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Home My WebLink About7063-zFORM NO. 4 TOWN OF SOUTHOLD BU~,nlNG DEPART~m~IT Town Clerk's Office $outhold, BI. Y. Certificate Of Occupancy No.Z&IO¢~ ...... Date .........~pt.. 1.~ .........,19~1~. THIS CERTIFIES that the building located at . .F&eto~j. &1~ .............Street Map No.. x~ ........ Block No.~ ........ Lot No~iD~x. . Matti. tuek...Ii,If., ........ conforms substantially to the Application for Building Permit heretofore filed in th!~ office dated ..........' 'Jan' · '2~' · ', 19.~1~. pursuant to which Building Permit No.~Z ·. dated ............ Ja~ ·. · 29., 19. ~a~, was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is . Pr.t, vat~ .o~e..f.a~iSy- dw, lllng.. ...................................... The certificate is issued to . .Frsddt, &. Ma~te. Lawso~ .... ~l,s ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval... l~pt.. -1.3.1 g.7.~ · · b~. Ro..~illa · · UNDERWRITERS CERTIFICATE No. ii18~781 ..... Selrt · · ~ I. · · 19r~ · ............. HOUSE NUMBER .... 1070 ..... Street .. t~aeto~y. ~,~ .......................... FO~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN C:LERK'S OFFICE $OUTHOLD, N~ Y. BUILDING PERMIT COMPLETION OF THE WORK AUTHORIZED) N.o 7063 Z Permission is hereby granted to: ~iverstc~e i~o~es ~ne A/CFreddie & Mamie Law~o~, ........ bmm....2~+. .................................................... .......... ~l.v. er~:ad .......... ~.,.~ .............................. ~uil~ n~-r one ~...~il.~ (lot approvod by at premises located at ..... ~-/.,8,...F.,~.e..t...°..r..~...~.,w,,e.....&....xJ..~..~..*.].,*.:,t.,:!~r. ................................................... pursuant to application dated ...................... .,~.~.....~ ................ , 19.~..bc.., and-approved by the Building Inspector. F, ,....~..0....~.~ ........ ......... ~ .~4n/./,~ ............ .~..,~. ......... ~ .................... , ~ ~, Building'inspector ( THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY THIS CE~IFIES THAT in the foll~ing I~a ' · t ~ ~ FI. ~tion w~ erami~d on a~ found ~ ~ in compliance with the requi~n~ of th~ B~rd. =mAc~sI SWITCHES I~<ANOaSCe 26 22 1ll FURNACE MOTORS 041 H.P. GAS H.P. FIXTURE OUTLETS DRYERS AMT. K.W. RANGES COOKING D~CKS I OVENS DISH WASHERS A/AT. K.W. I A~T. K.W. I~MT. K.W. TIME CLOCKS RSRIUFIIT HEATERSUFIIT HEATERS i MULTI,,OUTLET EXHAUST FANS DIMMERS 1 200 CB x 1 ~1/0 Water heater: 1-ti.Skw Motor/s: 1-1/2bp V I C 2/0 Elec.room heaters: 1-2.Skw, 1-2.25kw, 2-1.75kw, 1-1.25kw, 5-1.0kw,5-.75kw Towle & Sons Inc., 33 Lincoln Ave., Mastic Deaoh, L.I. 11951 1] .. ____ COP__~_Y FOR BUlLOING DIEpARTMINT. TM CO___~PY OF CIERTIF ~IC~ I. ~ ~.~ NG)T BI ALTERED IN ANY MAHNER. FOKM NO. 6 TOWN OF SOUTHOLD Building Depmtment 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date fig ~ .t;.et~.¢~'...~ ~....~.?.zg ........... New Building ......X. ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..~/..~...~.a..c...t.q..~Y....A..~..e..~..u..e~....a..~..d...~..~.R. .................................................................... Owner Or Owners Of Property ..EX.e.~..~.a.V.~.9.~ .............................................................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No...1.0.§.3.~. ....... Date Of Permit .,T.~.9,..~;c,).,....]-..9~,~plicant ..~$."L~;~.~.~..~.q~.~.~ .................................. Health Dept. Approval .........~...S..O.-..7. .......................... Labor Dept. Approval ................~.......~... .................... Underwriters Approval .... .~. ~.8.].. ]. 8.. .2. ........................... Planning Board Approval ....... ..~....i..!...~. .................. Request For Temporary Certificate ........................................ Final Certificate .......... .X.. ............................. Fee Submitted $ .....5.,..0..0. ....................... Construction on above described building~p~j/Z~,d regulations. Sworn to before me this Applicant ..~.~.~..~~.~.z~..r......,~....z.; ..................................... Notary Public ..~unty (stamp or seal) SUFFOLK COUNTY DEPARTMENT OF HEALTH Heal th Department Reference Number 1. Applicant Freddie Lawson Phone 345-3952 Address Sound Avenue._Mattituck ._~_ . 2. Property Location ~ast side ~f Factory Aveoue~ North of__~oute 25-- Village Mattituck low.ship Southold 3. Public Water Company Name 4. Lot size: Width~$- feet Length-7,~-Z~b/ feet 11. lO. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 5. Subdiv. 6. Section 7. Lot Number --8. Private Well 9. Public Water Distance to main Sewage Disposal System: A. ~gallon septic tank: Precast'<]Equivalent Block__ B. Leaching pools: Number of pools / Precas t'~ Block ._Special If p~'vate welT, fill in the fol lb~ing blanks: A. capacity_ /q gallons B. lYurnp G.P.M. C. To-{al well depth D. D~pth to ground water E. Am~nt of water in well (For Health Dept. Use) 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. / / P.O. 274 ///[~/"'7 a~/' Signed RIVERHEAD. N V 11902 Date ,_f_/..~/_z~: . .................. · ................ ::::::::::::::::::::::::::::: :::::::::::::::::::::::::::: .................................. 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. APPROVAL DATE ~///~-~,/~r SIGNED S-15 Rev. 4/1/73 TOWN OF SOUT.OLD , . APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Inspector, with 3 set~ of plans, aocurate plot plan to scale. Fee according to schedule. b. P~ot ~>lOn shOWing location of'lot and of buildings o~ prernise~s; relotionshil~'to c~ljoining premises or areas, and giving a detailed description of layout ofproperty must be drgwn or~ the diagram which is part of this app c. The work covered by this application may not be comrnen, c, ed_bef~e is~su~s~ce_'of @u~ding Permit. d. U-pan'approval of this application~ the Building Inspector will issue a Building Permit to the applicant. Such shall be kept an 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 shall have been granted by the I~uilding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the coratruction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) P.O. Box 294, Rlverhead, N.Y. / 14 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ ~_~_fia_qr ............................................................................................................................................................ Name of owner of premises ....... ...~'.....e~..~...~...~....~l~..?...B~...~. ......................................................................................... If~rpora~~ed officer. Builder's kiceese No ................... .-...-..-. ........................... Plumber's License No. ..... ~..~...-.~.. ............................. ~550-E Electricion's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ..~/.~.~IR2i;OI~..~V.~ilD~.s..~0X*til.0~[.~I~.~,..~;~, ................................. ~ ....... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy YAcaz'~ ~ b. Intended use and occupancy ...... .o...~..e...-..~....m...J.l.~...~..W~.....~....~. .................................................................................. 3. NStU~ o~ work (check which applicable): New Building i.....~, ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work .................................................. .... t~ ~ ~'~ (Description) 4. Estimated Cost ............$2.~,,.[~J).0~.J)~. ......................... Fee .......................................................................................... (to be paid on filing this application) ,5. If dwelling, number of dwelling units ....... .4 .................. 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 ................................ 5' 8. Dimensions of entire new construction: Front .............. .~. ................... Rear ....... ~..~.e. ............... Depth ..... ~..8.!..6!t. ........ Height ....... ~.~.I. ....... Number of Stories ......... ~. .......................................................................................................... ! 9. Size of lot'. Front .................. .~I~ ............................... Rear ..................... .~.~. ................ Depth ......... ~.~.! .............. 10. Date of Purchase ~ ..~.Q.V...~..9.,...[.~.~ ...................... Name of Former Owner .......... ~..[~ ....................... 11. 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 fromm prqm[ses: ( ) Yes (ID No · av.e 14. Name of Owner of premises ..~.~.~.~....~..~l,..~.~.....~J,.~.~.P^ddress .}~CttC~ ........... Phone No. ~..-~.g~[... Name of Architect ~[Ch,:~'~I..lJ~I'~OE~;~ ..................... Address ..~.~.7~.~.~... Phcx~e No..~.~..'.~.~ .... . _ . R ve s de T[omes, Name of ~omractor ............................................................ Address .~9.e~al~j..~,-~j~.. Phone No...~.~.~.~.~.~J... 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 comer lot. STATE OF NEW~RI~./o ~J leS COUNTY oF~..)'°' .............. ...................................... ~ ............................. being duly ~worn~ deposes c~d says that he is the opplican! (Name of individ~zaPsigning cc~tract0~ ' ~ ~' ~ ' ' ' ~ above named. He is the ................................................................................................................................................................................. (Contractor, agent, corporal.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~ol;~cation~ ar~e trge ~to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to ~e~e me this ,'~ /' ........... ............. Nota~ Publi~..:~.~~n~ ..... ~:.~ .................. ;;7'""7 ........ ;' ....... ;;"'"X ................ ~ ~lgnoTure oT oppHcanT) JUDITH T. BoKEN Nato~ Public, Slate of New Y~ No. 52.0344983 Suffolk County~ Commission Expires March 30, ~9~~ ~iOIF KoNCHAL-SKI ®® ~,/ ,,.,'"NIO/F KoNCHAL-SKi SURVEY FOR FREDDIE O. 8 MAMIE A~ LAWSON AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N,Y. SC/ILE 1"=40 OCT $1, 1973 MAY 14, 84Y$1DE FEDERAL SAVINGS a LOAN ASSOC. FREDDIE O. ~1 MAMIE A. LAWSON ,iF oRS. pL, SURVEY FOR Fr?£DDI£ O. ~ MAMIE' A LAWSON 0 0 O z ,L~ > £ > ~OUND ~VkZNLJE _~ Llpco ~OAD L_ONG ISLAND 0 L~ MAP OF LAND Al' MA-F~F ITUC K OF $ O!JT HO LD., 'Z "Alterdlon of this Oocumen! except by a Licensed Profes- sional Engineer, Is illegal". Seclion 7209, Subdivision 2, Office Of Gorc]on K. Ah]ers, P~ ~:, '7 / S''v F--/CG 'T' /~ Gor4on K. Ahler~, ~ono] Engm~er, is i[legaV', Section 7209, Subdh[~oe 2. N. v State ~ ,.el-- Ahlers. P. E q; q" T OL,~ce (3o]'do:, ~' ~ tt7~[cr Offiee Gordnn K. Ah]er~, except by a Licensed Profes si?al Engineer, is Illegal", SecHorl 7209, Subdl'dsioll N; Y, Slate Educallon [,aw