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Home My WebLink About6342-zNO. · TOWN OF SOUTHOLD BI.~.DING DEPARTMENT Town Clerk's Oliice Southold, N. Y. Certificate Of Occupancy No. Z. 7~.2.2. ...... Date ..............Feb... 1 ~. ..... , 19 .~.~'. THIS CERTIFIES that the building located at ... Ba~:[ey..Ave ............Street Map No. Su~me~,F,~vte~lock No ...........Lot No...99~.1.02 .... conforms substantially to the Application for Building Permit heretofore filed in this of[ice dated .........~Ta~ ~, .17 .... , 19.7.~ pursuant to which Building Permit No..~3.~.~. dated ........... Jal~ ~. 17 .... , 19..7.3, 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 . Pz'~[v&t~ .olle..fMIt3.y. ~ell~n~ ....................................... The certificate is issued to (Fol'~erlY..]~tb~l).. J.a~e~ & .Bal, bz&. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .,~e. 3 .... 197.~.. b~..R.~..V.~[[&... UNDERWRITERS CERTIFICATE No..1~998~72 ..... Jlme. 3..197~[ ................ HOUSE NUMBER ..... .1.O~0 .... Street .. ~l~a~.e¥. JLv. e ....... G~.eenpn~t ........ .... ......... Building Inspector FO]~3~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6342 Z Permission is hereby granted to: 1~e s~e~...]i~b~l. ................................................... ........ .8.....h s.t...~,£:LL1A, ....... Ay4 .................. to ....~...$..La.....a..e..~...~.~... ~.~,~l,~...~,~l:U,~ .................................................................................... at premises located at .~fl~..~..~.0~.....~ll~8~...H&~l~ ............................................................... ........................................... ,l~,]t.v~v..Av~ ......... G~ee~po~t, .......................................................... pursuant to application dated .........................~ ....... .~.~ ........... , 19.~t,.~.., and approved by the Building Inspector. Fee $"~)0 .......... Building Inspe7 FORM NO. 4 TOWN OF $OUTHOLD BUrLnlNG DEPARTMENT Town Clerk's O~ice $outhold, N. Y. TEI{P 0BAItY Certificete Of Occupency No. z66.3Z ..... Date .............. ',.ur.. j.l~ ...... , 19. Y.5 THIS CERTIFIES that the building located at 2a}wle~ .f. ve ............... Street (snuthol~ R.F.D.) Map No. 5!~ .mne~h~.v:qr~lock No ........... Lot No .... 99.-.1.0.2 ..... fi ~u .enI~ o :'.~.. ~, ~v. ~ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... Jan.. alT.., 19.73.. pursuant to which Building Permit No. ~31~27~. dated ......... .J.a.n... 3.7. ..... , 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 .. ?r±vate..on~..£a~,_il~.. dwalling ...................................... The certificate is issued to .%~e sly. Y.. ~l~hel ..... Owner .............................. (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval . .. J1Une. 3 .... ~ 9.~.~.. by. .t{,..V. ill~. UNDERWRITERS CERTIFICATE No. .N. 27.~.7.~ ..... J.%lp~e..~...1.~7~ ................ ~O~SE ~,~ER .../...of.o. .... Street...~ ~ Y. f.(.~.?.. ~/.'.7 ................ ....... [' ' [~' """Building ................. Inspector '[' .... FO~tM NO. 6 TOWN OF SOUTHOLD , Bnildlng Department Town Cledr~ Office Souehold, 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 dlsposal--(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 "pm-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 o certificate. C. Fees: 1. 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 Date .... ~ .e..b...'... !. ~. ;..1. ~. 7. 2 .................... New Building ....X. .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. 10 0 Ba view Ave. Green oft N.Y. Location Of Property ...... ~. ........ ~. .............................. ~ ....... , ........................................................................... Owner Or Owners Of Property ..~.R.m..e..s...~.....~.r. At1.~;;i....~,~.~..,B~,:'.l~,.fl.....~r.~ .......................................... Subdivision .... .5....uJ!~....e..r....~..~..v.?~ ..................................... Lot No. 9.~.T.].C~. Block No ............. House Nd.~ ...... Permit No. ~./f..2..2. .......... Date Of Permit .1.::.l. iZ~.~Z.~......Applicant ..t(e,e. Le~...b~.b~L ............................ ~-. ......... Health Dept. Approval ~.a.Y..e....T.ql~.,..~.,l~ ................ Labor Dept. Approval lllt.t,..~aa~fl.~t ........................ Underwriters Approval6/~/.'~.~...~.~.2..2.~.~ ................. Planning Board Approval .n..°.~...r..e..~.u.~..Ce..c]. ................ Request For Temporary Certificate ........................................ Final Certificate ............ ~, ........................... Fee Submitted $~...CC). ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ..(~::b ~....?... ~/,~.1~294~..~).~,.~,j~ .~. ~ ~' / Sworn to before me this ...... day of ..... .... G Notary Public ......~ County FORM NO. 6 TOWN OF SOUTHOLD 0 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, end unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-0 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 applioable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ]. 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 $5.00 3. Copy of certificate of occupancy $1.00 .............. ..z/....z.c ............ New Bqilding ....~......... Addition Old or Pre-existing Building ................ Vacant Land .............. ,ocotion Of Property ....... .......... Sut~v~s~on .....~...~.~:.~.. ....... ~.'.~ ............... Lot Ua..~Z~..2~ock ~o ............. .ouse Ua ............. Pe~,~t Ua. ~..~.~.~.-..7~te Of Permit .................... ~,p~*~,t .................................................................. H,alth D~pt. Approval ..'~...~..~...~?.~.~... ............... Labor D~t. ApproYal ................................................ Underwr,ters Appravol .... ../...~.~.~..7. ........... P~ann~ng Board Approva~ ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate .......................................... F~ Submitted $ ..... ...~..'.....~.. .................. Construction on above described building and permit meets all applicabl~ c. ode~and regulations. ^,,,,,,.-..n,.X. ....... ....................................... Sworn to before me this ....... ,,,,,,,,,,o, seal) ~otary Public ..........~.~**~.._'. ...... County / ,,, - I THE NEW YORK BOARD OF FIRE UNDERWRITERS F-dj BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK. NEW YORK 10038 9,.,' "June 3. 1975 .~ma,~,..,o,,No.,,.f,e 762257 N 228372 ~ Wesley J. Nubel, Bayview Ave. 1/10mi. s/o Oolony Rd., Southold, L.I. i. th~.yoll,,.,i.glo~ae~on; ,[~.l~e,,,e,~t ~ l~erl. ~ ~.a ~'1. outside Section Block Loc ' ' SER~'DISCONNECT'-"'~NOTO~"'~''~' ............ 7--~"~S ......... E R -' V ~" I ..... C ...... E ~ ! 2/o 200 x I ~/0 ~ [ I OTHER APPARATUS: Water Heate/rs: 1-4.5kw Motor/s: 1-3/4bp Alexander G. Huggard Box 222 Aquebogue, L.I. 11931 GENERAL ,/~ANAGER Per D ~ This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. SUFFOLK COgNTY DEPARTHENT OF HEALTH H.D. Reference No.~ APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant Phone__~_~5. Subdiv. Addrass_~' ~, ~f~/~ ~'ff, / ~/~=; ~..~' ' 6, Section 2. 4. 10. Property location / 7. Lot No. ~/~1- 8. Private well~: Village~Township ~d~/~0/~ 9. Public water Public 'Water Company name Distance to main Lot size: Width )W-O feet Length /~5'-~ feet (Enter on center plot below) Sewage Dispos~ystem: A. ~0~Y gallon septic tank': Precast quivalent Block__ B. 'L~eaching pools: Number ~Precast~Block Special N If private well fill in blanks below: Tank capacity~9Gals. Pump G. P .M.ffff__~ Total well depth-- ~) Depth to G.W. Amount of water i~~ Test Hole Data Feet o 8 12 16 18 The undersigned be in accordance with the ards thereto." CERTIFIES: "Construction of authorized installations will Suffolk County Department of Health's current stand- FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewag Disposal System can be installed on this plot. Date ///~ 7,/'----- Signed ~~ --~-------~ -- S-15 Revised 4/1/72 _ NOIIF~ BUILDING DEPAaTME~T .... ~Z._;E~ ............... 765;2660 9AM TO 4PM FOR R~QUI~ ...................... ED INSPECTIONS: ................................. 1. BEFORE BACKFILLING FOUNDA- ........................... TION OR STAET FRYING ....................... 2. BEFORE COVERING PIPELINE 3, F~WHEN JOB COMPLETED STaTeN ERRORS /;' ~0# IJ~ a IHSU&A TI~I~ MAIN WALL SECTION "A-A" v ' BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE //~./~ ~ ~ ~UTHOLD, N.Y. ~ -- ~'~ EXamined ...... ~ ./~ , 19.~ I~~//:~.~ Approved .... :::::::::::::::::::::::::::::: ;~Pemit No....~..:...~.~..~ ;~:" ~'' ' ' ........ i,-~r~ ~d~ .................. ~...u ..... ,~;~igr)~'5'"'~:'"; ............ ~;ff.~ ........ ~r~ ~ ~ ~-~~, ':-~ -' '- . -- -- APPLICATI~..~ B~I~G PERMIT . ~ ~ . -- .. ~ /~ -- . / ) ' c g ~ ~ /~ ~ .~ ~ ~ . ~'-.~ ..... ~ ........... ~-~.~ ,-~ ........ INSTRU~ION$ a. This application must ~ completely filled in by W~writer or in ink and submitted in triplicate to the Building Ins~ctor, wit~ 3 sets of plans, accurate plo~ plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premiss or public streets or areas, an~ giving a detailed description of layout of pro~rW must be drawn on diagram which is part of this application. c. The work covered by this application may not ~ commen~d before issuance of Building Permit. d. U~n approval of this application, ~he Building Inspector will issue a Building Permit to the applicant, Such ~rmi~ shall be kept the premises available for ins~ction throughout the work. e. No building shall be occupied or u~ed in~ole or in par~ fo[ any purpose whatever until a Certificate of Occupancy shall have ~n gran~V the euilding Ins~ctor. ~/~/~,~~ ~ ~ ~~ ~ ~ ~ ~ ~,_;.~ APPLICATION IS HEREBY MADE to the Building Department for the issuan~ of a Building P~rmit~ursuant t~ Bui di~ Zo~ Ordinance o~ the Town of ~uthold, Suffolk County, New York, and other applicable Laws, ~dinan~s or R~ulations, for t~ ~nstr~f buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all ~]~- ordinances, buildingcode, housing code, and regulations, andtoadmitauthorizedins :~ ~ ~-~ .. _' : ~ - _ . ~aryin~ion~. ............. ~,.,, .;~ ":'t?'"'r" State whether applicant is pwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................... ............... ............................................................. ., ............... . - Y Name of owner of premises ....................... .~.~..~.........~.'.....(.... ~/~..~..~...;.....~.~.....~.'.......~...~..~ ............................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~ 7~.~-'-/~/Z LotNo I. Location of land on which proposed wore will be done. Map No.: ............. ;, ....................................... Street and Number ..............~...~.~.../..~..~......~...K.~.~. ............................... ..: ...................... ~...~..~.~...~.{~...~.~.~.~.....~... / /~ ._~ Z:~ Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing us~ and occupancy .......... ~_,~, ,~,,,,'~,,,,/, ................................................................... ; ................................. b. I ntendeduseandoccupancy ............. ~'.~../'~ ........ X~.~.. .............................................................. ......... ~ ~,~ .~-~ 3. Nature of work (check which applicable): NewBuilding ....................... Addition ..................... Alteratiori ......... :.... Repair ..... ................... ~rl,4"vRem°vaa~'~0 '~ ,. :.. Demolition ....................... Other Work ................................. (Description) "" 4. Estimated Cost ........... ~...~¢.,Z ........................ ~.. Fee ....................... , ......................................................................... · . //O ') ' (to be paid on filing this application) 5. If dwelling, number of dwelhng umts ..., ............. Number of dwelling unitS on each floor ......................................... If garage, number of cars ............................................................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of usa ..................................... Dimensions of existing structures, if any: Front ..................~.. Rear ........................... Depth ................................... Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth .......................... ............. ....o . Height ... ...................... o. .......... .... Number of Stories ........................................ 8. Dimensions of en~re 71 ~onst~t~o.n: ~ Front ....... .,~.. ,~.J. ...... R ea~,~.~.. ............ Depth/"~--~3r ~',,, z~') ...... ~...~....~...~../.. .... Height .......... .r... ................ ~fz~.~ ....... ;.. Number of Stories .............................................. ~.,....~,.~.t.,~.. ........ Size of lot: Front ......... :..~....¢~.~. ................. Rear ........... .~...~{..~. ...................... Depth ......... ./...~. .................................... Date of Purchase ...... .~.~../...~.~... ............... Name of Former Owner ....,.w......~..~[...,....~,,~. ............................ Zone or usa district in Which premisas are situated ..................................................................................................... Does proposad construction violate any zoning law, ordinance or regulation: ............................................................ Will lot be regraded ..........~'.~ ..................... Will excess fill be removed from premisas: [ ] Yes No Name of Owner of premisas .......... '...~'....~Z ........ ~.. ................. ~.'.~'~//X~'~'-~.~. ................. ~.: ................. (Address) (Phone No.) Name of Architect (Address) (Phone No.) Name of Contractor ................~...~.~.-~. ..................................................................................................................... ' (Address) (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposad, and indicate all sat-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. o 10. 11. 12. 13. 14.' STATE OF NEW YO~RK. __ ) 'CO U NTY 0 F ..,..~ ,,...,,~. ,,,~.~ ,c-~,,~.~,,,~, ................... ) "~ ....................... ~'/~'~'~ ~.~f:'z:~l*~i]~'~'~;~tJ ............. being duly sworn~ depose~ and says that he is the applicant above named· He is the ..........~ .......... .~.~,~,~,,~.. ......................................................................................... '.'. ................................. ~.7. ................................... . ~. (Contractor, agent, corporate officer, etc. of said owner or owners, and is duly authorizad to perform or beva performed tbe said work and to make and fila this application~ that all 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. TERRI LEE ....:'-'~.~ ~ NOTAR¥ PUBLIC. State of Hew york ........ ..... · ~ ................... day of ...........,~,....~..~ ,o,, .......... ............................. _ __ __