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Home My WebLink About6936-zFOKM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy No. F,~791+ ..... Date .......... Feb ..... ~3 ...... , 19. THIS CERTIFIES that the building located at 'Little Eec]~ .&. F. mcr...La. Street Map No..Moose CoveBlock No ........... Lot No. L~I · · Cmtohogue.. N.,.Y, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... gc~ · .18., 19. '?3 pursuant to which Building Permit No.. 69364 dated ...... 0c.t ... 3.9. , 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 . Pr~Lv.~te..one. £amil~. dwelling ................................... The certificate is issued to Arthur .Br-ewe~, .... Owner. ...... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ....... J.a~. 2~ .~9~.~ ..by. ~.. ~/i. Ila UNDERWRITERS CERTIFICATE No.. N. 1t~20~4 ..... F~b 6~' ~97~ ....... HOUSE NUMBER ]9~0 .. - Street . Litt.~.e..N.e. qk. ................. Fawn La .... .c c,.. 7 ..... Building Inspector FORUM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT No. 6936 Z Permission is hereby granted to: ;1: .~...~:~...~me~...~ac ..... aZ.~..~.taur.. ........ ~e~tt~t~l&..l~ ........................................ ............... ......................................... (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .................... O~t~he~....':..t.9 ....... , 19.~.3... to ... ~JiM,;LcL.. nm~...one.. £a~t 1~.. ~ll/a~ ................................................... : ....................... at premises located at ....~...O..~.....,Jf.~. ....... ~t~.ttfL.t~O.~.~ .......................................... '. .............................. .................................... .~..~ .t;.l..e... !L~.c~.. ~.~..F~.~a..I~m:~e .......... ~tu.t, clm gae...: ................................ pursuant to application doted .................... .(~ ....... .~.~ ................ , 1~.~...., an[ approved by the Building Inspector. FO]~,~ NO. 6 TOW~ O~ $O~THOL~ Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector w~th the following; for new buildings or new use. 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 d~sposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwnters. 4 Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate af Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable B For ex~sting 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 condztion 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 af occupancy $1.00 Date Feb. 5~ 1974 New Building ....X~... ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Locat,on Of Property ..F.`~wD~..~.~..D`.~..&...L...i..t..~..~.'.e..~.N...e..c..~k'....~..d.~:../..~.~.~.~.~~.~?~.~.~ .............. Owner Or Owners Of Property Mr, Azl:hur & Kat:hr~ Bzewer Moose Cove , .. 41 Subdiv;sion ................................................................ Lot mo ............. Block No ............. House No ...... 1930.. 10/19/73, Permit No 6936 Z Date Of Permit .................... ~pp kant Inland Homes~ Inc. 3~/24/74 . . }qeolth Dept. Approva~ ............................................ --~Dor ~ept Approval ............................................... 2/6/74 Underwriters Approval .............................................. P]onning Board Approval Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ..... ..5.:..0...O. ..................... Construction on above described building and permit meets all applicable codes and regulations. A~licant Inland Homes._.~ Inc. ~enne~h W. Thurber Sworn to before me this ~ ' ....... ~~~~~~ii'i;"'~"~'" ~:::I'~:~:: of .... '~'"'~'""""~"'~"?'"'~'"C"o::~y (stamp or seal)/~.~/~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS SIg BUREAU OF ELECTRICITY * '. 85 JOHN ETREE~.*NEW YORK, NEWYO'RK. 10038 D~te Febr~lary ~, ~ ~ppl~.t~nNo. on~,e N 143054 THIS CE~IFIES THAT o~y t~ ~t~M ~u~nt ~ ~c~ ~ ~ i~t~ by t~ ~t ~ ~ t~ a~ ~i~t~ numar in t~ p~s o~ A~u~ B~ewe~, Fa~n Lane & L~e ~eok ~d. o~f ~ugene ~d. Job C~chogue ~ L.~. ~..~o. 3anua~ 31, 197~ o~fou~tobeln~ewiththerequire~nrsofth~B~. FIXTURE FIXTUEES RANGES OVENS DISH WASHERS EXHAUST FANE OUTLETS SWITCHI$ FLU~Y~ENT FURNACE MOTORS MULTI-OUTIJT DIMMERS SYSTEMS NC. OF FEET SERVICE DISCONNECT ~urnaces; 1-1/8bP, 2-1/2bp · Future ApPliance Feeders: Motor/s: 1-1/2bp S E R 2-3~8, 1-2#12 OF CC. 2 C George Zimlinghaus k Park Place Patchogue, New York 11772 COPY FOR BUILDING DEPARTMENT. THIS COPY OF cERTIFICAT~ '~qT_NO~ BE ALTERED IN ANY MANNER. JAN U4 ~. D. ~. ~. -, ~ H.D.Reference No APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date Oct. 11~ 1973 Approval to construct said systems is requested,pertinent data herewith: 1-Applicant Arthuz W, Bre~eir Phone 586-732~6-Sub div ~oose Cove Address ? Li.~dquiSt Lane~' .Deer. Pa~.k~ N.Y, ?-Section 2-Detatled_prope_r%y. lpcation Fa~11 Lane & Little Neck 8-Lot No.' 41 Hamlet ~a$~ ~cno~e Town ~ou~no~ .9-Private well? YeS 3-Public Tter supply name Distance to nearest main 4-Lot Size. Width~.~ .ft. Length iT?ft. (also enter on center plot plan below:) 5-Dwelling: Single Family ~X; Two Family? ~ /Cellar? /X/.Slab? ; ;Crawl Space? / / 10-Proposed system: Septic tank · /Precast F /Cesspools ~ /Shallow pools · /Other · / il-Septic tank inside dimensions..' Volume~843Gals. Length ft. Width ft. Liquid depth ft. I2-Precast sections: /~Number~Square Ft. Cesspools: 'Block size/" incs. O ins. H i [ins. Total blocks below inlet: ~1. ~2 __~J. .. PLOT PLAN o ~ o~ ~ ~ ~ Street ~ ~ Ind~ate [ 18-- ~ ~ No~th ~ The Undersigned CERTIF~S: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, a~ amendments thereto, covering Private Sewage Disposal Systems". Date~ Signed Inland ~o~es Inc./Kenneth W. ~huzber, VP Owner or Builder ~~_~ Data Fee,t 0 2 "4 6 8 10 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 can be installed on this Plot. ( o165 Revfs.) S-IS AT TOWN OF Sou'rHOLD~ ·owN CLERK'S OFFICEL - ' . ~ ~ , ~ N. ~plicafl~ No ................................. I~ t ~ p~it No..~..~.~..~ ........... Disapproved a/c ...................................................................... APPLICATION FOR BUILDING PERMIT ~ , iNSTRuCTIONS-: ~wish~ a. This application must be completely filled in by typewriter or in ink end submitted in triplicate to the Building Inspector, 3 sets of.plans accurate plot plan to scale. Fee according to schedule. b. Plot~ pan shoWi~ng location of lot end of building~ on premises, relatim~hip~to~adjoining;prami~es or public ~tre~ or aree~a~ giving a detailed description of layout of property must be drawn on diagram which is pert of this al:~lication. ¢ The work covered by this application may not be commence~..b~f, ore itw ..a~.. of Buil.dtng Permtt. d. Upon approval of this application, the Building Inspector will tssue e Building Permit to the applicant. Such permit.shall be ke~ the premises available for inspect on throughout the work. e. No building shall he occupied or used in whole or in part for any purppse whatever until a Certificate of OampenW shall have'~be~ granted by the Building Inspector. APPLICATION IS HE Ordinance of tl~e Town ot buildings, additl~ons or eltl ordinances, building code, I ~,,~ ~ to the~_~l, lj[~,Jj,r~Je~ej~ment fgr the i. Ls!u. ap_ca of l Bui!ding_Pe~rm_.jt~ j~. ~rwan~t_.to the Building Zor SoutJ~ld ~uffolk County,~.ew York, ~r{~'0t-her epgli~a Lew~, Ordinanee~ or-~gu-Jat~, for the eomtruct~n of rations, or for removal or de~nolition, es herein described. The aprg cant agreee to ~ with all aM~llcable ,ousing code, and regulations, and to admit authorized inspectors on premises and in buildln~ for nem~aW inspections. (signature of applicant, or name, if e corporation) Box 117, 315 Westp~ali& Rd. (Address of applicant) ~ , ~r,' M&~tituck, N.Y. 11952 · Gener 1 Con~ractor L ~. ................... ~ .................... Name of owner ~f, premises .... .~. ~.t:...~..u..r.....~.......~.:z...eff.~:g ...... ~ .................... ...:.....,. .............................................................. If applicant is ~ c?rrporate, signature of duly aumorizea OTTicer. ' . Kenneth W~ T~urber, .......... .......... iR%' {i ; ..................... Bwl~r s Liben~ No .......................................................... Plu~r's Ei~n~ No ......................................................... Electrician ~ Ll~n~ No ..................................................... Othe~ Trade's Li~n~ No ........................................... ,....~. ........ : ~o ~.~se ~. ........ 'Lot 41 1. Lo~tion of land on ~cn prop~ WOrK W ~ ~0~. ~ ............................ NO ......................... Strut and Numar ..~.~..~..~.~.A...~9.~.~.[..~..~,~'.~...A...~.9.~..~[~ ......................................... & Li~le Ne~ Rd. Mun~i~li~ 2. S~ exi~ing u~ and ~upancy of premiss and intend~ u~ and ~upa~y of pm~ co~ion: a. Exi~ing u~ and ~upancy V~c~ ....................................................................... one f~ily dwelling b. Inten~d u~ and ~u~ncy .................. ~. ................................................................................................ - 3. Nature of work {check which apl~licable): New Building ........ ~ .......... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost ....$...~2.Q.,.{).QQ~.QQ .................. Fee 2~' (to be paid on filing this application) 5. If dwelling, number of dwelling units .................Number of dwelling units on each floor ......................................... I - If garage, number of cars ............................................. . ............................................................................................... 6. If business, commercial or mixed occuoancy,-specify rlatu~e and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Del~th ................................... 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 68, $ Rear 68, $ Denth 34 o 2, Height ............. [.~. ............................... Number of Stories ......... .3:. ............................................................................. 9. Size of lot: Front ......1..1..3......5,.0.. ................... Rear 3.3.3.50 3.77 .......................................... Depth .................................................. 10. Date of Purchase 3.9?2 Name of Former Owner 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does i~roposed constructiori Violateany zoning law, ordinance or regulation: no 13. Will lot be regraded .............................Will excess fill be removed from premises: [ ] Yes ~_~1,1~ No 14. Name of Owner of premises ..,&..r...t..h..u...r...,W..*.....S..r..e..w.e.r.. ............................................................. .5...8...6......7.,3..,,2~,... .............. (Address} (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor Inland Homes Inc. 298-9696 (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 wheth- er interior or corner lot. ....... ........... j .............. ~-=.....:-~;~i~;....~...~.=.z......~....m( ~ o[individ~ sim~gcon~actt , ............. ' g duly sworn, de~s and says that he is the appli~nt above n~ed. {Contractor, agent, cor~rate of~cer, etc.} of said owner or owners, and is duly authorized to ~rform or have ~rformed the said work and to make and file this appli~tion; that all statements contained in this application are true to t~ ~st of his knowledge and ~lief; and that the work will ~ ~dor~ in t~ ~n~r set forth in the application filed t~r~ T. 8OKEN ............................ .... ............... Not.w County .... ; .............................. I LL :1 I 'l i APPROVE~' AS N(~TED DATE~ FEE: NOTIFY BUILDING DEPARTMENT t, f 765~2660 gAM TO 4PM FOP, KEQUIR- ED INBPECTIONS: jl BEFORE BACKFILLING FOUNDA- TION OR START FRAMING 2. BEFORE COVERING PIPELINE 3. FINAL WHEN JOB COMFLETED 'NOT RESPONSIBLE FOR DESIGN OR CON- ~T~.UCTION ERRORS ¸il I I I .J RE. NO. '.~ ~:~ '~-,,,, '~ lcHE~'E ED g;~' DArE