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Home My WebLink About7664-zFORM NO. i TOWN OF SOUTHOLD ; BUILDING DEPARTMENT Town Clerk's O~ice Southold, N. Y. Certificate Of Occupancy No, Z69.1.3 ...... Date .............. .l~.ug...1..8 ...... , 1~6... THIS CERTIFIES that the building located at .B99.b.~. .Pr..&...W.l.l.S.°''n. .Rd.... Street Map No,XJGX .........Block No. ~ ...... Lot No, ...xA~....C..u.t.~.h.o.g.u.9 ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............... D$¢1.**. 1,919 Th. pursuant to which Building Permit No. dated ..........DUC,..~9 ...., 19.7.1'r., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is lq.~'i~gte, olae., fa~,$Y..d.w.¢.l.1..iBg ....................................... The certificate is issued to ...~.e.x....~a. ~.,~.o~l.c;. ~ .W.i.f.e. .... .-.o~..~..r.~ .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~.u.~.~..~.~....1.9.7.6....]q.Y.. B.'..V...%.l.l?. .... UNDERWRITERS CERTIFICATE No..~.2~.i.~.~. .... .I'~IY.. J.6....].9.~. [ ............... HOUSE NUMBER .... [2~ ....... Street .}/$1.ao.n. P~ ............ 324~ Beebe Drive Cuteho~e TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMI,T MUST BE KEPT ON THE PKEMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7664 Permission is hereby grantbd to: A~x..~)am~sk.i ................................................. ......... ~f:.~h,~agu.a ................................................. t~.~....n..e,~ ...o...q.e.....t..e~,.]z...~.v.e. Ll, l~g ......................................................................................... at premises located at ..~..;~.~..o.:~..l~9.~.~,.~..~.f~b.e~,.~).~Iz.e ............................................................... ..................................... .q..a~.e.~.o..~...e. .......... .~.!.~... ................................................................................... pursuant to opplicatlon dated .......... t .............. ..D..e...~......J..c). ............. , 19~..1k....., and approved by the Building Inspector. ~ v ~' Bu~3ding Inspector I .. '.., ~: q~TH~, NEW YORK BOARD' OF' FIRE UNDERWRITERS ~ oOt~the ~i~t ~ipm;~t ~ ~Hb~ ~l~'~ intruded by th~ applicant ~ed ~n'tl~ above appllea~ion numar in the premises of "~:' ~l~'~:~[~t,~Danowski,'~Beebe: Dr. North of' Wilson '-Dr'.,; Cutchogue; L.I, ~ XTURE I~' ~?;' 7::~~ ]?al ~[2:,2~;,jt;h ::-' :,.q,,, 'FIXTURES-% d; ~.-',,,:-~ , . RA~ES ~INGD~KS OVENS DISH WASHerS EXHAUST FANS OUTLEIS R~EP~6CL~ '~IT~HES ~CANDE~EN~.FtUORESCENT '~[~ * ~ ~T, ] K W ~ ~,' K,W., :~T, KW,P ~T, ~ K W, ~T FOItM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TE14PORARY Certificate Of Occupancy No. Z6913 Date Mar 3 1976 THIS CERTIFIES that the building located at . .B.c..e,b.e..D.~..&..W, ,i.l.s.9 .i~..R.~... Street Map No. Xx Block No. XX .Lot No, XX C%ltchoglle N .Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~e~...19 .... , 19. ?~. pursuant to which Building Permit No....7.6.6.~.Z dated .......... D.e.~ .... ~9 ...., 197~' .... , 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 Private one famil~ dwelling The certificate is issued to Alee Danowski & Wife owners (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ..i~..C. ~...B.r.i. gh.a.m..' 2./.2.~../..7.~..&...1+./.~.8/7~ UNDERWRITERS CERTIFICATE No. N..2.~.~.~k7. ...... ~.a.y....'[ .~... ]. ??.~. .............. HOUSE NUMBER ...3..2~.~. ...... Street . .B.e.e.b..e..D.~$.v.e ............................ ~2~ Wilson aoad Building Inspector FOI~M 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 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 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 ................ Addition ....} ........... Old or Pre-existing Building ................ Voeant Lend ....... .~.)... Locaton Of Property ..~.:~..~,.~......~..:.~...~..~.!.~'......,%~.i~ ..................... ,~,~,~....~..'....~...~....../~....d...~_~.~j..~_~ ......... .~.~.....~.,... Owner Or Owners Of Property ' /~ ~ f~' . .. ~ ~- ~ .~ ~ S~,~,~,on ............................................ ............... ~o* No....m..... ~,o~k No ............. ~o~e N~X~. PermtNo ~ Date Of Perm t~/~/~p icont ~ 'f~Zx ~,,h ~,. ~,,,o,~, ...... ~...~ .......... ~o, ~,. ~,o,~, ........... ~.:..~;: ......................... Underwriters Approval .~ ............................................ a nmg B~rd Approval ........................................ Request For Temporary Certificate ........................................ FinoJ Certificate .......................................... Fee Submitted $ .......... ~.,~..}~ ............. Construction on above described building and permit~ meet~all applicable codes an~l~ regulations. Sworn to before me this (stamp or seal) SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant. Phone Address 2. Property Location W~lm~ ~mm~ & R~llmm ))~,~vl Cutehc~ue _~. ~ ~ Vil la~e. Township So~tho~d 3. Public Water Company Name 4. Lot size: Width i~ feet Length 19~ ~ feet 5. Subdiv. m~nor 6. Section 7. Lot Number 8. Private Well 9. Public Water Distance to main 1D. Sewage Disposal System: (For Health Dept. Use) A. 900-gallon septic tank: Precast~quivalent. Block B. Leaching pools: Nu~er of pools ~ Precast ~l)lock.. Special ll. If pr.iqate well, fill in the following blanks: A. Tank capacity ~2 gallons B. Pump G.P.M. ~ C. Total well depth, b~j + D. Depth to ground water. ~ ~ E. Amount of water in well ? The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date 9~ 19 191~ Signed 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 and Water Supply can be installed on this plot. ~ )/~ /~ ~/, /~/~ ^PPROVAL D^T . S NEDL/UY//J S-15 Rev, 4/1/73 1. Applicant Address 2. S~FFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY Village 3. Public Water Company Name 4. Lot size: Width~feet 10. Sewage Disposal System: Phone 6. Section 7. Lot Number 8. Private Well Township ~ g. Public Water Distance to main Length___~feet 5. Subdtv. ~ ~ (For Health Dept. Use) ll. Precast)llDEquivalent B. Leaching pools: Number of pools Ptecast ~lock 900-gallon septic tank:. Block 2 Special If pr~J~ate well, fill in the fol 1 owing~ blanks: A. Tank_capacity ~ gallons L.~. . B. Pure_p G.P.M. - ~ C. Totalwell depth. ~ D. Depth to ground water E. AmoUnt of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and my be renewed if a current local Building Department Permit is in effect. 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 andWater Supplycanbe installedonthis plot.[ / ~'~ ,,~'~.~/I) ~1 ~ ~/~__~ APPROVAL DATE 11'~,') SIGNED J~ S-15 Rev. 4/1/73 Date Dee 19 19...? INSTRUCTIONS a. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate to the Building~ Inspector, with 3 sere 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 prem sas or ublic streets oF areas, and giving a detailed descrmption of layout ofpraperty must be drawn on the diagram which is part of ~is application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of th s application, the Building Inspector will issue a Building Permit to the applicant. SUch permit sha 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 granted by the Building Inspector. n .A,P. PLI_CATION IS HEREBY MADE to the Build ng Denartment for the issuan-- -* - D..,~ ....... ~-~ ~eU~u~i~r~tio~F;o?tr~ien~or~n~t.oLt;h_e' _T~o~..,o~___S~ut_h~o~:. Suffolk ~ou.n. ty, .ow york, and .other.appl!coble [.~ws, Ordinances or~ , a.~.~muml u/ uulmUllrll~)/ ~3QlllOnS or alterations, or rar remova, or aemolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatJo~ls, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Sigf~atu~ at applicont,"~"~'~'~, i~ ~"~l~'~i~'~ ....... Cuteho~ue ~ (Addre~ of applicant) State whether applicant is owner, ~essee, agent, architect, engineer, §enero~ contractor, eloctHcion, plumber or builder. ~ Owner Nome of owner of premises ..~.e...~.. Da~aowsk:[~ W:~fe ~ If appficant ~s a corpo~te, signature of du~¥ author zed officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. Electrician's License No. ~.o..?..O..~te Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ~ Lot No. z:z:z Street and Number ]~.qg.b.q & ~:J.[ oz~ ~o&~ C1lte~O · N.Y. MunicJpalit~ State existing use and occupancy of premises and intended use ~and occupancy of proposed construction: a. Exisiting use and occupancy ......T..&...e...a~....t; .]:...a~:...d . b. Intended use and occupancy ....... g~#...~lg~.~r...~l~..~.~..:~l: ........ . .... 4. Estimated Co~ 5. If dwelling, n~ If garage, nur 6. If business, 7. Dimensions o Height .......... Dimensions oi Nature of wo~k (check which applicable): New Building .....~ ..... Addition .................. Alteration ............. . .... Repair ~ Removal .................. ~ Demolition .................... Other Work ........ ~ · ......... ~ ....... (Description) ...................... .1. ~;.~.~...0~....... +_. ...... ; ........ Fee ....~.:..0...0. ............................................................................ (to be paid on filing this application) Imber of dwelling units ........ .O..~..e. ............. Number of dwelling units on each floor ............................ ~ber of cars ............................................................................................................................................. ommercial or mixed OCcupancy, specify nature and extent of each type of use ............................ existing structures, if any: Front ............................ Rear ................................ Depth .................... .............. Number of Stories ................................................................................................................. same structure with alterations or additions: Front .................................. ,. Pear ............................ Depth Height ............................ Number of Stories .~ ...... 8. Dimensions al entire new construction: Front ............. ~ .................. Rear ....~. ................... Depth ...... ~..~. ............. Height ................... Number of Stories ....... ~.~1~. ........................................................................................................ 1 9. Size of lot: F, ant ..~.~.~. ............................................... Rear ....... '.~..~. .......................... Depth ......... .1...2.~.~,+ .......... 10~. Date of Purcllase .....1.¢~.~ .......................................... Name of Former Owner ...... ,~.*1l]l~...1~..~.~1.3~. ............... 11: Zone or use district in which premises are situated ...... ~..A.~..~i..~..~. ............................... ~ ............................................ 12. ' Does proposed construction violate any zoning law, ordinance or regulation: ..31,~ ................................................. 13. Will lot be re~raded ...... 3~1l~ ....... ..,... Will excess fill be removed from premises: ( ) Yes ( ~ No 14. Name of Ownel of premises .J~,~,.])~I~.CMII~;;I,...~..;.~ ......... Address .....~.~.'llq~g~rg~9 ...... Phone No ....................... Name Of Arc ~itect .............................................................. Address ................................ Phone No ....................... Name of Car tractor o~r~e:r Address ..; ............................. Phone No. / PLOT DIAGRAM Locate cleorlyOnd 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 c~orner lot. STATE OF NEW ~ COUNTY OF ..... ~ Ai®z (Nome obove named. D~lIOM~...~.~. ............................. be ng duly sworn, deposes and says that he is the applican~ individual signing contract~ owner - builder . He is the .............. t ........................................................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or o~mers, end is duly authorized to perform or have performed the said work and to make and file this application; th at all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will b -~ performed in the manner set forth Jn the application filed therewith. Sworn to before me this ................. .......... Notary P It~ .~~~'_Count~ ~u~...,.~ ...................... '~4~' "'~'L~T~.~.~-'(~,,~~ ~/ (Signature of applicant) Notary Public, State of New York / No. 52'~344963 SufFolk Coun ~ Comml~ion EXpires March 30, I~ 7~ wiLSON WILSON NO · = MONUMENT ~L £¥A TION$ At~£ REFEt?EIVCEO Tb AN I~$SUM£D DATUI~. COUNTY H~ DEPAR~M~N~ 19Y The ~ater supp[y faci l~ f~r this ~ i~ected by this dep~rtment and found Ch!ef~of General Efigineer n8 Services MAR~ ~ 1976 s~oW~ ss~em ~s rRo~ nero o~sE~w?m~s ~4o~ /~IV£RHEAD, NEW YORK !: ' ' '~ · HoWARDW. YOUNG