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Home My WebLink About6442-zFORM NO. 4 TOWN OF $OUTHOLD BUILBING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~688 Date . Dee .. JO ., 19.73. THIS CERTIFIES that the building located at l~J.o.r.$. P~,t;h ............... Street Map No .... ~ ....... Block No.. X~ ...... Lot No...~ ... ~o. utho~l.d.. N.,Y, ........ conforms substantially to the Application for Building Permit heretofore fried in this office dated ........... ¥.a?. :...2.~.., 19.72 pursuant to which Building Permit No.. dated ........ Nal, ..... 21t..., 19.7.~.., 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 Private one family d~~4~ , The certificate is issued to ....u. ge..n.c...~..,T, uAI~.t~ .F. ~.e.l~e.~ ....... O~e~'ls .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval De~ .6. ~27.~.i. by. R,..¥1Z3.a ........ UNDEEWEITEES CEETIFICATE No...NJ.I.lf]D.1 .... ~.e.l~t..i~. 18Y3 .&. [ub&ek~. Dee HOUSE NUMBEE ...L~OD[ ........ Street ...1~ J om s. P~th., [...". .................... ·/?ftc....~.:..(....~...~. >...~. ........ Building I~pectorI 10,73 POEM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 64 2 Z Date ..................... ~P,~.g~ ......... 2~ ........ , 19..23. Permission is hereby granted to: .. ~.u.,~ ,e.~e....~......~.~ .q.~,e. r .................................... .......... ~.~.~o3,~1 ................................................... to O..u.~..d....~.~g ..gX~...£~J2.~...d~.e :LZ ~ug.....~ ................................................................................ at premises located at .......~Z'.~..~e,~.C~'~..~P~t,.t~ ................................................................................. .................................................. ~au.t~o3.d ....... .q..¥~ ........................................................................... pursuant to application dated ........................I~Z'P-.~....~ .......... , 19...~..~., and approved by the Building Inspector. Fee $~.~ a~. ........... ~uilding ~nspector BU~LDme DII'~RTMIHT ~. TOWHsoUTHOLD,CLERK'SH.OFFICEy. / ~/~ /-/~ ~/~.,,~p~ i~-~ Application~ No. ..... ~...~, .?....'~... .......... 1~..~/...~... Pemit Nc).....~...~....~/.."~"..~ ..... Disapproved a/c ........................................................................................... .......... .......................... --' ' APPL~IC&TI, ' ICATION-FOR ,UILD,NG PERM,T Date ....... ......... ................. INSTRUCTIONS th~ a. This al~lication must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wi ' 3 sets of Mans, Keurete plot plan to scale. Fee -~"~?or- ding to scbedu e b. Plot plan showing location of lot and of buildings on premises, re at onshJp to adjoining premises or public streets or areas, and giving · detailed descrllXlon of layout of property must be drm~n on diagram Which is part of this application. ¢ The wo~ ammmd by this application may not be commenced before issuance of Building Permit. d. UDon ~rovel of' this epfflicatJon the Building Inspector wil ssue a Building Permit to the eDDlicant Suoh hermit shall tm kent the pramS.sea, available for impection throughout the ~ork. ' .... grl~lObybUit~ldl~uild~nflg ~rl~n~J~orP,i~d or used in whole or in pert for any purpose whatever until a Ce,rtificate of Occupancy shall have Ord~nPBPnL~IC_A,T/~O.N~.I.S. H~E.R.E_B.YL ~AD~E..to,,th~e Buildi._ng D~.pe,rtmen, t f,or the !ssuanca of a Building Permit pursuant to the Building Zone ,, o.~ v, L,m ~ow. ur oou;nom, =UTTOEK L;ounty, New Yom, aha omar applicable Laws, Ordinam:es or Regulations, for the =dnstruction of o~lidni_?~,_ed~!t,i~?l~S ~or~l~reti.o. ns, or, for r.emov? .or den~.lition,, a,s her. aSh.described. The applic~t agrees to comply w~th ell applicable law6~ · .~, mJ,amg co~e, hOUSing coae,arm J~gUlatlons, and to aclmlt authorized inspectors on Ixemises and in buildings for hecm~ry in _sp_~c-tion~ . ............... I$ignature of applicant, or nem~i if ~ corporatlonl i,~ldress of a~i~nt~} State whether applicant is owner, lessee, ;Igent, archite~t, engineer, general contra?tor, electrician, plumber or builder. ..................... ,ue,e, Name of owner of pre,ms ....~'.~.~Z.¢-- Z. ~",'--(~,~-~ · If applicant is a corporate, signature of duly authorized officer., (Name and title of corporate officer) Builder's Li¢~nm No ..................................................... Plumber's L cense No ............................... : ........ Eleel:rician's License NO. Other Trad(s Limn~ No ................................ 1.. I_o~tion of land on which prol~:l work will t~ dor~;~p No .............................................. Lot No ......................... Street and Number ....~..~...0.....~..A...~_.~...~...:,.._~..A.r..~.:' ~.o...~....~.. ..... ' ' ~ Municipality 2. State exi~ing u~ and o~u~nc¥ of premiss and intended u~ and o~upanc¥ of prol~d con~tmction: a. g×i~:ing u~ and o~u~n~¥ ............................................... b. intended um and o~upen¢¥ .~...,.....~. ......................................................................................... ........ 3. Nature of work (check which applicable): New Building ....... ~ ........ Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost .....~...~.. ............................. Fee ................................................................................................. (to ..be paid on filing this application) 5. If dwelling, number of dwelling units ...... l ........ Number of dwelling units on each floor ..... .~. ................................. If garage number of cars ...~...o..~ ..~.. . . 6. If business, commercial or mixed occuoenc~, specTfy nafure 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-add!.t~ns: Front .......................... Rear ......................................... Depth ............................................. Height ................... ~ .................... Numyr of Stories ........................................ _ # ./_ // / 8. Dimensions of entire new construction: Front ....... ~...~J~.,... R~ar....~...~..'.....~. ......... Depth ......~.......'~... ............... Height ................ ~..~..~....-~.. ............ Number of Stories ........ L ............................................................................. 9. ~SI2e of lot: Front ........ ~....0~..:.~..~.~ ........... Rear ......... xt.~.-..~.t~..~. .............. Depth ....... ~ .~...!..~...O..~ ..................... 10. Date of Purchase ..?..~..=3~...~..~.,~ ................. Name of Former Owner .~.....~..:....~..?.~,..~. ................. 11. Zone or ,~se district,in which premises are situated ....~.f~z~...4~... ........................................................................... 12. Does propo~d construction violate any zoning law, ordinance or regulation: ......... ..~'..¢~ ........................................... ~3. wi, ~ot be ~ ...... /Z~.,..: ................. wm ~xC~ ~i, be =mo~ ~m p~mi~_' [ .] Yes [H.."~o~_ _ _ 14. Name of Owner of premises .~ .................................... , ............ .~./.~ .............. X~ ....... .......... ,, .... · ( re~) ~ ~fl~.on~ .) N,me o~^rch,=t ~.~.=..a~ ......................................... ~...~ ........ .~.......~': .......... ~,.~. ., _(~s)' ~ i ..- ~' (Phone No,) Nameo~ Cont.~= ~'~. ....... ~ .. .~ ......... ,' ............................ ! ......... !...;2 ~ "." '(N:ldn~) (Phone No.) PLOTDIAGRAM Locate clearly and distinctly all buildings, whett~existing or propomd, and inc]~cate all set-be~k dlmension~ from property lines. Give ,~et and block number or d~criptlon accord~ to deed, end show street names and indicate wheth- er interior or corner lot. · Z STATE OF NEW YORI~,,~/)~f~ ) ~ COUNTY OF ............ ~~ ......... ) (Name ~/ in~'vi~ si~in~ con.ct) , _ ' " ' - ~ ,~ ~ .............................. ~ ........ ~ ................................................................................................................ (~n~ct~, ~, ~te o~, ere.) of said ow~r or owners, and is duly au~rized to ~Horm or have ~Hor~ the said ~ a~ ~o make and file this appli~fion; ~at all sta~ments contained in this application are true ~o t~ ~st of his knowl~ and ~lief; and that the work will ~ ~Hor~ in t~ ~n~r ~t forth in the ap~i~tion flied t~w~th. ~ ~ .......................... ~..o,~ o, .....~.~ ..................... ,o~.~. ..... ................. ..................................................... ................................ THE NEW YORK BOARD OF FIRE UNDERWRITERS C~ BUREAU OF ELECTRICITY ~ 8.5 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CEF~I'IFIES TNAT Eugene L. Fischer, MaJor.~ Path 600' e/o Hortons Lane, Southoid, L.I. in the followlng location; [~ Basement ~ 1st Fl. [] 2nd FI. 0 ut Side Section #lo~k Lot 21 ~,2 2 was examined on Dece~er' 10, 197~ and/oundtobeincompliancewlththerequirementso/thisBoard. FIXTURE OUTLETS IECEPTACLES3~ SWITCHESi~ RXTURES RANGES OVENS DISH WASHERS FANS FLUORESCENT DRYERS TIME CLOCKS SYSTEMS OTHER APPARATUS: *Furnace/s: 1-1/8~p, 1-1/~h~', Water heater/s: l-q.Skw E R V I C NO. O~E~C.~.CON O. A.W.O. NO. OF HI-LEG A.W.O. NO. OF NEUTRAl A.W. O OF CC. COND. OF HI.LEG OF NEUTRAl Eugene L. Mischer h',ain Rd. Box 129 Southold, L.I. 11971 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8'~ JOHN STREET, NEW YORK, NEW YORK 10038 .,.,e ,~,~?to~,~,:,r ].~, ?.~','3 ~..,,~-,,0-~-.--,,,.c~3 N 114391 THIS CE~IFIE~ THAT }:uEene L. Pisc~zer, Jr., ~ajor'o P~th, 600' e/o HOrtons Lane, Southo~d~L.I. in the following l~atlon; ~ B~ement ~ l st FI. ~ 2nd FL O~ttside Section Bilk ~t w~ex~inedon 2ep~ember ~0~ ~7~ andfoundtobeincompliancewiththerequirementsofthisBoard. FIXTURE OUTLETS ~ECEPTACLE$ SWITCHES RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT DRYERS TIME CLOCKS SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C A. W. 0. NO, OF HI-LEG A.W.G. NO. OF NEUTRALS A.W.O. F~R .~ O~ CC. CON{). OF HI-LEG OF NEUTRAL 1 2 1 ~ Town i{arbor Lane, Southo!d, L.Z. 11971 Per ll ~i/ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~OltM NO. 6 TOWN OF $OUTHOLD Building Depo~tment 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 o 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 $5.00 3. Copy of certificate of eccupancy $1.00 ~ E ~ ~... Date .................... New Building ,.~. ........... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ..................................................................... ;.../~.~...; ................................ Subdivision ............ ~ ............................................. Lot No....~.... Block No....~., .......House No ............. Underwrite. ApprovalS. ..~./P~lq.~ng Board Approval ........ \/ ~...:....~ ................. Request For Temporary Certificate ........................................ Finol Certificate ..,f~ ................................... Fee Submitted $ ....~..~. ...................... Construction on above described building and~_~eets oil appl~ codes and regulations. Applicant ..~/. ........ [~. ....... ~....~~. ................................... Sworn ~ before m~e4h is ~'-~-~ C 0 ........ ~.. day of ~..~......~.~. ........ (stamp or seal) ~ Nota~ Public .................................... Coun~ SUFFOLK COUNTY DEPART~EN? OF ~EALTH H.D.Reference No~ -/~ EASTERN DISTRICT, RIVERHEAD,N.Y. APPLI~TION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: Date 6-Sub 1-~Pplican~.~eN~ A. ~"1~'~'("/:~ ,~T/~ Phone .dmoi~~ ~ddress ~,~/ A~ ~-~,, ~. .... .~ .~, ~ 7-Sect 2-Detailed property lbc-atio~ ........... 8-Lot No. --~' ~ Hamlet Town ~ ~ .9-Private'we-l~i~'~ ' '~ ~- ~l-Public water supply name- ~ ~ ~__ ' Distance to nearest main S-Lot Size~ Width~ft. LeH~h~_ft. (also enter on center plot plan %-Dwelling. Sing~i~e~Family A~ Tw~-~mily? ~ /Cellar? ~/~Slab? ~_/Crawl Space? ~ ~ 10-Proposed system: Septic tank ~JPrec~e~a~Cesspools ~_/Shallow pools ~ ~Other / / il-Septic tank inside dimensions: Votu~Gals. Length ft. Width~ f.t. Liquid depth~ft. i2-Precast sections: ~ ~.Numbe~Squ(a~. Cesspools: Block size~ zncs. D_.__ins. H ~ns. Total blocks below in~'et: ~1 ~-~2 ~3 PLAN Capacit~Gals. The Undersigned CERTIFIES: of authorized installat~ accordance with the Suffolk County Health Departments' current Standa'~l.~l~ Lte ~h Data ~eet ~-~- 0 '~ 2 will be in Bulletins, and amendments thereto, covering Private S~wage Disposal Systems". Da Sig~~~' F ·~ ~ or ~ ~ ~e~ FOR ~ALTH DEPART~NT USE ONLY. Bas~ on the info~ation presented here~tH, it opinion of the Health De~ment, that an adequate and satisfacto~ S~ge Dis~s$1 System can be installed on this ~ot. (10/65 Revis.) ,,% S-15 ~,~ DINING 700U LO02 PLAN LIVING I'LOOk( 1BAT ~4, 7# 4LH" l -- " l NOTES: CONSULT WiTH LOCAL BUILDING CODS TtLAT PL.~N SIZES & DETAILS CONFORM TO ALL R~QUIRI~NTS. OWNER OR CONTRACTOR SHALL SUPPLY ALL STEEL OR ST~UC~q.rRAL ME}ISSRS, MASONRY~ OR CONCRETE 3. ALL CONSTRUCTION DETAILS ON SEPARATE DETAIL SHEETS. 4. ALL TNTERIOR DIMENSIONS AILE FOR FUt~L THICK- NESS ROCR LATH & PLASTER PARTITIONS: 3/A" + ~ I/~Z"+ 3/4" --NOMINAL 5' THE DEALER OR CONTRACTOR SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH THE CON- ~W~O D PLAN ANF PA~'T THEKE OF THE WHOLE UNiT O PLANS-AND AS NOTED RIDGE HOMES 1010. Ridge Pike Conshohocken, Pa 19428. SHERWOOD ,APPRov.ED, DATE