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Home My WebLink About7022-zFO~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's O~[ice Southold, N. Y. Certificete Of Occupency No..Z~.?.7.~. ...... Date ............. ~..o? ......~.0. .... , 19..7~ THIS CERTIFIES that the building located at . .$.O~...t~...C.r.o.~ .s..&...i~ ~.t~.o~ Street Map No.. ~.a..s .tW..o.o..5. Block No ........... Lot No..~....~lt~o.g~#...N. ~.Y... ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... .N.o.~....~7..., 19. ?~. pursuant to which Building Permit No.. 7022Z. dated ............. .D.~. 5...., 19..?-~, 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 .. P~:~vgte. one .£al~.ly. ~l~e12~[~ ..................................... The certificate is issued to .l~e~ .. ~/&~;er. l~lrph~ ....... 0wn~. .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .I~0.~... ]0..~97~...]0~'. Ils. ¥;l, ll& ..... UNDERWRITERS CERTIFICATE No. IL .~.7~1~ .... ~,~8 · · ~'~" ~9~s~ .............. HOUSE NUMBER .... ~0.,, ll&~ .......................................... /~B~lding InsPector ~ FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7022 Z Date ....................... ~e~. ............ J~. .......... , 19..~.~.. Permission is hereby granted to: C he.t,../~=:l eve~.$.....&.¢..lle,~.....~/e.~.te~. to .... ~.. ~..~e.. '~Y'- ~i~.$~ ................................................................................. ~ 1 ~ o~ ~3~8~ ...... at premiss I~at~ at .................................... ~ ............................................................... .......................................... J~..&..$,..C~..~ ................. ~e~ .......................... pursuant to application dated ................ ]Jl~. .......... ~. .................. 19..~.3., and approved by the Building Inspector. Fee $.~,..~1 .,~ ........... ,~U:lding mspec,~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BURBAU OF: ELEGTRIGITY [---- BS JOHN STFIEI=T. NEW YOFIK. NEW YOFIK IOO3e N 178474 THIS CE~IFIES THAT Hev.w~te~ Hu~hys w/side EaBtwooa ~. s ~v.or uouche~ ~OSS ~a. Cu~oho~, inthefol~ing~ation; ~ B~ement ~ IstFL ~ 2~ FL OU~l~ ~t~ B~k w~erami~on AUnt ~9~ ~97~ ~dfou~tobeincomplia~ewiththerequiremen~ofth~rd. PU(TUIB ~AClISI SWlT I FIXTURES 17 137 17 17 SERVE:E mSCONFIBO I NO. OF I S METER 1 100 CB x ~u~na~es: Oil l-1/Bhp, Watev he&t:ev: 1-~. 5kw 1 K, w, :i.O o! COOKING DECKS I OVENS DISH WASHERS AMT. K, W. I AMT. K,W. ~T. K, W, TIME CLOCKS BELL IUHITHEATEIISUNIT HEATERS MULTI-OUTIIT V I C i 3 I 5 %4.B. Rul and, Ma:t lguak, L.I. 11 ~. COPY FOR BUILDING DEPARTMENT, THIS COPY OF ,CIR,~FICATE MUST NOT BE ALTERED IN ~ MANNER, SUFFOLK COUNTY DEPARTMENT OF HEALTH Heal th Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant (~ Address k~ 2. Property Loc~t~on 3, Public Wafe~ Co~Pahy Na~e 4. Lot size: Width 5. Subdiv..~j~iL.~.~5 6. Section ,~,~ 7. Lot NumbeF '~-- 8. Private Well'u~ 9. Public Water Distance to main_~._ 10. Sewage Disposal System: (For Health Dept. Use) ll. A. 900-gallon septic tank: Precast ~ Equivalent Block__ B. Leaching pools: Nu~er of pools PrecastX Block ~pecial NOTE CHAI G If private well, fill in the following blanks: A. Tank capacity ~ ~ gallons B. ~mp G.P.M. ~ C. ~tal well depth ?,~D. ~th to ground water :~-~! E. /~unt of water in well The Under~ed CERTIFIES: "Construction of authorized installations will be in accordance withthe S~'folk County Department of Health's current standards thereto. This application wi~ be vai,~d for one year from the date of approval indicated below and may be renewed if a Current qCB~al 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 D!sposal System and Water Supply can be installed on this plot. _ ~_, ~.~___~Y APPROVAL DATE Y~7./-..~(~, /FT~ SIGNED Rev. 4/1/73 ~v~---~' ~ ~0 1 'row. oF sour.ow - ............. : .......... .................................................. ........... · ..... ............. AP~I~TI~ ~ BUILDING PE~IT L Thi~ l~li~ion mu~t ~ ~m~l~t~l~ fill~d in b~ W~rit~r or in ink ~n~ ~ubmi~d in triplimt~ m the ~iffi~ linnetS, ~ith ~i~i~ · ~il~ ~ri~tion of' I~out o~ ~o~rW mu*t ~ dr~n on die,rem ~hi~h i~ ~ of thi~ ~ppli~on. ~. ~ ~ ~ ~ thi~ ~imtion m~ not ~ ~m~n~ ~re i~u~ o~ ~uildi~ ~rmit. ~ ~ ~l~ ~ in*~i~ throughout the ~ork. · . ~ ~lffil~ ~tl ~ ~i~ or u~ in whol~ or in ~ for *~ ~r~ ~m~r until ~ ~ t~ ~il~ In~or. APPLICATION IS HEREBY MADE to the Building Department for the tssuence of a Building Permit pU~_ .u~n._t~0 'the 9ul~dtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable I_~ws, Ordinance; or R~.. ~_'.~, f.~tl~ mm~truation of- building, ~lditiont or alterations, or for removal or demolition, as herein described. The applicant ~gree$ to ~it~ Mi ..~_.e law~ ordin~nm~, building code, housing code, and regulations, and to 8dmit authorized inspector~ on premises and in buil~lin~or n~ i~ectionE, (S~ature of applicant, or name, if ~'~'poretion) (Ad. ss of eppl]rant); .State whether applicant ~, a~:ect,,engineer, ,hera, co~traeto;, electrician, Plumber. or builder. Name of owner of premises ..~.~,~L.:.....~....~....~...,, ........................................ - ................. If applicant is a corporate, signature of duly authorized officer. Builder's License No ........... ..--T.. ........................................... Other Trade's License No ............... ~ ................................ ~ ' / 2. ~ exi~l~ use ~1 o~,u~ncy of premiss an~use ~ o~u~¥ of pr~l:~led cor~ru~on: -- a. Existing use and occupancy ...~/) .... ~...~. ...................................... ~""7/ ...................................... 3. Nature of work (check which apolicable): New Building ~ ........ ~, ........ Addition ..................... Alteration ............... Repair ............... ... , ... ... Removal ............. .... ... ..... Demolition ........................ Other Work .................................... ~g~) (Oescril~ion,~ 4. Estimated Cost ..... ,,~...~.~...~ .................. Fee ................................................................................................ (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 occuoancy, specify nature and extent of each type of use ...... ~ ............................ 7. Dimensions of existing structures, if any: Front ....... .--.. ........... Rear ........... ..'. ............. DeDth .....-.. ............................ Height ........................ ,~ ............ .--. ................. Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front ........ ~ .............. Rear ......................................... Depth ..... ~ ...... Height .....~. ......................... Number of Stories Rear ....,....~...~. ............. Depth ......?-....~... ................... 8. Dimensions of entire new construction: Front ..... ..~.../.....: ....... ~ Height ....... ~...~, .................................. Number of Stones ..........~::~ ....................................... 9. Size of lot: Front ...../....~...0,...(...... ...... ........ Rear ......... ~/...~....0...~ ................... Depth ...~...~....O...~. ............................. of Purchase ..~./..~..(~...Z.J~.~... Name of Former Owner .~..~.~.~ ........................... 10.1.1. DZ~:e or use district in v~hlch premises are situated ..... }~.~.~.. ............................................................. 12. Does proposed construction viOlate any zoning law, ordinance or regulation: ....~LO. ................................................. Will lot be re,reded ~....~..~ WiU excess fill be rempved from pre~i~es: [ ] Yes ~ No 13. Name of Ow;er of ,retmises .J'./~2,m~.~...i,~.~..~.~..-...~.,..L:~p~.l~..~uL~..! ........... ;....: ................ 14. ~/(Ad~ress) / (Phone I~1o.! Name of Architect ................................................................................................................... .... ~ ,~ (Address) (Phone No.) Name of Contractor ~ ~~-J~-~ ............ I....~..~...~..." .............................. ..................... ~ 7 ......... (~hone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck 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. ! STATE(: NEWY/ORI~/ z~J= ///~ ) COUN~ OF .......... ~ ........... ) .......... ~..-~~~ ...................... being duly sworn, de~s and says that he is the appli~nt abo~ name. He is the ...................................................................... ~...r.~.~..~ ................................................................................................................. (Coutractor, a~ut, cor~te officer, etc.} of said owner or owners, and is duly authorized to ~rform or,,,.,.,, _. ___havep~f°rmed the said work and to make and file this application; ~ statements contained in this application are true to t~ ~.~l~d ~ef; and that the work will be mdor~ in ~e ~n~r ~t forth~.,in the ~pplication fi[ed ther~i~. , ~_ _ ~_ . .-~~°' 52-03449~3 Suffolk C~n~ ...... ..................... d.v ........... .... // V// ~ot~r~ Cu ...................................... v (S~mm of appl~t) Z N. ,s~'4-z,'oo~ r. 160.0 1&0.0 ~OUTN P. OAD ................ MAP OF F'P..OP£RTY ~E~ WALTE~ MURPHY LOT ~ - E~STWOO~ ESTATE3 ~T 'FLE,~T"S NECK" II NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM TO 4PM FOR ED INSPECTIONS: 1. BEFORE BACKFILLING TION OR START FRA~,.INC-, 2. BEFORE COVERING PIP~LIN~ 3. FINAL WHEN JOB COMFLI'TED'