S COUNTY OF ~'~~' .................. ;.~:-..;-...:...:....: ..................................... being duly sworn, d~oses and says that he is the applicam u~ame ot individual signing contracf) above nam~. He is the ............................................................................... ~ ....................................... " (Contractor, agen~porate off~ etc.) ................ of said owner or owners, and is duly authorized to perfJm or have perfumed the~rk and to ~ke and file this application; that all statements contained Jn this a~licat~n are tree Jo the beJ of hi~wledge and be ef; and that the work will be performed inJhe manner set fo~h in~e application f~d therew~ ~ Sworn ~e me this ~ ~ / ._ . ~ ~ .... (Si~nat~e of appl cant) ~ITH T, ~OKE~ ~ ~ ~b~ic, State of New Yo~ ~-52-0344963 Suffolk Coun v ~/ ~m~ Exp res March 30, 19~ TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N.Y. 765-2660 TO~N OF SOUT~I'OLD Building Inspector's Office Town Clerk Building Southold, N.Y. 765-2660 THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY F 1974 BS Jo.. ST.ET,.EW ,OO.S /lpplicatlon No. on file ~J April 10, Date THIS CERTIFIES THAT 152970 only the electrical equipment as descrlb~d Imlo~ and introduced b~ tim applicant n~med on th~ q~j~ application ~um~ t~p~m~s of Dr. Julian Bayuk, Pvt. Road, Ecigemererark orr reconxe l~ay Laurel, L.I. ~as~.~o. April 4, 197~ and found to be in compl~ance with the requirements of this Board. I35 2 22 RXTURES EXHAUST FANS FIXTURE OUTLETS 22 ~v,D~RY'tS. w, Olt FURHN .ACE M~AO:ORS H.e. ~JLU~,E A%t~CR FtR. O:.IOS' RANGES SPECIAL REC'PT, COOKING DECKS OVENS J DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. WATTS SERVICE DISCONNECTjNO. OFi s E R v METER AN, T. ~p. TYPE EQUIP. l~'2w t.,~3w 3.ff3w 3~'4w NO~O,~i~RCC~COND' A.W.G. OF CC. COND. i 200 CB x 1 h/0 IOTHER AFFARATUS: mSpecial receptacles: 1-50amps., Water heater: 1- 4.Skw 'lotor/s: 1-1/3bp V~lec.room heaters: ~-2.5h~F 1 G.F.I. I C E NO. OF HI-LEG A.W.G. OF NEUTRAE A. W.G. NO. OF NEUTRALS OF HI-LEG 2-1.25kwR 1-.75kw, 2-.Skw 2/0 Raab Electric Corp., 332 Nassau Blvd., West I{empsteadR L.I. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNEI~ janUary Wickham a ~a rk~ Attorneys ~;attituck, 1Q.[. Attn: William Wickham Dear Sirs Your latter of Jan 8 P~: Bay~ permit # 6872Z received. Please be advised: Tho He lth Dept ~oes not issue ~ermits for wells & cessp~.~ls etc ~ithout cle~irance f$om the ~tat~eD~E,.C. We d~ not issue peyntits without first gettin~ a health Dept permit for the well Cesspoll system etc. Further mo one can guaremtee that the sta~eD.E.C wont come along a t some time and claim Jtlrisdictiom and st~p ~, job after it is underway. There is a clause in ~he ~ta~e . . . MORE if.in the commissioners opinion it is necessarT. This is the reason for the st~mo ~e nut on the so that an unsuspecting person is ~ut o~ not,ce that on mt any time. !lan OH r:ermlt~ they may be"eheeked In the case of~BaylAk; we ha,~e is,~ied tt~e bui]din5 iernit based on the Health Dept a~nroval of water su '~ly & se'~-~rage disp*sal~ a foza,ulation survey has bten sub:~itt,-d and ap~roved. i per~onaly~ee no reason to doubt that th~ building will be-c~mple- ted and a C/O issued without further com;~lieatlons. We ea~ne~ sweak for any other agency than our own. Where this, Jo~ is proceding on the regular standard proeeduree~ see no.reasbn not to'continue it in the regular routine. Yours truly . ~TO ~'/N~ ~ AFtrA LIVIN 5 A~.~A m '" ZqL D~' uPP~-~ LF---VP---L ~'boO~-. PLAN IF ~ ~ ....... ~,PAF_.E.p..~__~, ~__~.._.J.~,_~-~'~"'°~L'f'i ¢:l" H,~,H WILL ~t'F K ITC-H F--N PLAN D '~4- APPROVED AS NOTED DATE: ~ FEE: < ff. -BY NOTIFY BUILDING DEIP~NI, TN~,NT AT 765-2660 9AM TO ED INSPECTIONS: %, BEFOR~ BACKFILLING FOUNDA- TiON OR START FRAMING 2. BEFORE COVERING PIPELINE 3, FINAL WHEN JOB COMFLETED NOT ~ESPONSIBLE FOR DESIGN OR CON- BTRUCTION ERROr5 ?ARTITIONI~ ' ' bo'-O" t~,ulLPll'a~, LIN.C- UP UTILITY . LoWIi~ K. ,,, , . , ~ ~ ~: ..... , ~. . ~ ~ ...... .... ' , ", . , ~ " ~ ' * ,,~ ~ I I ~ ~~ ¢~, (/ / I I..I III ' III ' ~ ~ L , , I~~~'~%~ lll~lllF~ ' ' '' . . L % 111 i I~IHIIIt i ' IIIl~k~, - I I I I .... ~1 ~ LIIm I[~ ..... .... ' , , , . , . ,,, , ,,,, , , , , , , ; . . . , , . III I~llll /~% ~/ I lll IIl li l.I , q/~ "::"'' . · , ~~~ ~[,[ ,.: ,till ,,tt ., ~~~11 dill ' " ~ ~~/~.-rLIIlt IIII. , , ',,, '. l llllt ~~l Illll m~:~llll', 'till ' .. ' ' . '' , . '' . . . , ' ' r ' :H '(',:' j ',,` '' .... ' ' ''. 21~ '', .' '',--' , ~ : '~',,. ' '*~ ' ,' ,,¢¢f%: ¢' :, ~'' ~ ¢ ~* '. ,,--' '','' .¢. '¢,. ,~''' .:,.''- ~, S:''~, C' '~'L'' :,~` ~.~,~ L J_] L_ Ii II 2%" ./ · J I- , -- I~¢- FE L'T FLA~,H IM~ 'oL¥5~rlYLENI E '/¢'¢~,HOHOR BOLTW/WASH~ 'E)~...TA t b- ~' ~'E. TA I L- I~ ~'ACT ~ ~ ~t~-*¢kVE~ L-- ~OUN PATI®N PLAN ' L ~/Lqy4,, r-q · ~,,,,t/,7'E",,~/O,~ PosT',,D£7"A/Z, "FO '/z'L V4 UPF~F. L~.VF--L FLOO~ ~'f~T~/V~ FELT ~l..,'k~ H I N~ 2.x6 ~ILL (~Y DP--TAI L- c~ Z [,q-Lo" Z ~rf.o' i II I I~ ¢ III I[]l~ I~ I~ , ~L FLOOR FIRAM~INe~ PLAN ~7/~ ~u'4'xtc2''/t¢c'' ~I!~V'D'L°cI<IN~ fLy P~TAIL- H :.AU L k:'l IN ¢ PETAIL-- ~ -~'~ ~N H~S NO1' BEEN CHECKED, '/~HO CORR'[CT WORKING pLANS WILL ACCOMPAN~ EH[. ~ELIVERY TRUCK· ANY USE OF THIS pLAN ,b~jb BE AT THE BUILDERS RISK. TI-II .< 3FZ"x fl F~-" pLATE SC. ALE,', 'D'P__TAI L -- L. ...... I~LoCK CAULK~.IP AND ' ~FIKE~2 'TO UMPER~I~i~ O~ HI~,N OFF~H!h4~ E~Lo:]< AN~ SEc. Tt O,l'q A PETAl ~5~Low 2Lo' ~i'HIS PLAN HA~ NOT BEEN' CHECKED. COMPL~i~J · '~D ~ORRECT WORKING PLANS WILL ACCOMPAIq~ ~H'£ DEUVERY ~RUCK, ANY USE OF ~lS P~ ~ BE AT ~E BUI~ B~ / · 5!/4"X~?* Hl~H p-.AF-f~P-. P-.AFTE~ 1-O ~RE~..~IVE ~ ~IPING ~JOB~IT1~ -- ~P~TAI L - AA t2 F~ETAI L - g/~ ~'/z:'~ll'14" I~,~M x F~" PL~' euLJ~,FLo0~ t I25TA I L. -- ~/4 I::~-TAI ?- A / ~ '1 ~o~ 7%~ L ffoL'Tv-".'' F. oU~H OPE,"qlh4~ 'D L 4 '/'?J' IN~ / / / / / I %. %. ~.,Tlohd .2 &v,'= tlc",) ,. "..T~PicAL HAhqDI~,AI L PL-AT FOP-, M U/Z' = ILo'" IXlE ¢4< f R'r ~:~¢A~d> '~'I;IIS I~ ~AS NOT BEE~ CHECKEO. co~Pt.Ef¢ CORRECT ~ORKING p~NS W~ A~OMP~ DE~Y TRUC~ ~Y USE OF ~iS ~ ~ BE AT ~E BUI~ ~ / ~ P~- PRILL~.D \ STAIR ~A LU ~T~.~ fy;." =