The URL can be used to link to this page

Home My WebLink About6596-zFO~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Cerfi[icate O[ Occupancy No~.6.0.6.~. ...... Date ......... August- · ~2..., 19.?L~. THIS CERTIFIES that the building located at . ~as~a~.d 0,,~$ ...... Street Map No.E~.StW.o.od !~I0~k No ......... Lot No..7 ...... M. att;L.t.~ck.. N. ,~.. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated . .~a.y.. 23 ., 19 7.3 pursuant to which Building Permit No. 659~Z dated ....... gaY. .. 2~ . , 19.7.~., was issued, and conforms to all of the require- ments of the applicable provisions of the la~v. The occupancy for which this certificate is issued is ?.ri..v.a: .e...o.ne .f..a.m.i.l.y...d.w.e..1.1.i.n.g. .................................. The certificate is issued to J.o.l~ .N. lo~l.e.r ....... .~er. .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Aug. 22 . 197¥..by. ~., .Villa. UNDERWRITERS CERTIFICATE No.N. J.31!,9~.2 .... p.e.q...2.~... J 9.7.3 ................ HOUSE NUMBER .. L~.0.. . Street ...D~$.tkray~.Q$ .......................... Bu~!ding Inspector ] FO~ NO. 2 TOWI~ OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N. Y, BUILDING P, ER/VlIT (THIS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 6596 Z Permission is hereby gronted to: " Job~ l~le sner ................ ~.tl.~uck.... ~t..:~ ~ ............................ to .]~ui ~ d~,~w.. ~ ...f. ami.~ .~.. a. we.Ll.l.n~ .................................................................................. et premises iocoted ot ..... J*,o*t***7,****,~a.~/~,~oo41.-~¢*allo]? .................................................................... ........................... : .................. ~aatw~od..Coumt .............. ¥~a 4s-t- .i.t*~te~.. · */-N- ,.¥., ............................. pursuont to ~pplicotion d~ted .................... ~a~. ......... .2~ ............. , lC~..~ ..... and opproved by the Building Inspector. Fee $..~2.*,.:J.-¢.--, ....... ui ' g sp cto( THE NEW YORK BOARD OF FIRE UNDERWRITERS 08 BUREAU OF ELECTRIC;rrY" ' F- SE JOHN STREET. NEW YORK. NEW YORK i0Oa8. ' ,.,e ,,Bce,.,,..- 2,, 197 N 134952 THIS CE~IFIES THAT ~ly t~ el~t~ ~u~t ~ ~sc~b~ ~ ~ ~t~ ~ t~ ~l~nt M~ on t~ ~ ~pl~a~n numar tn t~ p~m~s o~ John Miesner Jr., ~/s Eastwood Ct. off ~ute ~5, Mattltuck, L.I. RXTU~ kK~A~sl SWIT HE I RXTURES b~ I~ING~I OVENS IMSHW~K EXHAUST FANS FURNA~ ~TO~ I ~TUU ~A~ ~RS S~AL~..Mm~KS ~ I~,THEATEU MuLT~T ~MMERS SERV~E DI~NN~ I NO. OF I S E R V I C E Water heate~/s: 1-~.Skw Electric ~om heater/s~ 2-2.5kw, 1-2.0kw, 1-1.SAw, 1-1.~Skw, 5-1.0kw, 5-. 75kw, ~-.Skw 1-~oet light ~otor/s: 1-1bp De~tner Electric Co. PO Box q82 Rlverhead, L.I. 11901 / ~ ~ I COPY Y MANHER. 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 _~/0~ k///~,'a:sN~-~ Phone-~¢~' ~? 5. Subdiv. ~~' Address ~~~~~,~____ 6. Section 2. Property Location ~ ~~ ~o~ ~ ~ 7. Lot Number ~-~ ~ ~ ~. 8. Private Well Village ~7~~~ Township ~o~ 9. Public Water 3. Public Water Compan~ Name Distance to ~in 4. Lot size: Width ~[0 feet Length ~ feet 10. 11. Sewage D~sposal System: A. ~O~al~n septic tank: Precast"~FnEquivalent Block~ (For Health Dept. Use) B. Leaching pools: Number of pools / Precast~(r~Block 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 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. Date. Si gned ~:~J~~~A FOR HEALTH DEPARTMENT USE ONLY. Based on theC~nformation 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 The sewage disposal and water suppl~ facilities for this location have bee~ inspected by this de ar~.E~[ent and found Chief of ~eneral E~inee~l~ ~ervlces LOT 8 MA IN \ ROAD bO'f All d~stances to weJJs a~d cesspooJs am by Iocahon {:rom house owners and field pools are not ¥1slble these dimensions co,not be cemfled. 6 Unauthonzed alteration or ad&tion fo thls survey is a wolation a~ sechon 7209 of the New York SPate Educahon Law Coprcs of th*s survey rncp n~t bearrng the J=nd surveyar"s inked seal or embo:sed ~ ' ~ s=cl .,,c,J net ba rcn~,c:crzd Ia b~ a val,d copy Gua~an~ee~ ~- c~rhf, ,q '' ,rd,c~izj F ~ ~c~ ~hcJJ r Jrt oniy to the per.~, c' '.F,~m ff~,, .,pcs ~ or~p. rej,,.-d on h~ bcJ,~if to lhe hfi. c~mr, c~, y, ~evc'qmcnt~ ~Ccr, cy ~nd IcnJ,~g ~,,:tduhon bsted hereon, a~d to the assignees of Ihe bndmg mstduhon Guarantees or cem¢~cahons Qfe ~o~ transferobJe to addfl~onal ~nshlunons or subsequent owners. SURVEY FOR JOHN MIESNER AT MATTITUCK TOWN OF' SOUTHOLD SUFFOLK COUNTY, N.Y. SCALE?: I"z 40' OCT. (6, 1973 AUG. :'!~0, 1974 REFERENCE: MAP OF EASTWOOD MANOR FI LEO JUNE ~1,1971 FILE ~UARANTEED TO ~ RIVERHEAD . SAVINGS JOHN MIESNER NO. 5606 BANK LAND SURVEYOR mVERNEAD, N.Y. ~0 ~1 TOWN C~RK~S OFFI~ ~ ~ ~ ~ ~ .._ ................................................. .......... ............. ..................... ................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector witl~ 3 sets of plan~, 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 or areas, and~ giving a detailed description of layout of property must be drawn on 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 e Building Permit to the applicant, Such permit,sl~ll be kept on the premim available for inspection throughout the work. ~t e. No building shall be occupied or used in whole or in pert for any purpose whatever until a Certificate of Oceupency thall have bee~ ~ranted by the Building Inspector. ' ~I / 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, end other applicable Laws, Ordinances or Re~uldfle~, for the eonstruction of building, additions or alterations, or for removal or demolition, as herein de~cribed. The el:~licent agreav to ~nl~y with all al~91icable law~ ordinance, building code, housing code, and regulations, end to admit authorized inspectors on premises and in building~ for nee~ee~'y In~oections. State whether epl~icant is owner, levee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem,~. ~......~ .................................................................................... If applicant is a corporate, sigrfature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Mao No ~ ..~..~..:..~...~ Iht /~ '.~. ~. /~ ^Z - ' ........ ~','"~ .................................... Street and Number .~.~~ ....................... ,..~~ ............................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,/ a. Existing use and occupancy ........ .~........: ................ , ..................... v ........................................................................ b. Intended use and occupancy .~..~ .......................................................................... 3. Nature of work (check wh,ch epphcable). New Budd,ng ....................... Add,t,on ..................... Alteration ......... v .... Repair ......... Removal ....... Demolition ........................ Other Work ............. ~ .... .................................. 4.' Estimated Cost ............................................... Fee ....~....~:... ...... : ............................................................................. (to be paid on filing this applicationl 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 ........................... Depth ................................... Height... ..................................... ...... ...... . .... . . Number of Storms ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ........................................ Nbmber 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 ..................................... Name of Former Owner ............................................................................ 11. Zone or use dtstrict in wh'ch premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................................................ 13. Will lot be regraded ............... ~ ............ v...~jll.exc~s; fill be removed from .p~mises~ [ '~'Yes [ ] NO . 14. N a me o f 0 wn e r o f pre m ises .../*/zN/~V...~/..- ~/../././. ~Z'~-.~*F~'-~....Z¢~. ~X~..~ ~-~..~(:'.~././~/,~..-.~.~ .....~...~.- ~.~a~.~,. (Address) (Phone No.) of Architect Name .... ...................................................................................................... · ............ · .. .............. · · ......... · · (Address) (Phone No.) Name of Contractor ................................................................................................................................................... (Address) (Phone 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 whath- er interior or corner lot. STATE OF NEW YORK, COUNTY OF ...................................................... .......................................................................................................... being duly sworn, deposes and says that h~ is the applicant above named. (Name of individual signing contract) He is the ................................................................................................................................................................................................................. {Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ell statements contained in this application are true 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. Notary Public ...................................................................... CoudW .................................................. ~ ~/ (Signature of applicant) D (J O0 0 D O D T,,L~--O T, S, C C~.' r 0 C' C -~ 0 0 0 0 0 00io 0-o APPROVED AS NOTI~D '1 k IO.~// '1 I~ X jc~