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Home My WebLink About6809-zFORM NO. 4 TOWN OF SOUTHOLD BUH,r)ING DEPARTMENT Town Clerk'8 Office Southold, N. Y. Certificete Of Occupancy No. Z~I~ ..... Date ............D~c ..... 28 ..... , 19. THIS CERTIFIES that the building located at . E/S. Ditek. Pond. Road ..... Street Map No..XXX ....... Block No .... x~ ....Lot Nox~x.. Clttchogt~....1~ ~)f.. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............Aug...21.., 19.. 73 pursuant to which Building Permit No.. dated ..........~,ug...21 .... , 19.. ~.3 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. ~un[l.7 .dwe],l~ng ....................................... The certificate is issued to .J. ohr~ .Fell~,~g~;r-.:~h~.r ..~..~L~.e.. 91.~.v.~.$ ..... . .0g~....r.~ .... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .I)e~ .. 28...1 ~/~ .. by. .1~,..V.~:L].a .... UNDERWRITERS CERTIFICATE No. N...'l~2.9.Q~.8 ..... .N..o~... 71....~ ~.7.~ .............. HOUSE NUMBER .... R.~.80 ..... Street ..... Du~k. Pond. Road .................... FO]aM 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) N? 6809 Z Date ................... lt,~l~ ........... 2~ ............. , 19..~/3. Permission is hereby granted to: .,T. ol:m...E ....& ..OZl~ta.....lJa,a~ .......................... · . ~,~.....2.~ .... b'~t&n...R~ .................................. ....... .~.~me~po~;. .................................................. to ~l~..~w...o~. t'am~ l~...d.weJ.11n& ..................................................................................... at premises located at ....*~ ./~..D.u. ck..l~.ol:~...i~oa~. ............................................................................ ........................................... ~g~ao~a~ ....... }I.,¥.o ............................................................................... pursuant to appllcotion doted .......................... Jt~.g ....... ~ .......... , 19.7..3..., and approved by the Building Inspector. Fee $.~9~-~0 ........... FORM NO. 6 TOWN OF SOUTHOLD Building Department 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, anti 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: I. 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 Dote ...D..~. g......~.8. ........ .'1. 92~ ............ New Building .....~.. ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property E/S Duck Pond Road Cutcho .~..e Owner Or Owners Of Property John F~ Ihar & wife Subdivision ......~ ................................................... Lot No. ~ z~ No 3180 ............ Block No ............. House ............. Permit No....6..8...0.9.Z. ....... Date Of Permit .....~..~..~[......2..!Apl~l~ant ...... .*.Z.o..13;13,...~.......~...h...a.~. ............................... Health Dept. Approval ...... D.e...q......2...8.......1.~..7..~ ....... Labor Dept. Approval ............ .~...:~..*. .......................... Underwriters ApprovalN 12~0~.8 1 1/21/~ Planning Board Approval Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ...... ~.......0..0. ..................... Notary Public .................................... County Construction on above described building a~mit meets all applicable codes and regulations. App cant~... ~-,lJ. ~ .. (~. ................................................. Sworn to before me this /~ (stamp or seal) ~'~ THE NEW YORK-BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 D. te ~,tovembe/~ 21, 1973 ,~..,catlo. No.o. fle 6R6995 N 129058 THIS CERTIFIES THAT only the electr~q~ e~iu~nenk as described ~e~pw arid i~tro~cec~by t~te a~ican~ named on the above ~pplicatlon number jn t~e premises of F~.~.']'. uons~ruo~lo~ D~CK~O~G rfd. uregon R~., ~,~tdhoEue~ b.l. ovember 19, 1973 FIXTURE OUTLETS 17 FIXTURES DRYERS FURNACE MOTORS FUTURE AIk'~IJANCE FEEDERS AN~T, K,W. # OIL H,P, GAS H.P. AMT.# NO. A.W.G. RANGES ;EECIAL REC'PT SERVICE DISCONNECT i NO. OF 1 200 CB METE". COOKING OECKS OVENS [DISH WASHERS AMT. K.W. AMT. K.W.~ dRT. K. W, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET -,. ~s. TEA.'.~ V I C E EXHAUST FANS AMT. H, P, DIMMERS AMT, WATTS NO* OF CC. COND. A.W.g. NO, OF HI-LEG A.W.G. A.W.G. PER ~' OF CC. COt, ID. OF HI-LEG OF NEUTRAL *Furnace/H: 011, 1-1/Shp. 2-i/15h~, *Wuture appliance feeder/s: 2-2~1~, 1-3#6, 1-2#14. 2/o PO Box 20;I Middle Island, L.I. 11953 Per I' ~' COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Disapproved o/c ~ .,i~' ~/ ~/r/~ ................ ._,_ ( .-- APPU~TI~ ~R liniNG PE~T ................ ............ , INSTRU~I~S b. ~ ~n ~in0 t~ion of lot *nd of bui~i~ ~ pr~mi~, relationship to ~dloinin~ premix, d. 0~ ~1 o{' ~hi~ ~llc~ti~, thd 8uild~ In~or will i~,uo ~ Buildin~ ~it to ~~. ~h ~ll ~ ~ ~ th~ pmmi~ ~il~l~ {or in~h~ ~ut th~ ~rk. · ~ ~o ~ildin~ ~h~l ~ ~cupi~ or u~d in whol~ or in p~ ~ {or ~ny pu~ wh~t~v*r until ~ ~h~fl h~ ~n omnt~ ~ th, 8uildlno In--tot. ~klC~TIO~ IS HfiR[SY ~Dfi to th~ 8uildi~ D~mont {or ~ i~uence o{ * 8uildi~ 8uildi~ Z~ O~in~ o~ ~h~ T~ o{ ~, ~lk Count, ~ york, ~nd ~h*r ~li~ R~ul~ti~*, for ~ ~o~r~li~ o{ building, o~i~ or ~mti~,~ ~ m~l or d~H~, ~ ~i~ ~.~ ~e appli~nt agr~ to comply with all a~licable I~, ordi~es, building c~, h~si~ c~, admit au~riz~ in~t~ ~ premiss a~ in ~l~l~s ~r ~ i~i~. (Signature aT applicant, or nome, If a corporatlen) (Address of applicant) ~ ~ /ff State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ...................................................................................................................................................... Name of owner of premises .............. .. ............................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... L~ation of la~ on whi~ p~ work will ~ d~e. Map No.: ........................................ Lot No.~ Street and ~umber ~ ~ ~ ~ ~C~O~ ~ . M~i~lJ~ State existing use and ~cu~ncy of promises and intended use and ~cu~ncy of pr~osed c~stmction: ~. ~isiting u~ ~ ~cuponcy .......................................~ .............. ~ ........................................................ ~. In~en~ u~ oed ~cu~n~ .................................................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. ;~. Nature'of work (check which applicable): New Building .................. Addition .................. Alteration ..~. .......... Repair .................. Removal .................. Demolition .................... Other Work .................................................... 4. Estimated Cost ............. ! ...... .0....O....O....?..O...,~.. ................ Fee ...................................................................................... (to be paid on filing this application) 5. If dwelling; number of dwelling units..............................~ Number of dwelling units on ~ach floor If garage, number of cars .................. ...~.. ..................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ..I~...L.~,. ............ 7. Dimensions of existing strpctures, if any: Front .............t~.......e...~....~Rear .............. ." ................. Depth .......... "T. ......... Height ........... --~. ............ N~oer 0f Stories ............ ..."~.. ............. ,.. ................................................................................ Dimensions of same structure with alterations or additions:' Front I,J~-~ ~'~ Rear Depth .............. .-.. ............... Height ................. .-.. ........ Number of Stories ,.....'~,. ......... . .............. .... . 48 o 8. D~menmons of et~bre new construcbon. Front .................................... Rear ......~.o~. ................ Depth ........................ Height .....~....~.[ ..... Number of Stories 'i ............ ~ ..................................... t .................................... :':"' ................. · qr..*TZ .--- - . 27t/ 9. Size of lot: Front ...................J. .................................. Rear ..... e/..~:l'.~.~...ta .................... Deprn ........ /. .................... ~, 10. Dote of. Purchase ......~...?...~.~.t.~..?...~.. ............................ Name of Former Owner ..... .~...~,.:~....~..~..~."..~ .................. 11. Zone or use district in which premises are situated .............. · .~..~.~,.l~..IJ~:T~'l./~v-~....~,f~...~.~.l~:..~...~..~.q~...a~..~ t2. Does proposed construction violate any zoning law, ordinance or regulation: .............. ',/?~...~.. ............. ; .................. 1,3: Will lot be regraded .... ..1~.....~.. .............. Will excess fill be removed from premis~_. ( ) Yes ( 14. Name of Owner of premises .~.:..~...k:...'~4 .~.~..Y'~.....~..~.~..~..~;....~.~.?.~ddress ................................ Phone No ....................... Name of Architect .............................................................. Adaress ................................ Phone No ....................... Name of Contractor ...I~..~..T....C. ~...~f...,~...~..~..L....T?.,~,..., ~C~......~..... Address .~.?~.~.?..t.~/..~.l.~.~el~ione No...'~..?,.~.,,-.,,~..~....~...T PLOT DIAGRAM Locat.e clearly and distinctly all'SuJldings; ~vhether existing or proposed, ,and indicat~l! set-back dir/~ension~ from property, hnes. G~ve street and block number or description according to deed, and z~low street nomes~ and indicate whether ~nter. ior or corner lot. ~ ~ .............................................................................................. being du~y sworn, deposes and~oyS fl'~t he is the applicon! {Nome of ~ndividua~ signin~ contracO above named. He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~ke and file this application; that oil 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, Sworn to before me this ...... of Nato Pub i ic~--~...,,~.~~ .~~~.~...~ ry .............. ,~ .................................................................... :..: .... g/ JUDitH TTBO~ ' ,- (Sig/6ature oTapplicant) NoJa~ laubll¢, State of New York No. J~l ~emmis~l~ IE~plm~ March 30, 19.~ ~o~° NOTE: · -' MONUMENT REV]S~ONS YOUNG & YOUNG JULYIg, 19?3 400 OSTRANDER AVENUE, RIVERH ,E>AD, NEW YORK AUG. 7, 1975 ALDEN W. YOUNG HOWARD W. YOUNG PROFIESgJIC~&L- E/~GUNEER AND 'LAND f~URVEYC),R :~URVEY FOR: JOHN FELLINGER-IHAR 8~ OLiViA FELLINGER - I HAR ,TOWN_., OF SOUTHOLD,, ~i.,._.\~. ~ul'~, ;iL\ J ,/~ /, SCALE: I" 50' [ DATE: JULY I ~0'0° \,00~ NOTE~ · = MONUMENT ~ REVISIONS YOUNG & YOUNG "~ JULYI9,19?~, 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK AUG. 7, 1977i ALDEN W. YOUNG HOWARD W. YOUNG OCT 4, 1973 PROFE~IlONAL ENGINEI~R AND LAND SURVEYOR SURVEY FOR: JOHN FELLINGER-IHAR &OLIVIA FELLINGER-IHAR AT CUTCHOGUE RIVER~DS~NGS B~K - SECU~ff~LE ~GUAE~T~C0 - ~t TOWN OF SOUTHOLD ~ ~" r 4:. . :-I :~ ~" SUFFOLK CO., N.Y. APPR. QVED AS NOTED DATE: ~~ -- 765-2660 9^BA TO 4PM FOR RE, QUiR- _o iNSPECTIONS: , BEFORE BACKFILLING FOUNDA- ,i~N OR START FRAMING ,. BEFORE COVERING PIPELINJ~ j. FINAL WHEN JOB COMFLET£D /I-O I