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Home My WebLink About7440-zlfqOB,M NO, ,I TOWN OF SOUTHOLD BUUDING DEPARTM~.NT Town Clerk'~ Office Southold, bi. Y. Certificate Of Occupancy No. ~.6t98 ...... Date ............. 1~... 8 ...... , lg'/.~.. THIS CERTIFIES that the building located at . 0s~rey. ~.e~.t..&..~/~1~1.$. ~.. Street Map No.¢leavas. P.~ ~lock No.. IX ...... Lot No. ~0 ..... G~el~p.o.~$ .... N. t.Y., ....... conforms substantially to the Application for Building Permit heretofore fried in this office dated ......... Jlme .... ti.., 19.~. pursuant to which Building Permit No. dated ......... ,TuJ. y... 2~..., 19.7~'., 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/,vate. o~e. f,~Ll~..dwelling ...................................... The certificate is issued to . Jame~ .&. Eilee,, .lhlg~l ...... O~el,, ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .NOY...7...1.~7~....bla. he..V;L~I,~,$ .... UNDERWRITERS CERTIFICATE No..~...~9.2.~.~..8 ..... .N.~y...~..~.~.7.¥ ................. HOUSE NUMBER ..... 1~0 .... Street ... ¥~l~e. ~a ............................. ~0 0eV~ i~et Road .... ~ ' Bu/.ldmg T~ter lrO~tM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OPlqCE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7~40 Z Permission is hereby granted to: Fa rmv.~.~:~..~uildJm~..~ ,,.....A/.~..J. ame s...~...~il~ e n DUga~ .... .l~rz.....-~e~..~a ..~L~ ................................... ........... £~.%~.~...o.~...e. ............................................... ' 11 ~+. ....~.£..~.~.q.~,,~.L~Z...../..?. ................................................................................................................... at premises located at ....]~.~.l~..~.Q.....~..~.~....:[~.....~.~.~..~.v..~.~....~.~..:.~..q.~. ................................................ .......................................... .~.~..z..e.... ~.~ ..~...~....~..en ..~.?.~.L .~.~ ............ ~..r..e..t"..~.,'..°..r...t. ............. '. ..... pursuant to application dated ................ ..J..~10,~...:]J,,...W/~,.,~,..., 19...~..)+., and approved by the Building Inspector. Fee SJ~ ~...~J~ ........... '; b. Pt~ ~l~n ~i~.l~m~ of I~ ~ of ~i~di~s ~ premix, mlmi~ip to ~joini~ p~ areas, a~ g~w~ a d~il~ ~npti~ aT ~ ~p~ must ~ d~ ~ t~ d~ ~ I& ~ ~ ~ (~1~ c. ~ ~ cM~ ~ ~i& ~lieat~ ~ ~ ~ c~me~ ~ isuance of Buildi~ P~. d. ~a~l of ~is ~licmi~, ~ Buildi~ I~tor will i~ a Buildi~ Pe~it to shall ~ ~ pr~i~ ~fl~le ~r I~i~ ~ ~ ~ e. No ~ildi~ ~all ~ ~c~i~ m u~ in ~ole or in ~ for any pu~ wh~ shall ~e~n g~t~ ~ ~e Bulldi~ In~r. APPLI~TION IS HEREBY ~DE to the Bui~i~ ~ment ~r ~e i~u~e of a Buil~i~ Pe~it ~ ~ '~e Building. z~e O~in~e of ~e T~ of ~M, ~ffolk C~,. N~ York, ~ ~er ~gu~t,~s, ~or the c~st~ o~ bu]~di~ ~it~s or a~temt~s, ~ ~ ~1' ~ ~it~, ~ ~ n ~rl~'~~ ~e .?p?an~ ~r~s to~ly with a~l a~e.~, o~d~, ~i~ c~, h~l~ aamlT auT~nz~ in~o~ ~ prom ~ a~ In ~IWI~ ~ ~e~ i~t ~s. (Sign~m of ~ll~nt, State whether applicant is ~er, I~e, ~ent, amhit~t, engineer, general c~tmctor, el~trician, plum~r or Name of ~r ~ nmm ~s ~Os & ~tleen _. (Name and title of corporate officer) Builder's License No .... .~'.Al~lff.~.9.W....~.~-.~'.~. ............ ~. Plumber's License No ................................................. Electrician's License No ............................................. Other Tmde's License No ............................................... Location of land on which proposed work will be done. Map No.: .....O...]:.?~.?.e..~...?..~......~.~.. Lot No. Street and Number ..(~,~J~LA~l~..~..~..~l~nl.~...~lt~.......G.~...e..~..~.~..O..r.~ ...................................................... State existing use and occupancy of premises and intended use and occupancy of proposed con~ruction: a. Exisiting use and occupancy vacant b. ntended use and occupa.cy ........ ......................................................................... 3. Nature of work (check which~licable): New Building...,~t~ ........ ion .................. Alteration ................. Repair Removal Demolition .................... Other Work ~ ' ' '~ (Description) 4. Estimated Cost ........................... ~.,I:JC)0...~. ............. Fee~.~...... ...................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ Ol~e ............. Number of dwelling units on each floor ............................ If garage, number of cars ....glMI .................................................................................................................................. 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 .......... J~0 ........ i ............ Rear ........ ~0. .............. Depth ~../...~.~..,.,.. Height Number of Stories olJe .............. 9. Size of lot: Front ....~..~. ............................................. Rear ..... ~.0~ .............................. Depth ....,.1.~..~ ................ 10. Date of Purchase ..... .~iql.~......1.~, ............................ Name of Former Owner .~,1~JL~..~ll.~ ......... , ........................ It It 11. Zone or use district in which premises are situated ....... ~.....~JJ~. ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ~.Jl~q ........................................... 13. Will lot be regraded ..... ~ ...............Will excess fill be removed from premises: ( ~ Yes ( ) No 14. Name of Owner of premises .,T~s.;~ll~azt..&..lJ:L£~....~.. Address ....l~J;Lf, Ji,f,,e~ ..... Phone No ....................... Name of Architect ...~.J~lt~.:[J¢~..,l~l ~-~ ........................ Address ................................ Phone No ....................... # Name of Contractor ............................................................ Address ....J~....~.~..~..O..~...e. ......... Phone No. ...................... PLOT DIAGPJkM 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 lot. STATE OF NB/~ COUNTY OF .....i~-~..~,M~: .............. IE'l'lej~ ])g,~&jj ...... be n duly sworn, deposes and says that he is the applicanl (Name of individual signing contrecf) above named. He is the ................................................................................................................................................................................. (Cont~tor, agent, corporate officer, etc.) of said owner or owners, and is duly authori-zed to perform or hove 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 in the manner set fo~th in the application filed therewith. Sworn to before me this ................... (Signature of apJ~lcant) .;UDITH T. BOKEN Notan/ Public, State of New Yodc No, 52-0344963 Ma,ch 30, W--J-- SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number 10. 11. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY Applicant~'Mi~d (~. Cm · . Phone~'-~V Address ~ q~ .~,__ ~z. Propert~-Lbc~tion ~f~ ~t~Z~ Village Township, Public Water Company Name ~,~u~m 5. Subdiv. '~ ~,,w 6. Section 7. Lot Number 8. Private Well 9. Public Water Distance to main Lot size: Width ~0~~ feet Precast / Equivalent Block B. Leaching pools: Number of pools_~ Precast.~T~ Block__~pecial If private well, fill in the fol- lowingqFlanks: A. Tank capacity~lons B. Pump ~G.P.M. /X/~ C. Total well ~depth . D. Depth to ground water E. Amount of water in well Length. l~ feet (For Health Services Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health Services' 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 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. _ S-15 Rev. 4/1/73 THE NEW YORK BOARD OF FIRE. UNDERWRITERS BUREAU OF ELE~"rRIC~ I~ &N e= JOHN STREET, NEW YORK. NEW"~ORK 10:O~8 ~,'Nove.,ber 5,197a ~.,~.,~o.o./,~ N 192148 THIS CE~IFIES THAT O~y t~ e~t~ ~u~t ~ ~ ~ ~ int~ ~ t~ ~at ~ on t~ a~ ~pl~a~n numar in t~ p~s of 3~es ~gan.n/w/~ ~4aple ~. SO~prey ~eat 21 35 21 21 . RXTURES RJTURE APPLIANCE IEEDEIS SERVICE DISCONNECT [NO. OFI S E R V :' I. 1 100 CB METER x 1 ° ,~.w.o. Ii A.~T. AMP. ~ EQUIP. I,~'2w 1~'3w 3,~'3W 3~'4W NO,<~C~¢ON . OF CC. COND. OTHER APPARATUS: RANGES CQOKB4e DECKS OVENS DISH WASHERS sK-aALRECP1 TIMt~IOClcs t mL: U~IITHEATERS MULTI-OUTLET C EXHAUST FANS 1 EFurnaces=l-1/Shp,l-1/12hp WFuture Appliance FEedera=l-2~12,1-3~10 1-0.F.I. Sapanano&Min~o 102 Oak Ave. Shtrley,L.I. 11967 11 ......... ~, C~FOR ~U~DING DEPAR, TM .El?.:: T?j?C~O. PY.O~ C~T~AT..~ E MO~_-~NO_T BE AL_T?~DJ? AH?.MA~HE_R' ._:.: o~J,uRE THAT DOES AND THE .~'.": ~' Y' _.. ?~::: ,dr'~'~Z4¢,¢,¢,¢,¢,¢,¢,¢,¢~*¢ ~' (]:lION $¥ 9003 DNl(]lIO8 lit/18 '~ 'N ]HI JO SNO~SIAO~d ¸I-