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Home My WebLink About6738-zNO. 4 TOWN OF SOUTHOLD BUn.r~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No. Z.~666 ...... Date ...........l~av. .... 27 ...... ,1973. ~ THIS CERTIFIES that the building located at .. -Theresa. l~,ive .......... Street Map No. Deep' 'Itol~'c'121~kll/$~.' .......... Lot No.. t~ ...... Rat.tituch... I~,~o .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........japer..~7.., 19. '?3 pursuant to which Building Permit No. 4738~ · dated ............. July...~.8, 19.73., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. px~vate -one..f. am.~.l.y · dw~tl~g ...................................... The certificate is issued to . 'John '~ha. ten-& -wife ...... owne~,~ .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..Nav. .21..1.97.3. ~.by. R.. VLll& ..... UNDERWRITERS CERTIFICATE No..~28777 .... ~o.v...20 .... ~9.7.3 .............. HOUSE NUMBER . .~60 ......... Street . ~herese -9~ ............................ · ............ I~B~ NO. ~ TOWN OF ~OUTHOLD BUILDING DEffARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BuIU)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6738 Z Permission is hereby granted to: I~%a~...}~ee...I~e...A./~.....J~h~t .. Wha.l~ ... · -.~3~.-~.s ~&l~.. ~ e~me~..~& .................... ...... J~e.Lden....~, ............................................ to ....~.i-L~....~ e~ ..:me... £am,l~.¥.. A~ L% ~u g ................... ............................................................... at premises located at .~.O.t~..l.6. ...... ~l~..,~ale...Gr~ek..~,s.t~:~s ..................................... i ........ ~..,~;I'~I~,~MI .. l'~}......~her~ sa,.~ ....... ~a.t,t &t~ek.....$~, ¥, ........................................................ pursuant to application dated ......................... ~F' .......%'~' ........ , 19'/.,~,..., and approved by the Building Inspector. Fee ~ ~J.~. ............ ~0~! NO. 6 TOWN OF SOUTHOLD Building Dejmrtment 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 duplicate 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 $5.00 Date Nov. 14, 1973 New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ~.Q.$..~..1..6.~ ~eresa Dr,~ "Deep Hole Creek Es'~a'bes' Owner Or Owners Of Property Mr, & Mrs, John Whalen Subdivision "Q.9.~P. ~..o.~..~. C.r. eek F.s~:a~:es" LA, ~,~ 16 Block No ............. House No ............. Permit No....6..'7...3.8. Z.. ...... Dote Of Permit .7../...1..8./...7..3. Applicant John Whalen Health Dept. Approval . . . .Z /. .9/. .?. .3. .......................... Labor Dept. Approval ................... ~/~.:.(..~...; ................ Underwriters Approval ..... ..~...../.~.7..i.7..?. .................. Planning Board Approval .......... ./..~...!...~... ................ Request For Temporary Certificate ........................................ Final Certificate ~ Fee Submitted $ ...5.~Q.Q ....................... Construction on above described building~odes and regula~ns. Applicant .. ' .......... . .(~......~.....~ ........... Sworn to before me this /,/ ,4/~d u/ 2-3 ~ ......... · .(~...~day of ..... ~ .: ......(.~..,?.~... ..... (stamp or seal) ~'~ ,~*~'~'~* Notary Public .................................... County ,//~_.~, OC'/~ 0 THE NEW YORK BOARD OF FIRE UNDERWRITERS C~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 November 20, 1973 6~2117 App,,,~,,tion~,'o.o.,,,e N 128777 THIS CERTIFIES THAT only the elect~. / ~quipment.~;~ des~rlbed beJ~ and~ntroduced by tJ~ eLol~l~cantj~ra~e~dpl~ the ~bo~e~apl~ieation number in the premises of ~on~ r. ~nalen~ ~/5 '~'neFe&sHDrive~ ~a~cl~uoKs 1~.-~. Job#lq2 16 in the followln$ location; [] Bazement [] 1st FI. Lot wo~exami.edo. November 16, 1973 17 3h 18 i 100 CB x 1 2 ~%or~ .~ 1-Z/2h~ *Furnace/s: Oil, !-l/Shp, 1-1/12bp [] 2nd FI. outside Section Block and found to be in compliance tvith the requirements of this Board. ~AECi~ EEY ~J~T. K, W V I ¢ ;40. OF HI-LEG SYSTEMS NO. OF FEET NO. O~NEUTRALS EXHAUST FANS DIMMERS OF NEUTRAL C~o rge. Zimlinghaus Park Place Pat oho F, ue, L.I. 11772 Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. SUFFOLK COUNTY DEPARTS~NT OF HEALTH WESTERN DISTRICT, HAUPPAUGE, NEW YORK H.D.Reference AP, PLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: Date?/~...~ i-Applicant John Whalen Phone .. 6-Sub divDeep Hole ~reek Address 7-Section 2-Detailed property location W/~ Theresa Drive 8-Lot No. Hamlet Mattituck~ Town $outhold 9-Private "well? xes 3-Public water supply name.. Distance to nearest main" 4-Lot Size: Width l~Oft. Length~82 ft. (also on%er on cen%er plot plan"'below:) J-Dwelling: Single Family ] ~ Two.Family? ~_./Cellar? / /.Slab? /X~ Crawl Space? 10-Proposed system: Septic tank ~__/Precast / /Cesspools W /Shallow pools / /Other / il-Septic tank inside dimensions: Volume S$~als. Length_._ft, Width__ft. Liquid depth 12-Precast sections: / /Number/ /Square-Ft. Cesspools: Bloc~ sizeL incs. D_..ins. H..__ins, Total blocks below inlet: ~1 ~2 ~3... ~, = ,~ ,Street Theresa Dr. 0 IndiCate NoPth Data Feet 0 2 4 6 8 10 12 The Undersigned CERTIFIEs: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' curren~ S~andards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". Date 7/6/7S Signed. ,Inland Homes, Inc./Kenneth W. Thur~r Owner or Build,r 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 (lo/6 R.i...)' S-15w APPLICATION FOR IUILDING PERMIT Date ..... ?Y'J.'7~/~ .......................... ,19 ........... ~ 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~acem'at~ 4~lot Pte~l;(~ ~le. Fee accosding ~o ,scheduJ,e., ~' . b. Plot plan s~n~Wm{I' ~o~at~ ~{ 'lOf anti of I~.Ji~dings- on I~emiles;' relati~sh~ ~3a~ini~-~ie'rnis~s 6r public streetS or areas, a "3 'giving a de~ailed description of layout of property mu~t be drawn on diagram which is part of this application. c. The wo~ covered by this apglication 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 ,shell be kept on the premises aveil~ble for inspection throughout the work. ~, e. No building shMl:Jse occupied or used in whole or in pert for any purpose whatever until a Certificate of Occupancy shell have bee gl~ by the Buildin~l~;!nspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Oedinam:e of the Town of ~outhold, ~uffolk County, New York, and other applicable Laws, Ordinances or Regulatioas, for the ~truction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali al~licable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building~ for nece~af~ inspections. Inlan~ Homes Inc (Signature of applicant, or name, if a corporation) ~elden N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... ~bas.~il~l, em .............................................................................................................. If applicant is a corporate, signature of duly authorized officer. Builder's License No ......................................................... Plumber's License No ............ ,~...-.~ ................................ Electric an's L cense No ......3~...3...-..~. .............................. Other Trade's License No ................................................... I. Location of land on which proposed work will be done. Map No......~...e.~,..~..°...]:.e......C~......~.?...~.....Lot No. Street and Number ....~/.~...;Le~Jtl~.~.jl~.~!~lt~..~.~.l~:l:31~..l~~ ........................................................ ~ ~a~) Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and Occupancy .................................................................................................................................... b. Intended use and occupancy 3. ~:Ll.y 10, 11. 12. 13. 14. Nature of work (check which applicable): New Building ....]!~:.. ................ Addition ......... : ........... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... ' ' (Description Estimated Cost 25~50~.-- Fee ~'~"' ~ / (to be paid on filing this application) If dwelling, number of dwelling units ..... ]. ......... Number of dwelling units on each floor .......:....:,. .......................... If garage, mimber of cars ........ ~ ..................................................................................................... ~ .......................... If business, commercial or mixed occuoancy, specify nature and extent of each type of use ..................................... 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 ........................................ Dimensions of entire new construction: Front ....~..~..!..~ ............ Rear 55 ~ 6 29 s ............................ Depth ................................. Height ................................................. Number of S~i~es ................................................... Size of lot: Front 7 '7ff i ' " ................. ~ll~'t:[h ...................................... Date of Purcheae ..................................... Neme of Former Owner ............................................................................ Zone or use district in which pf~misas ere situal~l ..................................................................................................... Does proposed ¢on~l~-~'QI].91Otate eny zoning law, ordinenoe or reguletion: .................................... j ..................... Will lot be receded ____Y ~.. .......... :......_.._......_. Will e~.oess.filg:le_rem, l;~ ~[olju:~remisil~..Jl~ [- ] No Name of Owner of.premises...J.~.., ..~..,...l~...,,e~,.~...?..e....~..,¥~.,~........[~...,,~. ~ ....... ~,,~. ........................................... (Address} (Phone No.) Name of Arch tect ........................................................................................................................................ Name of ContraCtor ..~.~..~..a...~......4...3.f....l~.~.~..:...,~...~....-~..~...;.~:: ............. PLOT DIAGRAM Locate clearly end distinctly ell bultdtn~, whether existing or proposed, and indicate all set-back dimensmns 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 YORK~"~ / ,~ _/ ~ cou,T¥O . ...... ~.....~ .... ~ing duly sworn, de~s and says that h~ s the appli~nt abo~ nam~ (Name o/ individu~ si ~n'"'"'"'"'""'"'"'"'"'"'"':~ '"~;~'"';':'"'":;';;-.-' ' ........ ' ,.~-., ..... ~ .... x ' He is the .................................... ~ ..... ~' ..................................................................... of said owner or owners, and is duly authorized to ~rform or have ~rfor~d t~ said work and to make and file this application; ~at statemen~ contained in this application are true to t~ ~st of his knowled~ and ~lief; and that the work will ~ ~or~ in the ~n~r ~t forth in the appli~tion filed t~rewi~. TE~I ~E ~-':-~';'.'r ~ ~ ~ PUSUC, State ~ York ......................... l..,l......d=v of ........... ~ ,o. 5~-6~ / , ~ , ~ [~'~ ........ [ ~il~fi~d'~'~u~t~'~y'"' / [/~ ,~1 o.w .......... .................. 87°19'20'£. Lot 17 182.00' NOTE: · -' MONUMENT SUSDII/ISION MAP FII ED IN THE OFF/GE OF TNE GLEI~K OFSUFFOU~ COUNTY ON d4N.~B, 196~&S M4P NO. 4256. DIETZGEN 135 11846 REWS=ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG survey fOr: JOHn WhALEN LOT NO. IG ~ J"DEEP HOLE CREEKESTATES" /~, ''. I' ' G ~'A ~'~T E'L~,~r~ ~,, ~ AT MATTITUCK TOW~ OF SOUTHOLD .... ':' ~'" SUFFOLK CO., TITLE NO. 'S-469~26 8, A ..... VENUE NE/4, ,/ £o! IF - I~gY"19 PO bI{ UNAUTHORIZED AlTeRATION OR ADDITI~JJ TO THIS SURVEY IS A VIOLATION OF SECTI~N 72C9 OF THE N!W YORK STATE EDUCATIC'N LAW L o/ 15 NOTE: · -" MONUMFN r ~UOD/VI$1ON MAP FIL FO IN ;'HE OFFICE OF TH~ CLF~K OFNUFFOLK ¢OUNP';' ON ¢~ N. PS, 1955 ~1~ MAP NO. 4P56. lOP. Oo ' - ~ DIETZGEN 135 11846 REV,S~ONS YOUNG & YOUNG 0C'[~ 197.3 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SUEVFY FOE: JOHN WHALEN LOT NO'I6 ~~ "DEEP HOLE CREEK ESTATES" .~ · AT MATTITUCK m~ ~b ~I~SB~K ',':X~.~ TOWNOF SOUTHOLD ,¢;~ l.r: .... ' ; .'~'J] SUFFOLK CO., N.Y. ~¢~~ ,7 ,0 II.d' .............. 17;4" ,q, i¢J.4'' DATE 4 FEE: NOTIFY BUILDING DEPAKIMCb4T /, 765-2660 9AM TO 4P~ FOR ED INSELC~IIONS. I BEFORE' BACKFILLING ~CUt,JDA t10 Il. d' 7¸4' I