Loading...
HomeMy WebLinkAbout7089-zleO~M NO. 4 TOWN OF SOUTHOLD BUn,nlNG DEPAR'I~F,N-T Town Clerk's Ot~iee Southold, N. Y. Certificate Of Occupancy No..Z779~ ..... Date ............. .,l'ul~'.... ~..., 19..'~-1 THIS CERTIFIES that the building located at . .I~.t~,~. P~.c. OB~C..l~y. ~1~. Street Map Nofle0ar. B,~ach B~ck No ........... Lot No...130 ...../toutholA.. l/,l/e ...... conforms substantially to the Application for Building Permit heretofore ~ed in this office dated .............. Fab.. ~ 19.~. pursuant to which Building Permit No...?08.~Z dated ..............Fg.b...'~..., 19~+..., was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Pl':tvate..one ~ami2~r .d~.ling ....................................... The cePtificate is issued to . .St;alllel. ~.. Ro~eaki ....... (hm~. .................. (owner, lessee or tenant ) of the aforesaid building. Suffolk COunty Department of Health Approval . .Jla... 26... 19.~.7... b~. R, .V. llla. UNDERWRITERS CERTIFICATE No...l~2~.l~l ....... July...30 .... ¶97g ........ HOUSE NUMBER ..... 202~ ....S~eet... Littl~ .Peeonic. ~ay. Ro&d ...... ~thold FOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7089 Z Date ...................... ]~b ......... ~ .............. 19..?t~ Permission is hereby granted to: .~.~...a..~...[~........~...... ...... I~e~hn~& ...................................................... ~o .~.~ ~..~..~.~...~.~.~. .................................................................................... at premises located at V-ot. ........................... M,.t,.tT,.e...~.~.~R~,e.....~... ~.e~ ............... li.~.ta.e~l.....l!..~..z...,. ............................. pursuant to application dated .................. ff.~lZX ....... ~ .................. , lC~...., and approved by the Building Inspector. Fee $~..~..e. ~.~. ............ Building Inspector/ l~Ol~I NO. $ TOWN OF SOUTHOLD Building Deportment Town Clerks Office SouthoZd, 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, anci 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 plain 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 ? - ]' ?- ? 7 New Building ....... ×......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...... ~.~-.~.:..;;.~......~:~..o.~.~..~...::~:...~?.c.!~.9.~...~..o.?..~.:zo Owner Or Owners Of Property .~.O~.~..;,~,~,....,~.~ .~.,~ ~.._~.a~.:::'l ~z ..................................................... Subdivision ................................................................ Lot No.]:.~..©. ...... Block No ............. House No ............. Permit No. 70892 Date Of Permit ...~..'?;?..C:'..~.~.Appllcant Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and permit meets all a, Rplicable co~.es a~nd regulations. Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) ,, ,, THEiNEW YORK BOARD OF, FIREilU,NDERWRITERS ,i : ' , BUREAU OF ELECTRCTY ~-Ii~,]!! ' : , , ,; ' ,"'il ] , . 85 JOHN STREET NEW YORK NEW YORK 10038 v,te July ~30,~1975 ~ ' AP"l'c*'i°"~'O'°"fle' 737769"~ ~'~:.~' "' '~' : N238151 THIS CERTIFIES THAT ~il ,!' ,, only the electrical equlpme~t ~s described be~w and intr~uced by tlw applicant named O~lt~ a~ve application nun~ber in the premises of / ~tanley~og~sk~,' e/s~de L~tt~e Pecon~c Bay'~Lane~ s/o B~yv~ew, ' : :]' :' 10P' w/© ~land. P~ay_ ~thold,L.I. ' FIXTURES RANGES SWITCHES SYSTEMS NO. OF FEET E NO. OF PER ~ 1 NO- OF~EUTRALS OTHER APPARATUS: *Furnaces: Oil 1-1/8hp, 1-1/12hp *Future appliance feeder/s: 1-3#6, 1-2#10, Water heater: 1-4.5kw Motor/s: 1-3/4hp 1-2#14 Mattituck, L. I. GENERAl. Per D This certificate must not be altered in any manner; return ~o the office of the Board if incorrect, inspectors may be identified by ~ne,r credentials SUFFOLK COUNTY HAUPPAUGE, NEW YORK 11787 516 979-3100 JOHN V. N. KLEIN Date: August 4 1976 Complaint 033-1530-76-7210 Investigator: C Papsco Subject: Savo Supply Corp. JAMES J. LACK Town of Southold Building Dept. Main Road Southold, N.Y. Att: Howard Terry, Building Inspector Dear Sir: We are in receipt of the above complaint. Since the matter appears to be within the jurisdiction of your agency, we are forwarding the description to you. Please be advised that our jurisdiction is based on the residence address of the individual filing the complaint, and not the business address of the subject. In order to keep our records current, I would appre- ciate your keeping us informed concerning this par- ticular matter. Thank you for your cooperation. JJL:BH 203 Very truly yours, JAMES J. LACK ~ COMMI S S IONE R SUFFOLK COUNTY DEPARTMENT OF CONSUMER AFFAIRS SUFFOLK COUNTY CENTER HAUPPAUGE, NEW YORK 11787 516 979-3100 JOHN V. N. KLEIN COUNTY EXECUTIVE JAMES J. LACK Transferred To: Complaint No. Complainant: Address: Vendor: Address: Brief Descriptio~ ?ransfer of Investigation Licensing Division 7'o~o~J or- SooTr4-o~-~. of Complaint Date Tel No. ~,/-/yog Tel No. ?~.2-7~ //7~/ s ¥o~s e-7'j ,-/. ¥. 225 SUFFOLK C~NTY DEPARTMENT OF HEALTH .ealth ,par .t Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY ?ddPlican~.y.~yJg A/Y~ :~,-_ Phone ,.~--gg/~ 5, Subdt~ Proper~y Lo~atton- ~ ~/.~ ~~~ 7. Lot gu~er ~//o/~. ~//~/. ' 8. Private ~11 Vlllage ~./~/~. T~nshlp. 9. Public Water Distance to mtn 3. Public Water Company Name 4. Lot size: Width/o~o£feet 10. Sewage Oisposal System: A. gOO-gallon septic tank: Precast Y~qutvalent Block B. Leaching pools: Number of pools ~ Precast/Block Spectal ll. If private well, fill in the following blanks: A. Tankcapacity B. C. D. E. · ~/"oq. gallons' Pump G.P.M. ~ Total well depth, ~/~ Depth to ground water~/O Amount of water in we11._~ Length /J-~. ~ ~/?.~ feet (For Health Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations wj~'~e in with the Suffolk County Department of Health's current standards thereto, This applicati~ will be valid for one year from the date of approval indicated below~and may be renewed a current local Building Department Permit is in effect. ,, --::: ..... : .....................................~.L ......z--4 .... ~'~:~ ................ .......................................... r-~ ........... ~ .......~,~. ............... FOR HEALTH DEPARTMENT USE ONLY. Based on the information/presented 'h~th, opinion of the Health Depar~nt that an adequate and satisfactory S~age Dispo?) and ~ter Supply can be installed on this plot. PPROVAL DATE S GNED Rev. 4/1/73 ......... FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or ~'uthorized o~e_/nr OT / ' '(~ddress of owner or authorized agent o~ner) / PLEASE TAKE NOTICE there exists a violation of: Z~nin~ Ordinonce ............................... Other Applicoble kows, Ordinonces'or__~. __~. ~.~)Re~lotions ..................... ~ ...................... YOU AR[ THER[[OR[ DIR[CT[~ A~ OR~[R[D to comply~with the Iow ~d conditions obove m~tioned {orthwith on or before lhe ....... The premises to which~his ORD[R~O R~M[DY~IOC~TI~Mjefers ore situoled ot Failure to remedy the conditions o{oresoid ond ~o comply with the opplicoble previsions mo7 canstitute on offense punishable by fine or imprisonment or bo~h. Buildin~ Inspector '..\ ~. TOWN OF SOUTHOLD ~-/~--?'/ ~/ILDING DEPARTMENT & - ~/ mUTHOLD, N. Y. ~ ~ ~,~., ........................................ . ,dZ.. .. ,~,,,:~,o~ ~..2 .......... Z ....... ...~ *"- ~ .L'. ...................... ~;ii~i,. I,,~ :to~)0~ ~ 6 - APPLICATION FOR BUILDING PE~IT O~e ...... ~.~..:. .............. , ~,.~.~ I MSTRU~IO~S o. This opplicotion must be completely filled in by ~pewriter o~ in ina ond s~mitted in triplicote to the Buil~inG~ Inspector, with 3 ~ts of plans, occurote plot plan to ~ole. Fee occordinG to schedule. b. Plot plon showinG Iocotion of lot ond of buildings on premises, relotionship to odjoininG premises or public streets oreos, ond Giving o detoil~ de~ription of Ioyout ofproper~ must be drown on the dio9rom which is c. TNe wor~ covered by tNis o~iicotion moy n~ be comme~ed before issuonce d. Upon ~ppmvol of tNis opplicoti~, the ~uildino Inspector will issue ~ Buildin sholl be kept on the premises ovoilo~le for inspection throughout the work. e. No building s~oll be ~cupied or used in whole or in po rt for ony purpose wNotever until sholl ~ove been oronted by the Buildin~ Inspector. IS HEREBY ~DE to the Buildino Deportment for the issuonce of o Buildin9 Permit pu~uont to the~ APPLICATION Buildino Zone Ordinonce of the Town of ~uthold, Suffolk County, New York, ond other opp]ic~le Lows, Ordinonces or~ R~ulotions, for the construction of buildings, ~dditions or olterotions, or for removol or demolition, os heroin de~ribed. The oppllcont ogrees to comply with ~11 opplicoble lows, ordlnonces, buildino c~, h~sino c~e, ond reouloti~s, odmit outNorized insp~to~ on premises ond in buildinos for n~esso~ in~ections. ............................ ~($i~no~ur~ ............................. Store whother ~pp icont is ~wnor I~s~ee, o~ont, a~hitoct, engineer, ~ener- ol co~ctor,, el~tricion, plumber or builder ~ ~z~-- . ......... .............................. .................................................. . .....................................- 7,:2Zi 2Z ............................................................................. ~' ' ~ , ~gnat~ of, y u ized officer. ..... ...... ouiiders Lic~se ~o ..................................................... Plumber's License No ................................................. Electrician's License No. Other Trade's License No ............................................... Location of land on which proposed wo~ w~ll be,4f~ne. Map No.: .......... ~....~.. ...................... Lot No. ,..~.,.~...~. ......... Street and Number ....... ~..,,~..~.~,¢......~::t/./.c:~.....~.~.~....~/~xC¢/.,C?. ............... ~..~.~Z.~..; ......... / Municipality State existing use and occupancy of prv~,e~s~ and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... ...~...~....'~.....~... .................................................................... '.j..... ....................... b. Intended use and occupancy ........ ..~.........~...~..(?~. ...... . .~..,~,Z'.. ~..~...,~.......~....,~......~.....~'.. ........ i ......... i ................... 3. Nature of work (check which applicable): New Building /'~"/ .................. Addition .................. Alteratibn .................. Repair .............. :...- Removal .................. Demolition .................... Other Work .................................................... " ..?..~..-~... (Description) 4. Es¥imated Cost .:.,..~...~..<~O .~.;.:DO i:,. ~..~.. · i / (to be paid on filing this ,applicat~n)// 5. If dwelling, number of dwelling units ..... x~....~...'~.....~......Number of dwelling units on each f oar .~..g~....'~......~.. ...... If garage, number of cars ............. L ............................ 6. If business, commercial or mixed occupancy, specify nature and extent, o~/~'och type of use ........... /. .............. 7. Dimensions of existinn structures if any' Front /_J/O~L/~ ~, ,~/~.~_ Height ...: .................... Number of Stories .................. ~ ................................... :.,~.... ....................... Depth ................................ Height ............................ Number of Stories ..........~..~ .......... 8. D mens one of ant re new construct on Front ,,~..~. . r .. Rear ~ D~+~,~:; ~,~'~/ Height ...... ,,~r~...,,,Nu~ber of Stories ......................................................................................... //. ........ ~. S,ze of ,~.?~"~;;nt ........... ../..~:~. ............ ,ear..../..~...~.~.. ~.~t, 2~;~' ........ 10. Date of Purchase ........... Nome of Former J3wner ~ ' 11. Zone or use d str ct n wh ch prem see ares tuated .....~;~..~'....~...~..O.../,,~'-.:i ........................................................... ,=. D~s pr~osed constru.~,~ via,ate an~ zon,ng ,aw. ord,nance or ragu,at,on: ~. ....... .~ ....... ~ ............... 13. ' ..... " " · Wdl lot be regraded ....,:~_.z~....~. ........ -~ ...... Wdl excess_ fill,be removed from~remtses: (.~e~ ,[~ ~ No, ' 14. Nome of Owner of premtSes ~x-~~/w~?~/:~Add-~//~-~/~*~$~;~7~/~ · ' ................................ 7' ........... .~,. t~llarl~ I~O ....................... Nome of Architect ......................... ~ .................................... Address ...~.~,.~;..?: ................ Phone No. ...................... Name of Contractor .~~.~...~..~.~'~ ............ -2.. Addres~.....~.~..o./.~,,. ....... Phone No. ~..~.....-~....~.~.....7. PLOT DIAGRAM Locate clearly and (~lstlnct!y oil buildings, whether existing or proposed, and indicate all set-lx~ck dimensions from p.rop..erty. I[ne.s. Give s, tre?-bnd block number or description according to deed, and show street names and nd cate STATE COUNTY OF' above named. He is the ? contracf) being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said w,efk and/to make and f e this application; that all statements contained in this application are true to the best of 13~ know[edge and belief; and that the work will be performed in the manner set forth in the application filed therewith. / Swam to~efoz~me this ~, __ ~ . / / , No. 52-0344963 Suffolk Coun~_, Cornrniseion Expires March 30, 19..1~'~ -- LOT · 12~ WEST LAKE h-~, ,~ %&. \ "-\ MAP OF PROPERTY "MAP OF CED. A[;i'. BEACFI PA~,K" \ i% // ,~,J~I~¥~EO AS NO'[ED ,Il il