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Home My WebLink About8758-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, IN. Y. Certificnte Of Occupnncy No. z747& ...... Date January. 20 r ............. , 19.7.7 · THIS CERTIFIES that the building located at S/S G~.eenfields .l~azrra. · Street Map No. Graenfield~Block No. XX . . Lot No...9 ............................ Estate conformssubstantiallytothe ApplicationforBuilding Permitheretoforef~ed ~ this office dated . Jxxly. 15, ..... , 19.~76 pursuant to which Building Permit No.8.752Z.. · dated . July. 17, ...... , 197~. , 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 .Privata one..family dwelling ............ ,., ..................... The certificate is issued to .Gor.~it.z. & .baraett ........ i ..................... (owner,:~:~~) of the aforesaid building. Suffolk County Department of Health Approval .1/20/77 . Ro~er.t .A,..V. illa~ ..... UNDERWRITERS CERTIFICATE No..I, I315497 ............ ~ ..................... ItOUSE INUMBER 6~0 .. Street .C, reen£ieJ~,s. Lane ...................... .................................... So~old.,..N.. ~, · · l- · .~ ................. B~ld~ Inspector l~ORl~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT .TOWN GLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLL~ION OF THE WORK AUTHORIZED) 8758 z Permission is hereby granted to: Gorwitz & Barnett ........ ~/..C...~.~t.~nk..~..g.~.........l~..J ...... .B..o...X....~.~..1. ..... Ktverhead BB.~.~ n~w one f~mily, dwelling ' ' ~ ~ to ...................................... ~;.., ........................................................................... ; ............ ; ................ ~k ..................... : .................................................................................................................... 5~ ...... \....;.)..: , ot premises l~ated at ...~...~ ...... ~t~~ ........................... ~" .......... ........... .... '¢~j~'U'"~, ~ ~, ' ~ ~' ' ............................................... ~.~.~.~...~a~ .......... ~.~!~ ................. ¢ ........ ,.:: ......... ~ , ~ ....... ~ ................................... :. ~..,.~ ............................................ ~ ................... ,.: ......... d}~.. ~,:~.}~::.m~;.'~ ,~ ~ p,u~uant to a~hcabon dated .................. g.U~ ....... .1.5 ................ , 19.,.~,~ 6nd apEmv~ hr-the, ~ ,~: ,_~ Building Inspector. Fee $......~.~.?j.O..~. ....... FO]h'~ NO. 6 TOWN OF SOUTHOLD ~ Building Department Town Clerks Office Southold0 N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructionm ~ 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, iproperty lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disp6sal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire UnderwritersI 4. Commercial buildings, Industrial buildings, Mulhple Residences ,and similar buildings and installations, a certificate of Code compliance fram 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 b. uildmgs and 'pre-ex,sting" 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 land 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: l. 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 New Building ...... ~ ....... Addition Old or Pre-existing Building I Vacant Land Location Of Property .......... .L.~..~...~f~ ...... .~.P..~..e.D..~..J.~..I...ct.~....L..a...n..~., ...... .S..o...u..~..~.~..!..d. ...... (~..e..e...n.~.i..e..!.d.~...Es~c · Owner Or Owners Of Property ..... .~..q.l~.~.i..~...~.?hq[...~.~.l?.~.~-.~. ..................... i ............................................... Subdivision .....~.E..e..e..n..~.i...e..I..d...s.....~..~.....~..°..u..~..h..°..kd. ..... Lot No..~. ......... Block No ............. House No ...... .6.5.0 Permit No.8.Z,.~..8..Z. .......... Date Of Permit .7...~..2.Z.,.7.~...Applioant ....F...r'..a..n...k.....B..o..c..r!....a.9..e..n..tg.....f'...q.mT. ............... Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval ..hi.3.I.E[4.8.7. ........................... Planning Board Apprc vol ........................................ Request For Temporary Certificate ........................................ Final Certificate ......y~s ............................. Fee Submitted $ ........$.5.,.QQ ................. j Construction on above described building and permit meets all applicable Jcodes a~,nd regulations. Applicant ......~.I?..~.tl J~... J~.O. I?. ~ .......... ~.....~.~.;, ....... Sworn to before me t~ ~ ~ I THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,,,te December 7, ].9?6 No ony,,. 88 024 N 3~5487 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application rt~tmber irt the premises of Gowitz & Barnett, 550 Green£ield Lane, 8outhokd, i. ,aefo.o.,,n~h,,.tlo.~ ~n.se.,e.t ~ ~.,rl. [] ~nd ri. outside .s~tlo. ate& r,,, #9 was exa,nined on December 2, 1976 andfoundtobeincon,ptta,tc,.u,iththereq,,~re,nentsofthlsBoard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES 15 34 25 FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS 1 Smoke Detector I G.F.C.I. S E R V I C E NO OF CC COND A W G A W G A W G NO 0I: HI Joseph Crocombe, Box ll?5 Center Moriches, L.I. 11934 Lic. 746E D Th~s cerhflcate must not be altered in any manner, return fo the office of the Board ,f ,ncorrecl inspectors may be ~dentif,ed by TOWN OF SOUTHOLD BUILDING DEPARTMENT~.~ ~ ~ ~ ~ ~ ~'~ TOWN CLERK'S OFFICE-~ . SOUTHOLD, N. Y. Examined ....... ~...~:~ , 19 ..... Application No. Approved ..... ~......LL..~.,.~,../......., ~9,(.~. Pemit No...~ ........ ~.~,..~ ....... ...... ......... . . ................................ ..... ~l~TIO~ ~OR 8~l~l~ ~. This ~pplic~tion must be complotely {iliad in b~ ~powriter or Inspector. b. ~lot plon showin~ Iocotion of lot ~nd of buildings on pr~mises, relotionship to odjoinin~ premises or public ~treots or ore,s, ~nd ~ivinfl o detoilod de~ription o{ I~yout o{prope~ must be dr~wn on the dioorom which c. The work cowred by this opplic~tion moy not bo commenced before issuance of Buildin~ Permit. d. Upon ~pprowl of this opplicotion, the Buildin~ Inspector will issue sholl be kept on the premises ovoil*ble {or inspection throughout th~ pro~ress of th~ work. e. ~o buildin~ *h~ll b~ ~cupied or used in whol~ or in port {or ony purposo whotever until o ~i{ic~te of Occupancy sholl hove been oronted by ih~ Buildino Inspector. APPklCATIO~ I$ HfiR[BY M~Dfi to th~ ~uildin~ Dep~rtment {or the Buildin~ Zone Ordinonce o{ tho Town of Southold, Suffolk County, ~ew York, ond othor opplicobl~ ~ow~, Ordinonces or Reoulotions, for the construction o{ buildings, ~ddition~ or ,~t~rotions, or for removol or demolition, The opplicont o~rees to comply with oll opplicobl~ lows, ordinonces, buildin~ Frank Born, RD I Box .55 RJverhead,N.Y. (Address of applicant) / / '~ z~./ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... ................................................................................................................................... Name of owner of prem ses~oP..t4 i.~ ~lD.d....B.~l..r?..O.~.~ ......................................................................................... If applicant is a corporate, signature of duly authorized officer. ~ (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.:(~/::..~.~o.~.~.~/,..C...~r.~Z Lot No...../~. ................ Street and Number ................................................ ...................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .......... .~.f~.~J..~.D.~.J..~.! ............................................................................................ b. Intended use and occupancy .......... .~.e..~j..d.~r).~j.~.l ............................................................................................ Plumbers I icense..570 P ,'N Electricians license 746 E ,~ 3. Nature of work (check, which applicable): New Building ..... )~ ...... Addition .................. Altera.tion .................. Repair .................. Removal .................. Demolition .................. _Ott:~,r.. Work (Describe) ........................................ OD 4. Estimated Cost-.~)~;~(X)' ........................................ Fee ..~.....~. ................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~n,e ............. Number of dwelling units on each floor ............................ If garage, number of cars ........ em. ............................................................................................................................. 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 .....I.~..41~.... Number of Stories ....en~ .......................................................................................................... 9. Size of lot: Front '"~'"I'SO"~G ..... Rear ..... I~1~..~ ................. Depth .......... ~4...l~1~ ........ 10. Date of Purchase ......... ~974 ..................................... Name of Former Owner 1 1. Zone or use district in which premises are situated ...~llll~Ll~i. lll. ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............... ~. ................... 13. Name of Owner of premises .~,~ll~.l.~..~L~.n~l;ltlress ..El~gl~.~.~Jll. ........................ Phone No. ,~.~..~..~.-.' Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...l~l~ll~k...l~t.l~ ......................... Address $~m~hold Phone No. 7.~...~.~$.~5. Z.o'l' vo~ /I bo £,')rr, d~ _ e ~tc,'~s. f./I /x~'t PLOT DIAGRAM '~'r~,~ [~r~'m 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 comer lot. STATE Of NEW~YO~;~ ~-- COUNTY Of .d..~..~.~:~...~..~ ........ ~.% ........................... '~...~.....~....%~..C?',. ......... ...~....~.~...,'~... ................. being duly sworn, d~oses and says that he is the applicant (Name of individual signing~p~ication) 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 ~ke ~d file this application; that all statements contained in this application a~e true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Swam t~e this . ~.~ ~ ~ ....... ......... ................... , ........ r X · ' / ~/~- - -~-s~ ~. ,I THE LOCA]ION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELO OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SE~fASE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTM£N OF HEALTH SERVI,~E..S SUFFO~ CO~y HEALTH JA} ~e se~,taFe be satlsfacLo~F' \ REVISIONS 18, 1977 YOUNG & YOUNG 400 O~TRANDER AVENUE, RIVL'R~FAD, NEW YOrK ALDEN W YOUNGI HOWARD W, YOUNG FRANK BORAI LO T NO 9 " GREENFIEL DS A T '$ OU THO L D . SOU THOL p ~+'-5~-~ o¢ SOUTHOL D ' , i ~0, 197~ j 76-581 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINEO FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL ~Y~TEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFJ~.K COUNTY DEPARTME OF HEALTH SERVICRS ,/') (~ ~ ~ ~ U~FOLK COUNW DEPAETMENT OF HEALTH SERVICE~ .... FOR APPROVAL OF CONSTRUCTION ONLY \, rogoot / N/I"l L. Of 9~ i~0 s(:I ft. 4¢0; 4g '" ~~~'~"-NG I L TIlE ~vJs~o~s i YOUNG ~ YO,~NG, ,~ ' ~o~'~ SURVEY FOR: I ~%~_~.~5 a~.,~_ / L 0 T NO. 9 "GREENFIEL DS A T SOU THO L D---- SOU THOLD TOWN Or $OUr/-/Ol [~ SUFFOLK',CO, N.Y, SCALE 1"=50' ]DATE tGUARANTEED TO' i ()