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Home My WebLink About6892-zFOKM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy No. Z~7.22 ...... Date ............. Jan...~....~..., 19.?~. THIS CERTIFIES that the building located at R.0. oI{-. ~/S. ~.~.n. Road .... Street Map No...xx ........ Block No...x~ ......Lot No... x~ ·. · L~u~e.l. ·. N ~¥ o .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..............Sel~ ... 2~9..7.3 pursuant to which Building Permit No.. 6892Z. dated .......~ep~ ... 2.7. .... , 19.73., 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 . ~'lva.t-e. one .£a~ily. ~wet.l-~.ng ...................................... The certificate is issued to . ~eorge..l~eCa. v~hy. · ·. ~h,'ner ......................... of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. N..$3.~663 (owner, lessee or tenant) gec...$?.. 4.97~...by. ~,. Vi.lis.. ....... Jan. 2. - .1.97.~ ............. HOUSE NUMBER .. ~ .900 ....... Street ...~.i.n. ~o~ ............................ ..... ...... Building Inspector ~ ]FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6892 Z Date ............. ~..~..~..... ~,~. ......................... 1923... Permission is hereby granted to: A ,ae-~-~..~..&..S~.-~-.-.~/~..-. ~so..y~a~r th~ : ............... B~,t.t,1,.~ak ........................................ so .~.u...~..]:.a.....n..e..y.....q.n...e...~....¢~.L].t~ ................................................................................... at premises located at ...~.Q.~.W.v......~/~..~,;~eJ~..~&/], ...................................................................... .............................................. .~.~r.e.:~ ......... .~,.~, .......................................... : ..................................... pursuant to application dated .................... ~t~;p..~.....~. ............... , 19.~..~.., and approved by the Building Inspector. ............ Building Inspecto~ FORM I~0. 6 TOWN OF $OUTHOLD Bu~lcJing Department Town Clerks Office SoutBold, N. Y. 11971 APPLICATIOFI FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE 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, an6 unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage 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 Architect or Engineer responsible for the building. 5. Submit Planning Board approval of compleled site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex[sting" 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 use $5.00 3. Copy of certificate of occupancy $1.00 New Building .......... X---. Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .......... ~i.'(}i'l~'~'"li)/~l'"lll~l.'"~,'"'Zi~ll~W~'"~'~'~'; .............................................. Owner Or Owners Of Property Subdivision ................................................................ Lot No ............. Block No ............. House No..I.~.~ ~' Permit No....~..~...~.....;~.... Date Of Permit .9~.~..~.]..Applicant .,~.~..~e;L~.]~...a.~..S~II~..Z&j... ......... Health Dept. Approval .... I~/..t~.7~ ..................... Labor Dept. Approval ................... ../~..i..~.~.. .................. Underwriters Approval ........ Eel~d.~.il~.~. ................... Planning Board Approval .......... .~).i.!~..('mm... .................. Request For Temporary Certificate ........................................ Final Certificate ............ ~ ....................... Fee Submitted $ .......... ~'00 ................ Construction on above described building and permit meets oil applicable codes and regulations. Applicant ........... -~,. -~...'~...~....~..,. :....~.~k~.,~. ........................... Sworn to before ~ ............. ?day of '~"~ ....... Nota~/ Public ........T. .......................... Caunty THE NEW YORK BOARD OF FIRE .UNDERWRITERS ~ dl4 BUREAU OF ELECTRIC~ / 85 JOHN STREET, NEW YORK. NEW~YOIRKIO038 THIS CERTIFIES THAT ~o~ a.mou~hy. ~8tn Rd ~25~ ~25 & Po~nle Bay Blvd~ Nattltu~ in the ~ollmein8 loc~tion; [] Bemement ~ l~t FI. RXTURE OUTLETS DRYERS FUENACE MOTORS RXTURES 41' FLUORESCENT and found to be in ~m~ia~e with the requi~nt~ of ~ES ~1~ ~KS OVENS DI~ W~ SERVICE DISCONNECT NO, OF 1 200 CB EXHAUST FANS DIMMERS · . w.o. .o.o~ Hi-LEG ^. w. o, o~ ^. w. o. x I #/0 ~/0 Joseph J. P~ohnhoel'ev Main Rd. Et; 25 ~outhold, L.I. 11971 CO~Y FO~ BUILDING DEPARTM~, THll COPY OF C~TIFICAT! MUST~T B! ~TillD IN ~Y ~ , THE NEW YORK BOARD OF FIRE-UNDERWRITERS (~ BUREAU OF ELECTRICITY' = I'-- 85 JOHN STREET, NEW YORK. NEW YORK 100;38 ,,. ,,...,,,.. 2, ~?, ~,,,~..,o.~o.o.~,. ~ N 135663 THIS CE~IFIE~ THAT ~y t~ e~t~ ~nt ~ ~H~ ~ ~ i~t~ by t~ ~t M~ ~ ~ ~ ~t~ ~m~ ~ t~ pm~ o~ ~o~ ~oCa~hy, w/~/o P~Ivate ~d. 100' e/o Ald~ek L~e, Lau~,~.&.~ inthefollowi~l~at~n; ~ ~t ~ ~,tri. ~ ~ ri. outside ~tiofl ~...i~o. ~oe~ev 2g ~ 1973 a~found~i~compl~cewithther~ui~nts°fthisB~. fiXTURE LEC:iPTA I I RXTURES RANGES Tw. SERVICE DI.~:Ot~IECT [ NO. O4~ [ S E R 1 10 CB x 1 "FuPnace/s; 0:[1, ~-l/Shp, EXHAUST FANS ! £ DIMMERS OF CC. COND. OF NEUTRAL Joseoh D. Mazzoni 2~7 Wave~ly AVe. Medfo~'d~ LI 117f3 Per COPY FOR BUILDING DEPARTMEI~IT. THIS COPY OFr f,,,B:K.FICATE MUST NOT BE ALTERED IN ANY MANNER, Examined ~ ~' ........................................ , 19 ...... Permit No .... ~ ............ Disapproved a/c ............................................................................................ APPLICATI~ FOR BUILDING PE~IT TOW'N OF ~OUTHOLD ~"/~-~/~,,~ ~/~. BUILDING DEPARTMENT ~.t, TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No..:...~....~..~...~... ............ Dote ................................ 19..~..~......~' INSTRUCTIONS ~' a. This application must be completely filled in by typewriter oe in ink and submitted in triplicate to the Buildinl~- 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 premises or public streets o ~'~ areas, and giVing a detailed description of layout ofproperty 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 part 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. The applicant agrees to comply with all applicable laws, ordinances, building code, hog. sing cede, and-r~gulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder; ~, Co ,~, -7-/T,~ ¢ ~"~ ,~ · ?-zz . Name of owner of premises .......................................... ........ /./.... ..................................................................................... ; If applicant is a corporate, signature of duly authorized officer. .................. it, ......... Builder's Lic~ No ..................................................... Plumber's Licen. No...~..~......~.~. Electrician's License No. ~ ~ Zo~/ Other Trade's License No ............................................... Location of land on which pro, posed work will be done. Map No.: ................................. Lot No ................. Street and Number ..~'../.~.. ~ ~' z'~,~'eL ' NL,~g'~'~. '~N,~'~.v~ ;"~'}'"~-~' ~" Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ~.. ...~...~..,~/.~...,~... J~..~],4,/C'/-/. 3; Nature of work (check which applicable): New Building .....~.. .......... Addition .................. Alteration ~.. ~' Repair .................. Removal .................. Demolition .................... Other Work ................................................ .... ,~ ,, r-~ 6 0 ~'/~ , ISrO_ (Description) (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 .......... ..~....~...~ ................ Rear ............................ Depth .....~... ............... Height ...../...~...;. ...... Number of Stories ..... /.. ............................................................................................................ 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 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 regraded, .......6('..~) .............. Will excess fill be removed from premises: ( ) Yes (/~) No 14. Name of Owner of premises ~",~ cC~9~:7'.~../~.. Address 4q'.'.24~..~:...~.. / 3'L,~,4C Phone No. Name of Architect .............................................................. Address ................................ Phone No ....................... 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 whether interior or corner lot. See a veX' COUNTY OF ...s;::~/.//'~...~5...~....~''''' .... /~...~...'~.....~2....~....4~../'....~...;../...~..~'../...~...4'~......'. .......................... being duly sworn, deposes and says that he is the applicant (Name of individual signin§ contractO above named. He is the ............... ..~...~...,~...../.'~....~......~.....c'....?~..~....~.... ..................................................................................................................... (Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly authorized to perform or'~J~ave performed the said work and to make and file this application; that all statement~ ~i~tained in th'~6~l'i~a~on~are'tYue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before.:lq.~ me thiSof ~ 19~'7'~ . ............... --...,.. day .......... ~..... ............ , ........ ~.4 ~ ~ ~ ~/~ (Signature of applicant~ 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 ~,~/~,/ -~ ~r,~/r hone ~ ~__ . Subdiv. Address ~ ~-~./~ ~ ~ ~ -~ ~ - 2. Property Lodatidn ~/~ ~ ~ ~m. 7] Section 6 Lot Number ~,,~ ~z ~/ ' ~. Private Well Vill~ ' Township ~ 7 ~ ~ .... ~ ~ ~ . Public Water 3. Public Water Company Name Distance to ~in 4. Lot size: Width~ feet Length ~,_ ~. feet ~' 10. Sewage Disposal System: A. 9~gallon septic tank: Precast/Equivalent B. Leaching pools: Number of pools ..~ Precast_l~lock Special B1 ock If private well, fill in the following blanks: A. Tank capacity ~/~l_ gallons B. C. ~ D. E. Pump G.P.M. /~ Total well depth .~ Depth to ground water Amount of water in well 11. (For Health Dept. Use The undersigne~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. 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 i~stal~ed on this plot. APPROVAL DATE ':~/? /.~L"J' SZGNED ;5///~. ~,, ' S-15 Rev. 4/1/73 N.?4 NOTE: I=MONUMENT ELEVAT/ONS ARE REFERENCED TO AN ASSUMED DATUM. .EWS,ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W* YOUNG HOWARO W, YOUNG SURVEY FOR: GEORGE McCARTHY AT LAUREL . ;/ :3 ~ o~ ~, - · ow. o~ SOUTHOLD · ~ , ': :, ? ~ ~ SUFFOLK CO., N.Y. /j~~'~+~ SCALE: I' = I00' ~DATE:sEPT. ~4,197~~" '~ . - 040 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY iS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COP~ES OF THIS SURVEy MAP NOT BEARING REVISIONS NOV. EL 1973 NOTE; ·: MONOMEN r ELEVATIONS ARE REFERENCED TO AN A$$41MEO DA TU M. YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG ~'IOWARD W. YOUNG SURVEY FOR: GEORGE McCARTHY AT LAUREL ~'ow,~ of SOUTHOLD SUFFOLK CO., N.Y. SCALE: .... , : ~' ,~ ,": . APPROVED ~S ~OTED, D , ; NOIIFY BUILDING DEPARTMENT 3, ~JNAL WHEN JOB COM~L~EO