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Home My WebLink About8351-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..I~..~)..~. ..... Date ........... .D.e.¢.. ~ ....... , 19. THIS CERTIFIES that the building located at . 8.ou~.d..V.$0w..~¥~. ~; ..... Street Map No.. ~ ..... Block No. :zx ...... Lot No.. ~ . [lollS;hoUri.. 1~,¥ o .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Jail 8.., 19. 76 pursuant to which Building Permit No.. dated ....... J.a~.....8..., 19 ?.6., was issued, and conforms to ~ll of the req,lre- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is .P, .r.~.a.~.e..ql~.e.f.~_~.~y .d. Wel~..~tg ................................. The certificate is issued to 1~..l'.~.~..C,..~.r.e.e.~..,..Okgl. ~ ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval D.8~. 3 .$9~6 ~y..R...V. llla ...... UNDERWRITERS CERTIFICATE No. /~29~12~... Aug. ~ .. i 9.7.6 ................. HOUSE NUMBER .... 1~ .. Street ... 8.o.~J~l. V. iOW. AYe. E;~ .... i.8o~thold... Building Inspector NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, lq. Y. TEMPORARY Certificate Of Occupancy THIS CERTIFIES that the building located at . .8.o.~4. ¥I.~W..A.V.~..~.t. .... Street Map No.. ;~. ........ Block No.. ~ ...... Lot No .... :l~x... ~cral~koJ. d.. I~,Y, ...... conforms substantially to the Application for Building Permit heretofore fried in this office dated ........... ~v~ . .8, 19.7t~ pursuant to which Building Permit No.. 83.~1Z. dated ........ J~a.. 8 ..., 19..~.6, was issued, and conforms to all of the req;,ire- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . P~iva.~e. o~ fa~ly, d.~eSJAx~ ..................................... The certificate is issued to ~i~. 0.~. Gx'~e~a ..... 0~rr~e~. ......................... (owner, lessee or tenant) o~ the aforesaid building. Suffolk County Department of Health Approval .. p~l~..rig ....................... UNDERWRITERS CERTIFICATE No... N .297.125 .... AUg. 6...19.26 .............. HOUSE NUMBER . $~% ....... Street .... Sotu~d.V~w.A~v.e .e~ct ................ ' ~ Building Inspector [ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ~.-/.~ ~.0. O..~.O...V.I~.~./...A?.~.....h~.7-Street Map Bio ..... ~U. ..... Block No .......... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .jt~..~.. ?, 19.7./o. pursuant to which Building Permit No.~..~..~. !..7~ dated .......... .~.~..~..~.., 19~...~., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issuedis .h. ~..~!f~T~ ..D?..~... ~.~.?.(!.~¥....~..~..~.I. LI.~...~. ............ The certificate is issued to . ...~..~7~ ~?....~... ~..~. f.E.-? ........................ (owner, o£ the aforesaid building. Suffolk County Department of Health Approval ~4 0.~. !~.{ .c).'7.~...~.~.~...~.-..~.0.-..~0~ UNDERWRITERS CERTIFICATE No...[~ .,.~..9..~. I..F-..~.. ......................... HOUSE NUMBER .. ~ -7..~.... Street .-?.0.U.?.~....~.[~..t~....~..tt.~.--....k~.~..-~...Ri..~/.0. _~Ou-T ~ 0 L.~ Building Inspector TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ink, and submitted in DUPLICATE to the Budding Inspector with the followgng; for new buddings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographm features 2. Final approval of Health Dept. of water supply and sewerage d,sposal ...(S-9 form or equal). 3. Approval of electrical installation from Board of F~re Underwriters. 4. Commercial bmldings, Industrial buddings, Multiple Residences end 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 exishng buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex~sting" land uses: 1. Accurate survey of property showing oil 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 bu,ldmgs or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: ]. Certificate of occupancy $5 O0 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Oate ........... New Building .....x. .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .~anu~lV.$~.w..A%ran~a..~x~i.ar~,.../~50.:...Eas~t..a£..Li~o.usa..~oad oou~no-a, i~ew Owner Or Owners Of Property .... l~ar£e...C ..... G~r. ear~ ................................................................................ Subdivision ................................................................ Lot No. ............ Block No ............. House No..17.5.. Permit No....8~A51 ........ Dote Of Permit 1./.8%7.6 ......Applicant ..Geo~.Da..A~lac,%...Su&ld,e~.,...Z, nc. Health Dept. Approval ..]?.~:D.~ir~ ......................... Labor Dept. Approval ............................................... N 29.7125 Underwriters Approval .... a/.6.~.7~ ............. ~ ....... Planning Board Approval ........................................ Request For Temporary Certificate .............. ~.....x,~.. ............... Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and ~i~ :eets al/l~ p~/,~xcodes and regulations. Applicant ........ ~~.. ......... ..~..~..~.. ............................................... GEORGE (AHLERS, BUILDER, _I~C . Sworn tO before me this ........... h day of .... ~~. ........... (stomp FOBDI NO. 6 TOWN OF $OUTHOLD , Building Department 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 ~n DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate Iocahon of all buildings, property lines, streets, aha unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage d~sposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4 Commercial buildings, Industnal buddings, Mulhple Residences and s~mdar 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-ex,sting" land uses: 1 Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Swam statement of owner or previous owner as to use, occupancy and condition of buildings 3. Date of any housing code or safety inspechon of buddings 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 $5.00 3 Copy of certificate of occupancy $1.00 :te ..... New Building .... ~ ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Owner Or Owners Of Property ......... ~..~ ....... ~. ..... ~.~ .................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No ........... / Permit No. ~....~...,,~.../......]~.. Date Of Permit ...~.~.~./~...Appiicant Health Dept. Approval .~.....~.~..-~..~..~. ...... ~/.~../,.~Z.7~....Labor Dept. Approval ................................................ Underwriters Approval ....... ~ ..... ~'. ........................ Planning Board Approval ........................................ Request For Temporary Certificate ~D~ Final Certificate Fee Submitted $ -~ ?'~'-~ Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) nr , i ' , ~ , BUREAU OF 'ELECTRICITY '+ , . ~ ,¢"tli~h'm ' 85 JOHN STREET, NEW YORK. NEW YORK 10038 ' THIS CE~IFIES THAT ,' , :, ~. , , ,1 ,q ' ~¢ 'I' ,11 ...... '1 Only the e~t~aJ eq~t~men~ ~ ~scr~bed belo~ a.d ~nt~uc~ ~y t~ applIca~ ~m~ n '~ ;"' fMr's.''~ Green,;~ So~dview Ave. ~Ext'. ," ~ .~L~ghthouse',Rd; ~h~r~u.~,.st~J~m_.. ~, ~0"~',, ~ ~" rt. ~,~ ~.d rt.?, outside , d- ~eet,on , Bilk , , Lot ., in ~a' exam]n~gt .~tl .',-- daO lll--llldl~ lib~,~ ~llffH~ t~l tlll'll:Z ~ ~"1 f9 7 6 ;'~'~} andfohndtobeincomphpncewlththqreqmrententsofthlsBoard, fl~THgE '[ - '[ ~ ' ' t,~' - ' ' Ii--''''' ' rl FIXTURES ' ' RANGES /COOKING DECKS ' OVENS DISHWASHERS EXHAUST FANS ETER ,~ - _~~__.Panelhoard/s: /1-6cir,125amp.~ 1 GFI ' ,'t ,, , .... -,~ , ' ,, ' ,,, -- 't 'J t, ,,~ , 1-20 IO/ Elec, furnace.., ....... * Multi-outlet:~ 16'-0 track, ', I .... ',, )il Ih Gus tav" Bar tra 227 E~,*Breakwater' Rd'. Mattituck, L.I. 11952 " GENERAL Lic. 1529E D , r l,,/ ,,'"l , , } f, Per This certificate m~st not be altered in any manner; return to the officd ~of the Board If mcorrect Inspectors may be ~dentified by th SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY In¢, 1. ApplicantGeorge Ahlers~ BuildexPhoneT~Y~ ~010 Address250 Cox Lane; Cu~cho~mae. New York 2. Property Location Sotmdview AYenue )~x~cension of Lighthouse Road - Township 3. Public Water Company Name 4. Lot size: WidthlO0 feet Length 237 feet 10. Sewage Disposal System: precast 5. Subdiv. 6. Section 7. Lot Number 8. Private Well 9. Public Water Distance to main 11. (For Health Services Dept. Use) A. 900-gallon septic tank: Precast x Equivalent Block B. Leaching pools: Number of pools 1 Precast x B1 ock__.Special __ If privaf6-well, fill in the fol-. 1 owing b~l?ks: A. Tank-capacity 82 .gallons B. Pump G.P.M. ~0 C. Total well depth 630' l~mate D. Depth to ground water E. Amount of water in well .y The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health Services' 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. GeorgiA h lets, President Date December 19, 1975 Signed FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the opinion of the Department of Health Services that~n adequate_and satis- factory Sewage Disposal System and Water Supply can~n~talle~,/ ~s ~t~f~ APPROVAL DATE S-15 Rev. 4/1/73 TITLE NO. ]25363E1 LONG ISLAND SOUND Unaufhorlzad al,~er~ti~n or cd.'{,fion lc) dd$ survey is a woklho subsequsl,t cwnsis. % NOTE. · '-MONUMENT AJJ ~sfonces fo Wells and ees.~oools Observations, siP, ce mo.~i weJl~, and cess* I:~ooJ$ are not viuble these d,mens~on., cannot be ccd~hed vIEW soUND ~ ~ARIE C. GREEN SOUTHOLD i ~N OF SOUTHOLD THE~ITLE ~E COMPANY AND MARIE C. GREEN. SCALE: I''= 40' OCT. 25, 1966 DEC. ~ /975 LAIdD SURVEYOR N,Y.S. LIC, NO. ~725 RI VERHEA D ~ N. Y. LONG ISLAND soUND s~hon 72~ ~ ~ N~ Y~k Sta~ Ed~t~ ~w. Copi~ oF thi~ *u~ map ~ ~ri~ the land *u~y~s ~al or ~ ~1 shall not ~ considered to Guarcnte~s or cert~hcahons ~n~cated h~ person for whom the su~ey ~s prepa.red, end on hi~ ~hal~ htle company, governmental agency and hereon, and to Ihe a*s~gnees of the le~mg ~n~ti~tion. or c~flcations am not t~nsferable ~ add~fl~al Inshlutlon .& soUND vIEW AvENUE~.~ All didem:~ to wells and cesspools am by location from house ~ a~ fide obsewahons, since m~t ~ll~ ~d ce~. ~ls are nor visible thru dimension: cannot ~ ce~ifled. SURVEY FOR MARIE C. GREEN $OUTHOLD 7'O~N OF $OUTHOLD SUFFOLK COUNTY',N.Y. SCALE: !% 40' 'OCT. 25,1966 DEC. r, 197~ MAR. E'6 ,19 7'6 JULY 2, t976 LAND N.Y.& LIC. TITLE NO. 12~e38 LONG ISLAND SOUND I~aulhor,zed alterahon or ad&tlon to lbs survey is a violatlo/t section 7209 of the ~','cw York Slc~,~ Ec~ucchon La,~, CaDres of th~s c*Jr,~y ~,~*, , ~ F~ th~ IzrJ ~u~e~or's ink seal or cmb~-~,-~ ~ "1 ,' '~ r : ~ ~,~ r~ ~ -' ~ i ~ e,,,~d cop herecrb a~d ~o t',~ 6srlCq ~- c( i' 3 LnZ~rg ,nshlut~on Guarantee or cerhficahons are not transferable to addmonal mshtut~ons ~uent owner~ "W. vIEW AvENUE~°-~ soUND ~ All &stences to wells and cesspools are by Iocahon from house owners and field observations, since most wells and cess- pools are not v,s~ble these &mension$ cannot be cerhfled. NOTE: m =MONUMENT NOV. t T~I976 SURVEY FOR MARIE C. GREEN SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, ~. y./'~ " --'~ ~'~~o~ "' 4 ~C X, 1975 '~~'~/ · L JUL Y ~, 1976 RIVER~- COMPANY APPROVED AiS ~0, ~:O ED ~NSPECTIONS: , I