The URL can be used to link to this page

Home My WebLink About6386-zTO~N OF SOUTHOLD BUILDING. DEP~ Town Clerk'~ O~iee $outhold, N. Y. Certificate Of Occupency THIS CERTIFIES that the building located at ~.*.Q, .W.,..¥i/.s..~..~.l. qh...L.a... Street MapNo. xx BlockNo. xx .LotNo. xx Lau. rel IqoY, conforms substantially to the Application for Building Permit heretofore filed in *.h~s office dated ......... .~..r. ..... 6...., 19.7.3. pursuant to which Building Permit No...6.3.8~.Z. "~d~t~d ........~.~.r......7. ..... , 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;r. lv~.t.e..ODe..£~J, ly. d~lll~ .................................... The certificate is issued to .H.t. 'fl.i.l. 1..i.a~....S.c .... 0wrAer .h.u.t..re. ................................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Atlg...22..~197~ ..bY. 2 ,. ]/;illa .... ~ lo79o2 Au 8 1973 UNDERWRITERS CERTIFICATE No ................. ~ .......................... HOUSE NU~ER 327.~ ......... Street.. Al~trl.c~.~e~e ......................... 1~0~1 ..~f~...~ ~e.~.o~lble fo~ ec~i~t~.on e~ aaeeas road. FOBM NO. ~ TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6386 Z Permission is hereby granted to: Edson Homes Ind ~/C ii. W. 8ehutte Build new one fanll d~,re~ling o min sub at premises located at ....~,Q.~...9.P,..~J.gD. .............. ~. .......... .t ............................................................ i h L Laurel ~.Y. ......................... .~/.~..~.~....c. ....... .~. .................................................................................................... pursuant to application dated ..................... ,,,i~,,.~ ........ .6. ................. , 19.?.~ .... and approved by the Building In%oector. Fee ~-~ .~..Q .............. I~O~,M NO. 6 TOWN OF SOUTHOLD Building Depmtment 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 triplicate 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-9 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 3. Copy of certificate of occupancy $1.00 $5.00 Date ...... .~./.~/."[ ~. ............................ New Building ....... .~¢..~. ..... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ~.~..~..e...8..~.....~.~..~..e..~..A..~...~..~...i.~..~...~.e.~.~.~..~.~.~!~.~Q~.~.~~e~ Owner Or Owners Of Property H- W~.~li .a~_...&....~..e..~...~.~.~?..e. ~¢hu%t,e ................................. Subdivision ~..~..o.~...o...~.....A.j~....e.~....q~.a/..]:..~...~,o. ........... Lot No ..... Block No ............. House No ............. Permit No. ~.8...~....~.. ..... Date Of Permit ..,~./.~/.~.~....Applicant ]~fl.~.Q~,..~O~lJ~.l~..,T, zl,o., ............................. Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval .............................................. Planning Board Approval .......... ~ ................ Request For Temporary~,Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .....~...~ ................... Construction on above described building and permit meets all applicable codes and regulations. Ed.w~j~. G. M~9~.e.~'...(...~..z',..e,~....). .................. Applicant ...~,. f~ ...i]~.~;../.~--.._. Sworn tp, before me this ,-,- ......................................................... dayof '~""~" '~:2' (stamp or seal) ~'~ Notary Public .............. ,[.~...;:...~-~.e..~., .~ ........ County Edson Homes Inc. ;mith ,~oad -~idce i!.',f, llgdl SUFFOLK COUNTY DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWACE DISPOSAL SYSTEM ]iinoP Of Ag~ues 1. Applicant H. ,';llliam ~ehutte Phone 722-4~.0 Subdiv. Cata~a~Q Address P.O. B~x ~7 Jamesport M.T. 6. Section ~. Property location W/D ~,lS~ich La~e ~S' north 7. Lot No. i~.Y.~. Route ~ Laurel '.'% 8. Private well yes Village LaU~¢l Township ~outhol~ 9. Public wa~er ~o ~. Public Namer Company name Dis~ancm to main~ 4. Lot size: ~idth 16~ feet Length 272 feet (Enter on center plo~ below) 10. Sewage Dispo~iysgem: I.I Ballon ~ep~c ~ank: Precas~ ~Equtwalen~ Block B. lchinS pools: Number 1Precaot~lock Special If private well fill in blanks below: Tank capacity 3~als. Pump G.P.H. ~00 be ards Total well depthlOO Depth to G.W. 60 Amount of water in well 40 ~i27 Test Hole Data Feet 8 The undersigned '.ERTIFIES: "Construction of authorized installations will in accordance with the Suffolk County Department of Hearth's c~rent stand- thereto." ~.~,,,/~ '~ ~. ' ' Owner or Buil~e~ 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. Date ~ Signed ~ ~--'~'~-- ~ ~ S-15 Revised 4/]/7~ NO ~ OD ~-. TOWN CLERK'S OFFIGE~ ~UTH~D, N. Y. / ....................... :..~....~J. ....... , 19..,~.... Pemit No. ~...-~. ......................... ~,~,,.,,~,_ ,,~4~,/~ /m,~ ~ ,Approved Disapproved a/c .............................................................................................. ~/": ~'~ ~ '~, ~/ ~."~-4 .................................................................... ........ ........................ ........................ APPLICATION FOR BUILDING PERMIT Date ~[a~oh ~, ].9'/'~ 19 ........... INSTRUCTIONS ~7 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 plans, 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, an 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 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. (Signature of app'cant, or name, if ac p · ) ............... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder; ................... .................................................................................................................................. Name of owner of premises .~...~,l,3.~,&10..~g~13,'G.1~e. .................................................................................................. If applicant is a corporate, signature of duly authorized officer. Etlson Homes Ino. Edv~n G. )looney (pz, es. ) ~'Lnor 8ub-d. ivision ~. Location o~ ~and on w~ich proposed wor~ wiU be done. Map No.: .................... Lot ~o ................. ,.....: ...................... 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 ............ ..D:.o...a:..e. .............................................................................................................. b. Intended use and occupancy .....o..~..e.....~...a~;~....~r~.~,,~33~ ................................................................ ._......;;......¥., 3. Nature of work (check which applicable): New Building ...... ..~..e..~.. ......... Addition ..................... Alteration ......'......? Repair ....................... Removal ......................... Demolition ........................ Other Work .................................... · ' (Description) 70 ..... 4. Estimated Cost J 27s000 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 occupancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: =,,,n, llOlle R~r ...... Depth Height ........................................................... Number of Stories..o. .................................................. .... ... ..o.. ..... · ..... Dimensions of same Structure with alterations or additions: Front ...~,~.~q .............. Rear ......................................... Depth Height Nu her of Stories ................ 8. Dimensions of entire new construction: Front ...~,.~,,V~f~... Rear ...... .~..J.~'~.{~[t. Depth .~..~..['.~&l~ll~. .... Height .............. ~ .............................. Number of Stories ........ ,~, ................... : .......................................................... · '16 9. Size of lot: Front .....~...~'... ........................... Rear ............. ~. ........................... Depth ........... ~.. ................................. Height .................................................... Number of Stories ........................ 10. Date of Purchase ...J&/z. '1 ~',~.,~ ............... Name of Former Owner .....Jg~a..E~e,;l~aa3~ ..................................... 11. Zone or usa district (n which premises are situated ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ;ll{~ .................................................. 13. Will lot be retjraded -.~ .......................... Will excess fill be removed from premises: [ ] Yes [ ~ No 14. Name of Owner of premises ..... ~........~...l..l..~.[~....~.~5[t,.~.~...~..~,~.fl...(~l~.~;],~ .... .7.~,,..-~. 5~'.Q....; ........... ~, 0 ]~O~g ~7 ~Te, laeIB~o1~% (,~l~h~) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor ~[~oll ~..O. ill.e..s...[lzo .....~.lllt.t,..~. ~...a~.. s..~.:[~1,E,9.., ~.'..~.'. · · ~.~...-~..0. .................... - .......................... (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-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. STATE OF NEW YOR_K~.a~,~, ) COUNTY OF .......... ..,~....~...r...~. ~...~,~... ...................... ) ....... .~..~..~'....~.......~...*.....~...0...0...~.?.~.. ........................................................ i being duly sworn, deposes and says that he is the applicant above named. (Name of' individual signing contract) He is the ...... ~.O,...~.~.~....0...~...~..~.0..~.?. ......................... ] .................................................................................................................................. (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 all 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. ©d ............... ........... day o,. ........ ........ Notary Public, .~.~..~.....~.~----.Blo-.~q~75, SutIo '~'~-'"'~;..'_'"_."2.~ .................................. ,~..~-~r Commission Expires Mar ch 30119~j~' (~tgrtatt~re ol appttca~l TITLE NO. 73-S-01771 -~ N. \ -%._ NO T£ : MONUMENT $. Dominic cotolan° facilities for tbi~: ]n-,~t~cn ..~v~ i ..... ~ by this dcTa~'~mQnt ~nd fDund , ~o be satisfacto~\~d .... ~' ~ ........ ?/4 Chief of Ger~o~'~l E;~Sneering Sctvicos .zv,s,o.s YOUNG & YOUNG ~'~8. 2~I~3 400 OSTRANDER AVENUE, RIVERHEAD, NEW YOrK SURVEY FOR:~,,,,,.'"~"~ ~ o F ~ H.W]LLIAMSCHUTTE ~',. /.,'?' q"\" ~ A~ LAUREL p pM E~T1TLE ~N OF&HI~ aGO SUFFOLK CO., SCALE: j. J DATE:0c = 50' 24, 1972 REVISIONS YOUNG & YOUNG ,.g,~,~.2~/~'~'.~ 400 0STRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ,.--- '5' '"~ H. WILLIAM SCHUTTE ~T LAUREL H)M[nTLgt~O ~ C, G TOWN OF SOUTHOLD SUFFOLK CO., N.Y. SCALE: I" = 50' J DATE:0CI 24, 1972 NO. 72 - 719 NO J = MONUMENT ,~lq %¢, ~fl "rVlS~ONS YOUNG & YOUNG ~,'~4/q7'3 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK SURVEY FOR: H. WILLIAM SCHUTTE 8~ SCAL~: I" = 50t DATE:oc[ 24~1972 72 - 719 ¸Il ~OT RESPONSIBLE ,FOI~ DEIGN' ~pR CON~ I