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Home My WebLink About6687-zFOB, M NO. 4, TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at !~..F/.e.s.· R.a~. ·~. ........... Street Map No..~.a..zjd..e.n...H.t.~Block No ........... Lot No.. ~ I ~.0.~.5.~......1~..t.t.~.t..u.ok....~...Y., conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... .J.t~..e...~. ...., 19.7.~.. pursuant to which Building Permit No..6~..8..TZ... dated ........ J..u~..e....~. ..... , 1~.~..., 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..Pr~.v, ate..o~e, flm$1~'..4wl~$n~ ...................................... The certificate is issued to ~.t~ve;r.t; .A~I..el~ll9~ ...... .0~ele ......................... (owner, lessee or tenant) of the aforesaid building. SUffolk County Department of Health Approval . .0q..t...~.~.. J.~.~ .................... UNDERWRITERS CERTIFICATE No..~.0../'j.~..~.~...b.l~,' .J.o..[.~..a.a..k~. ................ HOUSE NUMBER . .~.~.0~ ........ Street ...M~...~.. ! .~..R..o~..d ........................... Building Inspector~ FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6687 Z Permission is hereby granted to: pursuant fo opp/Icotion dated ........... /.. ............. ~..~ ..................... , 19..~...., o99"d approved by the Building Inspector. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant~'7~ ~/~ 7- 2. 4. 10. 5. Subdiv. 6. Section ~c~ 7. Lot NO. ~y-3~° 8. Private well 9. Public water Distance to main (Enter on center plot below) Property ~ocation ~¢ff$ ~ Village ~r,~VC/~ Township Public Water Company name Lot size: Width /x~.2~feet Length Sewage Disposal System: A. 900 gallon septic tank~ Precast~uivalent Block B. Leaching pools: Numbe~ Precas~'~ Block Special treet If private well fill in blanks below: Tank capacity Gals. Pump G.P.M. Total well depth__ Depth to G.W. Amount of water in well Test Hole Data Feet 0 2 4 6 8 10 12 14 The undersigned CERTIFIES: "Construction of authorized insta~ati6~_~will be in accordance with the Suffolk County Department of Health's current ~%~and- ards thereto." ~ ~-~ Date FOR HEALTH DEPARTMENT USE ONLY. Based on is the opinion of the Health Department, Disposal System can be installed on this Date ~ ~'~ ~ or Builder'' -~ the information presented herewith, it that an adequate and satisfactory Sewage Signed S-15 Revised 4/l/72 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY · STREET, NEW YORK, NEW YoRK 10038 ~ ,at. October 2~, 197~s JOHN 4.pli¢.tionMo. o.f/le~753~1 · - N 190323 THIS CEEIFIE5 THAT only t~ el~t~al ~ulpme.~ ~ ~sc~ be~ ~ int~ by t~ ap~ican~ ~m~ on the ab~ ~pl~ation number in t~ p~m~es of Stewart Anderson, w/~ide ~arys' Hd., qO0' n/o Country Rd. ~attituck, L.I. inthefottowingt~atio.; ~ B~ement ~ lstFI. ~ 2nd FI. outside s~tlo. w~ examined on 0 0 rob (~r 2~ , 19 7~ ..d found ~ be in compliance with the requirements of this B~rd. RXTURE RXTURES ~NGES C~KING DECKS bVENS DISHWASHERS EXHAUST OUTLETS SWITCHES FLUORESCENT 2o DRYERS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET E R V I C E NO. OF CC. COND, A, W, O, NO. OF HI.LEG A- W. G. PER ~ OF CC. COND. C~ HI-L~G 1 OTHER AP~RATUS: Wate~ heater:l-~.~kw ~]ee.Poom heater~: ?-2.0kw, h-l. Skw, ~Zotor/s~ 1-1/2ho 3-.Skw NO'~NEUTRALS OF NEUTRAL Carl Bozehett~, P.O.Box 523, 650 East ~ain St., R~verhead, L.I. 11901 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CI,ERK'S OFFICE $OUTHOI. D, N. Y. Exam ned Approved .............. ...~......~....~...., 19.? Permit No.... ~....~.....~...~. .......... D~sapproved a/c ~ ........ ~... Application No ................................. APPLICATION FOR BUILDING PERMIT Date ........... ...~...~.........~...., C/"'"'"'" INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 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 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 pa rt 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. (S'gnature o~/~applicant, or name, if o corpor~;i~'i ....... ....... ................ (Address of applicant) J J ~ ~) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. ...................................................................................................................................... Name of owner of premises .~-F'~/~'/~7~-/' /Z)/k/~) ~,~])'~_q'~ ~ If applicant is a corporate, signature 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 ............................................... Location of land on which proposed work will be done. Map No.: ............................... Lot No ....................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................. ...~...~...C...~.....~'....~.. ..~...~..,~... b. Intendeduseandoccupancy ~J~'~- .~....~...,l~ l L ~.. property lines. Give street and block number or description whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................. ddition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... ~ -- (Description) 4. Estimated Cost .................... .'.~.....~........q..0....(?. ................ Fee .....[....~......~....'......~'......61'.. ....................................................... (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 .................... ..~....~...A/....~... ....................................................................................................... 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 ...................... ..~...'~..~.-. .............................................................. .<..... ............ / ~/O . Depth // 9. Size of lot: Front .......................... ./....7...~ ............... Rear .... i~i ............................ ""'....' ...... 'f.%,'".~'". 10. Date of Purchase .............. ..~...O....b~.. ....... /..~...7..~....Name '~ ;~r~;~' '(~;i ~ ~7' _~ ~'~, ~,~ ',~ 11. Zone or use district in which premises are situated ................ ..~...~..-~..../....~.........-T....~.....~...?~'~ ......................................... 12. Does proposed construchon violate any zoning law, ordinance or regulabon: .................................... , ................. 13. Will lot be regraded~ ............................ Will excess fill be remov, ed from premises: ( ) Yes (k~No S NDE o ~ 'Bo~ & t~ 14. Name of Owner of premises .......... ~ .......... ...~,...~......./~.. ............. Address ..... Pho~. No.7..Z...~.7...Z.F.~ Name of Arch,reef .............................................................. Address ............... ~!~t/..~.O. ...... ehon No .................... L Name of Contractor .....~...~...~....~..~......~..?..~..!../c..~.......~...0...~...~.~.... '~rt~ess ~'O E',/~A,~/ .~-T ..... .'~.~..t,f.~...r,¢.!.5..~.,~..] Phone No. 7...Z..-7....'.....7..7...?.5~ 7Z7 --' PLOT DIAGRAM / ~ /'~ -- Locate clearly and distinctly all buildings, whether exkting or indicate all set-back dimensions from and show stn~et names and indig~3te STATE OF NEW YORK, lc c COUNTY OF ................................ f '"'"' .............................. 2~. .......... ..'0...../~...?....~..../..~'..~;...L~..../~... ............... being duly sworn, deposes and says that he is the applicam (Name of individual signing contracfl above named. ~e is the ...................................... ~"¥~'~;;;~;~;"';';;;;";'~rporate officer, etc.) of sold owner or owners, ond is duly outhorized to perform or hove performed the sold work ond to moke ond file this opplicotion; thor ~11 stotements contoined in this opplicotion ~re true to the best of his knowledge ond belief; ond thoz the work will be performed in the monner set forth in tee opplicotion filed therewith. Sworn to before me this ................. o, ............................... o,o, ........ ($ionotu~of opplicont) NOTARY P~[,L~tEa!Ee~ New York ~miasion ~xp;res t~arch 30, Ii ~ ~ DtETZGEN 135 11846 REVISIONS YOUNG & YOUNG 400 OSTRAINDER AYENU£, RW£RHEAD, NEW YORK A~.DtEN W. YOUNG HOWAR~ W. YOUNG SURVEY FOR: GARY ETTLEMYER 8~ VIRGI~ NO TD ~/LKO /N THE O~/C~ O~ TH~ CL~HK O~ SUffOLK F P C - ~ REVISIONS YOUNG & YOUNG $EP~24,1973 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: /' ~_~/~o ~.~, ~o~ STEWART ANDERSON 8~ AUDREY~'~~* '~o~ "i~"~ / / TOWN OF SOUTHOLD co., .. SCALE: I" = 40' ] DATE:Nov. 14,1972 I No.I----'N0.72 -865 0 ~ ^~ 0 S9 ~o~ NOTE: ~3 = MONUMENT FOUND · , = MONUMENT PLACED SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON ,JUNE ¢'4.,1929 AS MAP N0.577 SURVEY FOR JAMES ANDERSON & JANET ANDERSON PART OF LOTS 41 ~42:'MAP OF GARDEN HEIGHTS" MATTITUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. ~UARANTEED TO, FARMERS HOME AD~41NISTRATION HOME TITLE DIVISION OF CHICAGO TITLE INSURANCE COMPANY SCALE: I"= 40' NOV. 22, 1968 p R 0 F E S S i 07'I"AI~.~ N Gl N F. fF:;~R' AND L AN 0 S UR VEYOR, N.Y.S,~IC. N0.128~5 RIVERHEAD, N.Y. F/B Model MDW lA 48'-0" x 24'-0" 3BR BCK-BFD-CU Model MOW lB 52'-0" × 24'-0" 3BR 3/4 BATH RCK-RFD-CU Model MDW 1C 56'-0" x 24'-0" 3BR ~41BATH RCK-RFD-CU Model MDW ID 60'-0" x 24'-0" 3BR ~/41BATH RCK-RFD-CU Model MDW 1E 65'-0" x 24'-0" 3BR ]/4 BATH RCK~RFD-CU Model MDW 1F 48'-0" x 24'-0" 2BR 3/,~ BATH RCK-RFD-CU Model MDW 1G 56'-0" x 24'-0" 2BR ¥4'BATH RCK-RFO-CU Model MDW 1H 65'-0" x 24'-0" 4BR ¥4 BATH RCK-RFD-CU Model MDW 2A 48'-0" x B4'-0" 3BR FK*CDIN Model MDW 2B 52~-0'' × 24'-0" 3BR W¥4 BATH FH-CDIN Model MDW 2C 56'-0' x 24'-0" 3B R ~/4 BATH FK-CDI N Model MDW 2D 60'-0" x 24~-0' 3BR 3/4 BATH FK-CDIN HALL Model MDW 2E 65~-0'' x 24'-0" 3BR ]4, BATH FK-CDEN Model MDW 2F 48"-0TM x 24'-0" 2BR 3/, BATH FK-CDINETTE F/B Model M[3W 2G 56'-D" x 24'-0" 2BR ¥4 BATH FK-CDBN Model MDW 2H 65'-0" x 24'-0" 4BR 3/~ BATH FK-CDINETTE