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 .
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~'ACT ~ ~ ~t~-*¢kVE~ L--
~OUN PATI®N PLAN
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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~ --
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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
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