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Home My WebLink About6626-z1~O1~ NO. 4 TOW~q OF $OUTHOLD BUH,DING DEPARTM~'T Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No ............. Date ............................ , . _~ ll~l,P I,'l~l~,v ~,eYr~k/ ~'o~&t THIS CERTIFIES that the building located a~ ............................ TI~"," Map No ............. Block No ...........Lot No. ?..7 ......... .S~..O.U.T..~.e..a.?. ....... conforms substantially to the AppUcation for Building Permit heretofore fried in this office ......................, 19 ....pursuant to which Building Permit No.~Z.... ~/~'- dated dated I .JUUL- 19~. ?. was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is The celfl~icate is issued to ............... ' ........................................ (~w..~, lessee or tenant) of the e~o~e~e/d buj/alng. UNDERWRITERS CERTIFICATE No ............................................. HOUSE NUMBER I/~10 Street ~/ ~"~'r ~/~E "7 '}"O,4b g't'~ ~ BZ gr~. .... < ......... B~g ~r TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy No. ~..5~63 ..... Date .............. l~ov .... 26 .... ,19. ?.~ THIS CERTIFIES that the building located at Bay~ew..Road ~&. Ra~ble~.. Street Map No.T.e. vrY..~.$.t.e.r~lock No ........... Lot No.. 2.7. .... aoutkold.. I~ ,¥., ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .........14ay.. 2.~ .... , 19.7.3. pursuant to which Building Permit No...6626Z dated ............J..umn..e...]..., 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 issu~ is .~.rl.v. ato..one, f~ly..~veL~n~ .... (F.~r~.~. fl.o.o,r. ) .... , .............. The certificate is issued to . F. ou~er~. Homea .lnc ....... D~ne~ .................... (owner, less~ or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Now... 19~..1975 ... b~..Bo..v, il~&. UNDERWRITERS CERTIFICATE No...N~ 26~ ....... ~Io~...,3...1.97.~ ........... ttbto HOUSE NUMBER ...~ ~g~ ..... Street ... ~.ayY;l,~w. F~o. acI ........................ ?~ Rambler Road. .......... ' '-Building Inspector( 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) 6626 Z Permission is hereby granted to: .......... ie~e.~,a...Hle®..[ae ........................... ............ ~ou~ch~d~ ................................................ to ...b~,li..~w...one.. t'e~l 1y.. d.w~U/n~ ................................................................................... at premises located at ....... }.~%.....~ ......... Te~,~T,..lda~Ts. ............................................................. .................................................. 14e4~..i~j. tv, .l~ad'"& ..Babbler ..i~oad ......... '8~utho'ld .... pursuant to application dated ........................ J~l~e ........ % ............ , 19~..., and approved by the Building Inspector. Fee $.L.k.l.e.6Cl ........... THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 'a'e ,OVe b r 13, 1973 App,,cation o. on,i,e "7"4 9 N 126961 THIS CE~I~IES THAT only t~ el~t~ equipment ~ ~cH~ ~ a~ int~ac~ ~y t~ oppli~t ~m~ on the a~ applic~ion number in t~ p~m~e~ of Founders Ho~e~ Inc., Main [~ayv~ew, c/o Ra~bler & ~in ~ayview, Southold ,~. I. inthefollowinglocation; ~B~ement ~ IstF:. ~2nd Ft. outside s~tlo. ~t~ ~t w~ examined on ~0 vemb er ~ ~ ~ ~ 7 ~ and found to be in compliance with the requirements of this Board. FIXTURE ~ FIXTURES ~e.c .Y OUTLETS ECEPTACLES SWITCHES iNCANDESCENT FLUORESCENT VA~R 15/ 25 21 15 DRYERs FURNACE MOTORS FUTURE APPUANCE FEED'ERS A~T. K.W. OIL H~P GAS H.P. AMT. NO. A, W, G. RANGES ~PECIAL REC'ET COOKING OECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS ULTI-OUTLET SERVICE DISCONNECT NO. OF S METER ,~v~'[ AM;. TYPE EQUIP. 1~2w I.M3W 3~'3w 3,er4w NO'O~E~C,~COND' OF CC. COND. 1 150 CB x 1 2/0 )THER APPARATUS: R V I C EXHAUST FANS DIMMERS OF HI4EG NO, OFNEUTRALS OF NEUTRAL Water heater: 1-~i.5kw Motor/s: 1-1/2bp Elec.]-oom heRter: 2-2.0L~1, 2-1. Okw, 3-.75kw Charles M. Hall, ~'~~ Box ~!7 Southo].d, L.I. 11971 em~m~ M~,HAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 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 fil~ed 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 dispcsal--(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 end "pre-existing" lend uses: 1.Accurate survey of property showing all property lines, streets, buildings end unusual natural or topographic features. 2. Sworn statement of owner or previous owner os to use, occupancy end 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 Date ~.~...~.:...~.)..../...~..~....~. ............. / New Building ..... . .~.... ........ Old or Pre-existing Building ............................ Vacant Land ............................ Owner Or Owners Of Property ...~.~...~...[~..Q~,~.t~,~.....J~...~..~...~.......I...~....~..; ................................................... Subdivision ...~..~..~..~.~.......~....n...-~..~....~.,~. ..................... Lot No...~..... Block No ............. House No././...~.~.~,, Permit No.~.~,..~..~...... Date Of Permit'~"~'"'~"~"~/'~""APPlicantt ,,- .~.~.?....~...~.~..~.~....~...~....~.......I.~...C.^ ............. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ...................... Fee Submitted $ ..,_~... .......................... Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me this j,/'/~/ ....... .~..~.. day of ...~..../..~..?~.. ................ (stamp or seal) /~., ~-6(,, Notary Public .................................... County ~ FOR~ NO, 6 TOWN OF $OUTHOLD Building Deportment 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, 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 oil 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 ....... ................ New Bud ng ....... ~Addition ................ Old or Pre-existing ' ai g ................Vacant Land .............. Location Of Property //~ / ~ )~/)AIIV ~A¥I"1~'-1.47 7~i~A D ~1' '75~ I~ftP"I~LET~ T~O~..~ .................................................................................... 'jLT"Fiz/' "E'J ..................... Owner Or Owners Of Property ,~.~l]~/.0~r~s /-/al~.5 ~T-~Y*-_ , Subdvson "'7-E~y h/AT~-~ L t" 27 ..... -- .. .. //~1 &' .............................. I ................................ O INa ............. 13lOCK I~10 ............. House I~o ............. erm,t No ..................... Date Of Perm,t ............ App cant .~..~. ~ ........... Health Dept. Approval ...,~'.£~.....~....Z....~..~..~.~. ...... Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ...~ ............................. Fee Submitted $ ...... ~,.,..~ .......... Construction on above described building and [~ermit meets all applicable codes and regulations. Applicant ..~0~...~.,~..; ....... ~,~,~ ....................... Sworn to before me this ............ · .~.. day of ..~..~..../~.....7....~.. ............ '; .......... Notary Public/~.~.'~ Commis¢on Expires March 30, (stamp or se 27 N.68'00'30" W., lll.4'T LOT ?.$ /tAP OF P2OPEI:2TV SUIZVEYED FOE FOUNDEt2'S HOAFS, SITUATE AT $0UTI40LD NEW YOF. K 0 NOTES: I, LOT NUtASEIZS Sl-iOtVN IP.E~FEF. TO '/AAP OF TEEEV \VATEES" FILED IN TIlE SUFFOLK COUNTY CLE.12K'S OFFICE AS IAAP Ng ~9OI 2° DA'[U/A = A55UIAED I'L0 ELEVATION AT SOLITI.4WEST COP. NEE OF P1ZE/^iSIF=~J 0¥EIz 200' TO WELLS AND POOLS TEST MOLE GE:0UND WAT U P.. SCALE * 40': I" G m~ IOON PIPE I~ ,, IAONUI^EI, IT ' I~l = WELL ~gANTEED TO T~E SOUIaOLD BAN~ · SUrVEYeD APalL IT, ~ODE21CK VAN TUYL, RC. G~EENP~ET, NEW YO~ /AA, IN . ,~+~' BAYVI E\V ~~,~ ~ ..% $.68'00'$0"E.. 96,0 /' -: \\ /~ ~'~'~ L , ~ ' I L J ~-~ Z ~ ~o ~oo~s TES ~ ~- q ~ / IL ~ ! I./:9:1 " SCALE'40'= I" 'l~P OF PROPERTY ·-,=~. ~ ~lS~ FOUNDEr'S HOIAES, INC. NEW YO~K o.~, ..... =~,, ,..o~ ,.~ su:v~ 0 NOTES: GUAE&NTEED TO T,E :-I. LOT NU~BEES SNOWN ~EFEE TO"/AAP ~NK ·SUEVEYED m T[~V tV*TEeS" F~:~O ~T.~ SUFrOL~ EODEEICK VAN TUYL, COUNTY CLERK'S ~F~E ~ ~Ap Ng ~1 _ ~, ~ 2. DATUA = AS3U~ED t7.0 ELEVATION AT LICENSED LAND SOUTMWE~ ~EE OF ~lS~ GEEENPOET, NB~ N. 68,'00'30" W.. 111.4-7 -O- '/AAP OF PEOPE,2TV SUEVEYI:;D FO~ FOUNDEI2'S I-IOAE$ SITUATE AT SOUTIqOLD NEW YOF..K ,20AD E~ .,4: O ~ · iNC. 0 NOTES: Io LOT NU/ABEE5 SilOWl4 I~EFE~- TO'"/AAP OF TEI;[2¥ WATEES" FILED iN TIlE SUFFOLK COUNTY CLE2K'$ OFFICE A5 I^AP NO- ~901 2' DATUIA = A$$U/AED 17.0 ELEVATION AT '~OLITMWEST-COEHEF-.. OF F~EIA/SES (,O/ApANY A~D TO THE SOUl,OLD ~VINGS BAN~ · SURVEYED 20DE21CK VAN TUYL. RC. LICENSED LAND APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM be ards Applicant ~r~_~_~.~_ ~-~m,~ II~. Phone~. Subdiv. Addressl~ ~~ ~_ - ~o 6. Section Property~catio~~ ~,~ ~,a~ ~O~ 7. Lot No. ~k[~ ~O- ~T~O. 8. Private well Village 5~O Township .~~ 9. Public water Public Water Company name Distance to main Lot size: Width fl~ f. eet Length /~ feet (Enter on center' plot below) Sewage Dispos~stem. A. ~0~ gallon septic tank: Precast~ E~uivalent Block B. Wa ching pools: Numb er~Precas ~Block ~cial If private well fill in blanks below: Data Feet 0 2 4 6 8 10 12 14 16 18 Tank capacity ~Gals. Pump G.P.M. f Total well depth Depth to G.W. Amount of water in well Test Hole The undersigned CERTIFIES: "Construction of authorized installations will in accordance with the Suffolk County Department of Health's current stand- thereto." Date Owner or 'Buildfar ' ' FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the *Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. Date ~ ~/~?~ Signed ~_~_~.~ ~~ S-15 Revised 4/1/72 TOWN CLERK'S OFFK~E ........................................................ ¢. ....Z...~ ....... ~.~ ....... ............. ,, ,, ....... ..................... , ~ a, This ap~ication must ~ ~mpletely filled in by ty~writer or in ink dna suDmi~e~ tn' ~rtplt~te to tf he~uilding~ns~itl 3 ~ts of plans, a~urete plot plan to scale. Fee according to schedule. b. Plot pl~ s~wi~ Io~tion of lot and of ~ildJngs on premises, relationship to adjoining premiss ~r public st~ts or areas, an* giving a detailed description of layout of prope?ty 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 beI~ o 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 bee~ 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 Or~dinance 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 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.~ .... ~...o....u.. ~ ~.~ L~.....~ ~,..~.~.......L.N....C..' .......... :.... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. ....................................................... ~ ...... .C,o. ~ L ~ .~..-['~ .{~, ............................................................................................... Name of owner of premises ,~,e.,~-,. ,~,~,,,,,9.~.~.$.....i,-,~. ,t,~,,,,JLs,¢.,,.,I.I!l,,~,,, .................................................................................... If apRlican-t-~-~- ~=~.- L ~...~is a corporate, signature of duly authorized officer, 1. Location of land on which proposed work will be done. Map No.: ...7~,~.~,~,......Y~.,-~,~O~.~ ........... Lot No. ,,~.~.... Street and Number ....... )~,..L ......... ~./~.,'1(.~.{ .............. ~.1~. ..................................~, ..........,~,,~, ................................. ~ //~1 ~ MunicipaliW 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... O I-~,1 ~,4 .... b. Intended use and occupancy ......... ..t~..~......~...,~.l~...~..~. .......~.tA~'.~ ............ ~., .................................................. 3. Nature of work (check which applicable): New Building .....~...... ........... Addition .......... Repair ......................... Removal ......................... Demolition ........................ Other Work ...... .......................... .. - .................................................... :. ...... (to paid on filing this application) 5. If dwelling, number of dwelling units ...l. ...... Number of dwelhng un.ts on each floor ~.. ......~"~..'..~,..~..~X.~'~.~.~'~r~ garage, number of cars ...~,..~.. ................................................................................................................................ If 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 ........................................................... 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 ~...~....~. ................... / Height ...... L~.. .................................... Number of Stories ...Z-~. ............................................................................... 9. Size of lot: Front ...... ~./..~.../. ..................... Rear ....~/X~./. ............................... Depth ..~..~...~. ...................................... 10. Date of Purchase .)~/~.~./.../..~..~._21 .......... Name of Former Owner ......~..e...~..~..~...~....~....: .............................................. 1 1. Zone or use district in Which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~.~l .................. i ............................. 13. Will lot be regraded ................................... Will excass fill be removed from premises: [ ] Yes [V~'No 14. Name of Owner of premises ..~.R.~..~-q,~..i[~.~.......~.~...~..~.~......../.1'4....~..: ............................ ~..~.~...-~....~:...0. ............... (Address) (Phone No.) Name of Architect ......................................................................................................... \ I (Address) (Phone No.) Name of Contractor ...................... ~ ......................................................................................................................... (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, STATE OF NEW YORK, ) COUNTY OF ...................................................... ) (ame of individual $1gEing contract) ,o sthe ........ ................................................ .......................... :: ........................................................................ {Contractor, agent, corporate oJ~ficer, 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 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. ..................................... .day of .................................................. 19 ............. Notar~ Public,. .................................................................... CounW ................ DJNIN~ A4 CL 14Lo' NOTES OF JOl~--~ AS FOLLOWS 4I? MINF-.J~.6~ WOOL WELL FOR REVERSAL of the house design, the~e plans are *'eprlnted (in reverse) on the back of each sheet. Ta f~zcllitate use of the reverse plan, take dlmendem from,the front of .ach sheeL ~I~---..~T" FLOOI:2-, PLAI, q, DETAILED ~ _ _SF__C"T-]O~. DRAWN Ely APPROVED BY ~lrl~NT '11~= FLC:~F_ /JN DE~..L.~VM ~. I~T ~ APP~VED AS NOTED O RUDOLPH A. MATERN 'A. h a. REGI~iTE RED ARCHITECT design number RG4-1 no, J I ~ LO" 1 L f- 1-' ._, MtC~XCAVAT~D .4- DETAILS. DRAWN BY APPROVED BY RUDOLPH A, MATERN 'A. I, A. design number : 'ii · SECOND FLOO~ PLAN , .~E::.CTiON A-A. 7F:'17,~ H :. 'x DRAWN BY APPROVED BY RUDOLPH A. MATERN 'a. i. a. TYP~OFPflOPOS~D BUI].DIN~I ~J~l~' Fl~,~q,~L~.,tyl '1~I¥*4~'~t~./~. . design number c5'G41 sheet no. I . tELEVATI ONIS',- DRAWN BY APPROVED BY 'I RUDOLPH A. MATERN 'a. i. A, design number sheet no.