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Home My WebLink About8687-zFOi~M lqO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..~..~3~.~. ..... Date ........... ]~O.~.....8. ........, 197.6,. THIS CERTIFIES that the building located at . l~.air~t~y. D~ive ........... Street Map No. Fairway..Fazlii~ck No ........... Lot No.. 31+ ..... Ct~;al~og~., .I~,,Y, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. J'.utle..~8t9.76. pursuant to which Building Permit No..8687Z. dated ......... Jlme...28 .... , lg. 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~J,V~.~.~ .on.o..~.8~-.~y..cl.~.e. 3~.~g ...................................... The certificate is issued to . .H~r. o3,d..O.,, po.w~al~l, ...... 0.wz~ol' ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval · .1~o.~..8. ~1 ~6-b.y .1~o..~.illa. ....... UNDERWRITERS CERTIFICATE No..N.~0~.132 ..... ~ep.~;..20.1976 .............. HOUSE NUMBER ...~?~. ....... Street .. 9'~i~wz~ .DrL~®.. · ~tehog~o .......... Building Inspector TOWN OF SOUTHOLD BIJ~.MNG~ ~U'I'FI~D, N. Y. IUILDII~ PEIUalT (THIS PEP. MIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL CQMPt. ETION OF THE WORK AUTHORIZED) N9 8687 Z Perml~ien is hereby granted to: g4~.,,..AbLt, z...~m~....,T.m=,....AZ'C.. ~d...C., ~'emmll .......... ~&~;J,~ ............................................... Build/rig lmpec~r. THE NEW YORK BOARD OF FIRE UNDERWRITERS 81 BUREAU OF ELECTRICITY ').,e September 20, 1976 App.ca,,o.,~o.o.Z.e 870100 N 304132 Ed Abite, s/e/cot. Fairway Drive & Tee Lane, Cutchogue, L.I. i,~,~yo.o,~.i,~to~.tfo-~ ~ s.~.,~,~t ~ ~'~. [~ 2,~,t ra outside s~:~io,~ mo~ /.ot34 ~.o.,,,~.,.i.~do,, September 16, 1976 andfoundtobeincompliancewiththerequire,nent, of this Board. TIME CLOCKS OTHER APPARATUS: MULTI-OUTLET SYSTEMS NO. OF FEET 2/O Electric: 1-20kw Motor/s: 1-1hp i GFI, 1-B 1/2 Ton Air-Cond., I post light, 2 smoke detec. t-4.Skw hot water heater, F.W. Brudi 1194 Waverly Ave. Holtsvilie, L.I. GENERAL 11742 Lic 512 D Per~ this certificate must not be altered in any manner; return to the office of the Board if ~ncorrect. ~nspectors moy be identified by Approved TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, N. Y, Disapproved a/c ................................. [~;:~...,~..~ ........... ~.~~ .......... APPLICATION FOR BUILDING PERMIT Date June 28 19 76 INSTRUCTIONS a. 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 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 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. dward G. Abztz Contractor Znc ~/C (Signature of applicant, or name, if a corporation) ttituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder Name of owner of premises ....... [.{.~..r...o.~.~.....C.......~.o..~.~..~.~..3:.~. .................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ........... o..~.t..~....z.~.o.?..~X....o..z.]~...~.gat Electrician's License No....~,,:?.~..~.~ .......................... Other Trode's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ....~i.~.z..z.?[..a:.~.....~.~!.~..s..... Lot No. 3LF Street and Number .... .~..~.~.z.'~:.~..~....!?.~:..i.M.e.- ........ .C..'¢,~.f)~1~ ................................................................................... Municipality 2. State existing use and occupancy of premises and in?ended use and occupancy of proposed construction: a. Exisiting use and occupancy ~aeant b. Intended use and occupancy .................. ¢,~,TL].&~g ........................................................................................... 3. Nature of work (check which applicable): New Building' ..XXX ......... Addition .................. Alteration .............. Repair. ................. Removal .................. Demolitior .................... Other Work .................................................. (Description) 4. Estimated Cost ....................... ..7..0..LO.,.0..0...~+ ................. Fee . .1. .1. . .6. .,, ?. . ~. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... .o..~...e. .............. Numbcr of dwelling units on each floor ........................... If garage, number of cars ........ .t..~.]~ .............................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........................... 7. Dimensions of e~isting structures, if any: Fron~ ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Deptb ................................Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front .....7..~.8 ...................... Rear ..... .7..,~..-..,8. ............. Depth ...k...2..-..!..0./.3.~k.-,2 Height .................... Number of Stories ........ .o..n...e ........................................................................................................ 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....~.~,~,!!...¢,~.t. ............................................................................. ]2. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~D. ........................................... I3. Will lot be regraded ....... llQ ................ Will excess fill be removed from premises: ( ) Yes ( ~ No 14. h~ame of Owner of premises ...~.:....C..t....~.,9~.a~.~...~. .................. Address ................................Phone No ....................... Name of Architect ..............................................................Address ................................Phone No ....................... E. Abitz ix!omo of Contractor ............................................................ Address ................................Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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, See filed Plans 5-1'A'TE OF NEW YORK, COU N'FY OF ..... Suf. f~lk .......... ....................................... g~..~,b~.¢g ................................... being duly sworn, deposes and soys that he is the applicant (Name of individual signing contract) above named. He is the builder (Contractor, agent, corporate officer, etc.) oF said ownor or owners, and is duly authorized to perform or have performed the said work and to make ~nd file this application; that all statements contained in this application are true to the best of his knowledge and belieF; end that the wed( will be performed in the manner set foRh in the application filed therewith, Sworn to before me this .................. ~,~.. day of ................... S~ffo k Nota~ Pubhc~ .......... ....,.,.-~9~.~,m....~. au, ...... ~~~.~~J/~¢~ (Signature of opp~anff) TEE LAN E THE LO{~ATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD O~SERVATIONS AND/OR FROM DATA OBTAINED FROM OT,,HERG THE WATER SUPPEY AND SEWAGE DISPOS.O,L SYSTEMS FOR THIS RESli~ENCE WILL ADDRESS TEL .... 0 9'\W E. Lot ~$ N.88059'20"W. Lot 55 v~cant 253.38' NOTE: ·: MONUMENT SUBDIVISION MAP FILED IN TIlE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON FEB. 15, 1974 AS FILE 6066 WATER SUPPLY - PRIVATE WELL NEAREST WATER MAIN- $"' MILES ]REVISIONS AU6 9,1976 YOUNG & YOI 4.00 OSTRANDER AVENUE, RIVI ALDEN ~.W. ?OUNG SURVEY FOR: EDWARD G. ABITZ LOT 34 "FAIRWAY FARMS~' AT TOWN OF SOU'EHO~D - ARANTEED TO: SCALE: 1"=40' DATE:MAY 19, 1976 76- 358 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OE~SERVATIONB AND/OR FROM DATA OBTAINED FROM OTHERS THE WATERSUPPLy AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO 'THE ST RDS OF T E SUFFO K COUNTY DEPARTMENT Of: HEALTH SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY Lot 34 ~..:! N.88° 59'20"W. 253.38' Lot 33 i VOOO~t NOTE: ·: MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON FEB. 15~ 1974 AS FILE 6066 WATER SUPPLY - PRIVATE WELL NEAREST WATER MAIN- 5-+ MILES DEPARTHEfl'! OF HEALTH g ,~.o RtVERHEfiD, N.Y. ~> Z Fq REVISIONS YOUNG SURVEY FOR: EDWARD G. ABITZ SHF~OkK · " ,I /' 4 i-t4-