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HomeMy WebLinkAbout7104-zTOWI~I OF SOUTHOLD BUII.DI~G DEPARTM~.NT Town ~lerk', Office Son,hold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ~.air~ay. D~.iv~ ............Street Map No?.a.i?..~.y...1~..s Block No ........... Lot No..6. .... . .~..~.~.h.o.g~..e.a .N..,.~.: ........ conforms substantially to the Application for Buil~ling Permit heretofore filed in thi~ office dated .............0.e.l~.. 9..., 19. ?3. pursuant to which Building Permit No. ?l'.~..Z... dated .............~..1(... ~...., 19~..., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is is.,ued ~..~.v..a.~.,...~..? .r..~..~..~e.!.z.~. s...(.~. .d.r..~....~...~..s.~.a.?.a.) .......... The certificate is issued to .~.d.~...rc] .A.b.i..t.z ........ .~e~' . ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk ¢ountr Department of Health Approval UNDERWRITERS CERTIFICATENo. ~] 18c~5 HOTJ'SI~. NUMBER .............. Stz'ee~. F,,~.~,~ Drive Building Inspector FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT fi.HiS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7104 Z Date ........ J~. ............ ~[. ......................... , 19.2~.. Permission is hereby granted to: · ~.v..a. Ld...,~.!.t. LC...o..n..t..~.~.t..o..r....~..n.~...~C...~.,...~tt~ & ~a~.~ra], ~ax,.s xe .... ~.~..u..e.~ ....... ~.,..K:. ..................................... ~uild new one family dwelling at premises located at .~.~IJl..~.....J~&I~]L~'~,Z~I! ........................................................................... ................................ ]~i_~y..Z~.tYa .............. C~t~ojue ....... A%:z;. ............................................ pursuant to application dated ....................... ..0.?...t,.....~ .................. , 1~...., and approved by the Building Inspector. JIOTR8 ~b:Jeot to heL~th Dept &pprov~ of veX1 & oeiipoo]j THE NEW YORK BOARD OF FIRE 'UNDERWRITERS ~;ab BURE&U OF ELECTRIC~ ~ ES JOHN STREET. NEW YORK. 0.,. 0,~o~ ~, ~ ~,~..~o o~),.~?~ . ~. ~)' N189514 THIS CE~IFIES THA~ Ed 300~ ~/o Tee ~ne~ ~tdho~e~ Abtts, w/s Fal~ ~.=.~i~ o. Oo~obe~ 2 2. 19~ a~ fo.nd to be in ~mplia~ with the requi~ment* o/th~ ~.: fiXTURE IAC~S[ SWIT I RXTURES OUTLETS ~ CriES (NCAHOESCENT FLL)(~ESCE~ ~ 22 [ 37 18 22 RANGES 1 ]o COOKING DECKS' 'OVENS DISH WASHERS i ,~T. |K.w. I~T.I K.W.I.~T.I K.W. *,..[~ ~--~_ ITw~. ..,. EXHAUST FANS SERVIC~ mSCONNKY INO. OF[ 200 CB METER OTHER A~ARATUS: DIMMERS R V I C q/0 1 2/0 Water Heaters: 1-~.SKW Not;or/a I 1-1bp Electric Room Heaters: F.W.BI'ud! 119~ Waverly Ave. Hol~sville, L.~.ll?~2 1-2.SEW 1-2.0KW 1-1.SXW 2-1.25KW 5-1.0~W 5-.75KW COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATe. TBE~ . ,~N ANY MANNER. ,'~ ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number ~'_~, ~'. ~4~/~,'~,, Phone '2~0'~//~ 1.Address ~ '~-2- · , 6. Section 2. _Property Lo~.io~- [: Lot Number ~~ Private Well Village. Township 9. Public Water 3. Public Water Company Name Distance to ~in 4. Lot size: Width feet Length feet APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY Applicant 5. Subdiv. lC. Sewage Disposal System: (For Health Dept. Use) A. 900-gallon septic tank: Precast~__Equivalent Block B. Leaching pools: Number of pools / Precast_~t~ck ~pecial ll. If private well, fill in the following blanks: A. Tank capacity ~Y~]~' gallons B. Pump G.P.M. 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. 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. Date /0/~ /~ ~ Signed-("~"~~-~'~"~J~ .... ~ ......~_ ~_~S ...................... '___________-_-_-_---------- ................. 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~l,~ ~r~ G ~0. ~ APPROVAL DATE ~ SIGNED ~ 'A'N'OV3F;~ S-15 Rev. 4/1/73 ~ ~IN~IONS in.~ctTorh, is~~t.~l~otfi~lll~ .~./?~l~ie~i~:o~i.~,~gi:,~.~.uSle~.mitted in triphc~ ~ BuI~, ~ ar~s, a~ gi~~ ~r,pt,~ ot ,~t o~ ~ ~ dm~ ~ ~ diagmm which is ~, ~ ~is ~li~i~: c. ~'~:~ ~'~ ~hcation ~ ~ ~'~ ~f~ i,~e of Bui~i~ Pe~it. . ~1 . U~:~;~.~ ~..Bu~.l~[or will i,~ a Buildi~ Permit to the ~licont. ~h ~rmit ~ . --~.,. No ~ild ~ s~lJ H~ or ~ i, ~e ar ~, for any pu~ whmever until a ~fic~ ~ ~c~y ~' ma, nave ~g~ ~ ~ ~ui~ai~ ~; · . ~LI~TI~.IS~Y.~DE m ~i~ '~nt ~r ~e i,ua~e of a Bui~ing Pe~lt ~t ~ ~ ~u.a~ ~ ~ ot ~he ~.o~ ~, ~ .~, N~ Yo~ and other ~i~ ~, ~ 'or ~ulm~, ~ ~~ ~ ~,~ ~t~.:~:a~mt~ns, ~r ~or mmpi or ~litim, ~ ~in ~. ~e .~ ~ ~.c~,y w,th.alt ~,~ .~; 'o~, bu,ld,~ ~, h~si~ c~, a~ ~, ~ m Edward Abitz Contractor Inc (Signature of applicant, or name, if a corporation) ' (Address of applicant) State whether applicant J$ o'~', less~, ~ent, arc. h~t~'~, ~Lfl. ineer, general contractor, el~trician, plumier ~ builder. '? .~,.e:~:- .b....u~....1.der Edw lbttz (from Fairway Farms Inc) Name of ~wn~r nf nr~m;~ ' If applicant is o corpam~_, sigrmture ~{ dub/authoriz~l officer. Builder's License No.'.:......~.......--..:::......7..:,~r: ................ Plumber's Lice~ No. N.F,0 neat £1ectrician'$ I..icen.~ No ............................................. 'O~er Trade's~l~l~es~ 1~.. ............................................. L at on ~ · - · Fairwa Farms N 6. " 1. oc offS. on.wh~h proposec~Work w It be done Map No ~. · Lot o ~-~ .. .... ;' . Street and~.~:' ~ i.~.a..i....l~..~'....~...i..v..e.. C..~.~..h..o.~ ...~.....Y...*. .:; -' :. . ' . Munlc~Pahty' , 2. State ~tremises and~ i~tended-~e and ~x:cupancy of prolx~,..¢.on.~'~..~m.~'?: :-:, .../ b. Intended use and occupancy :: ~ne f~ dwelling ' 3. Nature of work (check which applicable): New Building..................~ Addition ................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ . ..... (Description) 4. Estimated Cost ....................................... F~ .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......o..~..? ................. Number of dwelling units on each floor ............................ If garage, number of cars .................. 6. If business, commercial or mixe~ 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 ....... ~.0..-..bt. ................... Rear ..... ~..0..-...~.. ............ Depth ..~.6.-.10/.2'11.110 Height .................... Number of Stories ..11.~. ........................................................................................................ . 9. Size of lot: Front ....................................................... Rear .......................................... Depth ................................ 10. .Date .of..Purcl~se ../.~ ................................................. Name of Former Owner ........................................................ -11 Zone or use district in which premises are situated .: ......~.....~P...~. .................................................. 12. Does p~C;~[Osed construction violate any zoning law, ordinance or regulation' D.O 13. Will :t~ b~ ~egraded ....... ~..e...~. ............. Will excess fill be removed from premises' (Z) Yes ( ) No Na "--r h' ' Flower ~ill Building me a~ ,% c 'tect ................................................. Address ................................ Phone No ....................... Name of Contractor' .......s...~..~..e.. ................... . ......................... Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock ClimensFons 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 NEWa¥,O~I~,. ':-~.'S~ v,~,, ,,.,r ........... ~e' ~ . ~w~ hit ,' '. ..................................... ~]',-'-~ .............. ~."-.. ~r.~ ............. ~ duly sworn, ~oses ond s~ys ~M~ he is the ~bov~ He s the ' ~ : ~. :.- ~er, ~b~l~er ' ~ . of ~id ~n*v o~n~r*,~nd i~ duly ~u~h~'~ ~o~ ~[~ p~rformed th~ ~oid work ond to mko ond this application; that all ~tatements conta,h~ ~ ;tffis'~i~t~'am t~ to the best of his knowledge and belief; and that the work will ~ performed in the manner ~t fo~h in the application filed ther~ith. Swam to ~fore me this ................. JUDITH T. BOKEN Natal, Public, State of New York h~o. 52-0344963 SulClCo/~ County.~.~ Commission Expires March 30, 19~..~ ~ _~..__.~,~..,,__.~ Lo! 7 [: NO TE : SUBDIVISION MAP F/LED IN THE OFF/CE OF TIlE CLERK OF SUFFOLK ¢~IINTY ON FEB. 15, I~Z4 AS FILE N~ THE LOCATION OF ~VF.I~$ AND C£SSPOOi~q COPIES OF THIS SURVEY MAP NOT BEARING REVISIONS YOUNG & YOUNG JULYIg, 19?4 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: EDWARD AB ITZ ! LOT 6 "FAI RWAY FARMS" 'AT CUTCHOGUE Gu, .~T£, SUFFOLK CO., N.Y. SCALe: I"= 40' JDATmJUI-Y '6,1974 ~ 74-~0 UNAUTHORIZED ALTERATION OR ADDITION TO TH;$ SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EOUCATION ONLY TO THE ~RSON FOR WHOM THE ~T TRAN3FERABLE TO ADDITIONAL ~E: ?~ ~ B~ ~ i I ,)