The URL can be used to link to this page

Home My WebLink About7031-zFORM NO. ~ TOWN OF SOUTHOLD BUll.DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z63~2 ...... Date ........... '~pr~ · · · 1~ ..... ,19.75. THIS CERTIFIES that the building located at 'Som~d 'Drive .............. Street Map No. fa'stern -3hBl°ck No... '~V ..... Lot No. '110' ;~ 'Pt' '711" 'G~t~6~I~' ' 'N'.Y. conforms substantially to the Application for Building Permit heretofore fried in this office dated ............... Dec.. '3' 19. ~.~ pursuant to which Building Permit No... 7031Z dated .......... D~...3 ...... , 19. ?3' 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 ...Priva~ce. one · family' u~rel'¥L~'g ..................................... The certificate is issued to . Martin. ~ 'Agrms' · t~hr®rrre~ch ........ vwnsrs ......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ' ~'.tr ' · 31'i ' 1975' ' by 'R'.' 'Vll~ · · · UNDERWRITERS CERTIFICATE No. N23'~8 .... Mal~ ' '~7' ' '~ 97~ ................ HOUSE NUMBER ....... 2~ ~ Street ..... $c~nd. Dr~ve..(.hd.) .................. · NOTB: · Lower. Tloor ~nfl~.i sht-d S' ha~d- ra%t s' t- - s tells ' to' 'be' Building I~pector · 0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 7031 Z Date ........................... J~e ....... JR ......... , 19q3... Permission is hereby granted to: · ~.-~O.....l~sve..~vl~ ........................................ to....1~1~...n.~.x...j~zq.. £.~;1,~..,~.~ ~J,;i,&i~, .................................................................................... at premises located at ..... ~t.....$-~O .......Ji~&te~l~..~l~l~e~ .......................................................... ............................. ,~mnd...IX~$~e ............ ~nper~ ......... i~,¥.. .................................................... pursuant to application dated .................. Dee. ............ ~,~-..... ........ , 19..~3.., and approved by the Building Inspector. Fee SJ.OS~:J t~ .......... ...... ' ' ~' Building Insl:~Etor '~ FORM NO. 6 TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION 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, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-0 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 completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" 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 Date ....... .~....~....-~...~...L......, ,~..)...)...~...7...~.- New B~ilding ................ Addition ................ Old or Pre-existiog Building ................ Vacant Land .............. Location Of Property ........... ~...~......~...0. ....... ...~...C.3...~..~.1.~ ........ .ID...I.?..t...V..~...f ....... .~T..~..~.~...I~.....'~..?.,~..?.+......~!.L'../' . Owner Or Owners Of Property .... ~.~].~.~.~.~i~`~F~.~.~.~.E.~N~.~E.~!~-~C~H~ ............................. Subdivision J~S~r['K.~. ~/'I~E~--~.ET'~'I F~)~n~'k]~ I_~l.~ ~ BlockNo. -- House No...~..~....,-~.. Permit No..~.~.~..7,-... Dote Of Permit ~D.E.C~...!~l...~plicant . .~, .~...t~.....Y..~.d...~...~.......-~..?~..~.. ...................... ~/~ J "'D~C ~ I~t~'' ~ Heo:th pt. ^pprovo: pt. Approve: ............ ............................... Underwriters Approval .~L.~,.{..~..?....~...~.. ................... Planning Board Approval -- ' Request For Temporary Certificate ........................................ Fin~ Certificate Fee Submitted $ ..... .~...~ ................... Construction on above described building and permj~ n~ets aJJ applicable codes a~ regulations. ....... ............. ..Z-Tdoyof ..... (stamp or sea,) .ota /Pub,,c ........... Coun THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~~ BUREAU OF ELECTRICITY I 8§ JOhn STREET, NEW YORK, NEW YORK 10038 THIS I)e[cCERTIFiES?~aI"ChTHAT27. ]-!~'[5 Ippli{'.ti.,, %o. or~file77943P~, N ~ ,. 8 Martin EhrenreIch, n/s~de Sound Dr., Eastern Sho~es,300' w/o Westwood ~gne, Gre~pport~ L.I. i,tthe.~oltowi~toct~tion~ ~}Baze.*ent [~Jl~*~'l. ~,12nd FL outside .~er~ion Bl~.~ Lot ~.,~..,~,,,,do,, March 20, 1975 undfoundtob~incompli~ncewiththerequ~reme, tsof~hizBoard, FURNACE MOTORS FUTURE APP~ANCE FEEDERS SERVICE DISCONNECT TIME CLOCK S E R V I L~NIT HE.STERE MULTI-OUT[ET SYSTE/~S NO. OE FEET 1 4/0 C *Ranges: 1-51.0 amps - Panelboard/s: 1-16cir. 1-10 amps., 2 G.F.I. *Ovens: 1- 14.6 amps. 125amps. Garbage disposal - 1-13 amp. garbage compactor A-70 Reeves Park Riverhead, L.I. 11901 ~GENE~..J~AGER r . . ~ ~iS' ~.ificme must not be al~,ed i~ any man.r; return to the offi~ of the ~a~d if incorr~t. SUFFOLK COUNTY DEPARTMENT OF HEALTH ~/~~-/' H.D. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM Address ~-7~ ~Fr~ ~t~ ~/~FR~f~O 6. Section ~ 2. Property location ~/~ ~ ~/~f 7. Lot No. //~ //~ 8. Private yell VillaEe Township ~gO 9. Public water / 3. Public Water Company name ~F~R~ Distance to mai~ 4. Lot size: Width /~' feet Len~th~DD~T feet (Enter on center plot below) 10. Sewage Disposal System: A. 900 Eallon septic tank: Precast ~ Equivalent Block__ B. Leachin~ pools: Number Precast~ Block Special If private well fill in blanks below: Tank.capacity Gals. Pump C.P.M. Total well depth__ Depth to G.W. Amount of water in well Test Hole Data Feet 0 2 8 10 12 14 16 18 Date /O - /~'--- 77 The undersigned :ERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current stand- ards thereto." C/ Ow~r or ~ilder FOR HEALTH DEPARTMENT USE ONLY. Eased 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 Date //- f- P~ Signed S-15 Revised 4/1/72 TOWN OF IOUTHOU) BUILDIN~ DIPAIrrMEN? TOWN CLERK'~ OFFICE ~OUTHOLJ), N. !'. Examined ..... .~.....~:........ t ...~... ..... 19.....~...~ Approved ~, If '( .~.....~.. ~..~,. ~.. ........................................ , 19 ........ Permit No ........ ":.... Disapproved a/c ............................................................................................ APPLICATION FOR BUILDING PERMIT Application No...~..~)..~../. ............. INSTRUCTIONS a. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate pl~t 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, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. r (Signature)lff/6pplicant,~d~-iam~, if a corporat,on) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... .................................................................................................................................................. Name of owner of premises ~..~lJ~...~.. ~/~7 ...~.. ,~ t~ .~...~....~...../~.. ~/~/'~ Builder's Liceese No ..................................................... Plumber's License No ...............~...~.../.....~.. .................. Electrician's License No ........ /..~..../...~.......~... ................ Other Trode's License No ............................................... .~'~-5'0~'~, 5'/~ 6 ~,E ~ 1. Location of land on which proposed work will be done. Map F4o;: ........................................ Lot No ..... ~../...~.. ........... Street and Number ..N'..l..~'.. ...... ~..~...~...~..~...i.....~..~../...~..~ ............ ~ .................................... Municipality 2. 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 ......... .~.....~....~..../..~....~.~.~ ....... ; .......................................................................... 3. Nature of work (check which applicable): New Building .: ..,~... ......... Additi~on-~,; ................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other WOrk ...................................................... /. 0.5-, ~ (Description) 4. Estimated Cost ...~.......~..~....~.........~...~3'~ ~ ................ Fee ........................................................... .............................. (to. be paid on filing this application) 5. If dwelling, number of dwelling units ........ ~ ................. Number c~f d~el~i~g'~nits on each floor ............................ f ..... ~ .... ' . If garage, number o 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 ............................................... ~ .................................................. ~ ................ / .4- 9. SiZe of lot: Front ...... ./.~.... ......................................... Rear ..../....-~.~. ............................. Depth .~...~....~. ...-~.. ....... 10. Date of Purchase ...... ~..?..~..~.:. .................................. Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................ Will excess fill be removed from premises: ( ) Yes (~'~) No 13. '~ W~.ill lot be regraded 14. Name of Owner o. pre .................................................. ..~. ..... Add ess,~.....~.. .................... Phone No ....................... Name of Architect ~.~..~..~....~.......~.~-/..~....~..~. ............. Address ..~..:.?.' ..................... I~l'lon~ I~1O ...... ~.; .............. Name of Cnnera~t~i~/,~..~ ~'~/A/'~,, :~'/V~C- A ress~.(I/'Z'~../'~.¢~e~ No.~.~.Z.':.~...~...~..?.. ................................ ~ .............................. cid ............................ Phone PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, ond 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. STATE OF ......... ................ ~.-~ .............................. ........... being duly swora, d~es and soys t~t he is the oppl~cen~ ~(Na~'~Jvidual ~gning contrac~ above name. He ,s the .... ~~ ~ . ............... (Contractor, ag~t, co.orate officer, etc.) of said owner or owners, and is duly authorized to pe~orm or have performed the said~ork and to ~ke~ond file this application; that all statements contained in this.aPpl~aflon are t~ to the best of his knowledge ond b~ief; and that the work will ~ performed in the manner set fo~h in the application filed therewith. Sworn to ~fore me this ................. ...................... , ~ot~ Public, . ................................................... Count~ ($1on~tur~ o~ applicant) /- Z55.Z u. zs' zg'4o'w. 5%,.~,8 /~' ~-0I 109 5u2v [:yr-,_b Fog MAI~TI!,J ~ AGLJ~5 MF-W yo~ :'4 5EAL[---: 50~ = 1" - NOTr_ - IdUMB~c~ SWOWld 'lg~F~12. To, "MAP OF r--AbTg-i2U §UOB~,5 - &r=dT(g~ FOU2," FILr-:b",tf z3~.z APPROVED AS NOTED FEE:/c~.-~,/° BY NOTIFY BUILDING DEPARTMENT 765-2660 9AM TO 4PM FOR REQL, Ih, ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNDA- TION OR START FRAMING 2_. BEFORE COVERING PiP£LIN[ 3. FINAL WHEN JOB COMELETED NOT RESPONSIBLE FOR DESIGN OR CQ~T Ill CASTRO-BLANCO PISCIONERI and FEDER ar©hitects 10 E. 39 ST NEW YORK 10016 689-1560 CONSULTANTS ./ / J 0 P-..OU~D CL l I I ILL__ ___f ~4 Koot^ -- .-. II I /IT NO, DATE REVISION CASTRO-BLANCO PISCIONERI and FEDER architects 10 E. 39 ST NEW YORK 10016 689-1560 CONSULTANTS SCALE DRAWING NO. JOB CAPTAIN PROJECT M~R. ~-L L_ /¢'F ION i ~LBVz~TION ' L 'L Iii CASTRO-BLANCO PISCIONERI and FEDER architeot~ 10 E, 39 ST NEW YORK 10016, 689-1~60 b~ .f.