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Home My WebLink About7587-zTO~N OF SOUTHOLD Burr.nING DEPARTMENT Town Clerk's O~ee Soutkohl, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . Ealt. Ro~d ................Street Map No..¢a~.t .~lcl~ Block No ...........Lot No...~.~$ ...... l~tt~tuok.. R,~, .... conforms substantially to the AppLication for Building Permit heretofore filed in tht~ ot~ice dated .........0~t...~.~ ..... , 19.~+. pursuant to which Bugdlng Permit No..~. dated .........0~t...~.t ..... , 19.7.~., was issued, and conforms to an of the requiro- ments of the applicable provisions of the law. The occupancy for which t_hi~ certificate is ~gsued is .l~r~v&te. ~ne. fa~il~. ~lvellinl.. J~.%flr. ~2BR .2f~. ,fa~ x~a. has The certificate is issued to...I~ar~'~y. Cs~ustantln~ ..... 0~er ...................... (owner, leSSee or tenant) of the aforesaid builaln~. Suffolk County Department of Health Approval . .MaWr...8...~-97.~. ................... UNDERWRITERS CERTIFICATE No. ~2176.~.7.... Apr...9... 19.7.% .................. HOUSE NTYMBER..~.%~ ......... Street .Eaat .Road .............................. FOUM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N~ Y. BUILDING PERMIT (THIS PEF~v~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7587 Z Permission is hereby granted to: .... .?...?....~..T..i ........ ~......~. ................ at premises located at ........ ...~...~.-~7' ~'~ A ~ pumuant to application ~t~ / [ ~C? 19~.., a~ approv~ by the Buildi~ In~e~or. ~, ,..~.2.~ ...... Building Inspector /,_3 ~ ~ ~ · ~ ".~ TOWN ~UT~D ~ ~ '. ~ . . .................... ' ' ~ . ' ...... ~ ........ ~ ................ ~ ~ ~Pb~'. 525 ~ ......... ~ .................................. ~.~.....~L ................... ~ ...... ~ ~ ~ ' ~ ~ ~ ~.~ ~ ~ ~,~ ~-~ _.... . - . ~ ...... ~ ............... ;;"::'::'"~"T' ~' ....................... ~:~'~ ~ ~'"~' ~ ~FLICATI~ FOR BUlLiNG ~IT.~ ~' ~ .... ~~-~' ~~': Date ..... i .... a. T~is application must~pl~t, ly fill~ in by ~p~rit~r o~ in ink and s~mi~ed in tri~li~a~,~J Buildi~ ar~ ~ga givi~ a a~tail~ d~scription of layout ofpr~e~ must ~e ~wn on t~e diag~m which is~ of t~i~ /d. U~g.O~J oJ t~is~l~~n~ill issue~he applicant shall ~e k~Pt o~ ~ pr.mis~avail~le for in~.cti~ t~r~g~out t~e work. ' ' e. 'No ~uilding s~all be ~cupi~ or used in whole or in pa ~ ~or any pumose w~atev~r u~til'a ~ific~ti s~all ~av. ~en ~nt~ ~y t~. ~ding Insp~tor. APPLICATION IS HE~ilding D.pa~ment for t~e issuance of a Building Pe~it ~u.nt to the Building Z~e O~i~nCe of the To~ ~f ~ut~ol~, SuffOlk' Coun~, ~York, ~ ot~r ~p~lic~t. ~ Regulations,'fbr t~ cq~trucfio~ of ~uildings, ~itim~ or ~ ~ ~Val or d.molitim, as ~in ~ri~. ~,- ~ applicant ogres to comply wit~ all a~lic~e I~, o~ ~o~,,j ~ldi~g c~ ,~ ~si~ ~; ~ ~ulati~s, ~to~ ~ premise~ a~ in ~uil~ings f~ admit authorized inspe State Name If necessa~ !nspecti . ~'! ! ~gn~ of c~icant, or name, if ............. ~ ............................... .~ L.m.~ ........... ,,.- ~ ress og applicant) i 5,' T-c, . . ~'ineer, '~;~ral contraCtor, eJectrician} plumber or builder, i: 2~ cc).,, .. ..... of premises ................ ............................... ~..'~ ............................................................... ~ · and Of corporate officer) ~ Buil i¢ ~se ............ ~,..,..: ..................... /~,~,-~'--x~- ~ ~ ' ~- ~her Trade, Licen~ No ............................................... ~..~ ~ ~ . .~l '~ L~ion of la~ ~ whi~ p~d ~o~k~lLbe done. Mop No.: .................................. ~ Lot No....,;,; ................ ............ ~"~' ':t' ~ .................. ~ ...... ;..~... ............................ ..~.~..,.,.~tt~;;~%~,~ .;;; .,.,*,,; .............. ~. ~isitlng use a~ ~cuponcy ................................................................................................................................ b. Intended use and occupancy ................................................................................................................................ 3. Zature of wor~ (check w. hich applicable): New 'Building .................. Addition .................. AIt~era~,o'~ ............. ~epair .........~.. ..... Removal .................. Demolition .................... Other Work .................................................. ,' ~ ~.~ (Description)' 4. Estimated C4~t ............................................................ Fee ....................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwell ing 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 .................... Number of Stories ..................................................................................................................... 9. Size of4Ot: %Front ........................................................ Rear .............................. O~,.D~tt~ .................... 10. Date of Purchase ........................................................ Name of Former Owner ........................~. ............................. 1 ! Zone or use district in which premises are situated ................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be removed from p~ises: ( ) Yes ( ) No~ !4. Name of Owner of premises .................................................... Address ...... .~..~ ................... Phone No ......... -- Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ........................ ~ ................................... Address ................................ Phone No .......... ~ ............ ..~ PLOT DIAGRAM .. Locate. i~16~i-Jy and distinctly all buildings, whether existing or proposed, and indicate all s~t:back dimensions frd~' property-lines. Give street and block number or description according to deed, and show street narflms and indicate' whether interior or corner lot. STATE OF NEW YORK, t S S COUNTY"OF ................................ ~' ' ............................................................................................... being duly sworn, deposes and soys that. he js the applicant (Name of individual signing cOntract) above na rr,~J. 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 that the work will be performed:Jrt thi, manner set forth, in the application filed therewith. Sworn to I~efore me this ........................ day of ...................... ....................... , 19 ........ Notary Public, . ................................................... County (Signature of applicant) FORM NO. 6 TOWN OF SOUTHOLD 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 all 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 $§.00 2. Certificate of occupancy on pre-existing dwelling or land use $,5.00 3. Copy of certificate of occupancy $1.00 New Building ....~ ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ....~.~..s..t....P,.g..ac..d.,.....M..~.t.t..i.t..u..c...k.~....N..,....Y.t ......................................................................... Owner Or Owners Of Property ..... .[-[Z,~:~:.y...~,~.fi/~,.~.t~.e. ............................................................................ Subdivision .... ..C..~..p.~..i..n....K..i..d..d......E..s..t.~.e..s. ............... ~Lot No....1.1..].. ..... Block No ............. House No ............. Permit No.....7..5...8..7....Z..... Date Of Permit .1QJ~3,.L~.~...Applicant ....M...S..T.....C...o..n..s..t..r..u...c.t..i.9..n....C...o..r..lp.: ............... Health Dept. Approval ...~.~O..1~.6 ......................... Labor Dept. Approval ....N.~.~ ...................................... Underwriters Approval ..... ~[.2~7.~..7. ........................ Planning Board Approval ..... ~/..I~. ........................... Request For Temporary Certificate ........................................ Final Certificate ......~ ................................. Fee Submitted $ ...5,.,.f]~ ........................ Construction on above described building and permit meets all applicable codes and regulations. App cant ..... .~....S..T.....C..o...n..s..t.~u..c..t..~.o...n.. Co.r.p..: .................................................. Sworn to before me this .......... /..... ?Jay of ...... .~.Y....~.....~.. ....................... (stamp or seal) /~//~/ _ Notary Public ........... ¢..~.. County SUFFOLK COUNTY D~PARTMENT OF HEALTH Health Department ~/~/'~Z) Reference Number ~'.~ _~ · _ APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant Phone Address 2. Property Loc~tion . Village ~2~o~ 9~/ 3. Public Water Compan~l~l~'~i~ 4.~s~:l~ ~feet ' feet : ~~ Length~~ lO. Sewage Disposal SysCo: ~. A. 900-g~llon septic 5. Subdiv. 6. Section 7. Lot Num~e~r 8. Privatc~4~r/} 9. Public Water Distance to mai~-/J' Precast Equivalent B. Leach~.g~ls: Block Nun6er of pools Precast Block Specia~__~i~.~. ~(l~ealth Dept. Use) I~::pri~e.~'~ell, fill in the ~ 1 ow .i~-- blanks: ! Ta nk~a. pa city gal 1 ol~s ~'~.water in _ _ _ ~he under~~IFI~'Co~truc~n of authorized installations will be in accordance with th~Suffol~o~ty Departm~t of Health's current standards.thereto. This application will be valid for one year from the dat' ~" - ~ ' e of approval indicated b,}low and may be renewed i~f a current local Building Department Permit is in effect. Date Signed ::::::::::::::::::::::::::::::::::::::::::::::::::::::: FOR HEALTH DEPARTMENT USE ONLY. Based on the informatio~ pres~',.ed herewith, ~t is the opinion of the Health Department that an adequate and satisfactory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL DATE S-15 Rev. 4/1/73 SIGN£D THE NEW Har~ Constantine, .EaSt Rd., Bet. Mattituck, L.I. April 3, 1~~'5 ~U~A~ ~OR~ ~ SNr'~TPJ~S ~ 100 I ~' ~urnace/8: Oil, 1-1/~n~ Electric Room Heaters Lot III l ut 115 9QO0 lot I1~ lot I1~ COPIES OF THtS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL R~N ONLY TO THE PERSON FOR WHOM THE REVISIONS FEB I0, 19F5 NOTE: g-' MONUMENT SUBDIV/$10N MAP F/LED IN THE OFF/CE OF THE CLEBK OF SUFFOLK COUNTY ON dAN. /9, 1949,45 FILE NO. I$F2. TP, E LOCATION OF WELLS AND CESSPOOLS SHOWN HEREIN ARE FDOM FIELD OBSERVATIONS / /~ o ~,~ ~0~ · ou. J / ALDEN W, YOUNG ~W~ ~G SURVEY FOR: THOMAS CONSTANTINE & HARRY CONSTANTINE LOTIII"CAPTAIN KIDD ESTATES, BLOCK $" AT MATT I TUCK TOWN OF SOUTHOLD SUFFOLK CO., N.Y. SCALE: I *'= 40I DATE: GUARANTEED TO: SE PT, 23,19 74 74 -6 8 $ PUBliC W~?ER IN S?R~T Lot III *oo Lot 115 TES F HOLE 0030 NO TE · = MONUt~£NT SUBDI VISION 14AP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JAN 19, 1949 AS FILE NO 1872. LAW lot 112 REV,S,ON$ YOUNG & YOUNG 400 ©STRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: Tow~ OF SOUTHOLD ' ~sag~ SUFFOLK CO., N.Y. "Y ' '~ '~" SCALE: t" : 40' IDATE: SEPT. 23,1974 ]NO. 74-683 NOTIFY BUILDING DEPARTMENT ?65-2660 9AM TO 4PM FOR ED INSPECTIONS: 1, BEFORE BACKFILLING ~CUNDA- TION O~ START FRAMING ~, BEFORE COVERING RIP,LINE 3. FINAL WHEN JOB COMPLETED ca.