The URL can be used to link to this page

Home My WebLink About8756-zFORM NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certific; te Of Occupancy N~ Z77£1 July 19 , 197.7. .............. Date ............................. THIS CERTIFIES that the building located at ~lr~...97.~..~9. ............ Street Map No. 6~.~..~. aY..F..aZ~l~ck No ........... Lot No, .~.~. ...... .~u..t.?h.°. gg.e ..... .~! :.Y: .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... J..'~..~... ~..., 19. ?.6. pursuant to which Building Permit No..~.~.6.Z.. dated July 27 19 76, 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 .P.r.i.v.a. J;.e..o.n..e..f..a~..i.ly..d..wg.l.~i.~g ........................................ The certificate is issued to .D..r..II.e.r..b.e.r.t...C.,..F.e..t.t ....... . .(~..e..r ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .J..u.l.y....18... 1. .9.7.7... b.Y..R...V.~.l.l.a. .... UNDERWRITERS CERTIFICATE No....N.~.~0.?0..8 ...... .J..m~.e...8.~.. 1. 9.7.7. ............. HOUSE NUMBER ..... 2.7.00 .... Street ... ~.airw~. Dr~t, ve ........... C~xl~chog~e. Iq)RM NO. 2 TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEI~K'S OFFICE SOUTH, OLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8756 Z- Permission is hereby granted to: Date ......................... ,Tu-l-y.-.--2.~ ........... , 19..~o.. .... F21axqer~_&~..Bal~l~g...¢~r.l~....A].C..D.r Herbert C, Fet~ ......... ~2.~3.... ,~e~. ~e.h~.. ~k ....... ~toodbu~,~ir · ...; ............... ;...C. ...................... ;., .~; ~. * .~,t~,., .~,, ........... : ..........................................~ .............................. · : ~ ~ ~ ~ ~:~,, ~ - ~ ~ ,~ ~ .~i~es I~at~ bt ~Ot 1~ _~i~a~...~.~ ..................................................... :ZL....:. ....... ......................... ;.~.,.:., ..... ,~.,...~'~~..~,o ......... .ea~,ao~, ................ t ...................... : ......... ~u~nt to o~pl~ati6n 'ddt' ~..~,.:.,:: ............... ~ ................;:; , i~.~., on~ approv~ ~y the _. _ 'Building ,.~ .~n*~ecto;. -' "-' ' ~ : ' ': '~ ' - ",:.~.:~" '-" : .x .: .... .._ :: ~.-~ --~ . ~ $168~85 Fee ..........t .......... - ..... ~'-~,- - ' *~. ~ : ' ~ .... ~'Z~z FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Soothold, N. Y. ] 197] APPLIGATION FOR CERTIFIGATE OF OGGUPANGY Instructions ~ A. This application must be filled in typewriter OR ink, and submitted in', DUPLICATE to the Buiid~ng inspector w~th 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 dispbsal--(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, b~.ildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupanc¥1and condition of buildings. 3. Date of any housing code or safety inspection of buildings or pre,mises, 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 $§.00 3. Copy of certificate of occupancy $1.00 New Bqilding ..... A ......... Addition ................ Old or Pre-existing Building ......I .......... Vacant Land .............. Owner Or Owners Of Property ...~..r..,...tJ.q.t~.q.r..l:...C..t....F..e..t..t. .............................. , ............................................... Subdivision .......J~3.lJrr~a~/..F.~rm,$ ............................... Lot No ...... lJ~.... Block No ............. House No ............ Health Dept. Approval ..~./2,5,~.7~..,[~e,f..Jff~.-.~0..-.].Z0. Labor Dept. Approval '1 .............................................. . Underwriters Approval ....................... Planmng Board Apprc~vol ................................. Request For Temporary Ce/l'ificate ........................................ Fine] Certificate ............ ./...~ Fee Submitted $ .................................... j C~¢/~Z' ~x,~// regulation Construction on above described building and permit meets all applicable Icades .~c~/and Applicant Sworn to before me this '~~ ! ~/ MARY E. DAWSON /N,~TARY PUBLIg, State of Flew Yor~ '/No 52 4643721, Suffolk Couf.l,t~-,~ Term £~,osres Merci1 30, THE NEW YORK BOARD OF FIRE UNDERWRITERS :) BUREAU OF ELECTRICITY I 83 JOHN STREET, NEW YORK, NEW YORK 10038 - o,,,,. JuDe 8, 1977 .~,,~,,,,a,,o.:~o o,,/,'e 88774'2 n 340908 THIS CERTIFIES THAT Onf) the ~,lectrlcul equipment as dt,~erzbt, d ~e[otv and introduced b3 the applicant named on the above a~p__licatlon number in the prer~ises of Dr. Herbert C. Fett, 2900 Fairway Drive, Cutchogue, [L.I. in the folio. Lng location; ~ Ba~etnent ,,.,,.,a,,,~-,',~o- June 2, 1977 ~ ~, ct. ~] 2.d ~q. Outside &.b,~o. mo& ~, and fox, nd t¢, be ,n co,nphance t~ith the req.irement~ of th~ lloard. FIXTURE HES t FIXTURES RANGES ICOOKING DECKS I OVENS~__~DISH WASHERS EXHAUST FANS DRYERS ] FURNACE MOTORS t FUTURE APPLIANCE FEEDERS 'ECIALREC'PT! TIMECLOCKS I BELL ]UNiTHEATER$ MULTi-OUTLET DIMMERS SERVICE DISCONNECT I NO - S E R I C E ; - 1 350mcm ~ *Future Appliance Feeder/s: 2-3#6, 2-3#8, 1-3#10 *Serv~e Disconnect: 1-200amp 1-100~mp CB 1 G.F.C.I. 2 Smoke Detectors 1-4.5K~ Hot Water Heater Peter Bogovic Main Rd. I GENERAL MA G~R $ou~hold, L.I. 11971 Lic. 137E tLM~ ~ % TOWN CLERK'S OFFICE /~'. Dimpproved o/c ..................... APPLICA~N FOR BUILDING PE~IT ~ Date ........... ~M-.~ ............... , 19 ........... INSTRU~IONS a. This application mu~ be completely fill~ in by ~pewriter o~ in ink and s~miJ~ed In~ector, with 3 s~ of pl~s, a~umte pl~ pl~ ~ ~ale. F~ acco~i~to ~he~ule, b. Plot plan shying I~a~ion of lot and of buildings on premises, relationship to adjoining premises or public areas, and givi~ a detail~ description of layout ofpr~e~ must be drawn on the diagram which is ~ of this application. c? ~e~k covered ~y,this a~li~fion(may not be commen~ b~otEi~ua~e of~ui~g Permit d. Upon approval o~ ~is application, ~e Building I~sp~tor will issue a Building Permit to the applicant. Such permilb shall be kept on the premises available for insp~tion throughout the work. e. No building shall ~e ~cupi~ or u~d in whole or in pa~ for any pu~ose whmever until shall have been granted ~y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a 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, and to admit authorized inspectors on premises and in buildings for necessary inspections. Thesis Ee (Signature of applicant, or ~me, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ..Dl~'a..~,e~.11tqg~...g.~.~.~.j ............................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's ,c se .............. Plumber's License No ....... JJ. Jl~. ................................. Electrician's License No...~.'~J ................................. Other Trade's License No ............................................... I. Location of land on which proposed work will be done. Mop No.: .F~i~J~..~.a~ .......... .~.,; Lot Not. '~ ................. F~'~ Drive Cut, Street and Number . ,~ Z ~ :~..a....~. ........................................................................................ Municipali~ 2. State existing use and occupancy of premises and intended use and occupa~c~'-propdsed~co~Struction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use end occupancy .....~.all:J,d. llJl~ ......................................................................................................... 3. Nature of Work (check which applicable): New Building' ...~ ............ Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work ...~ ............................................. .... .L ~('~~cz~ (Description) 4. Estimated Cost ..&~ClClQ,,~ ...................................... Fee ........................................................................................ (to be paid on filing this applica_,ti~n~)~ 5. If dwelling, number of dwelling units ............ 6 .............. Number of dwelling units on each floor ..... ~. .................... If garage, number of cars ..... ~. ..................................................................................................................................... 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 .................................... Rear ............................ Depth ................................Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~..~ ........................ Rear ...~..~ ..................... Depth ...... .~. .............. Height .................... Number of Stories ...... ~ ................................................................. . .......................................... 9. Size of lot: Front ....... ..~J .......................................... Rear ...~ ................................. Depth ....JJJJ,~ ...................... 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .......................... .~e.8..~& .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ......~ ................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..~l~m..JJ,..~m..~JJj ...................... Address ...I~.cl~I:I,..~::i,~IL.... Phone No ....................... Name of Architect .............................................................. Address ................................Phone No ....................... Name of Contractor ~']Llftl~..~l~...J~...~,l. cl,;l,l~..l~k'~ ....... Address ..,i~.~..~..~...~.t/..~.e 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 number or description according to deed, and show street names and indicate whether interior or corner lot. ' STATE. OF NEW YORK, ' .... lc 4 COUNTY OF ...... lJ~ll~l~ .............. ................................................................... ............................. being duly sworn, deposes and says that he is the applicam (Name of individual signing contrac~ . . ~ . ; o? '. ' above name. He is the ............. ~..~ .................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa~ work and to make and file this application; that all statements contained in this application are tr~e to the he--his knowledge and belief; and that the work will be performed in the manner set fodh in the appli~od fil¢i¢ Sw°m tZef°re me this ~.~1 /q ~ ....................... ,,, o, ~oto, ~ublic, . ............... ¢ ........... ~......[~.J/.~ Coun~ .................... ~~~ .............................. /~ ~/~ (Signature o~pplicatt) / // ..... / / ~uallfi~ in Nassau I THE LOCATION OF WELLS AND CESSPOOLS SHOWN HER{gON ARE FROM FI{gLO OBSERVATIONS AND/OR FROM DATA OBTAINEO FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM~; FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OFHEAL3% S{[RVlCES APPLICANT ....... ADDRESS ................. - TEL ~h~ m~a~e dispose! a~ ~ter suppl~ ~l~tte~ for thi~ lccatlo~ ~ve been ~D~d b~ thl~ d~rtment ~d ~und ~e~ 5f Ceneral~ngineerin~ Servtces Lot IJ S. 89°12 '/0 "E. 325.59 Norfh Fork NOTE: · -- MONUMENT SUBOIV/SION MAP FILED IN THE' OFFICE OF THE CLEHK OFSUFFOLK C06WTY ON FEB. I,.~i, Ig?"~ AS FILE NO. GOGG NEA/PE~T PUBLIC WATZ'I~ MAIN -' W MI~S ~ WATEB S~RVICE= ~IVATE WELLS REVISIONS AUG, 25, 19Y6 dULY/I, YOUNG & YOUNG 400 OSTRANDER AVE.NUE, RiVERHEAD, HEW YORK ALDEN W, YOUNG HOWARD W. YOUNG SURVEY FOR: HERBERT FETT' £Or NO. 14 "FIIIRWI~Y F~RMS " LONG ISLAND TRUST CO AT CU TCHOGUE 'OWN OF SOU THOL D SUFFOLK CO , N.Y. '~CAL~ 1"=50' H FU ~, ~-bL I0" Fl.&L-' ~.u ."0 VF== \ \ q¢'- / ~- ' c/.o'). :,2' 'x aloe, - .F, o o ,I ,I ,I ¸10 I J I I ALUm, ,I -Pt, I0 I C:r -h