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Home My WebLink About7448-zTOWN OF $OUTHOLD Bu~.nlNG DEPART~'~IT Town Cle~k'~ Of[lee Southold, lq. Y. Certificate Of OCcupancy THIS CERTIFIES that the building located at .~l'&0k .A.v~ ................. Street MapNo .... 1~..~... BlockNo ...... LotNo. ?~.6 Cuteho N.Yo conforms substantially to the Appltcatiml for Building Permit heretofore filed in *his office dated .........J.~Y...29 .... , 19~.. pursuant to which Bufldi~ Permit No. ~Z.. dated ..........Ju~.. ~O ..., 19~*., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which *.]~i, certificate is issued is. l~lve, te. oae .f~J, ly. ~lLi, ni ...................................... The ceriificate is issued to. WIllJ,~ .&. Pat~to/a. gll~M ..... t)~trt~ ............ (owner, lessee or tenant) of the aforesaid building. Su~olk County Depa,-~ent of Iteaith Approval .~.Y..?.. J.97~;...b.~,..a.:..V.t.l.1..a ....... UNDERWRrrERS CERTn~ICA~Z No. ~/.~7~...~. ~....X.u.~.~.~.¥.l. ............. ' .... HOUSE NUMBER ... ~.9.~ ....... Street .~&ek Irs ............................... ffORM NO. ~ BUILDING DEPARTMENT TOWN ~LERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7t48 Z Permission is hereby granted to: pursuant to application dated ..................... ~'..lJ~.....~.~ ............... , 19..~t~., and approved by Building Inspector. Fee Sll ~,~1~ .......... om,n ......~"~"~ ' ..................... " ................ .,,.,...,.. ................... ......... .............. ~ ~~ ~~ ~ ~ ~. ~ ..... 7 .................................. . .............. a. This O~licati~ m~ ~ ~ple~ly flll~ in ~ ~w~ter ~ in i~ o~ s~ in tripli~e ~ ~ Bui~i~ I~r, with 3 ~ ~ p~ ~u~ ~ pl~ ~ ~. F~ ~i~ to ~h~ule. b. ~ot plan s~ing I~afion ar~s, and givi~ c. ~ wo~ c~e~ d. U~ appeal of ~is ~lic~i~, ~e Buildl~ In--tar will iss~ = Bui~i~ Pe~it to ~e ~ltco~. ~h permit) shall ~ ~t ~ ~e pmmi~ ~iloble ~r i~ti~ ~ ~ ~. e. No building ~11 ~ ~cupi~ or u~d in ~ole or in pa~ ~r any pu~ ~r until o Ce~ifi~ ~ ~u~ncy ~11 h~e ~n gmnt~ ~ ~e Buildl~ In--tar. BR .A,P,.PLI ~CATIO~_ IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the u.a!n~.. ~on,e O~d.. inance ot the Town of Southold, Suffolk Cou.n. ty~ New York, and other applicable I. aw~, Ordinances or. egulabons, tot The construction of building~, additions or altorat~ns, or for removal or demolition, a~ heroin described. The applicant agrees to comply with all applicable laws, ordinances, bUlldtng code, housing code, and regulations, and to ~'/~?/~i~'- .g~'~ ;~/'~ ~~'admit authorized inspectors on premises and in buildings for~.~necess~ry fmpoctions.....~../9~. (/ / . (Signature of applicant, or name, if a corporation) .................................................... ......~...F......zte.~ .~.. (Address of applicant) State whether applicant is owner, lessee, agent, orchitect~ engineer, general contractor, electrician, plumber or builder. ,..~.~/~.~.~ ..................................................................... : ................................................................................................. Nome of owner of premises ...~..(.C...~.L.~.~.. & .~..~..0..~...'~.~./.C/.~. ~ ........ ..~....~.~..~...~.0~. ............. : ..................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ............. ..~..~.~.'.....~.!.:.~:....... ~'~0v~ :~/~- Electrician's Licen. No..,?.~.~..~.. ....... ..~...~..' ....... Other Trade's License No ............................................... Location of land on which proposed work will be done. MGp No.: ..... ./..?:...~...0.. ...................... Lot iNo.~.~..~.~.,..~.6 .... Street and Number ~ ........ ~ ......... a~J..~..~. ................................................................ ..~...b:.~...~...o,.~.~,,.~. ................ State existing use and occupancy of premises and intended use and occupancy' of proposed comtmction: a. Exisitin~ use and occupancy ..~./..~...~...~.~...'7... ........ ...~.~...,t.. ..................................................................................... .. .0. ........ ....................... b.. Intended ........ f ...... , . · . ........................... ? ......... ~ 3. Nature of work (check which applicable): New Building'=..:'.....~... ....... Addition .................. ^lteratioh ............. ~,. Repair Removal Dem61ition .................... Other Work .. ' (Description) . 4. Estimated Cost ..~..~.1...~ ................................ Fee ..[..?....'~....~ .......................................................... ~ ........ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ L.T. .......... 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 ................................ .............. .... 8. Dimensions of entire new construction: Front .................................... Rear ............... Depth Height ....?~....~...~. ...... Number of Stories ...... ~ .......................................................................................................... 9. Size of lot: Front ....... ./.~ ......................................... Rear ..... ,/.....O~... ............................ Depth ./...~...2....4/...~..../.~..c/(.....,~.... 10. Date of Purchase ~..~....~..~. ...... ~ ......... .I..q..?..~.. ................. Name of Former. C)wner~....4..~...~..~..~.../c~-(~/..('~....'~..~.~',',~ ..... 1 1. Zone or use district in which premises are situated .....~..~....~'.../.~..'[...~....~.<..~....~. ................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..../V...~.. .............................................. 13. Will lot be mgraded ..... ~,~). ......... ; ...... Will excess fill be removed from premises: ( ) Yes 14. N a me o f Owner o f p re mises .~/.cc./.¢..~ ~..../~r.....~...~'.(~1.¢/./L/~'...~'4~.mgo,4~dd ress ~q~../~.~ .1~ Z'.~.6(..~ ,Dh°ri .No. ~;-~.~..~ Name of Architect' /~.~4L,~t~...~....~..~...~.~,~&(;~...[~.. Address .~..i.~I.~?:~:L...¢~.... Phone No.~/..~.....'~..~..~'../.7.O'o Name of Contractor ..~/./..C.~./,.~.1~1....~.......~.~.~...u~..O.p..I._~. .............. Address .~.~.!.~.....('..u../-.C.~..9.~/,EPhone No.~ PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate al~l~se[-bock dimensions from property lines. Give street end block number or description according to deed, end show~stree-t~.s~, end indicate whether interior or comer lot. ~ -7- V STATE OF NE'~~ ...................... ~.~....~..~'.....r ................................ being duly sworn, deposes ond says thor he is the opplicom (Name ~f individual signing contract0 above named. He is the ............................. ~....~. .................................................................................................................... (Contractor, ag,ent, 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 perforrne~ the manner set forth in the application filed therewith. ' ~,, Swam to before me this ( / /~ ~ . ~'~ .e // fi' - {$'g · JUDITH T. BOKEN Notary Public, Slate of New York No. 52-0344963 Suffolk Commission Expires March 301 19~ FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ORDER TO REMEDY VIOLATION ~ (owner o~r autharized agent of owner) (address of owner or authorized agent ~ owner) PL~SE TAKE NOTICE there exists a violafian of: on,n Or i--ce ....... Other ~plicable Laws, Ordinances or Regulatians ............................. / ~ -..-..-.---..-.~.,........;...... ~> . - /{s~te char~ter of violationJ YO0 AR[ IH[R[FORfi DIR[CT[D A~D OR~[R[~ to compl~ ~ ~w ~d/ to rede day of The praises to whi~ this OR~R TO REMEDY VIOLATION refers are situated at .... ~~ .... o.my Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ORDER TO REMEDY VIOLATION · Dote ~ ....... L..C.. ............. , ~, (owner or authorized a~lent of owner) ~L2~...-...Z:..~...L..:.......~ -,~. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinonce (~/(-~,~:"':L.- /~ ~/ ......... ~.:.~--~ ~ .... Other Applicable Laws, Ordinances or Regulations ............................................ , ~'(';tote chor~;;;r of violation) . ,~z~.~.....~..,~..~..;~.,:.:.~..~:.....:_. ......... ~.~ ..... ................ in violation of (~c~[~¢~r~a?~/~:~i~a~1~;~i~;'e~;~i~c~i~r~i ...................... YOU ARE THEREFORE DIRECTED AND ORDERED a comply wnh the Iow and t~ day of ..... ....~ ......................... , 10.Z.c~. " The ~emises to wxhich ,this ORDER_//~ ,TO REMEDY VIOLATION refers are situated at /~.~'~.....~.~--~.T...~~ounty of Suffolk, New York. Failure to remedy the conditions aforesaid an'" ' ' d to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment both. / FORM NO. 6 TOWN OF SOUTNOLD 0 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 applicoble. 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 naturol 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 .~(~. /. S 7.~.. ~ Date ................. New Bqilding ...!~..... Addition ................ Old or Pre-existing Building ................ Vacont Land .............. Location Of Property ........'~...~.~.~.....~ ......... ~.~~ ......................... Owner Or Owners Of Property ..~..~..]...~...~.~~....~... ...................... Subdivision ..... L ......................................................... Lot No ......... No ............. House ............. Permit No...~....~....~....~....~. Date~'/ ~/'~---0' ~r~,mit ~,~..~Applicant .~....~...~..A,/r~ .......................... Underwr,ters Approval .~.~//,~.....~..~.'...~.. ........ Planning Board Approval .... ..~....r..!...~... .................... Request For Temporary~Ce~rtificate ........................................ Finol Certificate ......... ~..... ................ Fee Submitt~cl $ ....~......:~...... ............ Construction on above described buildin~an~ permit meets all oooJJcal~e r,~:x:les and regulations. Applicant ......... ~....~,~,...~.........(,,~.....~ ............... Sworn to before me this Notary Public .....~.., / .~~ount~ (stomp or seol)~'~-~(~ :~ 7 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 Ug,~u,~n r~ £~-~ooi) Phone Address ~ Izq ~0 / 2. Property Location ~/~c'/c ~/~ ~L~.~r£~ A~/8 t/~ ~ (,.~m~,~) Village ~'~u Tc/~ o 6-0~ Towhship ~a,~-/~ 3. Public Water Company Name 4. Lot size: Width /~ feet Lengthy~z~v/-/~4/~feet 5. Subdiv. /'//].S 6, Section -- 7, Lot Number 8. Private Well 9. Public Water Distance to main lO. 11. Sewage Disposal System: A. /O0~gallon septic tank: Precast ~/ Equivalent Block B. Leaching pools: Number of pools ~- ( Precast~ Block ~pecial If private well, fill in the following blanks: A. Tank capacity ~v gallons (For Health Dept. Use) B. Pump G.P.M. 9' C. Total well 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. ~ application will be valid for one year from the date of approval indicated below and may 6~ renewed if a current local Building Department Permit is in effect. Date ne ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Heal th Department that an adequate and satisfactory Sewage Disposal System and Water Supply can be installed on this p~ot. APPROVAL DATE ~?/'/~F/FT~' SIGNED ('- ~ ~ S-15 Rev. 4/1/73 THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK, NEW YORK 10038 v.,e August 18, 1975 ~ppl,~..on,'..o./.. 765376 N 241074 THIS CERTIFIES THAT Wi~iI~ Ellwood, Track Ave., So. Route 25, Cutchogue, L.I. ~-,-,-~-,,g-- August 14, 1975 andfoundtobelncompliancewiththerequire,ne,,t.~o~th~Board. FIXTURE I [ { ' , FIXTURES DRYERS ~ FURNACE MOTORS ~ ~TURE SP~IAL~EC'PT~ TIMECLOCKS ~ BEt[ AP~ANCE FEEDERS ' i __ SERVICE DISCONNECT ' N0. OF ~X ~ETE. ~ , S E E V t C E 200 I cB OTHER APPARATUS: *Furnaces: 0tl 2-1/8hp, 2-1/12bp Motor/s: 1-1/2hp Joseph J. Frohnhoefer, i Main Road, Southold, L.I. 11971 GENERA E, Per . This certificate must not be altered in any manner: return to the office of the Board if incorrect. Inspectors m~y be identified by th~'-t~redenHals 0 · E L. L. W_O~_L2 Jl NOTIFY BUILDING DEPARTMENT ,~l 765.2660 9AM TO 4PM FOP, REQUJR~ ED iNSPECTIONS: 1. BEFOBE BACKFILLING FOUNDA- TiON OR START FRAMING 2. BEFORE COVERING pIPELiNE 3, FINAL WHEN JOB COMFLETED II ~ LI T- t o... 7'.?~ p,~-~ 7-/o Z~