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HomeMy WebLinkAbout7183-zFORM NO. · TOWN OF SOUTHOLD BUH,DING' DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .F&il~&y ~r/[.v~ ........... Street Map NoF&imm~..El~Block No ........... Lot No.. 16 ..... ~tchog~.,e .... l~ ,][., ...... conforms substantially to the Application for Building Permit heretofore fried in thi.~ office dated .......... .Ma.lt. .... .~.6.., 19 ~... pursuant to which Building Permit No.. ?.l.8.~Z. dated .......... .Ap.r.~.3.....1.~..., 19.7.~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which thi.~ certificate is issued is P~'iva.te. o~.e .family. dwelling ....................................... The certificate is issued to . ~41~s. Catherine. D~'ake ..... 0~na~ ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval NOv... 2.~... ] 97.~... bY..R~.V~],~.& ....... UNDERWRITERS CERTIFICATE No..N.~.8.7..2.~ 9. .... .0.c.~..~.0.. ] 9.~. ................. HOUSE NUMBER .3.0~.0. ........ Street . .F..a.i..r~.a.y..D.r.i..v~. ......................... Building Inspector leO~.M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING ~PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7183 Z Permissio~ is hereby granted to: ...... 8~.~....,le~.~h~ ..~k ................................. ~ ............. .~mll~.u~y., .....It ,.~., ............................... at premises located at .~.t,..J.~. ....... ~v.~13ff~&Y...~'l~. ...................................................... ~'. .............. ............. [ .................... EatzwaT...l~rJ. wa ............Cu.teh~gGe .....I~,,Y.., ...................................... ........ pursuant to application dated ........................... ..~..~.~.~.....~.~. ....... 19..~$.., and approved by the Building Inspector. Fee ~.e.t~.~. ............ ' ' TOWN OF SOUTHOLD -- - -~, BUILDING DEPARTMENT/~'~. TOWN CLERIC'S ~FICE ~" ~UTHOLD, N.Y. ~'~ ,~ .' Exam ned . t d 19 /~.. ~.. t_ ..... ~.~ ............ , .... ,_. __. -~ - _: ................. :; ................. ~prov~Disapproved ............................... ~ ...... , 19.~..~ ~it ~o.~..~..~..~ ...... ..... ................................ ~~ ~ ~ ~, ..... ~..~..~.. ......... , ~....~....,.~ INST~U~IONS o. lhis a~lic~tion must be compl~tel~ filled in by ~pewritor o~ in i~k ond Insp~tor, ~ith ~ ~ o{ plonk, ~ocumt~ pl~ plan to ~al~. F~ ~oco~in~ to ~ch~ulo. b. Clot plon showin~ Io~ation o{ Iot ond o{ buildings on premises, relotionship ore,s, ~nd ~ivi~ ~ dotoil~ d~cription o{ layout o{pr~e~ must be drawn on the di,0mm which c. The work cowred by this ~pplicotion moy not bo commenced before issuonce o{ Buildin d. Hpon ~proval o{ this ~Pplico~on, th~ Buildin~ In*p~tor'will issue 0 Bu[Idih~ ~erm~t 1o the opplicont. Such permit sholl bo kept on the premises *v~iloble for in*paction throughout the work. e. No buildin0 sh~ll b~ ~cupied or used in whol~ or in Part {or ~ny pu~ose wh~tover until sh~ll h~ve beon ~rent~d by th~ Buildin~ Inspector. B ~PkICATIO~ IS HfiR[BY ~Dfi to tho Buildin0 Depa~ment {or the issuanc~ ui~oinO Zon~ Ordinance of th* Town o{ Southold, Suffolk Count~, ~ew York, ~nd other ann Regulations, {or the con~tru~ion o{ budd'n0~, ~ddition~ or *l~rat~on~, or {or removal or The applicant agrees to comply with oil applicable laws, ordinance, building c~, h~si~ c~e, and reguloti~s;' a~ to admit authorized inspecto~ ~ premises and in buildings for n~es~ in~ections. Flmeer Hill Building Corporation ...................... Thames..E~..Uh~ ~..Rres [dat~ ........................... (Signature of applicant, or name, if a corporation) ............ 82.~3 .. J er. i cho..TurnpJ.ka..J~mdbn~...NtZ.....I..1292. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................. BuJ.lde. c .................................. ~ ............................................................................................................... Name of owner of nrem ses " Hr.s. Ca~herlne Drake If applicant is a corporate, signature of duly authorized officer. .................. iR~;g;'~;~Li";i~i';'g~' Builder's License No...~.. ................................................ Plumber's License No ............ ~.7...P. ........... Electrician's, License No ........ Other Trade s License No ............................................... 1. Locat on of and on wh ch p~ropased work w b_e done. /V~ap No.~.~..~...~Z~a .......... Lot No...!~ .................. Street and Number ..~....~ o~:~- ~~, Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ............... ~I4~,e .............................................................................................. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ......... .-..~.~ t' Repair Removal Demolition .................... Other Work (Description) 4. Estimated Cost ..... $~ZJ).,J)J)~l.,J)J) ................................... Fee ....7..~..~......~. ................................................................ First FlOOr (to be paid on filing this appli~.~d FlOOr 5. If dwelling, number of dwelling units ........... ~.. ............. Number of dwelling units on each floor .~ .......... ~. .............. If garage, number of cars ............................. .2.. ............................................................................................................. 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 some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .............. ~. .................... Rear ......... .8.~..~. ............. Depth * 29 t Height .....Z~ ........... Number of Stories ...... .2. ................... 9. Size of lot: Front ............ i ............... .1.~. ...................... Rear ........ .2..0..0. ............................ Depth .....2..2.~ ...................... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........ J~si~ence..JJ~ .................................................................... No 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. WJIJ lot be regraded ..Yes ..................... Will excess fill be removed from premises: ( ) yes (~X) No 14. Name of Owner of premises .~.....~.~Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phor, e No ....................... Name of Contractor ..F~o~el,..Nj~t{..~tdg.~..(;ee, p~ ............ Address ..~g~li~.r:.f.r.~l,Y. ...... Phone No. ~,9~,-..~.5~.~. ..... PLOT DIAGRAM Locate clearly and distinctly oil 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 lot. STATE OF NEW YORK, ! S S COUNTY OF .................. ..: ........... : ...................... .~.~,~' ........ "~/~..~, ./... ................... being duly sworn, deposes and says that he is the applicant (Name of individual .signing contracf) above named. He is the ..................... ~ ................................. ...~ .~......~..~......-~..-,~--~ ......................................................... (Contractor, a{~ent, corporate office'S, 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 gre 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 therewit~ ' Sworn to before me this ........ ........ ..... ................. . Notary Public, . ............................ t' ....... ~ ...... ../C. County ............................. ."~....{~...~...~ ............................... /3, · j__ ~ ~ ~t ,~ / (Signature of applicant) NOTARY PUBLIC, ~ta~e of New York No, 30-2622700 ~uaJlfied in Nassau Counfy Term Expires March 30, 197S 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: I. 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 $1.00 Date ..~O.¥.e~l~F..~.:~,...1.]7..~ ............ New Building .......X. ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...... EaJ. r.~a~/..F, ar. ms.,..f;g.t.ch~g.~.¢.,...L.o, og..I.$.].~.ad.,..N~..~Q£k ................................ Applicant .......................................................... Owner Or Owners Of Property ....C;a£her. J. ne..and,.~.e~.rg.~..$....D.r.a, ke, ........................................................ Subdivision ........ .F..a.!..r..w..a.y....F..a...r~...s. .............................. Lot No.....I..7.. ..... Block No ............. House No ............. Permit No ......... 7. J.~3.[.. Date Of Permit ..~LI. 5/.7..~....Applicant ..EI.~.¢.r....H. LI.L.~..u. IJ.¢.[n....c.~.r...: ............ Health Dept. Approval ...... ~..S..0.T.~.~. ......................... Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ............ .X. ............................ Fee Submitted $ ....~,.Qfl ........................ Construction on above described building and permit meets all applicable r ~ Sworn to before me this ' J HEALY Notary- P~gH~ ... .................................. ~0~ Public, State of New York ~ ~ualified in Nassau County ~ommission Expires March 30, ID .... Flower Hill Bulldlng Corp. Thomasl ~, ~,~1~-~ (stomp or seal) APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant Flower Hill Bld~. Corp. Phone (~1~) ~q2-4~ Address 82qt Jericho Turnpiker ~odhur¥: NY 11797 2. Property Location Fairway Farm~ Cutchoaue. NY Villag6 ' Cutchmgu, Township Rn,,thnld 3. Public Water Company Name 4. Lot size: Width 22~ feet Length ~nn feet lO. Sewage Disposal System: A. lJ~:O~gallon septic tank: Precast x_Equivalent Block B. Leaching pools: Number of pools ~ Precast" x Block .Special ll. If private well, fill in the fol 1 o~i ng blanks: A. Tank capacity B. PU~ap G.P.M. ~2 gallons 360 5. Subdiv. Fmlrwmy Fmrm~ 6, Section I 7, Lot Number 8, Private Well X 9, Public Water Distance to main (For Health Dept.,Use) C. T~tal well depth D. D~pth to ground water E. Amount of water in well ) The undersigned CERTIFIES: "Construction of authorized installations 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. ~ 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 pl~ot. APPROVAL DATE S-15 Rev. 4/1/73 , New York State Department of Environmental Conservation 50 Wolf Road, Albany, New York 12201 James L. B~ganc' March 12, 1974 Ms. Catherine Drake 424~ East Hill Road Southbury, Connecticut 06488 RE: Petition No. %W-15275-0058 Petition for Moratorium Permit Dear Ms. Drake: Your petition has been forwarded to this office by the Local Tidal Wetlands Permit Administrator who has made a review and site inspection. As a result we have determined that construction of a single family dwelli[~g, in the Town of Cutchogue, Suffolk County, New York will have no adverse affect adjacent tidal wetlands. Therefore, pursuant to Section 25-0202 of the Environmental Conservation Law and the Commissioners Directive dated November 12, 1973, you are hereby notified that no permit will be necessary. Very truly yours, Louis M Concra, Jr Central Tidal Wetlands Permit Administrator LMC:SJZ/scs cc: D. Larkin THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRIC, FrY ,.. '. ~'' ! 85 JOHN STREET, NEW YORK, NEW'YORK:IOO3H.. ~ THIS CE~IFIES THAT in the following location; [] Basement ,~ Ist FI. [] 2nd Fl. O ~t e ~ ~ Section Block Lot16 .as ,=.mined o. 0 e~ ob e r 7, 19 7 ~ Gnd/o..d to be in complio~ee with the requirements of thi~ Board. RXTU~E RXTUEE$ RANGES OVENS OUTLETS SWITCHES FLUORESCENT DRYERS KIRNACE MOTORS FUTURE AFflJAN~E FEEDERS TIMECLOCKS EXHAUST FANS DIMMERS SERVICE DISCONNECT S E R OTI~'~S: 011 1-1/8hp, 1-1/2hp Water he~ter~ 2-1;.Sky l~otor/e: 1-~hp P~elboar~s: 1-220~. 125a~s. 1 Poet ll~t 1-5 Ton A.C.Unit 1 C 1 ~/0 1 2/0 Peter Bo~ovic ~aAn ltoad, 5outhold, L.I. 11971 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTE~D I~Y MANI~IE,R.. ~ Lot 15 · -/,,,~'/o w. ComponY --- s.~ Fork Norfl~ #or£~ · :~NUM~Nr ~U~OlVI~ION MAP ~1~ ~D IN THE OFFICE P~B. I~ 19Y4 FILE NO, .EWS~O.$ YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK SURVEY FOR: GEORGE ~ DRAKE,JR. LOT NO. 16, "FA ~ RwAY FARMS" . AT GUAR · , CUTCHOGUE M0~~~s0 TITLE INS~ Yow. o~ SOUTHOLD m ONAUTHORIZED ALTERATION OR ADDITION TO THIS SURV£Y IS A VIOLATION OF SECTION TEE LAIVE L at 15 I ~ .~. ,~/ -~ ..... ~ .... ~'to" ~ For~ Company North NOF£, · -' MONUMEN~ SUBOIVI$10N MAP OF TH£ CL~BK OP$~I~FO£K ~OUNT Y ON FEB, I~ 197~ F1££ REVISIONS YOUNG & YOUNG MAYSt1974 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: ~ o~ GEORGE B D,,RAKE,JR ,, AT GU CUTCHOGUE .o IE~ kT~ ~f~F C~l ~ , TI~Z~N~ TOWN OF SOUTHOLD co., SCALE: I" : 50' DATE: ~R. 14, 1974 NO. SUFFOLK CO~-~ Y EIEAL~H DEPART2~iEN~ The sewage dispozal and water supply facilities for tL[s location havo been inspected b~ th2s department asd found ~ Chl~f'of General Engineertn~ Servioe~ lot I~ r'- S'89°12'10"E' 225. 59' MAY 8,1974 MAY 31,1974 JUNE 18,1974 OCT 31,1974 NOV. 19, 1974 DRIVE AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK CO., N Y. SCAL~: I" = 50~' J DATE' HOWARD W. YOUNG 14, 1974 JNO. 121 SURVEY FOR: GEORGE B. DRAKE, JR. LOT 16 "FAIRWAY FARMS ALDEN W. YOUNG YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK NO rE: · = N'ONUt4ENT SUBDIV/SIO/V /ffAP FILED I/V rife OFFICE OF THE CLERK OF SUFFOLK COUNTY ON FEB. 15, 1974 AS FILE NO 80~8. SEOW~ ~EREIN ARE FROM FIELD~BSER~A~O~E /,- NOTIFY BUILDING DE;PARTMENT ~'. . 765-2660 9AM TO 4P~ FO¢, ~¢QL'IK- . ED INSPECTIONS: , , 1. BEFORE BACKFILLIING' FCUNOA-.. ": TJON-O~ 5TAP, T FRA,'v¢.ING 2, BEPOfiE COyEP4NG pIPELINE . 3. FINAL WHEat JOB (COMFLETED / · .?