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Home My WebLink About7133-zFOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy No..~.1.8~.. ...... Date ........... l~t .... 2~ ....... , 19.~,. THIS CERTIFIES that the building located at 3/8. $o~,~a~ew. &Ye ....... Street Map No.R°.r.t.h.¥)~.d.s.. Block No ........... Lot No..~......~.u..t~..o.1.~....N. ;Y.., ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........i.4~'...19..., 19.7~.. pursuant to which Building Permit No.. dated ............~..r....~...., 197~.., 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. ?r.~,v..~.t.e.. o.~...f .~.~..u~e.~:~z .... ( ~.e.e.o.~...f .1.o.or..~..o.o..~;L.e.t~) ..... The certificate is issued to .J. ~1~. $.c.h~l~ar~ ....... 0t~er ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...0.C.t;. ~ .1..~ 97~.....~Y..R. e 7;l..~,& ...... UNDERWRITERS CERTIFICATE No.]i. .~ .8.~..6Qfi.., ~e.~0 .t.. fi..0...t~.~.. ................ HOUSE NUMBER . .~.17~.~.. ...... Street ...5.o..un..d..~.~.~.~..A..~. ....................... ,',- BUILDING DEPARTMENT ~',;,z';~ ;r' ~ ~ /'~ 7 '/' /~_P 0~ ~ TOWN C~.ERK'S OFFICE g' ' '/ ?~; '"" /'~ ~F/~t~G~C~ ~,JiITHhlD u v ~o~ ~ ~/< /~ ~ ~ ~plic~tion No..~4..~. ................ Exam ned ........ :-/~.:~.....~.~ ...... 19 ~ / ~ ............................ ......... ....... 117, ~d~'/. ~ ~ ~ ~ . / / ~-~~~.~ ...... ; ~. ..... .. - ~. Thi~ ~ppHc~tion mu~t ~ complet*l~ {ill~ in by ~writ~r o~ in i~k and ~mitt~ in ~plic~t~ to ~ Imp~tor, with ~ ~ o~ pl~n~, accur~t~ plot plan to ~al~. F~ ~cco~in~ to sch~ul~. b. Clot pl~ showin0 I~otion of lot ond of buildinos ~ pr~mi*es, r~l*tionship to ~djoininfl pr~mi~e~ or public ~r~s, ~nd ~ivi~ o d~tail~ d~rlption of la,out o{pr~ must be drawn on th~ di~ram which i~ ~ o{ thi~ ~pplic~ti~. c. ~e work cowred by this o~licatlon m~ n~ b~ comme~ b*{om i~u~nc~ o{ Buildino d. Hpon ~pprov~l o{ thi~ ~pplicati~ the Buildinfl Imp~tor will i**ue o Buildin~ Pormit to th~ applic*nt. Such p~rmi~ shall b* kept on th~ pmmise~ owi~abl~ {or in,p~ction thr~t th~ work. e. ~o buildinfl shall be ~cupi~ or u~*d in ~hol* or in pa~ for an~ pu~os~ whatever until o C~i{ic~ of shall have been granted by the Building Inspector. APPLICATION IS HEREBY ~DE to the Building Depa~ment for the issuance of a Building Permit pumuant to the ' ~ilding Zone O~inance of the To~ of ~t~ld, Suffolk Count, New York, and other applic~le ~, Ordinances Regul~ions, for the co~truction of buildings, additions or alterations, or for mmo~l or demolition, as heroin d~cri~. The applicant agree~ to comply with all applicable laws, ordinance, building c~, housing c~e, a~ ~ulati~s, admit authoriz~ in~to~ on premises a~ in buildings for n~essaff in~ectio~. (Signature of applicant, or ~me, if a co~mti~) (Address of ~pplic~nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .'/, ~ .... f ~-,ner of -rem ses' ',~,,,~ ......... // ~Y,/ If applicant is a co~orate, signature o(,~l~authorized offi~L ..................... .:: ........................ ~ ........ : ................ Z ......... :~ ~ ~/ ~ % (Name and title of co~orate officer) ~ ~ ~ s' '~ Builder's Lic~ No ..................................................... ], Plumber's Lic~ns~ ~o ....... ~...X.....G ..................... ' , , t ~ 0~ Electrician's License No ............................................. ~-~TD , ~ z 7 ~ /~.3 ~her Tmde's License No / ~ -- ~ ~; ~' ..d N..U.r .:: ............................ ............................................................ ........ 2. Store existing use and ~cuponcy of premises and intended use and ~cu~ncy of pr~o~d const~ction: a. ~isiting use a~ ~cuponcy ............................................................................................................................... 3. Nature of work (check which applicable): New Building ..'..~... ........ Addition .................. Alteration Repair .................. Removal .................. DemOlition .................. i. Other Work ................................................ . ..... .~..~.. , ~ ~.~.... i-Fe I I ~ ~ ....~.... .(Descripti°n) 4. Estimated Cost ...... ~).Z.~...7~ ...... / ....................... :.. 'e ...................................................................................... (to be paid on filing this application) $. If dwelling, number of dwelling units .......... ~ ................ Number of dwelling units on each floor ...-/.......~ ............... If garage, number of cars ..,.~....~../.! ............................................................................................................................. 6. If business, commercial or mixed occ[ip~ncy, specify nature and extent of each type of use ............................ 7. D mensions 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 ...... -'~..~.. ....... i ............... Rear .......~... ................. Depth ...~.../~.:2..[.f.. Height ..../~c. ........... Numb.er_of Stj:tries ..... .~. ............... '~'"~7 ................................. ;*'~"~-"~'~-~ ....... · / / 9. Size of at Front ........ ~ ......................... Rear ............ ; ............................. Depth ....... .~:~.~'.~...... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .......... ~ ..................................... ~'/7~ .......................................... 12. Does proposed construction violate any zoning law, ordinance· or regulation: ............... ; ........................................ 13. Will lot be regraded .............. ;., ............ /Will excess'fill be, rgt)99v, ed fron~pr~en~i~es.~J~)rt,YJ~,~- 14. Name of Owner of premises ............. :...,,~ ....... : ....... ;. ................ A~re~ ................................ Pho~ No Name of Architect ........... f .......... ............. 1 ......................... A¢~lre~ .....~ .............. ~..~ Name of ~ant~octor ,; ............... .~.~ ...................................... ~re~ ................................ ~hane No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from or description according to deed, and show street names and indicate property line.s. Give street and block number whether interior or comer lot. STATE OF NEW YORI~ // /~'lS S .................................................................................................// being duly sworn, deposes and says that he is the opplicom ' (Name of individual signing contract0 above named~ He is the ....~ ............................................................................................................................................................................ (Contractor, agent, 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 ~atements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed lin the manner set forth in the application filed therewith. Swam to b~feee me this . }?x- -- - - Nota~ PubliC,` , coun~ . =_:~__,_~..~.~.~ ....................................................................... ~"m(si~atu're ' o f appli~' ............................. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E pREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7133 Z Permissio~ is hereby granted to: Cutchogue new ~e family d~elling .. . . at premises located at .~..g.~...~ ....... ..~..O.~.~]~'.~.~..lll...~...~.~.~.$~g~.~ ..................................................... .............................. ~,/.~.....~.~.~..~,.e,~...*.~.?. ......... ~.o..~.~?.,~......~...~.... ......................................... pursuant to application dated ..................... ~. .......~ ............... , 19..~......, and approved by the Building Inspector. ~ui[cling~l~tor FORM NO. 6 TOWN OF SOUTHOLD Building Depor~ment 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 complmed 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 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 Dote .... .?.~...~.Z/..?. ~ ........................... New Building ..~. ........... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property S~.~n~a~.~Zi~.~Li~gh~:~.au~ae~.~d~.C"~`?~.~r~t~L~n~e~*~~ Owner Or Owners Of Property ..... ~].c,...~.¢.~n~r].e..b..~,~ .............................................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No.Z.].~3~ .........Date Of Permit .]/..~.5~..7..4.....Applicant .~.9.~.~....A..h...~..e...~.fi....~..~.~.~..],.~.~.,.....~..n..e..:. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ..~]..P!.],.(~.Q.]~.~../.~.0./..Z.f. ....... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......... ~ ............................. Fee Submitted $ ~..~. ................ Applicant ...................... .~...~...~ .................... ~ Sworn to before me this ...... . ?day of TOWN OF SOUTHOLD OFFICE OF FIUILDINB INSPECTOR TOWN CLERK'S OFFICE c;OUTHOLD, N. Y. 11971 TEL. April 7, 1977 Mr. James Schondebare 14580 Soundview Avenue Southold, NY 11971 Re: Building Permit #7133Z Dear Mr. $chondebare: A progress inspection was made today of building being con- structed under this permit number. Your permit has expired and it appears that the second floor has not been completed. In view of this, we are closing this file and amending your permit for the first floor only, covered by C.O. #Z6186. When you plan to commence completion of the second floor, you may apply for a new permit for an addition. Fee for an addition is only $15.00. Yours truly, EH:med Edward Hindermann Building Inspector Box 126 South Jamesport, April 24~ 1974 New York 11970 Southold Town Building Department Main Road Southold, New York 11971 Dear Sir: I wish to thank the building inspector who discovered the discrepencies in the construction of my basement, which is located on the South side of Soundview Road in the Town of Southold. The inspection occurred on April 18, 1974. Lack of footings under part of the basement and the failure to waterproof the lower part of the basement could not have been discovered easily~ due to the covering dirt. Evidently~ the inspector dug down into the dirt during his inspection and uncovered the discrepencies. It is ly do other comforting to know that Southold Town inspectors real- inspect~ rather than just give cursory glances as in townships. Thank you again. Sincerely, James A. Schondebare JAS:jg SUFFOLK COUNTY DEPARTMENT OF HEALTHReference Health Department Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant Address 2. Phone Property Location Village Township. 3.Public Water Company Name 4. Lot size: Width feet Length feet 5. Subdiv. 6. Section 7. Lot Number 8. Private Well 9. Public Water Distance to main lO. 11. Sewage Disposal System: A. ~gallon septic tank: Precast Equivalen~ Block B. Leaching pools: Number of pools Precast '~Block ~pecial If private well, fill in the following blanks: A. Tank capacity B. Pump G.P.M. C,' ~'otal well depth D. :D_epth to ground water E. gmount of water in well gallons (For Health Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the SQYfolk 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. .................................... ........................ 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 pl~ot. APPROVAL DATE ~/~/?r SIGNED 6"'~.-.----"~ S-15 Rev. 4/1/73 _L ' NAP OF PR. OPE~TY SURVEYED FO~ ;:-.c DE'"' P - ,uAm=,., A.'SCH'ON BA Er iTT c:-, ,,.-,,, ,,-,,-.,-:, :, SOUI'HOLD DWN 0F.5OUThOLD~ S£ALE, 'MONUMENT ~t.~P, oF P..P. OPF_,rzr.Y / -? /