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Home My WebLink About6657-z1~.~ NO. · TOWN OF SOUTHOLD BUn~DINC. DEPART~P~.NT Town Clerk', O~ice Southold, N. Y. Certificate Of Occupancy No..2;795.~ ..... Date ............ ..0qt. ..... :13 .....,19~ff.. THIS CERTIFIES that the building located at . .8..k'J~k.....L~.e..&...B.r.q$~.w.~e~treet Map No. xx ......... Block No... xx ..... Lot No. ~x...C.~;q~O~'Be .... N. ~]f.o ......... conforms substantially to the Application for Building Permit heretofore ~ed in thin office dated ............ June. 12-., 19.73. pursuant to which Building Permit No.. dated ......... .June... 12 .... , 19.73., was issued, and conforms to all of the require. ments of the apPlicable provisions of the law. The occupancy for which this certificate is issued is .. Pr. iYa:e .one..famLly. d~ll[~g ...................................... The certificate is issued to ...~.ey.....D.o~.~l~l. ~.z:~,Ckley ....... ~..,~. .............. (owner, lessee or tenant ) of the aforesaid buLlding. Suffolk County Department of Health Approval Au.g...2~...1.9.77...by. ~L,, .¥iLLa ..... UNDERWRITERS CERTIFICATE No..N2~.7~3....July..27.. Ag?~ ..~ ............ HOUSE NUMBER .... 7~ ........ Street .. Br~ad~aters. ~ld. 0R 7230 ~kunk Lane Cutchogue Building In.~pee~or FOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE Pi~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 66~7 Z t Permission is i~reby granted to: .~.,..,P.~...~.r.&c.~.e.3r. ............................. .Cu~eho6U~ ~o ...~..~.~.e.....e.~..e.~.g.....d.~.Z...1.~.g.....&.....m.~..e.....al~eratlons & aCLal~:~on onsame at premises located at .... S/~ ..... ~..$a...~T~y..~,ve.)..&..~/~q..T~to~d~,e~,~....,9~. ........... pursuant' to application dated ............................... ~T.~ttg~ ..... ~.~. ...... 19...~.~., and approved by the Building Ipspector. NOT~ Do not put fill on wetlan~ Fee $...62.~ 2.Q ......... ~ I ~' - BuiFd~ng I~spect,br, / I ~ ' ' '' 'T'H¢ N'EW YORK BOARD OF: FIRE UNDERWRITERS TH $ CERT FIES THAT, only the electrical equlpmen¢ ~ ~esc~bed ~elow and tnt~uc~ by t~ ap~lican~ named on the abo~ appltcat~o~ number i~ the premises of Donald T. Brlckley, Bay, Avenue s/efcor. ~ay Avenue & BroadTPS , Cutchogu~ L.I. ~as examined on 3 U, ~ I 9 ~ I g 7 ~ ' .' ,f andfound to be in compliance with the requiremonts o/this Board. ~XTdRE '''; ' ' '~ .... FIXTURES ..... J '" RX~E~' ' CO~INGOE~S OVENS DISH~SHER~J'ExHA~sT FANS OUTLETS tECEPTACLES SWITCHES : ........... ~.cu~ ............. ,. ,, NCANDESCEN1 FLUORE~ENT w~, ~T K W ........ A~... K.W . ~T KW ~T .... ~ .~.. ~T H P , DRYERS FURNACE MOTO'~'"' '"' ~TU~ AP~IANC~ FE~DE~S SPECIAL~EC'PT TIME CLOCKS B~LL UNIT H~ATE~S MULTI-OUT~T DIMMERS SYSTEMS ....... METER ...... ' ................... DIVlSIO~'~I OF PUBLIC H~ALTH DEPARTMENT OF HEALTH SERVICES PI. LEE DENNISON F~ECUTIVE GFFIC[ DUll. DING VETERANS ME[,4ORIAL HIGh/~'AY HAUPPAUG~-, NEW YO~K 1~787 MARY C. {~.~LAUGHLIN, M.D , M.P H MAHFOUZ H. ZAKI, N~,~., DR March 26, 1075 Rev. B.P. Brickley, PH.D. Co'A~nity of l~eponset 5t Ual nut Street Dorcl~ester, Massachusetts Dear Rev. Brickley: 02122 Re: Application to Construct an Individual Sewage Disposal System, Broadwaters,Road, Cutchogue, lown Southeld At the hearing held on March 7, 1975, in the office of the Suffolt'. County Department of Health Services, Division of Public Health, H. Lee Dennison Executive Office Building, Veterans Memorial Itighway, Hauppauge, New York, you had an opportunity to present your appeal of the Department's ruling on the subject application. In accordance with the provisions of subdivision (c), Section 7, Article I of the Suf?ol~. Countv~ Sapitary Cod~, ~,,~ ~e,m,n~],,,,~ ~ ~ ~'~ of the Board of Review is as Follows: Based on the information submitted, the subject application be approved for the installation of a septic tank and cesspool system provided that an additional fill is placed to increase the minimum distance from the leaching cesspools to the marsh from 50 feet to 70 feet. Since the determination of the Board of Review submitted to the Commissioner's office on March 20, 1975, has not been reversed or modified by her, it is therefore deemed to be the determination of the Commissioner. Very truly yours, /1t.~% Davids, P.E. Chief, Bureau of Environmental Ileal th Services HWD/eb cc Aldo Andreoli, P.E. Robert A. Villa, P.E. Southold Building Department TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N. ¥. 765-2660 Donald Br~okley Shore Avenue Quint, MassachuamttS 02169 D~ SLr~ X am writing about the condition of your lot at Bay Avenue & Bro&dwat~_rs Drive, Cutohogue, New York. It has been brought to our attention that you have open trench for water line, and the covers are of£ or open on the cesspools and have been for s~ae t~me. A cheek with the Heal~Department shows non-compliance with their requirements mince September 12th. Nil1 you kindly correct these violations so the trench and pools can be backfille~. Leaving these open is a Violation of Housing Code and a hazard tO the public. Should you need to fill more 'Wetland' or meadow-land than has f~I1 on it now, you will require a Permit from the Town Boar~ and State Bnvironmental Conse~vation Department. Please give this matter your pro,pt attention. Yours truly, Howard Terry Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D. Reference No., APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM Address ~ ~Zt~. ¢,~,~,,z~ /.14ttd~ ~.~ 2. Property lo~a_ti~/~.~. ~,~ ~'~. Village Township 3. Public Water Company name 5. Subdiv. 6. Section 7, Lot No. 8. Private well 9. Public water Distance to main 4. Lot size: Width t~$ feet Length ~&,l feet (Enter on center plot below) 10. Sewage Dispos~'~System: A. ~0f gallon septic tank: Precast ~/Equivalent Block B. %J~e~aching pools: Number_~__Precas~OBlock Special__ N If private well fil in blanks below: Tank capacity~Gal Pump ~.P.M. ~ Total 9ell depth= Depth ~o G.W. ~ Amount of water in well Test Hole Data ~ I Feet { lO · 14 I 16 The undersigned CERTIFIES: "Construction of authorized installations wil be in~ a~cordance with the Suffolk County Department~(Health's current stand- ards' thereto." .~ ~/~/ Date Signed ~ ~/~ Owner or B/~er ~/ i FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, is the opinion of the Health Department, that an adequate and satisfactory Sew Disposal System can be installed on this plot. Date ~/L_~ Signed S-15 Revised 4/]/72 ® ~ u~ II ,/ A~Ap o,:"' PROPERTY TO THiS EMEOSSED ~. TO BE A ¥, SHALL RUN AGENCY AND AND ~$ T A/OL~ 19..~)....~.. Examined ¥ Approved // ly...,.~ Pemit No ...................... .~:....~ Di.ppra~ a/c ..... ~....~ ................. ............................. .......... ........................ . ~ r , ~r APPLICATION FOR BUILDING o.t. .............. .......... , .... INSTRU~IONS e. This ~ppli~tion mus~ ~ ~mpletely filled in by ty~writer or in ink ~nd submi~ed in tripli~te to the Building Inspe~or. 3 ~ts of plens, ~ur~te plot plen to stele. Fee e~ording to ~hedule. b. Plot plan showing Io~tion of lot end of buildings on premiss, relationship to adjoining premises or public streets or ere~s~n~ giving ~ detailed de~ri~ion of I~yout of pro~rty must ~ drswn on di~r~m which is p~rt of ~his ~ppli~tion. ~. T~ wo~ ~r~ ~ this ~ppli~tion m~y no~ ~ ~mmen~ ~fore issu~n~ of Building Permit. d. U~n epprovel of this ~ppli~ion, the Building Ins~or will issue the premiss ~vsil~ble for insulin throughout ~he work. e. No b~ildi~h,II ~ o~pied or u~d in whole or in p~rt for ~y purpose wh~ever until ~ ~[tJfJc~te of OccupanCy shall h~ve ~ gr~n~ bv t~'~uJlding Ins~or. APPLICATION IS HE~EBY MADE to the Building Dep~rt~nt for t~ i~u~n~ of ~ Building Permit pursuant to the Building Zone Ordin~n~ of the Town of ~uthold, Suffolk ~un~y, New York, ~nd other ~pplie~ble L~ws, Ordin~n~s or fiegulstions, for t~ ~nstruetion of building, ~ditJons or elterstJons, or for remowl or demolition, ~s herein descried. The eppli~nt ~grees to ~mply with ell epplie~ble Isws, ordi n~nm~, building ~e, housing ~de, ~nd regulations, snd to ~mJ~ ~uthorized inspe~o~ on premiss *nd in buildings for n~erv Jnspe~ions. S~t~ wh~th~r ~lie~nt i~ owner, I~, ,~nt, ~rehit~t, on,in,r, ~n~r~l contractor, ~l~etrieian, plum~r or builder. h.m , ~m~ of o~r of ~r~mi~ ................................. ....~ .................................................................. If ~pli~nt i, ~ eor~rat~, ,i~n~tur~ of dul~ ~uthoriz~ o~ie~r. {~m~ and titl~ of corporate Build,r% ~icen~, ~o .......................................................... Plumber% kie~nm ~o ......................................................... [l~ctriei,n'~ [ic~n~ Other Trede'~ [icen~ ~o ................................................... h ~ation of I,nd on ~ieh pro~omd work will ~ don~. M~ ~o .............................................. kot ~o ......................... Street and Numar ............. ~ ............. ...................................... . ......~ .................... .~ .......... 2. S~te exi~ing u~ and o~up~ney of premiss ~nd intended u~ and ~eupaney of propo~ con.ruction: b.a' ExJ.ing u. and ~cupancv~y ............ ~.~.~......~ ..................................... .~ ; ............................................... Intended u. and oceu nc ... ............................... 3. Nature of w6rk ~:k~vhich eppl~,'~ble):'New B'uildi~ ................ ~ :. Addition .......... i .......... Altm;~tion..~ ........... Repair ......................... Removal ......................... Demolition ........................ Other Work .......................... .'..:..~.. (Description) 4. Estimated Cost ...... .~.~..o..o...a. ........................... Fee 7 ~ (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 a~y?l~rront ..................... Rear ........................... Depth ................................... Height ........................................................... 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 ......................... Rear ..... ~..~.'Z. ........ Depth ..... ..~...~., .............. ~... Height .......... ..-~..~.~ .............................. Number of Stories ........ . .~... ..................................... . 9. Size of lot: Front ........./..~...O. ...................... Rear ............... {.~...~.. ................. Depth ........ ..._~..o....O.; ............................... A___ Name of Former .~e.'v~,~_~ _O l~ ~'~ 1~.~....~.!' 10. Date of Purchase ..~,..~..e..4~.."/a/. ....... Owner ....... ~..~. ...... ............. ..~/...~... 1 1. Zone or use district in which prem see are situated .................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ..'~....o21,...~,,....~ .................................. 13. Will lot be regreded ..... _~/~'5'. ......... ~ ........... ~/ill exceq fill I~,rem~/ed from premises: [ ] Yes [~] No 14. Name of Owner of premises ......... ]X~..~....,....[~...~3.....~ ................. ~..~.L..~.I...e~f~.., ................... ~ ............ ~. ............. (Address) ~/' (Phone No.) Name of Architect .................................................................................................................................................... ..~.o... ,~...~... ...~..~. "'"~"'l~ (Address) (Phone No.) Name of Contractor ......... ~.h. "'~" .................. [~,~i~';~') ................................................................... (Phon~ No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from =~pro. p~lock~~ number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW_K, Ha is the ...................... roD. ~ $ ~individual signing contract} being duly sworn, deposes and sa (Contractor, agent, corporate of J~cer, etc.) that he the applicant above named. of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this aj~lication; 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 ther~'v~th. T£Rkql LEE FLAK ,~% ~L _ .NOTARY PUBLIC, State of ~b~.JLork ~ .n .n ........................... ~ .......... T....~.. ............qa~l~fi~d-.in..Sufloil[~:o~mty.......:,// 'Nil/ ,n // // ' ~ · m' sion Expires ,,.arch 30, lg Notary Public .... County ............................ UNA I TO THiS THE LA' ~ TO BE A SHALL RUN /eve / A/Ca,~ 1:-% / 9 vZ- b,j CU TC /qO~b'~, ~ ~. ~$ r /40LE