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Home My WebLink About7551-zTOWN OF SOL~THOLD BIm.BING DEPART~RNT Town Clerk's Ol[iee Southold, N. Y. Certificate Of OccUpsncy No. Z. 66.16 ..... Date ..............Alan, st...7...., 19..?~ THIS CERTIFIES that the bailding located at .*~z'ae.k .Av~ ................ Street Map No.. ~6~ ...... Block No ....xx .... Lot No, .~ ..... Cutcho~ ..... ~.,~, ...... conforms substantially to the Application for Building Permit heretofore filed in thi.~ office dated ...........8e~t...1.7.., 197~.. pursusnt to which Building Permit No.. ?~.~%Z. dated ............ ~ept.. 23., 197.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which th~s certificate is ~sued i~ . P~iva.te. ona .family. ~wellin~.. (H~usin~ .Bal. ~Xce~tioa The cer~ficate is issued to . Jamea. ~, · Sl~er ........ ~.~ne~... ~ .................... (owner, lessee or ~e~a~ ) o~ the a~or~aAd bugding. Su~o~k Coum~y Depar~nen~ o! Health ~pprev~l .... July...3~ .......1.~2~.. ~y. R~ .Villa UNDERWRITERS CERTIFICATE No...N.2.2.8.?.69.....~..u~.e...~...!97~. ................ HOUSE NUMBER .... .8.~.0. ...... Street ...T.r..a.c.k..~y.e.: ........................... Building InspectorI FOB,M NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P]~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7551 Z Permission is hereby granted to: ......... ..~.....!.e...~...~..~.~X ...................... Traek Ave ~et~e~ ~1.~. pursuant to application dated ........................... ~.~.fJ ....... ~-~ ....... , 19....~.., and approved by the Building Inspector. Building Inspector .THE NEW¥ORK BOARD OF' FIRE UNLH=~Wt~'r~o E~UREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW, YORK 10038 Ameri~ Ho~ 150 1 CB Fur~ace~ Motor/s· ~. Dunrite Elec. 9 Jewel St. Brentwood, L.I. 11717 Thi~ cert~icote must not be oltered in any monner~ return to the BOARD OF HOOSX~3 A~ffBALS Sou~hoXd Town CXo~*o OffX~e Ha4u Road ,T~n~y XS ~ X9TS AmerXo&u ~d~mo ~.O~I~.L'uC~AOn Co. ~ Xu~. · ~mma~, M. Y. XX?2$ Gen~.lemen I permA~ J?SSXS, da~ed Sep~embor 23, X974, pXoale be &dvXledt Tho Boar~ hal visited ~he buiXdAng in queo~lon with an Xn- spootor frem ~he Bu:LXESXng Departaon~ and they have re&chod & de~XsAon as £oXlowor Should ~. Sla~er and ~.he builder no~ file an af£Ldavi~ reXeaoAng ~he Torn £rmm aXl lXabXlit2~ one w~ndow ~n eaoh bedroom wALl have ~e be repXa~ed by another vXndov vi~:h asf. XX not, over 4~" above tho £:l. nAmhed Youro ~.L~ l¥, Fran~ LeokA~h vl~e C~a~man PNONE 5~6 543-9000 "VILLAGE OF MODELS" 49 VETERANS ME~AORIAL I-IIGHWAY January 31st, 1975. 8oard of Housing Appeals 5outhold Town Clerk's Office Main Street Southold, New York llg?l. ATTENTION: Mr. Frank Leckich, Vice Chairman, Re: Building Rermit # 7551Z dated 9/23/?4 - Owner: dames Slater - Lot # 5, Requash Acres. W/S Track Avenue, Cutchoque, N. Y. Dear Mr. Leckich: In accordance with your letter of January 15th, 1975, we are enclos- ing herewith affidavit executed by the Owner, dames 51ater, and affidavit executed by an officer of this company in which we both state that we release the Town of Southold and all of its employees from any liability and assumes all responsibility for the height of the window sills from the finished floors in the building pre- sently under construction at the above location which are in excess of the permitted 42 inches and request that the existing windows may remain as installed. Thank you for your kind cooperation in this matter. Yours very truly, AMERICAN HOME CONSTRUCTION CO., INC. zncent rra~n~,v ' ~ VE:MF ENCL. PHONE 516 543-9000 "VILLAGE OF MODELS" 49 VI::TERANS MEA~ORIAL HIE~HWAY August 1st, 1975. Mr. Howard Terry Building Inspector Town of Southold Building Dept. Town Clerk's Offfice Southold, New York. Re: Buildinq Permit ~ T551 Z, Dear Mr. Terry: In connection with the above permit, we are enclosing herewith copy of final survey with 8oard of Health approval stamped on the back, as well as copy of final Underwriter's Certificate # N 228769 for your records. May we have the Certificate of Occupancy on this house, as soon as possible. Thank you very much. Yours very truly, AMERICAN HOME CONSTRUCTION CO., INC. MF/ms ENCL. Re: Building Permit # 7551Z dated September 23rd, 1974 - Owner: James Slatar Premises: Lot # 5, Requash Acres, West Side of Track Avenue, Cutchooue. New York. STATE OF NEW'~mF< )~. COUNTY OF SUFFOLK )~' James M. 51ater being duly sworn, deposes and says that he re- sides at 16 Baruch Drive, Long Branch, New Jersey. That deponent together with his wife, Alice A. 51ater, own the above described premises in fee simple. That deponent hereby releases the Town of Southold and all of its employees from any liability and assumes all responsibility for the height of the window sills from the finished floors in the building presently under construction at the above location which are in excess of the permitted 42 inches and requests that the existing windows may remain as installed. JAMES M. Sworn to before me this day of danuary 1975. NOTARY PUBLIC NOTARY Ptlt~t10 OF NEW JERSEY Building Permit # 7551Z dated September 23rd, 1974 - Owner: James Slater Rremises: Lot # 5, Requash Acres, West Side of Track Avenue, Cutchogue, New York. STATE OF NEW YORK } COUNTY OF SUFFOLK ) American Home Construction Co., Inc., a domestic corporation, with offices at 49 Veterans Memorial Highway, Commack, New York, being duly sworn, deposes and states that it is the Builder of the house presently under construction for Mr. and Mrs. dames Slater at the above location. That deponent hereby releases the Town of Southold and all of its employees from any liability and assumes all responsibility for the height of the window sills from the finished floors in the building presently under construction at the above location which are in excess of the permitted 42 inches and requests that the existing windows may remain as installed. AMERICAN HOME CONSTRUCTION CO., INC. Sworn to before me this~f~~-~ day of January, 1975. NOTARY PUBL~,C NANCY l.A',q 8RIGG~R ~OTARy PUB£1C~ S~ale ot New York No. 52-740989~ Suflloik Count¥~ Commissioll Expires Match 30, 19 ~'~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Servtces Reference Number /-So APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A, WATER SUPPLY 1. Applicant-/?/',, ,~ 2. Property Location 3. Public Wa~e~ Compen~ 4. Lo~ s~ze: ~d~h ~:': fee~ 5. Subdiv. ~-~ ~'""~ "~'~ 6.'Section~ 7. Lot Nu~er~l~J 8. Private Well ~J g. Public Water Distance to main Length /~ ~ feet lO. Sewage Disposal System: A. gOO-gallon septic tank: Precast ~k~quivalent Block~ B. Leaching pools: Number of pools Precast ~ Block Special ll. If private well. fill in the fol- lowing blanks: R~ Tan~(~i~apacity '/~Y gallons B. PumI~-G.P.M. C. To~l well depth D. De~k~,h to ground water E. An~,~nt~.. of water in well (For Health Services D~t. Use) T~e under~jned CERTIFIES: "Construction of authorized installations will be in accordance w~th the SuTfolk County Department of Health Services~ current standards thereto." This application will be valid for one year from the date of appmval indicated below and may be renewed if a current local Building Department Permit is in effect. FOR THE DEPARTMENT OF HEALTH SERVICES~ USE ONLY. Based on the information presented here- with, it is the opinion of the Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL DATE SIGNED S-15 Rev. 4/1/73 T~N CLERK~ MFI~ ~_-, ~ ........ ~ .........................., ..... '... ~ ~_ ~ , ~li~tion No......./ ~..( ........... Amid ........................................ , 19.L..L. Pe~it No...~.~...~ ~ · ~ /~ ~ ~ ~ .......................... ....... ,-- - ~1'~ , L ~ ~ ...~ ............ ~_~.~~ ~ ~ " ~ ~: ............... ................. INST~U~IONS a. This application must b. c~pletely fill~ in by ~ewriter or in ink and submitted in ~plicate to the 5uilding~ In~r. b. Plot plan showi~ I~ation of lot a~ of buildings ~ premiss, relation~ p to adjo n ~ pmmi~ or p~lic ~ts or a~s, ~d givi~ a ~ailed ~ri~i~ ~ I~ of p~ must ~ drawn on th. di~ram ~ich is ~ of ~ ~licati~.~ c. ~ne ~rk c~e~ by ~is ~licati~ m~ not be commenCed b~fore i~u~e of Buildi~ Permit. d. Up~ ~r~al of ~is a~lic~i~, t~ Building Ins~ctor will i~ue a Buildi~ P.~it to th. applicant. ~h ~it~ ·all ~ k~t ~ the pmmi~ ~ailable for i~ction ~mughout the p~r,s of ~e work. e. No building s~ll ~ ~cupi~ or u.d in whole or in pa~ for any pu~e whatever until a Ce~ificate of ~cupanc~ shall h~e ~en gmn~ by the Building In~r. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the i~;"ucli~ii Zone. O.r,dinance. oft. he To,.~ .o,f, Southol, d/ Suffolk C. ounty, New York, and Other app cab e Laws, Ordinances or g atmons, tor the construction or ouimaings, aaa tons or alterat OhS, or for removal 'or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. (Si~ature~ ap~.li~nt, Ol~9me, '1~ corlx~ration) .... (Address of applicant)~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ...~.......~./......~ .................................................. I f~is a co~rporat~ignat.ure of duly aut,~,rized officer. ..... ~ich p~d wo~ will ~ done. Map No ~'~ ........................ Lot No.: ~- St~ and Number .~..~~..~...~.~~ 2. State existing u~ and ~cu~ncy of premiss and intended use end ~cupancy of pr~ c~stmcti~: a. ~i~i~ u~ a~ ~cu~n~ ....................................................................................... ... q , 3. Nature of work (check whici~ applicable): New Building........' .......... · Addition ....... .... ....... Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ..................................... i'.. 4. Estimated Cost ............................................................ Fee ....c~....~..,...~ .................. 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 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 ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height ...'..:~..' .......... Nurnber of Stories ............................................... 9. Size of lot: Front r ......... ~, ................. Rear ................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ] 1. Zone or use district in which premises ore situated ~ 12. Does proposed constructlon violate any zoning law, ordinance or regulation> 13. Name of Owner of premises .......... ~ ............................. Address ............................................ Phone No ..................... Nome 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 whether interior or corner Jot. STATE OF NEW YORK, COUNTY OF ................................ ~' '~'"' ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .......................................................................... . .......... (Contractor, agent, corporate officer, 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 thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this -~ ' day of . T r-~/'kc k" I L. C3T. I dA/iDS /A. ~, ALICF,. A 5LAT[_-t~, C. UTC 1-1 c'J GU r=. UNAUTHORIZED ALTERA'~ION OR ADDITION TO THIS SURVEY IS A VIOLATION OS SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. ONLY TO THE PEgSON FOR WHOM THE SURVEY Z '0 L-OT- I L-OT · ~ /AAP o I" PRoI'~r=RTY ~,,-.W_& L- ~/A__ ,.._~ ..:,'_L ~_[_cc._-~r_ A s ~_,, ,.,x-r.,. r_= ~ "~ ITU aT r,,- aT C UT (.EI-I 0 C.~U ~ [JEPARTMENT OF HEALTH RIVERHEAD, N.y. .']~ Tq'Tf ' L~ T Et_E~AT lo~.~ '1 ' -LL-$ -' -- 0