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Home My WebLink About8353-zNO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z.7.07.6. ..... Date ............ .~/u~..~ .... 8. ....., 19.7.6. THIS CERTIFIES that the building located at . l/abasao../~.l; ............. Street Map ~¢o..X~ ........ Block No...~..... Lot No .... .x~:.....?.~...~.9.~......~.,~: ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... Jall ~ 19.. ?.~ pursuant to which Building Permit No..8.5 dated ........ J..a~l....? ...., 19 .7~., was issued, and conforms to ~1! of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Prlya.~. 9~.~..f.~mi.l.Y...d.~el..l! .~g .................................... The certificate is issued to .J..o.1~...&.. L.~.~..1.~..a~...F..~..11~ ..... ~..~:).e.r.s. ................. (owner, lessee or tenant) of the aforesaid bmlding. Suffolk County Department of Health Approval . .~.l~.e.. 7.. ~. 97.~..b.~..R.:..~.~.]...1.~... UNDERWRITERS CERTIFICATE No...~I.2.8~..!8..~...~...u.41..e....2...1.~.?.~ ................. HOUSE NUMBER .... 390 .... Street...~b~s~o. ~.~... 8Oat;ho]..d. ............... Building Inspector FORM NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8353 Z Permission is hereby granted to: ~e~. ~v~l~l..... ~f~l..~o~.~/~e13~. '~' ~)ursuant to application dated ........................... ~....L..~ .........., ,]9~ .... and appro~,ed by ~1, ~,~ ?,,JI~,I:~ITHE~=,~NEW~YORK BOARD~OF FIRE.~UNDERWRITERS."~ ~'~ dl Il: _~..1.__t! , - ~h-' t ,it , ~ BUREAU OF'ELECTRICITY h, I ,1%,, ~ ' ,~:,~t-:r~-~',~,::,,,,- ,,,,,, ', ~o.. STREET. "EW,,*O".. ~ ~O.~,,,OO~. , ~.1= CERTIFIEs ~HAt~ , . ~ , , ..... ~ ~ ~ ,, ~J hi , ,d ,, , , , d, ,ill *ill ,.:=.n-~ :~Warren~W8ldvoqe . .72, W~bassq Streetz Southo d/, Ltl. , . ,~ ~ ,', , ~,, ~,~,~ ~]ol~ingl~ltonl~(t ~ .~m~t,,~i ~zqt~l. ,,~,Zn~ r~.J, I' , OUlSI ue ~ ton .~ ~amltle. o~ , M~y ~/~,- I ~,1 u - , , anaJOUn~tooegncomptiancemlthth~requlrementso/~la~o~rd,: nxTUn~ '"r ~'~ "' ~ I ~' ' ...... 'w;l~t~]~;~, ', :'~ ~XTURES ~, ' , ' ' J ~'~ RANGES JCOOKINGDfCKSJ ', OVENS JDI6H WASHERS IXHAOET FANS OUTLETS ', ~EPTAC~SJ SWIT~ES ' i~C~N~ENT ~LU~ESCENT, , ~Jt ', '~T K ~ ~r ' ~ W I ~T K W. ~T K W ~i ",H P W,D~YE~ h J t~ ~ FURNA~ MOTORS -I ' ~] FUTURE APPLIANCE FEEDERS JSPEC ALRE~'PT T ME Ck~Ks'J BELL'~JuNIT HEATERS J MULTI-OUT~T t I ~ ~ ~ / I~ ,, J , I .. .I I .I . t . I . I' . ~ . ~ . t ,, 200 0B x ' 2/0 ~ 2 0 ", ~ ,/' ,, , -/-';,, , ', ,,, ,, , ' ~,- ~":' , ', *" '' I , ,,, I,,-,, (,-,~,~ -~'---; .......... , .: * ~2 - _ ~ r ~ , , t ~ , , ~, ~ ,t r ,' ' ,' h ', fl'ltl-I"g:--W Il ] ti' q * 'h , lh-h,"'II-~il ' II, m- ~t d~ :t ' ,¢' ti II III h Ill-Ill:-IJJ , ', f ~ _1 Iii hl , , : h t t ~ ,' , ' : ' ' , //~ . ; ~J _, 'u,,, uI ¢, u-Ut:ll~: Illl ",/ii ~tl tq ~, I' i'_~' . ,.. ~. ,. j~ h, t~ ' . ' . . ,nj, cedltlcate must.not, be; alterea In a,y manner,, return to the office ut the .oara ,t ,ncorrect.. I.spectors may ~e. ~d~,~. '.~l SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant .... Address 2. Property Location Village 3. Public Water ComPaf~y Name 4. Lot size: Width ' feet ' Phone "~ ~' .... ~"~ ~' ' ' G. Section ~ 7. Lot Number 8. Private Well To,wpsh,ip ' ~'~ ,,,~ 9. Public Water , ~, Distance to main Length feet 10. ll. Sewage Disposal System: A.~gallon septic tank: Precast(~ Equivalent Block B. Leaching pools: Number of pools Precast (fo Block__Special__ If private well, fill in the fol- lowing blanks: A, Tank c~a~pacity B. Pump G.P.M. ~'~gallons ? C. Tot~] well depth D. Dep~th to ground water E. Amount of water in well (For Health Services Dept. Use) 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. Date ,~7 . ' 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 an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL DATE /x//~//~ (~ SIGNED S-15 Rev. 4/1/73 BUILDING DEPARTMENT' 7~"~ TOWN CLERK'S OFFICE ~ ~ ~UTHOLD, N. Y. ~/~, X'"T ...... , "~.. ' ...... ~' ___ ~ ...................................... , .......................................... ~,~.~ ....................................................................... ...... ...................... ...... ...... (~u' ding I~p~t~) .......................... APPLICATION FOR BUILDING PE~IT INSTRUCTIONS Date o. 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 oF areas, and giving a detaded 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 ~ssue 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 the 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, 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, j/f/x~j /_ j~ l~O C~- ~- L__ .......... ...... ......................... (Signature of applicant, or nar~, if' a corporation) ..... ~....~. ....... ~ ...... ~.....~~.~... .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ ' . I- ~/,./L:'/..Lt :°::,:::::'c:::'::: ';;';";; ........ ........................... ' ........................ (Name and title of corporate officer) Budder's License No ..................................................... Plumber's,License No .... '~"~"" "~"'~'~'""~"'t"" Other Trade's License No ............................................... Location of land on which;...~~l propgsed~ work will be~- !dane' .Map No.:_ ¢ ~ ,~-x'----/.u//':"~ .......... "~..~ ..... Lot No....~..~'' ................. Street and Number ..... ....... .'~},,~...f .......... . L.......c~ ......................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o Exisiting use and occupancy -/ 3. Nature ~c~l~ck ~ich apphcable). New Bu,ld,ng .....w~.. ....... Addit,on ................. Alteration .......... Repair ................ Removal ................. Demohhor. .................. Other Work ................................................ , ~ I ~ (Description) ..... .~.4_.~.~, ................................ Fee ....... ~ ~e p~;~ ~";~"~i;~,~ ......... 4. Estimated Cost 5. If dwelling, number of dwelling units .......................... Number of dwelhng umts on each floor .......................... If garage, number of ca~ .................................................................................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each ~pe of use .......................... 7. Dtmens~ons of ex~stmg structures, ~f any: Front ..................... Rear ................................Depth ................... Height ........................ Number of Stones .............................................................................................................. D~mens~ons of same structure w~th alterahons or addmons' Front ................................... Rear ................ Depth ............................... Height ........................ Number of Stories ................................ ~O,me~,o~s of e~t,~e ~ew co~t~ct,o~' ~o~* ....... Z2.: ..................... ~r ...... .~.2 ................ O~pth 2~...:~e ....... Height .................. Number of Stones ...................................................................................... ff~. ~ ................ ~. s~ of ~o~ ~o~t ........ zz:. ........................ Z4.~. ...... ~ ...... ~:e....~..z.~.z..~~ ............................. 10. Date of Purchase ................. ¢ ................................... N~me of Former Owner ........ ~.ff~.....;.&~'....:T: ....... o~ ~s~ d~m,ct ~ which p~e~,~e~ ~re ~,t~ted ...--Z.~e.[~2.L~ ~. ........ ~V~Z~,~ ......... ~M).... II. Zone 12 Does proposed construction v~olate any zoning law, ordinance or regulation' . ........ ~. ................... ' 13 WHI lot be regraded ........ ~ ........... Will excess fill be removed from premises: ( ) Yes ( ~ No ,4 ................................ Name of Architect ..................................... Address ................................Phone No ...................... Name of Contractor [~~&¢.& ...... ~ ~ ........ Address'~Z~ ........ Phone No. PLOT DIAG~M Locate clearly and d~shnctly all buddings, whether ex~stmg or proposed, and red,cate all set-~ck dimensions fro~ propc~y hnes G~ve street and block number or descnphon according to deed, and show street names and ind~cat~ ~,..whet~er ~nterior or corner lot STATE OF NEW YORK .... ' ~SC COUNT'r, OF~ ....... ,_ .~',/., ~....~ ,, ~ ...... ,' ":"~' ...... :::T ............. ~, ................... .'~": ....... 'x;\. ...... above named being d~ly sw~w~ef?qse~ and says that he ~s the apphcar He ~s the ......................................................................................................................................................................... (Contractor, agent, corporate officer, etc ) of sa,d owner or owners, and is duly authorized to perform or l~gy.e performed t~~rn'~ and f,I this application; that all statements contained in this apphcahor~a~_e to the best of his knowledge and behef; an tha~ the work will be performed m the manner set forth ~n the application flied therewith. Sworn to before me th~s Notorq Pubhc, . ............... ..~.'~ ........... ~"~':"'""'r~'" County .......................... /~ (Signature of appli~t)" IVOtf'OMi~ formerl~l Cedric H wickhom N. 84~21'OO"E. formerly Cedric H Wickhom NOT£~ · =MONUMENT UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY tS A VIOLATION OF SECTION TEE LOCAT~,Ot,~ OF Wr.,'Lr,'~ AIrD CESSPOOt.!~ ~NDIOR FROM DAT~ OB~AII'IED FROM OTHERS REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG NOKOMIS Cedric H W/ckhom N.8402/'OO"E 157.98' -- formerly Cedric ft Wickhom SUFFOT,K COUNTY HEAT,TH DEPARTMENT' JUN 0 DATE M.D. REF. Th~ se~aSe aisDosal and ~te~ suD~l¥ ~/~, ~ facilities for this location have been ~/~ ~ns~ected~ib~ t~io~ ~epartment and found ~ /~.~ ~ ~O b~ sat s ac ~ ~ ,~ ~ ~/ ~..~------~ NO~'E. TFIE r. OC~TION OF WELZ~ ~ND CE~'SPOOL~' SHOWN HEREIN ARE F~O]'~I FIELD OBSER¥ATZONS · -'MONU,~FNF /IND/O~ F.~OM DATA OB'~AI~ED ri{OH OTHERS REVISIONS YOUNG &RIVERH£,,D,YOU~'~!t':'~'~"~ LAND ~URVEYOR. N.Y.S MC NO, SURVEY FOR: JOHN ~ F/~ELL/ ~ L/LL/~ F/NELL/ AT GUARANTEED TO: OF ~ YOBK · ow. o~ SOUTHOLD d O HN UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF' THIS SURVEY MAP NOT BLEARING