HomeMy WebLinkAbout6335-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17936 Date APRIL 11~ 1989
THIS CERTIFIES that the building AL'£~KATION
Location of Property 1710 JOCKEY C~K DR£Vg
House No. Street
County Tax Map No. 1000 Section 070 Block 05
Subdivision Filed Map No.
SOUTHOLD r N.Y.
Ham] et
Lot 19
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated January 10~ 1973 pursuant to which
Building Permit No. 6335-Z dated JANUARY 10r 1973
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ALTERATION TO COMPLETE 2nd FLOOR OF EXISTING ONE FAMILY
DWFfJ.ING.
The certificate is issued to:
JOSEPH & GEORGIA FROHNHOFm'~
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N185896-OCT. 3~ 1974
Building In~ector
Rev. 1/81
FOKM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupnncy
No. Z67.~.~. ...... Date ........... ~S~p~;...~.0 ....... , 19.77..
THIS CERTIFIES that the building located at .8/S. J.c~ekey..Cre.~k. DrlTe. Street
Map No. ~ ........ Block No....:~.. ..... Lot No. ~ .... $gu~h..°.~d....~.*.~.: ........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ........ .J.~...1.0 ..... , 19. ?3. pursuant to which Building Permit No... 6~Z
dated ........... J.a~.... ~0 .... , 197.~. ., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .~..~?~.~.e...~..,..r .~$...~y .dw.?n...~. ..... .(r.x.r,..~..f.x..o.or...~. ~.-..t.e.,..~.., .~.~.
The certificate is issued to .~'. 0.~.e. Ph..P.r.o...h~...oq.f.~.e.~...~.r..~..tq..~.t'.e......o~).e..~.~. .........
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . .~.u~. y....~., i.i~?.~.., bY .T.h.°! .~.~.~..~.
UND~,RWRITERS CERTIFICATE ~o...~.*.~! .~.0. ?..~....~.r. ! X..~.~..~. ............
HOUSE NUMBER . .~.?.~0. ....... Street . .J.o.c.k..e.y..C..r?.e.k...D.r.~.v.~. ...................
floo~)
. 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? 6335 Z
Permission is hereby granted to:
Fl. oenhoe frei. Jl*
pursuant to application dated ........................... ~1 .......... ~0 ...... , 19.~.~., and approved by the
Building Inspector.
Fee $..~,!~ ........
~ B Idi
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z.~.33~ ..... Date ............. ~'~-~...
THIS CERTIFIES that the building located at S/8 .,Tock~¥. Ct.ack. Drive. Street
Map No...XXX ...... Block No.. 2GIX ..... Lot No..XXX... SCalthold.. N.o.Y, ........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............ ~ran...10.., 19.'~3. pursuant to which Building Permit No.. 633F~.
dated .......... .J~la .....!0.., 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 .....Pri.va.~.e. 0n~ .fa;a.~.l.y..d.w.e.~..~:n. g .....................................
The certificate is issued to . .gosaph. Fr. ohnhaefer..Jr. &. i~ife...0~erl. ...........
of the aforesaid building.
Suffolk County Department of Health Approval
(owner, lessee or tenant)
· .~..uly... !3...1973...b.y. ~h. 0.~..
UNDERWRITERS CERTIFICATE No .... ~e .n~...l~.g .....................................
[lOUSE NUMBER .... '1~0 ..... Street..~OCkOy. ~.~1[. Dgt. lFO ..........................
THE NEW YORK BOARD OF FIRE UNDERWRITERS
'~ BUREAU OF ELECTRICITY
[~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
.,,t. .,,,,,,H.,~. No. o./i,~ N 185996
THIS CE~IFIES THAT
only t~ e~t~ ~uipment ~ ~b~ ~ a~ int~ by t~ appli~t ~ o~ s~ ~ ap~i~tion numar in t~ p~m~s of
"~aklawn Ave., Southold, L.I,
in the following location;
~examin~on ~epte~e~ 30, lqT~ a~foundtobeincompliancewiththerequirementsofth~Board.
DRYERs FURNACE ~TORS I mTURE A~ANCE KEDERS SP~IAL n~'Pl
SERVICE DI~NN~T ~ NO. OF [ S E
.... O0 CB x 1
Lp~.~c:%a! ~eeep~acles: 2-5Oamps., 1-30amps.
~a~;ar hea%er: l-~.Skw
:~;X~c.~oom heaters: 2-2.5kw, 1-2.0kw, 2-1.75kw~
?-l.Okw, P- .75kw, l~-.Skw
R i
500mom
COOKING DECKS OVENS DISH WASHERS
TIMECLOCKS BELL UNiTHEATERS MULTI-OUTLET
¢
OF HI4EG
3-1.50kw,
1 Post l:~.ff, ht
7~.elboard/s: 1-13cir. 200amps.,1-1?cir. 200amps.,
;L~!? ar:.n. Vacuum Unit - l-lOamp C~mpactor
EXHAUST FANS
DIMMERS
500mcm
2-1.25kw ~
1-17cir. 125amps.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~....VACANT LAND ........
Location of Property ................................ . ........................
HOUSE NO. STREET UA~LET
County Taz ~ap No. 1000 Section ~.. Block ~ .. Lot ~ ....
Subdivision ....................... Filed ~ap ........ Lot ..........
Perait No. ~'S~C .Z;....... ...Date of Permit /-/V
Health Dept. Approval ~;~.~.~.~Undervriters Approval.~/~/~.~l.~.~;~;'
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submitted: $. c:~-.6TM
Final Certificate
8zc .37oo
rev. 10/14/88
H~D.Reference N o-~ -/~--~
*P~.,ICATZON FOR APPP. C~L~.L TO CONSTRUCT ~RIV~.,E c'~W;-tO~ D~S~o,~ SYSTEMS
~- -- .... - Date ~%/~/~
,~pprovai to constzmct sa~d.systems is ~em,~ste4 n~+~n~,~+ data herewith:
1-,~pplicant - I~.r?~ ~'r¢~ h ~? ~ ~ . Phone'?~sT~/.6-Sub div ~ ~-~r
Address~- ~: ~c~ Jy~,~u~ ~>< ~- , ~b ~:/., 7-Section ~
2-Detailed property location ,~7~:,,~ ~ c,~> ~ ~c'1 o ~',' k. ~. 8-Lot No. ~r
Hamlet ~( c v ~< f~ ~ ' To~ C~ r-.~ ~)qo~-~% 9-Private well?
3-~blic ~ter supply name Distance to nearest main
4-!ot Size: Width~ ft. Le~thf%-6~ ft. '="(also enter on.enter plot plan below:)
5-~elling: Single Family ~Trwq~amily? ~Cellar? /~/Slab? / ~Crawl S~ce?
19-Pro sed system Septic tank ~Prec~st /~Cess~ols ~ /Shallow pools ~,/yOt~
ia-Septic tarR inside Jjmensions} yol~e~Oals. Length ft. Width ft. LiqUid depth---ft.
lz-Precast sections. ~Numoer/ ~Square Ft. Cesspools: Block sizeL xncs. D ins. H
Total blocks below inlet: ~1 ~2 ~3 ....
~T P~N
Street
,Grade
/
.G ,W.L.
ind'~ te
Capacity h'& Gals.
Data ?ee___t_t
0
2
~6
Date
(10165 Revis.)
S-15
T e Undersigned CERTIFIES: "Construction of authorized installations will be in
accord~.e with the Suffolk County Health Departments' current Standards, Bulletins,
and a~,e ,dment$ thereto, covering Private Sew-age Disposal Systems".
Owner or B~zlder
FOR HEALTH D~P~R?MENT USE ONLY. ~aso on ~ne 5moma~5on p~esenged here~_th)
opSn~on of %~e Health De~r~meng) gha~ an adequate and sa~Ssf~e~o~ Sewage DSs~sal STstem
can be ~nsgalled on ghSs Plo[,
60'-
5.77 46 50 ~.
i
AT
5C;JT~OLD
TOWN OV 50~JTI-IQ'.:' ~,~,Y.
r67~ ~ ~
Examined ~.....~/.~ ............
b~oprcwed ~. ............... ::...~.~. .............. ,
-- Jan° 10
~. Date ................................................ , 19..7..~. .......
INSTRUCTIONS - "
e. This application must be completely filled in bY typewriter or in ink and submitted in 'triPlicate to the Building Inspecto
3 ~ets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of build ngs on pram sea, re at onsh p to adjo n ng pram sea or nublic streets or areas
giving a detailed description of layout of property mUst he drawn on diagram which is 'part of thit application. '
e. The work covered by this application may not be commenced before issuance of Building Permit;
d. Upon 8pprov81 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. ·
a. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have bee~'
granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuanc~ of a Building Permit pursuant to the Building Zon~:~
Ordinance of the Town of Southold, Suffoik County, New York, and other applicable Laws, Ordinances or Regulations, for the construction
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 inspectionsT'~
Eugene Horton & Sons Inc
(Signature of applicant, or name, if a corporation)
~ev 8u, t'fol~
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, i
............................................................. ......................................................................................................... ...
Name of owner of premises ..,..~Tg. ae~.....L~4.x~toe~.~e~...J3~ ......................................................................................
If applicant is a corporate, signature of duly authorized officer.
~ Name and title of corporate officer)
Builder's License No ..........................................................
Plumber's License No ...... ~.e..z'.. .......................................
Electrician's License No.......O~r~.~.~ .....................................
Other Trade's License No ...................................................
1. Location of'land on which proposed work will be do. ne. Map No .......... ~ ............................. Lot No ........ ~ ...........
Street and Number ............... ~L~.....~.~.~.~.~...~.l~.~.~,.~r. ........... ~ol~t, bo3.d. ..........................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... .~.~.~.~M~.'/~....~I~]. ......................................................................................... : .......
b.
occupancy ....~..~L.~. ~q~...~We~l~l~ ........ .~ ...................... .- ........................................ :....
Intended
use
and
D~sapproved a/c .................. ~ .................................. _ ,
......... ;.,;.Y..,~,~ ....... ~......~ ...................................................................................
... ::..
............... ..............................
A~LICA'rlON ,OR BUILDING PEI~41T
& Nature of work (check which apl~licable): New Building ~ .......... Addition ..................... Alterat~n ............
' Repair Removal Demolition ...... Other Work ..................................
................... (Description)
4. Estimated Cost ..... ..6.~.~..0..O...0.....+ .................... Fee ...1.~..0...'..~..O. ..........................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....... 9/~L. Number of dwelling units on each floor .........................................
If garage, number of cars ........~:~.~t, ........................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................................
7. Dimensions of existing structur, es, 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 ........ ~..-.~. .......... Depth .....~.1..~...~.~...~. ........
Height ................................................. Number of Stories ..... ~.:~ ...............................................................................
~"9. Size of lot: Front ...................................... Rear .......................................... Depth ..................................................
10. Date of Purchase ................................... :. Name of Former Owner ............................................................................
...................................... &....dJ.s.t. ..............................................
11. Zone or use district in which premises are situated' # ~
12. Does propOSed c~nstruction violate any zoning law, ordinance or regulation: ,.....,lp,~ .................................................
13. Willlotbe regraded ..... 3"~ ....................... Will excess fill beremoved from premises: [ ] Yes [ ~No
14. Name of Owner of premises ...~T. ea.,...ff~.oez~b.~e:~e:. ...........................................................................................
(Address) (Phone No.)
Name of Architect ...... ~l~,~ .....................................................................................................................................
(Address) (Phone No.)
Name of Contractor ... lit -..~uO:~.~,*O~.~-.RO~lS-&..D.t~IB~.E ........................ ~ ...........................................................
(Address) (Phone No.)
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-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. ,-- * - ' c~.
I
STATE OF NEW YO-RKx~'o~r
COUNTY OF ......................................................
............ 7;~.~)...~'-~'~...~...~......~.,....~.%~.~..~..T:~. .......... i.~.." ...................... ~ing duly sworn, de~s and says that he is the applicant above named.
(Name o/ indi~id~l si~ing contr=ct)
He is the .................................... ~D~C.~. .................................................................................................................................................
(Cont~ctor, a~nh co~mte officer, etc.)
of sa~ owner or owners, and is duly authorized to ~dorm or have ~rformed the said work and to make and file this application; ~a( all
statements contained in this application are true to t~ ~st of his knowledge and ~lief; and that the work will ~ ~orm~ in tbe ~n~r
~t forth in the application filed therewith. TERRI ~E ~K
~ ~Y PUBLIC, State of New York ~' ~
· : ....................... ........ - .................................. ........ _. I
Notary Pubhc,~..~.~ .............. ~untv .......... ~...~~ ...................... ~'~
/X
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