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Home My WebLink About6361-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z,~J.96 ..... Date ............ J'n,ue.. 13 ..... , 19F3.. THIS CERTIFIES that the building located at . .8]S. $.ound..1/~ew. Ave ..... Street Map No. Salt. Aide. Block No ........... Lot No...1 ....... Matt.ituek..N.-v.. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... Fell ... 5.. , 19.73. pursuant to which Building Permit No. 6.361Z.. dated ............ Fe.b... 7..., 19.72, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ~.r.~,va.tg.. 9.n~..f.a. mi.l.y., dw.e.1..1;[.ng ....................................... The certificate is issued to .. W;i,],lia~ .Crelaer$ ......... . .o~er ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .J.mu. p...7...!9.7~...bY. ~ .V~.]z]:a .... UNDERWRITERS CERTIFICATE No... ~..O9.~2k. 5 ...... 8...!973 ................ ttOUSF NUMBER...590 ....... Street .....,S.o.u&'ad. ~W..&~ ............................ Building Inspector BUIL't~II4]~ PI~P~IT (THIS PERMIT ~UST,: BE KEPT C)N 'FH£ ~EN~ISES UNTIL.-Et~LL (SCIMPLE~tON :OF. ~-HE W..ORK AUTHORI*'7'ED) ., ' ~ .~-mission is hereby granted t~: .., .~-~ -.~o.,,,~.,~w...<r~..-~'.~, ~..~ ~2~1~ .................................................................................. -a~. pre~ ~es located at ..,'.,..~t..l~..~....;8~,~.~;Z~j~.;~,~ll ........................................................ -. '.' '~ ........................... : ............... ~t/.',~...~.~....~,e.w...~,~.....: ....... I~.f,]..%',~,,....~ ~:~ ......................... ~" ' '"'pq~u~]ht to rappl'icatlon ~lated ......................... ~ ....... ~. ............ 19.~,~..~ and approved by the TOWN OF $OUTHOLD~ Building Depo~tment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Insfructions ~ A. This application must be filled in typewriter OR ink, and sul~mitted in triplicate to the Building Inspector with the following; for new buildings or new us~: 1.Final survey of property with accurate location of all bbildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewer~age disposal--(S-9 form or equal). 3.ApprovaJ of electrical installation from Board of Fire Und~erwriters. 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 u~es, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing ai~ property lines, sireets, buildings and unusual natural or topographic features, i 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Dote 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 $1.00 Date ......~..tt ~e...~.,...1.9.7.. 3 ............. New Building ........ X .......... Old or Pre-existing Building ................. i ........... Vacant Land ............................ Lot # 1, Saltaire Estates, ~/S Sound View Ave. Matti~ck,N.Y. kocoti0n Of Property ....................................................................... ~ ............................................................. Owner Or Owners Of Property ....... ~.~,,l,~Rt~l..,I,....Cr. emera ...... ! ............................................................. Subdivision .......... Sa&.~a.i~e..E. see~es ............... Lot No. '"'~'""i" Block No ............. House No ............. 6361 Z 2-5-?3 . . i~.D. H~$, INC. Permit No ..................... Date Of Permit .................... Apphcant ...: ...............: ......................................... Heatth Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Boa~d Approval ........................................ Request For Temporary Certificate ........................................ Final iCertificate ................. ..~.. .................... Fee Submitted $ ..... ~.~.,..~...~... .................. Construction on above described building and permit meets oil a~plicable codes and regulations. ~.p.. ~.O....~...~.,....I~. ,. .... Ke k..W...., h~z ..YJ~ Applicant Sworn to before me this ~ (stamp or seal) [~b LORES: SCHO~SS NOTARY I~UBLIC, State of New York No.: 52-88411~0. Sulfolk Celmty SUFFOLK COUNTY DEPARTMENT OF HEALTH APPLICATION FOR APPR0%~AL TO CONSTRUCT PRIVATE SEWAGE DISPO$AL SYSTEMS Approval 'to construct said systems is requested,pertinent ~ata he~e'~ith: Date-- . 2-Detailed property location g/~ ~~ A~ ~ 8-Lot No. Hamlet l~t g~ To~ ~ 9-Private well?~ ~-~blic ~ter supply name Distande to nearest main ,,, 4-Lot Size: Width ft, Length ft, (al~"enter on center plot plan below:) 5-~elling: Single 'F~mily ~ I Two Family? ~Cellar? ~lab? / /Crawl S~ce? 10-Pressed system: Septic tank ~ /Precast ~ /Cesspools ~Shallow pools ~Other 11-SeptSc ta~ inside dimensions: Volvo ~Gals.Length ft. Width ft. Liquid dept~ft, 12-Precast sections: ~umber~gquare Ft. Cesspoolsf Block size~ines.D ..ins.~ins. Total blocks below inlet: ~1~2 ~OT PLAN Ca.city ~als. Data ~eet 2 4 6 8 10 i2 ~6 18 Street ~V!~ AV~e ~ O ~ o ~ ~ Ind~ e ~ ~ ~ i Nc 'th The Undersigned CERTIF~S: "Construction of authorized installations will be in accordance with the Suffolk County Health De~rtments' current Standa~s, Bulletins, and amendments thereto~ coverin~ Private Sewage Disposal S~stems". Date Signed .... ,~ ~ % ~ or ~Builder FOR ~ALTH DEPART~MT USE ONLY. Based on the info.at/on ~resented herewith, it as the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. Date Signed (10/65 gevis.) [XCAVAiii N I, SKCII0 KQUI D. S-15 . · APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS: Applications must be submitted in triplicate i-Means Owner or Builder. Address to which mail should be directed. 2-Means detailed description of property location, together with street name and distance to nearest intersection cf main thorofare, also Hamlet/Village & Township 3-Enter name of Public Water Supply District, together with the distance to their main. 4-Enter Length and Width of Lot under appropriate heading, also enter these dimensions on center plot plan shown on the face of this application. 5-Dwellings: Check-mark "V" items applicable to the proposed new dwelling. 6-Name of sub-division 7-Section Number 8-Lot Number 9-Private well: Enter "No" if Public water supply is available. Enter "Yes" otherwise. P__~POSED SYSTEMS: Answers to Items number 10, 11, & 12 please consult the Suffolk County Health Department's Standards, Bulletins and Amendments for Sewage & Waste Disposal Facilities. i.e., Part II-Residential Sub-surface Disposal Systems covering Cesspools Part III " " " " " " Septic Tanks Part IV " " " " " " Unusual soil conditions Part V " " " " " " Shallow Leaching Pools PLOT PLAN: The following information is required concerning the Applicant's Lot: Lot size-Length and Width in feet to be indicated at the Lot lines of the heavy lined square in the center of Plot Plan shown on face of this application. Surface waters-Streams, Lakes, & Bays, etc., located within a distance of 50 feet of Applicant's Lot lines, must be shown on the plot plan also. Wells and Cesspools now on adjacent lots must be shown on the Plot Plan together with the distance to the Applicants proposed Sewage Disposal Systems and Well. Where no Buildings exist on adjacent lots, state "Vacant" on the plot plan. Streets adjoining applicant's lot to the right, left or rear, enter street name. WELL LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the -- following Standards must be observed: ~' Well-100 feet minimum distance from the nearest cesspools Well-25 feet minimum distance from rear, and rear sides of p~perty~nes Well-10 feet minimum distance from front, and front sides of~bperty lines?] Well-50 feet minimum below grade for well point Well-40 feet minimum into ground water for well point Well-4 feet 6 ins. minimum below grade to well head and late~a~~ w t~pmpe.~ CESSPOOLS LOCATION: Upon determination of the Sewage & Waste dispos~!type of -- systems" required, the following Standards must be observed~ the.~.catl~ of same: Cesspool-lO feet minimum distance from lot lines to center of cess~l Cesspools exterior must be lO0 feet minimum distance from nearest well Septic tank exterior must be ?5 feet from nearest well Cesspool "Center" must be 12 feet minimum distance from nearest water line Cesspool "Center" must be 15 feet from house foundation Cesspool exterior must be ~0 feet minimum distance from surface Waters, Streams~ Lakes & Bays, etc. Cesspools must be 20 feet minimum distance from large trees Cesspool center to Cesspool center must be at least 16 feet Cesspool cover top to grade must be held to minimum of 1 food to maximum of 2 feet Bottom of Cesspool to ground water must be held to minimum of i foot THE NEW YORK BOARD OF FIRE UNDERWRITERS i .... ~k BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK, NEW YORK 10038 N 095245 THiS CERTIFIES THAT o~y the e~c~l e~ipment ~ ~sc~b~ below a~d i~tr~ by t~ eppl~cant ~med on t~ a~ app~icar~ number ~n the premises of Wm. Creme~s, Soundvlew AVe., Saltalre Way, Mattltuck, L.I. Job 180 inthefollowlngl~ation; ~ ~..,.~,,t ~ ~.tn. ~] =~ ~. outside ~,io. el~ ~1 ,~ e~.,,,i~ o.. June 1. 19 7 3 end found ~ be in compllnace with the requirements of th~ Boar~ l? 18 RXTURES RANGES ICOOKING OGCKS OVENS Motor/s: George Zlmlinghaus, 4 Park Place, Patchogue, L.I.11772 TOWN OF SOUTHOLD / BUILDING DEPARTMENT ~Z~/~_ ~/'.~,~- ,/~/./.~.,~ TOWN CLERK'S OFFICE ~/~/ · ~. ~ ~ ~UTHOLD, N. Y. ( '/' ~ ~- /7~~ . 7 ¢ .... ...... .............................. ,, ........ _ _ .... ?.....:.~ .............. , ~..!.} ~,~ ~o.~.~.....L~_~~ o~ ~ ~pr~ed Di~pproved =/c .......................... ~ ............................. = ............... c_~ .......... ......................................... ~-~ ~ ~, ~~~-~ .............. : .............. · . ~ ./ ~ Date 5 ~eb~ ~. Thi~ ,~li~ion mu~t ~ ~m~l~t~l~ fill~ in-b~ ~writ*r or i~ ink *nd ~ubmi~,d in tripli~t~ to t~ 8uildi~ ~ ~ of ~n~, ~u~t* plot plan to ~cal*. ~ ~ordin~ to b. ~lot ~ ~ho~in~ Iomtion of lot and of buildin~ ~n ~r~mi~*, I~l~tion~hi~ ta ~dioinin$ pr~i~* or ~ubli~ ~t~ or ~. T~ wo~ ~r*d b~ thi~ ~pplication m*~ not ~ communed ~for~ i~uan~ of Buildin~ ~rmit. d. H~n ~ro~l of thi~ ~pplimfion, th~ 8uildinfl In~etor will i~u* ~ Buildin~ ~*rmit to t~ ~pplimnt. Su~ ~rmit~lll th* ~r~mi~* ~il~bl~ for in*~ction throughout th~ ~ork, · . ~o buildi~ ~h~ll ~ o~u~i~d or u~d in whol~ or in ~art for an~ ~ur~ ~hat~*r until a ~ifi~I~ of ~n~ ~n~ b~ th~ Buildin~ ~I¢~T~O~ IS ~fi~fiBY M~Dfi to th~ 8uildin~ ~m~nt for th~ i~u~n~ of ~ 8uildin~ ~rmit ~u~u~nt to ~ 8uildi~ ~o~ Ordi~n~'o~ th~ Town of ~uthold, $u~ot~ CounW, ~w ~ork, and other ~pplimbl* [~*, Ordin~n~* or ~ul~tiom, ~or building, ~dition~ or ~lmr~tion~, or for r~mo~al or d~molition, ~ h~r~in d~ri~. Th~ ~limnt ~m~* to ~m~l~ ~ith *fl ~licabl~ I~, ordinance, buiMin~ ~d~, hou,in~ ~d~, ~nd r~ul~tion~, *nd to *dmit ~uthor~d in~o~ on ~mmi~ ~nd in bulldin~ for ~ (Signature of applicant, or name, if a corporation) Selden~ NY 11784 (Address of applicant) State. whether applicant is owner, lessee, agent, amhitect, engil3eer, general contractor, electrician, plumber or builder. - - ~eneral C~ntractor Name of owner of premises ....................................... ..W..i..l...l.,i.,..a~......J......,,,C~'..e...m..e...r..s. .............................................................. If applicant is a corporate, signature of duly authorized officer. ............... Lz..a.A..a~...~.. ~.o~...e...s. ,....z..a...c..-./...[..-.w...-...~ku...rb..e...r.,.....V.~ ' (Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No. 517-F . ., .~ ,..~. ~' Electrician's License No. 273-~; Other Trade's License No ................................................... J~f'~u/~ q ~ ~ ~ ~ 1. Location of land on which proposed work will be done. Map No....~.... ........ L...,,..? .................. .,,,Lot No. ,..~,..,i. .......... .~ Street and Number ................................... ~./..S.....S..°...u..n.d...v../....e~....A..v..e..n...u..e.~...M...a..t..t...i..t..u..~.k.. ....................................... .~/. Municipality 2. State existin§ use and occupancy of premises and intended use and occupancy of proposed construction: a. Existin§ use and occupancy .................................................................................................................................... b. Intended use and occupancy ......................................... .1....~...~R~]-.E...J;~..~.I~.3-.'.~g. ................................................ ....................... Addition ..................... Alteration ............... 3. Nature of work (check which apDliceble): New Building New .... Repair ................ Removal .............. Demolition ........................ Other Work ....... (Description) 4. Estimated Cost ..........~..1..8.~..O..O.~.....O..O.. .............. Fee ...... ..~..~..~. ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .1. ......... Number of dwelling units on each'floor ............... ..O. ....................... 1 If garage, number of cars ......................................... ~ .............................. ; ................................................................... 6. If business, commemial or mixed occunanc¥, 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 wit~ altera_ti_ons or additions: Front ................. ,, ....... Rear ...................... ; .................. Depth ............................................. Height ..... ; ................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ..... .5.-.,5..~...~.s.~ ........ Rear .... ..5...5..~...6.~ .......... Depth ......... .2...9. ................... Height 18 ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front ........ .1...O..1.~.~...'~,~. ............ ~. Rear .......... ,~.Q.Q.e.~ .................. Depth ......~,~39.! ................................... 10. Date of Purchase ....................... ~ ............. Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................ ..a..o. ....................................... 13. Will lot be regraded ................................ ;... Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises William .7, Cremers . (Address) (Phone No.) Name of Architect ....... ~p~,i~....d,..~gl~§a...~,~ ............~;i,.~,~t~a...~.,.,3~J..~.~ ................... Z,'32~.-.,~.1~2 ............. (Address) (Phone No.) ~.,.o~,~. Inland Homes, Inc. Selden, ltl 11784 732-2177 Name of .......................................................................................................................................................... (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distioctly 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 ~ ~eth- er interior or corner lot. STATE OF NEW YORK. / // ~.~ ) COUNTY OF .............. 7~W,W~ .~-,-./~% ......... ) ................... ~..~Q.~..I~..?.....T. ~..lrl~'....b.~... ~..~ .......................... being duly sworn, deposes and says that he is the applicant above named. , (Name of individual signing contracct) . He is the ..................... ~.~...e...z. ,a:.l....~o..~...t.~a:.c...t...o.r. .................................................................................................. i ....................................... (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 ap~ication filed therewith. DOLORES SCHOMBS .................... dayof ' ................. / ltd 52 88¢~00 Suffolk County, N' m Expire arch 30, 197 DIETZGEN 135 11846 ~,~ JUN 7 1973 ,. ~. ~. ~. ~ ~ The sewage dis~osa! a~d ~vater supply · ns~ected b~ thi~ department an~ ~un~ to ~e satis}actor~ 50d O ' --___ ~, ~ Chieff off ~eneral Engineering ~ ~ Services I Lot LOt $ ~t~OIVISlO N M~P FI£ F-~ IN THW OFF/GE OF ~'H~ Ct ~RK OFSUPFO£K COUNTY .EV]SIO~$ YOUNG & YOUNG ~,,?,4.~ ~ ,"f?a 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK su.v Y LOT NO. '," SALTAIRE ESTATE~ ~?~' ~ MATTITUCK sc UTi ~LD S~ SS SA~[ t SCALE: i,'= 40' tDATE: JAN. 24,1973 JNO. 75-40 DIETZG£N 135 11846 j. ot REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG PROFESSIONAL ENGINEER AND SURVEY FOR: WILLIAM CREAMER LOT NO. I ," SALTAIRE ESTATES" HOWARD W. YOUNG AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK CO., SCALE: i,,= 40' DATE: JAN.~'4,197.~ 75~40 C~ ii.o" 17.4" 1 APPROVED AS I'~OT~D NOTIFY BUILDING DEPABTM£NT f~["