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Home My WebLink About6645-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No.Z~.683 ....... '~ Date ............ D.e.q .....~..~ ..... , 19. THIS CERTIFIES that the building located at . D.&~,J~ .R(~e.~ .............. Street Map No. Sunaet. Knol~l~ck No...II ...... Lot No.. 21~.....~.~;.t.i.t.u..o.k...N....Y.:.. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Juna..7.., 19..73 pursuant to which Building Permit No...66.~.~2~ dated ........... ~[une ....7..., 19. ?~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. P~.ivata .one..fa~t~y. d~zellin$ ..................................... The certificate is issued to . .Ilighar~ i). llauston ......... 0~n~r .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... D. QC...1.2.. J.9.~.3...~.~..ti.: .~..~.1..~.. (pond:Lng) UNDERWRITERS CERTIFICATE No ............................................. HOUSE NUMBER ..... .7.90 ..... Street ..... l)a~.ly, t[o.~d ......................... FOE~ NO. 2 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) 6645 Z Date ........................ ffll~e ..... ~. ............... 19...~.~ Permission is hereby granted to: ...... ,..n;~.a....~.o.~.~.o.~. ..................................... ........... P.t .. 2 .....~o.~;h~.~ d~. ~. ......................... ................ .s.,~,~..e.~....r. ~.~.e...e. ................................... build new one family dwelling at premises located at Lot 28 Sunset Knolls II ..................................... ~..a.~..s.~....s.?~ .............. .?~.t..~?.~ ............................................................... pursuant to application dated ............................ ..~...'F~....e..,.~. ............. , 19..~..~.., and approved by the Building Inspector. TOWN O:' Sou'r. OLD BUILDING DEPARTMINT~ TOWN CLERK'S Disapproved a/c ....... ~._. .......... APPLICATION FOR BUILDING PERMIT / Date ............... :~...~'..Z Z ............. , / INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in ~riplicate to the Building Inspector, with,( 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 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,4~ 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, Suffoik 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. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~...~.,~, ,,~,,~.....21'.....~ ............................................................................................ If applicant is a corporate, signature of duly authorized officer. {Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No .................................................... 1. Location of land on which proR,osed work will be done. Map N__o. ....... ~..~....~....~.. ...................... Lot No......~....~..i. Street and Number ....~.. ,~.~....~,.,,~./,...' ,~.. ..................... ~ ........................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .v.~./. Intended use and occupancy ...O...~.~...~...~.~.. Z./..~. ~... ~.~ ..~..~.~..~.....~...~....~.... ' .... .' 'i.i"iii iii ........ i ............ 3. Nature of work (check which apolicable): 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 occuoancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Height Number of Stor es .......... Dimensions of same structure with alterations or additions: Front .......................... Rear ................. Depth ............................................. Height ......................................... Number of Stories .......................... · ' ' · ~ ~e' ~' '~ f ' 8. Dimensions of ant re new construction. Front ....~...: ............... Rear ............................ Depth .~..~.......~..~ ................ Height ........ ~_,O.~,~ ............................... Number of Stori~ ......................................................................... 9. S ze of ct Front ~..~..~....~. ~..~. Rear ..,~..~ *~ ~,'~ ' Denth ,~, ~ · ....... ' ...................... ....... ' ................................................ 10. Dateof Purchase ...... ~-.. ~.. .......... Nameof Former Own~r~/.,,..,.~......~-,,~.c~;..;.......- .............................. 11.x, Zone or use district in which premises are situated ............................................... '_"y ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~...~. ............ ~ .............. ~v- ................ 13. Will lot be regraded ..... ~.~..~. ............ .,..~....., Will excess fill J)e ~_rnoved from prem[ses~L ] Yes 14 Name of Owner of pram ses~.xz~/.~..~.~). ) .&~. ~ .5...~..~.../,,. ~?~/~/~:.~~?~/~5~~ ~..; .~...~,~.~ (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 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. PHILIP D. SMITH STATE OF NEW YORK. ) Notary Public, StateofNew York COUNTY OF ...................................................... ) ~ No. 80-8741040 . Qualified in Nassau Counl;v ~' ~ t ~ · · ~ ~erm Expires March30, 19~~- ........... ~.~.. ..?;.~... ~.:...~.~..;......: ........... , ....... , .............. ~ be,n~ du,y sworn, deposes end says that he ,s the app,,cant abo~e uvame of mannaua~,s~gnm, g contract) , ' , ' ' .e is the .......................................... ............... rCo.,~c;;;/;;;;'tTi;';~;';'~';'e"oi?,';;;j"e/c~ ..................................................................... of said owner or owners, and is duly authorized to [~rform or have [~rformed the said. work and to make and file this application; that all atatements contained in this a~lication are true to th~ bast of his knowledge and belief; and that the work will be ~erformed in the manner set forth in the application filed therewith.., , . r .... ............ : ..... .... ~¢rz.. ~7Y'/4~ ............ ..-7....¥..'...'.~.... County ....... ~ ................................... ~ ........................................................ (/ (Signature of applicant) SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D. Reference No.~ ~' -----~--~;--~/0 APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant /?'/ ¢//~ ~x~-" ' ho '~ , ubdiv, ~ ~ h~ Address~v~ .~[~/~j~,~'~, /,I. ,~ 7.'~ ~6. Section ~ 2. Pro~,r~ location, s,. * ~-~~.~ ~u,4~'~ M~,~ 8.7' Lot PrtvateN°' well~ ~ Village ~Y~/~C~ Township ~ .'7//d~ 9. Public water ~ 3. ~u~i= Water compa=y ~a~e ~ ~ ~% ' ~ista=ce to main 4 Lot size: Wtd~h~eet-'Length' ~feet (Enter on center~ ~eiow) 10 Sewage Disposal~ System: ~ ~ ~ A. ~90~ gallon septic tank: Precast Equivalent Block B. ~aching pools: Number ~ Preca~.~Block Special N If private well fil in blanks below: Tank cap~ity. Pump G. ,~ .... ,~ De~th to~G.W. -' Gal Amount ~ water in well~- Test Ho~ Data J 0 J 2 ] 6 J 8 ] to ] 12 ] 16 -- I 18 The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of H/~_h~s current stand- ards thereto," .~i, -,~..," ,..... ~ ~ Date Signed ;.~' ~ ":'~" ' Owner or Builder FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented here~ith~, is the opinion of the Health Department, that an adequate and satisfactory Sew~ Disposal System can be installed on this plot. Date ' Signed ,~_. "-'~:'" ' S-15 Revised 4/]/~2 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIE$ THAT ~y t~ e~t~ ~u~ment ~ ~sc~ ~ ~ int~u~ ~ t~ ~limmt ~ on t~ a~ ~i~t~ ~m~r ~ t~ p~m~ o~ Rieha~d Houston, Daisy ST., Captain K~dd Es~ates~ ~tt~tuck, L.I. RXTURE t ~ FIXTURES OUTLETS ECEPTACLES S~TCJ'IES INCANDESCENT FLUORESCENT 17 / 29 20 17 COOKING DECKS OVENS DiSH WASHERS 1 6.6 I ~.6 TIMECLOCKS BELL ~ MW. TLOUTLET SYSTEMS EXHAUST FANS 2 F DIMMERS SERVICE DISCONNECT NO. Of S R ¥ METER NO. OF CC. COND, A, W, O. 1 100 CB x · l*urnacea: Oil 1-1/Shp, 1-1/15bP C ~ohn Augustitu8, Box 293 East 8etauket, L.Z. 11733 coPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST' NOT BE ALTERED IN ANY ~t4,NNEIL SUFFOLK COUNTY HEALTH DEPARTMEN? Dot ~0 s~'ft Dgl$V p S[tOIVN r.L' ': 7. ~7 . ,' - ' - 5 ':~.,_'l; ATIONS A/ID/OD £2~.~ b...~2 C .... L.~.; £.,Of:~ OYA~F, fi,~ NOTE' e -' MONUMENT SUBDIVI$1ONMAPFILFD IN THE OFF/CF OF Tk~ CL~RK 6~'$UFFOLK COUNTY ON APRIL 9~/gFo AsFI~ NO ~448 T0 THE TITLE COMPA~.¥~Q~/~RNMERTAL R£V,S,ONS YOUNG & YOUNG NOV. 29,1975 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W. YOUNG SUEVEY FOR: RICHARD D. HOUSTON LOT NO. 28'~SUNSET KNOLLS,SECT2" GUAR ~N~ SECUI WY rlTE~NTT'~. , TOWN or SOUTHOLD-- ~~~[. su,,o,, co., ,. ,c~: ~": 4o' J~':UULY 16,1975 O,Ap NO T£ · -- MONUM~'NT SUBDIVISION MAP~'I~'D IN TH~' O~'FI~E~ OF TH~ ~RK OFSUFFO£K COUN~'Y ON AP~I£ 9~ 19 70 ,~ S FI~ NO REViS,ONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W. YOUNG SURVEY FOR: RICHARD D. HOUSTON ,/'~~',"~ AT MATTITUCK s( FrH,~,~D S~=a~NK/ / TOWN o~ SOUTHOLD ~%~ ~ss9~ ~ / SCALE: J" = 40' JDATE:oULY 16,1975 J"°'73-598 DATE 17'2" : i