HomeMy WebLinkAbout8757-zFOB~ NO. &
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of
Occupancy
No. Z74.7.7 ...... Date .... 31~riUa~rF '~0', .......... "19'77/'
THIS CERTIFIES that the building located at ,..$/~. '.~t.l~re~' Co'~'t:' ll~'a~i' ' Street
9re,on View
Map ~o. E'a~at~'a ' · · Block No..~ ...... Lot No ..... 3'
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .... ~Ul~ '15~ ......... , 1976.. pursuant to which Building PermitNo.~...
dated .... a21~' '27~ .......... , 19T8.., was issued, ~d conforms to ~1 of ~e requk~
ments of the applicable provisions of the law. The occupancy for which this ce~ificate is
issued is ' PMl~akM '~2~' '~a;' ~1~'i2~' ' :''' ;~[~[' ...... ~ .......~ ..................
of the aforesaid building.
Suffolk County Department of Health Approval 'I/2'0'fTT ~db/~ic'~/'A;" Vill~'' ......
,UNDERWRITERS· , CERTIFICATE No... N3.¥2987 ................................. · ''~
HOUSE NUMBER . '415 ......... Street .. · $'£~.v~¢ '¢o~k¢ '~oa~l ...................
Building Inspector
BUILDING DEPARTMENT ~
TOWN CLERK's OFFICE '
,, : sOuTHOLD,*N, y.
(THIS PERMIT Must BE'KEPT ON THE PREhAISES,Ui'qTIL FULL
WOK AUTHORIZED)
COMPLETION OF THE R
N9 8757 Z ~ .:~
. ....................
Fo mi so - r~'s'i n iS neD'er~y granted to: ' '~
F~a~ ~n A/C o~eg view getates
Build n ~amily: d~e!li g;
at premises located at ..... t.,.7. j ........ ; ..t.~...,....... ;.,......7,!.,~.77...;~ .t.....7,:...7: ......... ~....., ..~ ............
: ; . .~!~? ~o~t ~0~ :.
~'"'~" ' :': ........ "' "..~(' t"L:L:t' ...... "?'"']'""", ......
pursuant to application dated ...... ;.;..; ....... -......, ....... ];.: ............ ....... , ~9....',..., and approved
Building Inspector. J ~ : '
FOr~l NO. S
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
$outhold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
instructions
A. This application must be filled in typewriter OR ink,,~nd submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new u~e:
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 disposol--(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
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 .i....-1.~.~ U.~ l?,V....L0., .I.~ ~..~ .......
New Building .....~(. ......... Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ................... .~.LI.V.f~X'.....~.Q.L~....J~Q.~..cJ ............ .~.Qi4.t~]3.Q.J..~,....~-~...~.~.I~ ...................
Owner Or Owners Of Property ..... ~.~...~.q.x....~..~..a..L.l...e.~ ....... ..0.E..e.~].°...n.....V..i..e.~....E...e..~..e..tF..e...~. ..........................
Subdivision .... .O.~..e.~l.°...n.....V..i..e..w.....E..s...t;..a..t...e...s. .............. Lot No..~..~ ...... Block No ............. House No.....4:.!..5...
Permit No...8..~.,~..~ ....... Dote Of Permit .Z.~..~..L~...~...Applicant .....F..~..a..Utk..J~.q.~D.~.....a.g.~.g..'~....f..q.R ............
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval ...~.l.~.~. ........................... Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Fincd Certificate ....y..e..~ ...............................
Fee Submitted $ ...~.~..0..0.. .......................
Construction on above described building and permit meets all applicable codes an~l regulations.
Applicant... F..I~.G J~ k.. ~.o.~ 13 ............
Sworn to before me this
,4
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~-k~ BUREAU OF ELECTRICITY
~ BS JOHN STREET, NEW yORK, NEW YORK 10038
v.,e November 17, 1976 .~/,pl,c~,,,o.~'o.,,.,fle 881030 N312987
THIS 'CERTIFIES THAT
Oregon View Estates, 415 Silver Colt Rd., #3, Cutchogue, L.I.
in~hefollowingloc.tion; [] Bo~e..ent [~ ~strl. ~ 2.a ri. outside ~°~ s~°~ mL°~
'~,.~do. November 15, 1976
andfoundtobeincompliancewiththerequirement-s~fthi~Boa~d.
FIXTURE r FIXTURES RANGES OVENS DISH WASHERS
OUTLRTS ' SWITCHES FtUORE$CENT
2~
SERVICE DISCONNECT
OTHER APPARATUS:
Motor/s: 1-3/4hp
1 G.F.C.I.
1 Smoke Detector
1
Joseph Crocombe,
Box 1175
r Center Moriches~ L.I. i193~ Lfc.746E
This certificate must ~ot be altered in any manner; return to the offic~ of the Board if incorrect. Inspectors may b identified 'Sy th~fr credentlals~.~..~ce.~e~r~r~.~.~.~~
TOWN OF SOUTHOLD ~. ~ . ~ /
' BUILDING DEPARTMENT'/'~ ~
Tow
sou ,o o, N.
................................................................... ~~ ..........
.........................
(Building Inspeqtor)
APPLICATION FOR IUILOiNG PERAIT
B~te ...... du.¢~..J. 5. ......................... , ~..2.d...,.~
INSTRUCTIONS
a. This application must be completely filled in by typewriter or
Inspector.
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 ofproperty must be drawn on the 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 progress of 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 the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described·
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations.
~'<'; ' (Signature of applicant, or name, if a corporation)
.... .~,.,,l....~,~.,.55.1 R~.v..~.r.b~o.d,..,~.~,,,~.9. r. Js. ..
(Address of applicant)
State w/oether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.... ~9.~.u.¢ ~rxcJ b.u i I d.e.r. ........................
Name of owner of premises .......... .OJ?..¢,9¢~l)....V.l.e,.~...(s~.o.~.e~ ............................................................................................
If applicant is a .corporate, signature of' duly authorized officer.
(Name and title of corporate officer)
1. Location of lan<on. Which proposed work will be done. Map No.: t~¢,..~ol,~..V~,e_.~......~.~.."~..... Lot No...~...................* '~
Street and NumSI}elrV..e..r....~o.J.J;...~.o.~qd .............................................................. .C:...u.~.c...h..o..9.q..e. .........................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy resident;ia I
b. Intended use and occupancy res i dent; i a I - '
Plumbers License No. 570 P
Elec~crician~s License No 746E
3. Nature of work (check which applicable): New Building ..¥..e..~. ........ Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition ........... ,~ A ~..~ ..... Other .Work (Describe) ................................. . .......
4. Estimated Cost ...~..2.~.,..0...0..0. ......................................... Fee ..~.'~...:..u.:..~...T ...................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ...9..n...e. .................. Number of dwelling units on each floor ............................
If garage, number of cars ...........O. t3~. ...........................................................................................................................
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 .......... ~2 ..................... Rear ...6...2. .....................
Depth ....~ ........................ Height ............................ Number of Stories ............... : ................
8. Dimensions of entire new construction: Front .....0...2.....f:.~ .................... Rear ,...,6.~....f..~:. ........... Depth ....~..~...;~..~ ........
'Height ...].~...f..~ ...... Number of Stories ..... Q~ ..........................................................................................................
9. Size of lot: Front ...t,~..~...~.~; ........... Rear ....1.6.2,.14...¢~ ........... Depth ..2~...~ ................
]0. Date of Purchase ...J.0~.,4 ........................................... Name of Former Owner ...M.l%..Guan,|.g.i~ ..........................
1 ]. Zone or use district in which premises ore situated .,...,es.|~ler~:.Ja.I ......................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? .............. Xto .........................................
]3. Name of'Owner of premises ..0pegen...¥.iete..E~'e..AddressB~x...,J.,J~au, ppauge ......... Phone No..2.34..-.?.Z!..I
Nome of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor E~nk..B~.r~ .............................Address ..~.ott~:h~J~! ....................... Phone
!o(: w| I I be regr'aded.,ex~ess fi i I no~. r'emoved PLOT DIAGP~M
Locete clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
properb/ lines. Give street and block number or description according to deed, and show street names and indicote
whether interior or corner lot.
STATE OF NEW,,,YOP,,K~_~
COUNTY Of ........
.................................. -.
. ~, . being
(Name of ,ndividual signing op;~;~i;~ ................. duly sworn, deposes and says that he is the applicant
named. He is the ........... ~.~.
above
(Contractor, agent, corporate officer, etc.)
of sai8 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 performed in the manner set forth in the application filed therewith.
Sworn to b~ me this
~o~ public m the State o~
%
o..%
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS
7~HE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RES DENCE
WI~L CONFORM TO THE ~TANDARD~ 0F THE S~FFOLK COUNT~ OEPAR II
:,.::? O.
,~'.~ .,
N07'~:
· =MONUMENT '
SUBDIVISION MAP F/£ED IN ?'NE OFFICE OF TI~E C£ERK OF
SUFFOLt~. COUNTY ON APRIL 4,1975 AS FIL~ NO. 62~L
,lAIr. 17,/97?
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W, YOUNG HOWARD W. YOUNG
FOR:
FRANK BORN
I0 T NO, $ "OREGON VIEW ESTATES'
AT cuTctYOGUE GUARANT
TOWN OF
SOU~'HO£D
SUFFOLK CO., N.Y. -
THE LOCATION OF WELLS AND'CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS
APPLICANT: _ _~ ~.~['-.~
ADDRESS TS/.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICEs
FOR APPROVAL OF CONSTRUCTION ONLY
°ATE.
APPROVED_
/~'7/
%
NO TE ~
~ -' MONUMENT
SUBDIVISION MAP PILED IN THE OPFIC£ OF THE CLERK OF
SUPPOLK COUNTY ON APRIL q, 19?S AS FILE N0.624l
REVISIONS
YOUNG'& YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W, YOUNG HOWARD W. YOUNG
SURVEY FOR:
FF~ANK BOt~N
LOT NO. $ "Ot~EGON VIEW ESTATES"
AT CUTCNOGU~ GUARANTEED TO:
OWN OF SOUTHO£ D
__ . . . /-/~,.~. ~_,~
SUFFOLK CO, N Y ~
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