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Home My WebLink About6341-zFO~,~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. '.. ~:. :~6.~... Date ....... ~o.v.c=bcr..X~....~.3.., 19.73. THIS CERTIFIES that the building located at . Longv~.e~ .Lane ...........Street Map No.T.e.r.r.y..h.'g~;.e~'~1oek No. ~. ....... Lot No..If3 .... .~.o.u.t..~..1.d. ................ conforms substantially to the Application for Building Pemit heretofore filed in this office "~dated ........`Tan,..],7.~......, 197.3. pursuant to which Building l~emit No. dated ........ ,Tan,..17, ...... , 19.7.3., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupaffcy for which this certificate is issued is ...P..r.iy.a.t..e..o.n..e..f.~.~i..1~..d..w.e.l.l.i.n.g ..................................... The certificate is issued to .... ,T..o.h~...B. :. !,,/.a..t.sp.n. ................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval b~..~oL:l/$~,~.~ .... JioV,. ~,~. UNDERWRITERS CERTIFICATE No. Ii. .1.~.~.~...1...~.?/~ ....................... HOUSE NUMBER . 92~ ......... Street .... Long~:Lew. lane ...................... ....... - ......................................... ~QUth.o.~d ...................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N'. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6341 Z Date January 17 19...?.?.. Permission is hereby granted to: John B. Watson & ~,.~ofe 236 w. 22nd St .............. ,~t..~.~..t..o.~....,E:!: ........................... ~uild new one family dwe]llng . Lot ~ I+3 Terry ~atars at premises located aT ............................................................................................................ Longview Lane 5outhold N.Y. pursuant to application dated ................... ..J..a~... .......... .1.? ............... , 19..~..3...., and approved by the Building Inspector. Fee $.....~.,.[.6...0. ......... FORM NO. 6 TOWN OF SOUTHOLD Building Delm~ment 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 triplicate 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 iand use $5.00 3. Copy of certificate of occupancy $1.00 Date ............................................... New Building ..... ~..... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Prope, Owner Or Owners Of Property ..~ .............. ~ ......... ..~ ...................................................................... Subdivision ................................................................ Lot No....L~..~... Block No ............. House No ............. Permit No~...~.J...~.... Date Of Permit ................ ,~pplicant Health Dept. Approval .(!../.../.~./ ~-~ .~. ............................. Labor Dept. Approval ............ ..~..~..(.~...u. ...................... Underwriters Approval ./~.../..~...~..~'....~..?... ...... ././/7./.~..~;.~...Planning Board Approval ....... L.~...?'....~...~ ................. Request For Temporary Certificate ........................................ Final Certificate ......~.. ................................. Fee Submitted $ ....~... ............................. Construction on above described building ar~L-l~rmit~meets glJ, appli~._codes arid regulations. Applicantt~~ .]~ ........ ,~.~. ~..,, ,.~.,,,.~.~'~..,~. .......................... Sworn to before me this . ~n~ .... .~....... day of ..~.....~...?...~... (stamp or seal) Notary Public .................................... County .,j N ~c~/e 4-0 '=/. /. o '/- Z_ o-/- d-.,D. ~4NP ~LORtA ~Ii~ TZ~O'At ~.~OU T#O£[~ i~I. ~. OF THE NEW YORK STAI~ COPIES OI SUFFOLK COUNTY HEALTH DEPJ Chief of ~ ~-~ ..... ~_noering Sorvicc~ H.D. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM Address 't% (~ tO, L~ 2. Property location Village ~=-~ Township 3. Public Water Compan~ name 4. Lot size: Widthllc- feet Length Phone~. Subdiv. 6. Section 7. Lot No. ~ 8. Private well 9. Public water Distance to main feet (Enter on center plot Sewage Dispos~stem: A. /9~0~allon septic tank: Precast ~Equivalent Block B. ~c~ing pools: Number ~ Precast/~OBlock Special 10. The undersigned CERTIFIES: below) If private well fill in blanks below: Tank capacity ~als. 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 16 18 "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current stand- ards thereto." Date FOR HEALTH DEPARTMENT USE ONLY. Based is the opinion of the Mealth Department, that Disposal System can be installed on this plot. Date ///~,/~p Signed Owner or Builder the information presented herewith, it an adequate and satisfactory Sewage S-15 Revised 4/1/72 THE NEW YORK BOARD OF FIRE UNDERWRITERS '~' EUREAU OF ELECTRICITY' 85 JOHN STREET, NEW YORK, NEW YORK ]0058 1 N 125555 THIS CE~IFIES THAT ~ly the e~t~al equipment ~ ~cd~ ~ and int~ by t~ appli~nt Mm~ on t~ a~ appli~tion number in t~ p~m~es of inthefollowinglocation; ~ Basement ~j~ lstFI. [] 2nd FI. OU~,S~(~ Section Block Lot ~ ~ was examir~ed on ~Ovembex. !, ! ~o 7 3 a,d fo..d to be in compliance with the requirements of this Board. RXTURE ~ EPTA ~ WT I ~XTURES RANGES IC~KINGDECKSI OVENS IDISHWASHERS EXHAUST FANS DRY~RS [ FURNACE MOTORS [ ~TURE APPLIANCE ~EDER$ ~ClA[REC ~ TIMECLOCKS [ .~tt ~UNIT HEATERS [MULTI~UT~T DIMMERS ~T. K.W. OIL .,P. GAS ..P. ~r. NO. A.W.G. ~T. ~P. ~T. ~PS. T~S.~ N~ET ~T. WATTS * I 30 ~ j [ 1 60 SERVICE DI~ONN~T L NO. OF [ S E R V I C E [ ~0 ~ x ~ 2/~ ~ 2/0 *Wurnaoes: Oil 1-1/~]hp, 2-1/12bp Motor/s: 1-3/~$hp John B. Watsons~r° .s 23~ West ~~2nc! St,, Huntington, L.I. 11743 G~I~I~AL MANA~ 11 Per_ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FOBM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE .. Examined 19 ........ Di~pprov~ a/c ..................................................................... ~ ..... ..................... ...... % ......................... (BuHdin~ ns~r) APPLICATION FOR BUILDING PERMIT (/'/ ~ Date ...................... C..?. ............... , 19Z.~ ...... I NSTRUG-I'IONS ~' a. This application must be completely filled in by typewriter or .in i~k and submitted in triplicate to the Building Inspector, with~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~l b. Pict plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and~ giving a detailed description of layout of property must be drawn on 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 part 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, Suffo[l~ 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. ~/j/~gn_~e _~L?~l~i~_n~,t,t~ .o: name. if a corporation) . ........................... State whether applicant is owner, les~e, a~nt, archit~t, engin~r, ~neral contractOr, electrician, plum~r or builder; Name of owner of premi~s~...~,~.~...~.~. .................................................................................... If applicant is a corporate, signature of duly authorized officer. 1. k~ation of land on which pro~o~d work will be don~. Map ~o.:~ ......... kot ~o..'.~ ..................................... ~ ~ MunicipaliW 2. State exi~ing um and o~upancy of premiss and intended u~ and ~cupancy of propo~d con,ruction: a. Exi~ing u~ and ~cupancy .~.~..~5~ .................................................................................................... b. Intended u~ and o~upancy ~ ~ 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 .................Number of dwelling units on each floor ......................................... If garage, number of cars .....-~'... ........................................................................ ............................................................ 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 .................... .~'Z~ ................................ 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 ....G..e!. . ......c~ ~ ...... .. .. Rear .............................. ~ ................................... Height ................................. ./.~..-..°....f.... Number of Stories 9. Size of lot: Front ......../../.~;~...'. .................. Rear ....... ./..~.?..~.~.~ ..................... Depth .../..~..~:.o..~ .................................. Height .................... ~,,~. ......................... Number of Stories ...................................................................................... 10 ............................................................ '~A 11. Zone or use district in which premises are situated ......... ~ ....... {/....c~... ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~.E ....................................................... ~u- ' ' i s: 13. Will lot be re9raded ...... .~'. ........................ Wfll excess fdl be removed from prem se [~3'~Yes ' [ ] No 14. Name of Owner of premises ~`~~/~~4~.~/~~ (Address) - '(Ph~'ne No.) Name of .......... .~.....z. ............... ................................................................................................... (Address) (Phone No.) Name of Contractor ~',e,w,e-- (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck 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; i ~ ,. ~ ~ ~, STATE OF NEW._Y. ORI~. ~ ) COUNTY OF ......."~...._.~,.~...~.~_~...~... ................. ) SS ............ ~...~....,~.~....~..;.~..~.....~..."~'"'~'- .................. being duly sworn, deposes and says that he is the applicant above named. /Name of individual signing contract) He is the ................... ~---..~.t,.Z'~..'.'.'.'.'.'.'.'.~.~. ................................................................................................................................................................. /Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all ~tatements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the men,er set forth in the application filed therewith. .............. ................. day o, ........ ...... ,. notary Public, ....~~:..~.~':.. ~o~u W ~....~.....'"J~... .................................................................................. _ ~'--~/ (Signature of applicant) ~ '0 t ~ 0 L~ N D J w/~I% IF L~ 10'.1",, q~.~.' 0-14. I0'-O" 5L4" ,,I. B<. t'('- &**~ t F L. 0 0 ~. I id T r ,E I 0 13,. £ L E ¥ k T l~eGo cu.,FT., uous. t C:) ¢ '1'" I0 ;or~ c:;)r'cT!ot-4,,-',,L ,~Z~OSAA.cl,4T DATE NOTE: /Z JJ L ome inc. 212 LIME ITEM QUANTITY & MATERIAL UNIT TOTAL LINE ITEM ~&-.~I'ITY~ MATERIAL UHIT ~'OTA~?, ~ C~ ~ ~ ~ ~1~ & ~R~ ONIT TOTAL LI~ ~ iT~ ~TY & ~TERI~ ONIT TOTAL' ~, COL~ ~. ~ UNiT MEA$. (TYPE and/or SIZE) COST COST ~' ~LU~ ~. Z UNIT ~ (TYPE .~er SIZE) ~T ~ ' ~ ~ ~ ~T ~A~ (TYPE ~ef ~ZE) ~T ~T ~. ~ ~. ~ ~IT ~. (TY~ ~e~ S~E) COST ~T 16 ~7 17 17 ~ ~ ~x. x ~ ~ ~~z z '.~ ~ --~ ~ ~~~ 51 51 ~ ~l ~ ~. ~ ~ 69 ~ i ~ --'-- 72z ~ ~ -~ ~~/~x~/~ ?~ 1 ~ ~ - -- 73 pR,LIMINARY ~ .R.LIMINARY- O~ .................. .. - 1omo ~lanners Inc. ..,-.0: ,