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Home My WebLink About6707-ZNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No .... ~.~.6..~.... Date November 13s 19 73 THIS CERTIFIES that the building located at . .P.e.c.o.n.$ .c..B.a.y..B.l.v.d.., ...... Street No. Rollin_g Block No....~ .Lot No..B. ...... Laurel ·' W~O~ ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... g~Jf.. 3, ........ , 19. ?3. pursuant to which Building Permit No .... .6.7..0'~Z dated ....... J. uJ, y. 3.~ ....... , 19. ?3, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ..... Pri.v.~te. one. f.-.m. ~..ly..dwellii%g ................................... The certificate is issued to ....... .W.a~..r.e..n..H.e..f~..e.~. ..... o'..,~.e.? ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ....0.e..t:..3.1. ~..3..9.7.3...b..y..R.:..VS..3.~... UNDERWRITERS CERTIFICATE No....N. ),.1~7.6 ..... .~..t..ed..~. ~t.,..1.9.,. ~.7.3... HOUSE NUMBER .. 283~. ....... Street ...O%-.e.a.t...P.e.qo.n. ~.c..B..ay..B.l.y.d.. ............ .................................................... ~.~..e.Z. ............. FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PEPJV[IT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6707 Z Permission is hereby gronted to: ~ ...~.,.~.:...G.~.I~.~.~XL ..g.o~.l~.. ~..C... ~.~en Hefne~. ~uil~ new one famil d 11 to ................................................. M......"~.......:~...g ................................................................................... at premises located at ..... ~I.~J~J~..IlK. JJO~..~O~..~J ............................................................................ .............. N.~;,..g. Ol'~e~...P. eo~m,t~..l~...ILlvfl..&.Yez~cl~...D~,t.v~ ............................................. pursuant to application dated ............................. .~..~...~. ....... ] ....... , 19.~..~..., and approved by the Building Inspector. NO~E,I Cheek ave setb&~k on Peconio B&7 Blvd. Fee $.(.~..~JO ........... [C, , c~ .....~: ,:X,-[,,~ FILl, ! CESSPOCL CC)NS,~" '. ". ~ ~ CELLAR CONSJ&U~II¢ ~ .... OTHEK THE NEW YORK BOARD OF FIRE UNDERWRITERS CS BUREAU OF ELECTRICIT~ 85 JOHN STREET, NEW YORK. NEW yORK 10038 ..,. :~e~te~b~.r ~:,, ~'7~ ~.,~....~o...,,,. ~73~ N 115376 THIS CEEIFIE5 THAT o~y the e~t~al ~ulpment ~ ~scH~ ~ and int~ by t~ apricot Mined on ~he ab~ application numar in t~ p~m~es o~ ~,~.S.T. Constrnction Corp., Peconlc Bay B!va. Wendy Dr.~,Mo. Oakwood ~d Laurel, in the following l~atlon; ~ B~ement ~ tst rl. ~ 2nd Fl. outside S~ao. st~ ~t 117 was examln~ on Se~te~>eP 13~ 1973 and found to beln comptia~e with the requlrements of this Board. FIXTUBE OUTLETS 17 17 FIXTURES IE~EPTACLES SWITCHES INCANDESCENT FLUORESCENT 37 1~ DRYERS [ FURNACE mOTORS [ mtUBE A~UAHCE FEEDER~ ANtT. K.W. :IL H.P. GAS H.P. AN, T. NO. A. W, G, RANGES ;FECIAL REC'PT 1 3O SERVICE DISCONNECT NO. OF S METER 1 1 :'} O C it ' x 1 OT~[ER APPARSTtJ$; *~Vu~nace/~: ,").~.~., l-1/ShF, 1-t/12hp COOKING DECKS[ OVENS ~ DISH WASHERS AMT. K.W. I AN, T. K.W. ~V,T. K.W. ~ 1 1.5 TIME CLocKs BELL UNIT HEATERS MULTI-OUTLET SYSTEMS A~T. AMPS. TRANS~ HO. OF FEET V I C E OF CC. COND. NO. OF HI-LEG A. W.G. NO. ~F NEUTRALS OF HI-LEG EXHAUST FANS DIMMERS GENERAL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF SOUTHOLD Building Depo~ment Town Clerks Office Southold, N. Y. ]197] 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 3. Copy of certificate of occupancy $1.00 $5.00 Date /"'~ A"6~//' /~)7~ Sworn to before me this ry ~' .... ~.~ounty JUDITH T. BOKEN No 52-03449d3 Suffolk Count~ (stomp or sea,) New Building .................... Old or Pre*existing Building ............................ Vacant Land ............................ Location Of Property ~-~-~E~C~.~N~!~c~.~../~.~.~.~.~7~`~~~ Owner Or Owners Of Property ... ..~,..~.. ~' ~ j~ ~ H E F ~ ~ . ....................................... .;:. ............................................................... Su~,v,,,o, ................................................................ Lot No....~.... Bilk No ............. House No..~.~....~ Permit No....~.~.~.~ Date Of Permit ..~.~.~..~pplicant ...... ~.:.~.'..~. ...... ~.~.~.~.~.~.(~.~.... 31 OCT ) Health ~pt, Approval ............................................ Labor ~pt. Approval ................................................ It537& Underwriters Approval .............................................. Planning B~rd ~proval ........................................ Request For Temporaw C~ificate ........................................ Final Certificate ~ Fee Submitted $ ,...~ ............................ Construction on above described building a~d~it meres all a~pli~ c~es and regulations. ....... ....................... l~ltM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFI~.,E SOUTHOLD, N. Y. Application No ................................. Examined ............ ~ .......... , 19.~...~..... Approved ..... ~ .................. , 19..~)...~... Pemit No. ~..?.....0..Z....~... ............ Disapproved a/c ............................................................ APPLICATION FOR BUILDING ~PERMIT Date ~) ..... ~. ............................ , 19~...~..---. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout Of property must be drawn on diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit .shall be kept on 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 Occupancy shall have been granted by t~e Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffoik County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of building, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ell applicable law~ 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) ........ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner Of premises ........ .~....~...~....~'...~..........~....~..F.....~...~.... ................................................................................ If applicantis a corporate, signature of, duly authorized officer. (Nlime and ti:lie OT corporate orncerl Builder,s License No .......................................................... Plumber's License No ......................................................... Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No..~..C.~I.?....~......~:~.....~....?..[.'.....Lot No. D Street. and Number ...... ~....~........C..~...~.. ~.... ~...~'C~..~. ~ .C:......C~....~..... ~:..~.~ .?.. ~..~...~...~.~...~ ..?....~. f ....~...~. ~...v.:~MunlclpaliTy ....... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construetion: a. Existing use and occupancy ........... ~......~: ............................................................................................. b. Intended use and occupancy Nature of work (check Which applicable): New Building .......... ~... Addition ........ :.*.'. .......... Alteration ............... Repair ......................... Removal ............... Demolition ........................ Other Work .................................... .......... (Description) (to be paid on filing this application) 5. If dwelling,~rmmber of dwelling units ........ Number of dwelling units on each floor ......................................... ~Jf garage, number of cars ..........~k~l~, ........................................................................................................... 6. If~ss.~commercial or mixed occupancy, specify nature and extent of each type of use .......... . .~:'..I..V~... ............... 7. Dimensions of existing structures, if any: Front ....... ~..~ .~. ..... Rear ............ ~ ..........Del~th .....'~.. ............................ Height ...................... .~ .................................. Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......... ~.I.L~ .....Rear ...... ~ ............................... D -- ' . He -ht ." ..... Number of Stories ..... ..~.. ............................... 8. Dimensions of entire new construction: Front .....~L~J.~. ........ Rear .....J~l.....~. .......... Depth ...... ~1,./..~.~. ...... 11. Zone or use district in which premisps are situated ............ ~,~.%.t.~-.'l~+~.~- .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .............. ~.~ ..................................... 13. Will lot be regraded ---~l~ ........................ Will excess fill be removed from premises: [ ] Yes [~o ( (A(~dress) Phone 4,1o.! Name of Architect .......................... i~,~ress) (Phone No.) Name of Contractor ...................................................... ;~'"[~,~'s')' ............ ~ (Phone No.) 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 description according to deed, and show street names and indicate wheth- er interior or corner lot. number or STATE OF NEW YORI~ ~,/' ~ I o<- COUNTY OF .......... · .....,~/~t--~ ......... ) oo ............. ~~ ................................... being duly sworn, deposes and says that he is the applican~bove named. ~ [Name~djvi~ ~ing ~n~act~ . · r~ ;>" ~'~ ~. ' ~;~ i'~:, '..~: X ( Con~ctor, a~t, corpomte o[ficer, etc. J of said owner or owners, and is duly authorized to ~rform or have ~rformed the said work and to make and file this application; that all statements contained in this a~lication are true to t~ ~st of hi~w~ ~lief and that the w~k will be ~rformed in tbe ~nner ~t forth in the application filed th~wlth. Noto~ Public, Stole o~ New ~o~ / I No. 52-0344963 Suffolk Cou~ ( / __ ............................ ~....day of ....~,.~: ........................... ,~ ...... ~ J _~ ~ ~ Notary ~ubli~, ...~t.xJ.w~.~.-~-... -x~ ....... ; ...... ~unW ................... ~ ................ ~ ............................................ SUFFOLKCOUNTY DEPARTMENT OF HEALTH H.D. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant ~c_~%~.~.A ~W~c~..-- Pho~ Address '~ ~ ~ ~ 2. Property location V~O.~ Village '~w~ ~%_ Township 3. Public Water Company mame 4~ Lot size: Width %¢~ f~et Length ' feet 10. Sewage Disposal System: A. 900 gallon septic tank:' ~recast~uivalent Block B. Leaching poo%s: Number --Prec~t Block Special The undersigned CERTIFIES: b~ in accordance with the aras thereto." s. Subdiv,~~frr~ 6. Section - ' ~ -- 7. Lot No.~ 8. Private 9. Public water Distance to main (Enter on center plot below) If private well fill in blanks below: Tank capacity~_Gals. Pump ~.M, Depth t d~. W. Amount of~ter in well Test Hole ~ Data Feet o 2' 8 10 ~.~ 12 18 "Construction of authorized installations w~ll Suffolk County Department of Health's current stand- Owner or ~lder 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 Syste~ can be installed on this pl~'c'Z'''~ / /-9; Date signsd O ' '" · S-15 Revised 4/]/72 TITLE NO. 128-1046 DIETZGEN ~35 11846 NO r£ : · =MONUMENT .EVlS~SNS YOUNG & YOUNG dULY 16,1973 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK SEPT. 4, 1973 ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOE: WARREN HEFFNER & PAULINE HEFFNER THE TI LE ~UAR~, mVERi~EAb SAVJB~'K TOWN OF SOUTHOLD SUFFOLK CO., N.Y. APPROVED AS NOTFD FEE: NOTIFY BIJILOING DEPARTMENT AT 7&E-2660 9AM TO 4PM ~:OR REQUIR- EO iNSpECTIONS: ¶, B~.FORE BACY. FILLING FOUNDA° TION OR START FRAMING J, BEFORE COVERING pIPELINE 3. ETNAL fHEN JOB COMPLETED ,~TitUC'aON addition to s document is a violation of sect!on 7~09 of the New Yorlc S~ate Education Cop~es ef this c~o:umenf not bea~ing the engineer's inked seal or embossed ~r~al shal~ not be considered vt. lid cop~es. .... 7om Lo~ /o '4" 0 , ~0