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Home My WebLink About6357-zFOP~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPD~r~J CERTZFICATE OF OC~uyANC~ No Z-24604 Date SEPTEMBER 6, 1996 THIS CERTIFIES that the buildin~ Location of Property 1630 BEEBE DRIVE House No. County Tax Map No. 1000 Section 103 Subdivision DW~?.r. ZNG ~:u~'~O~U~ ¢ N.Y. Street Hamlet Block 3 Lot 18 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUAI~ 5r 1973 pursuant to which Building Permit No. 6357-S dated FEBRUARY 5~ 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 ONE FAMILY D~.?.INGWITH FIREPLACE~ ATT~,:-Kn GAP~E¢ PORCH & DgC~ * The certificate is issued to of the aforesaid building. (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL OCT. 10,1973- R. V~T~ UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-117923 - OCTOBER 2~ 1973 N/A *NOTE: THIS UPDATES CO Z-5519 DATED OCTOBER 11, 1973. n.p.otor Rev. 1/81 FOBM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6357 Z Permission is hereby granted to: ~.~nds..:,;a~..L~uA!~£r,~..~,r~..:....~f~..l~nne~h. Hoelzen .................. ~.~.. J. ex~ ~, ....... B.r~'~ .......................... to ...~u.l.3~.~v...a~e ..~m~l,~.. c~w$~;l.~.ne .................................................................................. at premises located at ...W~/s~..Re4b~..fJ~.~.~e ....... (...-S/~..~/,~'.;.~.tlg..-~"~.ep.). ............................. ............................................ t~te~o~u~ ...... ~.,~', ...................... ~.;. .................................................... pursuant to application dated .................... Fe~'"'~ ..................... , 19.*~.., and approved by the Building Inspector. Fee $.~8e3.~;. .......... Building Inspector FOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. ~.. '5519 .... Date ............ 0~t....1.~ ...... , 19.73 THIS CERTIFIES that the building located at .. {q/S. l%,.'~;e..~,.:' :z6 ....... Street Map No. xyj~ ........ Block No...:z,x ...... Lot No .... r,x ....,~gtehogu®...~ ,k., ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ~,~]: .....5'" 19.73. pursuant to which Building Permit No. 63.~,. dated .......... F.®b ..... 5..., 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 . ~, r~.v ~ t~..o~..~:amiL~.,~ .,~ we.].l ir: g ....................................... The certificate is issued to . .l~enf~eth. :t~tt~®z. ........ ~'~®r ...................... ~,-of.the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) · . oe.~.. ~O .. 1973.. by .R,..V~.LI~ .. UNDERWRITERS CERTIFICATE No. .E.~.1.~92.~. . . 0e.l: .2..._7.3 HOUSE NUMBER .... .~ 630 ..... Street ..... Be~bo. Df. ire ........................ ...... .~.~. .... :.' Building Inspector ~:~1' ....... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildinm - $100.00 3. Copy of Certificate of Occupancy - .25¢ 4. Updated Certificate of Occupancy - 450,00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date :~ ........ ~..~. I ~ ~ ..................... New Construction ........... Old Or Pre-existing Building....)~. ............ Location of Property...~.~.~..~.~:.O~ ........ .~y~q~. ............ ~~5~_~_~ ..... House No. Street Hamlet Onwer or Owners of Property ..... ~.. ~ ............................................. County Tax Map No 10OO, Section ..... ~(~f~ ..... Block....~ .......... Lot..l~ ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~~~ ~D Fee Submitted: $.~..c~..O. .................. ~'~' ~'~'~'~' ................ SUFFOLK COUNTY~D~RTMENT OF HEALTH H.D. Reference No..~OJ/.~// APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant Address 2. Property location 4. 10. Phone Village. ~' Township Public Water Company name Lot size: Width feet Length. Sewage Disposal-'System: A. 900:gallon septic tank: B. feet Precast 5. Subdiv. // 'l ~, ~ ~ 6. Section Z~U 7. Lot No. ,'~ 8. Private well'~ 9. Public water Distance to main (Enter on center plot below) OEquivalent Block L6~ching pools: Number -Precast ~ :Block Special If private well fill in blank8 below: Tank capacity -- Dals. Pump G.P.M. Total well depth Depth to G.W. Amount of water in well Test Hole Data Feet 0 6 8 10 12 14 16 18 The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health'8 current stand- ards thereto." DaCe ' ~ / Signed Owner or Builder FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewase Disposal System can be installed on this plot. DaCe ' / Sig ~ ~ · ~ ned ~-- ' S-15 Revised 4/1/72 TOWN OF SOUT OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT. OLD, N.Y. Di~pprov~ a/c .................................. ~.~.~. ...... ~U~Tl~ ~R l~l~l~ ~R~IT INSTRUCTIONS t! a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoiping premises or public streets or areas, an~ 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 ke~ot~o(~ the prem ses avai able 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, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or fqr 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. (Signature of ~p~p icant, or name, if a corporation) (Address of applicant)~ A/- ~/ State whether applicant is ~wne~, agent, .."--~ ~_~=!~=r, -:7.---. ........... , .....n ..... T ,-=, builder· Name of owner of premises ........ If applicant is a corporate, signature of duly authorized officer. ............. ~Name and tit e o corporate officer) Builder's License No .......................................................... Plumber's License No...~...~...~.l~l~,..~...~.z~C¢~...~.J~.~.~.).;..~..~j-- Electrician's License No ..................................................... Other Trade;s License No ................................................... 1. LoCation of land on which proposed work will be done. Map No .............................................. Lot No ......................... Street and Number ......... , .......... : ......... .%-. ................... .~.....,~. ...... / ...... ,~/{~!........~....;~..' ....................... ?..~ .. · Municipalit3/ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... L b. Intended use and occupancy ................................ .-.~f ........................................................................................... ~j -. 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, n,~mbe~ of dwelling units ........ ~ ........ Number of dwelling units on each floor ......................................... If garage, number of cars .........( .................................................................................................................................. 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use ..................................... 7. 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 ........................................ ......................... Rear ........ 8. Dimensions of entire new construction: Front 5' 6 '/<~ ~ '/o . Height .........}.~.~ ..................... Number of Stor es ....... I ................................................................................. 9. Size of lot: Front ....... ./...o...o.,~..~ ......... Rear ........ [....t~2.'. ......................... Depth ....... ~.~....~..~ ................................ 10. Date of Pumhase ..................................... Name of Former Owner ...~Z~'".a...~./~.,~.~-..~..[].~:~1~ ............................... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......................................................... Will lot be reeraded ~ ..................... Will excess fill be removed frocn premises: [ k]~es [ ] No 13 .... . ....... /-/j_a* ~,c~. ~ , . ..F:.~..~.&.4.~..~..3' ...... 14. Name of Owner of premises ....~.~Z?..~./r~.xlJ~.(2~/-.f~a~,~ ............... :.~. ................... .~...~..~.-,~.-~( ........ (Address) (Phone No.) Name of Architect ,~ (Address) _ __ (Phone No.} Name of Contractor ....~4.. -- / ~(Address) trnone ~o.~ 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. STATE OF NEW YORK,, ~/ / / /~ ) COUNTY OF ............. ~.~.......) ........ ~....~....:~~ .................. being duly sworn, de~s and says that he is the appli~nt abo. ~ ghe ............. ~.~.~ .......................................................................................................................................................................... (~-'--:'--, a~t, coyote officer, etc.) of sa~ ow~r or owners, and is duly authorized to ~rform or have ~rformed tbe said work and to make and fi~ ~is application; ~ all ~te~n~ contain~ in this application are true to t~ ~st of his knowled~ and ~~e work will ~ ~Hor~ in ~ ~n~r set forth in the application filed tfte. r~,with. NOTARY PUBUC in the State of New York .f~....~ ........ ~a~...day of...~Z:'..~v~.....'...;...~ ................... 19/....~..... CemmI~aa aHm atm~b s01~eze,/y~'~' .......... ............................. F ONT F__ ELF. VAT tON - APPRQVED AS NOTED NOT=~Y BUlL[~NG DEPAm'M:NT FINAL WHEN JOB COMPLETED ~,P.A C ELL ~ F,,. fi' 0 L) N D A'T I 0 Ni -P,L A N L P, 9 N.~ Po ~,,f ~o 3??-C-,*~ C.L., GL, 0 '0 Cb ~ ' :F-LOON "PLA KI IG" .?.",1o" kl ~)¢t, Pou~ -.~'~8" P,,AFI'F.I;k~ lG"o.c, (bN~ I~- (2-) ~",, C. ~JILL - PLUPlblN(3 blACk, AFt ¢h055 YE CT iON. ; / L F"i- E L E VATt 0 t,,i- P.,/O H T',. [. L'E',,/AT I 0 N -